|
LEJEUNE BOLT COMPANY 401(K) PLAN
|
2012
|
411292084
|
2013-06-26
|
LEJEUNE BOLT COMPANY
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
423700
|
| Sponsor’s telephone number |
9528907700
|
| Plan sponsor’s mailing address |
3500 WEST HIGHWAY 13, BURNSVILLE, MN, 55337
|
| Plan sponsor’s
address |
3500 WEST HIGHWAY 13, BURNSVILLE, MN, 55337
|
Plan administrator’s name and address
| Administrator’s EIN |
411292084 |
| Plan administrator’s name |
LEJEUNE BOLT COMPANY |
| Plan administrator’s
address |
3500 WEST HIGHWAY 13, BURNSVILLE, MN, 55337 |
| Administrator’s telephone number |
9528907700 |
Number of participants as of the end of the plan year
| Active participants |
16 |
| 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 |
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 |
2013-06-26 |
| Name of individual signing |
KARLA BERG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-06-26 |
| Name of individual signing |
KARLA BERG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEJEUNE BOLT COMPANY 401(K) PLAN
|
2011
|
411292084
|
2012-05-18
|
LEJEUNE BOLT COMPANY
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
423700
|
| Sponsor’s telephone number |
9528907700
|
| Plan sponsor’s mailing address |
3500 WEST HIGHWAY 13, BURNSVILLE, MN, 55337
|
| Plan sponsor’s
address |
3500 WEST HIGHWAY 13, BURNSVILLE, MN, 55337
|
Plan administrator’s name and address
| Administrator’s EIN |
411292084 |
| Plan administrator’s name |
LEJEUNE BOLT COMPANY |
| Plan administrator’s
address |
3500 WEST HIGHWAY 13, BURNSVILLE, MN, 55337 |
| Administrator’s telephone number |
9528907700 |
Number of participants as of the end of the plan year
| Active participants |
15 |
| 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 |
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 |
2012-05-18 |
| Name of individual signing |
KARLA BERG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEJEUNE BOLT COMPANY 401(K) PLAN
|
2010
|
411292084
|
2011-05-27
|
LEJEUNE BOLT COMPANY
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
423700
|
| Sponsor’s telephone number |
9528907700
|
| Plan sponsor’s mailing address |
3500 WEST HIGHWAY 13, BURNSVILLE, MN, 55337
|
| Plan sponsor’s
address |
3500 WEST HIGHWAY 13, BURNSVILLE, MN, 55337
|
Plan administrator’s name and address
| Administrator’s EIN |
411292084 |
| Plan administrator’s name |
LEJEUNE BOLT COMPANY |
| Plan administrator’s
address |
3500 WEST HIGHWAY 13, BURNSVILLE, MN, 55337 |
| Administrator’s telephone number |
9528907700 |
Number of participants as of the end of the plan year
| Active participants |
15 |
| 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 |
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 |
2011-05-27 |
| Name of individual signing |
KARLA BERG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEJEUNE BOLT COMPANY 401(K) PLAN
|
2009
|
411292084
|
2010-04-22
|
LEJEUNE BOLT COMPANY
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
423700
|
| Sponsor’s telephone number |
9528907700
|
| Plan sponsor’s mailing address |
3500 WEST HIGHWAY 13, BURNSVILLE, MN, 55337
|
| Plan sponsor’s
address |
3500 WEST HIGHWAY 13, BURNSVILLE, MN, 55337
|
Plan administrator’s name and address
| Administrator’s EIN |
411292084 |
| Plan administrator’s name |
LEJEUNE BOLT COMPANY |
| Plan administrator’s
address |
3500 WEST HIGHWAY 13, BURNSVILLE, MN, 55337 |
| Administrator’s telephone number |
9528907700 |
Number of participants as of the end of the plan year
| Active participants |
15 |
| 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 |
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 |
2010-04-22 |
| Name of individual signing |
KARLA BERG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
