CIRCULITE, INC. 401K PLAN
|
2013
|
550828419
|
2014-10-03
|
HEARTWARE INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-09-01
|
Business code |
541700
|
Sponsor’s telephone number |
3053641482
|
Plan sponsor’s
address |
14420 NW 60TH AVENUE, MIAMI LAKES, FL, 33014
|
Signature of
Role |
Plan administrator |
Date |
2014-10-03 |
Name of individual signing |
BRENDA CASTRODAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CIRCULITE, INC. 401K PLAN
|
2013
|
550828419
|
2015-01-08
|
HEARTWARE, INC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-09-01
|
Business code |
541700
|
Sponsor’s telephone number |
3053641482
|
Plan sponsor’s
address |
14420 NW 60TH AVENUE, MIAMI LAKES, FL, 33014
|
Signature of
Role |
Plan administrator |
Date |
2015-01-08 |
Name of individual signing |
BRENDA CASTRODAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTWARE, INC. 401 (K) PLAN
|
2011
|
550828419
|
2012-01-13
|
HEARTWARE, INC.
|
182
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
3058184110
|
Plan sponsor’s mailing address |
14000 NW 57 COURT, MIAMI LAKES, FL, 33014
|
Plan sponsor’s
address |
14000 NW 57 COURT, MIAMI LAKES, FL, 33014
|
Plan administrator’s name and address
Administrator’s EIN |
550828419 |
Plan administrator’s name |
HEARTWARE, INC. |
Plan administrator’s
address |
14000 NW 57 COURT, MIAMI LAKES, FL, 33014 |
Administrator’s telephone number |
3058184110 |
Number of participants as of the end of the plan year
Active participants |
179 |
Other
retired or separated participants entitled to future benefits |
6 |
Number of
participants
with
account balances as of the end of the plan year |
126 |
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 |
2012-01-13 |
Name of individual signing |
ILIANA GARCIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTWARE, INC. 401(K) PLAN
|
2009
|
550828419
|
2010-07-28
|
HEARTWARE, INC.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
3058184110
|
Plan sponsor’s
address |
14000 NW 57 COURT, MIAMI LAKES, FL, 33014
|
Plan administrator’s name and address
Administrator’s EIN |
550828419 |
Plan administrator’s name |
HEARTWARE, INC. |
Plan administrator’s
address |
14000 NW 57 COURT, MIAMI LAKES, FL, 33014 |
Administrator’s telephone number |
3058184110 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
ILIANA GARCIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-28 |
Name of individual signing |
ILIANA GARCIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTWARE, INC. 401(K) PLAN
|
2009
|
550828419
|
2010-07-06
|
HEARTWARE, INC.
|
111
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
3058184110
|
Plan sponsor’s
address |
14000 NW 57 COURT, MIAMI LAKES, FL, 33014
|
Plan administrator’s name and address
Administrator’s EIN |
550828419 |
Plan administrator’s name |
HEARTWARE, INC. |
Plan administrator’s
address |
14000 NW 57 COURT, MIAMI LAKES, FL, 33014 |
Administrator’s telephone number |
3058184110 |
Signature of
Role |
Plan administrator |
Date |
2010-07-06 |
Name of individual signing |
ILIANA GARCIA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-06 |
Name of individual signing |
ILIANA GARCIA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
HEARTWARE, INC. 401(K) PLAN
|
2009
|
550828419
|
2010-07-21
|
HEARTWARE, INC.
|
111
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
3058184110
|
Plan sponsor’s
address |
14000 NW 57 COURT, MIAMI LAKES, FL, 33014
|
Plan administrator’s name and address
Administrator’s EIN |
550828419 |
Plan administrator’s name |
HEARTWARE, INC. |
Plan administrator’s
address |
14000 NW 57 COURT, MIAMI LAKES, FL, 33014 |
Administrator’s telephone number |
3058184110 |
Signature of
Role |
Plan administrator |
Date |
2010-07-21 |
Name of individual signing |
ILIANA GARCIA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|