WAGNER LUMBER EMPLOYEE HEALTH PLAN
|
2011
|
161127121
|
2012-08-22
|
WAGNER MILLWORK, INC.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-01-01
|
Business code |
321110
|
Plan sponsor’s mailing address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan sponsor’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan administrator’s name and address
Administrator’s EIN |
161127121 |
Plan administrator’s name |
WAGNER MILLWORK, INC. |
Plan administrator’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-08-22 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAGNER LUMBER EMPLOYEE HEALTH PLAN
|
2011
|
161127121
|
2012-08-22
|
WAGNER MILLWORK, INC.
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-01-01
|
Business code |
321110
|
Plan sponsor’s mailing address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan sponsor’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan administrator’s name and address
Administrator’s EIN |
161127121 |
Plan administrator’s name |
WAGNER MILLWORK, INC. |
Plan administrator’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-08-22 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAGNER LUMBER EMPLOYEE HEALTH PLAN
|
2011
|
161127121
|
2012-08-22
|
WAGNER MILLWORK, INC.
|
126
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-01-01
|
Business code |
321110
|
Plan sponsor’s mailing address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan sponsor’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan administrator’s name and address
Administrator’s EIN |
161127121 |
Plan administrator’s name |
WAGNER MILLWORK, INC. |
Plan administrator’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-08-22 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAGNER LUMBER EMPLOYEE HEALTH PLAN
|
2011
|
161127121
|
2012-08-22
|
WAGNER MILLWORK, INC.
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-01-01
|
Business code |
321110
|
Plan sponsor’s mailing address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan sponsor’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan administrator’s name and address
Administrator’s EIN |
161127121 |
Plan administrator’s name |
WAGNER MILLWORK, INC. |
Plan administrator’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-08-22 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAGNER LUMBER EMPLOYEE HEALTH PLAN
|
2010
|
161127121
|
2012-07-31
|
WAGNER MILLWORK, INC.
|
145
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-01-01
|
Business code |
321110
|
Sponsor’s telephone number |
6076875362
|
Plan sponsor’s mailing address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan sponsor’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan administrator’s name and address
Administrator’s EIN |
161127121 |
Plan administrator’s name |
WAGNER MILLWORK, INC. |
Plan administrator’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827 |
Administrator’s telephone number |
6076875362 |
Number of participants as of the end of the plan year
Active participants |
159 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAGNER LUMBER EMPLOYEE HEALTH PLAN
|
2009
|
161127121
|
2012-07-31
|
WAGNER MILLWORK, INC.
|
163
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-01-01
|
Business code |
321110
|
Sponsor’s telephone number |
6076875362
|
Plan sponsor’s mailing address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan sponsor’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827
|
Plan administrator’s name and address
Administrator’s EIN |
161127121 |
Plan administrator’s name |
WAGNER MILLWORK, INC. |
Plan administrator’s
address |
4060 GASKILL ROAD, OWEGO, NY, 13827 |
Administrator’s telephone number |
6076875362 |
Number of participants as of the end of the plan year
Active participants |
147 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
LESLIE WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|