401k Plan data: FOOD STORE MANAGEMENT 401K PLAN plan

FOOD STORE MANAGEMENT 401K PLAN 401k Plan overview

Plan Name	FOOD STORE MANAGEMENT 401K PLAN
Plan identification number	002

FOOD STORE MANAGEMENT 401K 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.
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.

401k Sponsoring company profile

FOOD STORE MANAGEMENT, INC has sponsored the creation of one or more 401k plans.

Company Name: FOOD STORE MANAGEMENT, INC

Employer identification number (EIN): 341793372

NAIC Classification: 561110
NAIC Description: Office Administrative Services

Additional information about FOOD STORE MANAGEMENT, INC

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1995-02-02

Company Identification Number: 893037

Legal Registered Office Address: 100 FEDERAL PLAZA EAST, STE 600
-
YOUNGSTOWN
United States of America (USA)
44503

More information about FOOD STORE MANAGEMENT, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FOOD STORE MANAGEMENT 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-07-01 JUDITH GABRIELE 2016-06-15
002 2014-07-01 JUDITH GABRIELE
002 2013-07-01 JUDITH GABRIELE
002 2012-07-01 JUDITH GABRIELE
002 2011-07-01 JUDITH GABRIELE
002 2009-07-01 RICHARD YAGER
002 2009-07-01 RICHARD YAGER
002 2009-07-01 JUDITH GABRIELE 2011-03-09
002 2009-07-01 RICHARD YAGER
002 2009-07-01 RICHARD YAGER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2015-07-01	JUDITH GABRIELE	2016-06-15
002	2014-07-01	JUDITH GABRIELE
002	2013-07-01	JUDITH GABRIELE
002	2012-07-01	JUDITH GABRIELE
002	2011-07-01	JUDITH GABRIELE
002	2009-07-01	RICHARD YAGER
002	2009-07-01	RICHARD YAGER
002	2009-07-01			JUDITH GABRIELE	2011-03-09
002	2009-07-01	RICHARD YAGER
002	2009-07-01	RICHARD YAGER

Plan Statistics for FOOD STORE MANAGEMENT 401K PLAN

401k plan membership statisitcs for FOOD STORE MANAGEMENT 401K PLAN

Measure Date Value
2014: FOOD STORE MANAGEMENT 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 213
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 164
Number of retired or separated participants receiving benefits 2014-07-01 1
Number of other retired or separated participants entitled to future benefits 2014-07-01 26
Total of all active and inactive participants 2014-07-01 191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 191
Number of participants with account balances 2014-07-01 89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: FOOD STORE MANAGEMENT 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 233
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 169
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 29
Total of all active and inactive participants 2013-07-01 198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 198
Number of participants with account balances 2013-07-01 96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: FOOD STORE MANAGEMENT 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 254
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 196
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 32
Total of all active and inactive participants 2012-07-01 228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 228
Number of participants with account balances 2012-07-01 111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: FOOD STORE MANAGEMENT 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 277
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 231
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 20
Total of all active and inactive participants 2011-07-01 251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 251
Number of participants with account balances 2011-07-01 110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2009: FOOD STORE MANAGEMENT 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 277
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 223
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 27
Total of all active and inactive participants 2009-07-01 250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 250
Number of participants with account balances 2009-07-01 109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2014: FOOD STORE MANAGEMENT 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	213
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	164
Number of retired or separated participants receiving benefits	2014-07-01	1
Number of other retired or separated participants entitled to future benefits	2014-07-01	26
Total of all active and inactive participants	2014-07-01	191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	191
Number of participants with account balances	2014-07-01	89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: FOOD STORE MANAGEMENT 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	233
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	169
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	29
Total of all active and inactive participants	2013-07-01	198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	198
Number of participants with account balances	2013-07-01	96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: FOOD STORE MANAGEMENT 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	254
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	196
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	32
Total of all active and inactive participants	2012-07-01	228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	228
Number of participants with account balances	2012-07-01	111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: FOOD STORE MANAGEMENT 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	277
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	231
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	20
Total of all active and inactive participants	2011-07-01	251
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	251
Number of participants with account balances	2011-07-01	110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2009: FOOD STORE MANAGEMENT 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	277
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	223
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	27
Total of all active and inactive participants	2009-07-01	250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	250
Number of participants with account balances	2009-07-01	109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Financial Data on FOOD STORE MANAGEMENT 401K PLAN

Measure	Date	Value
2015 : FOOD STORE MANAGEMENT 401K PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$135,214
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$70,100
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$69,179
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$80,467
Value of total assets at end of year	2015-06-30	$2,074,456
Value of total assets at beginning of year	2015-06-30	$2,009,342
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$921
Total interest from all sources	2015-06-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-06-30	$0
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$200,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Participant contributions at end of year	2015-06-30	$0
Participant contributions at beginning of year	2015-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$80,467
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$65,114
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$2,074,456
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$2,009,342
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in pooled separate accounts at end of year	2015-06-30	$2,074,456
Value of interest in pooled separate accounts at beginning of year	2015-06-30	$2,009,342
Net investment gain/loss from pooled separate accounts	2015-06-30	$54,747
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Employer contributions (assets) at end of year	2015-06-30	$0
Employer contributions (assets) at beginning of year	2015-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$69,179
Contract administrator fees	2015-06-30	$921
Did the plan have assets held for investment	2015-06-30	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	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	HILL AND BARTH AND KING LLC
Accountancy firm EIN	2015-06-30	341897225
2014 : FOOD STORE MANAGEMENT 401K PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$383,882
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$190,085
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$189,021
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$85,796
Value of total assets at end of year	2014-06-30	$2,009,342
Value of total assets at beginning of year	2014-06-30	$1,815,545
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$1,064
Total interest from all sources	2014-06-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$200,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$85,796
Participant contributions at end of year	2014-06-30	$0
Participant contributions at beginning of year	2014-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$193,797
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$2,009,342
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$1,815,545
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in pooled separate accounts at end of year	2014-06-30	$2,009,342
Value of interest in pooled separate accounts at beginning of year	2014-06-30	$1,815,545
Net investment gain/loss from pooled separate accounts	2014-06-30	$298,086
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Employer contributions (assets) at end of year	2014-06-30	$0
Employer contributions (assets) at beginning of year	2014-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$189,021
Contract administrator fees	2014-06-30	$1,064
Did the plan have assets held for investment	2014-06-30	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	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	HILL AND BARTH AND KING LLC
Accountancy firm EIN	2014-06-30	341897225
2013 : FOOD STORE MANAGEMENT 401K PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$258,356
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$97,165
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$96,109
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$82,110
Value of total assets at end of year	2013-06-30	$1,815,545
Value of total assets at beginning of year	2013-06-30	$1,654,354
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$1,056
Total interest from all sources	2013-06-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$200,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$82,110
Participant contributions at end of year	2013-06-30	$0
Participant contributions at beginning of year	2013-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$161,191
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$1,815,545
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$1,654,354
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in pooled separate accounts at end of year	2013-06-30	$1,815,545
Value of interest in pooled separate accounts at beginning of year	2013-06-30	$1,654,354
Net investment gain/loss from pooled separate accounts	2013-06-30	$176,246
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Employer contributions (assets) at end of year	2013-06-30	$0
Employer contributions (assets) at beginning of year	2013-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$96,109
Contract administrator fees	2013-06-30	$1,056
Did the plan have assets held for investment	2013-06-30	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	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	HILL AND BARTH AND KING LLC
Accountancy firm EIN	2013-06-30	341897225
2012 : FOOD STORE MANAGEMENT 401K PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$103,050
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$245,137
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$241,887
Value of total corrective distributions	2012-06-30	$2,135
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$91,356
Value of total assets at end of year	2012-06-30	$1,654,354
Value of total assets at beginning of year	2012-06-30	$1,796,441
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$1,115
Total interest from all sources	2012-06-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$200,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$91,356
Total non interest bearing cash at end of year	2012-06-30	$0
Total non interest bearing cash at beginning of year	2012-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$-142,087
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$1,654,354
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$1,796,441
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$0
Value of interest in pooled separate accounts at end of year	2012-06-30	$1,654,354
Value of interest in pooled separate accounts at beginning of year	2012-06-30	$1,796,441
Value of interest in common/collective trusts at end of year	2012-06-30	$0
Value of interest in common/collective trusts at beginning of year	2012-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-06-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-06-30	$0
Net investment gain/loss from pooled separate accounts	2012-06-30	$11,694
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$241,887
Contract administrator fees	2012-06-30	$1,115
Did the plan have assets held for investment	2012-06-30	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	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	HILL AND BARTH AND KING LLC
Accountancy firm EIN	2012-06-30	341897225
2011 : FOOD STORE MANAGEMENT 401K PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$410,423
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$158,484
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$150,141
Expenses. Certain deemed distributions of participant loans	2011-06-30	$0
Value of total corrective distributions	2011-06-30	$1,648
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$89,492
Value of total assets at end of year	2011-06-30	$1,796,441
Value of total assets at beginning of year	2011-06-30	$1,544,502
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$6,695
Total interest from all sources	2011-06-30	$26
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$126
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Administrative expenses professional fees incurred	2011-06-30	$0
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$200,000
If this is an individual account plan, was there a blackout period	2011-06-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$89,492
Income. Received or receivable in cash from other sources (including rollovers)	2011-06-30	$0
Administrative expenses (other) incurred	2011-06-30	$0
Total non interest bearing cash at end of year	2011-06-30	$0
Total non interest bearing cash at beginning of year	2011-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Income. Non cash contributions	2011-06-30	$0
Value of net income/loss	2011-06-30	$251,939
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$1,796,441
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$1,544,502
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Investment advisory and management fees	2011-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$1,369,847
Value of interest in pooled separate accounts at end of year	2011-06-30	$1,796,441
Value of interest in pooled separate accounts at beginning of year	2011-06-30	$0
Value of interest in common/collective trusts at end of year	2011-06-30	$0
Value of interest in common/collective trusts at beginning of year	2011-06-30	$44,043
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-06-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-06-30	$130,612
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-06-30	$130,612
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-06-30	$26
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$278,325
Net investment gain/loss from pooled separate accounts	2011-06-30	$42,454
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$0
Income. Dividends from common stock	2011-06-30	$126
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$150,141
Contract administrator fees	2011-06-30	$6,695
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	2011-06-30	Yes
Did the plan have assets held for investment	2011-06-30	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	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	HILL AND BARTH AND KING LLC
Accountancy firm EIN	2011-06-30	341897225
2010 : FOOD STORE MANAGEMENT 401K PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for FOOD STORE MANAGEMENT 401K PLAN

2014: FOOD STORE MANAGEMENT 401K PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: FOOD STORE MANAGEMENT 401K PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: FOOD STORE MANAGEMENT 401K PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: FOOD STORE MANAGEMENT 401K PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: FOOD STORE MANAGEMENT 401K PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	Yes
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

100774

Policy instance

Insurance contract or identification number	100774
Number of Individuals Covered	97
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $6,069
Total amount of fees paid to insurance company	USD $1,942
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,257
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Insurance broker name	EDWARD D. JONES & COMPANY

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

100774

Policy instance

Insurance contract or identification number	100774
Number of Individuals Covered	103
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $5,230
Total amount of fees paid to insurance company	USD $1,938
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,615
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Insurance broker name	TEGRIT GROUP

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

100774

Policy instance

Insurance contract or identification number	100774
Number of Individuals Covered	109
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $5,368
Total amount of fees paid to insurance company	USD $1,933
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,684
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	BROKER COMMISSION
Insurance broker organization code?	3
Insurance broker name	TEGRIT GROUP

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

100774

Policy instance

Insurance contract or identification number	100774
Number of Individuals Covered	112
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $2,444
Total amount of fees paid to insurance company	USD $3,138
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

100774

Policy instance

Insurance contract or identification number	100774
Number of Individuals Covered	114
Insurance policy start date	2011-04-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $13,194
Total amount of fees paid to insurance company	USD $2,567
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

FOOD STORE SOLUTIONS LLC EMPLOYEE GROUP HEALTH PLAN [EIN = 300574274]

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Company Name:	FOOD STORE MANAGEMENT, INC
Employer identification number (EIN):	341793372
NAIC Classification:	561110
NAIC Description:	Office Administrative Services

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1995-02-02
Company Identification Number:	893037
Legal Registered Office Address:	100 FEDERAL PLAZA EAST, STE 600 - YOUNGSTOWN United States of America (USA) 44503