|
LUXEM-MINNEAPOLIS, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
411459110
|
2012-10-05
|
LUXEM-MINNEAPOLIS, INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2007-01-01
|
| Business code |
425120
|
| Sponsor’s telephone number |
9524431335
|
| Plan sponsor’s mailing address |
1600 ARBORETUM BOULEVARD, VICTORIA, MN, 55386
|
| Plan sponsor’s
address |
1600 ARBORETUM BOULEVARD, VICTORIA, MN, 55386
|
Plan administrator’s name and address
| Administrator’s EIN |
411459110 |
| Plan administrator’s name |
LUXEM-MINNEAPOLIS, INC |
| Plan administrator’s
address |
1600 ARBORETUM BOULEVARD, VICTORIA, MN, 55386 |
| Administrator’s telephone number |
9524431335 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-05 |
| Name of individual signing |
RICHARD FIELDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-05 |
| Name of individual signing |
JEFFREY MOLENAAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LUXEM-MINNEAPOLIS INC PROFIT SHARING PLAN
|
2010
|
411459110
|
2011-10-10
|
LUXEM-MINNEAPOLIS, INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1966-01-01
|
| Business code |
425120
|
| Sponsor’s telephone number |
9524431335
|
| Plan sponsor’s mailing address |
1600 ARBORETUM BOULEVARD, VICTORIA, MN, 55386
|
| Plan sponsor’s
address |
1600 ARBORETUM BOULEVARD, VICTORIA, MN, 55386
|
Plan administrator’s name and address
| Administrator’s EIN |
411459110 |
| Plan administrator’s name |
LUXEM-MINNEAPOLIS, INC |
| Plan administrator’s
address |
1600 ARBORETUM BOULEVARD, VICTORIA, MN, 55386 |
| Administrator’s telephone number |
9524431335 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| 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 |
2011-10-10 |
| Name of individual signing |
JEFFREY MOLENAAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-10 |
| Name of individual signing |
JEFFREY MOLENAAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LUXEM-MINNEAPOLIS INC 401(K) PROFIT SHARING PLAN
|
2010
|
411459110
|
2011-10-10
|
LUXEM-MINNEAPOLIS, INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2007-01-01
|
| Business code |
425120
|
| Sponsor’s telephone number |
9524431335
|
| Plan sponsor’s mailing address |
1600 ARBORETUM BOULEVARD, VICTORIA, MN, 55386
|
| Plan sponsor’s
address |
1600 ARBORETUM BOULEVARD, VICTORIA, MN, 55386
|
Plan administrator’s name and address
| Administrator’s EIN |
411459110 |
| Plan administrator’s name |
LUXEM-MINNEAPOLIS, INC |
| Plan administrator’s
address |
1600 ARBORETUM BOULEVARD, VICTORIA, MN, 55386 |
| Administrator’s telephone number |
9524431335 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-10 |
| Name of individual signing |
JEFFREY MOLENAAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LUXEM-MINNEAPOLIS INC PROFIT SHARING PLAN
|
2009
|
411459110
|
2010-10-15
|
LUXEM-MINNEAPOLIS, INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1966-01-01
|
| Business code |
425120
|
| Sponsor’s telephone number |
9524431335
|
| Plan sponsor’s mailing address |
1600 ARBORETUM BOULEVARD, VICTORIA, MN, 55386
|
| Plan sponsor’s
address |
1600 ARBORETUM BOULEVARD, VICTORIA, MN, 55386
|
Plan administrator’s name and address
| Administrator’s EIN |
411459110 |
| Plan administrator’s name |
LUXEM-MINNEAPOLIS, INC. |
| Plan administrator’s
address |
1600 ARBORETUM BOULEVARD, VICTORIA, MN, 55386 |
| Administrator’s telephone number |
9524431335 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-15 |
| Name of individual signing |
JEFFREY MOLENAAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LUXEM-MINNEAPOLIS, INC 401(K) PROFIT SHARING PLAN
|
2009
|
411459110
|
2010-10-15
|
LUXEM-MINNEAPOLIS, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2007-01-01
|
| Business code |
425120
|
| Sponsor’s telephone number |
9524431335
|
| Plan sponsor’s mailing address |
1600 ARBORETUM BOULDEVARD, VICTORIA, MN, 55386
|
| Plan sponsor’s
address |
1600 ARBORETUM BOULDEVARD, VICTORIA, MN, 55386
|
Plan administrator’s name and address
| Administrator’s EIN |
411459110 |
| Plan administrator’s name |
LUXEM-MINNEAPOLIS, INC. |
| Plan administrator’s
address |
1600 ARBORETUM BOULDEVARD, VICTORIA, MN, 55386 |
| Administrator’s telephone number |
9524431335 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-15 |
| Name of individual signing |
JEFFREY MOLENAAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
