401k Plan data: CASA BLANCA, INC. 401(K) PLAN plan

CASA BLANCA, INC. 401(K) PLAN 401k Plan overview

Plan Name	CASA BLANCA, INC. 401(K) PLAN
Plan identification number	001

CASA BLANCA, INC. 401(K) 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Plan covering Self-Employed individuals.
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

CASA BLANCA, INC. has sponsored the creation of one or more 401k plans.

Company Name: CASA BLANCA, INC.

Employer identification number (EIN): 208936699

NAIC Classification: 561430

Additional information about CASA BLANCA, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 2006-03-03

Company Identification Number: 34441592

Legal Registered Office Address: 13425 SW 72ND AVE

TIGARD
United States of America (USA)
97223

More information about CASA BLANCA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CASA BLANCA, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2021-01-01 JAMES C. WHITE
001 2020-01-01
001 2019-01-01
001 2018-01-01 JAMES C. WHITE JAMES C. WHITE 2019-06-25
001 2017-01-01 JIM WHITE JIM WHITE 2018-04-25
001 2016-01-01 JAMES C. WHITE JAMES C. WHITE 2017-05-01
001 2015-01-01 JIM WHITE JIM WHITE 2016-06-02
001 2014-01-01 JAMES C. WHITE JAMES C. WHITE 2015-07-20
001 2013-01-01 JAMES C. WHITE JAMES C. WHITE 2014-03-12
001 2012-01-01 JAMES WHITE JAMES WHITE 2013-06-16
001 2011-01-01 JAMES WHITE JAMES WHITE 2012-05-24

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01
001	2021-01-01	JAMES C. WHITE
001	2020-01-01
001	2019-01-01
001	2018-01-01	JAMES C. WHITE	JAMES C. WHITE	2019-06-25
001	2017-01-01	JIM WHITE	JIM WHITE	2018-04-25
001	2016-01-01	JAMES C. WHITE	JAMES C. WHITE	2017-05-01
001	2015-01-01	JIM WHITE	JIM WHITE	2016-06-02
001	2014-01-01	JAMES C. WHITE	JAMES C. WHITE	2015-07-20
001	2013-01-01	JAMES C. WHITE	JAMES C. WHITE	2014-03-12
001	2012-01-01	JAMES WHITE	JAMES WHITE	2013-06-16
001	2011-01-01	JAMES WHITE	JAMES WHITE	2012-05-24

Financial Data on CASA BLANCA, INC. 401(K) PLAN

Measure	Date	Value
2021 : CASA BLANCA, INC. 401(K) PLAN 2021 401k financial data
Transfers to/from the plan	2021-11-17	$0
Total plan liabilities at end of year	2021-11-17	$0
Total plan liabilities at beginning of year	2021-11-17	$0
Total income from all sources	2021-11-17	$129,437
Expenses. Total of all expenses incurred	2021-11-17	$364,407
Benefits paid (including direct rollovers)	2021-11-17	$364,407
Total plan assets at end of year	2021-11-17	$0
Total plan assets at beginning of year	2021-11-17	$234,970
Total contributions received or receivable from participants	2021-11-17	$0
Expenses. Other expenses not covered elsewhere	2021-11-17	$0
Contributions received from other sources (not participants or employers)	2021-11-17	$0
Other income received	2021-11-17	$129,437
Noncash contributions received	2021-11-17	$0
Net income (gross income less expenses)	2021-11-17	$-234,970
Net plan assets at end of year (total assets less liabilities)	2021-11-17	$0
Net plan assets at beginning of year (total assets less liabilities)	2021-11-17	$234,970
Assets. Value of employer securities	2021-11-17	$0
Total contributions received or receivable from employer(s)	2021-11-17	$0
Value of certain deemed distributions of participant loans	2021-11-17	$0
Value of corrective distributions	2021-11-17	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-11-17	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-11-17	$0
2020 : CASA BLANCA, INC. 401(K) PLAN 2020 401k financial data
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$-4,527
Expenses. Total of all expenses incurred	2020-12-31	$0
Benefits paid (including direct rollovers)	2020-12-31	$0
Total plan assets at end of year	2020-12-31	$234,970
Total plan assets at beginning of year	2020-12-31	$239,497
Total contributions received or receivable from participants	2020-12-31	$0
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$-4,527
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$-4,527
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$234,970
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$239,497
Assets. Value of employer securities	2020-12-31	$234,970
Total contributions received or receivable from employer(s)	2020-12-31	$0
Value of certain deemed distributions of participant loans	2020-12-31	$0
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$0
2019 : CASA BLANCA, INC. 401(K) PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$37,319
Expenses. Total of all expenses incurred	2019-12-31	$0
Benefits paid (including direct rollovers)	2019-12-31	$0
Total plan assets at end of year	2019-12-31	$239,497
Total plan assets at beginning of year	2019-12-31	$202,178
Total contributions received or receivable from participants	2019-12-31	$0
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$37,319
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$37,319
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$239,497
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$202,178
Assets. Value of employer securities	2019-12-31	$239,497
Total contributions received or receivable from employer(s)	2019-12-31	$0
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$0
2018 : CASA BLANCA, INC. 401(K) PLAN 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$-20,062
Expenses. Total of all expenses incurred	2018-12-31	$0
Benefits paid (including direct rollovers)	2018-12-31	$0
Total plan assets at end of year	2018-12-31	$202,178
Total plan assets at beginning of year	2018-12-31	$222,240
Total contributions received or receivable from participants	2018-12-31	$0
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-20,062
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$-20,062
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$202,178
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$222,240
Assets. Value of employer securities	2018-12-31	$202,178
Total contributions received or receivable from employer(s)	2018-12-31	$0
Value of certain deemed distributions of participant loans	2018-12-31	$0
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$0
2017 : CASA BLANCA, INC. 401(K) PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total income from all sources	2017-12-31	$11,892
Expenses. Total of all expenses incurred	2017-12-31	$0
Benefits paid (including direct rollovers)	2017-12-31	$0
Total plan assets at end of year	2017-12-31	$222,240
Total plan assets at beginning of year	2017-12-31	$210,348
Total contributions received or receivable from participants	2017-12-31	$0
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$11,892
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$11,892
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$222,240
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$210,348
Assets. Value of employer securities	2017-12-31	$222,240
Total contributions received or receivable from employer(s)	2017-12-31	$0
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$0
2016 : CASA BLANCA, INC. 401(K) PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$15,109
Expenses. Total of all expenses incurred	2016-12-31	$0
Benefits paid (including direct rollovers)	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$210,348
Total plan assets at beginning of year	2016-12-31	$195,239
Total contributions received or receivable from participants	2016-12-31	$0
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$15,109
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$15,109
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$210,348
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$195,239
Assets. Value of employer securities	2016-12-31	$210,348
Total contributions received or receivable from employer(s)	2016-12-31	$0
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$0
2015 : CASA BLANCA, INC. 401(K) PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$24,491
Expenses. Total of all expenses incurred	2015-12-31	$0
Benefits paid (including direct rollovers)	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$195,239
Total plan assets at beginning of year	2015-12-31	$170,748
Total contributions received or receivable from participants	2015-12-31	$0
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$24,491
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$24,491
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$195,239
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$170,748
Assets. Value of employer securities	2015-12-31	$195,239
Total contributions received or receivable from employer(s)	2015-12-31	$0
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$0
2014 : CASA BLANCA, INC. 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$11,630
Expenses. Total of all expenses incurred	2014-12-31	$0
Benefits paid (including direct rollovers)	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$170,748
Total plan assets at beginning of year	2014-12-31	$159,118
Total contributions received or receivable from participants	2014-12-31	$0
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$11,630
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$11,630
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$170,748
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$159,118
Assets. Value of employer securities	2014-12-31	$170,748
Total contributions received or receivable from employer(s)	2014-12-31	$0
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$0
2013 : CASA BLANCA, INC. 401(K) PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$-38,483
Expenses. Total of all expenses incurred	2013-12-31	$0
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$159,118
Total plan assets at beginning of year	2013-12-31	$197,601
Assets. Value of tangible personal property	2013-12-31	$0
Total contributions received or receivable from participants	2013-12-31	$0
Assets. Value of loans (other than to participants)	2013-12-31	$0
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$-38,483
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$-38,483
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$159,118
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$197,601
Assets. Value of participant loans	2013-12-31	$0
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$0
Assets. Value of real-estate (other than employer real property)	2013-12-31	$0
Assets. Value of employer securities	2013-12-31	$159,118
Assets. Value of employer real property	2013-12-31	$0
Total contributions received or receivable from employer(s)	2013-12-31	$0
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
2012 : CASA BLANCA, INC. 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$42,911
Expenses. Total of all expenses incurred	2012-12-31	$0
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$197,601
Total plan assets at beginning of year	2012-12-31	$154,690
Assets. Value of tangible personal property	2012-12-31	$0
Total contributions received or receivable from participants	2012-12-31	$0
Assets. Value of loans (other than to participants)	2012-12-31	$0
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$42,911
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$42,911
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$197,601
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$154,690
Assets. Value of participant loans	2012-12-31	$0
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$0
Assets. Value of real-estate (other than employer real property)	2012-12-31	$0
Assets. Value of employer securities	2012-12-31	$197,601
Assets. Value of employer real property	2012-12-31	$0
Total contributions received or receivable from employer(s)	2012-12-31	$0
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
2011 : CASA BLANCA, INC. 401(K) PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$50,970
Expenses. Total of all expenses incurred	2011-12-31	$0
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$154,690
Total plan assets at beginning of year	2011-12-31	$103,720
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$50,970
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$50,970
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$154,690
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$103,720
Assets. Value of employer securities	2011-12-31	$154,690
Total contributions received or receivable from employer(s)	2011-12-31	$0
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
2010 : CASA BLANCA, INC. 401(K) PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$-60,319
Expenses. Total of all expenses incurred	2010-12-31	$0
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$103,720
Total plan assets at beginning of year	2010-12-31	$164,039
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$-60,319
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$-60,319
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$103,720
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$164,039
Assets. Value of employer securities	2010-12-31	$103,720
Total contributions received or receivable from employer(s)	2010-12-31	$0
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0

Form 5500 Responses for CASA BLANCA, INC. 401(K) PLAN

2021: CASA BLANCA, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CASA BLANCA, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CASA BLANCA, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CASA BLANCA, INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CASA BLANCA, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CASA BLANCA, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CASA BLANCA, INC. 401(K) PLAN 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	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
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: CASA BLANCA, INC. 401(K) PLAN 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: CASA BLANCA, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CASA BLANCA, INC. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CASA BLANCA, INC. 401(K) PLAN 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

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Company Name:	CASA BLANCA, INC.
Employer identification number (EIN):	208936699
NAIC Classification:	561430

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	2006-03-03
Company Identification Number:	34441592
Legal Registered Office Address:	13425 SW 72ND AVE TIGARD United States of America (USA) 97223