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FORM 5500 DATA

Walt's Food Center 401k Profit Sharing Plan Trust

Overview

Plan Information

  • Plan Year01/01/2008 — 12/31/2008
  • Date of Plan03/18/1969
  • Net Assets as of 12/31/2008 $4,394,959
  • Plan Number1
  • 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 12/31/2008

  • Active (Eligible) Participants476
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits8
  • Subtotal484
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits1
  • Total485
  • Total number of participants as of 01/01/2008413
  • Number of participants with account balances426
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested8
  • Number of participants required to be reported on Schedule SSA10

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • Address330 W. Taft Drive
  • CitySouth Holland
  • StateIL
  • Zip60473-2026
  • Telephone(708) 596-3166
  • EIN36-2528955
  • Industry Code445110

Plan Administrator Information

  • Administrator NameTrustees of Walts Food Center Employee Benefit Plan
  • Address330 W. Taft Drive
  • CitySouth Holland
  • StateIL
  • Zip60473-2026
  • Telephone(708) 596-3166
  • Administrator EIN36-6224617

Plan Preparer Information

  • Preparer NameElaine Moeller Klesman & Company, P.C.
  • Address7110 W. 127th Street, Suite 230
  • City Palos Heights
  • StateIL
  • Zip60463
  • Telephone(708) 923-0200
  • Preparer EIN36-3606968

Audit Information

  • Audit StatusAudited
  • AuditorKlesman & Company, P.C.
  • Auditor EIN36-3606968
  • Audit OpinionUnqualified
  • 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.
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.

Questions and Answers

Question Answer Amount
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
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
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $500,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
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
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
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No

Financials

Income and Expense Statement

Income $-1,073,755
Contributions $465,084
Cash Contributions $465,084
Cash from Employers $275,000
Cash from Participants $190,084
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $-1,150,922
Total Interest $9,911
Interest-Bearing Cash $6,249
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $3,662
Interest from Other Investments $0
Total Dividends $123,915
Preferred Stock $0
Common Stock $123,915
Rents $0
Net gain (loss) on sale of assets $-138,252
Aggregate Proceeds $241,151
Aggregate Carrying Amount $379,403
Total Unrealized Appreciation (depreciation) of assets $-92,341
Real Estate $0
Other $-92,341
Net investment gain (loss) from common/collective trusts $0
Net investment gain (loss) from pooled separate accounts $0
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $-1,054,155
Other Income $-387,917
Expenses $71,557
Total Benefit Payments $47,080
Directly to participants or beneficiaries, including direct rollovers $47,080
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $24,477
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $0
Other Administrative Fees $24,477
Net Income $-1,145,312
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2008 12/31/2007 Change YOY
Total Assets $4,427,152 $5,601,949 -20.97%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $275,000 $275,000 0.00%
Employer Contributions $275,000 $275,000 0.00%
Participant Contributions $0 $0 0.0%
Other Contributions $0 $0 0.0%
General Investments $2,064,259 $436,051 373.40%
Interest-bearing cash $2,064,259 $436,051 373.40%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $294,104 $376,264 -21.84%
Preferred $0 $0 0.0%
Common $294,104 $376,264 -21.84%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $54,558 $56,459 -3.37%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $0 $0 0.0%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $1,739,231 $4,067,278 -57.24%
Value of funds held in insurance co. general account $0 $0 0.0%
Other Investments $0 $390,897 -100.00%
Employer-related Investments $0 $0 0.0%
Employer Securities $0 $0 0.0%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $32,193 $61,678 -47.80%
Benefit Claims Payable (1) $18,743 $48,228 -61.14%
Operating Payables (1) $13,450 $13,450 0.00%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $4,394,959 $5,540,271 -20.67%

Service Providers

Service Providers

There are no service providers listed for this plan.

Investments

Investments

No investments information available for this plan.

Insurance Information

Insurance Information

There are no insurance carriers listed for this plan.