|
AXONOM INC 401(K) PLAN
|
2012
|
753057305
|
2013-07-01
|
AXONOM INC
|
32
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
511210
|
| Sponsor’s telephone number |
9526530353
|
| Plan sponsor’s mailing address |
7401 METRO BLVD., SUITE 200, EDINA, MN, 55439
|
| Plan sponsor’s
address |
7401 METRO BLVD., SUITE 200, EDINA, MN, 55439
|
Plan administrator’s name and address
| Administrator’s EIN |
753057305 |
| Plan administrator’s name |
AXONOM INC |
| Plan administrator’s
address |
7401 METRO BLVD., SUITE 200, EDINA, MN, 55439 |
| Administrator’s telephone number |
9526530353 |
Number of participants as of the end of the plan year
| Active participants |
26 |
| 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 |
22 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2013-07-01 |
| Name of individual signing |
CLARK DIRCZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-07-01 |
| Name of individual signing |
CLARK DIRCZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AXONOM INC 401(K) PLAN
|
2011
|
753057305
|
2012-05-10
|
AXONOM INC
|
29
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
511210
|
| Sponsor’s telephone number |
9526530353
|
| Plan sponsor’s mailing address |
7401 METRO BLVD., SUITE 200, EDINA, MN, 55439
|
| Plan sponsor’s
address |
7401 METRO BLVD., SUITE 200, EDINA, MN, 55439
|
Plan administrator’s name and address
| Administrator’s EIN |
753057305 |
| Plan administrator’s name |
AXONOM INC |
| Plan administrator’s
address |
7401 METRO BLVD., SUITE 200, EDINA, MN, 55439 |
| Administrator’s telephone number |
9526530353 |
Number of participants as of the end of the plan year
| Active participants |
31 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| 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 |
23 |
| 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 |
2012-05-10 |
| Name of individual signing |
CLARK DIRCZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AXONOM INC 401(K) PLAN
|
2010
|
753057305
|
2011-06-03
|
AXONOM INC
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
511210
|
| Sponsor’s telephone number |
9526530353
|
| Plan sponsor’s mailing address |
7401 METRO BLVD., SUITE 200, EDINA, MN, 55439
|
| Plan sponsor’s
address |
7401 METRO BLVD., SUITE 200, EDINA, MN, 55439
|
Plan administrator’s name and address
| Administrator’s EIN |
753057305 |
| Plan administrator’s name |
AXONOM INC |
| Plan administrator’s
address |
7401 METRO BLVD., SUITE 200, EDINA, MN, 55439 |
| Administrator’s telephone number |
9526530353 |
Number of participants as of the end of the plan year
| Active participants |
28 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| 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 |
21 |
| 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 |
2011-06-03 |
| Name of individual signing |
CLARK DIRCZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AXONOM INC 401(K) PLAN
|
2009
|
753057305
|
2010-04-12
|
AXONOM INC
|
25
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
511210
|
| Sponsor’s telephone number |
9526530353
|
| Plan sponsor’s mailing address |
7401 METRO BLVD., SUITE 200, EDINA, MN, 55439
|
| Plan sponsor’s
address |
7401 METRO BLVD., SUITE 200, EDINA, MN, 55439
|
Plan administrator’s name and address
| Administrator’s EIN |
753057305 |
| Plan administrator’s name |
AXONOM INC |
| Plan administrator’s
address |
7401 METRO BLVD., SUITE 200, EDINA, MN, 55439 |
| Administrator’s telephone number |
9526530353 |
Number of participants as of the end of the plan year
| Active participants |
26 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| 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 |
22 |
| 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 |
2010-04-12 |
| Name of individual signing |
CLARK DIRCZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
