401k Plan data: CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN plan

CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN 401k Plan overview

Plan Name	CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN
Plan identification number	505

CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness)

401k Sponsoring company profile

CARIBOU COFFEE COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: CARIBOU COFFEE COMPANY, INC.

Employer identification number (EIN): 411731219

NAIC Classification: 722515
NAIC Description: Snack and Nonalcoholic Beverage Bars

Additional information about CARIBOU COFFEE COMPANY, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1997-03-31

Company Identification Number: 0011465106

Legal Registered Office Address: 3900 LAKE BREEZE AVE

MINNEAPOLIS
United States of America (USA)
55429

More information about CARIBOU COFFEE COMPANY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2013-01-01 KAREN MCBRIDE
505 2012-05-01 KAREN MCBRIDE
505 2011-05-01 KAREN MCBRIDE
505 2009-05-01 KAREN MCBRIDE KAREN MCBRIDE 2010-11-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
505	2013-01-01	KAREN MCBRIDE
505	2012-05-01	KAREN MCBRIDE
505	2011-05-01	KAREN MCBRIDE
505	2009-05-01	KAREN MCBRIDE	KAREN MCBRIDE	2010-11-12

Plan Statistics for CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN

401k plan membership statisitcs for CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN

Measure Date Value
2013: CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 570
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
2012: CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-05-01 559
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 570
Number of retired or separated participants receiving benefits 2012-05-01 0
Number of other retired or separated participants entitled to future benefits 2012-05-01 0
Total of all active and inactive participants 2012-05-01 570
2011: CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-05-01 557
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 559
Number of retired or separated participants receiving benefits 2011-05-01 0
Number of other retired or separated participants entitled to future benefits 2011-05-01 0
Total of all active and inactive participants 2011-05-01 559
2009: CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-05-01 644
Total number of active participants reported on line 7a of the Form 5500 2009-05-01 578
Number of retired or separated participants receiving benefits 2009-05-01 0
Number of other retired or separated participants entitled to future benefits 2009-05-01 0
Total of all active and inactive participants 2009-05-01 578

Measure	Date	Value
2013: CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	570
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
2012: CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-05-01	559
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	570
Number of retired or separated participants receiving benefits	2012-05-01	0
Number of other retired or separated participants entitled to future benefits	2012-05-01	0
Total of all active and inactive participants	2012-05-01	570
2011: CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-05-01	557
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	559
Number of retired or separated participants receiving benefits	2011-05-01	0
Number of other retired or separated participants entitled to future benefits	2011-05-01	0
Total of all active and inactive participants	2011-05-01	559
2009: CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-05-01	644
Total number of active participants reported on line 7a of the Form 5500	2009-05-01	578
Number of retired or separated participants receiving benefits	2009-05-01	0
Number of other retired or separated participants entitled to future benefits	2009-05-01	0
Total of all active and inactive participants	2009-05-01	578

Form 5500 Responses for CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN

2013: CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	Submission has been amended	Yes
2012-05-01	This submission is the final filing	No
2012-05-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-05-01	Plan is a collectively bargained plan	No
2012-05-01	Plan funding arrangement – Insurance	Yes
2012-05-01	Plan benefit arrangement – Insurance	Yes
2011: CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Submission has been amended	No
2011-05-01	This submission is the final filing	No
2011-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-05-01	Plan is a collectively bargained plan	No
2011-05-01	Plan funding arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes
2009: CARIBOU COFFEE COMPANY, INC. SHORT TERM DISABILITY PLAN 2009 form 5500 responses
2009-05-01	Type of plan entity	Single employer plan
2009-05-01	Submission has been amended	No
2009-05-01	This submission is the final filing	No
2009-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-05-01	Plan is a collectively bargained plan	No
2009-05-01	Plan funding arrangement – Insurance	Yes
2009-05-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	CARIBOU COFFEE COMPANY, INC.
Employer identification number (EIN):	411731219
NAIC Classification:	722515
NAIC Description:	Snack and Nonalcoholic Beverage Bars

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1997-03-31
Company Identification Number:	0011465106
Legal Registered Office Address:	3900 LAKE BREEZE AVE MINNEAPOLIS United States of America (USA) 55429