THE HILLIARD CORPORATION UNION MEDICAL PLAN
|
2015
|
160480520
|
2016-09-08
|
THE HILLIARD CORPORATION
|
234
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2002-09-01
|
Business code |
333610
|
Sponsor’s telephone number |
6077337121
|
Plan sponsor’s mailing address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Plan sponsor’s
address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Number of participants as of the end of the plan year
Active participants |
236 |
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 |
2016-09-08 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-08 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE HILLIARD CORPORATION UNION MEDICAL PLAN
|
2015
|
160480520
|
2016-09-08
|
THE HILLIARD CORPORATION
|
236
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2002-09-01
|
Business code |
333610
|
Sponsor’s telephone number |
6077337121
|
Plan sponsor’s mailing address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Plan sponsor’s
address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Number of participants as of the end of the plan year
Active participants |
234 |
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 |
2016-09-08 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-08 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE HILLIARD CORPORATION UNION MEDICAL PLAN
|
2015
|
160480520
|
2016-09-08
|
THE HILLIARD CORPORATION
|
234
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2002-09-01
|
Business code |
333610
|
Sponsor’s telephone number |
6077337121
|
Plan sponsor’s mailing address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Plan sponsor’s
address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Number of participants as of the end of the plan year
Active participants |
262 |
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 |
2016-09-08 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-08 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE HILLIARD CORPORATION UNION MEDICAL PLAN
|
2015
|
160480520
|
2016-09-08
|
THE HILLIARD CORPORATION
|
262
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2002-09-01
|
Business code |
333610
|
Sponsor’s telephone number |
6077337121
|
Plan sponsor’s mailing address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Plan sponsor’s
address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Number of participants as of the end of the plan year
Active participants |
263 |
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 |
2016-09-08 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-08 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE HILLIARD CORPORATION COMPREHENSIVE MEDICAL PLAN
|
2015
|
160480520
|
2016-09-08
|
THE HILLIARD CORPORATION
|
218
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1961-10-01
|
Business code |
333610
|
Sponsor’s telephone number |
6077337121
|
Plan sponsor’s mailing address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Plan sponsor’s
address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Number of participants as of the end of the plan year
Active participants |
214 |
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 |
2016-09-06 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-06 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE HILLIARD CORPORATION COMPREHENSIVE MEDICAL PLAN
|
2015
|
160480520
|
2016-09-08
|
THE HILLIARD CORPORATION
|
214
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1961-10-01
|
Business code |
333610
|
Sponsor’s telephone number |
6077337121
|
Plan sponsor’s mailing address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Plan sponsor’s
address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Number of participants as of the end of the plan year
Active participants |
221 |
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 |
2016-09-06 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-06 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE HILLIARD CORPORATION COMPREHENSIVE MEDICAL PLAN
|
2015
|
160480520
|
2016-09-08
|
THE HILLIARD CORPORATION
|
221
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1961-10-01
|
Business code |
333610
|
Sponsor’s telephone number |
6077337121
|
Plan sponsor’s mailing address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Plan sponsor’s
address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Number of participants as of the end of the plan year
Active participants |
233 |
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 |
2016-09-06 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-06 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE HILLIARD CORPORATION COMPREHENSIVE MEDICAL PLAN
|
2015
|
160480520
|
2016-09-08
|
THE HILLIARD CORPORATION
|
234
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1961-10-01
|
Business code |
333610
|
Sponsor’s telephone number |
6077337121
|
Plan sponsor’s mailing address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Plan sponsor’s
address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Number of participants as of the end of the plan year
Active participants |
235 |
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 |
2016-09-06 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-06 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE HILLIARD CORPORATION COMPREHENSIVE MEDICAL PLAN
|
2015
|
160480520
|
2016-09-08
|
THE HILLIARD CORPORATION
|
175
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1961-10-01
|
Business code |
333610
|
Sponsor’s telephone number |
6077337121
|
Plan sponsor’s mailing address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Plan sponsor’s
address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Number of participants as of the end of the plan year
Active participants |
186 |
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 |
2016-09-06 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-06 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE HILLIARD CORPORATION COMPREHENSIVE MEDICAL PLAN
|
2015
|
160480520
|
2016-09-08
|
THE HILLIARD CORPORATION
|
189
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1961-10-01
|
Business code |
333610
|
Sponsor’s telephone number |
6077337121
|
Plan sponsor’s mailing address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Plan sponsor’s
address |
100 W 4TH ST, ELMIRA, NY, 149012148
|
Number of participants as of the end of the plan year
Active participants |
179 |
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 |
2016-09-06 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-06 |
Name of individual signing |
KELLY LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|