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Camargo Ventures, LLC 401K Plan
Form 5500 | Basic Information
Plan Information
Plan Year 01/01/2010 — 12/31/2010
Effective Date of Plan 01/01/2009
Net Assets as of 12/31/2010 $39,349
Plan Number 1
Plan Type Single Employer
Did the plan file for an extension of time or the DFVC Program? No

Participant Information as of 12/31/2010
Total 13
Total number of participants as of 01/01/2010 13
Number of participants with account balances 6

Financial Information as of 12/31/2010
Total Assets (EOY) $39,349
Total Liabilities (EOY) $0
Net Assets (EOY) $39,349
Financial Information as of 01/01/2010
Total Assets (BOY) $18,510
Total Liabilities (BOY) $0
Net Assets (BOY) $18,510
Cash from Employers $3,154
Cash from Participants $14,754
Others (including rollovers) $0
Other Income $3,257
Total Income $21,165
Net Income $20,839
Total Benefit Payments $0
Corrective Distributions $0
Administrative Service Providers $0
Other Expenses $326
Total Expenses $326
Total Transfers $0
Plan Sponsor Information
Address 7744 Laurel Avenue
Maderia, OH 45243
Telephone (513) 200-4736
EIN 26-2305239
Industry Code 561730
Named Administrator Alex Sulfsted
Named Plan Sponsor Alex Sulfsted

Plan Administrator Information
Administrator Name Camargo Ventures, LLC
Address 7744 Laurel Avenue
Maderia, OH 45243
Telephone (513) 200-4736
Administrator EIN 26-2305239

Benefits Provided Under the Plan
Code Benefit Description
2E Profit-sharing A defined contribution plan that allows employer discretionary contributions. These plans often contain a 401(k) feature.
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G Total participant-directed account plan Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
2J Code section 401(k) feature A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
2K Code section 401(m) arrangement Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contributions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
3D Master plan A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

Question   Answer Amount
1. During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No  
2. Were there any nonexempt transactions with any party-in-interest? No  
3. Was this plan covered by a fidelity bond? Yes $1,000
4. Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No  
5. Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No  
6. Has the plan failed to provide any benefit when due under the plan? No  
7. If this is an individual account plan, was there a blackout period? No  
8. If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3? No