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602-670-787:CLEMENTS INC

Site:Clements Inc, Tax Year:2010

Business Information
Name of Business as Registered: CLEMENTS INC
UBI Number used with Department of Employment Security
(if this number differs from Revenue's Tax Registration Number)
602670787
Total number of employees statewide (as reported to
Employment Security) on December 31, 2010
1
Employment Security Reference Number(s)
Check this box if you are a tooling manufacturer.
Check this box if you have no sites in Washington
Check this box if you have no business sites and no employees in Washington State.
How many manufacturing sites do you have in Washington that were supported by tax incentives during this calendar year?
1
Selected Incentives:
Aerospace Non-Manufacturing
Manufacturing Site Details
Site Name:
Clements Inc
Contact Name:
Address line 1
10828 NE 64th ST
Address line 2
City
Kirkland
Zip
98033
State
WA
Email Address
Daytime phone
Fax
Activity begin date
1/1/2006
mm/dd/yyyy
Activity end date

mm/dd/yyyy
SECTION 1a - EMPLOYMENT INFORMATION
Percentage of activities reflected in this report supported by tax incentives: 100.0%
OCCUPATIONS/STANDARD OCCUPATION CODE 1
Total no. of employees in this occupation
2a
Minimum Wage - $10(%)
2b
$10.01 - $15(%)
2c
$15.01 - $20(%)
2d
$20.01 - $30(%)
2e
$30.01 & Over(%)
Management 100 0.0 0.0 0.0 0.0 100.0
Business, financial, and legal operations 0
Computer, mathematical, architecture, and engineering 0
Life, physical, and social science 0
Community and social services 0
Education, training, and library 0
Healthcare practitioners, technical, and support 0
Protective services, building, and grounds maintenance 0
Sales and service 0
Office and administrative support 0
Construction and extraction 0
Installation, maintenance, and repair 0
Production, non-construction trades, and craft 0
Transportation and material moving 0
Other (forest, fishery, agriculture, military, arts, entertainment, and media) 0


OCCUPATIONS/STANDARD OCCUPATION CODE 3a
Full-Time Employees(%)
3b
Part-Time Employees(%)
3c
Temporary Employees(%)
4
Medical Benefits % Eligible
5
Retirement Benefits % Eligible
Management 100.0 0.0 0.0 100.0 100.0
Business, financial, and legal operations
Computer, mathematical, architecture, and engineering
Life, physical, and social science
Community and social services
Education, training, and library
Healthcare practitioners, technical, and support
Protective services, building, and grounds maintenance
Sales and service
Office and administrative support
Construction and extraction
Installation, maintenance, and repair
Production, non-construction trades, and craft
Transportation and material moving
Other (forest, fishery, agriculture, military, arts, entertainment, and media)
SECTION 1b - TEMPORARY STAFFING

1. What is the total number of persons obtained through temporary staffing firms? 0

2. What are the top three occupational codes in which those workers were placed?

1. Not Applicable

2.

3.

3. What is the average duration of temporary employees? Not Applicable

SECTION 2a - MEDICAL PLANS No Medical Plans Offered:



Description of Medical Plan (Fee for service, HMO, PPO, Taft-Hartley, etc.)
PPO
Eligible Enrolled Part Time Eligible Avg Premium Paid Avg Emp Contrib Dependents Addtl Premium
100.0% 100.0% 100.0% $ 0.00

Is service covered under plan? Co-Pay/Co-Insurance Amount of Co-Pay/Co-Insurance per Use Deductible Annual Deductible per Employee and Spouse/Dependents Other (explain)
Primary Care Provider Services
No
Yes $30.00
and/or
20.0%
Yes over $250
Hospital Services
Yes
Yes $30.00
and/or
20.0%
Yes over $250
Prescription Drug Benefit
Yes
No $15.00
and/or
%
No
SECTION 2b - DENTAL PLANS No Dental Plans Offered:
SECTION 3 - RETIREMENT BENEFITS No Retirement Plans Offered:


Name: SEP IRA (Simplified Employee Pension Plan)
Description: A SEP is a Simplified Employee Pension plan. Under a SEP IRA, an employer makes contributions to traditional IRAs (SEP IRAs) set up for eligible employees. A SEP is funded solely by employer contributions, subject to certain percentage-of-pay and dollar limits.
Eligible: 100.0%
Enrolled: 100.0%
Max Contribution: $16,500.00 and/or %
Type: Contribution
SECTION 4 - ADDITIONAL QUESTIONS FOR ALUMINUM SMELTERS AND ELECTROLYTIC PROCESSING

For an aluminum smelter, what is the quantity of aluminum smelted at the manufacturing site during the calendar year covered by the report?

metric tons (MT = 2204.62 lbs).

For a chlor-alkali electrolytic processing business or sodium chlorate electrolytic processing business, what is the quantity of product produced at the manufacturing site during the calendar year covered by the report?

tons (2000 lbs).

For an aluminum smelter, chlor-alkali electrolytic processing business, or sodium chlorate electrolytic processing business:
What was your actual total employment at the manufacturing site for:

Q1

Q2

Q3

Q4

What is the number of employment positions affected or to be affected by any employment reductions that have been publicly announced during the sixty-day period preceding the date this report is submitted?

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