ADIRONDACK LIFE, INC. 401K PLAN
|
2023
|
141657056
|
2024-09-16
|
ADIRONDACK LIFE, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
511120
|
Sponsor’s telephone number |
5189462191
|
Plan sponsor’s
address |
12961 NYS ROUTE 9N, PO BOX 410, JAY, NY, 12941
|
Signature of
Role |
Plan administrator |
Date |
2024-09-16 |
Name of individual signing |
JANINE SORRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADIRONDACK LIFE, INC. 401K PLAN
|
2022
|
141657056
|
2023-07-18
|
ADIRONDACK LIFE, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
511120
|
Sponsor’s telephone number |
5189462191
|
Plan sponsor’s
address |
12961 NYS ROUTE 9N, PO BOX 410, JAY, NY, 12941
|
Signature of
Role |
Plan administrator |
Date |
2023-07-18 |
Name of individual signing |
JANINE SORRELL |
|
|
ADIRONDACK LIFE, INC. 401K PLAN
|
2021
|
141657056
|
2022-07-20
|
ADIRONDACK LIFE, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
511120
|
Sponsor’s telephone number |
5189462191
|
Plan sponsor’s
address |
12961 NYS ROUTE 9N, PO BOX 410, JAY, NY, 12941
|
Signature of
Role |
Plan administrator |
Date |
2022-07-20 |
Name of individual signing |
JANINE SORRELL |
|
|
ADIRONDACK LIFE, INC. 401K PLAN
|
2020
|
141657056
|
2021-07-22
|
ADIRONDACK LIFE, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
511120
|
Sponsor’s telephone number |
5189462191
|
Plan sponsor’s
address |
12961 NYS ROUTE 9N, PO BOX 410, JAY, NY, 12941
|
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
JANINE SORRELL |
|
|
ADIRONDACK LIFE, INC. 401K PLAN
|
2019
|
141657056
|
2020-07-28
|
ADIRONDACK LIFE, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
511120
|
Sponsor’s telephone number |
5189462191
|
Plan sponsor’s
address |
12961 NYS ROUTE 9N, PO BOX 410, JAY, NY, 12941
|
Signature of
Role |
Plan administrator |
Date |
2020-07-28 |
Name of individual signing |
JANINE SORRELL |
|
|
ADIRONDACK LIFE, INC. 401K PLAN
|
2018
|
141657056
|
2019-07-25
|
ADIRONDACK LIFE, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
511120
|
Sponsor’s telephone number |
5189462191
|
Plan sponsor’s
address |
12961 NYS ROUTE 9N, PO BOX 410, JAY, NY, 12941
|
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
JANINE SORRELL |
|
|
ADIRONDACK LIFE, INC. 401K PLAN
|
2017
|
141657056
|
2018-07-30
|
ADIRONDACK LIFE, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
511120
|
Sponsor’s telephone number |
5189462191
|
Plan sponsor’s
address |
12961 NYS ROUTE 9N, PO BOX 410, JAY, NY, 12941
|
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
JANINE SORRELL |
|
|
ADIRONDACK LIFE, INC. 401K PLAN
|
2016
|
141657056
|
2017-07-18
|
ADIRONDACK LIFE, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
511120
|
Sponsor’s telephone number |
5189462191
|
Plan sponsor’s
address |
12961 NYS ROUTE 9N, PO BOX 410, JAY, NY, 12941
|
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
JANINE SORRELL |
|
|
ADIRONDACK LIFE, INC. 401K PLAN
|
2015
|
141657056
|
2016-07-18
|
ADIRONDACK LIFE, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
511120
|
Sponsor’s telephone number |
5189462191
|
Plan sponsor’s
address |
12961 NYS ROUTE 9N, PO BOX 410, JAY, NY, 12941
|
Signature of
Role |
Plan administrator |
Date |
2016-07-18 |
Name of individual signing |
JANINE SORRELL |
|
|
ADIRONDACK LIFE, INC. 401K PLAN
|
2014
|
141657056
|
2015-07-22
|
ADIRONDACK LIFE, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
511120
|
Sponsor’s telephone number |
5189462191
|
Plan sponsor’s
address |
12961 NYS ROUTE 9N, JAY, NY, 12941
|
Signature of
Role |
Plan administrator |
Date |
2015-07-21 |
Name of individual signing |
JANINE SORRELL |
|
|