DENTAL PLAN FOR EMPLOYEES OF TIMES SUPER MARKET 401k Plan overview

DENTAL PLAN FOR EMPLOYEES OF TIMES SUPER MARKET Benefits

401k Sponsoring company profile

Company Name:	QSI, INC.
Employer identification number (EIN):	260041527
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2009-08-01	JOHN QUINN		JOHN QUINN	2010-10-12

Plan Statistics for DENTAL PLAN FOR EMPLOYEES OF TIMES SUPER MARKET

Measure	Date	Value
2009: DENTAL PLAN FOR EMPLOYEES OF TIMES SUPER MARKET 2009 401k membership
Total participants, beginning-of-year	2009-08-01	808
Total number of active participants reported on line 7a of the Form 5500	2009-08-01	899
Total of all active and inactive participants	2009-08-01	899

Form 5500 Responses for DENTAL PLAN FOR EMPLOYEES OF TIMES SUPER MARKET

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