CORNING HOSPITAL GROUP MEDICAL PLAN
|
2015
|
160393490
|
2016-10-17
|
CORNING HOSPITAL
|
646
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1976-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
5708875004
|
Plan sponsor’s mailing address |
1 GUTHRIE SQ, SAYRE, PA, 188401625
|
Plan sponsor’s
address |
1 GUTHRIE DRIVE, CORNING, NY, 14830
|
Plan administrator’s name and address
Administrator’s EIN |
160393490 |
Plan administrator’s name |
CORNING HOSPITAL |
Plan administrator’s
address |
1 GUTHRIE SQ, SAYRE, PA, 188401625 |
Administrator’s telephone number |
5708875004 |
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
FRANK PINKOSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-17 |
Name of individual signing |
FRANK PINKOSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORNING HOSPITAL GROUP MEDICAL PLAN
|
2014
|
160393490
|
2015-10-14
|
CORNING HOSPITAL
|
653
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1976-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
5708874401
|
Plan sponsor’s mailing address |
1 GUTHRIE SQUARE, SAYRE, PA, 18840
|
Plan sponsor’s
address |
1 GUTHRIE DRIVE, CORNING, NY, 14830
|
Plan administrator’s name and address
Administrator’s EIN |
160393490 |
Plan administrator’s name |
CORNING HOSPITAL |
Plan administrator’s
address |
1 GUTHRIE SQUARE, SAYRE, PA, 18840 |
Administrator’s telephone number |
5708874401 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
FRANK PINKOSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
FRANK PINKOSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORNING HOSPITAL GROUP MEDICAL PLAN
|
2013
|
160393490
|
2014-10-15
|
CORNING HOSPITAL
|
617
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1976-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
6079377525
|
Plan sponsor’s mailing address |
1 GUTHRIE DRIVE, CORNING, NY, 14830
|
Plan sponsor’s
address |
1 GUTHRIE DRIVE, CORNING, NY, 14830
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
FRANK PINKOSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
FRANK PINKOSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORNING HOSPITAL GROUP MEDICAL PLAN
|
2012
|
160393490
|
2013-10-11
|
CORNING HOSPITAL
|
605
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1976-07-01
|
Business code |
622000
|
Plan sponsor’s mailing address |
176 DENISON PARKWAY EAST, CORNING, NY, 14830
|
Plan sponsor’s
address |
176 DENISON PARKWAY EAST, CORNING, NY, 14830
|
Number of participants as of the end of the plan year
Active participants |
617 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
FRANK PINKOSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-11 |
Name of individual signing |
FRANK PINKOSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORNING HOSPITAL GROUP MEDICAL PLAN
|
2011
|
160393490
|
2012-10-15
|
CORNING HOSPITAL
|
611
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1976-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
6079377200
|
Plan sponsor’s mailing address |
176 DENISON PARKWAY EAST, CORNING, NY, 14830
|
Plan sponsor’s
address |
176 DENISON PARKWAY EAST, CORNING, NY, 14830
|
Plan administrator’s name and address
Administrator’s EIN |
160393490 |
Plan administrator’s name |
CORNING HOSPITAL |
Plan administrator’s
address |
176 DENISON PARKWAY EAST, CORNING, NY, 14830 |
Administrator’s telephone number |
6079377200 |
Number of participants as of the end of the plan year
Active participants |
605 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
FRANK PINKOSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORNING HOSPITAL GROUP MEDICAL PLAN
|
2010
|
160393490
|
2011-10-14
|
CORNING HOSPITAL
|
289
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1976-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
6079377200
|
Plan sponsor’s mailing address |
HUMAN RESOURCES, 176 DENISON PARKWAY EAST, CORNING, NY, 14830
|
Plan sponsor’s
address |
HUMAN RESOURCES, 176 DENISON PARKWAY EAST, CORNING, NY, 14830
|
Plan administrator’s name and address
Administrator’s EIN |
160393490 |
Plan administrator’s name |
CORNING HOSPITAL |
Plan administrator’s
address |
HUMAN RESOURCES, 176 DENISON PARKWAY EAST, CORNING, NY, 14830 |
Administrator’s telephone number |
6079377200 |
Number of participants as of the end of the plan year
Active participants |
609 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
FRANK PINKOSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORNING HOSPITAL GROUP MEDICAL PLAN
|
2009
|
160393490
|
2010-10-12
|
CORNING HOSPITAL
|
393
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1976-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
6079377200
|
Plan sponsor’s mailing address |
176 DENISON PARKWAY EAST, CORNING, NY, 14830
|
Plan sponsor’s
address |
176 DENISON PARKWAY EAST, CORNING, NY, 14830
|
Plan administrator’s name and address
Administrator’s EIN |
160393490 |
Plan administrator’s name |
CORNING HOSPITAL |
Plan administrator’s
address |
176 DENISON PARKWAY EAST, CORNING, NY, 14830 |
Administrator’s telephone number |
6079377200 |
Number of participants as of the end of the plan year
Active participants |
289 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
FRANK PINKOSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|