401k Plan data: MINER'S SALARY SAVINGS PLAN plan

MINER'S SALARY SAVINGS PLAN 401k Plan overview

Plan Name	MINER'S SALARY SAVINGS PLAN
Plan identification number	003

MINER'S SALARY SAVINGS 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

MINERS OF GRAND RAPIDS, INC. has sponsored the creation of one or more 401k plans.

Company Name: MINERS OF GRAND RAPIDS, INC.

Employer identification number (EIN): 411492128

NAIC Classification: 445299
NAIC Description: All Other Specialty Food Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MINER'S SALARY SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2018-05-01 CRYSTAL SERRATORE 2019-10-03
003 2017-05-01 PATTI RUTT 2018-11-28 PATTI RUTT 2018-11-28
003 2016-05-01 JEROME T MINER 2017-11-03
003 2015-05-01 JEROME T MINER 2016-11-04 JEROME T MINER 2016-11-04
003 2014-05-01 JEROME MINER 2015-10-01
003 2013-05-01 JEROME MINER
003 2012-05-01 JEROME MINER
003 2011-05-01 JEROME T. MINER
003 2010-05-01 JEROME MINER
003 2009-05-01 JEROME MINER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2018-05-01	CRYSTAL SERRATORE	2019-10-03
003	2017-05-01	PATTI RUTT	2018-11-28	PATTI RUTT	2018-11-28
003	2016-05-01	JEROME T MINER	2017-11-03
003	2015-05-01	JEROME T MINER	2016-11-04	JEROME T MINER	2016-11-04
003	2014-05-01	JEROME MINER	2015-10-01
003	2013-05-01	JEROME MINER
003	2012-05-01	JEROME MINER
003	2011-05-01	JEROME T. MINER
003	2010-05-01	JEROME MINER
003	2009-05-01	JEROME MINER

Plan Statistics for MINER'S SALARY SAVINGS PLAN

401k plan membership statisitcs for MINER'S SALARY SAVINGS PLAN

Measure Date Value
2013: MINER'S SALARY SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-05-01 108
Total number of active participants reported on line 7a of the Form 5500 2013-05-01 86
Number of retired or separated participants receiving benefits 2013-05-01 0
Number of other retired or separated participants entitled to future benefits 2013-05-01 7
Total of all active and inactive participants 2013-05-01 93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-05-01 0
Total participants 2013-05-01 93
Number of participants with account balances 2013-05-01 39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-05-01 0
2012: MINER'S SALARY SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-05-01 110
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 84
Number of retired or separated participants receiving benefits 2012-05-01 0
Number of other retired or separated participants entitled to future benefits 2012-05-01 11
Total of all active and inactive participants 2012-05-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-05-01 0
Total participants 2012-05-01 95
Number of participants with account balances 2012-05-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-05-01 0
2011: MINER'S SALARY SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-05-01 101
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 76
Number of retired or separated participants receiving benefits 2011-05-01 0
Number of other retired or separated participants entitled to future benefits 2011-05-01 12
Total of all active and inactive participants 2011-05-01 88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-05-01 0
Total participants 2011-05-01 88
Number of participants with account balances 2011-05-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-05-01 0
2010: MINER'S SALARY SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-05-01 118
Total number of active participants reported on line 7a of the Form 5500 2010-05-01 85
Number of retired or separated participants receiving benefits 2010-05-01 0
Number of other retired or separated participants entitled to future benefits 2010-05-01 10
Total of all active and inactive participants 2010-05-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-05-01 0
Total participants 2010-05-01 95
Number of participants with account balances 2010-05-01 48
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-05-01 0
2009: MINER'S SALARY SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-05-01 121
Total number of active participants reported on line 7a of the Form 5500 2009-05-01 80
Number of retired or separated participants receiving benefits 2009-05-01 0
Number of other retired or separated participants entitled to future benefits 2009-05-01 13
Total of all active and inactive participants 2009-05-01 93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-05-01 0
Total participants 2009-05-01 93
Number of participants with account balances 2009-05-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-05-01 0

Measure	Date	Value
2013: MINER'S SALARY SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-05-01	108
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	86
Number of retired or separated participants receiving benefits	2013-05-01	0
Number of other retired or separated participants entitled to future benefits	2013-05-01	7
Total of all active and inactive participants	2013-05-01	93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-05-01	0
Total participants	2013-05-01	93
Number of participants with account balances	2013-05-01	39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-05-01	0
2012: MINER'S SALARY SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-05-01	110
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	84
Number of retired or separated participants receiving benefits	2012-05-01	0
Number of other retired or separated participants entitled to future benefits	2012-05-01	11
Total of all active and inactive participants	2012-05-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-05-01	0
Total participants	2012-05-01	95
Number of participants with account balances	2012-05-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-05-01	0
2011: MINER'S SALARY SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-05-01	101
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	76
Number of retired or separated participants receiving benefits	2011-05-01	0
Number of other retired or separated participants entitled to future benefits	2011-05-01	12
Total of all active and inactive participants	2011-05-01	88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-05-01	0
Total participants	2011-05-01	88
Number of participants with account balances	2011-05-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-05-01	0
2010: MINER'S SALARY SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-05-01	118
Total number of active participants reported on line 7a of the Form 5500	2010-05-01	85
Number of retired or separated participants receiving benefits	2010-05-01	0
Number of other retired or separated participants entitled to future benefits	2010-05-01	10
Total of all active and inactive participants	2010-05-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-05-01	0
Total participants	2010-05-01	95
Number of participants with account balances	2010-05-01	48
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-05-01	0
2009: MINER'S SALARY SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-05-01	121
Total number of active participants reported on line 7a of the Form 5500	2009-05-01	80
Number of retired or separated participants receiving benefits	2009-05-01	0
Number of other retired or separated participants entitled to future benefits	2009-05-01	13
Total of all active and inactive participants	2009-05-01	93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-05-01	0
Total participants	2009-05-01	93
Number of participants with account balances	2009-05-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-05-01	0

Financial Data on MINER'S SALARY SAVINGS PLAN

Measure	Date	Value
2014 : MINER'S SALARY SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-04-30	$0
Total income from all sources (including contributions)	2014-04-30	$294,022
Total loss/gain on sale of assets	2014-04-30	$0
Total of all expenses incurred	2014-04-30	$117,362
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-04-30	$116,666
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-04-30	$44,375
Value of total assets at end of year	2014-04-30	$1,751,039
Value of total assets at beginning of year	2014-04-30	$1,574,379
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-04-30	$696
Total interest from all sources	2014-04-30	$2,836
Total dividends received (eg from common stock, registered investment company shares)	2014-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-04-30	No
Was this plan covered by a fidelity bond	2014-04-30	Yes
Value of fidelity bond cover	2014-04-30	$400,000
If this is an individual account plan, was there a blackout period	2014-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-04-30	No
Contributions received from participants	2014-04-30	$44,375
Participant contributions at end of year	2014-04-30	$30,203
Participant contributions at beginning of year	2014-04-30	$14,091
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-04-30	No
Value of net income/loss	2014-04-30	$176,660
Value of net assets at end of year (total assets less liabilities)	2014-04-30	$1,751,039
Value of net assets at beginning of year (total assets less liabilities)	2014-04-30	$1,574,379
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-04-30	No
Were any leases to which the plan was party in default or uncollectible	2014-04-30	No
Value of interest in pooled separate accounts at end of year	2014-04-30	$1,647,701
Value of interest in pooled separate accounts at beginning of year	2014-04-30	$1,484,453
Interest on participant loans	2014-04-30	$796
Interest earned on other investments	2014-04-30	$2,040
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-04-30	$73,135
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-04-30	$75,835
Net investment gain/loss from pooled separate accounts	2014-04-30	$246,811
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-04-30	No
Was there a failure to transmit to the plan any participant contributions	2014-04-30	Yes
Has the plan failed to provide any benefit when due under the plan	2014-04-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-04-30	$116,666
Contract administrator fees	2014-04-30	$696
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	2014-04-30	No
Did the plan have assets held for investment	2014-04-30	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	2014-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-04-30	Disclaimer
Accountancy firm name	2014-04-30	ROGERS & KING
Accountancy firm EIN	2014-04-30	264369558
2013 : MINER'S SALARY SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-04-30	$0
Total income from all sources (including contributions)	2013-04-30	$248,638
Total loss/gain on sale of assets	2013-04-30	$0
Total of all expenses incurred	2013-04-30	$127,683
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-04-30	$126,643
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-04-30	$72,479
Value of total assets at end of year	2013-04-30	$1,574,379
Value of total assets at beginning of year	2013-04-30	$1,453,424
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-04-30	$1,040
Total interest from all sources	2013-04-30	$5,605
Total dividends received (eg from common stock, registered investment company shares)	2013-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-04-30	No
Was this plan covered by a fidelity bond	2013-04-30	Yes
Value of fidelity bond cover	2013-04-30	$20,000
If this is an individual account plan, was there a blackout period	2013-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-04-30	No
Contributions received from participants	2013-04-30	$49,110
Participant contributions at end of year	2013-04-30	$14,091
Participant contributions at beginning of year	2013-04-30	$14,832
Income. Received or receivable in cash from other sources (including rollovers)	2013-04-30	$23,369
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-04-30	No
Value of net income/loss	2013-04-30	$120,955
Value of net assets at end of year (total assets less liabilities)	2013-04-30	$1,574,379
Value of net assets at beginning of year (total assets less liabilities)	2013-04-30	$1,453,424
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-04-30	No
Were any leases to which the plan was party in default or uncollectible	2013-04-30	No
Value of interest in pooled separate accounts at end of year	2013-04-30	$1,484,453
Value of interest in pooled separate accounts at beginning of year	2013-04-30	$1,282,629
Interest on participant loans	2013-04-30	$765
Interest earned on other investments	2013-04-30	$4,840
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-04-30	$75,835
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-04-30	$155,963
Net investment gain/loss from pooled separate accounts	2013-04-30	$170,554
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-04-30	No
Was there a failure to transmit to the plan any participant contributions	2013-04-30	No
Has the plan failed to provide any benefit when due under the plan	2013-04-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-04-30	$126,643
Contract administrator fees	2013-04-30	$1,040
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	2013-04-30	No
Did the plan have assets held for investment	2013-04-30	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	2013-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-04-30	Disclaimer
Accountancy firm name	2013-04-30	ROGERS & KING
Accountancy firm EIN	2013-04-30	264369558
2012 : MINER'S SALARY SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-04-30	$0
Total income from all sources (including contributions)	2012-04-30	$28,685
Total loss/gain on sale of assets	2012-04-30	$0
Total of all expenses incurred	2012-04-30	$78,976
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-04-30	$78,023
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-04-30	$48,148
Value of total assets at end of year	2012-04-30	$1,453,424
Value of total assets at beginning of year	2012-04-30	$1,503,715
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-04-30	$953
Total interest from all sources	2012-04-30	$6,583
Total dividends received (eg from common stock, registered investment company shares)	2012-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-04-30	No
Was this plan covered by a fidelity bond	2012-04-30	Yes
Value of fidelity bond cover	2012-04-30	$150,000
If this is an individual account plan, was there a blackout period	2012-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-04-30	No
Contributions received from participants	2012-04-30	$48,148
Participant contributions at end of year	2012-04-30	$14,832
Participant contributions at beginning of year	2012-04-30	$23,220
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-04-30	No
Value of net income/loss	2012-04-30	$-50,291
Value of net assets at end of year (total assets less liabilities)	2012-04-30	$1,453,424
Value of net assets at beginning of year (total assets less liabilities)	2012-04-30	$1,503,715
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-04-30	No
Were any leases to which the plan was party in default or uncollectible	2012-04-30	No
Value of interest in pooled separate accounts at end of year	2012-04-30	$1,282,629
Value of interest in pooled separate accounts at beginning of year	2012-04-30	$1,334,438
Interest on participant loans	2012-04-30	$1,210
Interest earned on other investments	2012-04-30	$5,373
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-04-30	$155,963
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-04-30	$146,057
Net investment gain/loss from pooled separate accounts	2012-04-30	$-26,046
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-04-30	No
Was there a failure to transmit to the plan any participant contributions	2012-04-30	No
Has the plan failed to provide any benefit when due under the plan	2012-04-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-04-30	$78,023
Contract administrator fees	2012-04-30	$953
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	2012-04-30	No
Did the plan have assets held for investment	2012-04-30	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	2012-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-04-30	Disclaimer
Accountancy firm name	2012-04-30	LICARI LARSEN & CO
Accountancy firm EIN	2012-04-30	411806729
2011 : MINER'S SALARY SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-04-30	$0
Total income from all sources (including contributions)	2011-04-30	$280,103
Total loss/gain on sale of assets	2011-04-30	$0
Total of all expenses incurred	2011-04-30	$181,309
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-04-30	$180,129
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-04-30	$59,370
Value of total assets at end of year	2011-04-30	$1,503,715
Value of total assets at beginning of year	2011-04-30	$1,404,921
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-04-30	$1,180
Total interest from all sources	2011-04-30	$7,007
Total dividends received (eg from common stock, registered investment company shares)	2011-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-04-30	No
Was this plan covered by a fidelity bond	2011-04-30	Yes
Value of fidelity bond cover	2011-04-30	$150,000
If this is an individual account plan, was there a blackout period	2011-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-04-30	No
Contributions received from participants	2011-04-30	$52,743
Participant contributions at end of year	2011-04-30	$23,220
Participant contributions at beginning of year	2011-04-30	$26,817
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-04-30	No
Income. Non cash contributions	2011-04-30	$6,627
Value of net income/loss	2011-04-30	$98,794
Value of net assets at end of year (total assets less liabilities)	2011-04-30	$1,503,715
Value of net assets at beginning of year (total assets less liabilities)	2011-04-30	$1,404,921
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-04-30	No
Were any leases to which the plan was party in default or uncollectible	2011-04-30	No
Value of interest in pooled separate accounts at end of year	2011-04-30	$1,334,438
Value of interest in pooled separate accounts at beginning of year	2011-04-30	$1,233,873
Interest on participant loans	2011-04-30	$1,491
Interest earned on other investments	2011-04-30	$5,516
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-04-30	$146,057
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-04-30	$144,231
Net investment gain/loss from pooled separate accounts	2011-04-30	$213,726
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-04-30	No
Was there a failure to transmit to the plan any participant contributions	2011-04-30	No
Has the plan failed to provide any benefit when due under the plan	2011-04-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-04-30	$180,129
Contract administrator fees	2011-04-30	$1,180
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	2011-04-30	No
Did the plan have assets held for investment	2011-04-30	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	2011-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-04-30	Disclaimer
Accountancy firm name	2011-04-30	LICARI LARSEN & CO
Accountancy firm EIN	2011-04-30	411806729
2010 : MINER'S SALARY SAVINGS PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-04-30	$0

Form 5500 Responses for MINER'S SALARY SAVINGS PLAN

2013: MINER'S SALARY SAVINGS PLAN 2013 form 5500 responses
2013-05-01	Type of plan entity	Single employer plan
2013-05-01	Submission has been amended	No
2013-05-01	This submission is the final filing	No
2013-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-05-01	Plan is a collectively bargained plan	No
2013-05-01	Plan funding arrangement – Insurance	Yes
2013-05-01	Plan funding arrangement – Trust	Yes
2013-05-01	Plan benefit arrangement – Insurance	Yes
2013-05-01	Plan benefit arrangement - Trust	Yes
2012: MINER'S SALARY SAVINGS PLAN 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	Submission has been amended	Yes
2012-05-01	This submission is the final filing	No
2012-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-05-01	Plan is a collectively bargained plan	No
2012-05-01	Plan funding arrangement – Insurance	Yes
2012-05-01	Plan funding arrangement – Trust	Yes
2012-05-01	Plan benefit arrangement – Insurance	Yes
2012-05-01	Plan benefit arrangement - Trust	Yes
2011: MINER'S SALARY SAVINGS PLAN 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Submission has been amended	No
2011-05-01	This submission is the final filing	No
2011-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-05-01	Plan is a collectively bargained plan	No
2011-05-01	Plan funding arrangement – Insurance	Yes
2011-05-01	Plan funding arrangement – Trust	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement - Trust	Yes
2010: MINER'S SALARY SAVINGS PLAN 2010 form 5500 responses
2010-05-01	Type of plan entity	Single employer plan
2010-05-01	Submission has been amended	No
2010-05-01	This submission is the final filing	No
2010-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-05-01	Plan is a collectively bargained plan	No
2010-05-01	Plan funding arrangement – Insurance	Yes
2010-05-01	Plan funding arrangement – Trust	Yes
2010-05-01	Plan benefit arrangement – Insurance	Yes
2010-05-01	Plan benefit arrangement - Trust	Yes
2009: MINER'S SALARY SAVINGS PLAN 2009 form 5500 responses
2009-05-01	Type of plan entity	Single employer plan
2009-05-01	Submission has been amended	No
2009-05-01	This submission is the final filing	No
2009-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-05-01	Plan is a collectively bargained plan	No
2009-05-01	Plan funding arrangement – Insurance	Yes
2009-05-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

13016

Policy instance

Insurance contract or identification number	13016
Number of Individuals Covered	93
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
Total amount of commissions paid to insurance broker	USD $8,137
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
Commission paid to Insurance Broker	USD $8,137
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	MORGAN STANLEY

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

13016

Policy instance

Insurance contract or identification number	13016
Number of Individuals Covered	95
Insurance policy start date	2012-05-01
Insurance policy end date	2013-04-30
Total amount of commissions paid to insurance broker	USD $7,470
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
Commission paid to Insurance Broker	USD $963
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	SECURIAN FINANCIAL SERVICES, INC

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

13016

Policy instance

Insurance contract or identification number	13016
Number of Individuals Covered	88
Insurance policy start date	2011-05-01
Insurance policy end date	2012-04-30
Total amount of commissions paid to insurance broker	USD $6,810
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

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

13016

Policy instance

Insurance contract or identification number	13016
Number of Individuals Covered	95
Insurance policy start date	2010-05-01
Insurance policy end date	2011-04-30
Total amount of commissions paid to insurance broker	USD $6,698
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

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Company Name:	MINERS OF GRAND RAPIDS, INC.
Employer identification number (EIN):	411492128
NAIC Classification:	445299
NAIC Description:	All Other Specialty Food Stores