ADOLFSON & PETERSON, INC. SALARY SAVINGS PLAN
|
2015
|
410731300
|
2016-10-13
|
ADOLFSON & PETERSON, INC.
|
706
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1959-03-01
|
Business code |
236200
|
Sponsor’s telephone number |
9524178368
|
Plan sponsor’s mailing address |
PO BOX 9377, ST LOUIS PARK, MN, 55440
|
Plan sponsor’s
address |
6701 WEST 23RD STREET, ST LOUIS PARK, MN, 55426
|
Number of participants as of the end of the plan year
Active participants |
451 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
230 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
675 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
46 |
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
JOANN STORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-13 |
Name of individual signing |
JOANN STORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADOLFSON & PETERSON, INC. SALARY SAVINGS PLAN
|
2014
|
410731300
|
2015-12-08
|
ADOLFSON & PETERSON, INC.
|
707
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1959-03-01
|
Business code |
236200
|
Sponsor’s telephone number |
9524178368
|
Plan sponsor’s mailing address |
PO BOX 9377, ST. LOUIS PARK, MN, 55440
|
Plan sponsor’s
address |
6701 WEST 23RD STREET, ST. LOUIS PARK, MN, 55426
|
Number of participants as of the end of the plan year
Active participants |
453 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
239 |
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 |
678 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
52 |
Signature of
Role |
Plan administrator |
Date |
2015-12-08 |
Name of individual signing |
JOANN STORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-12-08 |
Name of individual signing |
JOANN STORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADOLFSON & PETERSON, INC. SALARY SAVINGS PLAN
|
2013
|
410731300
|
2014-12-11
|
ADOLFSON & PETERSON, INC.
|
669
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1959-03-01
|
Business code |
236200
|
Sponsor’s telephone number |
9524178368
|
Plan sponsor’s mailing address |
PO BOX 9377, ST. LOUIS PARK, MN, 55440
|
Plan sponsor’s
address |
6701 WEST 23RD STREET, ST. LOUIS PARK, MN, 55426
|
Number of participants as of the end of the plan year
Active participants |
602 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
98 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
611 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
37 |
Signature of
Role |
Plan administrator |
Date |
2014-12-11 |
Name of individual signing |
JOANN STORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL BENEFIT PLAN OF ADOLFSON & PETERSON, INC.
|
2009
|
410731300
|
2011-04-20
|
ADOLFSON & PETERSON, INC.
|
459
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-05-01
|
Business code |
236200
|
Sponsor’s telephone number |
9525441561
|
Plan sponsor’s mailing address |
6701 W 23RD SREET, MINNEAPOLIS, MN, 55426
|
Plan sponsor’s
address |
6701 W 23RD SREET, MINNEAPOLIS, MN, 55426
|
Plan administrator’s name and address
Administrator’s EIN |
410731300 |
Plan administrator’s name |
ADOLFSON & PETERSON, INC. |
Plan administrator’s
address |
6701 W 23RD SREET, MINNEAPOLIS, MN, 55426 |
Administrator’s telephone number |
9525441561 |
Number of participants as of the end of the plan year
Active participants |
438 |
Retired or separated participants receiving
benefits |
10 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-04-20 |
Name of individual signing |
MARK PEDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL BENEFIT PLAN OF ADOLFSON & PETERSON, INC.
|
2009
|
410731300
|
2011-04-28
|
ADOLFSON & PETERSON, INC.
|
459
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-05-01
|
Business code |
236200
|
Sponsor’s telephone number |
9525441561
|
Plan sponsor’s mailing address |
6701 W 23RD SREET, MINNEAPOLIS, MN, 55426
|
Plan sponsor’s
address |
6701 W 23RD SREET, MINNEAPOLIS, MN, 55426
|
Plan administrator’s name and address
Administrator’s EIN |
410731300 |
Plan administrator’s name |
ADOLFSON & PETERSON, INC. |
Plan administrator’s
address |
6701 W 23RD SREET, MINNEAPOLIS, MN, 55426 |
Administrator’s telephone number |
9525441561 |
Number of participants as of the end of the plan year
Active participants |
438 |
Retired or separated participants receiving
benefits |
10 |
Signature of
Role |
Plan administrator |
Date |
2011-04-28 |
Name of individual signing |
MARK PEDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|