QUALI TECH, INC. 401-K PROFIT SHARING PLAN
|
2016
|
410912923
|
2017-07-25
|
QUALI TECH, INC.
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-07-01
|
Business code |
424990
|
Sponsor’s telephone number |
9524485151
|
Plan sponsor’s
address |
318 LAKE HAZELTINE DRIVE, CHASKA, MN, 553181034
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
RACHEL ESLINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALI TECH, INC. 401-K PROFIT SHARING PLAN
|
2015
|
410912923
|
2016-07-15
|
QUALI TECH, INC.
|
115
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-07-01
|
Business code |
424990
|
Sponsor’s telephone number |
9524485151
|
Plan sponsor’s
address |
318 LAKE HAZELTINE DRIVE, CHASKA, MN, 553181034
|
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
BOB LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALI TECH, INC. 401-K PROFIT SHARING PLAN
|
2014
|
410912923
|
2015-07-08
|
QUALI TECH, INC.
|
117
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-07-01
|
Business code |
424990
|
Sponsor’s telephone number |
9524485151
|
Plan sponsor’s
address |
318 LAKE HAZELTINE DRIVE, CHASKA, MN, 553181034
|
Signature of
Role |
Plan administrator |
Date |
2015-07-08 |
Name of individual signing |
JILL FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALI-TECH, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
410912923
|
2014-07-14
|
QUALI-TECH, INC.
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-07-01
|
Business code |
424990
|
Sponsor’s telephone number |
9524485151
|
Plan sponsor’s
address |
318 LAKE HAZELTINE DRIVE, CHASKA, MN, 553181034
|
Signature of
Role |
Plan administrator |
Date |
2014-07-14 |
Name of individual signing |
JILL FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-14 |
Name of individual signing |
JILL FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALI TECH, INC. LIFE AND DISABILITY INSURANCE PLAN
|
2013
|
410912923
|
2014-12-29
|
QUALI TECH, INC.
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2013-06-01
|
Business code |
424990
|
Sponsor’s telephone number |
9524485151
|
Plan
sponsor’s DBA name |
QUALI TECH, INC.
|
Plan sponsor’s mailing address |
318 LAKE HAZELTINE DR., CHASKA, MN, 55318
|
Plan sponsor’s
address |
318 LAKE HAZELTINE DR., CHASKA, MN, 55318
|
Number of participants as of the end of the plan year
Active participants |
109 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
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 |
2014-12-29 |
Name of individual signing |
JILL FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-12-29 |
Name of individual signing |
JILL FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALI-TECH, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
410912923
|
2013-07-18
|
QUALI-TECH, INC.
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-07-01
|
Business code |
424990
|
Sponsor’s telephone number |
9524485151
|
Plan sponsor’s
address |
318 LAKE HAZELTINE DRIVE, CHASKA, MN, 553181034
|
Signature of
Role |
Plan administrator |
Date |
2013-07-18 |
Name of individual signing |
JILL FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALI-TECH, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
410912923
|
2012-07-31
|
QUALI-TECH, INC.
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-07-01
|
Business code |
424990
|
Sponsor’s telephone number |
9524485151
|
Plan sponsor’s
address |
318 LAKE HAZELTINE DRIVE, CHASKA, MN, 553181034
|
Plan administrator’s name and address
Administrator’s EIN |
410912923 |
Plan administrator’s name |
QUALI-TECH, INC. |
Plan administrator’s
address |
318 LAKE HAZELTINE DRIVE, CHASKA, MN, 553181034 |
Administrator’s telephone number |
9524485151 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
JILL FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-31 |
Name of individual signing |
JILL FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALI-TECH, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
410912923
|
2011-07-14
|
QUALI-TECH, INC.
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-07-01
|
Business code |
424990
|
Sponsor’s telephone number |
9524485151
|
Plan sponsor’s
address |
318 LAKE HAZELTINE DRIVE, CHASKA, MN, 553181034
|
Plan administrator’s name and address
Administrator’s EIN |
410912923 |
Plan administrator’s name |
QUALI-TECH, INC. |
Plan administrator’s
address |
318 LAKE HAZELTINE DRIVE, CHASKA, MN, 553181034 |
Administrator’s telephone number |
9524485151 |
Signature of
Role |
Plan administrator |
Date |
2011-07-14 |
Name of individual signing |
JILL FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-14 |
Name of individual signing |
JILL FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALI-TECH, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
410912923
|
2010-07-28
|
QUALI-TECH, INC.
|
82
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-07-01
|
Business code |
424990
|
Sponsor’s telephone number |
9524485151
|
Plan sponsor’s
address |
318 LAKE HAZELTINE DRIVE, CHASKA, MN, 553181034
|
Plan administrator’s name and address
Administrator’s EIN |
410912923 |
Plan administrator’s name |
QUALI-TECH, INC. |
Plan administrator’s
address |
318 LAKE HAZELTINE DRIVE, CHASKA, MN, 553181034 |
Administrator’s telephone number |
9524485151 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JILL FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|