401k Plan data: REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN plan

REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN
Plan identification number	501

REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

ADIDAS AMERICA INC. has sponsored the creation of one or more 401k plans.

Company Name: ADIDAS AMERICA INC.

Employer identification number (EIN): 042678061

NAIC Classification: 423990
NAIC Description: Other Miscellaneous Durable Goods Merchant Wholesalers

Additional information about ADIDAS AMERICA INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 2262836

More information about ADIDAS AMERICA INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-01-01 JOHN WARREN
501 2011-01-01 JOHN WARREN
501 2010-01-01 JOHN WARREN
501 2009-01-01 JOHN WARREN JOHN WARREN 2010-09-24

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2012-01-01	JOHN WARREN
501	2011-01-01	JOHN WARREN
501	2010-01-01	JOHN WARREN
501	2009-01-01	JOHN WARREN	JOHN WARREN	2010-09-24

Plan Statistics for REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN

Measure Date Value
2012: REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,039
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
2011: REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,209
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,037
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 0
Total of all active and inactive participants 2011-01-01 2,037
Total participants 2011-01-01 2,037
2010: REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 2,128
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 2,209
Number of retired or separated participants receiving benefits 2010-01-01 0
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 2,209
2009: REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,365
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,128
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 2,128

Measure	Date	Value
2012: REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,039
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
2011: REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,209
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,037
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	0
Total of all active and inactive participants	2011-01-01	2,037
Total participants	2011-01-01	2,037
2010: REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	2,128
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	2,209
Number of retired or separated participants receiving benefits	2010-01-01	0
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	2,209
2009: REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,365
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,128
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	2,128

Form 5500 Responses for REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN

2012: REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT 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)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: REEBOK INTERNATIONAL LTD. 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 – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
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)	No
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: REEBOK INTERNATIONAL LTD. EMPLOYEE BENEFIT 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 – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	ADIDAS AMERICA INC.
Employer identification number (EIN):	042678061
NAIC Classification:	423990
NAIC Description:	Other Miscellaneous Durable Goods Merchant Wholesalers

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	2262836