401k Plan data: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN plan

BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 401k Plan overview

Plan Name	BLACKHAWK MOLDING CO, INC. BENEFITS PLAN
Plan identification number	501

BLACKHAWK MOLDING CO, INC. BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

BLACKHAWK MOLDING COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: BLACKHAWK MOLDING COMPANY, INC.

Employer identification number (EIN): 362160077

NAIC Classification: 326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLACKHAWK MOLDING CO, INC. BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2011-04-01 ROBERT HIDDING
501 2009-06-01 ROBERT HIDDING
501 2008-06-01 ROBERT HIDDING
501 2007-07-01 ROBERT HIDDING
501 2006-07-01 ROBERT HIDDING

Plan id#	Filing Submission Date	Name of Administrator
501	2011-04-01	ROBERT HIDDING
501	2009-06-01	ROBERT HIDDING
501	2008-06-01	ROBERT HIDDING
501	2007-07-01	ROBERT HIDDING
501	2006-07-01	ROBERT HIDDING

Plan Statistics for BLACKHAWK MOLDING CO, INC. BENEFITS PLAN

401k plan membership statisitcs for BLACKHAWK MOLDING CO, INC. BENEFITS PLAN

Measure Date Value
2011: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 185
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 185
Number of retired or separated participants receiving benefits 2011-04-01 1
Total of all active and inactive participants 2011-04-01 186
2009: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-06-01 184
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 175
Total of all active and inactive participants 2009-06-01 175
2008: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2008 401k membership
Total participants, beginning-of-year 2008-06-01 173
Total number of active participants reported on line 7a of the Form 5500 2008-06-01 184
Total of all active and inactive participants 2008-06-01 184
2007: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2007 401k membership
Total participants, beginning-of-year 2007-07-01 230
Total number of active participants reported on line 7a of the Form 5500 2007-07-01 173
Total of all active and inactive participants 2007-07-01 173
2006: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2006 401k membership
Total participants, beginning-of-year 2006-07-01 208
Total number of active participants reported on line 7a of the Form 5500 2006-07-01 230
Total of all active and inactive participants 2006-07-01 230

Measure	Date	Value
2011: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	185
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	185
Number of retired or separated participants receiving benefits	2011-04-01	1
Total of all active and inactive participants	2011-04-01	186
2009: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-06-01	184
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	175
Total of all active and inactive participants	2009-06-01	175
2008: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2008 401k membership
Total participants, beginning-of-year	2008-06-01	173
Total number of active participants reported on line 7a of the Form 5500	2008-06-01	184
Total of all active and inactive participants	2008-06-01	184
2007: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2007 401k membership
Total participants, beginning-of-year	2007-07-01	230
Total number of active participants reported on line 7a of the Form 5500	2007-07-01	173
Total of all active and inactive participants	2007-07-01	173
2006: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2006 401k membership
Total participants, beginning-of-year	2006-07-01	208
Total number of active participants reported on line 7a of the Form 5500	2006-07-01	230
Total of all active and inactive participants	2006-07-01	230

Form 5500 Responses for BLACKHAWK MOLDING CO, INC. BENEFITS PLAN

2011: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	This submission is the final filing	Yes
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2009: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	This submission is the final filing	No
2009-06-01	Plan funding arrangement – Insurance	Yes
2009-06-01	Plan benefit arrangement – Insurance	Yes
2008: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2008 form 5500 responses
2008-06-01	Type of plan entity	Single employer plan
2008-06-01	This submission is the final filing	No
2008-06-01	Plan funding arrangement – Insurance	Yes
2008-06-01	Plan benefit arrangement – Insurance	Yes
2007: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2007 form 5500 responses
2007-07-01	Type of plan entity	Single employer plan
2007-07-01	This submission is the final filing	No
2007-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2007-07-01	Plan funding arrangement – Insurance	Yes
2007-07-01	Plan benefit arrangement – Insurance	Yes
2006: BLACKHAWK MOLDING CO, INC. BENEFITS PLAN 2006 form 5500 responses
2006-07-01	Type of plan entity	Single employer plan
2006-07-01	First time form 5500 has been submitted	Yes
2006-07-01	This submission is the final filing	No
2006-07-01	Plan funding arrangement – Insurance	Yes
2006-07-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	BLACKHAWK MOLDING COMPANY, INC.
Employer identification number (EIN):	362160077
NAIC Classification:	326100