Original filing (PDF)20230727091626NAL0023867970001

Mountain State Water

Name: Mountain State Water — Mountain State Water CBWV, Form 5500 (2022)
Creator: Mountain State Water
License: https://www.usa.gov/government-works

Form 5500-SF

FILING_RECEIVED

Mountain State Water CBWV Benefit Plan

Health & welfare plan · Mountain State Water's Mountain State Water CBWV Benefit Plan filed a Form 5500 for plan year 2022.

Active participants

Accounts w/ balance

—

Plan assets (EOY)

Net assets (EOY)

People on this filing

Erikka Storch signed Mountain State Water's 2022 Form 5500 as plan administrator.

Erikka Storch — Plan Administrator — Form 5500 signer

Get verified email & phone for these signers

Signer names are public record from the Form 5500 e-signature.

Plan identifiers

Mountain State Water's EIN is 81-4049225.

EIN 81-4049225

Plan number 501

Plan year 2022

ACK ID 20230727091626NAL0023867970001

Official Form 5500 document

Download the official 2022 Form 5500 (PDF) for Mountain State Water from the U.S. Department of Labor's EFAST2 system.

Download the official 2022 Form 5500 (PDF)

Plan features

Mountain State Water's plan includes health coverage.

Decision-maker contacts

One unlock reveals every key decision-maker — plan signer, CFO, HR & Benefits — with verified email + LinkedIn for MOUNTAIN STATE WATER.

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Plan health score (directional)

Limited public data — directional only

Directional indicator from public Form 5500 data — compliance & integrity, total plan cost, participant health and vendor stack, benchmarked against same-size peers. Not a fiduciary tool. Based on 35% of scoring inputs for this filing.

Compliance & integrity

100

Total plan cost

n/a

Plan health

n/a

Vendor & structure

n/a

Helping the score

Cost not scored — no comparable Schedule H expense data for this cohort.
Plan health not scored — no comparable participation/contribution data.

Plan sponsor

Name

MOUNTAIN STATE WATER

DBA

CULLIGAN WATER CONDITIONING OF VIENNA, WV

EIN

all filings

Address

316 16TH ST. · VIENNA, WV · 26105

Phone

(304) 295-0127

Industry

Manufacturing

Plan administrator

Name

ERIKKA STORCH

EIN

82-2769605

City

WHEELING, WV

Phone

(304) 233-2575

Plan characteristics

Plan number

501

Plan year

2022

Plan year begin

2022-01-01

Tax period

2022-12-31

Filed

2023-07-27

Welfare benefit codes

4A · Health (other than dental or vision)

Audit & trust (Schedule H)

Auditor

—

Trustee / custodian

—

Trustee phone

—

Small plan (5500-SF) — Schedule H data not available.

Service providers (Schedule C)

Small plans don't disclose service providers

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