NIAGARA LUTHERAN HOME INC. HEALTH PLAN
|
2015
|
160798517
|
2016-07-27
|
NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1983-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166840202
|
Plan sponsor’s mailing address |
5959 BROADWAY ST, LANCASTER, NY, 140869523
|
Plan sponsor’s
address |
5959 BROADWAY ST, LANCASTER, NY, 140869523
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-27 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN HOME INC. HEALTH PLAN
|
2014
|
160798517
|
2015-07-14
|
NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.
|
168
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1983-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
7166840202
|
Plan sponsor’s mailing address |
5959 BROADWAY STREET, LANCASTER, NY, 14086
|
Plan sponsor’s
address |
64 HAGER STREET, BUFFALO, NY, 14208
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN HOME INC. HEALTH PLAN
|
2013
|
160798517
|
2014-06-23
|
NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1983-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168864377
|
Plan sponsor’s mailing address |
64 HAGER STREET, BUFFALO, NY, 14208
|
Plan sponsor’s
address |
64 HAGER STREET, BUFFALO, NY, 14208
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-06-23 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN HOME, INC. HEALTH PLAN
|
2012
|
160798517
|
2013-08-28
|
NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.
|
178
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1983-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168864377
|
Plan sponsor’s mailing address |
64 HAGER STREET, BUFFALO, NY, 14208
|
Plan sponsor’s
address |
64 HAGER STREET, BUFFALO, NY, 14208
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-08-27 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN HOME, INC. HEALTH PLAN
|
2011
|
160798517
|
2012-08-13
|
NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.
|
190
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1983-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168864377
|
Plan sponsor’s mailing address |
64 HAGER STREET, BUFFALO, NY, 14208
|
Plan sponsor’s
address |
64 HAGER STREET, BUFFALO, NY, 14208
|
Plan administrator’s name and address
Administrator’s EIN |
160798517 |
Plan administrator’s name |
NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC. |
Plan administrator’s
address |
64 HAGER STREET, BUFFALO, NY, 14208 |
Administrator’s telephone number |
7168864377 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-08-13 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN HOME, INC. HEALTH PLAN
|
2010
|
160798517
|
2011-10-13
|
NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC.
|
206
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1983-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168864377
|
Plan sponsor’s mailing address |
64 HAGER STREET, BUFFALO, NY, 14208
|
Plan sponsor’s
address |
64 HAGER STREET, BUFFALO, NY, 14208
|
Plan administrator’s name and address
Administrator’s EIN |
160798517 |
Plan administrator’s name |
NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC. |
Plan administrator’s
address |
64 HAGER STREET, BUFFALO, NY, 14208 |
Administrator’s telephone number |
7168864377 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIAGARA LUTHERAN HOME, INC. HEALTH PLAN
|
2009
|
160798517
|
2010-09-20
|
NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC
|
220
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1983-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168864377
|
Plan sponsor’s mailing address |
64 HAGER STREET, BUFFALO, NY, 14208
|
Plan sponsor’s
address |
64 HAGER STREET, BUFFALO, NY, 14208
|
Plan administrator’s name and address
Administrator’s EIN |
160798517 |
Plan administrator’s name |
NIAGARA LUTHERAN HOME & REHABILITATION CENTER, INC |
Plan administrator’s
address |
64 HAGER STREET, BUFFALO, NY, 14208 |
Administrator’s telephone number |
7168864377 |
Number of participants as of the end of the plan year
Active participants |
206 |
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 |
2010-09-20 |
Name of individual signing |
LAURIE JANKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|