UNITED OF OMAHA BASIC LIFE
|
2019
|
363586532
|
2020-08-19
|
ECOWATER SYSTEMS LLC
|
250
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1987-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6517395330
|
Plan sponsor’s mailing address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Plan sponsor’s
address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-08-19 |
Name of individual signing |
KEITH OPATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LTD-HOURLY
|
2019
|
363586532
|
2020-08-20
|
ECOWATER SYSTEMS LLC
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1987-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6517395330
|
Plan sponsor’s mailing address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Plan sponsor’s
address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-08-20 |
Name of individual signing |
KEITH OPATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIG GROUP TRAVEL
|
2019
|
363586532
|
2020-07-16
|
ECOWATER SYSTEMS LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
513
|
Effective date of plan |
1987-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6517315330
|
Plan sponsor’s mailing address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Plan sponsor’s
address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-16 |
Name of individual signing |
KEITH OPATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOLUNTARY AD&D
|
2019
|
363586532
|
2020-07-22
|
ECOWATER SYSTEMS LLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1987-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
5417395330
|
Plan sponsor’s mailing address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Plan sponsor’s
address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-22 |
Name of individual signing |
KEITH OPATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASIC AD&D
|
2019
|
363586532
|
2020-07-22
|
ECOWATER SYSTEMS LLC
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1987-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6517395330
|
Plan sponsor’s mailing address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Plan sponsor’s
address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-22 |
Name of individual signing |
KEITH OPATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LTD-SALARY
|
2019
|
363586532
|
2020-07-22
|
ECOWATER SYSTEMS LLC
|
140
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1987-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6517395330
|
Plan sponsor’s mailing address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Plan sponsor’s
address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-22 |
Name of individual signing |
KEITH OPATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED OF OMAHA OPTIONAL LIFE
|
2019
|
363586532
|
2020-07-22
|
ECOWATER SYSTEMS LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
1987-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6517395330
|
Plan sponsor’s mailing address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Plan sponsor’s
address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-22 |
Name of individual signing |
KEITH OPATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED OF OMAHA BASIC LIFE
|
2018
|
363586532
|
2019-06-25
|
ECOWATER SYSTEMS LLC
|
457
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1987-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6517395330
|
Plan sponsor’s mailing address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Plan sponsor’s
address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-25 |
Name of individual signing |
KEITH OPATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LTD-SALARY
|
2018
|
363586532
|
2019-06-25
|
ECOWATER SYSTEMS LLC
|
94
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1987-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6517395330
|
Plan sponsor’s mailing address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Plan sponsor’s
address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-25 |
Name of individual signing |
KEITH OPATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLEXIBLE BENEFIT PLAN
|
2018
|
363586532
|
2019-06-25
|
ECOWATER SYSTEMS LLC
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
514
|
Effective date of plan |
1992-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6517395330
|
Plan sponsor’s mailing address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Plan sponsor’s
address |
1890 WOODLANE DR, WOODBURY, MN, 551252913
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-25 |
Name of individual signing |
KEITH OPATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|