401k Plan data: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS plan

COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 401k Plan overview

Plan Name	COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS
Plan identification number	503

COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

COLD SPRING BREWING COMPANY has sponsored the creation of one or more 401k plans.

Company Name: COLD SPRING BREWING COMPANY

Employer identification number (EIN): 841391118

NAIC Classification: 312110
NAIC Description: Soft Drink and Ice Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2013-09-01 ADAM MARTIN
503 2012-09-01 ADAM MARTIN
503 2011-09-01 TODD LARSON
503 2010-09-01 TODD LARSON
503 2010-01-01 TODD LARSON
503 2009-02-01 TODD LARSON
503 2009-02-01 TODD LARSON DOUG DEGEEST 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2013-09-01	ADAM MARTIN
503	2012-09-01	ADAM MARTIN
503	2011-09-01	TODD LARSON
503	2010-09-01	TODD LARSON
503	2010-01-01	TODD LARSON
503	2009-02-01	TODD LARSON
503	2009-02-01	TODD LARSON	DOUG DEGEEST	2010-10-14

Plan Statistics for COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS

401k plan membership statisitcs for COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS

Measure Date Value
2013: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2013 401k membership
Total participants, beginning-of-year 2013-09-01 206
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 0
Number of retired or separated participants receiving benefits 2013-09-01 0
Number of other retired or separated participants entitled to future benefits 2013-09-01 0
Total of all active and inactive participants 2013-09-01 0
2012: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2012 401k membership
Total participants, beginning-of-year 2012-09-01 218
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 212
Number of retired or separated participants receiving benefits 2012-09-01 0
Number of other retired or separated participants entitled to future benefits 2012-09-01 0
Total of all active and inactive participants 2012-09-01 212
2011: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2011 401k membership
Total participants, beginning-of-year 2011-09-01 176
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 206
Number of retired or separated participants receiving benefits 2011-09-01 0
Number of other retired or separated participants entitled to future benefits 2011-09-01 0
Total of all active and inactive participants 2011-09-01 206
2010: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2010 401k membership
Total participants, beginning-of-year 2010-09-01 183
Total number of active participants reported on line 7a of the Form 5500 2010-09-01 193
Number of retired or separated participants receiving benefits 2010-09-01 1
Number of other retired or separated participants entitled to future benefits 2010-09-01 0
Total of all active and inactive participants 2010-09-01 194
Total participants, beginning-of-year 2010-01-01 187
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 181
Number of retired or separated participants receiving benefits 2010-01-01 3
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 184
2009: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2009 401k membership
Total participants, beginning-of-year 2009-02-01 185
Total number of active participants reported on line 7a of the Form 5500 2009-02-01 185
Number of retired or separated participants receiving benefits 2009-02-01 2
Number of other retired or separated participants entitled to future benefits 2009-02-01 0
Total of all active and inactive participants 2009-02-01 187

Measure	Date	Value
2013: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2013 401k membership
Total participants, beginning-of-year	2013-09-01	206
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	0
Number of retired or separated participants receiving benefits	2013-09-01	0
Number of other retired or separated participants entitled to future benefits	2013-09-01	0
Total of all active and inactive participants	2013-09-01	0
2012: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2012 401k membership
Total participants, beginning-of-year	2012-09-01	218
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	212
Number of retired or separated participants receiving benefits	2012-09-01	0
Number of other retired or separated participants entitled to future benefits	2012-09-01	0
Total of all active and inactive participants	2012-09-01	212
2011: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2011 401k membership
Total participants, beginning-of-year	2011-09-01	176
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	206
Number of retired or separated participants receiving benefits	2011-09-01	0
Number of other retired or separated participants entitled to future benefits	2011-09-01	0
Total of all active and inactive participants	2011-09-01	206
2010: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2010 401k membership
Total participants, beginning-of-year	2010-09-01	183
Total number of active participants reported on line 7a of the Form 5500	2010-09-01	193
Number of retired or separated participants receiving benefits	2010-09-01	1
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	194
Total participants, beginning-of-year	2010-01-01	187
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	181
Number of retired or separated participants receiving benefits	2010-01-01	3
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	184
2009: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2009 401k membership
Total participants, beginning-of-year	2009-02-01	185
Total number of active participants reported on line 7a of the Form 5500	2009-02-01	185
Number of retired or separated participants receiving benefits	2009-02-01	2
Number of other retired or separated participants entitled to future benefits	2009-02-01	0
Total of all active and inactive participants	2009-02-01	187

Form 5500 Responses for COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS

2013: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Submission has been amended	No
2013-09-01	This submission is the final filing	Yes
2013-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-09-01	Plan is a collectively bargained plan	No
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2012: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	Submission has been amended	No
2012-09-01	This submission is the final filing	No
2012-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-09-01	Plan is a collectively bargained plan	No
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
2011: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Submission has been amended	No
2011-09-01	This submission is the final filing	No
2011-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-09-01	Plan is a collectively bargained plan	No
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes
2010: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2010 form 5500 responses
2010-09-01	Type of plan entity	Single employer plan
2010-09-01	Submission has been amended	No
2010-09-01	This submission is the final filing	No
2010-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-09-01	Plan is a collectively bargained plan	No
2010-09-01	Plan funding arrangement – Insurance	Yes
2010-09-01	Plan benefit arrangement – Insurance	Yes
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)	Yes
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: COLD SPRING BREWING CO. GROUP INSURANCE BENEFITS 2009 form 5500 responses
2009-02-01	Type of plan entity	Single employer plan
2009-02-01	Submission has been amended	Yes
2009-02-01	This submission is the final filing	No
2009-02-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-02-01	Plan is a collectively bargained plan	No
2009-02-01	Plan funding arrangement – Insurance	Yes
2009-02-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	COLD SPRING BREWING COMPANY
Employer identification number (EIN):	841391118
NAIC Classification:	312110
NAIC Description:	Soft Drink and Ice Manufacturing