%PDF-1.4
%
1 0 obj
<>>>
endobj
2 0 obj
<>stream
2023-12-29T14:44:30-05:00
2023-12-29T14:44:32-05:00
2023-12-29T14:44:32-05:00
Adobe InDesign 19.0 (Macintosh)
uuid:97cf562f-fe97-aa42-9236-f39516cd1494
adobe:docid:indd:ef1eb4ab-8ee2-11d8-868d-ac95574f9ee9
xmp.id:619b92be-77db-4c16-b685-4babcb99c8c0
proof:pdf
xmp.iid:5fbe3ade-39fd-419c-92ee-e88c0d9d7f1d
xmp.did:d3a859a6-a95d-44e7-b058-fb50eefb20a4
adobe:docid:indd:ef1eb4ab-8ee2-11d8-868d-ac95574f9ee9
default
converted
from application/x-indesign to application/pdf
Adobe InDesign 19.0 (Macintosh)
/
2023-12-29T14:44:30-05:00
application/pdf
Adobe PDF Library 17.0
False
endstream
endobj
3 0 obj
<>
endobj
14 0 obj
<>
endobj
15 0 obj
<>
endobj
16 0 obj
<>
endobj
17 0 obj
<>
endobj
18 0 obj
<>
endobj
19 0 obj
<>
endobj
36 0 obj
<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/TrimBox[0.0 0.0 396.0 612.0]/Type/Page/PieceInfo</LastModified/NumberOfPageItemsInPage 2/NumberofPages 1/OriginalDocumentID/PageItemUIDToLocationDataMap<0[480.0 3.0 3.0 -360.0 273.0 -36.0 287.0 1.0 0.0 0.0 1.0 0.0 0.0]/1[488.0 2.0 3.0 36.0 273.0 360.0 287.0 1.0 0.0 0.0 1.0 0.0 0.0]>>/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 9545>>/PageWidthList<0 396.0>>>>>>>>
endobj
37 0 obj
<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/TrimBox[0.0 0.0 396.0 612.0]/Type/Page/PieceInfo</LastModified/NumberOfPageItemsInPage 2/NumberofPages 1/OriginalDocumentID/PageItemUIDToLocationDataMap<0[480.0 3.0 3.0 -360.0 273.0 -36.0 287.0 1.0 0.0 0.0 1.0 0.0 0.0]/1[488.0 2.0 3.0 36.0 273.0 360.0 287.0 1.0 0.0 0.0 1.0 0.0 0.0]>>/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 9730>>/PageWidthList<0 396.0>>>>>>>>
endobj
38 0 obj
<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/TrimBox[0.0 0.0 396.0 612.0]/Type/Page/PieceInfo</LastModified/NumberOfPageItemsInPage 2/NumberofPages 1/OriginalDocumentID/PageItemUIDToLocationDataMap<0[480.0 3.0 3.0 -360.0 273.0 -36.0 287.0 1.0 0.0 0.0 1.0 0.0 0.0]/1[488.0 2.0 3.0 36.0 273.0 360.0 287.0 1.0 0.0 0.0 1.0 0.0 0.0]>>/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 797>>/PageWidthList<0 396.0>>>>>>>>
endobj
39 0 obj
<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/TrimBox[0.0 0.0 396.0 612.0]/Type/Page/PieceInfo</LastModified/NumberOfPageItemsInPage 2/NumberofPages 1/OriginalDocumentID/PageItemUIDToLocationDataMap<0[480.0 3.0 3.0 -360.0 273.0 -36.0 287.0 1.0 0.0 0.0 1.0 0.0 0.0]/1[488.0 2.0 3.0 36.0 273.0 360.0 287.0 1.0 0.0 0.0 1.0 0.0 0.0]>>/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 821>>/PageWidthList<0 396.0>>>>>>>>
endobj
40 0 obj
<>/TrimBox[0.0 0.0 396.0 612.0]/Type/Page/PieceInfo</LastModified/NumberofPages 1/OriginalDocumentID/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 9582>>/PageWidthList<0 396.0>>>>>>>>
endobj
41 0 obj
<>/TrimBox[0.0 0.0 396.0 612.0]/Type/Page/PieceInfo</LastModified/NumberofPages 1/OriginalDocumentID/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 9617>>/PageWidthList<0 396.0>>>>>>>>
endobj
42 0 obj
<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 396.0 612.0]/Type/Page/PieceInfo</LastModified/NumberofPages 1/OriginalDocumentID/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 834>>/PageWidthList<0 396.0>>>>>>>>
endobj
57 0 obj
<>stream
BT
0 0 0 1 k
/GS0 gs
/T1_0 1 Tf
12 0 0 12 154.0085 88.5862 Tm
(Human Resources)Tj
0.194 -1.167 Td
(Benefits Division)Tj
-2.356 -1.167 Td
[(State University of New Y)65.1 (ork)]TJ
0.302 -1.167 Td
(Upstate Medical University)Tj
/T1_1 1 Tf
8 0 0 8 326.441 18.75 Tm
[(F83157 Rev)43.1 (. 12/2023)]TJ
ET
endstream
endobj
46 0 obj
<>
endobj
58 0 obj
<>
endobj
61 0 obj
<>
endobj
62 0 obj
<>stream
H\j0EY& ?$a(i^A~#SA-YY;*爹wyn è[[gN-h^yx-=t^H2qh\?
@~PsaՓ/-]aul ۛ?8A]tb46)>gP,G4]QV
L̿~eۥ]H,B|b>%>3UL2gEⒹL\1Wv0*S9;w*"+QKBY2JXrO
endstream
endobj
63 0 obj
<>stream
H|QyPgM
Z.$vwJB&?O
"8̈H"a[pA"ۈ-yaSbVKPm̛7)rEZzi_
FŇM!Pc0l>bPKX1-6 RZ*iNH;_x֏vF2HSP1(