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| Plan Name | L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | L & L LIQUORS, INC. |
| Employer identification number (EIN): | 830222068 |
| NAIC Classification: | 445310 |
| NAIC Description: | Beer, Wine, and Liquor Stores |
Additional information about L & L LIQUORS, INC.
| Jurisdiction of Incorporation: | Wyoming Corporations Division |
| Incorporation Date: | 1975-02-28 |
| Company Identification Number: | 000129179 |
| Legal Registered Office Address: |
4241 E 2nd St Casper United States of America (USA) 82609 |
More information about L & L LIQUORS, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-10-01 | ||||
| 501 | 2022-10-01 | STEVEN P CARLSON | |||
| 501 | 2021-10-01 | ||||
| 501 | 2021-10-01 | STEVEN P CARLSON | |||
| 501 | 2020-10-01 | ||||
| 501 | 2019-10-01 | ||||
| 501 | 2018-10-01 | ||||
| 501 | 2017-10-01 | ||||
| 501 | 2016-10-01 | STEVEN P CARLSON | |||
| 501 | 2015-10-01 | STEVEN P CARLSON |
| Measure | Date | Value |
|---|---|---|
| 2022: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-10-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-10-01 | 0 |
| Number of retired or separated participants receiving benefits | 2022-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-10-01 | 0 |
| Total of all active and inactive participants | 2022-10-01 | 0 |
| 2021: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-10-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 5 |
| Number of retired or separated participants receiving benefits | 2021-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-10-01 | 0 |
| Total of all active and inactive participants | 2021-10-01 | 5 |
| 2020: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-10-01 | 6 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 5 |
| Number of retired or separated participants receiving benefits | 2020-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-10-01 | 0 |
| Total of all active and inactive participants | 2020-10-01 | 5 |
| 2019: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-10-01 | 6 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 6 |
| Number of retired or separated participants receiving benefits | 2019-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-10-01 | 0 |
| Total of all active and inactive participants | 2019-10-01 | 6 |
| 2018: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-10-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 7 |
| Number of retired or separated participants receiving benefits | 2018-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-10-01 | 0 |
| Total of all active and inactive participants | 2018-10-01 | 7 |
| 2017: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-10-01 | 7 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 9 |
| Number of retired or separated participants receiving benefits | 2017-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-10-01 | 0 |
| Total of all active and inactive participants | 2017-10-01 | 9 |
| 2016: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-10-01 | 7 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 7 |
| Number of retired or separated participants receiving benefits | 2016-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-10-01 | 0 |
| Total of all active and inactive participants | 2016-10-01 | 7 |
| 2015: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-10-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 7 |
| Number of retired or separated participants receiving benefits | 2015-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-10-01 | 0 |
| Total of all active and inactive participants | 2015-10-01 | 7 |
| Measure | Date | Value |
|---|---|---|
| 2023 : L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2023 401k financial data | ||
| Transfers to/from the plan | 2023-09-30 | $-34,190 |
| Total income from all sources | 2023-09-30 | $1,400 |
| Expenses. Total of all expenses incurred | 2023-09-30 | $1,638 |
| Benefits paid (including direct rollovers) | 2023-09-30 | $1,474 |
| Total plan assets at end of year | 2023-09-30 | $0 |
| Total plan assets at beginning of year | 2023-09-30 | $34,428 |
| Value of fidelity bond covering the plan | 2023-09-30 | $5,200 |
| Other income received | 2023-09-30 | $467 |
| Net income (gross income less expenses) | 2023-09-30 | $-238 |
| Net plan assets at end of year (total assets less liabilities) | 2023-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-09-30 | $34,428 |
| Total contributions received or receivable from employer(s) | 2023-09-30 | $933 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2023-09-30 | $164 |
| 2022 : L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2022 401k financial data | ||
| Total income from all sources | 2022-09-30 | $180,257 |
| Expenses. Total of all expenses incurred | 2022-09-30 | $169,909 |
| Benefits paid (including direct rollovers) | 2022-09-30 | $164,874 |
| Total plan assets at end of year | 2022-09-30 | $34,428 |
| Total plan assets at beginning of year | 2022-09-30 | $24,080 |
| Value of fidelity bond covering the plan | 2022-09-30 | $5,200 |
| Other income received | 2022-09-30 | $212 |
| Net income (gross income less expenses) | 2022-09-30 | $10,348 |
| Net plan assets at end of year (total assets less liabilities) | 2022-09-30 | $34,428 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-09-30 | $24,080 |
| Total contributions received or receivable from employer(s) | 2022-09-30 | $180,045 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-09-30 | $5,035 |
| 2021 : L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 401k financial data | ||
| Total plan liabilities at beginning of year | 2021-09-30 | $67 |
| Total income from all sources | 2021-09-30 | $141,623 |
| Expenses. Total of all expenses incurred | 2021-09-30 | $152,072 |
| Benefits paid (including direct rollovers) | 2021-09-30 | $147,495 |
| Total plan assets at end of year | 2021-09-30 | $24,080 |
| Total plan assets at beginning of year | 2021-09-30 | $34,596 |
| Value of fidelity bond covering the plan | 2021-09-30 | $5,200 |
| Other income received | 2021-09-30 | $12 |
| Net income (gross income less expenses) | 2021-09-30 | $-10,449 |
| Net plan assets at end of year (total assets less liabilities) | 2021-09-30 | $24,080 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-09-30 | $34,529 |
| Total contributions received or receivable from employer(s) | 2021-09-30 | $141,611 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-09-30 | $4,577 |
| 2020 : L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 401k financial data | ||
| Total plan liabilities at end of year | 2020-09-30 | $67 |
| Total income from all sources | 2020-09-30 | $25,571 |
| Expenses. Total of all expenses incurred | 2020-09-30 | $11,553 |
| Benefits paid (including direct rollovers) | 2020-09-30 | $8,249 |
| Total plan assets at end of year | 2020-09-30 | $34,596 |
| Total plan assets at beginning of year | 2020-09-30 | $20,511 |
| Value of fidelity bond covering the plan | 2020-09-30 | $5,200 |
| Other income received | 2020-09-30 | $178 |
| Net income (gross income less expenses) | 2020-09-30 | $14,018 |
| Net plan assets at end of year (total assets less liabilities) | 2020-09-30 | $34,529 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-09-30 | $20,511 |
| Total contributions received or receivable from employer(s) | 2020-09-30 | $25,393 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-09-30 | $3,304 |
| 2019 : L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2019 401k financial data | ||
| Total income from all sources | 2019-09-30 | $13,252 |
| Expenses. Total of all expenses incurred | 2019-09-30 | $16,107 |
| Benefits paid (including direct rollovers) | 2019-09-30 | $11,750 |
| Total plan assets at end of year | 2019-09-30 | $20,511 |
| Total plan assets at beginning of year | 2019-09-30 | $23,366 |
| Value of fidelity bond covering the plan | 2019-09-30 | $5,200 |
| Other income received | 2019-09-30 | $637 |
| Net income (gross income less expenses) | 2019-09-30 | $-2,855 |
| Net plan assets at end of year (total assets less liabilities) | 2019-09-30 | $20,511 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-09-30 | $23,366 |
| Total contributions received or receivable from employer(s) | 2019-09-30 | $12,615 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-09-30 | $4,357 |
| 2017 : L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2017 401k financial data | ||
| Total income from all sources | 2017-09-30 | $13,430 |
| Expenses. Total of all expenses incurred | 2017-09-30 | $12,496 |
| Benefits paid (including direct rollovers) | 2017-09-30 | $8,814 |
| Total plan assets at end of year | 2017-09-30 | $20,272 |
| Total plan assets at beginning of year | 2017-09-30 | $19,338 |
| Value of fidelity bond covering the plan | 2017-09-30 | $2,600 |
| Other income received | 2017-09-30 | $136 |
| Net income (gross income less expenses) | 2017-09-30 | $934 |
| Net plan assets at end of year (total assets less liabilities) | 2017-09-30 | $20,272 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-09-30 | $19,338 |
| Total contributions received or receivable from employer(s) | 2017-09-30 | $13,294 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-09-30 | $3,682 |
| 2016 : L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 401k financial data | ||
| Total income from all sources | 2016-09-30 | $25,510 |
| Expenses. Total of all expenses incurred | 2016-09-30 | $6,172 |
| Benefits paid (including direct rollovers) | 2016-09-30 | $3,289 |
| Total plan assets at end of year | 2016-09-30 | $19,338 |
| Total plan assets at beginning of year | 2016-09-30 | $0 |
| Other income received | 2016-09-30 | $24 |
| Net income (gross income less expenses) | 2016-09-30 | $19,338 |
| Net plan assets at end of year (total assets less liabilities) | 2016-09-30 | $19,338 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2016-09-30 | $25,486 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-09-30 | $2,883 |
| 2022: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-10-01 | Type of plan entity | Single employer plan |
| 2022-10-01 | This submission is the final filing | Yes |
| 2022-10-01 | Plan funding arrangement – Trust | Yes |
| 2022-10-01 | Plan benefit arrangement - Trust | Yes |
| 2021: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 form 5500 responses | ||
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | Plan funding arrangement – Trust | Yes |
| 2021-10-01 | Plan benefit arrangement - Trust | Yes |
| 2020: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 form 5500 responses | ||
| 2020-10-01 | Type of plan entity | Single employer plan |
| 2020-10-01 | Plan funding arrangement – Trust | Yes |
| 2020-10-01 | Plan benefit arrangement - Trust | Yes |
| 2019: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2019 form 5500 responses | ||
| 2019-10-01 | Type of plan entity | Single employer plan |
| 2019-10-01 | Plan funding arrangement – Trust | Yes |
| 2019-10-01 | Plan benefit arrangement - Trust | Yes |
| 2018: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2018 form 5500 responses | ||
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | Plan funding arrangement – Trust | Yes |
| 2018-10-01 | Plan benefit arrangement - Trust | Yes |
| 2017: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2017 form 5500 responses | ||
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | Plan funding arrangement – Trust | Yes |
| 2017-10-01 | Plan benefit arrangement - Trust | Yes |
| 2016: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 form 5500 responses | ||
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | Plan funding arrangement – Trust | Yes |
| 2016-10-01 | Plan benefit arrangement - Trust | Yes |
| 2015: L & L LIQUORS, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 form 5500 responses | ||
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | First time form 5500 has been submitted | Yes |
| 2015-10-01 | Plan funding arrangement – Trust | Yes |
| 2015-10-01 | Plan benefit arrangement - Trust | Yes |