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| Plan Name | PILOT WATER SOLUTIONS, LLC LIFE AND DISABILITY PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PILOT WATER SOLUTIONS, LLC |
| Employer identification number (EIN): | 830671454 |
| NAIC Classification: | 447100 |
| NAIC Description: | Gasoline Stations, Gas |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2023-01-01 | JAMES ELLIS | 2024-09-20 |
| 2023: PILOT WATER SOLUTIONS, LLC LIFE AND DISABILITY PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | First time form 5500 has been submitted | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||
| Policy contract number | 5398460 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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