401k Plan data: A.H. SCHREIBER CO., INC. BENEFITS PLAN plan

A.H. SCHREIBER CO., INC. BENEFITS PLAN 401k Plan overview

Plan Name	A.H. SCHREIBER CO., INC. BENEFITS PLAN
Plan identification number	501

A.H. SCHREIBER CO., INC. BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

A.H. SCHREIBER CO. INC. has sponsored the creation of one or more 401k plans.

Company Name: A.H. SCHREIBER CO. INC.

Employer identification number (EIN): 135375000

NAIC Classification: 315990
NAIC Description: Apparel Accessories and Other Apparel Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan A.H. SCHREIBER CO., INC. BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-07-01 MICHEAL GROSS MICHEAL GROSS 2014-10-24
501 2012-07-01 MICHEAL GROSS MICHEAL GROSS 2013-11-26
501 2011-07-01 MICHEAL GROSS MICHEAL GROSS 2013-01-07
501 2010-07-01 MICHAEL GROSS MICHAEL GROSS 2012-01-26
501 2009-07-01 MICHAEL GROSS MICHAEL GROSS 2010-11-29

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2013-07-01	MICHEAL GROSS	MICHEAL GROSS	2014-10-24
501	2012-07-01	MICHEAL GROSS	MICHEAL GROSS	2013-11-26
501	2011-07-01	MICHEAL GROSS	MICHEAL GROSS	2013-01-07
501	2010-07-01	MICHAEL GROSS	MICHAEL GROSS	2012-01-26
501	2009-07-01	MICHAEL GROSS	MICHAEL GROSS	2010-11-29

Plan Statistics for A.H. SCHREIBER CO., INC. BENEFITS PLAN

401k plan membership statisitcs for A.H. SCHREIBER CO., INC. BENEFITS PLAN

Measure Date Value
2013: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 148
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 118
Number of retired or separated participants receiving benefits 2013-07-01 6
Number of other retired or separated participants entitled to future benefits 2013-07-01 1
Total of all active and inactive participants 2013-07-01 125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 125
Number of participants with account balances 2013-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 128
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 155
Number of retired or separated participants receiving benefits 2012-07-01 3
Number of other retired or separated participants entitled to future benefits 2012-07-01 2
Total of all active and inactive participants 2012-07-01 160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 160
Number of participants with account balances 2012-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 127
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 126
Number of retired or separated participants receiving benefits 2011-07-01 2
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 128
Number of participants with account balances 2011-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2010: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 121
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 122
Number of retired or separated participants receiving benefits 2010-07-01 5
Number of other retired or separated participants entitled to future benefits 2010-07-01 2
Total of all active and inactive participants 2010-07-01 129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 129
Number of participants with account balances 2010-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 0
2009: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 120
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 115
Number of retired or separated participants receiving benefits 2009-07-01 6
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 121
Number of participants with account balances 2009-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2013: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	148
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	118
Number of retired or separated participants receiving benefits	2013-07-01	6
Number of other retired or separated participants entitled to future benefits	2013-07-01	1
Total of all active and inactive participants	2013-07-01	125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	125
Number of participants with account balances	2013-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	128
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	155
Number of retired or separated participants receiving benefits	2012-07-01	3
Number of other retired or separated participants entitled to future benefits	2012-07-01	2
Total of all active and inactive participants	2012-07-01	160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	160
Number of participants with account balances	2012-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	127
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	126
Number of retired or separated participants receiving benefits	2011-07-01	2
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	128
Number of participants with account balances	2011-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2010: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	121
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	122
Number of retired or separated participants receiving benefits	2010-07-01	5
Number of other retired or separated participants entitled to future benefits	2010-07-01	2
Total of all active and inactive participants	2010-07-01	129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	129
Number of participants with account balances	2010-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	0
2009: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	120
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	115
Number of retired or separated participants receiving benefits	2009-07-01	6
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	121
Number of participants with account balances	2009-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Form 5500 Responses for A.H. SCHREIBER CO., INC. BENEFITS PLAN

2013: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: A.H. SCHREIBER CO., INC. BENEFITS PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	A.H. SCHREIBER CO. INC.
Employer identification number (EIN):	135375000
NAIC Classification:	315990
NAIC Description:	Apparel Accessories and Other Apparel Manufacturing