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| Plan Name | MOMENTUM MIDSTREAM MANAGEMENT LLC PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MOMENTUM MIDSTREAM MANAGEMENT LLC |
| Employer identification number (EIN): | 844800418 |
| NAIC Classification: | 211130 |
| NAIC Description: | Natural Gas Extraction |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | JEANNIE POLAND | 2024-06-21 | ||
| 501 | 2020-01-01 | LARANNE BREAGY | 2021-06-03 |
| 2023: MOMENTUM MIDSTREAM MANAGEMENT LLC PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: MOMENTUM MIDSTREAM MANAGEMENT LLC PLAN 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||
| Policy contract number | KM05399862 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 620635 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||
| Policy contract number | 12289866 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 10165966 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
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