401k Plan data: TRYSTAR CABLES VEBA HEALTH SAVINGS PLAN plan

TRYSTAR CABLES VEBA HEALTH SAVINGS PLAN 401k Plan overview

Plan Name	TRYSTAR CABLES VEBA HEALTH SAVINGS PLAN
Plan identification number	507

TRYSTAR CABLES VEBA HEALTH SAVINGS PLAN Benefits

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

401k Sponsoring company profile

TRYSTAR, LLC has sponsored the creation of one or more 401k plans.

Company Name: TRYSTAR, LLC

Employer identification number (EIN): 411837436

NAIC Classification: 335310

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRYSTAR CABLES VEBA HEALTH SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
507 2011-01-01 PEGGY BLITZ 2012-06-27
507 2010-01-01 PEGGY BLITZ 2011-07-21
507 2008-01-01 PEGGY BLITZ

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
507	2011-01-01	PEGGY BLITZ	2012-06-27
507	2010-01-01	PEGGY BLITZ	2011-07-21
507	2008-01-01	PEGGY BLITZ

Plan Statistics for TRYSTAR CABLES VEBA HEALTH SAVINGS PLAN

401k plan membership statisitcs for TRYSTAR CABLES VEBA HEALTH SAVINGS PLAN

Measure Date Value
2008: TRYSTAR CABLES VEBA HEALTH SAVINGS PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 26
Number of retired or separated participants receiving benefits 2008-01-01 2
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 28

Measure	Date	Value
2008: TRYSTAR CABLES VEBA HEALTH SAVINGS PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	26
Number of retired or separated participants receiving benefits	2008-01-01	2
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	28

Financial Data on TRYSTAR CABLES VEBA HEALTH SAVINGS PLAN

Measure	Date	Value
2008 : TRYSTAR CABLES VEBA HEALTH SAVINGS PLAN 2008 401k financial data
Transfers to/from the plan	2008-12-31	$0
Total plan liabilities at end of year	2008-12-31	$0
Total plan liabilities at beginning of year	2008-12-31	$0
Total income from all sources	2008-12-31	$31,364
Expenses. Total of all expenses incurred	2008-12-31	$7,374
Benefits paid (including direct rollovers)	2008-12-31	$0
Total plan assets at end of year	2008-12-31	$23,990
Total plan assets at beginning of year	2008-12-31	$0
Total contributions received or receivable from participants	2008-12-31	$0
Expenses. Other expenses not covered elsewhere	2008-12-31	$57
Contributions received from other sources (not participants or employers)	2008-12-31	$0
Other income received	2008-12-31	$-636
Noncash contributions received	2008-12-31	$0
Net income (gross income less expenses)	2008-12-31	$23,990
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$23,990
Net plan assets at beginning of year (total assets less liabilities)	2008-12-31	$0
Total contributions received or receivable from employer(s)	2008-12-31	$32,000
Value of certain deemed distributions of participant loans	2008-12-31	$0
Value of corrective distributions	2008-12-31	$7,317
Expenses. Administrative service providers (salaries,fees and commissions)	2008-12-31	$0

Form 5500 Responses for TRYSTAR CABLES VEBA HEALTH SAVINGS PLAN

2008: TRYSTAR CABLES VEBA HEALTH SAVINGS PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	First time form 5500 has been submitted	Yes
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	TRYSTAR, LLC
Employer identification number (EIN):	411837436
NAIC Classification:	335310