KOMORI AMERICA CORPORATION RETIREMENT PLAN
|
2012
|
363161164
|
2013-10-14
|
KOMORI AMERICA CORPORATION
|
142
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-06-01
|
Business code |
423800
|
Sponsor’s telephone number |
8478069000
|
Plan sponsor’s mailing address |
5520 MEADOWBROOK, INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan sponsor’s
address |
5520 MEADOWBROOK, INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan administrator’s name and address
Administrator’s EIN |
363161164 |
Plan administrator’s name |
KOMORI AMERICA CORPORATION |
Plan administrator’s
address |
5520 MEADOWBROOK, INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008 |
Administrator’s telephone number |
8478069000 |
Number of participants as of the end of the plan year
Active participants |
94 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
38 |
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 |
121 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
DONNA CRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOMORI AMERICA CORPORATION RETIREMENT PLAN
|
2011
|
363161164
|
2012-09-20
|
KOMORI AMERICA CORPORATION
|
149
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-06-01
|
Business code |
423800
|
Sponsor’s telephone number |
8478069000
|
Plan sponsor’s mailing address |
5520 MEADOWBROOK, INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan sponsor’s
address |
5520 MEADOWBROOK, INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan administrator’s name and address
Administrator’s EIN |
363161164 |
Plan administrator’s name |
KOMORI AMERICA CORPORATION |
Plan administrator’s
address |
5520 MEADOWBROOK, INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008 |
Administrator’s telephone number |
8478069000 |
Number of participants as of the end of the plan year
Active participants |
96 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
45 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
128 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2012-09-20 |
Name of individual signing |
DONNA CRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOMORI AMERICA CORPORATION RETIREMENT PLAN
|
2010
|
363161164
|
2011-10-10
|
KOMORI AMERICA CORPORATION
|
170
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-06-01
|
Business code |
423800
|
Sponsor’s telephone number |
8478069000
|
Plan sponsor’s mailing address |
5520 MEADOWBROOK, INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan sponsor’s
address |
5520 MEADOWBROOK, INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan administrator’s name and address
Administrator’s EIN |
363161164 |
Plan administrator’s name |
KOMORI AMERICA CORPORATION |
Plan administrator’s
address |
5520 MEADOWBROOK, INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008 |
Administrator’s telephone number |
8478069000 |
Number of participants as of the end of the plan year
Active participants |
104 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
44 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
134 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-10-10 |
Name of individual signing |
DONNA CRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOMORI CORPORATION HEALTH
|
2009
|
363161164
|
2010-10-14
|
KOMORI AMERICA CORPORATION
|
163
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-07-01
|
Business code |
423800
|
Sponsor’s telephone number |
8478069000
|
Plan sponsor’s mailing address |
5520 MEADOWBROOK INDUSTRIAL CT, ROLLING MEADOWS, IL, 60008
|
Plan sponsor’s
address |
5520 MEADOWBROOK INDUSTRIAL CT, ROLLING MEADOWS, IL, 60008
|
Plan administrator’s name and address
Administrator’s EIN |
363161164 |
Plan administrator’s name |
KOMORI AMERICA CORPORATION |
Plan administrator’s
address |
5520 MEADOWBROOK INDUSTRIAL CT, ROLLING MEADOWS, IL, 60008 |
Administrator’s telephone number |
8478069000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
DONNA CRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
ROBERT RATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOMORI AMERICA CORPORATION VISION
|
2009
|
363161164
|
2010-10-14
|
KOMORI AMERICA CORPORATION
|
163
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2009-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
8478069000
|
Plan sponsor’s mailing address |
5520 MEADOWBROOK INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan sponsor’s
address |
5520 MEADOWBROOK INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan administrator’s name and address
Administrator’s EIN |
363161164 |
Plan administrator’s name |
KOMORI AMERICA CORPORATION |
Plan administrator’s
address |
5520 MEADOWBROOK INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008 |
Administrator’s telephone number |
8478069000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
DONNA CRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
ROBERT RATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOMORI AMERICA CORPORATION LONG TERM DISABILITY LIFE DENTAL ADD
|
2009
|
363161164
|
2010-10-14
|
KOMORI AMERICA CORPORATION
|
163
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1998-07-01
|
Business code |
423800
|
Sponsor’s telephone number |
8478069000
|
Plan
sponsor’s DBA name |
SAME
|
Plan sponsor’s mailing address |
5520 MEADOWBROOK INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan sponsor’s
address |
5520 MEADOWBROOK INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan administrator’s name and address
Administrator’s EIN |
363161164 |
Plan administrator’s name |
KOMORI AMERICA CORPORATION |
Plan administrator’s
address |
5520 MEADOWBROOK INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008 |
Administrator’s telephone number |
8478069000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
DONNA CRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
ROBERT RATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOMORI AMERICA CORPORATION BUSINESS TRAVEL ACCIDENT PLAN
|
2009
|
363161164
|
2010-10-14
|
KOMORI AMERICA CORPORATION
|
163
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1999-09-01
|
Business code |
423800
|
Sponsor’s telephone number |
8478069000
|
Plan sponsor’s mailing address |
5520 MEADOWBROOK INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan sponsor’s
address |
5520 MEADOWBROOK INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan administrator’s name and address
Administrator’s EIN |
363161164 |
Plan administrator’s name |
KOMORI AMERICA CORPORATION |
Plan administrator’s
address |
5520 MEADOWBROOK INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008 |
Administrator’s telephone number |
8478069000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
DONNA CRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
ROBERT RATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOMORI AMERICA CORPORATION RETIREMENT PLAN
|
2009
|
363161164
|
2010-10-14
|
KOMORI AMERICA CORPORATION
|
202
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-06-01
|
Business code |
423800
|
Sponsor’s telephone number |
8478069000
|
Plan sponsor’s mailing address |
5520 MEADOWBROOK, INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan sponsor’s
address |
5520 MEADOWBROOK, INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008
|
Plan administrator’s name and address
Administrator’s EIN |
363161164 |
Plan administrator’s name |
KOMORI AMERICA CORPORATION |
Plan administrator’s
address |
5520 MEADOWBROOK, INDUSTRIAL COURT, ROLLING MEADOWS, IL, 60008 |
Administrator’s telephone number |
8478069000 |
Number of participants as of the end of the plan year
Active participants |
109 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
58 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
152 |
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 |
2010-10-14 |
Name of individual signing |
DONNA CRAFT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
ROBERT RATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|