RW CARLSTROM 401 (K) PLAN
|
2012
|
410987067
|
2013-07-23
|
ROBERT W. CARLSTROM CO., INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-05-01
|
Business code |
236200
|
Sponsor’s telephone number |
5076252872
|
Plan sponsor’s mailing address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan sponsor’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan administrator’s name and address
Administrator’s EIN |
410987067 |
Plan administrator’s name |
ROBERT W. CARLSTROM CO., INC. |
Plan administrator’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001 |
Administrator’s telephone number |
5076252872 |
Number of participants as of the end of the plan year
Active participants |
8 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
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 |
10 |
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 |
2013-07-23 |
Name of individual signing |
RACHEL DENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-23 |
Name of individual signing |
RACHEL DENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RW CARLSTROM 401 (K) PLAN
|
2012
|
410987067
|
2013-05-23
|
ROBERT W. CARLSTROM CO., INC.
|
15
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-05-01
|
Business code |
236200
|
Sponsor’s telephone number |
5076252872
|
Plan sponsor’s mailing address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan sponsor’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan administrator’s name and address
Administrator’s EIN |
410987067 |
Plan administrator’s name |
ROBERT W. CARLSTROM CO., INC. |
Plan administrator’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001 |
Administrator’s telephone number |
5076252872 |
Number of participants as of the end of the plan year
Active participants |
8 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
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 |
10 |
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 |
2013-05-23 |
Name of individual signing |
RACHEL DENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-23 |
Name of individual signing |
RACHEL DENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RW CARLSTROM 401 (K) PLAN
|
2012
|
410987067
|
2013-05-23
|
ROBERT W. CARLSTROM CO., INC.
|
15
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-05-01
|
Business code |
236200
|
Sponsor’s telephone number |
5076252872
|
Plan sponsor’s mailing address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan sponsor’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan administrator’s name and address
Administrator’s EIN |
410987067 |
Plan administrator’s name |
ROBERT W. CARLSTROM CO., INC. |
Plan administrator’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001 |
Administrator’s telephone number |
5076252872 |
Number of participants as of the end of the plan year
Active participants |
8 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
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 |
10 |
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 |
2013-05-23 |
Name of individual signing |
RACHEL DENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-23 |
Name of individual signing |
RACHEL DENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RW CARLSTROM 401 (K) PLAN
|
2012
|
410987067
|
2013-05-22
|
ROBERT W. CARLSTROM CO., INC.
|
15
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-05-01
|
Business code |
236200
|
Sponsor’s telephone number |
5076252872
|
Plan sponsor’s mailing address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan sponsor’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan administrator’s name and address
Administrator’s EIN |
410987067 |
Plan administrator’s name |
ROBERT W. CARLSTROM CO., INC. |
Plan administrator’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001 |
Administrator’s telephone number |
5076252872 |
Number of participants as of the end of the plan year
Active participants |
8 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
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 |
10 |
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 |
2013-05-22 |
Name of individual signing |
RACHEL DENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-22 |
Name of individual signing |
RACHEL DENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RW CARLSTROM 401 (K) PLAN
|
2011
|
410987067
|
2012-05-03
|
ROBERT W. CARLSTROM CO., INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-05-01
|
Business code |
236200
|
Sponsor’s telephone number |
5076252872
|
Plan sponsor’s mailing address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan sponsor’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan administrator’s name and address
Administrator’s EIN |
410987067 |
Plan administrator’s name |
ROBERT W. CARLSTROM CO., INC. |
Plan administrator’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001 |
Administrator’s telephone number |
5076252872 |
Number of participants as of the end of the plan year
Active participants |
9 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
6 |
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 |
13 |
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 |
2012-05-03 |
Name of individual signing |
SCOTT UMHOEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RW CARLSTROM 401 (K) PLAN
|
2010
|
410987067
|
2011-08-04
|
ROBERT W. CARLSTROM CO., INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-05-01
|
Business code |
236200
|
Sponsor’s telephone number |
5076252872
|
Plan sponsor’s mailing address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan sponsor’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan administrator’s name and address
Administrator’s EIN |
410987067 |
Plan administrator’s name |
ROBERT W. CARLSTROM CO., INC. |
Plan administrator’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001 |
Administrator’s telephone number |
5076252872 |
Number of participants as of the end of the plan year
Active participants |
12 |
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 |
13 |
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 |
2011-08-04 |
Name of individual signing |
SCOTT UMHOEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RW CARLSTROM 401 (K) PLAN
|
2009
|
410987067
|
2010-10-14
|
ROBERT W. CARLSTROM CO., INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-05-01
|
Business code |
236200
|
Sponsor’s telephone number |
5076252872
|
Plan sponsor’s mailing address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan sponsor’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001
|
Plan administrator’s name and address
Administrator’s EIN |
410987067 |
Plan administrator’s name |
ROBERT W. CARLSTROM CO., INC. |
Plan administrator’s
address |
1901 EXCEL DRIVE, MANKATO, MN, 56001 |
Administrator’s telephone number |
5076252872 |
Number of participants as of the end of the plan year
Active participants |
12 |
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 |
13 |
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 |
2010-10-14 |
Name of individual signing |
SCOTT UMHOEFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|