401k Plan data: SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN plan

SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN
Plan identification number	551

SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

SCOTT GROUP CUSTOM CARPETS, INC. has sponsored the creation of one or more 401k plans.

Company Name: SCOTT GROUP CUSTOM CARPETS, INC.

Employer identification number (EIN): 383319593

NAIC Classification: 314000
NAIC Description: Textile Product Mills

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
551 2013-01-01 TIMOTHY HILL
551 2012-01-01 TIMOTHY HILL
551 2011-01-01 TIMOTHY HILL

Plan id#	Filing Submission Date	Name of Administrator
551	2013-01-01	TIMOTHY HILL
551	2012-01-01	TIMOTHY HILL
551	2011-01-01	TIMOTHY HILL

Plan Statistics for SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2013: SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 173
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 0
Total of all active and inactive participants 2013-01-01 173
2012: SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 143
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 143
2011: SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 135
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 145
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 0
Total of all active and inactive participants 2011-01-01 145

Measure	Date	Value
2013: SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	173
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	0
Total of all active and inactive participants	2013-01-01	173
2012: SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	143
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	143
2011: SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	135
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	145
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	0
Total of all active and inactive participants	2011-01-01	145

Form 5500 Responses for SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT PLAN

2013: SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT 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 – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT 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 – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: SCOTT GROUP CUSTOM CARPETS, INC. EMPLOYEE BENEFIT 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 – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	SCOTT GROUP CUSTOM CARPETS, INC.
Employer identification number (EIN):	383319593
NAIC Classification:	314000
NAIC Description:	Textile Product Mills