| Plan Name | TAX DEFERRED ANNUITY PLAN OF LONG ISLAND COUNCIL ON ALCOHOL ANDDRUG DEPENDENCE |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | LONG ISLAND COUNCIL ON ALCOHOL AND DRUG DEPENDENCE, INC. |
| Employer identification number (EIN): | 111833092 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 003 | 2018-01-01 | DIAN HOLT | 2019-06-18 | DIAN HOLT | 2019-06-18 |
| 003 | 2017-01-01 | DIAN HOLT | 2018-05-10 | DIAN HOLT | 2018-05-10 |
| 003 | 2016-01-01 | STEVEN CHASSMAN | 2017-10-05 | STEVEN CHASSMAN | 2017-10-05 |
| 003 | 2015-01-01 | STEVEN CHASSMAN | 2016-07-25 | STEVEN CHASSMAN | 2016-07-25 |
| 003 | 2014-01-01 | STEVEN CHASSMAN | 2015-07-21 | STEVEN CHASSMAN | 2015-07-21 |
| 003 | 2013-01-01 | JEFFREY L. REYNOLDS | 2014-04-22 | JEFFREY L. REYNOLDS | 2014-04-22 |
| 003 | 2012-01-01 | JEFFREY L. REYNOLDS | 2013-07-10 | JEFFREY L. REYNOLDS | 2013-07-10 |
| 003 | 2011-01-01 | JEFFREY L. REYNOLDS | 2012-07-10 | JEFFREY L. REYNOLDS | 2012-07-10 |
| 003 | 2010-01-01 | JEFFREY L. REYNOLDS | 2011-06-08 | JEFFREY L. REYNOLDS | 2011-06-08 |