401k Plan data: CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN plan

CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN
Plan identification number	501

CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision 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

CHARTER BAKING COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: CHARTER BAKING COMPANY, INC.

Employer identification number (EIN): 202389169

NAIC Classification: 311800
NAIC Description: Bakeries and Tortilla Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-10-01 CONNIE DEITSCH
501 2011-10-01 CONNIE DEITSCH STEVEN PURCELL 2013-04-01
501 2009-10-01 CONNIE DEITSCH

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2012-10-01	CONNIE DEITSCH
501	2011-10-01	CONNIE DEITSCH	STEVEN PURCELL	2013-04-01
501	2009-10-01	CONNIE DEITSCH

Plan Statistics for CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN

401k plan membership statisitcs for CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN

Measure Date Value
2012: CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 240
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 209
Number of retired or separated participants receiving benefits 2012-10-01 3
Number of other retired or separated participants entitled to future benefits 2012-10-01 18
Total of all active and inactive participants 2012-10-01 230
2011: CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 240
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 209
Number of retired or separated participants receiving benefits 2011-10-01 3
Number of other retired or separated participants entitled to future benefits 2011-10-01 18
Total of all active and inactive participants 2011-10-01 230
2009: CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 318
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 219
Number of retired or separated participants receiving benefits 2009-10-01 5
Number of other retired or separated participants entitled to future benefits 2009-10-01 10
Total of all active and inactive participants 2009-10-01 234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0

Measure	Date	Value
2012: CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	240
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	209
Number of retired or separated participants receiving benefits	2012-10-01	3
Number of other retired or separated participants entitled to future benefits	2012-10-01	18
Total of all active and inactive participants	2012-10-01	230
2011: CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	240
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	209
Number of retired or separated participants receiving benefits	2011-10-01	3
Number of other retired or separated participants entitled to future benefits	2011-10-01	18
Total of all active and inactive participants	2011-10-01	230
2009: CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	318
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	219
Number of retired or separated participants receiving benefits	2009-10-01	5
Number of other retired or separated participants entitled to future benefits	2009-10-01	10
Total of all active and inactive participants	2009-10-01	234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0

Form 5500 Responses for CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN

2012: CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: CHARTER BAKING COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	CHARTER BAKING COMPANY, INC.
Employer identification number (EIN):	202389169
NAIC Classification:	311800
NAIC Description:	Bakeries and Tortilla Manufacturing