401k Plan data: J'S/N DELI CORP. PROFIT SHARING PLAN plan

J'S/N DELI CORP. PROFIT SHARING PLAN 401k Plan overview

Plan Name	J'S/N DELI CORP. PROFIT SHARING PLAN
Plan identification number	001

J'S/N DELI CORP. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
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.

401k Sponsoring company profile

J'S/N DELI CORP. has sponsored the creation of one or more 401k plans.

Company Name: J'S/N DELI CORP.

Employer identification number (EIN): 223061218

NAIC Classification: 311900
NAIC Description: Other Food Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan J'S/N DELI CORP. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 GEORGE GRYVATZ 2013-12-09
001 2012-01-01 GEORGE GRYVATZ 2013-01-21
001 2011-01-01 GEORGE GRYVATZ 2012-09-24
001 2010-01-01 BERTA GRYVATZ 2012-10-23
001 2008-01-01 BERTA GRYVATZ

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2013-01-01	GEORGE GRYVATZ	2013-12-09
001	2012-01-01	GEORGE GRYVATZ	2013-01-21
001	2011-01-01	GEORGE GRYVATZ	2012-09-24
001	2010-01-01	BERTA GRYVATZ	2012-10-23
001	2008-01-01	BERTA GRYVATZ

Plan Statistics for J'S/N DELI CORP. PROFIT SHARING PLAN

401k plan membership statisitcs for J'S/N DELI CORP. PROFIT SHARING PLAN

Measure Date Value
2008: J'S/N DELI CORP. PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 5
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 8
Total of all active and inactive participants 2008-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-01-01 0
Total participants 2008-01-01 13
Number of participants with account balances 2008-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 0

Measure	Date	Value
2008: J'S/N DELI CORP. PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	5
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	8
Total of all active and inactive participants	2008-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-01-01	0
Total participants	2008-01-01	13
Number of participants with account balances	2008-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	0

Financial Data on J'S/N DELI CORP. PROFIT SHARING PLAN

Measure	Date	Value
2008 : J'S/N DELI CORP. PROFIT SHARING PLAN 2008 401k financial data
Total income from all sources	2008-12-31	$-95,208
Expenses. Total of all expenses incurred	2008-12-31	$0
Total plan assets at end of year	2008-12-31	$334,046
Total plan assets at beginning of year	2008-12-31	$429,254
Value of fidelity bond covering the plan	2008-12-31	$300,000
Other income received	2008-12-31	$-95,208
Net income (gross income less expenses)	2008-12-31	$-95,208
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$334,046
Net plan assets at beginning of year (total assets less liabilities)	2008-12-31	$429,254
Assets. Value of participant loans	2008-12-31	$36,555

Form 5500 Responses for J'S/N DELI CORP. PROFIT SHARING PLAN

2008: J'S/N DELI CORP. PROFIT SHARING PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	3
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	J'S/N DELI CORP.
Employer identification number (EIN):	223061218
NAIC Classification:	311900
NAIC Description:	Other Food Manufacturing