401k Plan data: SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN plan

SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN 401k Plan overview

Plan Name	SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN
Plan identification number	001

SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.

401k Sponsoring company profile

SUPERIOR LINEN SUPPLY COMPANY BILL ELLIOTT has sponsored the creation of one or more 401k plans.

Company Name: SUPERIOR LINEN SUPPLY COMPANY BILL ELLIOTT

Employer identification number (EIN): 440454400

NAIC Classification: 812330
NAIC Description: Linen and Uniform Supply

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01
001 2013-01-01
001 2012-01-01 WILLIAM KARTSONIS 2013-08-05 WILLIAM KARTSONIS 2013-08-05
001 2011-01-01 WILLIAM KARTSONIS WILLIAM KARTSONIS 2012-09-05
001 2010-01-01 MATT KARTSONIS MATT KARTSONIS 2011-09-13
001 2009-01-01 WILLIAM KARTSONIS WILLIAM KARTSONIS 2010-08-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01
001	2013-01-01
001	2012-01-01	WILLIAM KARTSONIS	2013-08-05	WILLIAM KARTSONIS	2013-08-05
001	2011-01-01	WILLIAM KARTSONIS		WILLIAM KARTSONIS	2012-09-05
001	2010-01-01	MATT KARTSONIS		MATT KARTSONIS	2011-09-13
001	2009-01-01	WILLIAM KARTSONIS		WILLIAM KARTSONIS	2010-08-11

Plan Statistics for SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN

401k plan membership statisitcs for SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN

Measure Date Value
2011: SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 23
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 3
Total of all active and inactive participants 2011-01-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 26
Number of participants with account balances 2011-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 20
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 1
Total of all active and inactive participants 2010-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 21
Number of participants with account balances 2010-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 20
Number of other retired or separated participants entitled to future benefits 2009-01-01 4
Total of all active and inactive participants 2009-01-01 24
Total participants 2009-01-01 24
Number of participants with account balances 2009-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2011: SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	23
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	3
Total of all active and inactive participants	2011-01-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	26
Number of participants with account balances	2011-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	20
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	1
Total of all active and inactive participants	2010-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	21
Number of participants with account balances	2010-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	20
Number of other retired or separated participants entitled to future benefits	2009-01-01	4
Total of all active and inactive participants	2009-01-01	24
Total participants	2009-01-01	24
Number of participants with account balances	2009-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN

Measure	Date	Value
2011 : SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN 2011 401k financial data
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$20,205
Expenses. Total of all expenses incurred	2011-12-31	$0
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$444,943
Total plan assets at beginning of year	2011-12-31	$424,738
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$21,419
Other income received	2011-12-31	$-1,214
Net income (gross income less expenses)	2011-12-31	$20,205
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$444,943
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$424,738
Assets. Value of participant loans	2011-12-31	$2,921
Assets. Value of real-estate (other than employer real property)	2011-12-31	$59,000
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2011-12-31	$1,481
2010 : SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$36,807
Expenses. Total of all expenses incurred	2010-12-31	$44,696
Benefits paid (including direct rollovers)	2010-12-31	$44,696
Total plan assets at end of year	2010-12-31	$424,738
Total plan assets at beginning of year	2010-12-31	$432,627
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$25,443
Other income received	2010-12-31	$11,364
Net income (gross income less expenses)	2010-12-31	$-7,889
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$424,738
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$432,627
Assets. Value of participant loans	2010-12-31	$4,269
Assets. Value of real-estate (other than employer real property)	2010-12-31	$59,000
Total contributions received or receivable from employer(s)	2010-12-31	$0
2009 : SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN 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 SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN

2011: SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN 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	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: SUPERIOR LINEN SUPPLY COMPANY 401(K) PLAN 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	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHG809

Policy instance

Insurance contract or identification number	PHG809
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Insurance broker organization code?	1
Insurance broker name	BANK OF BELTON

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Company Name:	SUPERIOR LINEN SUPPLY COMPANY BILL ELLIOTT
Employer identification number (EIN):	440454400
NAIC Classification:	812330
NAIC Description:	Linen and Uniform Supply