401k Plan data: C & S SHOES, INC. EMPLOYEES RETIREMENT PROFIT SHARING PLAN plan

C & S SHOES, INC. EMPLOYEES RETIREMENT PROFIT SHARING PLAN 401k Plan overview

Plan Name	C & S SHOES, INC. EMPLOYEES RETIREMENT PROFIT SHARING PLAN
Plan identification number	001

C & S SHOES, INC. EMPLOYEES RETIREMENT PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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

C & S SHOES, INC. has sponsored the creation of one or more 401k plans.

Company Name: C & S SHOES, INC.

Employer identification number (EIN): 382142876

NAIC Classification: 448210
NAIC Description: Shoe Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan C & S SHOES, INC. EMPLOYEES RETIREMENT PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 JEFFREY ROBY 2015-05-13
001 2013-01-01 JEFFREY ROBY 2014-10-13
001 2012-01-01 JEFFREY ROBY 2013-10-09
001 2011-01-01 JEFFREY ROBY 2012-09-28
001 2010-01-01 JEFFREY ROBY 2011-10-11
001 2009-01-01 JEFFREY ROBY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2014-01-01	JEFFREY ROBY	2015-05-13
001	2013-01-01	JEFFREY ROBY	2014-10-13
001	2012-01-01	JEFFREY ROBY	2013-10-09
001	2011-01-01	JEFFREY ROBY	2012-09-28
001	2010-01-01	JEFFREY ROBY	2011-10-11
001	2009-01-01	JEFFREY ROBY

Plan Statistics for C & S SHOES, INC. EMPLOYEES RETIREMENT PROFIT SHARING PLAN

401k plan membership statisitcs for C & S SHOES, INC. EMPLOYEES RETIREMENT PROFIT SHARING PLAN

Measure Date Value
2009: C & S SHOES, INC. EMPLOYEES RETIREMENT PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4
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 0
Total of all active and inactive participants 2009-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2009: C & S SHOES, INC. EMPLOYEES RETIREMENT PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4
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	0
Total of all active and inactive participants	2009-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on C & S SHOES, INC. EMPLOYEES RETIREMENT PROFIT SHARING PLAN

Measure	Date	Value
2009 : C & S SHOES, INC. EMPLOYEES RETIREMENT PROFIT SHARING 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 C & S SHOES, INC. EMPLOYEES RETIREMENT PROFIT SHARING PLAN

2009: C & S SHOES, INC. EMPLOYEES RETIREMENT PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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:	C & S SHOES, INC.
Employer identification number (EIN):	382142876
NAIC Classification:	448210
NAIC Description:	Shoe Stores