401k Plan data: SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN plan

SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN 401k Plan overview

Plan Name	SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN
Plan identification number	503

SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

SIGEL'S BEVERAGES, L.P. has sponsored the creation of one or more 401k plans.

Company Name: SIGEL'S BEVERAGES, L.P.

Employer identification number (EIN): 752585944

NAIC Classification: 424800

Additional information about SIGEL'S BEVERAGES, L.P.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1995-03-28

Company Identification Number: 0008040410

Legal Registered Office Address: 2960 ANODE LN ATTN: SHELLY KLEIN

DALLAS
United States of America (USA)
75220

More information about SIGEL'S BEVERAGES, L.P.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2013-06-01 LAWRENCE SCHMUCK
503 2012-06-01 ALVIN MILLER ALVIN MILLER 2014-03-10
503 2011-06-01 ALVIN MILLER
503 2009-06-01 ALVIN MILLER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2013-06-01	LAWRENCE SCHMUCK
503	2012-06-01	ALVIN MILLER	ALVIN MILLER	2014-03-10
503	2011-06-01	ALVIN MILLER
503	2009-06-01	ALVIN MILLER

Plan Statistics for SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN

401k plan membership statisitcs for SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN

Measure Date Value
2013: SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-01 78
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 0
Number of retired or separated participants receiving benefits 2013-06-01 0
Number of other retired or separated participants entitled to future benefits 2013-06-01 71
Total of all active and inactive participants 2013-06-01 71
2012: SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 101
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 91
Number of retired or separated participants receiving benefits 2012-06-01 1
Total of all active and inactive participants 2012-06-01 92
Total participants 2012-06-01 92
2011: SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-06-01 106
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 101
Number of retired or separated participants receiving benefits 2011-06-01 0
Total of all active and inactive participants 2011-06-01 101
Total participants 2011-06-01 101
2009: SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-06-01 112
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 107
Number of retired or separated participants receiving benefits 2009-06-01 0
Number of other retired or separated participants entitled to future benefits 2009-06-01 0
Total of all active and inactive participants 2009-06-01 107

Measure	Date	Value
2013: SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	78
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	0
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	71
Total of all active and inactive participants	2013-06-01	71
2012: SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	101
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	91
Number of retired or separated participants receiving benefits	2012-06-01	1
Total of all active and inactive participants	2012-06-01	92
Total participants	2012-06-01	92
2011: SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-06-01	106
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	101
Number of retired or separated participants receiving benefits	2011-06-01	0
Total of all active and inactive participants	2011-06-01	101
Total participants	2011-06-01	101
2009: SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-06-01	112
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	107
Number of retired or separated participants receiving benefits	2009-06-01	0
Number of other retired or separated participants entitled to future benefits	2009-06-01	0
Total of all active and inactive participants	2009-06-01	107

Form 5500 Responses for SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN

2013: SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Submission has been amended	No
2013-06-01	This submission is the final filing	No
2013-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-06-01	Plan is a collectively bargained plan	No
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-06-01	Plan benefit arrangement – Insurance	Yes
2013-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Submission has been amended	No
2011-06-01	This submission is the final filing	No
2011-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-06-01	Plan is a collectively bargained plan	No
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement – Insurance	Yes
2009: SIGEL LIQUOR STORES, INC. GROUP MEDICAL PLAN 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	Submission has been amended	No
2009-06-01	This submission is the final filing	No
2009-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-06-01	Plan is a collectively bargained plan	No
2009-06-01	Plan funding arrangement – Insurance	Yes
2009-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-06-01	Plan benefit arrangement – Insurance	Yes
2009-06-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	SIGEL'S BEVERAGES, L.P.
Employer identification number (EIN):	752585944
NAIC Classification:	424800

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1995-03-28
Company Identification Number:	0008040410
Legal Registered Office Address:	2960 ANODE LN ATTN: SHELLY KLEIN DALLAS United States of America (USA) 75220