MIDSTATE SPRING, INC. 401(K) PLAN
|
2023
|
150465789
|
2024-07-12
|
MIDSTATE SPRING, INC.
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
3154372623
|
Plan sponsor’s
address |
1025 HIAWATHA BLVD E, SYRACUSE, NY, 13208
|
Plan administrator’s name and address
Administrator’s EIN |
133745616 |
Plan administrator’s name |
PENTEGRA SERVICES, INC. |
Plan administrator’s
address |
701 WESTCHESTER AVE, STE 320E, WHITE PLAINS, NY, 10604 |
Administrator’s telephone number |
8443672848 |
Signature of
Role |
Plan administrator |
Date |
2024-07-12 |
Name of individual signing |
BETTY CALDWELL |
|
|
MIDSTATE SPRING, INC. 401(K) PLAN
|
2022
|
150465789
|
2023-07-27
|
MIDSTATE SPRING, INC.
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
4012362350
|
Plan sponsor’s
address |
4054 NEW COURT AVENUE, PO BOX 850, SYRACUSE, NY, 13206
|
Plan administrator’s name and address
Administrator’s EIN |
133745616 |
Plan administrator’s name |
PENTEGRA SERVICES, INC. |
Plan administrator’s
address |
701 WESTCHESTER AVE, STE 320E, WHITE PLAINS, NY, 10604 |
Administrator’s telephone number |
8443672848 |
Signature of
Role |
Plan administrator |
Date |
2023-07-27 |
Name of individual signing |
BETTY CALDWELL |
|
|
MIDSTATE SPRING, INC. 401(K) PLAN
|
2021
|
150465789
|
2022-02-24
|
MIDSTATE SPRING, INC.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
4012362350
|
Plan sponsor’s
address |
4054 NEW COURT AVENUE, PO BOX 850, SYRACUSE, NY, 13206
|
Plan administrator’s name and address
Administrator’s EIN |
133745616 |
Plan administrator’s name |
PENTEGRA SERVICES, INC. |
Plan administrator’s
address |
701 WESTCHESTER AVE, STE 320E, WHITE PLAINS, NY, 10604 |
Administrator’s telephone number |
8443672848 |
Signature of
Role |
Plan administrator |
Date |
2022-02-24 |
Name of individual signing |
BETTY CALDWELL |
|
|
MIDSTATE SPRING, INC. 401(K) PLAN
|
2020
|
150465789
|
2021-07-13
|
MIDSTATE SPRING, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
3154372623
|
Plan sponsor’s
address |
4054 NEW COURT AVENUE, PO BOX 850, SYRACUSE, NY, 13206
|
Signature of
Role |
Plan administrator |
Date |
2021-07-13 |
Name of individual signing |
ALEX MELNIKOW |
|
Role |
Employer/plan sponsor |
Date |
2021-07-13 |
Name of individual signing |
ALEX MELNIKOW |
|
|
MIDSTATE SPRING, INC. 401(K) PLAN
|
2019
|
150465789
|
2020-06-24
|
MIDSTATE SPRING, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
3154372623
|
Plan sponsor’s
address |
4054 NEW COURT AVENUE, PO BOX 850, SYRACUSE, NY, 13206
|
Signature of
Role |
Plan administrator |
Date |
2020-06-24 |
Name of individual signing |
ALEX MELNIKOW |
|
Role |
Employer/plan sponsor |
Date |
2020-06-24 |
Name of individual signing |
ALEX MELNIKOW |
|
|
MIDSTATE SPRING, INC. 401(K) PLAN
|
2018
|
150465789
|
2019-07-25
|
MIDSTATE SPRING, INC.
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
3154372623
|
Plan sponsor’s
address |
4054 NEW COURT AVENUE, PO BOX 850, SYRACUSE, NY, 13206
|
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
ALEX MELNIKOW |
|
Role |
Employer/plan sponsor |
Date |
2019-07-25 |
Name of individual signing |
ALEX MELNIKOW |
|
|
MIDSTATE SPRING, INC. 401(K) PLAN
|
2017
|
150465789
|
2018-07-23
|
MIDSTATE SPRING, INC.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
3154372623
|
Plan sponsor’s
address |
4054 NEW COURT AVENUE, PO BOX 850, SYRACUSE, NY, 13206
|
Signature of
Role |
Plan administrator |
Date |
2018-07-20 |
Name of individual signing |
ALEX MELNIKOW |
|
Role |
Employer/plan sponsor |
Date |
2018-07-20 |
Name of individual signing |
ALEX MELNIKOW |
|
|
MIDSTATE SPRING, INC. 401(K) PLAN
|
2016
|
150465789
|
2017-08-11
|
MIDSTATE SPRING, INC.
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
3154372623
|
Plan sponsor’s
address |
4054 NEW COURT AVENUE, PO BOX 850, SYRACUSE, NY, 13206
|
Signature of
Role |
Plan administrator |
Date |
2017-08-10 |
Name of individual signing |
ALEX MELNIKOW |
|
Role |
Employer/plan sponsor |
Date |
2017-08-10 |
Name of individual signing |
ALEX MELNIKOW |
|
|
MIDSTATE SPRING, INC. 401(K) PLAN
|
2015
|
150465789
|
2016-06-16
|
MIDSTATE SPRING, INC.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
3154372623
|
Plan sponsor’s
address |
4054 NEW COURT AVENUE, SYRACUSE, NY, 13206
|
Signature of
Role |
Plan administrator |
Date |
2016-06-16 |
Name of individual signing |
ALEX MELNIKOW |
|
|
MIDSTATE SPRING, INC. 401(K) PLAN
|
2014
|
150465789
|
2015-07-21
|
MIDSTATE SPRING, INC.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
3154372623
|
Plan sponsor’s
address |
4054 NEW COURT AVENUE, SYRACUSE, NY, 13206
|
Signature of
Role |
Plan administrator |
Date |
2015-07-21 |
Name of individual signing |
WALTER MELNIKOW |
|
Role |
Employer/plan sponsor |
Date |
2015-07-21 |
Name of individual signing |
WALTER MELNIKOW |
|
|