J ARTHUR TRUDEAU MEMORIAL CENTER GROUP LIFE INSURANCE
|
2014
|
050310093
|
2015-10-02
|
J ARTHUR TRUDEAU MEMORIAL CENTER
|
152
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-09-01
|
Business code |
624100
|
Sponsor’s telephone number |
4017392700
|
Plan sponsor’s mailing address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan sponsor’s
address |
3445 POST ROAD, WARWICK, RI, 02886
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-10-02 |
Name of individual signing |
JUDITH SULLIVAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-02 |
Name of individual signing |
JUDITH SULLIVAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J ARTHUR TRUDEAU MEMORIAL CENTER GROUP LIFE INSURANCE
|
2013
|
050310093
|
2014-10-10
|
J ARTHUR TRUDEAU MEMORIAL CENTER
|
152
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-09-01
|
Business code |
624100
|
Sponsor’s telephone number |
4017392700
|
Plan sponsor’s mailing address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan sponsor’s
address |
3445 POST ROAD, WARWICK, RI, 02886
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
JOHN MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J ARTHUR TRUDEAU MEMORIAL CENTER HEALTH INSURANCE PLAN
|
2013
|
050310093
|
2014-10-10
|
J ARTHUR TRUDEAU MEMORIAL CENTER
|
488
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
4017392700
|
Plan sponsor’s mailing address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan sponsor’s
address |
3445 POST ROAD, WARWICK, RI, 02886
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
JOHN MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J ARTHUR TRUDEAU MEMORIAL CENTER GROUP LIFE INSURANCE
|
2012
|
050310093
|
2013-10-11
|
J ARTHUR TRUDEAU MEMORIAL CENTER
|
189
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-09-01
|
Business code |
624100
|
Sponsor’s telephone number |
4017392700
|
Plan sponsor’s mailing address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan sponsor’s
address |
3445 POST ROAD, WARWICK, RI, 02886
|
Number of participants as of the end of the plan year
Active participants |
164 |
Retired or separated participants receiving
benefits |
164 |
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
JOHN MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-03 |
Name of individual signing |
JOHN MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J ARTHUR TRUDEAU MEMORIAL CENTER HEALTH INSURANCE PLAN
|
2012
|
050310093
|
2013-10-11
|
J ARTHUR TRUDEAU MEMORIAL CENTER
|
574
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
624100
|
Plan sponsor’s mailing address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan sponsor’s
address |
3445 POST ROAD, WARWICK, RI, 02886
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
JOHN MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-03 |
Name of individual signing |
JOHN MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J ARTHUR TRUDEAU MEMORIAL CENTER HEALTH INSURANCE PLAN
|
2011
|
050310093
|
2012-10-09
|
J ARTHUR TRUDEAU MEMORIAL CENTER
|
574
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
624100
|
Plan sponsor’s mailing address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan sponsor’s
address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan administrator’s name and address
Administrator’s EIN |
050310093 |
Plan administrator’s name |
J ARTHUR TRUDEAU MEMORIAL CENTER |
Plan administrator’s
address |
3445 POST ROAD, WARWICK, RI, 02886 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
ROBERT TEOLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J ARTHUR TRUDEAU MEMORIAL CENTER GROUP LIFE INSURANCE
|
2011
|
050310093
|
2012-10-09
|
J ARTHUR TRUDEAU MEMORIAL CENTER
|
189
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-09-01
|
Business code |
624100
|
Plan sponsor’s mailing address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan sponsor’s
address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan administrator’s name and address
Administrator’s EIN |
050310093 |
Plan administrator’s name |
J ARTHUR TRUDEAU MEMORIAL CENTER |
Plan administrator’s
address |
3445 POST ROAD, WARWICK, RI, 02886 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
ROBERT TEOLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J ARTHUR TRUDEAU MEMORIAL CENTER HEALTH INSURANCE PLAN
|
2010
|
050310093
|
2011-09-28
|
J ARTHUR TRUDEAU MEMORIAL CENTER
|
540
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
4017811277
|
Plan sponsor’s mailing address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan sponsor’s
address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan administrator’s name and address
Administrator’s EIN |
050310093 |
Plan administrator’s name |
J ARTHUR TRUDEAU MEMORIAL CENTER |
Plan administrator’s
address |
3445 POST ROAD, WARWICK, RI, 02886 |
Administrator’s telephone number |
4017811277 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-09-28 |
Name of individual signing |
ROBERT TEOLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J ARTHUR TRUDEAU MEMORIAL CENTER HEALTH INSURANCE PLAN
|
2009
|
050310093
|
2010-10-07
|
J ARTHUR TRUDEAU MEMORIAL CENTER
|
555
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
4017392700
|
Plan sponsor’s mailing address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan sponsor’s
address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan administrator’s name and address
Administrator’s EIN |
050310093 |
Plan administrator’s name |
J ARTHUR TRUDEAU MEMORIAL CENTER |
Plan administrator’s
address |
3445 POST ROAD, WARWICK, RI, 02886 |
Administrator’s telephone number |
4017392700 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
ROBERT TEOLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J ARTHUR TRUDEAU MEMORIAL CENTER GROUP LIFE INSURANCE
|
2009
|
050310093
|
2010-10-07
|
J ARTHUR TRUDEAU MEMORIAL CENTER
|
204
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-09-01
|
Business code |
624100
|
Sponsor’s telephone number |
4017392700
|
Plan sponsor’s mailing address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan sponsor’s
address |
3445 POST ROAD, WARWICK, RI, 02886
|
Plan administrator’s name and address
Administrator’s EIN |
050310093 |
Plan administrator’s name |
J ARTHUR TRUDEAU MEMORIAL CENTER |
Plan administrator’s
address |
3445 POST ROAD, WARWICK, RI, 02886 |
Administrator’s telephone number |
4017392700 |
Number of participants as of the end of the plan year
Active participants |
196 |
Retired or separated participants receiving
benefits |
196 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
ROBERT TEOLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|