401k Plan data: FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST plan

FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST 401k Plan overview

Plan Name	FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST
Plan identification number	001

FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
Total participant-directed account plan - Participants have the opportunity to direct the investment of all 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.
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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

FORTH SPORT FLOORS INC. has sponsored the creation of one or more 401k plans.

Company Name: FORTH SPORT FLOORS INC.

Employer identification number (EIN): 202018067

NAIC Classification: 541400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 MARGARET FORTH
001 2011-01-01 MARGARET FORTH 2012-07-17
001 2010-01-01 FORTH SPORT FLOORS INC 2011-07-19
001 2007-01-01 MARGARET FORTH
001 2006-01-01 MARGARET FORTH

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2012-01-01	MARGARET FORTH
001	2011-01-01	MARGARET FORTH	2012-07-17
001	2010-01-01	FORTH SPORT FLOORS INC	2011-07-19
001	2007-01-01	MARGARET FORTH
001	2006-01-01	MARGARET FORTH

Plan Statistics for FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST

401k plan membership statisitcs for FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST

Measure Date Value
2012: FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2
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 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2007: FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST 2007 401k membership
Total participants, beginning-of-year 2007-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 10
Number of retired or separated participants receiving benefits 2007-01-01 0
Number of other retired or separated participants entitled to future benefits 2007-01-01 2
Total of all active and inactive participants 2007-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-01-01 0
Total participants 2007-01-01 12
Number of participants with account balances 2007-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-01-01 0
2006: FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST 2006 401k membership
Total participants, beginning-of-year 2006-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 12
Number of retired or separated participants receiving benefits 2006-01-01 0
Number of other retired or separated participants entitled to future benefits 2006-01-01 2
Total of all active and inactive participants 2006-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2006-01-01 0
Total participants 2006-01-01 14
Number of participants with account balances 2006-01-01 8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2006-01-01 0

Measure	Date	Value
2012: FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2
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	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2007: FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST 2007 401k membership
Total participants, beginning-of-year	2007-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	10
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	2
Total of all active and inactive participants	2007-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-01-01	0
Total participants	2007-01-01	12
Number of participants with account balances	2007-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-01-01	0
2006: FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST 2006 401k membership
Total participants, beginning-of-year	2006-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	12
Number of retired or separated participants receiving benefits	2006-01-01	0
Number of other retired or separated participants entitled to future benefits	2006-01-01	2
Total of all active and inactive participants	2006-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2006-01-01	0
Total participants	2006-01-01	14
Number of participants with account balances	2006-01-01	8
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2006-01-01	0

Financial Data on FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST

Measure	Date	Value
2012 : FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$37,804
Expenses. Total of all expenses incurred	2012-12-31	$0
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$273,701
Total plan assets at beginning of year	2012-12-31	$255,909
Value of fidelity bond covering the plan	2012-12-31	$30,000
Total contributions received or receivable from participants	2012-12-31	$34,684
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$0
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$37,804
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$273,701
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$255,909
Assets. Value of participant loans	2012-12-31	$8,278
Total contributions received or receivable from employer(s)	2012-12-31	$3,120
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0

Form 5500 Responses for FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST

2012: FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2007: FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Trust	Yes
2007-01-01	Plan benefit arrangement - Trust	Yes
2006: FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	First time form 5500 has been submitted	Yes
2006-01-01	Submission has been amended	No
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	No
2006-01-01	Plan funding arrangement – Trust	Yes
2006-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	FORTH SPORT FLOORS INC.
Employer identification number (EIN):	202018067
NAIC Classification:	541400