SOUND SHORE MEDICAL CENTER OF WESTCHESTER RETIREMENT PLAN
|
2016
|
131740117
|
2017-08-08
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1999-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146325000
|
Plan sponsor’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Signature of
Role |
Plan administrator |
Date |
2017-08-07 |
Name of individual signing |
MONICA TERRANO |
|
Role |
Employer/plan sponsor |
Date |
2017-08-07 |
Name of individual signing |
MONICA TERRANO |
|
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER RETIREMENT PLAN
|
2015
|
131740117
|
2016-09-14
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1999-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146325000
|
Plan sponsor’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Signature of
Role |
Plan administrator |
Date |
2016-09-14 |
Name of individual signing |
MONICA TERRANO |
|
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER RETIREMENT PLAN
|
2014
|
131740117
|
2015-10-13
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER
|
384
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1999-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146325000
|
Plan sponsor’s mailing address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan sponsor’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan administrator’s name and address
Administrator’s EIN |
131740117 |
Plan administrator’s name |
SOUND SHORE MEDICAL CENTER OF WESTCHESTER |
Plan administrator’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802 |
Administrator’s telephone number |
9146325000 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
70 |
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 |
70 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
MONICA TERRANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER RETIREMENT PLAN
|
2013
|
131740117
|
2015-10-12
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER
|
437
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1999-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146325000
|
Plan sponsor’s mailing address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan sponsor’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan administrator’s name and address
Administrator’s EIN |
131740117 |
Plan administrator’s name |
SOUND SHORE MEDICAL CENTER OF WESTCHESTER |
Plan administrator’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802 |
Administrator’s telephone number |
9146325000 |
Number of participants as of the end of the plan year
Active participants |
155 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
229 |
Number of
participants
with
account balances as of the end of the plan year |
384 |
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 |
2015-10-12 |
Name of individual signing |
MONICA TERRANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER RETIREMENT PLAN
|
2012
|
131740117
|
2013-10-15
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER
|
463
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1999-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146325000
|
Plan sponsor’s mailing address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan sponsor’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan administrator’s name and address
Administrator’s EIN |
131740117 |
Plan administrator’s name |
SOUND SHORE MEDICAL CENTER OF WESTCHESTER |
Plan administrator’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802 |
Administrator’s telephone number |
9146325000 |
Number of participants as of the end of the plan year
Active participants |
384 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
53 |
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 |
437 |
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 |
2013-10-15 |
Name of individual signing |
JOHN LJULJIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUND SHORE HEALTH, PRESCRIPTION DRUG AND DENTAL PLAN FOR RETIRED STAFF NURSES REPRESENTED BY NYSNA
|
2012
|
131740117
|
2013-10-14
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
512
|
Effective date of plan |
2006-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146325000
|
Plan sponsor’s mailing address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan sponsor’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan administrator’s name and address
Administrator’s EIN |
131740117 |
Plan administrator’s name |
SOUND SHORE MEDICAL CENTER OF WESTCHESTER |
Plan administrator’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802 |
Administrator’s telephone number |
9146325000 |
Number of participants as of the end of the plan year
Active participants |
88 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
JOHN LJULJIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUND SHORE HEALTH, PRESCRIPTION DRUG AND DENTAL PLAN FOR RETIRED STAFF REPRESENTED BY TEAMSTERS LOCAL 338
|
2012
|
131740117
|
2013-10-14
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
513
|
Effective date of plan |
2006-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146325000
|
Plan sponsor’s mailing address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan sponsor’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan administrator’s name and address
Administrator’s EIN |
131740117 |
Plan administrator’s name |
SOUND SHORE MEDICAL CENTER OF WESTCHESTER |
Plan administrator’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802 |
Administrator’s telephone number |
9146325000 |
Number of participants as of the end of the plan year
Active participants |
1 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
JOHN LJULJIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUND SHORE HEALTH, PRESCRIPTION DRUG AND DENTAL PLAN FOR RETIRED MEMBERS OF ADMINISTRATIVE COUNCIL
|
2012
|
131740117
|
2013-10-14
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
514
|
Effective date of plan |
2006-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146325000
|
Plan sponsor’s mailing address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan sponsor’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan administrator’s name and address
Administrator’s EIN |
131740117 |
Plan administrator’s name |
SOUND SHORE MEDICAL CENTER OF WESTCHESTER |
Plan administrator’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802 |
Administrator’s telephone number |
9146325000 |
Number of participants as of the end of the plan year
Active participants |
7 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
JOHN LJULJIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUND SHORE HEALTH AND PRESCRIPTION DRUG PLAN RESIDENTS
|
2012
|
131740117
|
2013-10-14
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
515
|
Effective date of plan |
2006-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146325000
|
Plan sponsor’s mailing address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan sponsor’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan administrator’s name and address
Administrator’s EIN |
131740117 |
Plan administrator’s name |
SOUND SHORE MEDICAL CENTER OF WESTCHESTER |
Plan administrator’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802 |
Administrator’s telephone number |
9146325000 |
Number of participants as of the end of the plan year
Active participants |
6 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
JOHN LJULJIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUND SHORE MEDICAL CENTER DENTAL PLAN RESIDENTS
|
2012
|
131740117
|
2013-10-14
|
SOUND SHORE MEDICAL CENTER OF WESTCHESTER
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
516
|
Effective date of plan |
2006-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
9146325000
|
Plan sponsor’s mailing address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan sponsor’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802
|
Plan administrator’s name and address
Administrator’s EIN |
131740117 |
Plan administrator’s name |
SOUND SHORE MEDICAL CENTER OF WESTCHESTER |
Plan administrator’s
address |
16 GUION PLACE, NEW ROCHELLE, NY, 10802 |
Administrator’s telephone number |
9146325000 |
Number of participants as of the end of the plan year
Active participants |
32 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
JOHN LJULJIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|