401k Plan data: LAKESHORE BEVERAGE 401(K) PLAN plan

LAKESHORE BEVERAGE 401(K) PLAN 401k Plan overview

Plan Name	LAKESHORE BEVERAGE 401(K) PLAN
Plan identification number	001

LAKESHORE BEVERAGE 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CITY BEVERAGE DBA LAKESHORE BEVERAGE has sponsored the creation of one or more 401k plans.

Company Name: CITY BEVERAGE DBA LAKESHORE BEVERAGE

Employer identification number (EIN): 364507428

NAIC Classification: 424800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAKESHORE BEVERAGE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01
001 2017-01-01 WILLIAM MOSELEY
001 2016-01-01 WILLIAM MOSELEY
001 2015-01-01 WILLIAM MOSELEY
001 2014-01-01 WILLIAM MOSELEY
001 2013-01-01 DEVON ROBERTSON DEVON ROBERTSON 2014-10-15
001 2012-01-01 ANNE-MARIE ERIKSEN STEVE SEDER 2013-10-14
001 2011-01-01 ERICA HOLMAN STEVE SEDER 2012-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01
001	2017-01-01	WILLIAM MOSELEY
001	2016-01-01	WILLIAM MOSELEY
001	2015-01-01	WILLIAM MOSELEY
001	2014-01-01	WILLIAM MOSELEY
001	2013-01-01	DEVON ROBERTSON	DEVON ROBERTSON	2014-10-15
001	2012-01-01	ANNE-MARIE ERIKSEN	STEVE SEDER	2013-10-14
001	2011-01-01	ERICA HOLMAN	STEVE SEDER	2012-10-15

Plan Statistics for LAKESHORE BEVERAGE 401(K) PLAN

401k plan membership statisitcs for LAKESHORE BEVERAGE 401(K) PLAN

Measure Date Value
2018: LAKESHORE BEVERAGE 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 420
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 304
Number of retired or separated participants receiving benefits 2018-01-01 4
Number of other retired or separated participants entitled to future benefits 2018-01-01 87
Total of all active and inactive participants 2018-01-01 395
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 395
Number of participants with account balances 2018-01-01 291
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 9
2017: LAKESHORE BEVERAGE 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 429
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 335
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 78
Total of all active and inactive participants 2017-01-01 413
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 413
Number of participants with account balances 2017-01-01 304
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: LAKESHORE BEVERAGE 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 459
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 340
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 84
Total of all active and inactive participants 2016-01-01 424
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 424
Number of participants with account balances 2016-01-01 317
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 15
2015: LAKESHORE BEVERAGE 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 464
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 404
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 55
Total of all active and inactive participants 2015-01-01 459
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 459
Number of participants with account balances 2015-01-01 340
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 32
2014: LAKESHORE BEVERAGE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 366
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 425
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 35
Total of all active and inactive participants 2014-01-01 460
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 460
Number of participants with account balances 2014-01-01 437
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 9
2013: LAKESHORE BEVERAGE 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 357
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 338
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 30
Total of all active and inactive participants 2013-01-01 368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 368
Number of participants with account balances 2013-01-01 329
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: LAKESHORE BEVERAGE 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 343
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 329
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 28
Total of all active and inactive participants 2012-01-01 357
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 357
Number of participants with account balances 2012-01-01 316
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: LAKESHORE BEVERAGE 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 324
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 19
Total of all active and inactive participants 2011-01-01 343
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 343
Number of participants with account balances 2011-01-01 302
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2018: LAKESHORE BEVERAGE 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	420
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	304
Number of retired or separated participants receiving benefits	2018-01-01	4
Number of other retired or separated participants entitled to future benefits	2018-01-01	87
Total of all active and inactive participants	2018-01-01	395
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	395
Number of participants with account balances	2018-01-01	291
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	9
2017: LAKESHORE BEVERAGE 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	429
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	335
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	78
Total of all active and inactive participants	2017-01-01	413
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	413
Number of participants with account balances	2017-01-01	304
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: LAKESHORE BEVERAGE 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	459
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	340
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	84
Total of all active and inactive participants	2016-01-01	424
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	424
Number of participants with account balances	2016-01-01	317
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	15
2015: LAKESHORE BEVERAGE 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	464
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	404
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	55
Total of all active and inactive participants	2015-01-01	459
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	459
Number of participants with account balances	2015-01-01	340
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	32
2014: LAKESHORE BEVERAGE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	366
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	425
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	35
Total of all active and inactive participants	2014-01-01	460
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	460
Number of participants with account balances	2014-01-01	437
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	9
2013: LAKESHORE BEVERAGE 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	357
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	338
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	30
Total of all active and inactive participants	2013-01-01	368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	368
Number of participants with account balances	2013-01-01	329
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: LAKESHORE BEVERAGE 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	343
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	329
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	28
Total of all active and inactive participants	2012-01-01	357
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	357
Number of participants with account balances	2012-01-01	316
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: LAKESHORE BEVERAGE 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	324
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	19
Total of all active and inactive participants	2011-01-01	343
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	343
Number of participants with account balances	2011-01-01	302
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on LAKESHORE BEVERAGE 401(K) PLAN

Measure	Date	Value
2018 : LAKESHORE BEVERAGE 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$7,208
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$37,557
Total income from all sources (including contributions)	2018-12-31	$152,094
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,894,358
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,795,165
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,176,516
Value of total assets at end of year	2018-12-31	$16,631,028
Value of total assets at beginning of year	2018-12-31	$18,403,641
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$99,193
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$1,111,665
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$1,111,665
Administrative expenses professional fees incurred	2018-12-31	$5,425
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$858,117
Participant contributions at end of year	2018-12-31	$334,927
Participant contributions at beginning of year	2018-12-31	$379,509
Participant contributions at end of year	2018-12-31	$13,787
Participant contributions at beginning of year	2018-12-31	$14,690
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$66,455
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$7,208
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$37,557
Other income not declared elsewhere	2018-12-31	$64,932
Total non interest bearing cash at end of year	2018-12-31	$18,629
Total non interest bearing cash at beginning of year	2018-12-31	$10,497
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-1,742,264
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$16,623,820
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$18,366,084
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$64,788
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$14,848,792
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$16,285,051
Value of interest in common/collective trusts at end of year	2018-12-31	$1,410,743
Value of interest in common/collective trusts at beginning of year	2018-12-31	$1,709,691
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-2,220,645
Net investment gain or loss from common/collective trusts	2018-12-31	$19,626
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$251,944
Employer contributions (assets) at end of year	2018-12-31	$4,150
Employer contributions (assets) at beginning of year	2018-12-31	$4,203
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,795,165
Contract administrator fees	2018-12-31	$28,980
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	RSM US LLP
Accountancy firm EIN	2018-12-31	420714325
2017 : LAKESHORE BEVERAGE 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$37,557
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$21,467
Total income from all sources (including contributions)	2017-12-31	$3,815,091
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,243,013
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,146,607
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,128,749
Value of total assets at end of year	2017-12-31	$18,403,641
Value of total assets at beginning of year	2017-12-31	$15,815,473
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$96,406
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$194,182
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$194,182
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$861,102
Participant contributions at end of year	2017-12-31	$379,509
Participant contributions at beginning of year	2017-12-31	$236,564
Participant contributions at end of year	2017-12-31	$14,690
Participant contributions at beginning of year	2017-12-31	$11,274
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$37,557
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$21,467
Other income not declared elsewhere	2017-12-31	$58,900
Total non interest bearing cash at end of year	2017-12-31	$10,497
Total non interest bearing cash at beginning of year	2017-12-31	$31,812
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$2,572,078
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$18,366,084
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$15,794,006
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$16,428
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$16,285,051
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$14,011,052
Value of interest in common/collective trusts at end of year	2017-12-31	$1,709,691
Value of interest in common/collective trusts at beginning of year	2017-12-31	$1,521,186
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$2,415,951
Net investment gain or loss from common/collective trusts	2017-12-31	$17,309
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$267,647
Employer contributions (assets) at end of year	2017-12-31	$4,203
Employer contributions (assets) at beginning of year	2017-12-31	$3,585
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,146,607
Contract administrator fees	2017-12-31	$79,978
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	Yes
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	RSM US LLP
Accountancy firm EIN	2017-12-31	420714325
2016 : LAKESHORE BEVERAGE 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$21,467
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$2,494,144
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,459,851
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,337,925
Value of total corrective distributions	2016-12-31	$21,467
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,204,443
Value of total assets at end of year	2016-12-31	$15,815,473
Value of total assets at beginning of year	2016-12-31	$15,759,713
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$100,459
Total interest from all sources	2016-12-31	$11,764
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$582,140
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$582,140
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$907,368
Participant contributions at end of year	2016-12-31	$236,564
Participant contributions at beginning of year	2016-12-31	$166,821
Participant contributions at end of year	2016-12-31	$11,274
Participant contributions at beginning of year	2016-12-31	$12,837
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$24,308
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$21,467
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$0
Other income not declared elsewhere	2016-12-31	$55,589
Total non interest bearing cash at end of year	2016-12-31	$31,812
Total non interest bearing cash at beginning of year	2016-12-31	$38,449
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$34,293
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$15,794,006
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$15,759,713
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$40,522
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$14,011,052
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$13,877,771
Interest on participant loans	2016-12-31	$11,764
Value of interest in common/collective trusts at end of year	2016-12-31	$1,521,186
Value of interest in common/collective trusts at beginning of year	2016-12-31	$1,659,898
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$612,382
Net investment gain or loss from common/collective trusts	2016-12-31	$27,826
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$272,767
Employer contributions (assets) at end of year	2016-12-31	$3,585
Employer contributions (assets) at beginning of year	2016-12-31	$3,937
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,337,925
Contract administrator fees	2016-12-31	$59,937
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	RSM US LLP
Accountancy firm EIN	2016-12-31	420714325
2015 : LAKESHORE BEVERAGE 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$1,383,105
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,426,807
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,321,321
Value of total corrective distributions	2015-12-31	$4,321
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,390,694
Value of total assets at end of year	2015-12-31	$15,759,713
Value of total assets at beginning of year	2015-12-31	$15,803,415
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$101,165
Total interest from all sources	2015-12-31	$6,228
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$819,988
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$819,988
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$963,759
Participant contributions at end of year	2015-12-31	$166,821
Participant contributions at beginning of year	2015-12-31	$84,154
Participant contributions at end of year	2015-12-31	$12,837
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$131,461
Other income not declared elsewhere	2015-12-31	$60,632
Total non interest bearing cash at end of year	2015-12-31	$38,449
Total non interest bearing cash at beginning of year	2015-12-31	$1,703
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-43,702
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$15,759,713
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$15,803,415
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$63,013
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$13,877,771
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$13,965,309
Interest on participant loans	2015-12-31	$6,228
Value of interest in common/collective trusts at end of year	2015-12-31	$1,659,898
Value of interest in common/collective trusts at beginning of year	2015-12-31	$1,752,249
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-928,446
Net investment gain or loss from common/collective trusts	2015-12-31	$34,009
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$295,474
Employer contributions (assets) at end of year	2015-12-31	$3,937
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,321,321
Contract administrator fees	2015-12-31	$38,152
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	RSM US LLP
Accountancy firm EIN	2015-12-31	420714325
2014 : LAKESHORE BEVERAGE 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$1,232,686
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$2,309,400
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,770,297
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,745,856
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,300,582
Value of total assets at end of year	2014-12-31	$15,803,415
Value of total assets at beginning of year	2014-12-31	$14,031,626
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$24,441
Total interest from all sources	2014-12-31	$257
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$672,243
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$672,243
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$931,047
Participant contributions at end of year	2014-12-31	$84,154
Participant contributions at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$57,508
Total non interest bearing cash at end of year	2014-12-31	$1,703
Total non interest bearing cash at beginning of year	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$539,103
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$15,803,415
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$14,031,626
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$13,736
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$13,965,309
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$12,285,407
Interest on participant loans	2014-12-31	$257
Value of interest in common/collective trusts at end of year	2014-12-31	$1,752,249
Value of interest in common/collective trusts at beginning of year	2014-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,746,219
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$329,044
Net investment gain or loss from common/collective trusts	2014-12-31	$7,274
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$312,027
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,745,856
Contract administrator fees	2014-12-31	$10,705
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	Yes
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MCGLADREY LLP
Accountancy firm EIN	2014-12-31	420714325
2013 : LAKESHORE BEVERAGE 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$3,522,890
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$606,158
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$605,283
Expenses. Certain deemed distributions of participant loans	2013-12-31	$0
Value of total corrective distributions	2013-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,212,139
Value of total assets at end of year	2013-12-31	$14,031,626
Value of total assets at beginning of year	2013-12-31	$11,114,894
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$875
Total interest from all sources	2013-12-31	$53,497
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$490,777
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$490,777
Administrative expenses professional fees incurred	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	No
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$907,430
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$26,137
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$0
Administrative expenses (other) incurred	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$2,916,732
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$14,031,626
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$11,114,894
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$12,285,407
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$9,598,022
Value of interest in pooled separate accounts at end of year	2013-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$0
Interest on participant loans	2013-12-31	$0
Interest earned on other investments	2013-12-31	$53,497
Value of interest in common/collective trusts at end of year	2013-12-31	$0
Value of interest in common/collective trusts at beginning of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,746,219
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,516,872
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,766,477
Net investment gain/loss from pooled separate accounts	2013-12-31	$0
Net investment gain or loss from common/collective trusts	2013-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Assets. Invements in employer securities at end of year	2013-12-31	$0
Assets. Invements in employer securities at beginning of year	2013-12-31	$0
Contributions received in cash from employer	2013-12-31	$278,572
Income. Dividends from common stock	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$605,283
Contract administrator fees	2013-12-31	$875
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MCGLADREY LLP
Accountancy firm EIN	2013-12-31	420714325
2012 : LAKESHORE BEVERAGE 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$2,349,470
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$250,530
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$248,031
Expenses. Certain deemed distributions of participant loans	2012-12-31	$0
Value of total corrective distributions	2012-12-31	$1,428
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,183,097
Value of total assets at end of year	2012-12-31	$11,114,894
Value of total assets at beginning of year	2012-12-31	$9,015,954
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,071
Total interest from all sources	2012-12-31	$59,803
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$449,177
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$449,177
Administrative expenses professional fees incurred	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	No
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$898,997
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-12-31	$0
Other income not declared elsewhere	2012-12-31	$0
Administrative expenses (other) incurred	2012-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$2,098,940
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$11,114,894
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$9,015,954
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$9,598,022
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$7,568,571
Value of interest in pooled separate accounts at end of year	2012-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$0
Interest on participant loans	2012-12-31	$0
Interest earned on other investments	2012-12-31	$59,803
Value of interest in common/collective trusts at end of year	2012-12-31	$0
Value of interest in common/collective trusts at beginning of year	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,516,872
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,447,383
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$657,393
Net investment gain/loss from pooled separate accounts	2012-12-31	$0
Net investment gain or loss from common/collective trusts	2012-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Assets. Invements in employer securities at end of year	2012-12-31	$0
Assets. Invements in employer securities at beginning of year	2012-12-31	$0
Contributions received in cash from employer	2012-12-31	$284,100
Income. Dividends from common stock	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$248,031
Contract administrator fees	2012-12-31	$1,071
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MCGLADREY LLP
Accountancy firm EIN	2012-12-31	042071432
2011 : LAKESHORE BEVERAGE 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$8,664,965
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$696,439
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$345,450
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$343,992
Expenses. Certain deemed distributions of participant loans	2011-12-31	$0
Value of total corrective distributions	2011-12-31	$277
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,210,391
Value of total assets at end of year	2011-12-31	$9,015,954
Value of total assets at beginning of year	2011-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$1,181
Total interest from all sources	2011-12-31	$48,900
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$143,311
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$143,311
Administrative expenses professional fees incurred	2011-12-31	$0
Was this plan covered by a fidelity bond	2011-12-31	No
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$774,207
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$186,351
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$0
Other income not declared elsewhere	2011-12-31	$0
Administrative expenses (other) incurred	2011-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$350,989
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$9,015,954
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$7,568,571
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$0
Value of interest in pooled separate accounts at end of year	2011-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$0
Interest on participant loans	2011-12-31	$0
Interest earned on other investments	2011-12-31	$48,900
Value of interest in common/collective trusts at end of year	2011-12-31	$0
Value of interest in common/collective trusts at beginning of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,447,383
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-706,163
Net investment gain/loss from pooled separate accounts	2011-12-31	$0
Net investment gain or loss from common/collective trusts	2011-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Assets. Invements in employer securities at end of year	2011-12-31	$0
Assets. Invements in employer securities at beginning of year	2011-12-31	$0
Contributions received in cash from employer	2011-12-31	$249,833
Income. Dividends from common stock	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$343,992
Contract administrator fees	2011-12-31	$1,181
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MCGLADREY LLP
Accountancy firm EIN	2011-12-31	042071432

Form 5500 Responses for LAKESHORE BEVERAGE 401(K) PLAN

2018: LAKESHORE BEVERAGE 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: LAKESHORE BEVERAGE 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: LAKESHORE BEVERAGE 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: LAKESHORE BEVERAGE 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: LAKESHORE BEVERAGE 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: LAKESHORE BEVERAGE 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: LAKESHORE BEVERAGE 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
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 – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LAKESHORE BEVERAGE 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60640 - 1

Policy instance

Insurance contract or identification number	MR 60640 - 1
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-10-14
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60640

Policy instance

Insurance contract or identification number	MR 60640
Number of Individuals Covered	368
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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?	No
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60640

Policy instance

Insurance contract or identification number	MR 60640
Number of Individuals Covered	357
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
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?	No
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 60640

Policy instance

Insurance contract or identification number	MR 60640
Number of Individuals Covered	343
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?	No
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	CITY BEVERAGE DBA LAKESHORE BEVERAGE
Employer identification number (EIN):	364507428
NAIC Classification:	424800