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602-116-054:J & M MACHINE LLC

Site:J&M Machine, LLC, Tax Year:2012

Business Information
Name of Business as Registered: J & M MACHINE LLC
UBI Number used with Department of Employment Security
(if this number differs from Revenue's Tax Registration Number)
602116054
Total number of employees statewide (as reported to
Employment Security) on December 31, 2012
28
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 Manufacturer
Manufacturing Site Details
Site Name:
J&M Machine, LLC
Contact Name:
Address line 1
1703 NE 43rd St.
Address line 2
City
Renton
Zip
98056
State
WA
Email Address
Daytime phone
Fax
Activity begin date
5/17/2001
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 4 0.0 0.0 0.0 25.0 75.0
Business, financial, and legal operations 0
Computer, mathematical, architecture, and engineering 2 0.0 0.0 0.0 0.0 100.0
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 4 0.0 25.0 50.0 25.0 0.0
Construction and extraction 0
Installation, maintenance, and repair 0
Production, non-construction trades, and craft 18 0.0 15.0 30.0 40.0 15.0
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 100.0 0.0 0.0 100.0 100.0
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 100.0 0.0 0.0 100.0 100.0
Construction and extraction
Installation, maintenance, and repair
Production, non-construction trades, and craft 100.0 0.0 0.0 100.0 100.0
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.

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.)
UnitedHealth
Eligible Enrolled Part Time Eligible Avg Premium Paid Avg Emp Contrib Dependents Addtl Premium
100.0% 90.0% 20.0% $ 56.00

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
Yes
Yes $20.00
and/or
0.0%
Yes over $250 500
Hospital Services
Yes
No $0.00
and/or
20.0%
Yes over $250 2000
Prescription Drug Benefit
Yes
Yes $10.00
and/or
0.0%
No




Description of Medical Plan (Fee for service, HMO, PPO, Taft-Hartley, etc.)
vision
Eligible Enrolled Part Time Eligible Avg Premium Paid Avg Emp Contrib Dependents Addtl Premium
100.0% 90.0% 0.0% $ 100.00

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
No $
and/or
%
No
Hospital Services
No
No $
and/or
%
No
Prescription Drug Benefit
No
No $
and/or
%
No
SECTION 2b - DENTAL PLANS No Dental Plans Offered:


Description of Dental Plan (Fee for service, HMO, PPO, Taft-Hartley, ect.)
DEntal Plan
Eligible Enrolled Part-time Eligible Premium Paid
100.0% 100.0% 100.0%
Employer Monthly Rate Annual Maximum Benefit and/or Unlimited Benefit
$45.90 $2,000.00
SECTION 3 - RETIREMENT BENEFITS No Retirement Plans Offered:


Name: Defined Benefit
Description: Flat-Benefit: Flat dollar amount for years of service in the Plan
Career Average Benefit: Uses a percentage or average of employee pay over a period of employee participation in the Plan to determine benefit
Final-Pay Benefit: Uses a percentage or average of employee pay at the end of employee's career to determine benefit in the Plan
Eligible: 100.0%
Enrolled: 40.0%
Max Contribution: NA
Type: Benefit



Name: SIMPLE (Savings Incentive Match Plan for Employees) IRA
Description: A SIMPLE IRA plan is an IRA-based plan that gives small employers a simplified method to make contributions toward their employees' retirement and their own retirement. Under a SIMPLE IRA plan, employees may choose to make salary reduction contributions and the employer makes matching or non-elective contributions. All contributions are made directly to an Individual Retirement Account or Individual Retirement Annuity (IRA) set up for each employee (a SIMPLE IRA).
Eligible: 100.0%
Enrolled: 40.0%
Max Contribution: $0.00 and/or 3.0%
Type: Contribution



Name: SIMPLE (Savings Incentive Match Plan for Employees) IRA
Description: A SIMPLE IRA plan is an IRA-based plan that gives small employers a simplified method to make contributions toward their employees' retirement and their own retirement. Under a SIMPLE IRA plan, employees may choose to make salary reduction contributions and the employer makes matching or non-elective contributions. All contributions are made directly to an Individual Retirement Account or Individual Retirement Annuity (IRA) set up for each employee (a SIMPLE IRA).
Eligible: 100.0%
Enrolled: 40.0%
Max Contribution: $ and/or 3.0%
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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