HOSELTON HEALTH PLAN
|
2023
|
160731157
|
2024-08-01
|
HOSELTON CHEVROLET, INC.
|
153
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
5855867373
|
Plan sponsor’s mailing address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Plan sponsor’s
address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-08-01 |
Name of individual signing |
PENNE FLYNN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOSELTON HEALTH PLAN
|
2022
|
160731157
|
2023-07-31
|
HOSELTON CHEVROLET INC
|
157
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
5855867373
|
Plan sponsor’s mailing address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Plan sponsor’s
address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
SHELLEY WILLISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-31 |
Name of individual signing |
SHELLEY WILLISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOSELTON HEALTH PLAN
|
2021
|
160731157
|
2022-07-13
|
HOSELTON CHEVROLET, INC
|
153
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
5855867373
|
Plan sponsor’s mailing address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Plan sponsor’s
address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-13 |
Name of individual signing |
SHELLEY WILLISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-13 |
Name of individual signing |
SHELLEY WILLISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOSELTON DENTAL PLAN
|
2021
|
160731157
|
2022-07-21
|
HOSELTON CHEVROLET, INC
|
134
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1994-10-01
|
Business code |
441110
|
Sponsor’s telephone number |
5855867373
|
Plan sponsor’s mailing address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Plan sponsor’s
address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-21 |
Name of individual signing |
SHELLEY WILLISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-21 |
Name of individual signing |
SHELLEY WILLISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOSELTON DENTAL PLAN
|
2020
|
160731157
|
2021-07-29
|
HOSELTON CHEVROLET, INC.
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1994-10-01
|
Business code |
441110
|
Sponsor’s telephone number |
5585867373
|
Plan sponsor’s mailing address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Plan sponsor’s
address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
SHANNON BIGONGIARI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-29 |
Name of individual signing |
SHANNON BIGONGIARI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOSELTON HEALTH PLAN
|
2020
|
160731157
|
2021-07-29
|
HOSELTON CHEVROLET, INC.
|
154
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
5855867373
|
Plan sponsor’s mailing address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Plan sponsor’s
address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
SHANNON BIGONGIARI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-29 |
Name of individual signing |
SHANNON BIGONGIARI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOSELTON HEALTH PLAN
|
2019
|
160731157
|
2020-07-24
|
HOSELTON CHEVROLET, INC.
|
155
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
5855867373
|
Plan sponsor’s mailing address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Plan sponsor’s
address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-24 |
Name of individual signing |
DENNIS SEGRUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-24 |
Name of individual signing |
DENNIS SEGRUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOSELTON DENTAL PLAN
|
2019
|
160731157
|
2020-07-24
|
HOSELTON CHEVROLET INC
|
135
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1994-10-01
|
Business code |
441110
|
Sponsor’s telephone number |
5855867373
|
Plan sponsor’s mailing address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Plan sponsor’s
address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-24 |
Name of individual signing |
DENNIS SEGRUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-24 |
Name of individual signing |
DENNIS SEGRUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOSELTON HEALTH PLAN
|
2018
|
160731157
|
2019-07-31
|
HOSELTON CHEVROLET, INC.
|
148
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
5855867373
|
Plan sponsor’s mailing address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Plan sponsor’s
address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
DENNIS SEGRUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-31 |
Name of individual signing |
DENNIS SEGRUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOSELTON DENTAL PLAN
|
2018
|
160731157
|
2019-07-31
|
HOSELTON CHEVROLET, INC.
|
126
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1994-10-01
|
Business code |
441110
|
Sponsor’s telephone number |
5855867373
|
Plan sponsor’s mailing address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Plan sponsor’s
address |
909 FAIRPORT RD, EAST ROCHESTER, NY, 144451911
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
DENNIS SEGRUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|