LONG TERM DISABILITY
|
2023
|
452817094
|
2024-10-08
|
LEXINGTON MACHINING LLC
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-08-01
|
Business code |
332700
|
Sponsor’s telephone number |
5852350880
|
Plan sponsor’s mailing address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Plan sponsor’s
address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
MELISSA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-08 |
Name of individual signing |
MELISSA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEXINGTON MACHINING GROUP LIFE INSURANCE PLAN
|
2023
|
452817094
|
2024-10-08
|
LEXINGTON MACHINING LLC
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-08-01
|
Business code |
332700
|
Sponsor’s telephone number |
5852350880
|
Plan sponsor’s mailing address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Plan sponsor’s
address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
MELISSA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-08 |
Name of individual signing |
MELISSA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEXINGTON MACHINING LLC HEALTH CARE PLAN
|
2023
|
452817094
|
2024-10-08
|
LEXINGTON MACHINING LLC
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2011-09-01
|
Business code |
332700
|
Sponsor’s telephone number |
5852350880
|
Plan sponsor’s mailing address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Plan sponsor’s
address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
MELISSA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-08 |
Name of individual signing |
MELISSA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEXINGTON MACHINING LLC DENTAL
|
2023
|
452817094
|
2024-10-02
|
LEXINGTON MACHINING LLC
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2011-10-01
|
Business code |
332700
|
Sponsor’s telephone number |
5852350880
|
Plan sponsor’s mailing address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Plan sponsor’s
address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-02 |
Name of individual signing |
MELISSA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-02 |
Name of individual signing |
MELISSA SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEXINGTON MACHINING GROUP LIFE INSURANCE PLAN
|
2022
|
452817094
|
2023-06-27
|
LEXINGTON MACHINING LLC
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-08-01
|
Business code |
332700
|
Sponsor’s telephone number |
5852350880
|
Plan sponsor’s mailing address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Plan sponsor’s
address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-27 |
Name of individual signing |
CHARLES JENKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-27 |
Name of individual signing |
CHARLES JENKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEXINGTON MACHINING LLC DENTAL
|
2022
|
452817094
|
2023-06-27
|
LEXINGTON MACHINING LLC
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2011-10-01
|
Business code |
332700
|
Sponsor’s telephone number |
5852350880
|
Plan sponsor’s mailing address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Plan sponsor’s
address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-27 |
Name of individual signing |
CHARLES JENKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-27 |
Name of individual signing |
CHARLES JENKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG-TERM DISABILITY
|
2022
|
452817094
|
2023-06-27
|
LEXINGTON MACHINING LLC
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-08-01
|
Business code |
332700
|
Sponsor’s telephone number |
5852350880
|
Plan sponsor’s mailing address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Plan sponsor’s
address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-27 |
Name of individual signing |
CHARLES JENKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-27 |
Name of individual signing |
CHARLES JENKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEXINGTON MACHINING LLC HEALTH CARE PLAN
|
2022
|
452817094
|
2023-06-27
|
LEXINGTON MACHINING LLC
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2011-09-01
|
Business code |
332700
|
Sponsor’s telephone number |
5852350880
|
Plan sponsor’s mailing address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Plan sponsor’s
address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-27 |
Name of individual signing |
CHARLES JENKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-27 |
Name of individual signing |
CHARLES JENKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEXINGTON MACHINING LLC HEALTH CARE PLAN
|
2021
|
452817094
|
2022-07-16
|
LEXINGTON MACHINING LLC
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2011-09-01
|
Business code |
332700
|
Sponsor’s telephone number |
5852350880
|
Plan sponsor’s mailing address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Plan sponsor’s
address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-16 |
Name of individual signing |
CHARLES JENKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-16 |
Name of individual signing |
CHARLES JENKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEXINGTON MACHINIG LLC DENTAL
|
2021
|
452817094
|
2022-07-16
|
LEXINGTON MACHINING LLC
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2011-10-01
|
Business code |
332700
|
Sponsor’s telephone number |
5852350880
|
Plan sponsor’s mailing address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Plan sponsor’s
address |
677 BUFFALO RD, ROCHESTER, NY, 146112014
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-16 |
Name of individual signing |
CHARLES JENKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-16 |
Name of individual signing |
CHARLES JENKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|