| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1994-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
6513882223
|
| Plan sponsor’s mailing address |
4920 MOUNDVIEW DRIVE, RED WING, MN, 55066
|
| Plan sponsor’s
address |
SUITE B, RED WING, MN, 55066
|
Plan administrator’s name and address
| Administrator’s EIN |
411616427 |
| Plan administrator’s name |
HIAWATHA MEDICAL, INC. |
| Plan administrator’s
address |
4920 MOUNDVIEW DRIVE, RED WING, MN, 55066 |
| Administrator’s telephone number |
6513882223 |
Number of participants as of the end of the plan year
| Active participants |
143 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
13 |
| 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 |
72 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-07 |
| Name of individual signing |
STEPHEN STAATS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
