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| Plan Name | THE BLACK BROS. CO. EMPLOYEE BENEFIT PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BLACK BROTHERS CO. |
| Employer identification number (EIN): | 360810680 |
| NAIC Classification: | 333200 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2011-01-01 | ROBERT STACHLEWITZ | JEFFREY SIMONTON | 2012-07-26 | |
| 502 | 2010-01-01 | ROBERT STACHLEWITZ | JEFFREY SIMONTON | 2011-07-25 | |
| 502 | 2009-01-01 | ROBERT STACHLEWITZ | JEFFREY SIMONTON | 2010-07-13 |
| Measure | Date | Value |
|---|---|---|
| 2011: THE BLACK BROS. CO. EMPLOYEE BENEFIT PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 24 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 21 |
| Total of all active and inactive participants | 2011-01-01 | 21 |
| 2010: THE BLACK BROS. CO. EMPLOYEE BENEFIT PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 27 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 24 |
| Total of all active and inactive participants | 2010-01-01 | 24 |
| 2009: THE BLACK BROS. CO. EMPLOYEE BENEFIT PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 27 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 27 |
| Total of all active and inactive participants | 2009-01-01 | 27 |
| Measure | Date | Value |
|---|---|---|
| 2011 : THE BLACK BROS. CO. EMPLOYEE BENEFIT PLAN 2011 401k financial data | ||
| Total income from all sources | 2011-12-31 | $25,424 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $25,424 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $25,219 |
| Total contributions received or receivable from participants | 2011-12-31 | $25,424 |
| Net income (gross income less expenses) | 2011-12-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $205 |
| 2010 : THE BLACK BROS. CO. EMPLOYEE BENEFIT PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $31,034 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $31,034 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $30,920 |
| Total contributions received or receivable from participants | 2010-12-31 | $31,034 |
| Net income (gross income less expenses) | 2010-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $114 |
| 2011: THE BLACK BROS. CO. EMPLOYEE BENEFIT PLAN 2011 form 5500 responses | ||
|---|---|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2010: THE BLACK BROS. CO. EMPLOYEE BENEFIT PLAN 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: THE BLACK BROS. CO. EMPLOYEE BENEFIT PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
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