WATKINS INCORPORATED DENTAL PLAN
|
2023
|
410601001
|
2024-07-22
|
WATKINS INCORPORATED
|
122
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5074573300
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
150 LIBERTY STREET, WINONA, MN, 55987
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-22 |
Name of individual signing |
DANIEL ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-22 |
Name of individual signing |
DANIEL ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATKINS INCORPORATED COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN
|
2023
|
410601001
|
2024-07-23
|
WATKINS INCORPORATED
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-09-01
|
Business code |
311900
|
Sponsor’s telephone number |
5074573300
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
150 LIBERTY STREET, WINONA, MN, 55987
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-23 |
Name of individual signing |
DANIEL ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-23 |
Name of individual signing |
DANIEL ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATKINS INCORPORATED DENTAL PLAN
|
2022
|
410601001
|
2023-07-27
|
WATKINS INCORPORATED
|
139
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5074573300
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
150 LIBERTY STREET, WINONA, MN, 55987
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-27 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-27 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATKINS INCORPORATED COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN
|
2022
|
410601001
|
2023-07-25
|
WATKINS INCORPORATED
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-09-01
|
Business code |
311900
|
Sponsor’s telephone number |
5074573300
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
150 LIBERTY STREET, WINONA, MN, 55987
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-25 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-25 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATKINS INCORPORATED COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN
|
2021
|
410601001
|
2022-07-19
|
WATKINS INCORPORATED
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-09-01
|
Business code |
311900
|
Sponsor’s telephone number |
5074573300
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
150 LIBERTY STREET, WINONA, MN, 55987
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-19 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-19 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATKINS INCORPORATED COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN
|
2020
|
410601001
|
2021-07-28
|
WATKINS INCORPORATED
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-09-01
|
Business code |
311900
|
Sponsor’s telephone number |
5074573300
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
150 LIBERTY STREET, WINONA, MN, 55987
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-28 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATKINS INCORPORATED DENTAL PLAN
|
2020
|
410601001
|
2021-07-28
|
WATKINS INCORPORATED
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5074573300
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
150 LIBERTY STREET, WINONA, MN, 55987
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-28 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATKINS INCORPORATED DENTAL PLAN
|
2019
|
410601001
|
2020-07-29
|
WATKINS INCORPORATED
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5074573300
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
150 LIBERTY STREET, WINONA, MN, 55987
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-29 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATKINS INCORPORATED COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN
|
2019
|
410601001
|
2020-07-28
|
WATKINS INCORPORATED
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-09-01
|
Business code |
311900
|
Sponsor’s telephone number |
5074573300
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
150 LIBERTY STREET, WINONA, MN, 55987
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-28 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-28 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WATKINS INCORPORATED COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN
|
2018
|
410601001
|
2019-09-25
|
WATKINS INCORPORATED
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-09-01
|
Business code |
311900
|
Sponsor’s telephone number |
5074573300
|
Plan
sponsor’s DBA name |
JACOBS MANAGEMENT CORPORATION
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
150 LIBERTY ST, WINONA, MN, 55987
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-09-25 |
Name of individual signing |
GARY JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-25 |
Name of individual signing |
GARY JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|