Home   >   Palmer-Donavin Employee Stock Ownership Plan  >  Form 5500
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Company:
The Palmer-Donavin Manufacturing Company

Plan:
Palmer-Donavin Employee Stock Ownership Plan
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Plan Information
Plan Year 01/01/2010 — 12/31/2010
Effective Date of Plan 01/01/2006
Net Assets as of 12/31/2010 $5,909,517
Plan Number 3
Plan Type Single Employer
Is the plan collectively bargained? No
Did the plan file for an extension of time or the DFVC Program? No
Plan Funding Arrangement Trust
Plan Benefit Arrangement Trust

Participant Information as of 12/31/2010
Active (Eligible) Participants 220
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 21
Subtotal 241
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Total 241
Total number of participants as of 01/01/2010 264
Number of participants with account balances 241
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 7

Plan Sponsor Information
Address 1200 Steelwood Road
Columbus, OH 43212 -1372
Telephone (614) 486-9657
EIN 31-4274980
Industry Code 423300
Named Administrator Shawn Richard
Named Plan Sponsor Robyn Pollina

Plan Administrator Information
Administrator Name The Palmer-Donavin Manufacturing Company
Address 1200 Steelwood Road
Columbus, OH 43212 -1372
Telephone (614) 486-9657
Administrator EIN 31-4274980

Audit Information
Audit Status Audited
Auditor Schneider Downs
Auditor EIN 25-1408707
Audit Opinion Unqualified
Audit Type Full Audit

Benefits Provided Under the Plan
Code Benefit Description
2I Stock bonus A stock bonus plan is a type of profit-sharing by which a corporation uses its own stock to make contributions and distributions.
2P Leveraged ESOP An Employee Stock Ownership Plan (ESOP) that acquires employer securities with borrowed money or other debt-financing techniques.
2Q S Corporation ESOP The employer maintaining this Employee Stock Ownership Plan (ESOP) is an S Corporation.

  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 any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No  
3. Were any leases to which the plan was a party in default or classified during the year as uncollectible? No  
4. Were there any nonexempt transactions with any party-in-interest? No  
5. Was this plan covered by a fidelity bond? Yes $2,000,000
6. Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No  
7. Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No  
8. Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No  
9. Did the plan have assets held for investment? Yes  
10. Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No  
11. Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No  
12. Has the plan failed to provide any benefit when due under the plan? No  
13. If this is an individual account plan, was there a blackout period? No  
14. 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?