FAMILY OF WOODSTOCK HEALTH AND WELFARE PLAN
|
2022
|
141537663
|
2023-12-08
|
FAMILY OF WOODSTOCK, INC
|
219
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-03-01
|
Business code |
624100
|
Sponsor’s telephone number |
8453317080
|
Plan sponsor’s mailing address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516
|
Plan sponsor’s
address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516
|
Plan administrator’s name and address
Administrator’s EIN |
141537663 |
Plan administrator’s name |
FAMILY OF WOODSTOCK, INC |
Plan administrator’s
address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516 |
Administrator’s telephone number |
8453317080 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-12-08 |
Name of individual signing |
MANDY SEILER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY OF WOODSTOCK HEALTH AND WELFARE PLAN
|
2021
|
141537663
|
2022-09-28
|
FAMILY OF WOODSTOCK, INC
|
228
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-03-01
|
Business code |
624100
|
Sponsor’s telephone number |
8453317080
|
Plan sponsor’s mailing address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516
|
Plan sponsor’s
address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516
|
Plan administrator’s name and address
Administrator’s EIN |
141537663 |
Plan administrator’s name |
FAMILY OF WOODSTOCK, INC |
Plan administrator’s
address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516 |
Administrator’s telephone number |
8453317080 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-09-28 |
Name of individual signing |
MANDY SEILER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY OF WOODSTOCK HEALTH AND WELFARE PLAN
|
2020
|
141537663
|
2021-09-30
|
FAMILY OF WOODSTOCK, INC
|
141
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-03-01
|
Business code |
624100
|
Sponsor’s telephone number |
8453317080
|
Plan sponsor’s mailing address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516
|
Plan sponsor’s
address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516
|
Plan administrator’s name and address
Administrator’s EIN |
141537663 |
Plan administrator’s name |
FAMILY OF WOODSTOCK, INC |
Plan administrator’s
address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516 |
Administrator’s telephone number |
8453317080 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-09-30 |
Name of individual signing |
DONNA DELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-30 |
Name of individual signing |
DONNA DELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY OF WOODSTOCK HEALTH AND WELFARE PLAN
|
2019
|
141537663
|
2020-10-18
|
FAMILY OF WOODSTOCK, INC
|
128
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-03-01
|
Business code |
624100
|
Sponsor’s telephone number |
8453317080
|
Plan sponsor’s mailing address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516
|
Plan sponsor’s
address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516
|
Number of participants as of the end of the plan year
Active participants |
141 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-10-18 |
Name of individual signing |
DONNA DELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY OF WOODSTOCK HEALTH AND WELFARE PLAN
|
2018
|
141537663
|
2019-10-31
|
FAMILY OF WOODSTOCK, INC
|
128
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-03-01
|
Business code |
624100
|
Sponsor’s telephone number |
8453317080
|
Plan sponsor’s mailing address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516
|
Plan sponsor’s
address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516
|
Plan administrator’s name and address
Administrator’s EIN |
141537663 |
Plan administrator’s name |
MICHAEL BERG |
Plan administrator’s
address |
166 ALBANY AVENUE, PO BOX 3516, KINGSTON, NY, 124023516 |
Administrator’s telephone number |
8453317080 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-31 |
Name of individual signing |
DONNA DELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY OF WOODSTOCK, INC. RETIREMENT PLAN
|
2010
|
141537663
|
2011-04-06
|
FAMILY OF WOODSTOCK, INC.
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
8453317080
|
Plan sponsor’s mailing address |
PO BOX 3516, KINGSTON, NY, 12402
|
Plan sponsor’s
address |
PO BOX 3516, KINGSTON, NY, 12402
|
Plan administrator’s name and address
Administrator’s EIN |
141537663 |
Plan administrator’s name |
FAMILY OF WOODSTOCK, INC. |
Plan administrator’s
address |
PO BOX 3516, KINGSTON, NY, 12402 |
Administrator’s telephone number |
8453317080 |
Signature of
Role |
Plan administrator |
Date |
2011-04-06 |
Name of individual signing |
ROXANNE MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY OF WOODSTOCK, INC. RETIREMENT PLAN
|
2010
|
141537663
|
2011-04-06
|
FAMILY OF WOODSTOCK, INC.
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
8453317080
|
Plan sponsor’s mailing address |
PO BOX 3516, KINGSTON, NY, 12402
|
Plan sponsor’s
address |
PO BOX 3516, KINGSTON, NY, 12402
|
Plan administrator’s name and address
Administrator’s EIN |
141537663 |
Plan administrator’s name |
FAMILY OF WOODSTOCK, INC. |
Plan administrator’s
address |
PO BOX 3516, KINGSTON, NY, 12402 |
Administrator’s telephone number |
8453317080 |
Signature of
Role |
Plan administrator |
Date |
2011-04-06 |
Name of individual signing |
ROXANNE MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY OF WOODSTOCK, INC. RETIREMENT PLAN
|
2010
|
141537663
|
2011-04-04
|
FAMILY OF WOODSTOCK, INC
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
8453317080
|
Plan sponsor’s mailing address |
PO BOX 3516, KINGSTON, NY, 12402
|
Plan sponsor’s
address |
PO BOX 3516, KINGSTON, NY, 12402
|
Plan administrator’s name and address
Administrator’s EIN |
141537663 |
Plan administrator’s name |
FAMILY OF WOODSTOCK, INC |
Plan administrator’s
address |
PO BOX 3516, KINGSTON, NY, 12402 |
Administrator’s telephone number |
8453317080 |
Signature of
Role |
Plan administrator |
Date |
2011-04-04 |
Name of individual signing |
ROXANNE MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY OF WOODSTOCK, INC. RETIREMENT PLAN
|
2010
|
141537663
|
2011-04-04
|
FAMILY OF WOODSTOCK, INC
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
8453317080
|
Plan sponsor’s mailing address |
PO BOX 3516, KINGSTON, NY, 12402
|
Plan sponsor’s
address |
PO BOX 3516, KINGSTON, NY, 12402
|
Plan administrator’s name and address
Administrator’s EIN |
141537663 |
Plan administrator’s name |
FAMILY OF WOODSTOCK, INC |
Plan administrator’s
address |
PO BOX 3516, KINGSTON, NY, 12402 |
Administrator’s telephone number |
8453317080 |
Signature of
Role |
Plan administrator |
Date |
2011-04-04 |
Name of individual signing |
ROXANNE MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY OF WOODSTOCK, INC. RETIREMENT PLAN
|
2010
|
141537663
|
2011-04-04
|
FAMILY OF WOODSTOCK, INC
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
8453317080
|
Plan sponsor’s mailing address |
PO BOX 3516, KINGSTON, NY, 12402
|
Plan sponsor’s
address |
PO BOX 3516, KINGSTON, NY, 12402
|
Plan administrator’s name and address
Administrator’s EIN |
141537663 |
Plan administrator’s name |
FAMILY OF WOODSTOCK, INC |
Plan administrator’s
address |
PO BOX 3516, KINGSTON, NY, 12402 |
Administrator’s telephone number |
8453317080 |
Signature of
Role |
Plan administrator |
Date |
2011-04-04 |
Name of individual signing |
ROXANNE MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|