401k Plan data: BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN plan

BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan Name	BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number	501

BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

BIG FOUR DISTRIBUTING, INC has sponsored the creation of one or more 401k plans.

Company Name: BIG FOUR DISTRIBUTING, INC

Employer identification number (EIN): 870376046

NAIC Classification: 722410
NAIC Description: Drinking Places (Alcoholic Beverages)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2011-05-01 JOHN B. ALLEMAN
501 2010-05-01 JOHN B. ALLEMAN
501 2009-05-01 JOHN B. ALLEMAN

Plan id#	Filing Submission Date	Name of Administrator
501	2011-05-01	JOHN B. ALLEMAN
501	2010-05-01	JOHN B. ALLEMAN
501	2009-05-01	JOHN B. ALLEMAN

Plan Statistics for BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2011: BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-05-01 0
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 0
Number of retired or separated participants receiving benefits 2011-05-01 0
Number of other retired or separated participants entitled to future benefits 2011-05-01 0
Total of all active and inactive participants 2011-05-01 0
2010: BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-05-01 33
Total number of active participants reported on line 7a of the Form 5500 2010-05-01 29
Number of retired or separated participants receiving benefits 2010-05-01 0
Number of other retired or separated participants entitled to future benefits 2010-05-01 0
Total of all active and inactive participants 2010-05-01 29
2009: BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-05-01 34
Total number of active participants reported on line 7a of the Form 5500 2009-05-01 33
Number of retired or separated participants receiving benefits 2009-05-01 0
Number of other retired or separated participants entitled to future benefits 2009-05-01 0
Total of all active and inactive participants 2009-05-01 33

Measure	Date	Value
2011: BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-05-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	0
Number of retired or separated participants receiving benefits	2011-05-01	0
Number of other retired or separated participants entitled to future benefits	2011-05-01	0
Total of all active and inactive participants	2011-05-01	0
2010: BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-05-01	33
Total number of active participants reported on line 7a of the Form 5500	2010-05-01	29
Number of retired or separated participants receiving benefits	2010-05-01	0
Number of other retired or separated participants entitled to future benefits	2010-05-01	0
Total of all active and inactive participants	2010-05-01	29
2009: BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-05-01	34
Total number of active participants reported on line 7a of the Form 5500	2009-05-01	33
Number of retired or separated participants receiving benefits	2009-05-01	0
Number of other retired or separated participants entitled to future benefits	2009-05-01	0
Total of all active and inactive participants	2009-05-01	33

Financial Data on BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure	Date	Value
2012 : BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k financial data
Transfers to/from the plan	2012-04-30	$-33,399
Total income from all sources	2012-04-30	$6,621
Expenses. Total of all expenses incurred	2012-04-30	$17,585
Benefits paid (including direct rollovers)	2012-04-30	$16,410
Total plan assets at end of year	2012-04-30	$0
Total plan assets at beginning of year	2012-04-30	$44,363
Value of fidelity bond covering the plan	2012-04-30	$15,000
Other income received	2012-04-30	$754
Net income (gross income less expenses)	2012-04-30	$-10,964
Net plan assets at end of year (total assets less liabilities)	2012-04-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-04-30	$44,363
Total contributions received or receivable from employer(s)	2012-04-30	$5,867
Expenses. Administrative service providers (salaries,fees and commissions)	2012-04-30	$1,175
2011 : BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k financial data
Total plan liabilities at beginning of year	2011-04-30	$472
Total income from all sources	2011-04-30	$190,123
Expenses. Total of all expenses incurred	2011-04-30	$150,833
Benefits paid (including direct rollovers)	2011-04-30	$123,617
Total plan assets at end of year	2011-04-30	$44,363
Total plan assets at beginning of year	2011-04-30	$5,545
Value of fidelity bond covering the plan	2011-04-30	$15,000
Total contributions received or receivable from participants	2011-04-30	$27,901
Other income received	2011-04-30	$1,292
Net income (gross income less expenses)	2011-04-30	$39,290
Net plan assets at end of year (total assets less liabilities)	2011-04-30	$44,363
Net plan assets at beginning of year (total assets less liabilities)	2011-04-30	$5,073
Total contributions received or receivable from employer(s)	2011-04-30	$160,930
Expenses. Administrative service providers (salaries,fees and commissions)	2011-04-30	$27,216

Form 5500 Responses for BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2011: BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	This submission is the final filing	Yes
2011-05-01	Plan funding arrangement – Trust	Yes
2011-05-01	Plan benefit arrangement - Trust	Yes
2010: BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2010 form 5500 responses
2010-05-01	Type of plan entity	Single employer plan
2010-05-01	Plan funding arrangement – Trust	Yes
2010-05-01	Plan benefit arrangement - Trust	Yes
2009: BIG FOUR DISTRIBUTING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 form 5500 responses
2009-05-01	Type of plan entity	Single employer plan
2009-05-01	First time form 5500 has been submitted	Yes
2009-05-01	Plan funding arrangement – Trust	Yes
2009-05-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BIG FOUR DISTRIBUTING, INC
Employer identification number (EIN):	870376046
NAIC Classification:	722410
NAIC Description:	Drinking Places (Alcoholic Beverages)