THE SUMMIT CENTER HEALTH INSURANCE PLAN
|
2023
|
161095750
|
2024-07-29
|
THE SUMMIT CENTER INC.
|
338
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7166293400
|
Plan sponsor’s mailing address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Plan sponsor’s
address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Number of participants as of the end of the plan year
Active participants |
333 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2024-07-29 |
Name of individual signing |
LISA FOTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-29 |
Name of individual signing |
LISA FOTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SUMMIT CENTER LONG TERM DISABILITY PLAN
|
2023
|
161095750
|
2024-07-26
|
THE SUMMIT CENTER INC.
|
528
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2002-07-01
|
Business code |
611000
|
Sponsor’s telephone number |
7166293400
|
Plan sponsor’s mailing address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Plan sponsor’s
address |
150 STAHL ROAD, GETZVILLE, NY, 140681231
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-26 |
Name of individual signing |
LISA FOTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-26 |
Name of individual signing |
LISA FOTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SUMMIT CENTER LONG TERM DISABILITY PLAN
|
2022
|
161095750
|
2023-10-16
|
THE SUMMIT CENTER, INC.
|
542
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2002-07-01
|
Business code |
611000
|
Sponsor’s telephone number |
7166293400
|
Plan sponsor’s mailing address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Plan sponsor’s
address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-16 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2023-10-16 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SUMMIT CENTER HEALTH INSURANCE PLAN
|
2022
|
161095750
|
2023-10-16
|
THE SUMMIT CENTER, INC.
|
273
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7166293400
|
Plan sponsor’s mailing address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Plan sponsor’s
address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-16 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SUMMIT CENTER LONG TERM DISABILITY PLAN
|
2021
|
161095750
|
2022-10-13
|
THE SUMMIT CENTER, INC.
|
502
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2002-07-01
|
Business code |
611000
|
Sponsor’s telephone number |
7166293400
|
Plan sponsor’s mailing address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Plan sponsor’s
address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SUMMIT CENTER HEALTH INSURANCE PLAN
|
2021
|
161095750
|
2022-10-13
|
THE SUMMIT CENTER, INC.
|
255
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7166293400
|
Plan sponsor’s mailing address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Plan sponsor’s
address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Number of participants as of the end of the plan year
Active participants |
268 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SUMMIT CENTER LONG TERM DISABILITY PLAN
|
2020
|
161095750
|
2021-09-30
|
THE SUMMIT CENTER, INC.
|
540
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2002-07-01
|
Business code |
611000
|
Sponsor’s telephone number |
7166293400
|
Plan sponsor’s mailing address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Plan sponsor’s
address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-09-30 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-30 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SUMMIT CENTER HEALTH INSURANCE PLAN
|
2020
|
161095750
|
2021-09-30
|
THE SUMMIT CENTER, INC.
|
279
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7166293400
|
Plan sponsor’s mailing address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Plan sponsor’s
address |
150 STAHL RD, GETZVILLE, NY, 140681231
|
Number of participants as of the end of the plan year
Active participants |
253 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2021-09-30 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-30 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SUMMIT CENTER HEALTH INSURANCE PLAN
|
2019
|
161095750
|
2020-10-08
|
THE SUMMIT CENTER, INC
|
287
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1995-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7166293400
|
Plan sponsor’s mailing address |
150 STAHL ROAD, GETZVILLE, NY, 140681231
|
Plan sponsor’s
address |
150 STAHL ROAD, GETZVILLE, NY, 140681231
|
Number of participants as of the end of the plan year
Active participants |
276 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2020-10-08 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-08 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE SUMMIT CENTER LONG TERM DISABILITY PLAN
|
2019
|
161095750
|
2020-10-08
|
THE SUMMIT CENTER, INC.
|
646
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2002-07-01
|
Business code |
611000
|
Sponsor’s telephone number |
7166293400
|
Plan sponsor’s mailing address |
150 STAHL ROAD, GETZVILLE, NY, 14068
|
Plan sponsor’s
address |
150 STAHL ROAD, GETZVILLE, NY, 14068
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-10-08 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-08 |
Name of individual signing |
STEPHEN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|