ENTEROMEDICS INC. 401(K) PLAN
|
2016
|
481293684
|
2017-06-14
|
ENTEROMEDICS INC.
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621510
|
Sponsor’s telephone number |
6516343003
|
Plan sponsor’s
address |
2800 PATTON ROAD, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2017-06-14 |
Name of individual signing |
SCOTT M. MADSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-14 |
Name of individual signing |
SCOTT M. MADSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENTEROMEDICS INC. 401(K) PLAN
|
2015
|
481293684
|
2016-07-11
|
ENTEROMEDICS INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621510
|
Sponsor’s telephone number |
6516343003
|
Plan sponsor’s
address |
2800 PATTON ROAD, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
SONJA GRUNLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-11 |
Name of individual signing |
SONJA GRUNLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENTEROMEDICS INC. 401(K) PLAN
|
2014
|
481293684
|
2015-07-15
|
ENTEROMEDICS INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621510
|
Sponsor’s telephone number |
6516343003
|
Plan sponsor’s
address |
2800 PATTON ROAD, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
DAVID C. BROOKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-15 |
Name of individual signing |
DAVID C. BROOKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENTEROMEDICS INC. 401(K) PLAN
|
2013
|
481293684
|
2014-06-27
|
ENTEROMEDICS INC.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621510
|
Sponsor’s telephone number |
6516343003
|
Plan sponsor’s
address |
2800 PATTON ROAD, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2014-06-27 |
Name of individual signing |
DAVID C. BROOKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-27 |
Name of individual signing |
DAVID C. BROOKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENTEROMEDICS INC. 401(K) PLAN
|
2012
|
481293684
|
2013-06-07
|
ENTEROMEDICS INC.
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621510
|
Sponsor’s telephone number |
6516343003
|
Plan sponsor’s
address |
2800 PATTON ROAD, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2013-06-07 |
Name of individual signing |
DAVID C. BROOKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENTEROMEDICS INC. 401(K) PLAN
|
2011
|
481293684
|
2012-06-21
|
ENTEROMEDICS INC.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621510
|
Sponsor’s telephone number |
6516343003
|
Plan sponsor’s
address |
2800 PATTON ROAD, ROSEVILLE, MN, 55113
|
Plan administrator’s name and address
Administrator’s EIN |
481293684 |
Plan administrator’s name |
ENTEROMEDICS INC. |
Plan administrator’s
address |
2800 PATTON ROAD, ROSEVILLE, MN, 55113 |
Administrator’s telephone number |
6516343003 |
Signature of
Role |
Plan administrator |
Date |
2012-06-21 |
Name of individual signing |
DAVID BROOKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENTEROMEDICS INC. 401(K) PLAN
|
2010
|
481293684
|
2011-07-13
|
ENTEROMEDICS INC.
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621510
|
Sponsor’s telephone number |
6516343003
|
Plan sponsor’s
address |
2800 PATTON ROAD, ROSEVILLE, MN, 55113
|
Plan administrator’s name and address
Administrator’s EIN |
481293684 |
Plan administrator’s name |
ENTEROMEDICS INC. |
Plan administrator’s
address |
2800 PATTON ROAD, ROSEVILLE, MN, 55113 |
Administrator’s telephone number |
6516343003 |
Signature of
Role |
Plan administrator |
Date |
2011-07-13 |
Name of individual signing |
DAVID BROOKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENTEROMEDICS INC. 401(K) PLAN
|
2009
|
481293684
|
2010-07-21
|
ENTEROMEDICS INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621510
|
Sponsor’s telephone number |
6516343003
|
Plan sponsor’s
address |
2800 PATTON ROAD, ROSEVILLE, MN, 55113
|
Plan administrator’s name and address
Administrator’s EIN |
481293684 |
Plan administrator’s name |
ENTEROMEDICS INC. |
Plan administrator’s
address |
2800 PATTON ROAD, ROSEVILLE, MN, 55113 |
Administrator’s telephone number |
6516343003 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
DAVID BROOKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|