401k Plan data: VISION CARE HOLDINGS, LLC 401(K) PLAN plan

VISION CARE HOLDINGS, LLC 401(K) PLAN 401k Plan overview

Plan Name	VISION CARE HOLDINGS, LLC 401(K) PLAN
Plan identification number	001

VISION CARE HOLDINGS, LLC 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

VISION CARE HOLDINGS, LLC has sponsored the creation of one or more 401k plans.

Company Name: VISION CARE HOLDINGS, LLC

Employer identification number (EIN): 200317638

NAIC Classification: 446130
NAIC Description: Optical Goods Stores

Additional information about VISION CARE HOLDINGS, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 3714888

More information about VISION CARE HOLDINGS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VISION CARE HOLDINGS, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2010-01-01 RONALD ANTONIEWICZ
001 2009-01-01 RONALD ANTONIEWICZ
001 2009-01-01 RONALD ANTONIEWICZ

Plan id#	Filing Submission Date	Name of Administrator
001	2010-01-01	RONALD ANTONIEWICZ
001	2009-01-01	RONALD ANTONIEWICZ
001	2009-01-01	RONALD ANTONIEWICZ

Plan Statistics for VISION CARE HOLDINGS, LLC 401(K) PLAN

401k plan membership statisitcs for VISION CARE HOLDINGS, LLC 401(K) PLAN

Measure Date Value
2010: VISION CARE HOLDINGS, LLC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,068
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 720
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 361
Total of all active and inactive participants 2010-01-01 1,081
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 1,081
Number of participants with account balances 2010-01-01 600
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: VISION CARE HOLDINGS, LLC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,002
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 693
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 375
Total of all active and inactive participants 2009-01-01 1,068
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,068
Number of participants with account balances 2009-01-01 597
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2010: VISION CARE HOLDINGS, LLC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,068
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	720
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	361
Total of all active and inactive participants	2010-01-01	1,081
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	1,081
Number of participants with account balances	2010-01-01	600
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: VISION CARE HOLDINGS, LLC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,002
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	693
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	375
Total of all active and inactive participants	2009-01-01	1,068
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,068
Number of participants with account balances	2009-01-01	597
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on VISION CARE HOLDINGS, LLC 401(K) PLAN

Measure	Date	Value
2010 : VISION CARE HOLDINGS, LLC 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$300,791
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$201,437
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$193,270
Expenses. Certain deemed distributions of participant loans	2010-12-31	$1,034
Value of total corrective distributions	2010-12-31	$4,333
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$153,064
Value of total assets at end of year	2010-12-31	$1,412,835
Value of total assets at beginning of year	2010-12-31	$1,313,481
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$2,800
Total interest from all sources	2010-12-31	$4,800
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$24,598
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$24,598
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$132,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$153,064
Participant contributions at end of year	2010-12-31	$59,294
Participant contributions at beginning of year	2010-12-31	$58,158
Other income not declared elsewhere	2010-12-31	$22
Administrative expenses (other) incurred	2010-12-31	$2,800
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$99,354
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,412,835
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,313,481
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,106,756
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$961,991
Interest on participant loans	2010-12-31	$4,800
Value of interest in common/collective trusts at end of year	2010-12-31	$246,785
Value of interest in common/collective trusts at beginning of year	2010-12-31	$293,332
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$114,918
Net investment gain or loss from common/collective trusts	2010-12-31	$3,389
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$193,270
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	CHERRY, BEKAERT & HOLLAND LLP
Accountancy firm EIN	2010-12-31	560574444
2009 : VISION CARE HOLDINGS, LLC 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for VISION CARE HOLDINGS, LLC 401(K) PLAN

2010: VISION CARE HOLDINGS, LLC 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: VISION CARE HOLDINGS, LLC 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	VISION CARE HOLDINGS, LLC
Employer identification number (EIN):	200317638
NAIC Classification:	446130
NAIC Description:	Optical Goods Stores

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	3714888