401k Plan data: 401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN plan

401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN 401k Plan overview

Plan Name	401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN
Plan identification number	002

401K SAFE, LLC MULTIPLE EMPLOYER 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

PHILLIPS HOME FURNISHINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name: PHILLIPS HOME FURNISHINGS, INC.

Employer identification number (EIN): 431556748

NAIC Classification: 442110
NAIC Description: Furniture Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2014-01-01 LEE LICHTENSTEIN
002 2013-01-01 LEE LICHTENSTEIN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2014-01-01	LEE LICHTENSTEIN
002	2013-01-01	LEE LICHTENSTEIN

Plan Statistics for 401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN

401k plan membership statisitcs for 401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN

Measure Date Value
2014: 401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 255
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 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: 401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 231
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 233
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 24
Total of all active and inactive participants 2013-01-01 257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 257
Number of participants with account balances 2013-01-01 163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2014: 401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	255
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	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: 401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	231
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	233
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	24
Total of all active and inactive participants	2013-01-01	257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	257
Number of participants with account balances	2013-01-01	163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on 401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN

Measure	Date	Value
2014 : 401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-04-07	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-04-07	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-04-07	$0
Total income from all sources (including contributions)	2014-04-07	$-23,918
Total loss/gain on sale of assets	2014-04-07	$0
Total of all expenses incurred	2014-04-07	$2,915,663
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-04-07	$2,893,099
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-04-07	$0
Value of total assets at end of year	2014-04-07	$0
Value of total assets at beginning of year	2014-04-07	$2,939,581
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-04-07	$22,564
Total interest from all sources	2014-04-07	$256
Total dividends received (eg from common stock, registered investment company shares)	2014-04-07	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-04-07	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-04-07	$0
Was this plan covered by a fidelity bond	2014-04-07	Yes
Value of fidelity bond cover	2014-04-07	$293,958
If this is an individual account plan, was there a blackout period	2014-04-07	No
Were there any nonexempt tranactions with any party-in-interest	2014-04-07	No
Participant contributions at beginning of year	2014-04-07	$31,754
Participant contributions at beginning of year	2014-04-07	$20,407
Administrative expenses (other) incurred	2014-04-07	$3,720
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-04-07	No
Value of net income/loss	2014-04-07	$-2,939,581
Value of net assets at end of year (total assets less liabilities)	2014-04-07	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-04-07	$2,939,581
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-04-07	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-04-07	No
Were any leases to which the plan was party in default or uncollectible	2014-04-07	No
Value of interest in pooled separate accounts at beginning of year	2014-04-07	$2,497,173
Interest on participant loans	2014-04-07	$256
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-04-07	$379,109
Net investment gain/loss from pooled separate accounts	2014-04-07	$-24,174
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-04-07	No
Was there a failure to transmit to the plan any participant contributions	2014-04-07	No
Has the plan failed to provide any benefit when due under the plan	2014-04-07	No
Employer contributions (assets) at beginning of year	2014-04-07	$11,138
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-04-07	$2,893,099
Contract administrator fees	2014-04-07	$18,844
Did the plan have assets held for investment	2014-04-07	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	2014-04-07	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-04-07	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-04-07	Yes
Opinion of an independent qualified public accountant for this plan	2014-04-07	Disclaimer
Accountancy firm name	2014-04-07	CLIFTONLARSONALLEN
Accountancy firm EIN	2014-04-07	410746749
2013 : 401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$2,332,801
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$868,999
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$262,219
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$189,794
Expenses. Certain deemed distributions of participant loans	2013-12-31	$36,859
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$506,698
Value of total assets at end of year	2013-12-31	$2,939,581
Value of total assets at beginning of year	2013-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$35,566
Total interest from all sources	2013-12-31	$1,912
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
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	$293,958
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
Contributions received from participants	2013-12-31	$327,417
Participant contributions at end of year	2013-12-31	$31,754
Participant contributions at end of year	2013-12-31	$20,407
Administrative expenses (other) incurred	2013-12-31	$13,246
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	$606,780
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,939,581
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$0
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
Value of interest in pooled separate accounts at end of year	2013-12-31	$2,497,173
Interest on participant loans	2013-12-31	$1,912
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$379,109
Net investment gain/loss from pooled separate accounts	2013-12-31	$360,389
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	$179,281
Employer contributions (assets) at end of year	2013-12-31	$11,138
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$189,794
Contract administrator fees	2013-12-31	$22,320
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	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	WARREN AVERETT, LLC
Accountancy firm EIN	2013-12-31	454084437

Form 5500 Responses for 401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN

2014: 401K SAFE, LLC MULTIPLE EMPLOYER 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	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: 401K SAFE, LLC MULTIPLE EMPLOYER 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	First time form 5500 has been submitted	Yes
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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PHILLIPS HOME FURNISHINGS, INC.
Employer identification number (EIN):	431556748
NAIC Classification:	442110
NAIC Description:	Furniture Stores