MEDICAL AND LIFE PLAN 401k Plan overview

MEDICAL AND LIFE PLAN Benefits

401k Sponsoring company profile

Company Name:	ATLAS CARPET MILLS, INC.
Employer identification number (EIN):	952598208
NAIC Classification:	442210
NAIC Description:	Floor Covering Stores

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2013-11-01	JEFF LASETER
503	2012-11-01	CORAZON FABRICANTE
503	2011-11-01	CORAZON FABRICANTE
503	2009-11-01	CORAZON FABRICANTE

Plan Statistics for MEDICAL AND LIFE PLAN

Measure	Date	Value
2013: MEDICAL AND LIFE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-11-01	204
Total number of active participants reported on line 7a of the Form 5500	2013-11-01	0
Number of retired or separated participants receiving benefits	2013-11-01	0
Number of other retired or separated participants entitled to future benefits	2013-11-01	0
Total of all active and inactive participants	2013-11-01	0
2012: MEDICAL AND LIFE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-11-01	205
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	204
Number of retired or separated participants receiving benefits	2012-11-01	0
Number of other retired or separated participants entitled to future benefits	2012-11-01	0
Total of all active and inactive participants	2012-11-01	204
2011: MEDICAL AND LIFE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-11-01	203
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	202
Number of retired or separated participants receiving benefits	2011-11-01	3
Number of other retired or separated participants entitled to future benefits	2011-11-01	0
Total of all active and inactive participants	2011-11-01	205
2009: MEDICAL AND LIFE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-11-01	228
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	208
Number of retired or separated participants receiving benefits	2009-11-01	0
Number of other retired or separated participants entitled to future benefits	2009-11-01	0
Total of all active and inactive participants	2009-11-01	208

Form 5500 Responses for MEDICAL AND LIFE PLAN

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