401k Plan data: GALERIE'S LIFE AND DISABILITY PLAN plan

GALERIE'S LIFE AND DISABILITY PLAN 401k Plan overview

Plan Name	GALERIE'S LIFE AND DISABILITY PLAN
Plan identification number	501

GALERIE'S LIFE AND DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

ROSS ACQUISITION CO. has sponsored the creation of one or more 401k plans.

Company Name: ROSS ACQUISITION CO.

Employer identification number (EIN): 311277852

NAIC Classification: 423920
NAIC Description: Toy and Hobby Goods and Supplies Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GALERIE'S LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-04-01 ROBERT KITCH
501 2013-04-01 ROBERT KITCH
501 2012-04-01 ROBERT KITCH
501 2011-04-01 ROBERT KITCH
501 2009-04-01 DONNA RITCHIE, DIRECTOR OF H.R.

Plan id#	Filing Submission Date	Name of Administrator
501	2014-04-01	ROBERT KITCH
501	2013-04-01	ROBERT KITCH
501	2012-04-01	ROBERT KITCH
501	2011-04-01	ROBERT KITCH
501	2009-04-01	DONNA RITCHIE, DIRECTOR OF H.R.

Plan Statistics for GALERIE'S LIFE AND DISABILITY PLAN

401k plan membership statisitcs for GALERIE'S LIFE AND DISABILITY PLAN

Measure Date Value
2014: GALERIE'S LIFE AND DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-04-01 98
Total number of active participants reported on line 7a of the Form 5500 2014-04-01 96
Total of all active and inactive participants 2014-04-01 96
2013: GALERIE'S LIFE AND DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-04-01 96
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 98
Total of all active and inactive participants 2013-04-01 98
2012: GALERIE'S LIFE AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-04-01 123
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 96
Total of all active and inactive participants 2012-04-01 96
2011: GALERIE'S LIFE AND DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 120
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 123
Total of all active and inactive participants 2011-04-01 123
2009: GALERIE'S LIFE AND DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 153
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 105
Number of retired or separated participants receiving benefits 2009-04-01 0
Number of other retired or separated participants entitled to future benefits 2009-04-01 0
Total of all active and inactive participants 2009-04-01 105
Total participants 2009-04-01 105

Measure	Date	Value
2014: GALERIE'S LIFE AND DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-04-01	98
Total number of active participants reported on line 7a of the Form 5500	2014-04-01	96
Total of all active and inactive participants	2014-04-01	96
2013: GALERIE'S LIFE AND DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-04-01	96
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	98
Total of all active and inactive participants	2013-04-01	98
2012: GALERIE'S LIFE AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-04-01	123
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	96
Total of all active and inactive participants	2012-04-01	96
2011: GALERIE'S LIFE AND DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	120
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	123
Total of all active and inactive participants	2011-04-01	123
2009: GALERIE'S LIFE AND DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	153
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	105
Number of retired or separated participants receiving benefits	2009-04-01	0
Number of other retired or separated participants entitled to future benefits	2009-04-01	0
Total of all active and inactive participants	2009-04-01	105
Total participants	2009-04-01	105

Form 5500 Responses for GALERIE'S LIFE AND DISABILITY PLAN

2014: GALERIE'S LIFE AND DISABILITY PLAN 2014 form 5500 responses
2014-04-01	Type of plan entity	Single employer plan
2014-04-01	Submission has been amended	No
2014-04-01	This submission is the final filing	No
2014-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-04-01	Plan is a collectively bargained plan	No
2014-04-01	Plan funding arrangement – Insurance	Yes
2014-04-01	Plan benefit arrangement – Insurance	Yes
2013: GALERIE'S LIFE AND DISABILITY PLAN 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Submission has been amended	No
2013-04-01	This submission is the final filing	No
2013-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-04-01	Plan is a collectively bargained plan	No
2013-04-01	Plan funding arrangement – Insurance	Yes
2013-04-01	Plan benefit arrangement – Insurance	Yes
2012: GALERIE'S LIFE AND DISABILITY PLAN 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2011: GALERIE'S LIFE AND DISABILITY PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2009: GALERIE'S LIFE AND DISABILITY PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	No
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	ROSS ACQUISITION CO.
Employer identification number (EIN):	311277852
NAIC Classification:	423920
NAIC Description:	Toy and Hobby Goods and Supplies Merchant Wholesalers