401k Plan data: CAFE EXPRESS 401K PLAN plan

CAFE EXPRESS 401K PLAN 401k Plan overview

Plan Name	CAFE EXPRESS 401K PLAN
Plan identification number	001

CAFE EXPRESS 401K 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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.

401k Sponsoring company profile

CE ACQUISITION, LLC has sponsored the creation of one or more 401k plans.

Company Name: CE ACQUISITION, LLC

Employer identification number (EIN): 811640096

NAIC Classification: 722513
NAIC Description: Limited-Service Restaurants

Additional information about CE ACQUISITION, LLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2016-01-19

Company Identification Number: 0802371372

Legal Registered Office Address: 12240 INWOOD RD STE 300

DALLAS
United States of America (USA)
75244

More information about CE ACQUISITION, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAFE EXPRESS 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 KEVIN TOOKER
001 2016-01-01 RAMON RODRIGUEZ

Plan Statistics for CAFE EXPRESS 401K PLAN

401k plan membership statisitcs for CAFE EXPRESS 401K PLAN

Measure Date Value
2022: CAFE EXPRESS 401K PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 247
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 49
Number of retired or separated participants receiving benefits 2022-01-01 1
Number of other retired or separated participants entitled to future benefits 2022-01-01 81
Total of all active and inactive participants 2022-01-01 131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 3
Total participants 2022-01-01 134
Number of participants with account balances 2022-01-01 111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: CAFE EXPRESS 401K PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 332
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 46
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 197
Total of all active and inactive participants 2021-01-01 244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 2
Total participants 2021-01-01 246
Number of participants with account balances 2021-01-01 228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: CAFE EXPRESS 401K PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 346
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 50
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 279
Total of all active and inactive participants 2020-01-01 329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 2
Total participants 2020-01-01 331
Number of participants with account balances 2020-01-01 326
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CAFE EXPRESS 401K PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 634
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 128
Number of retired or separated participants receiving benefits 2019-01-01 2
Number of other retired or separated participants entitled to future benefits 2019-01-01 213
Total of all active and inactive participants 2019-01-01 343
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 1
Total participants 2019-01-01 344
Number of participants with account balances 2019-01-01 324
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 27
2018: CAFE EXPRESS 401K PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 571
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 457
Number of retired or separated participants receiving benefits 2018-01-01 2
Number of other retired or separated participants entitled to future benefits 2018-01-01 169
Total of all active and inactive participants 2018-01-01 628
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 629
Number of participants with account balances 2018-01-01 248
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 13
2017: CAFE EXPRESS 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 462
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 342
Number of retired or separated participants receiving benefits 2017-01-01 1
Number of other retired or separated participants entitled to future benefits 2017-01-01 146
Total of all active and inactive participants 2017-01-01 489
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 1
Total participants 2017-01-01 490
Number of participants with account balances 2017-01-01 274
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 15
2016: CAFE EXPRESS 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 403
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 317
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 138
Total of all active and inactive participants 2016-01-01 455
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 455
Number of participants with account balances 2016-01-01 289
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 13

Measure	Date	Value
2022: CAFE EXPRESS 401K PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	247
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	49
Number of retired or separated participants receiving benefits	2022-01-01	1
Number of other retired or separated participants entitled to future benefits	2022-01-01	81
Total of all active and inactive participants	2022-01-01	131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	3
Total participants	2022-01-01	134
Number of participants with account balances	2022-01-01	111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: CAFE EXPRESS 401K PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	332
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	46
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	197
Total of all active and inactive participants	2021-01-01	244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	2
Total participants	2021-01-01	246
Number of participants with account balances	2021-01-01	228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: CAFE EXPRESS 401K PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	346
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	50
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	279
Total of all active and inactive participants	2020-01-01	329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	2
Total participants	2020-01-01	331
Number of participants with account balances	2020-01-01	326
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CAFE EXPRESS 401K PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	634
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	128
Number of retired or separated participants receiving benefits	2019-01-01	2
Number of other retired or separated participants entitled to future benefits	2019-01-01	213
Total of all active and inactive participants	2019-01-01	343
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	1
Total participants	2019-01-01	344
Number of participants with account balances	2019-01-01	324
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	27
2018: CAFE EXPRESS 401K PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	571
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	457
Number of retired or separated participants receiving benefits	2018-01-01	2
Number of other retired or separated participants entitled to future benefits	2018-01-01	169
Total of all active and inactive participants	2018-01-01	628
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	629
Number of participants with account balances	2018-01-01	248
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	13
2017: CAFE EXPRESS 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	462
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	342
Number of retired or separated participants receiving benefits	2017-01-01	1
Number of other retired or separated participants entitled to future benefits	2017-01-01	146
Total of all active and inactive participants	2017-01-01	489
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	1
Total participants	2017-01-01	490
Number of participants with account balances	2017-01-01	274
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	15
2016: CAFE EXPRESS 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	403
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	317
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	138
Total of all active and inactive participants	2016-01-01	455
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	455
Number of participants with account balances	2016-01-01	289
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	13

Financial Data on CAFE EXPRESS 401K PLAN

Measure	Date	Value
2022 : CAFE EXPRESS 401K PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-225,456
Total of all expenses incurred	2022-12-31	$215,504
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$198,015
Value of total assets at end of year	2022-12-31	$1,199,049
Value of total assets at beginning of year	2022-12-31	$1,640,009
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$17,489
Total interest from all sources	2022-12-31	$804
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$190,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Participant contributions at end of year	2022-12-31	$2,735
Participant contributions at beginning of year	2022-12-31	$21,462
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$1,719
Administrative expenses (other) incurred	2022-12-31	$11,011
Total non interest bearing cash at end of year	2022-12-31	$0
Total non interest bearing cash at beginning of year	2022-12-31	$902
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-440,960
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$1,199,049
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$1,640,009
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$6,478
Value of interest in pooled separate accounts at end of year	2022-12-31	$1,178,885
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$1,615,521
Interest on participant loans	2022-12-31	$760
Interest earned on other investments	2022-12-31	$44
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$17,429
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$0
Net investment gain/loss from pooled separate accounts	2022-12-31	$-226,260
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$405
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$198,015
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2022-12-31	No
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	SAVILLE, DODGEN & COMPANY, P.L.L.C.
Accountancy firm EIN	2022-12-31	900525804
2021 : CAFE EXPRESS 401K PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$265,715
Total of all expenses incurred	2021-12-31	$428,240
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$408,459
Expenses. Certain deemed distributions of participant loans	2021-12-31	$6,056
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$12,821
Value of total assets at end of year	2021-12-31	$1,640,009
Value of total assets at beginning of year	2021-12-31	$1,802,534
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$13,725
Total interest from all sources	2021-12-31	$384
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$190,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Participant contributions at end of year	2021-12-31	$21,462
Participant contributions at beginning of year	2021-12-31	$11,419
Participant contributions at end of year	2021-12-31	$1,719
Participant contributions at beginning of year	2021-12-31	$1,719
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$12,821
Administrative expenses (other) incurred	2021-12-31	$4,644
Total non interest bearing cash at end of year	2021-12-31	$902
Total non interest bearing cash at beginning of year	2021-12-31	$818
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$-162,525
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$1,640,009
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$1,802,534
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$9,081
Value of interest in pooled separate accounts at end of year	2021-12-31	$1,615,521
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$1,787,829
Interest on participant loans	2021-12-31	$379
Interest earned on other investments	2021-12-31	$5
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$344
Net investment gain/loss from pooled separate accounts	2021-12-31	$252,510
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Employer contributions (assets) at end of year	2021-12-31	$405
Employer contributions (assets) at beginning of year	2021-12-31	$405
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$408,459
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2021-12-31	No
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	SAVILLE, DODGEN & COMPANY, P.L.L.C.
Accountancy firm EIN	2021-12-31	900525804
2020 : CAFE EXPRESS 401K PLAN 2020 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$2,167
Total income from all sources (including contributions)	2020-12-31	$249,005
Total of all expenses incurred	2020-12-31	$254,339
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$230,444
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$30,001
Value of total assets at end of year	2020-12-31	$1,802,534
Value of total assets at beginning of year	2020-12-31	$1,810,035
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$23,895
Total interest from all sources	2020-12-31	$810
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$1,470
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$190,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$24,674
Participant contributions at end of year	2020-12-31	$11,419
Participant contributions at beginning of year	2020-12-31	$33,051
Participant contributions at end of year	2020-12-31	$1,719
Participant contributions at beginning of year	2020-12-31	$2,713
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$4,065
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$2,167
Administrative expenses (other) incurred	2020-12-31	$14,247
Total non interest bearing cash at end of year	2020-12-31	$818
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$-5,334
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$1,802,534
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,807,868
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$8,178
Value of interest in pooled separate accounts at end of year	2020-12-31	$1,787,829
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$1,769,733
Interest on participant loans	2020-12-31	$810
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$344
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$0
Net investment gain/loss from pooled separate accounts	2020-12-31	$218,194
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$5,327
Employer contributions (assets) at end of year	2020-12-31	$405
Employer contributions (assets) at beginning of year	2020-12-31	$473
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$230,444
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-12-31	No
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	SAVILLE, DODGEN & COMPANY, P.L.L.C.
Accountancy firm EIN	2020-12-31	900525804
2019 : CAFE EXPRESS 401K PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$2,167
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$2,167
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$2,805
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$2,805
Total income from all sources (including contributions)	2019-12-31	$487,712
Total income from all sources (including contributions)	2019-12-31	$487,712
Total of all expenses incurred	2019-12-31	$233,102
Total of all expenses incurred	2019-12-31	$233,102
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$208,057
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$208,057
Expenses. Certain deemed distributions of participant loans	2019-12-31	$12,471
Expenses. Certain deemed distributions of participant loans	2019-12-31	$12,471
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$154,426
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$154,426
Value of total assets at end of year	2019-12-31	$1,810,035
Value of total assets at end of year	2019-12-31	$1,810,035
Value of total assets at beginning of year	2019-12-31	$1,556,063
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$12,574
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$12,574
Total interest from all sources	2019-12-31	$3,019
Total interest from all sources	2019-12-31	$3,019
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$152,000
Value of fidelity bond cover	2019-12-31	$152,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$120,605
Contributions received from participants	2019-12-31	$120,605
Participant contributions at end of year	2019-12-31	$33,051
Participant contributions at end of year	2019-12-31	$33,051
Participant contributions at beginning of year	2019-12-31	$80,642
Participant contributions at beginning of year	2019-12-31	$80,642
Participant contributions at end of year	2019-12-31	$2,713
Participant contributions at end of year	2019-12-31	$2,713
Participant contributions at beginning of year	2019-12-31	$2,193
Participant contributions at beginning of year	2019-12-31	$2,193
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$4,804
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$4,804
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$4,065
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$13,420
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$13,420
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$2,167
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$2,167
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$2,805
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$2,805
Administrative expenses (other) incurred	2019-12-31	$9,681
Administrative expenses (other) incurred	2019-12-31	$9,681
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$254,610
Value of net income/loss	2019-12-31	$254,610
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,807,868
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,807,868
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,553,258
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,553,258
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$2,893
Investment advisory and management fees	2019-12-31	$2,893
Value of interest in pooled separate accounts at end of year	2019-12-31	$1,769,733
Value of interest in pooled separate accounts at end of year	2019-12-31	$1,769,733
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$1,454,457
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$1,454,457
Interest on participant loans	2019-12-31	$3,019
Interest on participant loans	2019-12-31	$3,019
Net investment gain/loss from pooled separate accounts	2019-12-31	$330,267
Net investment gain/loss from pooled separate accounts	2019-12-31	$330,267
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$29,017
Contributions received in cash from employer	2019-12-31	$29,017
Employer contributions (assets) at end of year	2019-12-31	$473
Employer contributions (assets) at end of year	2019-12-31	$473
Employer contributions (assets) at beginning of year	2019-12-31	$5,351
Employer contributions (assets) at beginning of year	2019-12-31	$5,351
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$208,057
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$208,057
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	SAVILLE, DODGEN & COMPANY, P.L.L.C.
Accountancy firm name	2019-12-31	SAVILLE, DODGEN & COMPANY, P.L.L.C.
Accountancy firm EIN	2019-12-31	900525804
Accountancy firm EIN	2019-12-31	900525804
2018 : CAFE EXPRESS 401K PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$2,805
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$24,278
Total of all expenses incurred	2018-12-31	$324,640
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$277,506
Expenses. Certain deemed distributions of participant loans	2018-12-31	$31,756
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$134,882
Value of total assets at end of year	2018-12-31	$1,556,063
Value of total assets at beginning of year	2018-12-31	$1,853,620
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$15,378
Total interest from all sources	2018-12-31	$3,728
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$152,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$98,256
Participant contributions at end of year	2018-12-31	$80,642
Participant contributions at beginning of year	2018-12-31	$91,411
Participant contributions at end of year	2018-12-31	$2,193
Participant contributions at beginning of year	2018-12-31	$25
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$13,170
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$13,420
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$2,805
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$0
Administrative expenses (other) incurred	2018-12-31	$15,378
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-300,362
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,553,258
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,853,620
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in pooled separate accounts at end of year	2018-12-31	$1,454,457
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$1,762,178
Interest on participant loans	2018-12-31	$3,728
Net investment gain/loss from pooled separate accounts	2018-12-31	$-114,332
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$23,456
Employer contributions (assets) at end of year	2018-12-31	$5,351
Employer contributions (assets) at beginning of year	2018-12-31	$6
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$277,506
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	SAVILLE, DODGEN & COMPANY, P.L.L.C.
Accountancy firm EIN	2018-12-31	900525804
2017 : CAFE EXPRESS 401K PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$440,420
Total of all expenses incurred	2017-12-31	$200,739
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$180,490
Expenses. Certain deemed distributions of participant loans	2017-12-31	$4,163
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$160,393
Value of total assets at end of year	2017-12-31	$1,853,620
Value of total assets at beginning of year	2017-12-31	$1,613,939
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$16,086
Total interest from all sources	2017-12-31	$2,812
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$152,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$139,785
Participant contributions at end of year	2017-12-31	$91,411
Participant contributions at beginning of year	2017-12-31	$51,842
Participant contributions at end of year	2017-12-31	$25
Participant contributions at beginning of year	2017-12-31	$0
Administrative expenses (other) incurred	2017-12-31	$16,086
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$239,681
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,853,620
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,613,939
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in pooled separate accounts at end of year	2017-12-31	$1,762,178
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$1,561,200
Interest on participant loans	2017-12-31	$2,809
Interest earned on other investments	2017-12-31	$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$897
Net investment gain/loss from pooled separate accounts	2017-12-31	$277,215
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$20,608
Employer contributions (assets) at end of year	2017-12-31	$6
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$180,490
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	SAVILLE, DODGEN & COMPANY, P.L.L.C.
Accountancy firm EIN	2017-12-31	900525804
2016 : CAFE EXPRESS 401K PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$337,832
Total of all expenses incurred	2016-12-31	$342,864
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$327,208
Value of total corrective distributions	2016-12-31	$2,103
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$222,059
Value of total assets at end of year	2016-12-31	$1,613,939
Value of total assets at beginning of year	2016-12-31	$1,618,971
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$13,553
Total interest from all sources	2016-12-31	$2,284
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$152,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$179,837
Participant contributions at end of year	2016-12-31	$51,842
Participant contributions at beginning of year	2016-12-31	$66,389
Other income not declared elsewhere	2016-12-31	$45
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-5,032
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,613,939
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,618,971
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$1,561,200
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,551,877
Interest on participant loans	2016-12-31	$2,284
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$897
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$705
Net investment gain/loss from pooled separate accounts	2016-12-31	$113,444
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$42,222
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$327,208
Contract administrator fees	2016-12-31	$13,553
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	BRIGGS AND VESELKA CO
Accountancy firm EIN	2016-12-31	741769118

Form 5500 Responses for CAFE EXPRESS 401K PLAN

2022: CAFE EXPRESS 401K PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CAFE EXPRESS 401K PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CAFE EXPRESS 401K PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CAFE EXPRESS 401K PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CAFE EXPRESS 401K PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CAFE EXPRESS 401K PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CAFE EXPRESS 401K PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

800044

Policy instance

Insurance contract or identification number	800044
Number of Individuals Covered	111
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

800044

Policy instance

Insurance contract or identification number	800044
Number of Individuals Covered	228
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

800044

Policy instance

Insurance contract or identification number	800044
Number of Individuals Covered	326
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

800044

Policy instance

Insurance contract or identification number	800044
Number of Individuals Covered	324
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $4,668
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,668
Insurance broker organization code?	3

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

800044

Policy instance

Insurance contract or identification number	800044
Number of Individuals Covered	248
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $8,462
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,462
Insurance broker organization code?	3

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

800044

Policy instance

Insurance contract or identification number	800044
Number of Individuals Covered	274
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $8,231
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,088
Insurance broker organization code?	3
Insurance broker name	CETERA ADVISOR NETWORKS LLC

Potentially related plans

CAFE EXPRESS 401K PLAN [EIN = 260211736]

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See full terms and conditions

Company Name:	CE ACQUISITION, LLC
Employer identification number (EIN):	811640096
NAIC Classification:	722513
NAIC Description:	Limited-Service Restaurants

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2016-01-19
Company Identification Number:	0802371372
Legal Registered Office Address:	12240 INWOOD RD STE 300 DALLAS United States of America (USA) 75244