2011 Tax Statement

Your Annual Valuation Statement provides information which may help you complete Form 5500-SF. Consult your tax advisor or EBSA with any questions.

Investment Earnings report total interest, dividends, and other related distributions received in 2010. Changes in account value due to other factors, such as market fluctuation, contributions, and distributions made by the plan, are not reflected.

Distributions report total distributions made by the plan, whether made directly to the participant (or beneficiary) or as direct rollovers to another plan.

Cash Contributions include only those contributions made to the plan during 2010.

Form 5500-SF - For plans with less than 100 participants, including most one-participant plans.
Use the following information together with the Instructions for Form 5500-SF provided by the DOL to complete the form.

According to the Form 5500-SF Instructions, one-participant plans need only complete the following questions on the form:

See the Form 5500-SF Instructions for Line A to determine whether your plan is a single-employer plan (most Premiere Select^® Retirement plans are single-employer plans), a multiple-employer plan, or a multi-employer plan. In addition, select the one-participant box if appropriate. Select applicable boxes in Lines B or C.

Enter the formal name of your company retirement plan.

Enter your plan number (for example, your first plan is 001, your second is 002, etc.). You, the employer, assign the plan number.

Enter the effective month, day, and year of the plan. The effective date is generally the first day of the plan year in which the plan was established.

The plan sponsor is the employer offering the plan. Do not enter a National Financial Services LLC (NFS) entity. Enter the employer's name and address.

Enter your nine-digit Employer (Tax) Identification Number (EIN). If you do not have an EIN currently, please call the IRS at 1-800-829-4933 for a Form SS-4. Enter the EIN on this form. Do not enter your Social Security Number.

Enter the employer's telephone number.

Enter the appropriate business code from the list on pp. 20-21 in the Form 5500-SF Instructions.

Enter the plan administrator name, address etc. If the same as the employer, enter "same."

See the Form 5500-SF Instructions for a description of a "participant."

If the answers to 6a and 6b are "yes," Form 5500-SF should be filed. See the Form 5500-SF Instructions for further information.

Complete using your own records, your Premiere Select account statements, and Annual Valuation Statements as appropriate.

Your Annual Valuation Statement reports your plan's assets on a cash basis rather than on a modified cash or accrual basis. You must use one method consistently. Consult your tax advisor.

Plans using cash basis should have no liabilities.

Include the total cash contributions received by the plan. Report employer contributions on 8a (1), (for self-employed 401(k) plans) participant contributions on 8a (2), and other contributions (including rollovers from other plans) on 8a (3).

Includes investment earnings, net gain or loss from the sale of assets, and other income, such as unrealized appreciation (depreciation) in plan assets. (See the Form 5500-SF Instructions for more details.)

Distributions made to or on behalf of plan participants, including eligible rollover distributions.

If you are filing this report for your Profit Sharing Plan, enter "2E" and "2G". If you have a 401(k) feature on your Profit Sharing Plan, also enter "2J." If you are filing this report for your Money Purchase Pension Plan, enter "2C" and "2G" in these boxes. Be sure to refer to the Instructions for Form 5500-SF for complete instructions to determine what other codes may apply to your plan.

According to the Form 5500-SF Instructions, one-participant plans should complete only question 10g.

If you have a multi-participant plan answer all of the Compliance Questions and provide the amounts for any of the questions that you have answered "Yes."

Unless your plan is a defined benefit plan, select "no." If it is a defined benefit plan, select "yes".

If your plan is a Money Purchase Plan, answer "yes" and complete the portions of this question which apply to your plan. If you have a Profit Sharing or a Self-Employed 401(k) plan, the answer to question 12 is "no."