401k Plan data: R & K LEWIS, INC. PROFIT SHARING PLAN plan

R & K LEWIS, INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	R & K LEWIS, INC. PROFIT SHARING PLAN
Plan identification number	001

R & K LEWIS, INC. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

R & K LEWIS, INC. has sponsored the creation of one or more 401k plans.

Company Name: R & K LEWIS, INC.

Employer identification number (EIN): 261176074

NAIC Classification: 238300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan R & K LEWIS, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2010-09-01 RUSSELL J. LEWIS
001 2009-09-01 RUSSELL LEWIS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2010-09-01	RUSSELL J. LEWIS
001	2009-09-01	RUSSELL LEWIS

Plan Statistics for R & K LEWIS, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for R & K LEWIS, INC. PROFIT SHARING PLAN

Measure Date Value
2010: R & K LEWIS, INC. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-09-01 0
Total number of active participants reported on line 7a of the Form 5500 2010-09-01 0
Number of retired or separated participants receiving benefits 2010-09-01 0
Number of other retired or separated participants entitled to future benefits 2010-09-01 0
Total of all active and inactive participants 2010-09-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-09-01 0
Total participants 2010-09-01 0
Number of participants with account balances 2010-09-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-09-01 0
2009: R & K LEWIS, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-09-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 2
Total of all active and inactive participants 2009-09-01 2
Total participants 2009-09-01 2
Number of participants with account balances 2009-09-01 2

Measure	Date	Value
2010: R & K LEWIS, INC. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-09-01	0
Total number of active participants reported on line 7a of the Form 5500	2010-09-01	0
Number of retired or separated participants receiving benefits	2010-09-01	0
Number of other retired or separated participants entitled to future benefits	2010-09-01	0
Total of all active and inactive participants	2010-09-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-09-01	0
Total participants	2010-09-01	0
Number of participants with account balances	2010-09-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-09-01	0
2009: R & K LEWIS, INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-09-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	2
Total of all active and inactive participants	2009-09-01	2
Total participants	2009-09-01	2
Number of participants with account balances	2009-09-01	2

Financial Data on R & K LEWIS, INC. PROFIT SHARING PLAN

Measure	Date	Value
2011 : R & K LEWIS, INC. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-08-31	$-4,959
Expenses. Total of all expenses incurred	2011-08-31	$32,440
Benefits paid (including direct rollovers)	2011-08-31	$32,440
Total plan assets at end of year	2011-08-31	$0
Total plan assets at beginning of year	2011-08-31	$37,399
Value of fidelity bond covering the plan	2011-08-31	$32,000
Total contributions received or receivable from participants	2011-08-31	$0
Contributions received from other sources (not participants or employers)	2011-08-31	$0
Other income received	2011-08-31	$-4,959
Net income (gross income less expenses)	2011-08-31	$-37,399
Net plan assets at end of year (total assets less liabilities)	2011-08-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-08-31	$37,399
Total contributions received or receivable from employer(s)	2011-08-31	$0
Value of certain deemed distributions of participant loans	2011-08-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-08-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-08-31	$0

Form 5500 Responses for R & K LEWIS, INC. PROFIT SHARING PLAN

2010: R & K LEWIS, INC. PROFIT SHARING PLAN 2010 form 5500 responses
2010-09-01	Type of plan entity	Single employer plan
2010-09-01	This submission is the final filing	Yes
2010-09-01	Plan funding arrangement – Trust	Yes
2010-09-01	Plan benefit arrangement - Trust	Yes
2009: R & K LEWIS, INC. PROFIT SHARING PLAN 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	Submission has been amended	No
2009-09-01	This submission is the final filing	No
2009-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-09-01	Plan is a collectively bargained plan	No
2009-09-01	Plan funding arrangement – Trust	Yes
2009-09-01	Plan benefit arrangement - Trust	Yes

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Company Name:	R & K LEWIS, INC.
Employer identification number (EIN):	261176074
NAIC Classification:	238300