401k Plan data: PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC. plan

PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC. 401k Plan overview

Plan Name	PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC.
Plan identification number	019

PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC. Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021). Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation). Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

US FOODS, INC has sponsored the creation of one or more 401k plans.

Company Name: US FOODS, INC

Employer identification number (EIN): 363642294

NAIC Classification: 424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
019 2011-01-01 GARY HANSEN 2012-07-27
019 2010-01-01 GARY HANSEN
019 2009-01-01 GARY M. HANSEN GARY M. HANSEN 2010-09-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
019	2011-01-01	GARY HANSEN	2012-07-27
019	2010-01-01	GARY HANSEN
019	2009-01-01	GARY M. HANSEN		GARY M. HANSEN	2010-09-22

Plan Statistics for PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC.

401k plan membership statisitcs for PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC.

Measure Date Value
2010: PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC. 2010 401k membership
Total participants, beginning-of-year 2010-01-01 45
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 19
Number of retired or separated participants receiving benefits 2010-01-01 8
Number of other retired or separated participants entitled to future benefits 2010-01-01 17
Total of all active and inactive participants 2010-01-01 44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC. 2009 401k membership
Total participants, beginning-of-year 2009-01-01 48
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 21
Number of retired or separated participants receiving benefits 2009-01-01 8
Number of other retired or separated participants entitled to future benefits 2009-01-01 16
Total of all active and inactive participants 2009-01-01 45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2010: PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC. 2010 401k membership
Total participants, beginning-of-year	2010-01-01	45
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	19
Number of retired or separated participants receiving benefits	2010-01-01	8
Number of other retired or separated participants entitled to future benefits	2010-01-01	17
Total of all active and inactive participants	2010-01-01	44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC. 2009 401k membership
Total participants, beginning-of-year	2009-01-01	48
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	21
Number of retired or separated participants receiving benefits	2009-01-01	8
Number of other retired or separated participants entitled to future benefits	2009-01-01	16
Total of all active and inactive participants	2009-01-01	45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC.

Measure	Date	Value
2010 : PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC. 2010 401k financial data
Transfers to/from the plan	2010-12-31	$-93,415
Total income from all sources	2010-12-31	$211,282
Expenses. Total of all expenses incurred	2010-12-31	$12,534
Benefits paid (including direct rollovers)	2010-12-31	$12,534
Total plan assets at end of year	2010-12-31	$396,352
Total plan assets at beginning of year	2010-12-31	$291,019
Value of fidelity bond covering the plan	2010-12-31	$25,000,000
Other income received	2010-12-31	$93,282
Net income (gross income less expenses)	2010-12-31	$198,748
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$396,352
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$291,019
Total contributions received or receivable from employer(s)	2010-12-31	$118,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC. 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC.

2010: PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC. 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: PENSION PLAN FOR CERTAIN UNION EMPLOYEES OF U.S. FOODSERVICE OF BUFFALO, INC. 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	US FOODS, INC
Employer identification number (EIN):	363642294
NAIC Classification:	424400