401k Plan data: BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN plan

BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN
Plan identification number	001

BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing

401k Sponsoring company profile

BLACKS SPORTING GOODS, INC. has sponsored the creation of one or more 401k plans.

Company Name: BLACKS SPORTING GOODS, INC.

Employer identification number (EIN): 370790683

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2009-02-01 DAVID W. HACHTING

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2009-02-01	DAVID W. HACHTING

Plan Statistics for BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN

Measure Date Value
2009: BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-02-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-02-01 4
Total of all active and inactive participants 2009-02-01 4
Total participants 2009-02-01 4
Number of participants with account balances 2009-02-01 1

Measure	Date	Value
2009: BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-02-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-02-01	4
Total of all active and inactive participants	2009-02-01	4
Total participants	2009-02-01	4
Number of participants with account balances	2009-02-01	1

Financial Data on BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN

Measure	Date	Value
2012 : BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-01-31	$-1,315
Expenses. Total of all expenses incurred	2012-01-31	$3,895
Benefits paid (including direct rollovers)	2012-01-31	$3,895
Total plan assets at end of year	2012-01-31	$95,676
Total plan assets at beginning of year	2012-01-31	$100,886
Value of fidelity bond covering the plan	2012-01-31	$20,000
Other income received	2012-01-31	$-1,315
Net income (gross income less expenses)	2012-01-31	$-5,210
Net plan assets at end of year (total assets less liabilities)	2012-01-31	$95,676
Net plan assets at beginning of year (total assets less liabilities)	2012-01-31	$100,886
2011 : BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-01-31	$16,826
Expenses. Total of all expenses incurred	2011-01-31	$8,502
Benefits paid (including direct rollovers)	2011-01-31	$8,000
Total plan assets at end of year	2011-01-31	$100,886
Total plan assets at beginning of year	2011-01-31	$92,562
Value of fidelity bond covering the plan	2011-01-31	$20,000
Expenses. Other expenses not covered elsewhere	2011-01-31	$502
Other income received	2011-01-31	$16,826
Net income (gross income less expenses)	2011-01-31	$8,324
Net plan assets at end of year (total assets less liabilities)	2011-01-31	$100,886
Net plan assets at beginning of year (total assets less liabilities)	2011-01-31	$92,562

Form 5500 Responses for BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN

2009: BLACK'S SPORTING GOODS, INC. PROFIT SHARING PLAN 2009 form 5500 responses
2009-02-01	Type of plan entity	Single employer plan
2009-02-01	Plan funding arrangement – Trust	Yes
2009-02-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BLACKS SPORTING GOODS, INC.
Employer identification number (EIN):	370790683