|
OTT MEDICAL GAS SYSTEMS, INC. 401(K) PROFIT SHARING PLAN
|
2021
|
631179178
|
2022-06-06
|
OTT MEDICAL GAS SYSTEMS, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-12-24
|
| Business code |
811310
|
| Sponsor’s telephone number |
3347418277
|
| Plan sponsor’s mailing address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
| Plan sponsor’s
address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
Number of participants as of the end of the plan year
| Active participants |
9 |
| Number of
participants
with
account balances as of the end of the plan year |
9 |
Signature of
| Role |
Plan administrator |
| Date |
2022-06-06 |
| Name of individual signing |
GARY OTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-06-06 |
| Name of individual signing |
GARY OTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OTT MEDICAL GAS SYTEMS, INC. 401(K) PROFIT SHARING PLAN
|
2020
|
631179178
|
2021-06-14
|
OTT MEDICAL GAS SYSTEMS, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-12-24
|
| Business code |
811310
|
| Sponsor’s telephone number |
3347418277
|
| Plan sponsor’s mailing address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
| Plan sponsor’s
address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
Number of participants as of the end of the plan year
| Active participants |
9 |
| Number of
participants
with
account balances as of the end of the plan year |
9 |
Signature of
| Role |
Plan administrator |
| Date |
2021-06-14 |
| Name of individual signing |
GARY OTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OTT MEDICAL GAS SYSTEMS, INC. 401(K) PROFIT SHARING PLAN
|
2019
|
631179178
|
2020-07-22
|
OTT MEDICAL GAS SYSTEMS, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-12-24
|
| Business code |
811310
|
| Sponsor’s telephone number |
3347418277
|
| Plan sponsor’s mailing address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
| Plan sponsor’s
address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
Number of participants as of the end of the plan year
| Active participants |
9 |
| Number of
participants
with
account balances as of the end of the plan year |
9 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2020-07-22 |
| Name of individual signing |
GARY OTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OTT MEDICAL GAS SYSTEMS, INC. 401(K) PROFIT SHARING PLAN
|
2018
|
631179178
|
2019-07-17
|
OTT MEDICAL GAS SYSTEMS, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-12-24
|
| Business code |
811310
|
| Sponsor’s telephone number |
3347418277
|
| Plan sponsor’s mailing address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
| Plan sponsor’s
address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
Number of participants as of the end of the plan year
| Active participants |
9 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2019-07-16 |
| Name of individual signing |
GARY OTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OTT MEDICAL GAS SYSTEMS, INC. 401(K) PROFIT SHARING PLAN
|
2017
|
631179178
|
2018-07-16
|
OTT MEDICAL GAS SYSTEMS, INC.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-12-24
|
| Business code |
811310
|
| Sponsor’s telephone number |
3347418277
|
| Plan sponsor’s mailing address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
| Plan sponsor’s
address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
Number of participants as of the end of the plan year
| Active participants |
9 |
| Retired or separated participants receiving
benefits |
2 |
| Number of
participants
with
account balances as of the end of the plan year |
9 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2018-07-16 |
| Name of individual signing |
GARY OTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OTT MEDICAL GAS SYSTEMS, INC. 401(K) PROFIT SHARING PLAN
|
2016
|
631179178
|
2017-06-20
|
OTT MEDICAL GAS SYSTEMS, INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-12-24
|
| Business code |
811310
|
| Sponsor’s telephone number |
3347418277
|
| Plan sponsor’s mailing address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
| Plan sponsor’s
address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
Number of participants as of the end of the plan year
| Active participants |
11 |
| Number of
participants
with
account balances as of the end of the plan year |
11 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2017-06-20 |
| Name of individual signing |
GARY OTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OTT MEDICAL GAS SYSTEMS, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
631179178
|
2016-07-19
|
OTT MEDICAL GAS SYSTEMS, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-12-24
|
| Business code |
811310
|
| Sponsor’s telephone number |
3347418277
|
| Plan sponsor’s mailing address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
| Plan sponsor’s
address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 368625346
|
Number of participants as of the end of the plan year
| Active participants |
10 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
10 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2016-07-19 |
| Name of individual signing |
GARY OTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OTT MEDICAL GAS SYSTEMS, INC. 401(K) PROFIT SHARING PLAN
|
2014
|
631179178
|
2015-07-02
|
OTT MEDICAL GAS SYSTEMS, INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-12-24
|
| Business code |
811310
|
| Sponsor’s telephone number |
3347418277
|
| Plan sponsor’s mailing address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 36862
|
| Plan sponsor’s
address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 36862
|
Number of participants as of the end of the plan year
| Active participants |
9 |
| Retired or separated participants receiving
benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
9 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2015-07-02 |
| Name of individual signing |
GARY OTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OTT MEDICAL GAS SYSTEMS, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
631179178
|
2014-06-30
|
OTT MEDICAL GAS SYSTEMS, INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-12-24
|
| Business code |
811310
|
| Sponsor’s telephone number |
3347418277
|
| Plan sponsor’s mailing address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 36862
|
| Plan sponsor’s
address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 36862
|
Number of participants as of the end of the plan year
| Active participants |
10 |
| Retired or separated participants receiving
benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
10 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2014-06-30 |
| Name of individual signing |
GARY OTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OTT MEDICAL GAS SYSTEMS, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
631179178
|
2013-07-23
|
OTT MEDICAL GAS SYSTEMS, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-12-24
|
| Business code |
811310
|
| Sponsor’s telephone number |
3347418277
|
| Plan sponsor’s mailing address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 36862
|
| Plan sponsor’s
address |
4052 COUNTY ROAD 94, LAFAYETTE, AL, 36862
|
Number of participants as of the end of the plan year
| Active participants |
10 |
| Retired or separated participants receiving
benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
10 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-07-23 |
| Name of individual signing |
GARY OTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-07-23 |
| Name of individual signing |
GARY OTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
