DROGA5. LLC HEALTH AND WELFARE PLAN
|
2019
|
463228245
|
2020-07-24
|
DROGA5, LLC
|
450
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-01
|
Business code |
541400
|
Sponsor’s telephone number |
9172378888
|
Plan sponsor’s mailing address |
120 WALL ST FL 11, NEW YORK, NY, 100053910
|
Plan sponsor’s
address |
120 WALL ST FL 11, NEW YORK, NY, 100053910
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-24 |
Name of individual signing |
TIFFANY JEANBAPTISTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DROGA5, LLC 401(K) PLAN
|
2018
|
463228245
|
2020-01-10
|
DROGA5, LLC
|
795
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-02-01
|
Business code |
519100
|
Sponsor’s telephone number |
9172378888
|
Plan sponsor’s mailing address |
120 WALL STREET, 11TH FLOOR, NEW YORK, NY, 10005
|
Plan sponsor’s
address |
120 WALL STREET, 11TH FLOOR, 11TH FLOOR, NEW YORK, NY, 10005
|
Number of participants as of the end of the plan year
Active participants |
432 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
328 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
709 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
216 |
Signature of
Role |
Plan administrator |
Date |
2020-01-10 |
Name of individual signing |
TIFFANY JEANBAPTISTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DROGA5. LLC HEALTH AND WELFARE PLAN
|
2018
|
463228245
|
2019-10-09
|
DROGA5, LLC
|
578
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-01
|
Business code |
541400
|
Sponsor’s telephone number |
9172378888
|
Plan sponsor’s mailing address |
120 WALL ST FL 11, NEW YORK, NY, 100053910
|
Plan sponsor’s
address |
120 WALL ST FL 11, NEW YORK, NY, 100053910
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-09 |
Name of individual signing |
KELLY DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-09 |
Name of individual signing |
KELLY DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DROGA5. LLC HEALTH AND WELFARE PLAN
|
2017
|
463228245
|
2018-05-15
|
DROGA5, LLC
|
530
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-01
|
Business code |
541400
|
Sponsor’s telephone number |
9172378888
|
Plan sponsor’s mailing address |
120 WALL ST FL 11, NEW YORK, NY, 100053910
|
Plan sponsor’s
address |
120 WALL ST FL 11, NEW YORK, NY, 100053910
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-05-14 |
Name of individual signing |
HELEN VASSILIADIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DROGA5. LLC HEALTH AND WELFARE PLAN
|
2016
|
463228245
|
2017-10-18
|
DROGA5, LLC
|
362
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-01
|
Business code |
541400
|
Sponsor’s telephone number |
9172378888
|
Plan sponsor’s mailing address |
120 WALL ST FL 11, NEW YORK, NY, 100053910
|
Plan sponsor’s
address |
120 WALL ST FL 11, NEW YORK, NY, 100053910
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-10-17 |
Name of individual signing |
HELEN VASSILIADIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-17 |
Name of individual signing |
HELEN VASSILIADIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DROGA5,LLC HEALTH AND WELFARE PLAN
|
2015
|
463228245
|
2016-10-17
|
DROGA5, LLC
|
282
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-01-01
|
Business code |
541400
|
Sponsor’s telephone number |
9172378888
|
Plan
sponsor’s DBA name |
DROGA5, LLC
|
Plan sponsor’s mailing address |
120 WALL ST FL 11, NEW YORK, NY, 100053910
|
Plan sponsor’s
address |
120 WALL ST FL 11, NEW YORK, NY, 100053910
|
Number of participants as of the end of the plan year
Active participants |
362 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
EMILY TEMPLETON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DROGA5, LLC HEALTH AND WELFARE PLAN
|
2014
|
463228245
|
2015-10-15
|
DROGA5, LLC
|
201
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
541400
|
Sponsor’s telephone number |
9172378888
|
Plan
sponsor’s DBA name |
DROGA5, LLC
|
Plan sponsor’s mailing address |
120 WALL STREET, 11TH FLOOR, NEW YORK, NY, 10005
|
Plan sponsor’s
address |
120 WALL STREET, 11TH FLOOR, NEW YORK, NY, 10005
|
Number of participants as of the end of the plan year
Active participants |
282 |
Retired or separated participants receiving
benefits |
9 |
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
EMILY TEMPLETON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DROGA5, LLC HEALTH AND WELFARE PLAN
|
2013
|
463228245
|
2014-09-03
|
DROGA5, LLC
|
157
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-01
|
Business code |
541400
|
Sponsor’s telephone number |
9172378888
|
Plan
sponsor’s DBA name |
DROGA5, LLC
|
Plan sponsor’s mailing address |
120 WALL STREET, 11TH FLOOR, NEW YORK, NY, 10005
|
Plan sponsor’s
address |
120 WALL STREET, 11TH FLOOR, NEW YORK, NY, 10005
|
Number of participants as of the end of the plan year
Active participants |
207 |
Retired or separated participants receiving
benefits |
9 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-09-03 |
Name of individual signing |
EMILY TEMPLETON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-03 |
Name of individual signing |
JUDD MERKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DROGA5, LLC HEALTH AND WELFARE PLAN
|
2012
|
204118045
|
2014-09-10
|
DROGA5, LLC
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2012-01-01
|
Business code |
541400
|
Sponsor’s telephone number |
9172378888
|
Plan
sponsor’s DBA name |
DROGA5, LLC
|
Plan sponsor’s mailing address |
120 WALL STREET, 11TH FLOOR, NEW YORK, NY, 10005
|
Plan sponsor’s
address |
120 WALL STREET, 11TH FLOOR, NEW YORK, NY, 10005
|
Number of participants as of the end of the plan year
Active participants |
157 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-09-09 |
Name of individual signing |
EMILY TEMPLETON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-10 |
Name of individual signing |
JUDD MERKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DROGA5, LLC 401K PLAN
|
2011
|
204118045
|
2013-10-14
|
DROGA5, LLC
|
139
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-02-01
|
Business code |
541800
|
Sponsor’s telephone number |
9172378888
|
Plan sponsor’s mailing address |
400 LAFAYETTE STREET, 5TH FLOOR, NEW YORK, NY, 10003
|
Plan sponsor’s
address |
400 LAFAYETTE STREET, 5TH FLOOR, NEW YORK, NY, 10003
|
Plan administrator’s name and address
Administrator’s EIN |
204118045 |
Plan administrator’s name |
DROGA5, LLC |
Plan administrator’s
address |
400 LAFAYETTE STREET, 5TH FLOOR, NEW YORK, NY, 10003 |
Administrator’s telephone number |
9172378888 |
Number of participants as of the end of the plan year
Active participants |
127 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
28 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
98 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
21 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
JUDD MERKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|