401k Plan data: DBI BEVERAGE INC. UNION 401(K) PLAN plan

DBI BEVERAGE INC. UNION 401(K) PLAN 401k Plan overview

Plan Name	DBI BEVERAGE INC. UNION 401(K) PLAN
Plan identification number	002

DBI BEVERAGE INC. UNION 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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

DBI BEVERAGE INC. has sponsored the creation of one or more 401k plans.

Company Name: DBI BEVERAGE INC.

Employer identification number (EIN): 020541044

NAIC Classification: 424800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DBI BEVERAGE INC. UNION 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2012-01-01 GINGER LEDBETTER
002 2011-01-01 GINGER LEDBETTER
002 2009-01-01 GINGER LEDBETTER JEFF SKINNER 2010-10-08

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2012-01-01	GINGER LEDBETTER
002	2011-01-01	GINGER LEDBETTER
002	2009-01-01	GINGER LEDBETTER	JEFF SKINNER	2010-10-08

Plan Statistics for DBI BEVERAGE INC. UNION 401(K) PLAN

401k plan membership statisitcs for DBI BEVERAGE INC. UNION 401(K) PLAN

Measure Date Value
2012: DBI BEVERAGE INC. UNION 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 247
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: DBI BEVERAGE INC. UNION 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 241
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 241
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 6
Total of all active and inactive participants 2011-01-01 247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 247
Number of participants with account balances 2011-01-01 247
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 12
2009: DBI BEVERAGE INC. UNION 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 173
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 7
Total of all active and inactive participants 2009-01-01 180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 180
Number of participants with account balances 2009-01-01 178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2012: DBI BEVERAGE INC. UNION 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	247
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: DBI BEVERAGE INC. UNION 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	241
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	241
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	6
Total of all active and inactive participants	2011-01-01	247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	247
Number of participants with account balances	2011-01-01	247
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	12
2009: DBI BEVERAGE INC. UNION 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	173
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	7
Total of all active and inactive participants	2009-01-01	180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	180
Number of participants with account balances	2009-01-01	178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

Financial Data on DBI BEVERAGE INC. UNION 401(K) PLAN

Measure	Date	Value
2012 : DBI BEVERAGE INC. UNION 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-04-30	$0
Total transfer of assets from this plan	2012-04-30	$3,102,889
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-04-30	$0
Total income from all sources (including contributions)	2012-04-30	$373,331
Total loss/gain on sale of assets	2012-04-30	$0
Total of all expenses incurred	2012-04-30	$154,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-04-30	$21,447
Expenses. Certain deemed distributions of participant loans	2012-04-30	$130,012
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-04-30	$226,489
Value of total assets at end of year	2012-04-30	$0
Value of total assets at beginning of year	2012-04-30	$2,884,242
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-04-30	$3,225
Total interest from all sources	2012-04-30	$990
Total dividends received (eg from common stock, registered investment company shares)	2012-04-30	$5,637
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-04-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2012-04-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2012-04-30	$5,637
Was this plan covered by a fidelity bond	2012-04-30	Yes
Value of fidelity bond cover	2012-04-30	$500,000
If this is an individual account plan, was there a blackout period	2012-04-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-04-30	No
Contributions received from participants	2012-04-30	$65,442
Participant contributions at end of year	2012-04-30	$0
Participant contributions at beginning of year	2012-04-30	$103,817
Other income not declared elsewhere	2012-04-30	$350
Administrative expenses (other) incurred	2012-04-30	$3,225
Total non interest bearing cash at end of year	2012-04-30	$0
Total non interest bearing cash at beginning of year	2012-04-30	$50
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-04-30	No
Value of net income/loss	2012-04-30	$218,647
Value of net assets at end of year (total assets less liabilities)	2012-04-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2012-04-30	$2,884,242
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-04-30	No
Were any leases to which the plan was party in default or uncollectible	2012-04-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-04-30	$1,878,385
Interest on participant loans	2012-04-30	$990
Value of interest in common/collective trusts at end of year	2012-04-30	$0
Value of interest in common/collective trusts at beginning of year	2012-04-30	$901,990
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-04-30	$136,608
Net investment gain or loss from common/collective trusts	2012-04-30	$3,257
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-04-30	No
Was there a failure to transmit to the plan any participant contributions	2012-04-30	No
Has the plan failed to provide any benefit when due under the plan	2012-04-30	No
Contributions received in cash from employer	2012-04-30	$161,047
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-04-30	$21,447
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-04-30	Yes
Did the plan have assets held for investment	2012-04-30	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	2012-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-04-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-04-30	Disclaimer
Accountancy firm name	2012-04-30	CROWE HORWARTH
Accountancy firm EIN	2012-04-30	350912680
2011 : DBI BEVERAGE INC. UNION 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$936,663
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$154,201
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$103,241
Expenses. Certain deemed distributions of participant loans	2011-12-31	$5,650
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$946,300
Value of total assets at end of year	2011-12-31	$2,884,242
Value of total assets at beginning of year	2011-12-31	$2,101,780
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$45,310
Total interest from all sources	2011-12-31	$3,040
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$51,820
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$51,820
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$243,289
Participant contributions at end of year	2011-12-31	$103,817
Participant contributions at beginning of year	2011-12-31	$84,257
Other income not declared elsewhere	2011-12-31	$2,015
Administrative expenses (other) incurred	2011-12-31	$45,310
Total non interest bearing cash at end of year	2011-12-31	$50
Total non interest bearing cash at beginning of year	2011-12-31	$275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$782,462
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,884,242
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,101,780
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,878,385
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,355,155
Interest on participant loans	2011-12-31	$3,040
Value of interest in common/collective trusts at end of year	2011-12-31	$901,990
Value of interest in common/collective trusts at beginning of year	2011-12-31	$662,093
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-77,469
Net investment gain or loss from common/collective trusts	2011-12-31	$10,957
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$703,011
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$103,241
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	CROWE HORWARTH
Accountancy firm EIN	2011-12-31	350912680
2010 : DBI BEVERAGE INC. UNION 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	$980,255
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$122,218
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$104,416
Expenses. Certain deemed distributions of participant loans	2010-12-31	$4,997
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$811,164
Value of total assets at end of year	2010-12-31	$2,101,780
Value of total assets at beginning of year	2010-12-31	$1,243,743
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$12,805
Total interest from all sources	2010-12-31	$1,833
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$28,023
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	$28,023
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$221,889
Participant contributions at end of year	2010-12-31	$84,257
Participant contributions at beginning of year	2010-12-31	$25,544
Other income not declared elsewhere	2010-12-31	$2,929
Administrative expenses (other) incurred	2010-12-31	$12,805
Total non interest bearing cash at end of year	2010-12-31	$275
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	$858,037
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,101,780
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,243,743
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	$1,355,155
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$702,631
Interest on participant loans	2010-12-31	$1,833
Value of interest in common/collective trusts at end of year	2010-12-31	$662,093
Value of interest in common/collective trusts at beginning of year	2010-12-31	$515,418
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$150
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$150
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$90,105
Net investment gain or loss from common/collective trusts	2010-12-31	$46,201
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	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$589,275
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$104,416
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	CROWE HORWARTH
Accountancy firm EIN	2010-12-31	350912680
2009 : DBI BEVERAGE INC. UNION 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 DBI BEVERAGE INC. UNION 401(K) PLAN

2012: DBI BEVERAGE INC. UNION 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DBI BEVERAGE INC. UNION 401(K) 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	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: DBI BEVERAGE INC. UNION 401(K) 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	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DBI BEVERAGE INC.
Employer identification number (EIN):	020541044
NAIC Classification:	424800