QUALISYS NORTH AMERICA INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
980544884
|
2020-06-25
|
QUALISYS NORTH AMERICA INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
8479451411
|
Plan sponsor’s
address |
1603 BARCLAY BOULEVARD, BUFFALO GROVE, IL, 60089
|
Signature of
Role |
Plan administrator |
Date |
2020-06-25 |
Name of individual signing |
DANIEL INDIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALISYS NORTH AMERICA, INC. 401(K) PLAN
|
2018
|
980544884
|
2019-09-04
|
QUALISYS NORTH AMERICA, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
8479451411
|
Plan sponsor’s
address |
1603 BARCLAY BOULEVARD, BUFFALO GROVE, IL, 60089
|
Signature of
Role |
Plan administrator |
Date |
2019-09-04 |
Name of individual signing |
DANIEL INDIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-04 |
Name of individual signing |
DANIEL INDIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALISYS NORTH AMERICA, INC. 401(K) PLAN
|
2017
|
980544884
|
2018-11-28
|
QUALISYS NORTH AMERICA, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
8479451411
|
Plan sponsor’s
address |
1603 BARCLAY BOULEVARD, BUFFALO GROVE, IL, 60089
|
Signature of
Role |
Plan administrator |
Date |
2018-11-28 |
Name of individual signing |
DANIEL M INDIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-11-28 |
Name of individual signing |
DANIEL M INDIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALISYS NORTH AMERICA, INC. 401(K) PLAN
|
2016
|
980544884
|
2017-10-04
|
QUALISYS NORTH AMERICA, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
8479451411
|
Plan sponsor’s
address |
1603 BARCLAY BOULEVARD, BUFFALO GROVE, IL, 60089
|
Signature of
Role |
Plan administrator |
Date |
2017-10-04 |
Name of individual signing |
DANIEL INDIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-04 |
Name of individual signing |
DANIEL INDIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALISYS NORTH AMERICA, INC. 401(K) PLAN
|
2015
|
980544884
|
2016-08-31
|
QUALISYS NORTH AMERICA, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
8479451411
|
Plan sponsor’s
address |
1630 OLD DEERFIELD ROAD - SUITE 206, HIGHLAND PARK, IL, 60035
|
Signature of
Role |
Plan administrator |
Date |
2016-08-31 |
Name of individual signing |
DANIEL INDIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-31 |
Name of individual signing |
DANIEL INDIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALISYS NORTH AMERICA, INC. 401(K) PLAN
|
2014
|
980544884
|
2015-11-24
|
QUALISYS NORTH AMERICA, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
8479451411
|
Plan sponsor’s
address |
1630 OLD DEERFIELD ROAD - SUITE 206, HIGHLAND PARK, IL, 60035
|
Signature of
Role |
Plan administrator |
Date |
2015-11-24 |
Name of individual signing |
DANIEL INDIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-11-24 |
Name of individual signing |
DANIEL INDIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALISYS NORTH AMERICA, INC. 401(K) PLAN
|
2013
|
980544884
|
2014-07-16
|
QUALISYS NORTH AMERICA, INC.
|
1
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
8475977013
|
Plan sponsor’s
address |
500 LAKE COOK ROAD, SUITE 350, DEERFIELD, IL, 60015
|
Signature of
Role |
Plan administrator |
Date |
2014-07-16 |
Name of individual signing |
CHARLOTTA NORDENFELT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-16 |
Name of individual signing |
CHARLOTTA NORDENFELT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALISYS NORTH AMERICA, INC. 401(K) PLAN
|
2013
|
980544884
|
2014-07-16
|
QUALISYS NORTH AMERICA, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
8475977013
|
Plan sponsor’s
address |
1630 OLD DEERFIELD ROAD, SUITE 206, SUITE 350, HIGHLAND PARK, IL, 60035
|
Signature of
Role |
Plan administrator |
Date |
2014-07-16 |
Name of individual signing |
CHARLOTTA NORDENFELT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-16 |
Name of individual signing |
CHARLOTTA NORDENFELT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALISYS NORTH AMERICA, INC. 401(K) PLAN
|
2012
|
980544884
|
2013-04-12
|
QUALISYS NORTH AMERICA, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
8475977013
|
Plan sponsor’s
address |
500 LAKE COOK ROAD, SUITE 350, DEERFIELD, IL, 60015
|
Signature of
Role |
Plan administrator |
Date |
2013-04-11 |
Name of individual signing |
CHARLOTTA NORDENFELT MORANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-11 |
Name of individual signing |
CHARLOTTA NORDENFELT MORANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALISYS NORTH AMERICA, INC. 401(K) PLAN
|
2011
|
980544884
|
2012-05-29
|
QUALISYS NORTH AMERICA, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
8475977013
|
Plan sponsor’s
address |
500 LAKE COOK ROAD, SUITE 350, DEERFIELD, IL, 60015
|
Plan administrator’s name and address
Administrator’s EIN |
980544884 |
Plan administrator’s name |
QUALISYS NORTH AMERICA, INC. |
Plan administrator’s
address |
500 LAKE COOK ROAD, SUITE 350, DEERFIELD, IL, 60015 |
Administrator’s telephone number |
8475977013 |
Signature of
Role |
Plan administrator |
Date |
2012-05-29 |
Name of individual signing |
CHARLOTTA NORDENFELT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-29 |
Name of individual signing |
CHARLOTTA NORDENFELT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|