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FORM 5500 DATA

Walt's Food Center 401k Profit Sharing Plan Trust

Overview

Plan Information

  • Plan Year01/01/2010 — 12/31/2010
  • Date of Plan03/18/1969
  • Net Assets as of 12/31/2010 $5,717,019
  • 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 12/31/2010

  • Active (Eligible) Participants490
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits22
  • Subtotal512
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits1
  • Total513
  • Total number of participants as of 01/01/2010504
  • Number of participants with account balances513
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested24

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
  • Telephone(708) 596-3166
  • EIN36-2528955
  • Industry Code445110
  • Named AdministratorRobert Lagestee
  • Named Plan SponsorRobert Lagestee

Plan Administrator Information

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

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? Yes
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
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

Financials

Income and Expense Statement

Income $767,065
Contributions $231,743
Cash Contributions $231,743
Cash from Employers $50,000
Cash from Participants $181,743
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $531,551
Total Interest $7,244
Interest-Bearing Cash $3,837
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $3,407
Interest from Other Investments $0
Total Dividends $57,746
Preferred Stock $0
Common Stock $2,483
Rents $0
Net gain (loss) on sale of assets $251,072
Aggregate Proceeds $3,961,519
Aggregate Carrying Amount $3,710,447
Total Unrealized Appreciation (depreciation) of assets $27,078
Real Estate $0
Other $27,078
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 $188,411
Other Income $3,771
Expenses $306,769
Total Benefit Payments $279,721
Directly to participants or beneficiaries, including direct rollovers $279,721
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 $27,048
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $0
Other Administrative Fees $27,048
Net Income $460,296
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2010 12/31/2009 Change YOY
Total Assets $5,762,960 $5,290,529 8.93%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $50,160 $50,160 0.00%
Employer Contributions $50,000 $50,000 0.00%
Participant Contributions $160 $160 0.00%
Other Contributions $0 $0 0.0%
General Investments $2,073,583 $2,354,871 -11.94%
Interest-bearing cash $2,073,583 $2,354,871 -11.94%
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 $814,663 $538,412 51.31%
Preferred $0 $0 0.0%
Common $814,663 $538,412 51.31%
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 $68,457 $65,275 4.87%
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 $2,756,097 $2,281,811 20.79%
Value of funds held in insurance co. general account $0 $0 0.0%
Other Investments $0 $0 0.0%
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 $45,941 $33,806 35.90%
Benefit Claims Payable (1) $32,491 $20,356 59.61%
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 $5,717,019 $5,256,723 8.76%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

There is no information on eligible indirect compensation for this plan.

Other Service Providers Receiving Direct or Indirect Compensation

Name Nature of Service Relationship to Plan Sponsor Direct Compensation Paid by Plan Indirect Compensation Paid by Plan Total Compensation
A.M.I.C. Advisors Investment advisory (participants) $27,048 $0 $27,048
Total $27,048 $0 $27,048

Indirect Compensation

There are no service providers with indirect compensation listed for this plan.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information 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.