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CIRCLE K GAP SHORT TERM DISABILITY PLAN 401k Plan overview

Plan NameCIRCLE K GAP SHORT TERM DISABILITY PLAN
Plan identification number 503

CIRCLE K GAP SHORT TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

CIRCLE K STORES, INC. has sponsored the creation of one or more 401k plans.

Company Name:CIRCLE K STORES, INC.
Employer identification number (EIN):830446087
NAIC Classification:326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CIRCLE K GAP SHORT TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032010-01-01PAUL DOLBY
5032009-01-01PAUL DOLBY
5032009-01-01PAUL DOLBY

Plan Statistics for CIRCLE K GAP SHORT TERM DISABILITY PLAN

401k plan membership statisitcs for CIRCLE K GAP SHORT TERM DISABILITY PLAN

Measure Date Value
2010: CIRCLE K GAP SHORT TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,578
Total number of active participants reported on line 7a of the Form 55002010-01-010
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-010
2009: CIRCLE K GAP SHORT TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,495
Total number of active participants reported on line 7a of the Form 55002009-01-011,578
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,578

Financial Data on CIRCLE K GAP SHORT TERM DISABILITY PLAN

Measure Date Value
2010 : CIRCLE K GAP SHORT TERM DISABILITY PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$4,694
Total income from all sources (including contributions)2010-12-31$182
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$284,241
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$281,025
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$0
Value of total assets at end of year2010-12-31$0
Value of total assets at beginning of year2010-12-31$288,753
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$3,216
Total interest from all sources2010-12-31$182
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2010-12-31$0
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$10,833
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$255,453
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$28
Administrative expenses (other) incurred2010-12-31$3,216
Liabilities. Value of operating payables at end of year2010-12-31$0
Liabilities. Value of operating payables at beginning of year2010-12-31$3,448
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-284,059
Value of net assets at end of year (total assets less liabilities)2010-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$284,059
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$277,892
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$277,892
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$182
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$25,572
Liabilities. Value of benefit claims payable at end of year2010-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,246
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31PRICEWATERHOUSECOOPERS, LLC
Accountancy firm EIN2010-12-31980330246

Form 5500 Responses for CIRCLE K GAP SHORT TERM DISABILITY PLAN

2010: CIRCLE K GAP SHORT TERM DISABILITY PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingYes
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CIRCLE K GAP SHORT TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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