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HOUSE OF COFFEE 401(K) PLAN 401k Plan overview

Plan NameHOUSE OF COFFEE 401(K) PLAN
Plan identification number 001

HOUSE OF COFFEE 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • 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.
  • 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

TGH STAFFING, LLC has sponsored the creation of one or more 401k plans.

Company Name:TGH STAFFING, LLC
Employer identification number (EIN):472089251
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOUSE OF COFFEE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-01-01
0012020-01-01MEAGAN LANGDOC2021-10-06
0012019-01-01CHRIS ROEDERER2020-08-04
0012018-01-01CHRIS ROEDERER2019-07-29
0012017-01-01CHRIS ROEDERER2018-09-18
0012016-01-01CHRIS ROEDERER2017-10-06
0012015-05-01CHRIS ROEDERER2016-09-21

Plan Statistics for HOUSE OF COFFEE 401(K) PLAN

401k plan membership statisitcs for HOUSE OF COFFEE 401(K) PLAN

Measure Date Value
2021: HOUSE OF COFFEE 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01104
Total number of active participants reported on line 7a of the Form 55002021-01-01105
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0141
Total of all active and inactive participants2021-01-01146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01146
Number of participants with account balances2021-01-01145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0128

Financial Data on HOUSE OF COFFEE 401(K) PLAN

Measure Date Value
2021 : HOUSE OF COFFEE 401(K) PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$369,168
Total of all expenses incurred2021-12-31$96,898
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$96,759
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$249,422
Value of total assets at end of year2021-12-31$1,014,336
Value of total assets at beginning of year2021-12-31$742,066
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$139
Total interest from all sources2021-12-31$878
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$64,813
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$64,813
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$3,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$131,782
Participant contributions at end of year2021-12-31$9,950
Participant contributions at beginning of year2021-12-31$1,147
Assets. Other investments not covered elsewhere at end of year2021-12-31$11
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$950
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$34,831
Other income not declared elsewhere2021-12-31$114
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$272,270
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,014,336
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$742,066
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$945,501
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$673,426
Interest on participant loans2021-12-31$29
Interest earned on other investments2021-12-31$849
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$58,874
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$66,543
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$15,043
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$53,941
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$82,809
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$81,716
Contract administrator fees2021-12-31$139
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MAYER HOFFMAN MCCANN P.C.
Accountancy firm EIN2021-12-31431947695

Form 5500 Responses for HOUSE OF COFFEE 401(K) PLAN

2021: HOUSE OF COFFEE 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number71529
Policy instance 1
Insurance contract or identification number71529
Number of Individuals Covered229
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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