AUTOTASK DENTAL
|
2013
|
201028604
|
2014-07-23
|
AUTOTASK
|
129
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5187203500
|
Plan sponsor’s mailing address |
26 TECH VALLEY DRIVE, SUITE 2, EAST GREENBUSH, NY, 12061
|
Plan sponsor’s
address |
26 TECH VALLEY DRIVE, SUITE 2, EAST GREENBUSH, NY, 12061
|
Number of participants as of the end of the plan year
Active participants |
141 |
Retired or separated participants receiving
benefits |
0 |
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 |
2014-07-16 |
Name of individual signing |
SUSAN KIEPER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-16 |
Name of individual signing |
SUSAN KIEPER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUTOTASK MEDICAL
|
2013
|
201028604
|
2014-07-23
|
AUTOTASK
|
146
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2013-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5187203500
|
Plan sponsor’s mailing address |
26 TECH VALLEY DRIVE, SUITE 2, EAST GREENBUSH, NY, 12061
|
Plan sponsor’s
address |
26 TECH VALLEY DRIVE, SUITE 2, EAST GREENBUSH, NY, 12061
|
Number of participants as of the end of the plan year
Active participants |
146 |
Retired or separated participants receiving
benefits |
0 |
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 |
2014-07-10 |
Name of individual signing |
SUSAN KIEPER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-10 |
Name of individual signing |
SUSAN KIEPER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUTOTASK LIFE, ADD, STD & LTD
|
2013
|
201028604
|
2014-07-23
|
AUTOTASK
|
149
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2013-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5187203500
|
Plan sponsor’s mailing address |
26 TECH VALLEY DRIVE, SUITE 2, EAST GREENBUSH, NY, 12061
|
Plan sponsor’s
address |
26 TECH VALLEY DRIVE, SUITE 2, EAST GREENBUSH, NY, 12061
|
Number of participants as of the end of the plan year
Active participants |
162 |
Retired or separated participants receiving
benefits |
0 |
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 |
2014-07-16 |
Name of individual signing |
SUSAN KIEPER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-16 |
Name of individual signing |
SUSAN KIEPER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUTOTASK CORPORATION
|
2012
|
201028604
|
2013-12-10
|
AUTOTASK
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2012-01-01
|
Business code |
541519
|
Plan sponsor’s mailing address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan sponsor’s
address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan administrator’s name and address
Administrator’s EIN |
201028604 |
Plan administrator’s name |
MORGAN LAYH |
Plan administrator’s
address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061 |
Administrator’s telephone number |
5187203500 |
Number of participants as of the end of the plan year
Active participants |
37 |
Retired or separated participants receiving
benefits |
0 |
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 |
2013-12-10 |
Name of individual signing |
MORGAN LAYH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUTOTASK CORPORATION
|
2012
|
201028604
|
2013-10-21
|
AUTOTASK
|
132
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2012-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5187203500
|
Plan sponsor’s mailing address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan sponsor’s
address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan administrator’s name and address
Administrator’s EIN |
201028604 |
Plan administrator’s name |
MORGAN LAYH |
Administrator’s telephone number |
5187203500 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-21 |
Name of individual signing |
MORGAN LAYH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-21 |
Name of individual signing |
MORGAN LAYH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUTOTASK CORPORATION
|
2012
|
201028604
|
2013-10-21
|
AUTOTASK
|
122
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2012-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5187203500
|
Plan sponsor’s mailing address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan sponsor’s
address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan administrator’s name and address
Administrator’s EIN |
201028604 |
Plan administrator’s name |
MORGAN LAYH |
Administrator’s telephone number |
5187203500 |
Number of participants as of the end of the plan year
Active participants |
143 |
Retired or separated participants receiving
benefits |
0 |
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 |
2013-10-21 |
Name of individual signing |
MORGAN LAYH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-21 |
Name of individual signing |
MORGAN LAYH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUTOTASK CORPORATION
|
2012
|
201028604
|
2013-10-21
|
AUTOTASK
|
122
|
|
File |
View Page
|
Three-digit plan number (PN) |
701
|
Effective date of plan |
2012-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5187203500
|
Plan sponsor’s mailing address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan sponsor’s
address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan administrator’s name and address
Administrator’s EIN |
201028604 |
Plan administrator’s name |
MORGAN LAYH |
Administrator’s telephone number |
5187203500 |
Number of participants as of the end of the plan year
Active participants |
143 |
Retired or separated participants receiving
benefits |
0 |
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 |
2013-10-17 |
Name of individual signing |
MORGAN LAYH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-17 |
Name of individual signing |
MORGAN LAYH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUTOTASK CORPORATION
|
2012
|
201028604
|
2013-10-21
|
AUTOTASK
|
132
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2012-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
5187203500
|
Plan sponsor’s mailing address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan sponsor’s
address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan administrator’s name and address
Administrator’s EIN |
201028604 |
Plan administrator’s name |
MORGAN LAYH |
Administrator’s telephone number |
5187203500 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-16 |
Name of individual signing |
MORGAN LAYH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-16 |
Name of individual signing |
MORGAN LAYH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL
|
2012
|
201028604
|
2013-10-21
|
AUTOTASK
|
238
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-07-01
|
Business code |
541519
|
Sponsor’s telephone number |
5187203500
|
Plan sponsor’s mailing address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan sponsor’s
address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan administrator’s name and address
Administrator’s EIN |
201028604 |
Plan administrator’s name |
MORGAN LAYH |
Administrator’s telephone number |
5187203500 |
Number of participants as of the end of the plan year
Active participants |
242 |
Retired or separated participants receiving
benefits |
0 |
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 |
2013-10-16 |
Name of individual signing |
MORGAN LAYH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-16 |
Name of individual signing |
MORGAN LAYH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUTOTASK CORPORATION
|
2012
|
201028604
|
2013-11-18
|
AUTOTASK
|
134
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2012-09-01
|
Business code |
541519
|
Sponsor’s telephone number |
5187203500
|
Plan sponsor’s mailing address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan sponsor’s
address |
26 TECH VALLEY DR, EAST GREENBUSH, NY, 12061
|
Plan administrator’s name and address
Administrator’s EIN |
201028604 |
Plan administrator’s name |
MORGAN LAYH |
Administrator’s telephone number |
5187203500 |
Number of participants as of the end of the plan year
Active participants |
145 |
Retired or separated participants receiving
benefits |
0 |
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 |
2013-11-18 |
Name of individual signing |
MORGAN LAYH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|