HEBELER LLC HEALTH AND ANCILLARY PLAN
|
2022
|
471578362
|
2023-09-15
|
HEBELER LLC
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1970-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7168739300
|
Plan sponsor’s mailing address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Plan sponsor’s
address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Number of participants as of the end of the plan year
Active participants |
103 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2023-09-15 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-15 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEBELER LLC HEALTH AND ANCILLARY PLAN
|
2021
|
471578362
|
2022-09-26
|
HEBELER LLC
|
159
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1970-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7168739300
|
Plan sponsor’s mailing address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Plan sponsor’s
address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Number of participants as of the end of the plan year
Active participants |
96 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2022-09-26 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-26 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEBELER LLC HEALTH AND ANCILLARY PLAN
|
2020
|
471578362
|
2021-08-05
|
HEBELER LLC
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1970-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7168739300
|
Plan sponsor’s mailing address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Plan sponsor’s
address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-08-04 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-04 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEBELER LLC HEALTH AND ANCILLARY PLAN
|
2019
|
471578362
|
2020-08-18
|
HEBELER LLC
|
178
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1970-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7168739300
|
Plan sponsor’s mailing address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Plan sponsor’s
address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-08-14 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-14 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEBELER LLC HEALTH AND ANCILLARY PLAN
|
2018
|
471578362
|
2019-06-20
|
HEBELER LLC
|
255
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1970-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7168739300
|
Plan sponsor’s mailing address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Plan sponsor’s
address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-04 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-04 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEBELER LLC HEALTH AND ANCILLARY PLAN
|
2017
|
471578362
|
2018-10-02
|
HEBELER LLC
|
222
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1970-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7168739300
|
Plan sponsor’s mailing address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Plan sponsor’s
address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-09-28 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-28 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEBELER LLC HEALTH AND ANCILLARY PLAN
|
2016
|
471578362
|
2017-08-25
|
HEBELER LLC
|
238
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1970-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7168739300
|
Plan sponsor’s mailing address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Plan sponsor’s
address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-31 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEBELER LLC HEALTH AND ANCILLARY PLAN
|
2015
|
471578362
|
2016-10-13
|
HEBELER LLC
|
236
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1970-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7168739300
|
Plan sponsor’s mailing address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Plan sponsor’s
address |
2000 MILITARY RD, TONAWANDA, NY, 141506704
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-13 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEBELER LLC HEALTH AND DENTAL PLAN
|
2014
|
471578362
|
2015-05-05
|
HEBELER LLC
|
227
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1970-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7168739300
|
Plan sponsor’s mailing address |
2000 MILITARY ROAD, TONAWANDA, NY, 141506704
|
Plan sponsor’s
address |
2000 MILITARY ROAD, TONAWANDA, NY, 141506704
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-05-05 |
Name of individual signing |
JAMES BREYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|