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Company:
Tee Bar Corporation

Plan:
Tee Bar Corporation Profit Sharing Plan
 

Plan Information
Plan Year 01/01/2009 — 12/31/2009
Effective Date of Plan 06/01/1991
Net Assets as of 12/31/2009 $1,884,610
Plan Number 1
Plan Type Single Employer
Is the plan collectively bargained? No
Did the plan file for an extension of time or the DFVC Program? Yes
Plan Funding Arrangement Insurance
Trust
Plan Benefit Arrangement Insurance
Trust

Participant Information as of 12/31/2009
Active (Eligible) Participants 112
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 24
Subtotal 136
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Total 136
Total number of participants as of 01/01/2009 166
Number of participants with account balances 103
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 11

Plan Sponsor Information
Address 600 Route 44-55
Highland, NY 12528
Telephone (845) 691-2927
EIN 14-1437138
Industry Code 721110
Named Administrator Ludwig Bach

Plan Administrator Information
Administrator Name Tee Bar Corporation
Address 600 Route 44-55
Highland, NY 12528
Telephone (845) 691-2927
Administrator EIN 14-1437138

Audit Information
Audit Status Audited
Auditor Holtz Reubenstein Reminick, LLP
Auditor EIN 11-2355064
Audit Opinion Unqualified
Audit Type Full Audit

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.

  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? No  
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? No  
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? No