THE NEW YORK STATE FORUM 401(K) PLAN
|
2023
|
263962887
|
2024-05-15
|
THE NEW YORK STATE FORUM, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5184387414
|
Plan sponsor’s
address |
24 AVIATION RD., SUITE 206, ALBANY, NY, 12205
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2024-05-15 |
Name of individual signing |
QIAN LIU |
|
|
THE NEW YORK STATE FORUM 401(K) PLAN
|
2022
|
263962887
|
2023-05-27
|
THE NEW YORK STATE FORUM, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5184387414
|
Plan sponsor’s
address |
24 AVIATION RD., SUITE 206, ALBANY, NY, 12205
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2023-05-27 |
Name of individual signing |
CHRISTINE RIMER |
|
|
THE NEW YORK STATE FORUM 401(K) PLAN
|
2021
|
263962887
|
2022-05-31
|
THE NEW YORK STATE FORUM, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5184387414
|
Plan sponsor’s
address |
24 AVIATION RD., SUITE 206, ALBANY, NY, 12205
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2022-05-31 |
Name of individual signing |
CHRISTINE RIMER |
|
|
NEW YORK STATE FORUM INC 401K PLAN
|
2013
|
263962887
|
2014-06-17
|
NEW YORK STATE FORUM INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5184387414
|
Plan sponsor’s
address |
24 AVIATION RD STE 103, ALBANY, NY, 122051135
|
Signature of
Role |
Plan administrator |
Date |
2014-06-17 |
Name of individual signing |
JOAN M SULLIVAN |
|
Role |
Employer/plan sponsor |
Date |
2014-06-17 |
Name of individual signing |
JOAN M SULLIVAN |
|
|
NEW YORK STATE FORUM INC 401K PLAN
|
2012
|
263962887
|
2013-09-18
|
NEW YORK STATE FORUM INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5184387414
|
Plan sponsor’s
address |
24 AVIATION RD STE 103, ALBANY, NY, 122051135
|
Signature of
Role |
Plan administrator |
Date |
2013-09-18 |
Name of individual signing |
JOAN M. SULLIVAN |
|
Role |
Employer/plan sponsor |
Date |
2013-09-18 |
Name of individual signing |
JOAN M. SULLIVAN |
|
|
NEW YORK STATE FORUM INC 401K PLAN
|
2011
|
263962887
|
2012-06-15
|
NEW YORK STATE FORUM INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5184387414
|
Plan sponsor’s
address |
24 AVIATION RD STE 103, ALBANY, NY, 122051135
|
Plan administrator’s name and address
Administrator’s EIN |
263962887 |
Plan administrator’s name |
NEW YORK STATE FORUM INC |
Plan administrator’s
address |
24 AVIATION RD STE 103, ALBANY, NY, 122051135 |
Administrator’s telephone number |
5184387414 |
Signature of
Role |
Plan administrator |
Date |
2012-06-15 |
Name of individual signing |
DEBORAH V. BUCK |
|
Role |
Employer/plan sponsor |
Date |
2012-06-15 |
Name of individual signing |
DEBORAH V. BUCK |
|
|
NEW YORK STATE FORUM INC 401K PLAN
|
2010
|
263962887
|
2011-07-19
|
NEW YORK STATE FORUM INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5184387414
|
Plan sponsor’s
address |
24 AVIATION RD STE 103, ALBANY, NY, 122051135
|
Plan administrator’s name and address
Administrator’s EIN |
263962887 |
Plan administrator’s name |
NEW YORK STATE FORUM INC |
Plan administrator’s
address |
24 AVIATION RD STE 103, ALBANY, NY, 122051135 |
Administrator’s telephone number |
5184387414 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
MARK B. MITCHELL |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
MARK B. MITCHELL |
|
|
NEW YORK STATE FORUM INC 401K PLAN
|
2009
|
263962887
|
2010-07-12
|
NEW YORK STATE FORUM INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
5184387414
|
Plan sponsor’s
address |
24 AVIATION RD STE 103, ALBANY, NY, 122051135
|
Plan administrator’s name and address
Administrator’s EIN |
263962887 |
Plan administrator’s name |
NEW YORK STATE FORUM INC |
Plan administrator’s
address |
24 AVIATION RD STE 103, ALBANY, NY, 122051135 |
Administrator’s telephone number |
5184387414 |
Signature of
Role |
Plan administrator |
Date |
2010-07-12 |
Name of individual signing |
GREG BENSON |
|
Role |
Employer/plan sponsor |
Date |
2010-07-12 |
Name of individual signing |
GREG BENSON |
|
|