|
ALEX AND ANI LLC GROUP HEALTH PLAN
|
2019
|
200358360
|
2020-07-17
|
ALEX AND ANI LLC
|
514
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2013-01-01
|
| Business code |
448310
|
| Sponsor’s telephone number |
4016331486
|
| Plan sponsor’s mailing address |
10 BRIGGS DR, EAST GREENWICH, RI, 028181555
|
| Plan sponsor’s
address |
10 BRIGGS DR, EAST GREENWICH, RI, 028181555
|
Number of participants as of the end of the plan year
| Active participants |
420 |
| Retired or separated participants receiving
benefits |
13 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2020-07-17 |
| Name of individual signing |
DINA DICHIARO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-07-17 |
| Name of individual signing |
DINA DICHIARO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALEX AND ANI LLC GROUP HEALTH PLAN
|
2018
|
200358360
|
2019-07-31
|
ALEX AND ANI LLC
|
630
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2013-01-01
|
| Business code |
448310
|
| Sponsor’s telephone number |
4016331486
|
| Plan sponsor’s mailing address |
10 BRIGGS DR, EAST GREENWICH, RI, 028181555
|
| Plan sponsor’s
address |
10 BRIGGS DR, EAST GREENWICH, RI, 028181555
|
Number of participants as of the end of the plan year
| Active participants |
506 |
| Retired or separated participants receiving
benefits |
14 |
| 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 |
2019-07-31 |
| Name of individual signing |
DINA DICHIARO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALEX AND ANI LLC GROUP HEALTH PLAN
|
2017
|
200358360
|
2018-07-25
|
ALEX AND ANI LLC
|
609
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2013-01-01
|
| Business code |
448310
|
| Sponsor’s telephone number |
4016331486
|
| Plan
sponsor’s DBA name |
10/14/2014
|
| Plan sponsor’s mailing address |
2000 CHAPEL VIEW BLVD STE 240, CRANSTON, RI, 029203091
|
| Plan sponsor’s
address |
2000 CHAPEL VIEW BLVD STE 240, CRANSTON, RI, 029203091
|
Number of participants as of the end of the plan year
| Active participants |
630 |
| Retired or separated participants receiving
benefits |
5 |
| 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 |
2018-07-25 |
| Name of individual signing |
DINA DICHIARO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALEX AND ANI, LLC 401(K) PLAN
|
2013
|
200358360
|
2014-08-05
|
ALEX AND ANI, LLC
|
97
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
448310
|
| Sponsor’s telephone number |
4016331486
|
| Plan sponsor’s
address |
2000 CHAPEL VIEW BOULEVARD, SUITE 360, CRANSTON, RI, 02920
|
Signature of
| Role |
Plan administrator |
| Date |
2014-08-05 |
| Name of individual signing |
JOANNE LARSSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALEX AND ANI, LLC 401(K) PLAN
|
2012
|
200358360
|
2013-10-02
|
ALEX AND ANI, LLC
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
448310
|
| Sponsor’s telephone number |
4016331486
|
| Plan sponsor’s
address |
2000 CHAPEL VIEW BOULEVARD, SUITE 360, CRANSTON, RI, 02920
|
Plan administrator’s name and address
| Administrator’s EIN |
200358360 |
| Plan administrator’s name |
ALEX AND ANI, LLC |
| Plan administrator’s
address |
2000 CHAPEL VIEW BOULEVARD, CRANSTON, RI, 02920 |
| Administrator’s telephone number |
4016331486 |
Signature of
| Role |
Plan administrator |
| Date |
2013-10-02 |
| Name of individual signing |
DAVID ROZEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
