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Plan:
Collegedale Casework, LLC Retirement Savings Plan
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Form 5500 | Basic Information
Plan Information
Plan Year 01/01/2008 — 12/31/2008
Effective Date of Plan 01/01/1988
Net Assets as of 12/31/2008 $50,811
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 Trust
Plan Benefit Arrangement Trust

Participant Information as of 12/31/2008
Active (Eligible) Participants 1
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
Subtotal 8
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Total 8
Total number of participants as of 01/01/2008 105
Number of participants with account balances 7
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 27
Number of participants required to be reported on Schedule SSA 1

Plan Sponsor Information
Address 6115 Mountain View Road
Collegedale, TN 37363
Telephone (423) 238-8101
EIN 62-1630469
Industry Code 321210
Named Administrator ^A T% ^ T- -C Lo G- Cc R3E .

Plan Administrator Information
Administrator Name SAME
Administrator EIN

Audit Information
Audit Status Audited
Auditor Lattimore Black Morgan & Cain Pc
Auditor EIN 62-1199757
Audit Opinion Disclaimer
Audit Type Limited Scope 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.
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.
3B Self-Employed Plan Plan covering Self-Employed individuals.
3E Prototype plan A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a separate funding medium (for example, a separate trust or custodial account) is established for the use of each adopting employer.

  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 $100,000
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