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NORTHERN TIER ENERGY LLC

Company Details

Entity Name: NORTHERN TIER ENERGY LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Foreign
Status: Cancelled
Date Formed: 29 Nov 2010 (Companies founded in November 2010)
Business ALEI: 1021811
Business address: 1250 W WASHINGTON ST SUITE 300, TEMPE, AZ, 85281
Mailing address: 576 BIELENBERG DRIVE SUITE 200-TAX, WOODBURY, MN, 55125
Office jurisdiction address: 1209 ORANGE STREET, WILMINGTON, DE, 19801,
Place of Formation: DELAWARE
E-Mail: erik.koehler@ntenergy.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHERN TIER RETAIL SAVINGS PLAN 2012 273005162 2013-09-13 NORTHERN TIER ENERGY LLC 933
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-07-01
Business code 445120
Sponsor’s telephone number 2032446496
Plan sponsor’s mailing address 38C GROVE STREET, SUITE 100, RIDGEFIELD, CT, 06877
Plan sponsor’s address 38C GROVE STREET, SUITE 100, RIDGEFIELD, CT, 06877

Plan administrator’s name and address
Administrator’s EIN 273005162
Plan administrator’s name NORTHERN TIER ENERGY LLC
Plan administrator’s address 38C GROVE STREET, SUITE 100, RIDGEFIELD, CT, 06877
Administrator’s telephone number 2032446496

Number of participants as of the end of the plan year
Active participants 600
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 47
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 501
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 136

Signature of
Role Plan administrator
Date 2013-09-13
Name of individual signing DAVID ORT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-13
Name of individual signing DAVID ORT
Valid signature Filed with authorized/valid electronic signature
NORTHERN TIER ENERGY RETIREMENT SAVINGS PLAN 2012 273005162 2013-09-16 NORTHERN TIER ENERGY LLC 885
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 424700
Sponsor’s telephone number 2032446496
Plan sponsor’s mailing address 38C GROVE STREET, SUITE 100, RIDGEFIELD, CT, 06877
Plan sponsor’s address 38C GROVE STREET, SUITE 100, RIDGEFIELD, CT, 06877

Plan administrator’s name and address
Administrator’s EIN 273005162
Plan administrator’s name NORTHERN TIER ENERGY LLC
Plan administrator’s address 38C GROVE STREET, SUITE 100, RIDGEFIELD, CT, 06877
Administrator’s telephone number 2032446496

Number of participants as of the end of the plan year
Active participants 1111
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 59
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 1037
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 49

Signature of
Role Plan administrator
Date 2013-09-13
Name of individual signing DAVID ORT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-13
Name of individual signing DAVID ORT
Valid signature Filed with authorized/valid electronic signature
NORTHERN TIER ENERGY RETIREMENT SAVINGS PLAN 2011 273005162 2012-10-02 NORTHERN TIER ENERGY LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 424700
Sponsor’s telephone number 2032446550
Plan sponsor’s mailing address 38C GROVE STREET, SUITE 100, RIDGEFIELD, CT, 06877
Plan sponsor’s address 38C GROVE STREET, SUITE 100, RIDGEFIELD, CT, 06877

Plan administrator’s name and address
Administrator’s EIN 273005162
Plan administrator’s name NORTHERN TIER ENERGY LLC
Plan administrator’s address 38C GROVE STREET, SUITE 100, RIDGEFIELD, CT, 06877
Administrator’s telephone number 2032446550

Number of participants as of the end of the plan year
Active participants 880
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
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 548
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 4

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing DAVID ORT
Valid signature Filed with authorized/valid electronic signature
NORTHERN TIER RETAIL SAVINGS PLAN 2011 273005162 2012-10-02 NORTHERN TIER ENERGY LLC 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-07-01
Business code 445120
Plan sponsor’s mailing address 38C GROVE STREET, SUITE 100, RIDGEFIELD, CT, 06877
Plan sponsor’s address 38C GROVE STREET, SUITE 100, RIDGEFIELD, CT, 06877

Plan administrator’s name and address
Administrator’s EIN 273005162
Plan administrator’s name NORTHERN TIER ENERGY LLC
Plan administrator’s address 38C GROVE STREET, SUITE 100, RIDGEFIELD, CT, 06877

Number of participants as of the end of the plan year
Active participants 931
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
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 104
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 2012-10-02
Name of individual signing DAVID ORT
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
SCOTT STEVENS Officer 1250 W WASHINGTON ST., STE. 300, TEMPE, AZ, 85281, United States 1464 NORTH RD., DAYVILLE, CT, 06241, United States
DAVID BONCZEK Officer 1250 W WASHINGTON ST., STE. 300, TEMPE, AZ, 85281, United States 78 LAZY BROOK RD, MONROE, CT, 06468, United States
DAVID LAMP Officer 1250 W WASHINGTON ST., STE. 300, TEMPE, AZ, 85281, United States 524 ST. LAURENT CT., SOUTHLAKE, TX, 76092, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005877517 2017-06-06 2017-06-06 Change of Agent Address Agent Address Change No data
0005349149 2015-06-05 2015-06-05 Withdrawal Statement of Withdrawal Registration No data
0005212949 2014-11-05 No data Annual Report Annual Report 2014
0004971476 2013-10-30 No data Annual Report Annual Report 2013
0004732556 2012-10-17 No data Annual Report Annual Report 2012
0004483575 2011-12-01 2011-12-02 Change of Agent Address Agent Address Change No data
0004469762 2011-11-09 No data Annual Report Annual Report 2011
0004283841 2010-11-29 No data Business Registration Certificate of Registration No data

Related by officers

SCOTT STEVENS

EAST KILLINGLY VOLUNTEER FIRE DEPARTMENT COMPANY STEVENS & ASSOCIATES, LLC ANDERVENS PROPERTIES, LLC TRAVELEX GLOBAL BUSINESS PAYMENTS, INC. CUSTOM HOUSE (USA) LTD.

DAVID BONCZEK

BEECHWOOD REAL ESTATE, LLC NORTHERN TIER RETAIL HOLDINGS LLC R & D ENTERPRISE, LLC NORTHERN TIER ENERGY HOLDINGS LLC NORTHERN TIER ENERGY GP LLC

Related by address

1209 ORANGE STREET, WILMINGTON, DE, 19801,

LIGHTHOUSE INVESTMENT PARTNERS, LLC SILLER & COHEN WEALTH ADVISORS, LLC MARATHON DPC, LLC INFRASERVICES GROUP WIRELESS LLC TAXA LLC OLYMPIC EQUITY PARTNERS, L.P. TSG CAPITAL GROUP, L.L.C. THE TERMINIX INTERNATIONAL COMPANY LIMITED PARTNERSHIP FAIRLANE CREDIT LLC THE MARTIN-BROWER COMPANY, L.L.C.

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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