401k Plan data: H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN plan

H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 401k Plan overview

Plan Name	H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN
Plan identification number	001

H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Stock bonus ESOP other than a leveraged ESOP - A completed Schedule E must be attached to a Form 5500 filed for an Employee Stock Ownership Plan (ESOP).

401k Sponsoring company profile

H & S FEED AND COUNTRY STORE, INC. has sponsored the creation of one or more 401k plans.

Company Name: H & S FEED AND COUNTRY STORE, INC.

Employer identification number (EIN): 201094565

NAIC Classification: 115210
NAIC Description: Support Activities for Animal Production

Additional information about H & S FEED AND COUNTRY STORE, INC.

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities

Incorporation Date: 2004-05-13

Company Identification Number: 294497

Legal Registered Office Address: 1402 MAIN STREET

PELLA
United States of America (USA)
50219

More information about H & S FEED AND COUNTRY STORE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-05-01
001 2014-05-01
001 2013-05-01 DAWN HAFNER
001 2012-05-01 DAWN HAFNER
001 2011-05-01 DAWN HAFNER
001 2010-05-01
001 2009-05-01 DEAN VANDER WILT
001 2007-05-01

Financial Data on H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN

Measure	Date	Value
2015 : H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Expenses. Total of all expenses incurred	2015-12-31	$14,000
Benefits paid (including direct rollovers)	2015-12-31	$14,000
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$14,000
Net income (gross income less expenses)	2015-12-31	$-14,000
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$14,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Total plan liabilities at end of year	2015-04-30	$0
Total plan liabilities at beginning of year	2015-04-30	$0
Total income from all sources	2015-04-30	$-27,000
Total plan assets at end of year	2015-04-30	$14,000
Total plan assets at beginning of year	2015-04-30	$41,000
Other income received	2015-04-30	$-27,000
Net income (gross income less expenses)	2015-04-30	$-27,000
Net plan assets at end of year (total assets less liabilities)	2015-04-30	$14,000
Net plan assets at beginning of year (total assets less liabilities)	2015-04-30	$41,000
Assets. Value of employer securities	2015-04-30	$14,000
2014 : H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2014 401k financial data
Total income from all sources	2014-04-30	$7,000
Expenses. Total of all expenses incurred	2014-04-30	$0
Total plan assets at end of year	2014-04-30	$41,000
Total plan assets at beginning of year	2014-04-30	$34,000
Other income received	2014-04-30	$7,000
Net income (gross income less expenses)	2014-04-30	$7,000
Net plan assets at end of year (total assets less liabilities)	2014-04-30	$41,000
Net plan assets at beginning of year (total assets less liabilities)	2014-04-30	$34,000
Assets. Value of employer securities	2014-04-30	$41,000
2013 : H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2013 401k financial data
Total income from all sources	2013-04-30	$-1,000
Expenses. Total of all expenses incurred	2013-04-30	$0
Total plan assets at end of year	2013-04-30	$34,000
Total plan assets at beginning of year	2013-04-30	$35,000
Other income received	2013-04-30	$-1,000
Net income (gross income less expenses)	2013-04-30	$-1,000
Net plan assets at end of year (total assets less liabilities)	2013-04-30	$34,000
Net plan assets at beginning of year (total assets less liabilities)	2013-04-30	$35,000
Assets. Value of employer securities	2013-04-30	$34,000
2012 : H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2012 401k financial data
Total income from all sources	2012-04-30	$9,000
Expenses. Total of all expenses incurred	2012-04-30	$0
Total plan assets at end of year	2012-04-30	$35,000
Total plan assets at beginning of year	2012-04-30	$26,000
Other income received	2012-04-30	$9,000
Net income (gross income less expenses)	2012-04-30	$9,000
Net plan assets at end of year (total assets less liabilities)	2012-04-30	$35,000
Net plan assets at beginning of year (total assets less liabilities)	2012-04-30	$26,000
Assets. Value of employer securities	2012-04-30	$35,000
2011 : H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2011 401k financial data
Total income from all sources	2011-04-30	$-13,626
Expenses. Total of all expenses incurred	2011-04-30	$0
Total plan assets at end of year	2011-04-30	$26,000
Total plan assets at beginning of year	2011-04-30	$39,626
Other income received	2011-04-30	$-13,626
Net income (gross income less expenses)	2011-04-30	$-13,626
Net plan assets at end of year (total assets less liabilities)	2011-04-30	$26,000
Net plan assets at beginning of year (total assets less liabilities)	2011-04-30	$39,626
Assets. Value of employer securities	2011-04-30	$26,000

Form 5500 Responses for H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN

2015: H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2015 form 5500 responses
2015-05-01	Type of plan entity	Single employer plan
2015-05-01	Submission has been amended	No
2015-05-01	This submission is the final filing	Yes
2015-05-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-05-01	Plan is a collectively bargained plan	No
2015-05-01	Plan funding arrangement – Trust	Yes
2015-05-01	Plan benefit arrangement - Trust	Yes
2014: H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2014 form 5500 responses
2014-05-01	Type of plan entity	Single employer plan
2014-05-01	Submission has been amended	No
2014-05-01	This submission is the final filing	No
2014-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-05-01	Plan is a collectively bargained plan	No
2014-05-01	Plan funding arrangement – Trust	Yes
2014-05-01	Plan benefit arrangement - Trust	Yes
2013: H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2013 form 5500 responses
2013-05-01	Type of plan entity	Single employer plan
2013-05-01	Submission has been amended	No
2013-05-01	This submission is the final filing	No
2013-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-05-01	Plan is a collectively bargained plan	No
2013-05-01	Plan funding arrangement – Trust	Yes
2013-05-01	Plan benefit arrangement - Trust	Yes
2012: H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	Submission has been amended	No
2012-05-01	This submission is the final filing	No
2012-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-05-01	Plan is a collectively bargained plan	No
2012-05-01	Plan funding arrangement – Trust	Yes
2012-05-01	Plan benefit arrangement - Trust	Yes
2011: H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Submission has been amended	No
2011-05-01	This submission is the final filing	No
2011-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-05-01	Plan is a collectively bargained plan	No
2011-05-01	Plan funding arrangement – Trust	Yes
2011-05-01	Plan benefit arrangement - Trust	Yes
2010: H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2010 form 5500 responses
2010-05-01	Type of plan entity	Single employer plan
2010-05-01	Submission has been amended	No
2010-05-01	This submission is the final filing	No
2010-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-05-01	Plan is a collectively bargained plan	No
2010-05-01	Plan funding arrangement – Trust	Yes
2010-05-01	Plan benefit arrangement - Trust	Yes
2009: H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2009 form 5500 responses
2009-05-01	Type of plan entity	Single employer plan
2009-05-01	Submission has been amended	No
2009-05-01	This submission is the final filing	No
2009-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-05-01	Plan is a collectively bargained plan	No
2009-05-01	Plan funding arrangement – Trust	Yes
2009-05-01	Plan benefit arrangement - Trust	Yes
2007: H & S FEED AND COUNTY STORE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2007 form 5500 responses
2007-05-01	Submission has been amended	No
2007-05-01	This submission is the final filing	No
2007-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-05-01	Plan is a collectively bargained plan	No

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Company Name:	H & S FEED AND COUNTRY STORE, INC.
Employer identification number (EIN):	201094565
NAIC Classification:	115210
NAIC Description:	Support Activities for Animal Production

Jurisdiction of Incorporation:	Iowa Secretary of State Business Entities
Incorporation Date:	2004-05-13
Company Identification Number:	294497
Legal Registered Office Address:	1402 MAIN STREET PELLA United States of America (USA) 50219