401k Plan data: SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN plan

SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN 401k Plan overview

Plan Name	SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN
Plan identification number	502

SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

SPIEGELHOFFS SUPER FOODS, INC. has sponsored the creation of one or more 401k plans.

Company Name: SPIEGELHOFFS SUPER FOODS, INC.

Employer identification number (EIN): 391257251

NAIC Classification: 445110
NAIC Description: Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2011-11-01 STEVEN SPIEGELHOFF STEVEN SPIEGELHOFF 2013-08-07
502 2009-11-01 STEVEN SPIEGELHOFF 2011-08-10
502 2009-11-01 STEVEN SPIEGELHOFF
502 2008-11-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2011-11-01	STEVEN SPIEGELHOFF	STEVEN SPIEGELHOFF	2013-08-07
502	2009-11-01		STEVEN SPIEGELHOFF	2011-08-10
502	2009-11-01	STEVEN SPIEGELHOFF
502	2008-11-01

Plan Statistics for SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN

401k plan membership statisitcs for SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN

Measure Date Value
2011: SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-11-01 68
Total number of active participants reported on line 7a of the Form 5500 2011-11-01 66
Total of all active and inactive participants 2011-11-01 66
Total participants 2011-11-01 66
2009: SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-11-01 83
Total number of active participants reported on line 7a of the Form 5500 2009-11-01 81
Total of all active and inactive participants 2009-11-01 81
Total participants 2009-11-01 81

Measure	Date	Value
2011: SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-11-01	68
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	66
Total of all active and inactive participants	2011-11-01	66
Total participants	2011-11-01	66
2009: SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-11-01	83
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	81
Total of all active and inactive participants	2009-11-01	81
Total participants	2009-11-01	81

Form 5500 Responses for SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN

2011: SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN 2011 form 5500 responses
2011-11-01	Type of plan entity	Single employer plan
2011-11-01	Submission has been amended	No
2011-11-01	This submission is the final filing	No
2011-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-11-01	Plan is a collectively bargained plan	No
2011-11-01	Plan funding arrangement – Insurance	Yes
2011-11-01	Plan benefit arrangement – Insurance	Yes
2009: SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN 2009 form 5500 responses
2009-11-01	Type of plan entity	Single employer plan
2009-11-01	Submission has been amended	No
2009-11-01	This submission is the final filing	No
2009-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-11-01	Plan is a collectively bargained plan	No
2009-11-01	Plan funding arrangement – Insurance	Yes
2009-11-01	Plan benefit arrangement – Insurance	Yes
2008: SPIEGELHOFF'S SUPER FOOD FLEXIBLE SPENDING PLAN 2008 form 5500 responses
2008-11-01	Type of plan entity	Single employer plan
2008-11-01	Submission has been amended	No
2008-11-01	This submission is the final filing	No
2008-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-11-01	Plan is a collectively bargained plan	No

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Company Name:	SPIEGELHOFFS SUPER FOODS, INC.
Employer identification number (EIN):	391257251
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores