SICK USA RETIREMENT SAVINGS PLAN
|
2012
|
410970193
|
2013-10-03
|
SICK, INC.
|
486
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
423600
|
Sponsor’s telephone number |
9528294709
|
Plan sponsor’s mailing address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan sponsor’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan administrator’s name and address
Administrator’s EIN |
410970193 |
Plan administrator’s name |
SICK, INC. |
Plan administrator’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438 |
Administrator’s telephone number |
9528294709 |
Number of participants as of the end of the plan year
Active participants |
384 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
135 |
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 |
500 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
18 |
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
ROBERT BARNISKIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SICK USA RETIREMENT SAVINGS PLAN
|
2011
|
410970193
|
2012-07-27
|
SICK, INC.
|
450
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
423600
|
Sponsor’s telephone number |
9528294709
|
Plan sponsor’s mailing address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan sponsor’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan administrator’s name and address
Administrator’s EIN |
410970193 |
Plan administrator’s name |
SICK, INC. |
Plan administrator’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438 |
Administrator’s telephone number |
9528294709 |
Number of participants as of the end of the plan year
Active participants |
349 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
136 |
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 |
483 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
11 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
ROBERT BARNISKIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SICK USA RETIREMENT SAVINGS PLAN
|
2010
|
410970193
|
2012-07-27
|
SICK, INC.
|
405
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
423600
|
Sponsor’s telephone number |
9528294709
|
Plan sponsor’s mailing address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan sponsor’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan administrator’s name and address
Administrator’s EIN |
410970193 |
Plan administrator’s name |
SICK, INC. |
Plan administrator’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438 |
Administrator’s telephone number |
9528294709 |
Number of participants as of the end of the plan year
Active participants |
309 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
140 |
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 |
432 |
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 |
ROBERT BARNISKIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SICK USA RETIREMENT SAVINGS PLAN
|
2010
|
410970193
|
2012-07-27
|
SICK, INC.
|
405
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
423600
|
Sponsor’s telephone number |
9528294709
|
Plan sponsor’s mailing address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan sponsor’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan administrator’s name and address
Administrator’s EIN |
410970193 |
Plan administrator’s name |
SICK, INC. |
Plan administrator’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438 |
Administrator’s telephone number |
9528294709 |
Number of participants as of the end of the plan year
Active participants |
309 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
140 |
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 |
432 |
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 |
ROBERT BARNISKIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SICK USA RETIREMENT SAVINGS PLAN
|
2010
|
410970193
|
2011-10-14
|
SICK, INC.
|
405
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
423600
|
Sponsor’s telephone number |
9528294709
|
Plan sponsor’s mailing address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan sponsor’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan administrator’s name and address
Administrator’s EIN |
410970193 |
Plan administrator’s name |
SICK, INC. |
Plan administrator’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438 |
Administrator’s telephone number |
9528294709 |
Number of participants as of the end of the plan year
Active participants |
309 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
140 |
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 |
432 |
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 |
2011-10-14 |
Name of individual signing |
ROBERT BARNISKIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SICK USA RETIREMENT SAVINGS PLAN
|
2010
|
410970193
|
2011-07-15
|
SICK, INC.
|
405
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
423600
|
Sponsor’s telephone number |
9528294709
|
Plan sponsor’s mailing address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan sponsor’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan administrator’s name and address
Administrator’s EIN |
410970193 |
Plan administrator’s name |
SICK, INC. |
Plan administrator’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438 |
Administrator’s telephone number |
9528294709 |
Number of participants as of the end of the plan year
Active participants |
309 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
140 |
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 |
432 |
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 |
2011-07-14 |
Name of individual signing |
ROBERT BARNISKIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SICK USA RETIREMENT SAVINGS PLAN
|
2009
|
410970193
|
2010-05-07
|
SICK, INC.
|
389
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
423600
|
Sponsor’s telephone number |
9528294709
|
Plan sponsor’s mailing address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan sponsor’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan administrator’s name and address
Administrator’s EIN |
410970193 |
Plan administrator’s name |
SICK, INC. |
Plan administrator’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438 |
Administrator’s telephone number |
9528294709 |
Number of participants as of the end of the plan year
Active participants |
308 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
113 |
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 |
406 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
13 |
Signature of
Role |
Plan administrator |
Date |
2010-05-07 |
Name of individual signing |
ROBERT BARNISKIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-07 |
Name of individual signing |
NICOLE LIAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SICK USA RETIREMENT SAVINGS PLAN
|
2009
|
410970193
|
2010-09-27
|
SICK, INC.
|
423
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
423600
|
Sponsor’s telephone number |
9528294709
|
Plan sponsor’s mailing address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan sponsor’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438
|
Plan administrator’s name and address
Administrator’s EIN |
410970193 |
Plan administrator’s name |
SICK, INC. |
Plan administrator’s
address |
6900 WEST 110TH STREET, MINNEAPOLIS, MN, 55438 |
Administrator’s telephone number |
9528294709 |
Number of participants as of the end of the plan year
Active participants |
273 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
131 |
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 |
397 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
11 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
ROBERT BARNISKIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|