MONROE AMBULANCE WELFARE BENEFITS PLAN
|
2017
|
161043764
|
2018-07-10
|
MONROE MEDI-TRANS, INC.
|
132
|
|
File |
View Page
|
Three-digit plan number (PN) |
565
|
Effective date of plan |
2011-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
5852329000
|
Plan
sponsor’s DBA name |
MONROE AMBULANCE
|
Plan sponsor’s mailing address |
1669 LYELL AVE, ROCHESTER, NY, 146062311
|
Plan sponsor’s
address |
1669 LYELL AVE, ROCHESTER, NY, 146062311
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-10 |
Name of individual signing |
THOMAS COYLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MONROE AMBULANCE WELFARE BENEFITS PLAN
|
2016
|
161043764
|
2017-07-26
|
MONROE MEDI-TRANS, INC.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
565
|
Effective date of plan |
2011-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
5852329000
|
Plan
sponsor’s DBA name |
MONROE AMBULANCE
|
Plan sponsor’s mailing address |
1669 LYELL AVE, ROCHESTER, NY, 146062311
|
Plan sponsor’s
address |
1669 LYELL AVE, ROCHESTER, NY, 146062311
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
THOMAS COYLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MONROE AMBULANCE WELFARE BENEFITS PLAN
|
2015
|
161043764
|
2016-07-29
|
MONROE MEDI-TRANS, INC.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
565
|
Effective date of plan |
2011-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
5852329000
|
Plan
sponsor’s DBA name |
MONROE AMBULANCE
|
Plan sponsor’s mailing address |
1669 LYELL AVE, ROCHESTER, NY, 146062311
|
Plan sponsor’s
address |
1669 LYELL AVE, ROCHESTER, NY, 146062311
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
THOMAS COYLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MONROE AMBULANCE WELFARE BENEFITS PLAN
|
2014
|
161043764
|
2015-06-05
|
MONROE MEDI-TRANS, INC.
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
565
|
Effective date of plan |
2011-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
5852329000
|
Plan
sponsor’s DBA name |
MONROE AMBULANCE
|
Plan sponsor’s mailing address |
1669 LYELL AVENUE, ROCHESTER, NY, 14606
|
Plan sponsor’s
address |
1669 LYELL AVENUE, ROCHESTER, NY, 14606
|
Plan administrator’s name and address
Administrator’s EIN |
161043764 |
Plan administrator’s name |
MONROE MEDI-TRANS, INC. |
Plan administrator’s
address |
1669 LYELL AVENUE, ROCHESTER, NY, 14606 |
Administrator’s telephone number |
5852329000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-06-05 |
Name of individual signing |
THOMAS COYLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MONROE AMBULANCE WELFARE BENEFITS PLAN
|
2013
|
161043764
|
2015-06-05
|
MONROE MEDI-TRANS, INC.
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
565
|
Effective date of plan |
2011-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
5852329000
|
Plan
sponsor’s DBA name |
MONROE AMBULANCE
|
Plan sponsor’s mailing address |
1669 LYELL AVENUE, ROCHESTER, NY, 14606
|
Plan sponsor’s
address |
1669 LYELL AVENUE, ROCHESTER, NY, 14606
|
Plan administrator’s name and address
Administrator’s EIN |
161043764 |
Plan administrator’s name |
MONROE MEDI-TRANS, INC. |
Plan administrator’s
address |
1669 LYELL AVENUE, ROCHESTER, NY, 14606 |
Administrator’s telephone number |
5852329000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-06-05 |
Name of individual signing |
THOMAS COYLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MONROE AMBULANCE WELFARE BENEFITS PLAN
|
2012
|
161043764
|
2015-06-05
|
MONROE MEDI-TRANS, INC.
|
132
|
|
File |
View Page
|
Three-digit plan number (PN) |
565
|
Effective date of plan |
2011-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
5852329000
|
Plan
sponsor’s DBA name |
MONROE AMBULANCE
|
Plan sponsor’s mailing address |
1669 LYELL AVENUE, ROCHESTER, NY, 14606
|
Plan sponsor’s
address |
1669 LYELL AVENUE, ROCHESTER, NY, 14606
|
Plan administrator’s name and address
Administrator’s EIN |
161043764 |
Plan administrator’s name |
MONROE MEDI-TRANS, INC. |
Plan administrator’s
address |
1669 LYELL AVENUE, ROCHESTER, NY, 14606 |
Administrator’s telephone number |
5852329000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-06-05 |
Name of individual signing |
THOMAS COYLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MONROE AMBULANCE WELFARE BENEFITS PLAN
|
2011
|
161043764
|
2015-06-05
|
MONROE MEDI-TRANS, INC.
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
565
|
Effective date of plan |
2011-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
5852329000
|
Plan
sponsor’s DBA name |
MONROE AMBULANCE
|
Plan sponsor’s mailing address |
1669 LYELL AVENUE, ROCHESTER, NY, 14606
|
Plan sponsor’s
address |
1669 LYELL AVENUE, ROCHESTER, NY, 14606
|
Plan administrator’s name and address
Administrator’s EIN |
161043764 |
Plan administrator’s name |
MONROE MEDI-TRANS, INC. |
Plan administrator’s
address |
1669 LYELL AVENUE, ROCHESTER, NY, 14606 |
Administrator’s telephone number |
5852329000 |
Number of participants as of the end of the plan year
Active participants |
132 |
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 |
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 |
2015-06-05 |
Name of individual signing |
THOMAS COYLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|