| Plan Name | TAX DEFERRED ANNUITY PLAN OF LONG ISLAND ADOLESCENT & FAMILY SERVICES, INC. |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | LONG ISLAND ADOLESCENT & FAMILY SER VICES, INC. |
| Employer identification number (EIN): | 112847419 |
| 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 |
|---|---|---|---|---|---|
| 001 | 2017-01-01 | VALERIE KOPETIC | 2018-04-06 | VALERIE KOPETIC | 2018-04-06 |
| 001 | 2017-01-01 | VALERIE KOPETIC | 2021-02-03 | VALERIE KOPETIC | 2021-02-03 |
| 001 | 2016-01-01 | VALERIE KOPETIC | 2017-05-18 | VALERIE KOPETIC | 2017-05-18 |
| 001 | 2015-01-01 | VALERIE KOPETIC | 2016-05-05 | VALERIE KOPETIC | 2016-05-05 |
| 001 | 2014-01-01 | VALERIE KOPETIC | 2015-05-08 | VALERIE KOPETIC | 2015-05-08 |
| 001 | 2013-01-01 | JOHN LIGUORI | 2014-04-29 | JOHN LIGUORI | 2014-04-29 |
| 001 | 2012-01-01 | JOHN LIGUORI | 2013-04-19 | JOHN LIGUORI | 2013-04-19 |
| 001 | 2011-01-01 | JOHN LIGUORI | 2012-05-02 | JOHN LIGUORI | 2012-05-02 |
| 001 | 2010-01-01 | JOHN LIGUORI | 2011-05-12 | JOHN LIGUORI | 2011-05-12 |