LIFETIME CARE LONG TERM DISABILITY PLAN
|
2009
|
160844109
|
2010-07-30
|
LIFETIME CARE
|
543
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
5852141167
|
Plan sponsor’s mailing address |
3111 WINTON ROAD, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
3111 WINTON ROAD, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
160844109 |
Plan administrator’s name |
LIFETIME CARE |
Plan administrator’s
address |
3111 WINTON ROAD, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5852141167 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-07-30 |
Name of individual signing |
KIMBERLY GIBAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2010-07-30 |
Name of individual signing |
TERRENCE TEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETIME CARE GROUP TERM LIFE INSURANCE PLAN
|
2009
|
160844109
|
2010-07-30
|
LIFETIME CARE
|
904
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
5852141167
|
Plan sponsor’s mailing address |
3111 WINTON ROAD, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
3111 WINTON ROAD, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
160844109 |
Plan administrator’s name |
LIFETIME CARE |
Plan administrator’s
address |
3111 WINTON ROAD, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5852141167 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-07-29 |
Name of individual signing |
TERRENCE TEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-29 |
Name of individual signing |
KIMBERLY GIBAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|