WATERFORD HOTEL GROUP, INC. WELFARE BENEFIT PLAN
|
2017
|
061117701
|
2018-08-28
|
WATERFORD HOTEL GROUP, INC.
|
790
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2004-10-01
|
Business code |
721110
|
Sponsor’s telephone number |
8607019692
|
Plan sponsor’s mailing address |
PO BOX 715, WATERFORD, CT, 06385
|
Plan sponsor’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385
|
Plan administrator’s name and address
Administrator’s EIN |
061117701 |
Plan administrator’s name |
WATERFORD HOTEL GROUP, INC. |
Plan administrator’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385 |
Administrator’s telephone number |
8607019692 |
Number of participants as of the end of the plan year
Active participants |
848 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-08-28 |
Name of individual signing |
JUDY MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATERFORD HOTEL GROUP, INC. MEDICAL PLAN
|
2017
|
061117701
|
2018-10-01
|
WATERFORD HOTEL GROUP, INC.
|
968
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-10-01
|
Business code |
721110
|
Sponsor’s telephone number |
8607019692
|
Plan sponsor’s mailing address |
PO BOX 715, WATERFORD, CT, 06385
|
Plan sponsor’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385
|
Number of participants as of the end of the plan year
Active participants |
945 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-10-01 |
Name of individual signing |
JUDY MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATERFORD HOTEL GROUP, INC. WELFARE BENEFIT PLAN
|
2017
|
061117701
|
2018-07-16
|
WATERFORD HOTEL GROUP, INC.
|
790
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2004-10-01
|
Business code |
721110
|
Sponsor’s telephone number |
8607019692
|
Plan sponsor’s mailing address |
PO BOX 715, WATERFORD, CT, 06385
|
Plan sponsor’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385
|
Plan administrator’s name and address
Administrator’s EIN |
061117701 |
Plan administrator’s name |
WATERFORD HOTEL GROUP, INC. |
Plan administrator’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385 |
Administrator’s telephone number |
8607019692 |
Number of participants as of the end of the plan year
Active participants |
848 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
JUDY MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATERFORD HOTEL GROUP, INC. MEDICAL PLAN
|
2016
|
061117701
|
2017-09-18
|
WATERFORD HOTEL GROUP, INC.
|
1122
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-10-01
|
Business code |
721110
|
Sponsor’s telephone number |
8607019692
|
Plan sponsor’s mailing address |
PO BOX 715, WATERFORD, CT, 06385
|
Plan sponsor’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385
|
Number of participants as of the end of the plan year
Active participants |
962 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-09-18 |
Name of individual signing |
JUDY MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATERFORD HOTEL GROUP, INC. WELFARE BENEFIT PLAN
|
2016
|
061117701
|
2017-07-18
|
WATERFORD HOTEL GROUP, INC.
|
1078
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2004-10-01
|
Business code |
721110
|
Sponsor’s telephone number |
8607019692
|
Plan sponsor’s mailing address |
PO BOX 715, WATERFORD, CT, 06385
|
Plan sponsor’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385
|
Plan administrator’s name and address
Administrator’s EIN |
061117701 |
Plan administrator’s name |
WATERFORD HOTEL GROUP, INC. |
Plan administrator’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385 |
Administrator’s telephone number |
8607019692 |
Number of participants as of the end of the plan year
Active participants |
790 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
JUDY MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATERFORD HOTEL GROUP, INC. WELFARE BENEFIT PLAN
|
2015
|
061117701
|
2016-08-04
|
WATERFORD HOTEL GROUP, INC.
|
1086
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2004-10-01
|
Business code |
721110
|
Sponsor’s telephone number |
8607019692
|
Plan sponsor’s mailing address |
PO BOX 715, WATERFORD, CT, 06385
|
Plan sponsor’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385
|
Plan administrator’s name and address
Administrator’s EIN |
061117701 |
Plan administrator’s name |
WATERFORD HOTEL GROUP, INC. |
Plan administrator’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385 |
Administrator’s telephone number |
8607019692 |
Number of participants as of the end of the plan year
Active participants |
1078 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-08-04 |
Name of individual signing |
JUDY MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATERFORD HOTEL GROUP, INC. MEDICAL PLAN
|
2015
|
061117701
|
2016-09-06
|
WATERFORD HOTEL GROUP, INC.
|
1128
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-10-01
|
Business code |
721110
|
Sponsor’s telephone number |
8607019692
|
Plan sponsor’s mailing address |
PO BOX 715, WATERFORD, CT, 06385
|
Plan sponsor’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385
|
Plan administrator’s name and address
Administrator’s EIN |
061117701 |
Plan administrator’s name |
WATERFORD HOTEL GROUP, INC. |
Plan administrator’s
address |
PO BOX 715, WATERFORD, CT, 06385 |
Administrator’s telephone number |
8607019692 |
Number of participants as of the end of the plan year
Active participants |
1120 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2016-09-06 |
Name of individual signing |
JUDY MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATERFORD HOTEL GROUP, INC. MEDICAL PLAN
|
2014
|
061117701
|
2015-09-03
|
WATERFORD HOTEL GROUP, INC.
|
1361
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-10-01
|
Business code |
721110
|
Sponsor’s telephone number |
8607019692
|
Plan sponsor’s mailing address |
PO BOX 715, WATERFORD, CT, 06385
|
Plan sponsor’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385
|
Plan administrator’s name and address
Administrator’s EIN |
061117701 |
Plan administrator’s name |
WATERFORD HOTEL GROUP, INC. |
Plan administrator’s
address |
PO BOX 715, WATERFORD, CT, 06385 |
Administrator’s telephone number |
8607019692 |
Number of participants as of the end of the plan year
Active participants |
1225 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-09-03 |
Name of individual signing |
JUDY MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATERFORD HOTEL GROUP, INC. WELFARE BENEFIT PLAN
|
2014
|
061117701
|
2015-07-09
|
WATERFORD HOTEL GROUP, INC.
|
1086
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2004-10-01
|
Business code |
721110
|
Sponsor’s telephone number |
8607019692
|
Plan sponsor’s mailing address |
PO BOX 715, WATERFORD, CT, 06385
|
Plan sponsor’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385
|
Plan administrator’s name and address
Administrator’s EIN |
061540160 |
Plan administrator’s name |
WATERFORD HOTEL GROUP, INC. |
Plan administrator’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385 |
Administrator’s telephone number |
8607019692 |
Number of participants as of the end of the plan year
Active participants |
1078 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-09 |
Name of individual signing |
JUDY MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATERFORD HOTEL GROUP, INC. MEDICAL PLAN
|
2013
|
061117701
|
2014-09-08
|
WATERFORD HOTEL GROUP, INC.
|
1268
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-10-01
|
Business code |
721110
|
Sponsor’s telephone number |
8607019692
|
Plan sponsor’s mailing address |
PO BOX 715, WATERFORD, CT, 06385
|
Plan sponsor’s
address |
914 HARTFORD TURNPIKE, WATERFORD, CT, 06385
|
Plan administrator’s name and address
Administrator’s EIN |
061117701 |
Plan administrator’s name |
WATERFORD HOTEL GROUP, INC. |
Plan administrator’s
address |
PO BOX 715, WATERFORD, CT, 06385 |
Administrator’s telephone number |
8607019692 |
Number of participants as of the end of the plan year
Active participants |
1356 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2014-09-08 |
Name of individual signing |
JUDY MORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|