CARTIKA MEDICAL, INC. 401(K) PLAN AND TRUST
|
2016
|
411746560
|
2017-02-13
|
CARTIKA MEDICAL, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-08-01
|
Business code |
339110
|
Sponsor’s telephone number |
7635455188
|
Plan sponsor’s
address |
6550 WEDGWOOD RD N, MAPLE GROVE, MN, 553113640
|
Signature of
Role |
Plan administrator |
Date |
2017-02-13 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-13 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARTIKA MEDICAL, INC. 401(K) PLAN AND TRUST
|
2015
|
411746560
|
2016-04-05
|
CARTIKA MEDICAL, INC.
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-08-01
|
Business code |
339110
|
Sponsor’s telephone number |
7635455188
|
Plan sponsor’s
address |
6550 WEDGWOOD RD N, MAPLE GROVE, MN, 553113640
|
Signature of
Role |
Plan administrator |
Date |
2016-04-05 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-05 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARTIKA MEDICAL, INC. 401(K) PLAN AND TRUST
|
2014
|
411746560
|
2015-02-27
|
CARTIKA MEDICAL, INC.
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-08-01
|
Business code |
339110
|
Sponsor’s telephone number |
7635455188
|
Plan sponsor’s
address |
6550 WEDGWOOD RD N, MAPLE GROVE, MN, 553113640
|
Signature of
Role |
Plan administrator |
Date |
2015-02-27 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-02-27 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARTIKA MEDICAL, INC. 401(K) PLAN AND TRUST
|
2013
|
411746560
|
2014-05-05
|
CARTIKA MEDICAL, INC.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-08-01
|
Business code |
339110
|
Sponsor’s telephone number |
7635455188
|
Plan sponsor’s
address |
6550 WEDGWOOD RD N, MAPLE GROVE, MN, 553113640
|
Signature of
Role |
Plan administrator |
Date |
2014-05-05 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-05 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARTIKA MEDICAL, INC. 401(K) PLAN AND TRUST
|
2012
|
411746560
|
2013-07-19
|
CARTIKA MEDICAL, INC.
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-08-01
|
Business code |
339110
|
Sponsor’s telephone number |
7635455188
|
Plan sponsor’s
address |
6550 WEDGWOOD RD N, MAPLE GROVE, MN, 553113640
|
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-19 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARTIKA MEDICAL, INC. 401(K) PLAN AND TRUST
|
2011
|
411746560
|
2012-02-08
|
CARTIKA MEDICAL, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-08-01
|
Business code |
339110
|
Sponsor’s telephone number |
7635455188
|
Plan sponsor’s
address |
6550 WEDGWOOD RD N, MAPLE GROVE, MN, 553113640
|
Plan administrator’s name and address
Administrator’s EIN |
411746560 |
Plan administrator’s name |
CARTIKA MEDICAL, INC. |
Plan administrator’s
address |
6550 WEDGWOOD RD N, MAPLE GROVE, MN, 553113640 |
Administrator’s telephone number |
7635455188 |
Signature of
Role |
Plan administrator |
Date |
2012-02-08 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-08 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARTIKA MEDICAL, INC. 401(K) PLAN AND TRUST
|
2010
|
411746560
|
2011-04-15
|
CARTIKA MEDICAL, INC.
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-08-01
|
Business code |
339110
|
Sponsor’s telephone number |
7635455188
|
Plan sponsor’s
address |
6550 WEDGWOOD RD N, MAPLE GROVE, MN, 553113640
|
Plan administrator’s name and address
Administrator’s EIN |
411746560 |
Plan administrator’s name |
CARTIKA MEDICAL, INC. |
Plan administrator’s
address |
6550 WEDGWOOD RD N, MAPLE GROVE, MN, 553113640 |
Administrator’s telephone number |
7635455188 |
Signature of
Role |
Plan administrator |
Date |
2011-04-15 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-15 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARTIKA MEDICAL, INC. 401(K) PLAN AND TRUST
|
2009
|
411746560
|
2010-09-02
|
CARTIKA MEDICAL, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-08-01
|
Business code |
339110
|
Sponsor’s telephone number |
7635455188
|
Plan sponsor’s
address |
6550 WEDGWOOD RD N, MAPLE GROVE, MN, 553113640
|
Plan administrator’s name and address
Administrator’s EIN |
411746560 |
Plan administrator’s name |
CARTIKA MEDICAL, INC. |
Plan administrator’s
address |
6550 WEDGWOOD RD N, MAPLE GROVE, MN, 553113640 |
Administrator’s telephone number |
7635455188 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-02 |
Name of individual signing |
SANDY PEICHEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|