401k Plan data: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST plan

DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST
Plan identification number	004

DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

DAN'S SUPER MARKET, INC. has sponsored the creation of one or more 401k plans.

Company Name: DAN'S SUPER MARKET, INC.

Employer identification number (EIN): 450262938

NAIC Classification: 445110
NAIC Description: Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2015-01-01 DENISE DOCKTER-KAMBEITZ DENISE DOCKTER-KAMBEITZ 2016-03-10
004 2014-01-01 KAY ZANDER-WOOCK KAY ZANDER-WOOCK 2015-05-29
004 2013-01-01 KAY ZANDER-WOOCK KAY ZANDER-WOOCK 2014-05-08
004 2012-01-01 KAY ZANDER-WOOCK KAY ZANDER-WOOCK 2013-04-11
004 2011-01-01 KAY ZANDER-WOOCK KAY ZANDER-WOOCK 2012-04-25
004 2010-01-01 KAY ZANDER-WOOCK KAY ZANDER-WOOCK 2011-06-03
004 2009-01-01 KAY ZANDER-WOOCK KAY ZANDER-WOOCK 2010-06-23

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
004	2015-01-01	DENISE DOCKTER-KAMBEITZ	DENISE DOCKTER-KAMBEITZ	2016-03-10
004	2014-01-01	KAY ZANDER-WOOCK	KAY ZANDER-WOOCK	2015-05-29
004	2013-01-01	KAY ZANDER-WOOCK	KAY ZANDER-WOOCK	2014-05-08
004	2012-01-01	KAY ZANDER-WOOCK	KAY ZANDER-WOOCK	2013-04-11
004	2011-01-01	KAY ZANDER-WOOCK	KAY ZANDER-WOOCK	2012-04-25
004	2010-01-01	KAY ZANDER-WOOCK	KAY ZANDER-WOOCK	2011-06-03
004	2009-01-01	KAY ZANDER-WOOCK	KAY ZANDER-WOOCK	2010-06-23

Plan Statistics for DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST

Measure Date Value
2015: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 332
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
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 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 412
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 310
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 14
Total of all active and inactive participants 2014-01-01 324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 324
Number of participants with account balances 2014-01-01 314
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 12
2013: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 346
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 316
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 16
Total of all active and inactive participants 2013-01-01 332
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 333
Number of participants with account balances 2013-01-01 327
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 28
2012: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 360
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 312
Number of other retired or separated participants entitled to future benefits 2012-01-01 17
Total of all active and inactive participants 2012-01-01 329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 329
Number of participants with account balances 2012-01-01 321
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 37
2011: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 357
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 323
Number of retired or separated participants receiving benefits 2011-01-01 3
Number of other retired or separated participants entitled to future benefits 2011-01-01 18
Total of all active and inactive participants 2011-01-01 344
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 345
Number of participants with account balances 2011-01-01 337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 32
2010: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 349
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 335
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 11
Total of all active and inactive participants 2010-01-01 346
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 346
Number of participants with account balances 2010-01-01 342
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 19
2009: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 322
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 326
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 3
Total of all active and inactive participants 2009-01-01 329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 329
Number of participants with account balances 2009-01-01 319
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 17

Measure	Date	Value
2015: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	332
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	412
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	310
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	14
Total of all active and inactive participants	2014-01-01	324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	324
Number of participants with account balances	2014-01-01	314
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	12
2013: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	346
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	316
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	16
Total of all active and inactive participants	2013-01-01	332
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	333
Number of participants with account balances	2013-01-01	327
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	28
2012: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	360
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	312
Number of other retired or separated participants entitled to future benefits	2012-01-01	17
Total of all active and inactive participants	2012-01-01	329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	329
Number of participants with account balances	2012-01-01	321
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	37
2011: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	357
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	323
Number of retired or separated participants receiving benefits	2011-01-01	3
Number of other retired or separated participants entitled to future benefits	2011-01-01	18
Total of all active and inactive participants	2011-01-01	344
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	345
Number of participants with account balances	2011-01-01	337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	32
2010: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	349
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	335
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	11
Total of all active and inactive participants	2010-01-01	346
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	346
Number of participants with account balances	2010-01-01	342
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	19
2009: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	322
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	326
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	3
Total of all active and inactive participants	2009-01-01	329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	329
Number of participants with account balances	2009-01-01	319
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	17

Financial Data on DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2015 : DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total income from all sources (including contributions)	2015-09-08	$118,859
Total of all expenses incurred	2015-09-08	$4,031,527
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-08	$4,019,544
Value of total assets at end of year	2015-09-08	$0
Value of total assets at beginning of year	2015-09-08	$3,912,668
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-08	$11,983
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-08	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-09-08	$0
Administrative expenses professional fees incurred	2015-09-08	$1,232
Was this plan covered by a fidelity bond	2015-09-08	Yes
Value of fidelity bond cover	2015-09-08	$450,000
If this is an individual account plan, was there a blackout period	2015-09-08	No
Were there any nonexempt tranactions with any party-in-interest	2015-09-08	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-08	No
Value of net income/loss	2015-09-08	$-3,912,668
Value of net assets at end of year (total assets less liabilities)	2015-09-08	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-09-08	$3,912,668
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-08	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-08	No
Were any leases to which the plan was party in default or uncollectible	2015-09-08	No
Investment advisory and management fees	2015-09-08	$10,751
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-09-08	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-09-08	$2,799,286
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-09-08	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-09-08	$21,030
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-09-08	$21,030
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-09-08	$118,859
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-08	Yes
Was there a failure to transmit to the plan any participant contributions	2015-09-08	No
Has the plan failed to provide any benefit when due under the plan	2015-09-08	No
Employer contributions (assets) at end of year	2015-09-08	$0
Employer contributions (assets) at beginning of year	2015-09-08	$523
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-08	$4,019,544
Assets. Corporate common stocks other than exployer securities at end of year	2015-09-08	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-09-08	$1,091,829
Did the plan have assets held for investment	2015-09-08	No
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	2015-09-08	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-08	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-08	No
Opinion of an independent qualified public accountant for this plan	2015-09-08	Unqualified
Accountancy firm name	2015-09-08	EIDE BAILLY LLP
Accountancy firm EIN	2015-09-08	450250958
2014 : DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$571,736
Total of all expenses incurred	2014-12-31	$896,823
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$874,356
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$400,523
Value of total assets at end of year	2014-12-31	$3,912,668
Value of total assets at beginning of year	2014-12-31	$4,237,755
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$22,467
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$450,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
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	$-325,087
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,912,668
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,237,755
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	$22,467
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$2,799,286
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$3,026,587
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$21,030
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$59,158
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$59,158
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$171,213
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
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	$400,523
Employer contributions (assets) at end of year	2014-12-31	$523
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$874,356
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$1,091,829
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-12-31	$1,152,010
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	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2014-12-31	450250958
2013 : DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$940,655
Total of all expenses incurred	2013-12-31	$183,891
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$163,543
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$400,000
Value of total assets at end of year	2013-12-31	$4,237,755
Value of total assets at beginning of year	2013-12-31	$3,480,991
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$20,348
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$450,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
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	$756,764
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,237,755
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,480,991
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	$20,348
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$3,026,587
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$2,481,294
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$59,158
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$83,126
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$83,126
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$540,655
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$400,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$163,543
Assets. Corporate common stocks other than exployer securities at end of year	2013-12-31	$1,152,010
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$916,571
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	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2013-12-31	450250958
2012 : DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2012 401k financial data
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	$718,562
Total of all expenses incurred	2012-12-31	$362,763
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$343,378
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$400,000
Value of total assets at end of year	2012-12-31	$3,480,991
Value of total assets at beginning of year	2012-12-31	$3,125,192
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$19,385
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$400,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
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	$355,799
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,480,991
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,125,192
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	$19,385
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$2,481,294
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,192,623
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$83,126
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$38,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$38,450
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$318,562
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
Contributions received in cash from employer	2012-12-31	$400,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$343,378
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$916,571
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$894,119
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	Unqualified
Accountancy firm name	2012-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2012-12-31	450250958
2011 : DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
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	$271,315
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$210,674
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$192,155
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$360,000
Value of total assets at end of year	2011-12-31	$3,125,192
Value of total assets at beginning of year	2011-12-31	$3,064,551
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$18,519
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$350,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
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	$60,641
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,125,192
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,064,551
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	$18,519
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$2,192,623
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,155,874
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$38,450
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$11,350
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$11,350
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-88,685
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	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$360,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$192,155
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$894,119
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$897,327
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	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2011-12-31	450250958
2010 : DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$543,058
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$93,095
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$93,095
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$300,885
Value of total assets at end of year	2010-12-31	$3,064,551
Value of total assets at beginning of year	2010-12-31	$2,614,588
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$350,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$885
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$449,963
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,064,551
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,614,588
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$2,155,874
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$2,614,588
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$11,350
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$242,173
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$300,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$93,095
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$897,327
Assets. Value of buildings and other operty used in plan operation at beginning of year	2010-12-31	$0
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2010-12-31	450250958
2009 : DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST

2015: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 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	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: DAN S SUPER MARKET, INC. PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DAN'S SUPER MARKET, INC.
Employer identification number (EIN):	450262938
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores