|
CABRINI OF WESTCHESTER GROUP LIFE INSURANCE PLAN
|
2009
|
237063399
|
2011-08-02
|
CABRINI OF WESTCHESTER
|
144
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
503
|
| Effective date of plan |
1981-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2123583084
|
| Plan sponsor’s mailing address |
115 BROADWAY, DOBBS FERRY, NY, 105222835
|
| Plan sponsor’s
address |
115 BROADWAY, DOBBS FERRY, NY, 105222835
|
Plan administrator’s name and address
| Administrator’s EIN |
237063399 |
| Plan administrator’s name |
CABRINI OF WESTCHESTER |
| Plan administrator’s
address |
115 BROADWAY, DOBBS FERRY, NY, 105222835 |
| Administrator’s telephone number |
2123583084 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2011-08-02 |
| Name of individual signing |
PAMELA WOLFSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CABRINI OF WESTCHESTER GROUP MEDICAL PLAN
|
2009
|
237063399
|
2010-12-13
|
CABRINI OF WESTCHESTER
|
172
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1981-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2123583084
|
| Plan sponsor’s mailing address |
115 BROADWAY, DOBBS FERRY, NY, 105222835
|
| Plan sponsor’s
address |
115 BROADWAY, DOBBS FERRY, NY, 105222835
|
Plan administrator’s name and address
| Administrator’s EIN |
237063399 |
| Plan administrator’s name |
CABRINI OF WESTCHESTER |
| Plan administrator’s
address |
115 BROADWAY, DOBBS FERRY, NY, 105222835 |
| Administrator’s telephone number |
2123583084 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2010-12-06 |
| Name of individual signing |
CLAIRE ARELLANO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CABRINI OF WESTCHESTER GROUP LIFE INSURANCE PLAN
|
2009
|
237063399
|
2010-12-13
|
CABRINI OF WESTCHESTER
|
144
|
|
| Three-digit plan number (PN) |
503
|
| Effective date of plan |
1981-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2123583084
|
| Plan sponsor’s mailing address |
115 BROADWAY, DOBBS FERRY, NY, 105222835
|
| Plan sponsor’s
address |
115 BROADWAY, DOBBS FERRY, NY, 105222835
|
Plan administrator’s name and address
| Administrator’s EIN |
237063399 |
| Plan administrator’s name |
CABRINI OF WESTCHESTER |
| Plan administrator’s
address |
115 BROADWAY, DOBBS FERRY, NY, 105222835 |
| Administrator’s telephone number |
2123583084 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2010-12-06 |
| Name of individual signing |
CLAIRE ARELLANO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CABRINI OF WESTCHESTER GROUP MEDICAL PLAN
|
2009
|
237063399
|
2011-08-02
|
CABRINI OF WESTCHESTER
|
172
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1981-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2123583084
|
| Plan sponsor’s mailing address |
115 BROADWAY, DOBBS FERRY, NY, 105222835
|
| Plan sponsor’s
address |
115 BROADWAY, DOBBS FERRY, NY, 105222835
|
Plan administrator’s name and address
| Administrator’s EIN |
237063399 |
| Plan administrator’s name |
CABRINI OF WESTCHESTER |
| Plan administrator’s
address |
115 BROADWAY, DOBBS FERRY, NY, 105222835 |
| Administrator’s telephone number |
2123583084 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2011-08-02 |
| Name of individual signing |
PAMELA WOLFSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
