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GLACIER BAY TPA LLC

Company Details

Name: GLACIER BAY TPA LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Mar 2011 (14 years ago)
Entity Number: 4061209
County: Albany
Place of Formation: New York
Address: PO BOX 2070, LATHAM, NY, United States, 12110
Address ZIP Code: 12110

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GLACIER BAY TPA LLC 401(K) P/S PLAN 2023 453110419 2024-09-19 GLACIER BAY TPA LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 524290
Sponsor’s telephone number 5187243560
Plan sponsor’s address 7 AIRPORT PARK BLVD, LATHAM, NY, 12110

Signature of
Role Plan administrator
Date 2024-09-19
Name of individual signing PAUL A. CARDINAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-19
Name of individual signing PAUL A. CARDINAL
Valid signature Filed with authorized/valid electronic signature
GLACIER BAY TPA LLC 401(K) P/S PLAN 2022 453110419 2023-03-06 GLACIER BAY TPA LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 524290
Sponsor’s telephone number 5187243560
Plan sponsor’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 453110419
Plan administrator’s name GLACIER BAY TPA LLC
Plan administrator’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110
Administrator’s telephone number 5187243560

Signature of
Role Plan administrator
Date 2023-03-06
Name of individual signing DAVID MAZZOTTA
GLACIER BAY TPA LLC 401(K) P/S PLAN 2021 453110419 2022-05-16 GLACIER BAY TPA LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 524290
Sponsor’s telephone number 5187243560
Plan sponsor’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 453110419
Plan administrator’s name GLACIER BAY TPA LLC
Plan administrator’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110
Administrator’s telephone number 5187243560

Signature of
Role Plan administrator
Date 2022-05-16
Name of individual signing DAVID MAZZOTTA
GLACIER BAY TPA LLC 401(K) P/S PLAN 2020 453110419 2021-10-13 GLACIER BAY TPA LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 524290
Sponsor’s telephone number 5187243560
Plan sponsor’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 453110419
Plan administrator’s name GLACIER BAY TPA LLC
Plan administrator’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110
Administrator’s telephone number 5187243560

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing DAVID MAZZOTTA
GLACIER BAY TPA LLC 401(K) P/S PLAN 2019 453110419 2020-08-24 GLACIER BAY TPA LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 524290
Sponsor’s telephone number 5187243560
Plan sponsor’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 453110419
Plan administrator’s name GLACIER BAY TPA LLC
Plan administrator’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110
Administrator’s telephone number 5187243560

Signature of
Role Plan administrator
Date 2020-08-24
Name of individual signing DAVID MAZZOTTA
GLACIER BAY TPA LLC 401(K) P/S PLAN 2018 453110419 2019-03-12 GLACIER BAY TPA LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 524290
Sponsor’s telephone number 5187243560
Plan sponsor’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 453110419
Plan administrator’s name GLACIER BAY TPA LLC
Plan administrator’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110
Administrator’s telephone number 5187243560

Signature of
Role Plan administrator
Date 2019-03-12
Name of individual signing DAVID MAZZOTTA
GLACIER BAY TPA LLC 401(K) P/S PLAN 2017 453110419 2018-06-12 GLACIER BAY TPA LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 524290
Sponsor’s telephone number 5187243560
Plan sponsor’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 453110419
Plan administrator’s name GLACIER BAY TPA LLC
Plan administrator’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110
Administrator’s telephone number 5187243560

Signature of
Role Plan administrator
Date 2018-06-12
Name of individual signing DAVID MAZZOTTA
GLACIER BAY TPA LLC 401(K) P/S PLAN 2016 453110419 2017-06-28 GLACIER BAY TPA LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 524290
Sponsor’s telephone number 5187243560
Plan sponsor’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 453110419
Plan administrator’s name GLACIER BAY TPA LLC
Plan administrator’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110
Administrator’s telephone number 5187243560

Signature of
Role Plan administrator
Date 2017-06-28
Name of individual signing DAVID MAZZOTTA
GLACIER BAY TPA LLC 401(K) P/S PLAN 2015 453110419 2016-07-15 GLACIER BAY TPA LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 524290
Sponsor’s telephone number 5187243560
Plan sponsor’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 453110419
Plan administrator’s name GLACIER BAY TPA LLC
Plan administrator’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110
Administrator’s telephone number 5187243560

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing DAVID MAZZOTTA
GLACIER BAY TPA LLC 401(K) P/S PLAN 2014 453110419 2015-06-08 GLACIER BAY TPA LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 524290
Sponsor’s telephone number 5187243563
Plan sponsor’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 453110419
Plan administrator’s name GLACIER BAY TPA LLC
Plan administrator’s address 7 AIRPORT PARK BLVD., LATHAM, NY, 12110
Administrator’s telephone number 5187243563

Signature of
Role Plan administrator
Date 2015-06-08
Name of individual signing ARDYTH GARDINER

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent PO BOX 2070, LATHAM, NY, United States, 12110

History

Start date End date Type Value
2013-03-08 2014-04-03 Address 7 AIRPORT PARK BLVD, LATHAM, NY, 12110, USA (Type of address: Service of Process)
2011-03-01 2013-03-08 Address ATTN: VP & CFO, 10 BRITISH AMERICAN BLVD., LATHAM, NY, 12110, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210413060024 2021-04-13 BIENNIAL STATEMENT 2021-03-01
170303006166 2017-03-03 BIENNIAL STATEMENT 2017-03-01
150305006184 2015-03-05 BIENNIAL STATEMENT 2015-03-01
140403000175 2014-04-03 CERTIFICATE OF CHANGE 2014-04-03
130308006052 2013-03-08 BIENNIAL STATEMENT 2013-03-01
110609000375 2011-06-09 CERTIFICATE OF PUBLICATION 2011-06-09
110301000305 2011-03-01 ARTICLES OF ORGANIZATION 2011-03-01

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Date of last update: 08 Nov 2024

Sources: New York Secretary of State

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