|
NORTHERN X-RAY COMPANY 401(K) PROFIT SHARING PLAN
|
2012
|
410879869
|
2013-04-30
|
NORTHERN X-RAY COMPANY
|
91
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1994-01-01
|
| Business code |
423400
|
| Sponsor’s telephone number |
6128701561
|
| Plan sponsor’s mailing address |
2118 FOURTH AVENUE, S., MINNEAPOLIS, MN, 554042642
|
| Plan sponsor’s
address |
2118 FOURTH AVENUE, S., MINNEAPOLIS, MN, 554042642
|
Plan administrator’s name and address
| Administrator’s EIN |
410879869 |
| Plan administrator’s name |
NORTHERN X-RAY COMPANY |
| Plan administrator’s
address |
2118 FOURTH AVENUE, S., MINNEAPOLIS, MN, 554042642 |
| Administrator’s telephone number |
6128701561 |
Number of participants as of the end of the plan year
| Active participants |
89 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
5 |
| 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 |
66 |
| 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 |
2013-04-30 |
| Name of individual signing |
DANIEL KOEHNEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHERN X-RAY COMPANY 401(K) PROFIT SHARING PLAN
|
2011
|
410879869
|
2012-05-04
|
NORTHERN X-RAY COMPANY
|
88
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1994-01-01
|
| Business code |
423400
|
| Sponsor’s telephone number |
6128701561
|
| Plan sponsor’s mailing address |
2118 FOURTH AVENUE, S., MINNEAPOLIS, MN, 554042642
|
| Plan sponsor’s
address |
2118 FOURTH AVENUE, S., MINNEAPOLIS, MN, 554042642
|
Plan administrator’s name and address
| Administrator’s EIN |
410879869 |
| Plan administrator’s name |
NORTHERN X-RAY COMPANY |
| Plan administrator’s
address |
2118 FOURTH AVENUE, S., MINNEAPOLIS, MN, 554042642 |
| Administrator’s telephone number |
6128701561 |
Number of participants as of the end of the plan year
| Active participants |
87 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
4 |
| 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 |
66 |
| 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 |
2012-05-04 |
| Name of individual signing |
DANIEL KOEHNEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHERN X-RAY COMPANY 401(K) PROFIT SHARING PLAN
|
2010
|
410879869
|
2011-07-28
|
NORTHERN X-RAY COMPANY
|
93
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1994-01-01
|
| Business code |
423400
|
| Sponsor’s telephone number |
6128701561
|
| Plan sponsor’s mailing address |
2118 FOURTH AVENUE, S., MINNEAPOLIS, MN, 554042642
|
| Plan sponsor’s
address |
2118 FOURTH AVENUE, S., MINNEAPOLIS, MN, 554042642
|
Plan administrator’s name and address
| Administrator’s EIN |
410879869 |
| Plan administrator’s name |
NORTHERN X-RAY COMPANY |
| Plan administrator’s
address |
2118 FOURTH AVENUE, S., MINNEAPOLIS, MN, 554042642 |
| Administrator’s telephone number |
6128701561 |
Number of participants as of the end of the plan year
| Active participants |
83 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
5 |
| 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 |
61 |
| 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 |
2011-07-28 |
| Name of individual signing |
DANIEL KOEHNEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHERN X-RAY COMPANY 401(K) PROFIT SHARING PLAN
|
2009
|
410879869
|
2010-05-06
|
NORTHERN X-RAY COMPANY
|
95
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1994-01-01
|
| Business code |
423400
|
| Sponsor’s telephone number |
6128701561
|
| Plan sponsor’s mailing address |
2118 FOURTH AVENUE, S., MINNEAPOLIS, MN, 554042642
|
| Plan sponsor’s
address |
2118 FOURTH AVENUE, S., MINNEAPOLIS, MN, 554042642
|
Plan administrator’s name and address
| Administrator’s EIN |
410879869 |
| Plan administrator’s name |
NORTHERN X-RAY COMPANY |
| Plan administrator’s
address |
2118 FOURTH AVENUE, S., MINNEAPOLIS, MN, 554042642 |
| Administrator’s telephone number |
6128701561 |
Number of participants as of the end of the plan year
| Active participants |
85 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
8 |
| 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 |
65 |
| 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 |
2010-05-06 |
| Name of individual signing |
DANIEL KOEHNEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
