SUMMIT SECURITY GUARD GROUP HEALTH AND WELFARE PLAN
|
2019
|
132896421
|
2021-07-13
|
SUMMIT SECURITY SERVICES, INC
|
300
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2016-01-01
|
Business code |
561600
|
Sponsor’s telephone number |
5162402406
|
Plan sponsor’s mailing address |
WESTTOWER LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Plan sponsor’s
address |
WESTTOWER LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-13 |
Name of individual signing |
NATALIE CALIFANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUMMIT SECURITY GUARD GROUP HEALTH AND WELFARE PLAN
|
2018
|
132896421
|
2020-06-12
|
SUMMIT SECURITY SERVICES, INC.
|
275
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2016-01-01
|
Business code |
561600
|
Sponsor’s telephone number |
5162402406
|
Plan sponsor’s mailing address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Plan sponsor’s
address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Plan administrator’s name and address
Administrator’s EIN |
132896421 |
Plan administrator’s name |
SUMMIT SECURITY SERVICES, INC. |
Plan administrator’s
address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390 |
Administrator’s telephone number |
5162402444 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-06-12 |
Name of individual signing |
NATALIE CALIFANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-12 |
Name of individual signing |
NATALIE CALIFANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUMMIT SECURITY GUARD GROUP HEALTH AND WELFARE PLAN
|
2017
|
132896421
|
2019-06-17
|
SUMMIT SECURITY SERVICES, INC.
|
315
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2016-01-01
|
Business code |
561600
|
Sponsor’s telephone number |
5162402406
|
Plan sponsor’s mailing address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Plan sponsor’s
address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-17 |
Name of individual signing |
PAMELA WOULFE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUMMIT SECURITY GUARDS DENTAL AND VISION PLAN
|
2016
|
132896421
|
2018-07-11
|
SUMMIT SECURITY SERVICES, INC
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2016-01-01
|
Business code |
561600
|
Sponsor’s telephone number |
5162402406
|
Plan sponsor’s mailing address |
WEST TOWER LOBBY LEVEL, 300 RXR PLZ, UNIONDALE, NY, 115563828
|
Plan sponsor’s
address |
WEST TOWER LOBBY LEVEL, 300 RXR PLZ, UNIONDALE, NY, 115563828
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-11 |
Name of individual signing |
PAMELA WOULFE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUMMIT SECURITY SERVICES, INC. HEALTH AND WELFARE
|
2016
|
132896421
|
2017-12-21
|
SUMMIT SECURITY SERVICES, INC
|
129
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1981-06-01
|
Business code |
561600
|
Sponsor’s telephone number |
5162402406
|
Plan sponsor’s mailing address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Plan sponsor’s
address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Plan administrator’s name and address
Administrator’s EIN |
132896421 |
Plan administrator’s name |
SUMMIT SECURITY SERVICES, INC |
Plan administrator’s
address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390 |
Administrator’s telephone number |
5162402406 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-12-21 |
Name of individual signing |
LINDA PIACENTINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUMMIT SECURITY GUARDS HEALTH PLAN SHORT YEAR
|
2016
|
132896421
|
2017-07-19
|
SUMMIT SECURITY SERVICES, INC.
|
218
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2016-01-01
|
Business code |
561600
|
Sponsor’s telephone number |
5162402406
|
Plan sponsor’s mailing address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Plan sponsor’s
address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-19 |
Name of individual signing |
KAREN MCLEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUMMIT SECURITY GUARDS DENTAL AND VISION PLAN
|
2016
|
132896421
|
2017-07-19
|
SUMMIT SECURITY SERVICES, INC.
|
0
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2016-01-01
|
Business code |
561600
|
Sponsor’s telephone number |
5162402406
|
Plan sponsor’s mailing address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Plan sponsor’s
address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-19 |
Name of individual signing |
KAREN MCLEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUMMIT SECURITY SERVICES, INC. HEALTH AND WELFARE
|
2015
|
132896421
|
2016-12-12
|
SUMMIT SECURITY SERVICES, INC
|
127
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1981-06-01
|
Business code |
561600
|
Sponsor’s telephone number |
5162402406
|
Plan sponsor’s mailing address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Plan sponsor’s
address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-12-12 |
Name of individual signing |
LINDA PIACENTINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-12-12 |
Name of individual signing |
LINDA PIACENTINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUMMIT SECURITY SERVICES, INC. GUARD HEALTH INSURANCE PLAN
|
2015
|
132896421
|
2016-04-07
|
SUMMIT SECURITY SERVICES, INC
|
156
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-01-01
|
Business code |
561600
|
Sponsor’s telephone number |
5162402406
|
Plan sponsor’s mailing address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Plan sponsor’s
address |
WEST TOWER, LOBBY LEVEL, 390 RXR PLZ, UNIONDALE, NY, 115560390
|
Number of participants as of the end of the plan year
Active participants |
156 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-04-07 |
Name of individual signing |
KAREN MCLEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUMMIT SECURITY SERVICES, INC. HEALTH AND WELFARE
|
2014
|
132896421
|
2015-11-17
|
SUMMIT SECURITY SERVICES, INC.
|
137
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1981-06-01
|
Business code |
561600
|
Sponsor’s telephone number |
5162402406
|
Plan sponsor’s mailing address |
390 RXR PLAZA, WEST TOWER, LOBBY LEVEL, UNIONDALE, NY, 11556
|
Plan sponsor’s
address |
390 RXR PLAZA, WEST TOWER, LOBBY LEVEL, UNIONDALE, NY, 11556
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-11-17 |
Name of individual signing |
LINDA PIACENTINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|