|
GLOBEIMMUNE, INC. 401(K) PLAN
|
2012
|
841353925
|
2013-07-09
|
GLOBEIMMUNE, INC.
|
55
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-07-23
|
| Business code |
325410
|
| Sponsor’s telephone number |
3036252800
|
| Plan sponsor’s mailing address |
1450 INFINITE DR, LOUISVILLE, CO, 80027
|
| Plan sponsor’s
address |
1450 INFINITE DR, LOUISVILLE, CO, 80027
|
Plan administrator’s name and address
| Administrator’s EIN |
841353925 |
| Plan administrator’s name |
GLOBEIMMUNE, INC. |
| Plan administrator’s
address |
1450 INFINITE DR, LOUISVILLE, CO, 80027 |
| Administrator’s telephone number |
3036252800 |
Number of participants as of the end of the plan year
| Active participants |
32 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
18 |
| 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 |
38 |
| 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 |
2013-07-09 |
| Name of individual signing |
JEFF DEKKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-07-09 |
| Name of individual signing |
JEFF DEKKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GLOBEIMMUNE, INC. 401(K) PLAN
|
2011
|
841353925
|
2012-06-07
|
GLOBEIMMUNE, INC.
|
58
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-07-23
|
| Business code |
325410
|
| Sponsor’s telephone number |
3036252800
|
| Plan sponsor’s mailing address |
1450 INFINITE DR, LOUISVILLE, CO, 80027
|
| Plan sponsor’s
address |
1450 INFINITE DR, LOUISVILLE, CO, 80027
|
Plan administrator’s name and address
| Administrator’s EIN |
841353925 |
| Plan administrator’s name |
GLOBEIMMUNE, INC. |
| Plan administrator’s
address |
1450 INFINITE DR, LOUISVILLE, CO, 80027 |
| Administrator’s telephone number |
3036252800 |
Number of participants as of the end of the plan year
| Active participants |
37 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
18 |
| 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 |
43 |
| 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 |
2012-06-07 |
| Name of individual signing |
APRIL DUFFEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-06-07 |
| Name of individual signing |
JEFF DEKKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GLOBEIMMUNE, INC. 401(K) PLAN
|
2010
|
841353925
|
2011-04-06
|
GLOBEIMMUNE, INC.
|
72
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-07-23
|
| Business code |
325410
|
| Sponsor’s telephone number |
3036252800
|
| Plan sponsor’s mailing address |
1450 INFINITE DR, LOUISVILLE, CO, 80027
|
| Plan sponsor’s
address |
1450 INFINITE DR, LOUISVILLE, CO, 80027
|
Plan administrator’s name and address
| Administrator’s EIN |
841353925 |
| Plan administrator’s name |
GLOBEIMMUNE, INC. |
| Plan administrator’s
address |
1450 INFINITE DR, LOUISVILLE, CO, 80027 |
| Administrator’s telephone number |
3036252800 |
Number of participants as of the end of the plan year
| Active participants |
41 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
17 |
| 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 |
47 |
| 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 |
2011-04-06 |
| Name of individual signing |
APRIL DUFFEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-04-06 |
| Name of individual signing |
JEFFREY RONA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GLOBEIMMUNE, INC. 401(K) PLAN
|
2009
|
841353925
|
2010-07-30
|
GLOBEIMMUNE, INC.
|
73
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-07-23
|
| Business code |
325410
|
| Sponsor’s telephone number |
3036252800
|
| Plan sponsor’s mailing address |
1450 INFINITE DR, LOUISVILLE, CO, 80027
|
| Plan sponsor’s
address |
1450 INFINITE DR, LOUISVILLE, CO, 80027
|
Plan administrator’s name and address
| Administrator’s EIN |
841353925 |
| Plan administrator’s name |
GLOBEIMMUNE, INC. |
| Plan administrator’s
address |
1450 INFINITE DR, LOUISVILLE, CO, 80027 |
| Administrator’s telephone number |
3036252800 |
Number of participants as of the end of the plan year
| Active participants |
63 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
9 |
| 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 |
48 |
| 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 |
2010-04-29 |
| Name of individual signing |
APRIL DUFFEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-30 |
| Name of individual signing |
JEFFREY RONA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
