401k Plan data: CAPITOL CITY 401(K) RETIREMENT PLAN plan

CAPITOL CITY 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	CAPITOL CITY 401(K) RETIREMENT PLAN
Plan identification number	001

CAPITOL CITY 401(K) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

CAPITOL CITY OFFICE PRODUCTS, INC. has sponsored the creation of one or more 401k plans.

Company Name: CAPITOL CITY OFFICE PRODUCTS, INC.

Employer identification number (EIN): 480647627

NAIC Classification: 453210
NAIC Description: Office Supplies and Stationery Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAPITOL CITY 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2007-01-01 BRYAN KRISTENSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2007-01-01	BRYAN KRISTENSON

Plan Statistics for CAPITOL CITY 401(K) RETIREMENT PLAN

401k plan membership statisitcs for CAPITOL CITY 401(K) RETIREMENT PLAN

Measure Date Value
2007: CAPITOL CITY 401(K) RETIREMENT PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 11
Number of other retired or separated participants entitled to future benefits 2007-01-01 2
Total of all active and inactive participants 2007-01-01 13
Total participants 2007-01-01 13
Number of participants with account balances 2007-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-01-01 1

Measure	Date	Value
2007: CAPITOL CITY 401(K) RETIREMENT PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	11
Number of other retired or separated participants entitled to future benefits	2007-01-01	2
Total of all active and inactive participants	2007-01-01	13
Total participants	2007-01-01	13
Number of participants with account balances	2007-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-01-01	1

Financial Data on CAPITOL CITY 401(K) RETIREMENT PLAN

Measure	Date	Value
2010 : CAPITOL CITY 401(K) RETIREMENT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$-12,099
Expenses. Total of all expenses incurred	2010-12-31	$286,491
Benefits paid (including direct rollovers)	2010-12-31	$285,985
Total plan assets at beginning of year	2010-12-31	$298,590
Value of fidelity bond covering the plan	2010-12-31	$25,000
Expenses. Other expenses not covered elsewhere	2010-12-31	$506
Other income received	2010-12-31	$-12,099
Net income (gross income less expenses)	2010-12-31	$-298,590
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$298,590
2007 : CAPITOL CITY 401(K) RETIREMENT PLAN 2007 401k financial data
Total income from all sources	2007-12-31	$29,835
Expenses. Total of all expenses incurred	2007-12-31	$4,716
Benefits paid (including direct rollovers)	2007-12-31	$4,716
Total plan assets at end of year	2007-12-31	$298,590
Total plan assets at beginning of year	2007-12-31	$273,471
Value of fidelity bond covering the plan	2007-12-31	$25,000
Total contributions received or receivable from participants	2007-12-31	$14,909
Other income received	2007-12-31	$11,313
Net income (gross income less expenses)	2007-12-31	$25,119
Net plan assets at end of year (total assets less liabilities)	2007-12-31	$298,590
Net plan assets at beginning of year (total assets less liabilities)	2007-12-31	$273,471
Total contributions received or receivable from employer(s)	2007-12-31	$3,613

Form 5500 Responses for CAPITOL CITY 401(K) RETIREMENT PLAN

2007: CAPITOL CITY 401(K) RETIREMENT PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	CAPITOL CITY OFFICE PRODUCTS, INC.
Employer identification number (EIN):	480647627
NAIC Classification:	453210
NAIC Description:	Office Supplies and Stationery Stores