| Plan Name | BEN LOMOND MARKET 401K PLAN AND TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | BEN LOMOND MARKET RON AND MARLO CLEMENTS |
| Employer identification number (EIN): | 201269602 |
| NAIC Classification: | 445110 |
| NAIC Description: | Supermarkets and Other Grocery (except Convenience) Stores |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2012-01-01 | CHRISTY CLEMENTS | 2013-10-10 | ||
| 001 | 2011-01-01 | CHRISTY CLEMENTS | 2012-07-06 | ||
| 001 | 2010-01-01 | RON CLEMENTS | 2011-04-01 |