401k Plan data: C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) plan

C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 401k Plan overview

Plan Name	C&S AND AFFILIATES 401(K) SAVINGS PLAN (D)
Plan identification number	004

C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

C&S WHOLESALE GROCERS, INC. has sponsored the creation of one or more 401k plans.

Company Name: C&S WHOLESALE GROCERS, INC.

Employer identification number (EIN): 041140950

NAIC Classification: 424400

Additional information about C&S WHOLESALE GROCERS, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2015-12-10

Company Identification Number: 0802346650

Legal Registered Office Address: 7 CORPORATE DR

KEENE
United States of America (USA)
03431

More information about C&S WHOLESALE GROCERS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan C&S AND AFFILIATES 401(K) SAVINGS PLAN (D)

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2015-01-01 THOMAS RILEY
004 2014-01-01 THOMAS RILEY
004 2013-06-01 THOMAS RILEY

Plan id#	Filing Submission Date	Name of Administrator
004	2015-01-01	THOMAS RILEY
004	2014-01-01	THOMAS RILEY
004	2013-06-01	THOMAS RILEY

Plan Statistics for C&S AND AFFILIATES 401(K) SAVINGS PLAN (D)

401k plan membership statisitcs for C&S AND AFFILIATES 401(K) SAVINGS PLAN (D)

Measure Date Value
2015: C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,590
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,131
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,425
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 38
Total of all active and inactive participants 2014-01-01 2,463
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 3
Total participants 2014-01-01 2,466
Number of participants with account balances 2014-01-01 1,100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 4
2013: C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 2013 401k membership
Total participants, beginning-of-year 2013-06-01 1,738
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 2,068
Number of retired or separated participants receiving benefits 2013-06-01 0
Number of other retired or separated participants entitled to future benefits 2013-06-01 6
Total of all active and inactive participants 2013-06-01 2,074
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-06-01 0
Total participants 2013-06-01 2,074
Number of participants with account balances 2013-06-01 1,005
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-06-01 8

Measure	Date	Value
2015: C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,590
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,131
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,425
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	38
Total of all active and inactive participants	2014-01-01	2,463
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	3
Total participants	2014-01-01	2,466
Number of participants with account balances	2014-01-01	1,100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	4
2013: C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 2013 401k membership
Total participants, beginning-of-year	2013-06-01	1,738
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	2,068
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	6
Total of all active and inactive participants	2013-06-01	2,074
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-06-01	0
Total participants	2013-06-01	2,074
Number of participants with account balances	2013-06-01	1,005
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-06-01	8

Financial Data on C&S AND AFFILIATES 401(K) SAVINGS PLAN (D)

Measure	Date	Value
2015 : C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-02-02	$0
Total transfer of assets from this plan	2015-02-02	$53,095,039
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-02-02	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-02-02	$0
Total income from all sources (including contributions)	2015-02-02	$-623,237
Total loss/gain on sale of assets	2015-02-02	$0
Total of all expenses incurred	2015-02-02	$617,757
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-02-02	$603,390
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-02-02	$53,613
Value of total assets at end of year	2015-02-02	$0
Value of total assets at beginning of year	2015-02-02	$54,336,033
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-02-02	$14,367
Total interest from all sources	2015-02-02	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-02-02	$5,735
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-02-02	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-02-02	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-02-02	$5,735
Was this plan covered by a fidelity bond	2015-02-02	Yes
Value of fidelity bond cover	2015-02-02	$5,000,000
If this is an individual account plan, was there a blackout period	2015-02-02	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-02-02	$0
Were there any nonexempt tranactions with any party-in-interest	2015-02-02	No
Contributions received from participants	2015-02-02	$38,771
Other income not declared elsewhere	2015-02-02	$173
Administrative expenses (other) incurred	2015-02-02	$14,367
Total non interest bearing cash at beginning of year	2015-02-02	$5,233
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-02-02	No
Value of net income/loss	2015-02-02	$-1,240,994
Value of net assets at end of year (total assets less liabilities)	2015-02-02	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-02-02	$54,336,033
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-02-02	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-02-02	No
Were any leases to which the plan was party in default or uncollectible	2015-02-02	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-02-02	$34,891,325
Value of interest in common/collective trusts at beginning of year	2015-02-02	$19,439,475
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-02-02	$-441,690
Net investment gain/loss from pooled separate accounts	2015-02-02	$0
Net investment gain or loss from common/collective trusts	2015-02-02	$-241,068
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-02-02	No
Was there a failure to transmit to the plan any participant contributions	2015-02-02	No
Has the plan failed to provide any benefit when due under the plan	2015-02-02	No
Contributions received in cash from employer	2015-02-02	$14,842
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-02-02	$603,390
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-02-02	Yes
Did the plan have assets held for investment	2015-02-02	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-02-02	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-02-02	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-02-02	Yes
Opinion of an independent qualified public accountant for this plan	2015-02-02	Disclaimer
Accountancy firm name	2015-02-02	KPMG LLP
Accountancy firm EIN	2015-02-02	135565207
2014 : C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$6,588,104
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$6,593,095
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$6,487,992
Value of total corrective distributions	2014-12-31	$520
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,394,644
Value of total assets at end of year	2014-12-31	$54,336,033
Value of total assets at beginning of year	2014-12-31	$54,341,024
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$104,583
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$1,545,033
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$1,545,033
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,994,934
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$643,029
Other income not declared elsewhere	2014-12-31	$17
Administrative expenses (other) incurred	2014-12-31	$104,583
Total non interest bearing cash at end of year	2014-12-31	$5,233
Total non interest bearing cash at beginning of year	2014-12-31	$2,795
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-4,991
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$54,336,033
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$54,341,024
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$34,891,325
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$33,211,589
Value of interest in common/collective trusts at end of year	2014-12-31	$19,439,475
Value of interest in common/collective trusts at beginning of year	2014-12-31	$21,126,640
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$1,300,707
Net investment gain or loss from common/collective trusts	2014-12-31	$347,703
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$756,681
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$6,487,992
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
2013 : C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$51,795,579
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$4,713,163
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$2,167,718
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,156,521
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,074,436
Value of total assets at end of year	2013-12-31	$54,341,024
Value of total assets at beginning of year	2013-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$11,197
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$874,703
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$874,703
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$737,625
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$51,253
Other income not declared elsewhere	2013-12-31	$1
Administrative expenses (other) incurred	2013-12-31	$11,197
Total non interest bearing cash at end of year	2013-12-31	$2,795
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$2,545,445
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$54,341,024
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$33,211,589
Value of interest in common/collective trusts at end of year	2013-12-31	$21,126,640
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,501,414
Net investment gain or loss from common/collective trusts	2013-12-31	$262,609
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$285,558
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,156,521
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	KPMG LLP
Accountancy firm EIN	2013-12-31	135565207

Form 5500 Responses for C&S AND AFFILIATES 401(K) SAVINGS PLAN (D)

2015: C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: C&S AND AFFILIATES 401(K) SAVINGS PLAN (D) 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	First time form 5500 has been submitted	Yes
2013-06-01	Submission has been amended	No
2013-06-01	This submission is the final filing	No
2013-06-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-06-01	Plan is a collectively bargained plan	No
2013-06-01	Plan funding arrangement – Trust	Yes
2013-06-01	Plan benefit arrangement - Trust	Yes

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Company Name:	C&S WHOLESALE GROCERS, INC.
Employer identification number (EIN):	041140950
NAIC Classification:	424400

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2015-12-10
Company Identification Number:	0802346650
Legal Registered Office Address:	7 CORPORATE DR KEENE United States of America (USA) 03431