H2O INNOVATION 401(K) PLAN
|
2018
|
205584930
|
2019-07-24
|
H2O INNOVATION USA, INC.
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
4186880170
|
Plan sponsor’s
address |
8900 109TH AVE N, STE 1000, CHAMPLIN, MN, 55316
|
Signature of
Role |
Plan administrator |
Date |
2019-07-24 |
Name of individual signing |
JOLYANE POULIN-GAGNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H2O INNOVATION 401(K) PLAN
|
2017
|
205584930
|
2018-05-11
|
H2O INNOVATION USA, INC.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
4186880170
|
Plan sponsor’s
address |
8900 109TH AVE N, STE 1000, CHAMPLIN, MN, 55316
|
Signature of
Role |
Plan administrator |
Date |
2018-05-11 |
Name of individual signing |
LOUIS-MARTIN BERNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H2O INNOVATION 401(K) PLAN
|
2016
|
205584930
|
2017-05-25
|
H2O INNOVATION USA, INC.
|
66
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
4186880170
|
Plan sponsor’s
address |
8900 109TH AVE N, SUITE 1000, CHAMPLIN, MN, 55316
|
Signature of
Role |
Plan administrator |
Date |
2017-05-25 |
Name of individual signing |
LOUIS-MARTIN BERNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H2O INNOVATION 401(K) PLAN
|
2015
|
205584930
|
2016-05-17
|
H2O INNOVATION USA, INC.
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
4186880170
|
Plan sponsor’s
address |
8900 109TH AVE N, SUITE 1,000, CHAMPLIN, MN, 55316
|
Signature of
Role |
Plan administrator |
Date |
2016-05-17 |
Name of individual signing |
LOUIS-MARTIN BERNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H2O INNOVATION 401(K) PLAN
|
2014
|
205584930
|
2015-10-07
|
H2O INNOVATION USA, INC.
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
4186880170
|
Plan sponsor’s
address |
8900 109TH AVE N, SUITE 1000, CHAMPLIN, MN, 55316
|
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
LOUIS-MARTIN BERNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H2O INNOVATION USA, INC. 401(K) PLAN
|
2013
|
205584930
|
2014-07-04
|
H2O INNOVATION USA, INC.
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
7635668961
|
Plan sponsor’s
address |
8900 109TH AVE N, SUITE 1000, CHAMPLIN, MN, 55316
|
Signature of
Role |
Plan administrator |
Date |
2014-07-04 |
Name of individual signing |
JOSEE LANGLOIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H2O INNOVATION USA, INC. 401(K) PLAN
|
2012
|
205584930
|
2013-10-11
|
H2O INNOVATION USA, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
7635668961
|
Plan sponsor’s
address |
8900 109TH AVE N, SUITE 1000, CHAMPLIN, MN, 55316
|
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
JOSEE LANGLOIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H2O INNOVATION USA, INC. 401(K) PLAN
|
2011
|
205584930
|
2012-10-15
|
H2O INNOVATION USA, INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
7635668961
|
Plan sponsor’s
address |
6840 SHINGLE CREEK PKWY, STE. 20, BROOKLYN CENTER, MN, 55430
|
Plan administrator’s name and address
Administrator’s EIN |
205584930 |
Plan administrator’s name |
H2O INNOVATION USA, INC. |
Plan administrator’s
address |
6840 SHINGLE CREEK PKWY, STE. 20, BROOKLYN CENTER, MN, 55430 |
Administrator’s telephone number |
7635668961 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
JOSEE LANGLOIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
JOSEE RIVERIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|