401k Plan data: MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN plan

MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan Name	MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number	501

MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

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

401k Sponsoring company profile

MUNNS MANUFACTURING, INC. has sponsored the creation of one or more 401k plans.

Company Name: MUNNS MANUFACTURING, INC.

Employer identification number (EIN): 870504749

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2011-11-01 KARLA MUNNS
501 2010-11-01 KARLA MUNNS
501 2009-11-01 KARLA MUNNS

Plan id#	Filing Submission Date	Name of Administrator
501	2011-11-01	KARLA MUNNS
501	2010-11-01	KARLA MUNNS
501	2009-11-01	KARLA MUNNS

Plan Statistics for MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2011: MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-11-01 0
Total number of active participants reported on line 7a of the Form 5500 2011-11-01 0
Number of retired or separated participants receiving benefits 2011-11-01 0
Number of other retired or separated participants entitled to future benefits 2011-11-01 0
Total of all active and inactive participants 2011-11-01 0
2010: MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-11-01 16
Total number of active participants reported on line 7a of the Form 5500 2010-11-01 13
Number of retired or separated participants receiving benefits 2010-11-01 1
Number of other retired or separated participants entitled to future benefits 2010-11-01 0
Total of all active and inactive participants 2010-11-01 14
2009: MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-11-01 18
Total number of active participants reported on line 7a of the Form 5500 2009-11-01 13
Number of retired or separated participants receiving benefits 2009-11-01 1
Total of all active and inactive participants 2009-11-01 14

Measure	Date	Value
2011: MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-11-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	0
Number of retired or separated participants receiving benefits	2011-11-01	0
Number of other retired or separated participants entitled to future benefits	2011-11-01	0
Total of all active and inactive participants	2011-11-01	0
2010: MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-11-01	16
Total number of active participants reported on line 7a of the Form 5500	2010-11-01	13
Number of retired or separated participants receiving benefits	2010-11-01	1
Number of other retired or separated participants entitled to future benefits	2010-11-01	0
Total of all active and inactive participants	2010-11-01	14
2009: MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-11-01	18
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	13
Number of retired or separated participants receiving benefits	2009-11-01	1
Total of all active and inactive participants	2009-11-01	14

Financial Data on MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure	Date	Value
2012 : MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k financial data
Transfers to/from the plan	2012-10-31	$-1
Total income from all sources	2012-10-31	$969
Expenses. Total of all expenses incurred	2012-10-31	$3,743
Benefits paid (including direct rollovers)	2012-10-31	$2,942
Total plan assets at end of year	2012-10-31	$0
Total plan assets at beginning of year	2012-10-31	$2,775
Other income received	2012-10-31	$96
Net income (gross income less expenses)	2012-10-31	$-2,774
Net plan assets at end of year (total assets less liabilities)	2012-10-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-10-31	$2,775
Total contributions received or receivable from employer(s)	2012-10-31	$873
Expenses. Administrative service providers (salaries,fees and commissions)	2012-10-31	$801
2011 : MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k financial data
Total plan liabilities at beginning of year	2011-10-31	$2,774
Total income from all sources	2011-10-31	$96,346
Expenses. Total of all expenses incurred	2011-10-31	$104,395
Benefits paid (including direct rollovers)	2011-10-31	$88,533
Total plan assets at end of year	2011-10-31	$2,775
Total plan assets at beginning of year	2011-10-31	$13,598
Total contributions received or receivable from participants	2011-10-31	$69,278
Other income received	2011-10-31	$241
Net income (gross income less expenses)	2011-10-31	$-8,049
Net plan assets at end of year (total assets less liabilities)	2011-10-31	$2,775
Net plan assets at beginning of year (total assets less liabilities)	2011-10-31	$10,824
Total contributions received or receivable from employer(s)	2011-10-31	$26,827
Expenses. Administrative service providers (salaries,fees and commissions)	2011-10-31	$15,862

Form 5500 Responses for MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2011: MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 form 5500 responses
2011-11-01	Type of plan entity	Single employer plan
2011-11-01	This submission is the final filing	Yes
2011-11-01	Plan funding arrangement – Trust	Yes
2011-11-01	Plan benefit arrangement - Trust	Yes
2010: MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2010 form 5500 responses
2010-11-01	Type of plan entity	Single employer plan
2010-11-01	Plan funding arrangement – Trust	Yes
2010-11-01	Plan benefit arrangement - Trust	Yes
2009: MUNNS MANUFACTURING, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 form 5500 responses
2009-11-01	Type of plan entity	Single employer plan
2009-11-01	First time form 5500 has been submitted	Yes
2009-11-01	Plan funding arrangement – Trust	Yes
2009-11-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MUNNS MANUFACTURING, INC.
Employer identification number (EIN):	870504749
NAIC Classification:	332900