LA MACHINE SHOP, INC. PROFIT SHARING/401(K) PLAN
|
2012
|
411253878
|
2013-07-03
|
LA MACHINE SHOP, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-09-01
|
Business code |
332900
|
Sponsor’s telephone number |
7634346108
|
Plan sponsor’s mailing address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304
|
Plan sponsor’s
address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304
|
Plan administrator’s name and address
Administrator’s EIN |
411253878 |
Plan administrator’s name |
LA MACHINE SHOP, INC. |
Plan administrator’s
address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304 |
Administrator’s telephone number |
7634346108 |
Number of participants as of the end of the plan year
Active participants |
35 |
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 |
20 |
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 |
2013-07-03 |
Name of individual signing |
LYNN MASON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-03 |
Name of individual signing |
LYNN MASON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LA MACHINE SHOP, INC. PROFIT SHARING/401(K) PLAN
|
2011
|
411253878
|
2012-07-27
|
LA MACHINE SHOP, INC.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-09-01
|
Business code |
332900
|
Sponsor’s telephone number |
7634346108
|
Plan sponsor’s mailing address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304
|
Plan sponsor’s
address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304
|
Plan administrator’s name and address
Administrator’s EIN |
411253878 |
Plan administrator’s name |
LA MACHINE SHOP, INC. |
Plan administrator’s
address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304 |
Administrator’s telephone number |
7634346108 |
Number of participants as of the end of the plan year
Active participants |
29 |
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 |
19 |
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 |
2012-07-27 |
Name of individual signing |
LYNN MASON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LA MACHINE SHOP, INC. PROFIT SHARING/401(K) PLAN
|
2010
|
411253878
|
2012-02-06
|
LA MACHINE SHOP, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-09-01
|
Business code |
332210
|
Sponsor’s telephone number |
7634346108
|
Plan sponsor’s mailing address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304
|
Plan sponsor’s
address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304
|
Plan administrator’s name and address
Administrator’s EIN |
411253878 |
Plan administrator’s name |
LA MACHINE SHOP, INC. |
Plan administrator’s
address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304 |
Administrator’s telephone number |
7634346108 |
Number of participants as of the end of the plan year
Active participants |
25 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
16 |
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 |
2012-02-06 |
Name of individual signing |
LYNN MASON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LA MACHINE SHOP, INC. PROFIT SHARING/401(K) PLAN
|
2010
|
411253878
|
2011-05-19
|
LA MACHINE SHOP, INC.
|
32
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-09-01
|
Business code |
332210
|
Sponsor’s telephone number |
7634346108
|
Plan sponsor’s mailing address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304
|
Plan sponsor’s
address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304
|
Plan administrator’s name and address
Administrator’s EIN |
411253878 |
Plan administrator’s name |
LA MACHINE SHOP, INC. |
Plan administrator’s
address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304 |
Administrator’s telephone number |
7634346108 |
Number of participants as of the end of the plan year
Active participants |
25 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
16 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-05-19 |
Name of individual signing |
LYNN MASON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LA MACHINE SHOP, INC. PROFIT SHARING/401(K) PLAN
|
2009
|
411253878
|
2010-06-23
|
LA MACHINE SHOP, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-09-01
|
Business code |
332210
|
Sponsor’s telephone number |
7634346108
|
Plan sponsor’s mailing address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304
|
Plan sponsor’s
address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304
|
Plan administrator’s name and address
Administrator’s EIN |
411253878 |
Plan administrator’s name |
LA MACHINE SHOP, INC. |
Plan administrator’s
address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304 |
Administrator’s telephone number |
7634346108 |
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 |
17 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-06-23 |
Name of individual signing |
LYNN MASON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LA MACHINE SHOP, INC. PROFIT SHARING/401(K) PLAN
|
2009
|
411253878
|
2010-04-28
|
LA MACHINE SHOP, INC.
|
30
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-09-01
|
Business code |
332210
|
Sponsor’s telephone number |
7634346108
|
Plan sponsor’s mailing address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304
|
Plan sponsor’s
address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304
|
Plan administrator’s name and address
Administrator’s EIN |
411253878 |
Plan administrator’s name |
LA MACHINE SHOP, INC. |
Plan administrator’s
address |
15740 LINCOLN STREET NE, HAM LAKE, MN, 55304 |
Administrator’s telephone number |
7634346108 |
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 |
17 |
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 |
2010-04-28 |
Name of individual signing |
LYNN MASON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|