401k Plan data: ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN plan

ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN 401k Plan overview

Plan Name	ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN
Plan identification number	001

ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
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.
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

ORIGINAL FOOTWEAR MANUFACTURING BR INC has sponsored the creation of one or more 401k plans.

Company Name: ORIGINAL FOOTWEAR MANUFACTURING BR INC

Employer identification number (EIN): 822527527

NAIC Classification: 448210
NAIC Description: Shoe Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 KEVIN D COLE 2023-10-13
001 2021-01-01 MARK E. CAVANAUGH 2022-09-20 MARK E. CAVANAUGH 2022-09-20
001 2020-01-01 KEVIN D COLE 2021-10-14 KEVIN D COLE 2021-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	KEVIN D COLE	2023-10-13
001	2021-01-01	MARK E. CAVANAUGH	2022-09-20	MARK E. CAVANAUGH	2022-09-20
001	2020-01-01	KEVIN D COLE	2021-10-14	KEVIN D COLE	2021-10-14

Plan Statistics for ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN

401k plan membership statisitcs for ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN

Measure Date Value
2022: ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 282
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 226
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 66
Total of all active and inactive participants 2022-01-01 292
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 292
Number of participants with account balances 2022-01-01 156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 345
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 193
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 81
Total of all active and inactive participants 2021-01-01 274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 274
Number of participants with account balances 2021-01-01 176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 411
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 265
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 83
Total of all active and inactive participants 2020-01-01 348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 348
Number of participants with account balances 2020-01-01 207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 1

Measure	Date	Value
2022: ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	282
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	226
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	66
Total of all active and inactive participants	2022-01-01	292
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	292
Number of participants with account balances	2022-01-01	156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	345
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	193
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	81
Total of all active and inactive participants	2021-01-01	274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	274
Number of participants with account balances	2021-01-01	176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	411
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	265
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	83
Total of all active and inactive participants	2020-01-01	348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	348
Number of participants with account balances	2020-01-01	207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	1

Financial Data on ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN

Measure	Date	Value
2022 : ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$6,747
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$14,183
Total income from all sources (including contributions)	2022-12-31	$-412,690
Total of all expenses incurred	2022-12-31	$259,637
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$227,338
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$219,522
Value of total assets at end of year	2022-12-31	$2,986,636
Value of total assets at beginning of year	2022-12-31	$3,666,399
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$32,299
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Administrative expenses professional fees incurred	2022-12-31	$9,547
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$400,000
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
Contributions received from participants	2022-12-31	$219,522
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$6,747
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$14,183
Total non interest bearing cash at end of year	2022-12-31	$1,814
Total non interest bearing cash at beginning of year	2022-12-31	$14,653
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	$-672,327
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,979,889
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$3,652,216
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	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$2,984,822
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$3,651,746
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-632,212
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	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$227,338
Contract administrator fees	2022-12-31	$22,752
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	LEE CPA AUDIT GROUP
Accountancy firm EIN	2022-12-31	814637885
2021 : ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$14,183
Total income from all sources (including contributions)	2021-12-31	$688,147
Total of all expenses incurred	2021-12-31	$322,055
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$279,563
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$220,469
Value of total assets at end of year	2021-12-31	$3,666,399
Value of total assets at beginning of year	2021-12-31	$3,286,124
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$42,492
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Administrative expenses professional fees incurred	2021-12-31	$16,933
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$400,000
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
Contributions received from participants	2021-12-31	$220,469
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$14,183
Total non interest bearing cash at end of year	2021-12-31	$14,653
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	$366,092
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$3,652,216
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$3,286,124
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$3,651,746
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$3,286,124
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$467,678
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	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$279,563
Contract administrator fees	2021-12-31	$25,559
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	LEE CPA AUDIT GROUP
Accountancy firm EIN	2021-12-31	814637885
2020 : ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN 2020 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$14,907
Total income from all sources (including contributions)	2020-12-31	$700,128
Total of all expenses incurred	2020-12-31	$750,837
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$725,690
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$271,309
Value of total assets at end of year	2020-12-31	$3,286,124
Value of total assets at beginning of year	2020-12-31	$3,351,740
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$25,147
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	$5,165
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$400,000
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	$251,961
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$6,170
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$14,907
Total non interest bearing cash at beginning of year	2020-12-31	$15,105
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	$-50,709
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$3,286,124
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$3,336,833
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$3,286,124
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$3,336,565
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$428,819
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	$13,178
Employer contributions (assets) at beginning of year	2020-12-31	$70
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$725,690
Contract administrator fees	2020-12-31	$19,982
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	LEE CPA AUDIT GROUP
Accountancy firm EIN	2020-12-31	814637885

Form 5500 Responses for ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN

2022: ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
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: ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING 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	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
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: ORIGINAL FOOTWEAR MANUFACTURING BR 401K PROFIT SHARING 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 – 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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

127834

Policy instance

Insurance contract or identification number	127834
Number of Individuals Covered	170
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $18,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	18585
Insurance broker organization code?	5

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

127834

Policy instance

Insurance contract or identification number	127834
Number of Individuals Covered	189
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $20,613
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	20613
Insurance broker organization code?	5

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

127834

Policy instance

Insurance contract or identification number	127834
Number of Individuals Covered	220
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $2,992
Total amount of fees paid to insurance company	USD $5,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,992
Insurance broker organization code?	3
Amount paid for insurance broker fees	5468

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Company Name:	ORIGINAL FOOTWEAR MANUFACTURING BR INC
Employer identification number (EIN):	822527527
NAIC Classification:	448210
NAIC Description:	Shoe Stores