KESSLER GROUP DENTAL PLAN EXCELLUS
|
2011
|
161102174
|
2012-10-16
|
KESSLER GROUP INC.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2006-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
5854245277
|
Plan
sponsor’s DBA name |
BURGER KING
|
Plan sponsor’s mailing address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161102174 |
Plan administrator’s name |
KESSLER GROUP INC. |
Plan administrator’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854245277 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-10-16 |
Name of individual signing |
DANIEL BEATY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KESSLER GROUP HEALTH PLAN EXCELLUS
|
2011
|
161102174
|
2012-10-16
|
KESSLER GROUP INC.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2001-01-02
|
Business code |
722210
|
Sponsor’s telephone number |
5854275277
|
Plan
sponsor’s DBA name |
BURGER KING
|
Plan sponsor’s mailing address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161102174 |
Plan administrator’s name |
KESSLER GROUP INC. |
Plan administrator’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854245277 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-10-16 |
Name of individual signing |
DANIEL BEATY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KESSLER HEALTH PLAN
|
2009
|
161102174
|
2010-05-19
|
KESSLER GROUP INC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2005-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
5854245277
|
Plan
sponsor’s DBA name |
BURGER KING
|
Plan sponsor’s mailing address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161102174 |
Plan administrator’s name |
KESSLER GROUP INC |
Plan administrator’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854245277 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-05-19 |
Name of individual signing |
DANIEL BEATY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KESSLER GROUP ADD PLAN
|
2009
|
161102174
|
2010-05-18
|
KESSLER GROUP INC
|
202
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2005-03-01
|
Business code |
722210
|
Sponsor’s telephone number |
5854245277
|
Plan
sponsor’s DBA name |
BURGER KING
|
Plan sponsor’s mailing address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161102174 |
Plan administrator’s name |
KESSLER GROUP INC |
Plan administrator’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854245277 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-05-18 |
Name of individual signing |
DANIEL BEATY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KESSLER GROUP DENTAL PLAN EXCELLUS
|
2009
|
161102174
|
2010-05-18
|
KESSLER GROUP INC
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2006-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
5854245277
|
Plan
sponsor’s DBA name |
BURGER KING
|
Plan sponsor’s mailing address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161102174 |
Plan administrator’s name |
KESSLER GROUP INC |
Plan administrator’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854245277 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-05-18 |
Name of individual signing |
DANIEL BEATY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KESSLER GROUP HEALTH PLAN EXCELLUS
|
2009
|
161102174
|
2010-05-18
|
KESSLER GROUP INC
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
5854245277
|
Plan
sponsor’s DBA name |
BURGER KING
|
Plan sponsor’s mailing address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161102174 |
Plan administrator’s name |
KESSLER GROUP INC |
Plan administrator’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854245277 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-05-18 |
Name of individual signing |
DANIEL BEATY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KESSLER GROUP DENTAL PLAN EXCELLUS
|
2009
|
161102174
|
2010-05-18
|
KESSLER GROUP INC
|
55
|
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2006-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
5854245277
|
Plan
sponsor’s DBA name |
BURGER KING
|
Plan sponsor’s mailing address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161102174 |
Plan administrator’s name |
KESSLER GROUP INC |
Plan administrator’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854245277 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2010-05-18 |
Name of individual signing |
DANIEL BEATY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KESSLER GROUP HEALTH PLAN EXCELLUS
|
2009
|
161102174
|
2010-05-18
|
KESSLER GROUP INC
|
55
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
5854245277
|
Plan
sponsor’s DBA name |
BURGER KING
|
Plan sponsor’s mailing address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161102174 |
Plan administrator’s name |
KESSLER GROUP INC |
Plan administrator’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854245277 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2010-05-18 |
Name of individual signing |
DANIEL BEATY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KESSLER GROUP LTD PLAN
|
2009
|
161102174
|
2010-05-18
|
KESSLER GROUP INC
|
202
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2005-03-01
|
Business code |
722210
|
Sponsor’s telephone number |
5854245277
|
Plan
sponsor’s DBA name |
BURGER KING
|
Plan sponsor’s mailing address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan sponsor’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623
|
Plan administrator’s name and address
Administrator’s EIN |
161102174 |
Plan administrator’s name |
KESSLER GROUP INC |
Plan administrator’s
address |
410 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623 |
Administrator’s telephone number |
5854245277 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-05-18 |
Name of individual signing |
DANIEL BEATY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|