401k Plan data: TOM DOUGLAS RESTAURANTS 401(K) PLAN plan

TOM DOUGLAS RESTAURANTS 401(K) PLAN 401k Plan overview

Plan Name	TOM DOUGLAS RESTAURANTS 401(K) PLAN
Plan identification number	002

TOM DOUGLAS RESTAURANTS 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

SEA-TOWN RESTAURANTS, INC. has sponsored the creation of one or more 401k plans.

Company Name: SEA-TOWN RESTAURANTS, INC.

Employer identification number (EIN): 208117957

NAIC Classification: 722511
NAIC Description: Full-Service Restaurants

Additional information about SEA-TOWN RESTAURANTS, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 2006-12-27

Company Identification Number: 602679759

Legal Registered Office Address: 711 CAPITOL WAY S STE 204

OLYMPIA
United States of America (USA)
985011267

More information about SEA-TOWN RESTAURANTS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TOM DOUGLAS RESTAURANTS 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2020-01-01 LORETTA DOUGLAS 2021-04-29
002 2019-01-01 NICOLE JANTZE 2020-10-15
002 2019-01-01 LORETTA DOUGLAS 2021-04-29
002 2018-01-01 DEVONY BOYLE 2019-09-17
002 2017-01-01
002 2016-01-01
002 2015-01-01 DEVONY BOYLE
002 2014-01-15 DEVONY BOYLE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2020-01-01	LORETTA DOUGLAS	2021-04-29
002	2019-01-01	NICOLE JANTZE	2020-10-15
002	2019-01-01	LORETTA DOUGLAS	2021-04-29
002	2018-01-01	DEVONY BOYLE	2019-09-17
002	2017-01-01
002	2016-01-01
002	2015-01-01	DEVONY BOYLE
002	2014-01-15	DEVONY BOYLE

Plan Statistics for TOM DOUGLAS RESTAURANTS 401(K) PLAN

401k plan membership statisitcs for TOM DOUGLAS RESTAURANTS 401(K) PLAN

Measure Date Value
2020: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 768
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
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 0
Total of all active and inactive participants 2020-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 0
Number of participants with account balances 2020-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 746
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 679
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 79
Total of all active and inactive participants 2019-01-01 758
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 758
Number of participants with account balances 2019-01-01 229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 718
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 662
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 65
Total of all active and inactive participants 2018-01-01 727
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 727
Number of participants with account balances 2018-01-01 220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 756
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 618
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 71
Total of all active and inactive participants 2017-01-01 689
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 689
Number of participants with account balances 2017-01-01 215
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 779
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 680
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 66
Total of all active and inactive participants 2016-01-01 746
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 746
Number of participants with account balances 2016-01-01 206
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 655
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 719
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 31
Total of all active and inactive participants 2015-01-01 750
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 750
Number of participants with account balances 2015-01-01 200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-15 640
Total number of active participants reported on line 7a of the Form 5500 2014-01-15 620
Number of retired or separated participants receiving benefits 2014-01-15 0
Number of other retired or separated participants entitled to future benefits 2014-01-15 10
Total of all active and inactive participants 2014-01-15 630
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-15 0
Total participants 2014-01-15 630
Number of participants with account balances 2014-01-15 175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-15 0

Measure	Date	Value
2020: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	768
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
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	0
Total of all active and inactive participants	2020-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	0
Number of participants with account balances	2020-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	746
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	679
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	79
Total of all active and inactive participants	2019-01-01	758
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	758
Number of participants with account balances	2019-01-01	229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	718
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	662
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	65
Total of all active and inactive participants	2018-01-01	727
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	727
Number of participants with account balances	2018-01-01	220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	756
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	618
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	71
Total of all active and inactive participants	2017-01-01	689
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	689
Number of participants with account balances	2017-01-01	215
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	779
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	680
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	66
Total of all active and inactive participants	2016-01-01	746
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	746
Number of participants with account balances	2016-01-01	206
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	655
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	719
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	31
Total of all active and inactive participants	2015-01-01	750
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	750
Number of participants with account balances	2015-01-01	200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-15	640
Total number of active participants reported on line 7a of the Form 5500	2014-01-15	620
Number of retired or separated participants receiving benefits	2014-01-15	0
Number of other retired or separated participants entitled to future benefits	2014-01-15	10
Total of all active and inactive participants	2014-01-15	630
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-15	0
Total participants	2014-01-15	630
Number of participants with account balances	2014-01-15	175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-15	0

Financial Data on TOM DOUGLAS RESTAURANTS 401(K) PLAN

Measure	Date	Value
2020 : TOM DOUGLAS RESTAURANTS 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-11-06	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-11-06	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-11-06	$223,929
Total income from all sources (including contributions)	2020-11-06	$363,200
Total loss/gain on sale of assets	2020-11-06	$0
Total of all expenses incurred	2020-11-06	$3,544,376
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-11-06	$3,500,438
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-11-06	$139,268
Value of total assets at end of year	2020-11-06	$0
Value of total assets at beginning of year	2020-11-06	$3,405,105
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-11-06	$43,938
Total interest from all sources	2020-11-06	$2,597
Total dividends received (eg from common stock, registered investment company shares)	2020-11-06	$8,143
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-11-06	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2020-11-06	$0
Total dividends received from registered investment company shares (eg mutual funds)	2020-11-06	$8,143
Was this plan covered by a fidelity bond	2020-11-06	Yes
Value of fidelity bond cover	2020-11-06	$250,000
If this is an individual account plan, was there a blackout period	2020-11-06	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-11-06	$0
Were there any nonexempt tranactions with any party-in-interest	2020-11-06	No
Contributions received from participants	2020-11-06	$139,268
Participant contributions at end of year	2020-11-06	$0
Participant contributions at beginning of year	2020-11-06	$9,562
Liabilities. Value of operating payables at beginning of year	2020-11-06	$223,929
Total non interest bearing cash at beginning of year	2020-11-06	$3
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-11-06	No
Value of net income/loss	2020-11-06	$-3,181,176
Value of net assets at end of year (total assets less liabilities)	2020-11-06	$0
Value of net assets at beginning of year (total assets less liabilities)	2020-11-06	$3,181,176
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-11-06	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-11-06	No
Were any leases to which the plan was party in default or uncollectible	2020-11-06	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-11-06	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-11-06	$1,215,781
Interest on participant loans	2020-11-06	$231
Interest earned on other investments	2020-11-06	$2,366
Value of interest in common/collective trusts at end of year	2020-11-06	$0
Value of interest in common/collective trusts at beginning of year	2020-11-06	$2,061,426
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-11-06	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-11-06	$118,333
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-11-06	$-22,972
Net investment gain or loss from common/collective trusts	2020-11-06	$236,164
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-11-06	No
Was there a failure to transmit to the plan any participant contributions	2020-11-06	No
Has the plan failed to provide any benefit when due under the plan	2020-11-06	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-11-06	$3,500,438
Contract administrator fees	2020-11-06	$43,938
Did the plan have assets held for investment	2020-11-06	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	2020-11-06	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-11-06	Yes
Opinion of an independent qualified public accountant for this plan	2020-11-06	Disclaimer
Accountancy firm name	2020-11-06	BERNTSON PORTER & COMPANY, PLLC
Accountancy firm EIN	2020-11-06	911308574
2019 : TOM DOUGLAS RESTAURANTS 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$223,929
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$223,929
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$854,849
Total income from all sources (including contributions)	2019-12-31	$854,849
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$169,825
Total of all expenses incurred	2019-12-31	$169,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$140,501
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$140,501
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$551,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$551,065
Value of total assets at end of year	2019-12-31	$3,405,105
Value of total assets at end of year	2019-12-31	$3,405,105
Value of total assets at beginning of year	2019-12-31	$2,496,152
Value of total assets at beginning of year	2019-12-31	$2,496,152
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$29,324
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$29,324
Total interest from all sources	2019-12-31	$6,655
Total interest from all sources	2019-12-31	$6,655
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$249,425
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$249,425
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
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$249,425
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$249,425
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	$250,000
Value of fidelity bond cover	2019-12-31	$250,000
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	$551,065
Contributions received from participants	2019-12-31	$551,065
Participant contributions at end of year	2019-12-31	$9,562
Participant contributions at end of year	2019-12-31	$9,562
Participant contributions at beginning of year	2019-12-31	$3,325
Participant contributions at beginning of year	2019-12-31	$3,325
Liabilities. Value of operating payables at end of year	2019-12-31	$223,929
Liabilities. Value of operating payables at end of year	2019-12-31	$223,929
Total non interest bearing cash at end of year	2019-12-31	$3
Total non interest bearing cash at end of year	2019-12-31	$3
Total non interest bearing cash at beginning of year	2019-12-31	$2
Total non interest bearing cash at beginning of year	2019-12-31	$2
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	$685,024
Value of net income/loss	2019-12-31	$685,024
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$3,181,176
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$3,181,176
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,496,152
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,496,152
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,215,781
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,215,781
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,013,796
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,013,796
Interest on participant loans	2019-12-31	$642
Interest on participant loans	2019-12-31	$642
Interest earned on other investments	2019-12-31	$6,013
Interest earned on other investments	2019-12-31	$6,013
Value of interest in common/collective trusts at end of year	2019-12-31	$2,061,426
Value of interest in common/collective trusts at end of year	2019-12-31	$2,061,426
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$118,333
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$118,333
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$479,029
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$479,029
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$47,704
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$47,704
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	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$140,501
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$140,501
Contract administrator fees	2019-12-31	$29,324
Contract administrator fees	2019-12-31	$29,324
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BERNTSON PORTER & COMPANY, PLLC
Accountancy firm EIN	2019-12-31	911308574
2018 : TOM DOUGLAS RESTAURANTS 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
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	$387,881
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$170,205
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$145,308
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$552,571
Value of total assets at end of year	2018-12-31	$2,496,152
Value of total assets at beginning of year	2018-12-31	$2,278,476
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$24,897
Total interest from all sources	2018-12-31	$3,037
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$186,108
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$186,108
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$250,000
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	$541,170
Participant contributions at end of year	2018-12-31	$3,325
Participant contributions at beginning of year	2018-12-31	$8,863
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$9,006
Total non interest bearing cash at end of year	2018-12-31	$2
Total non interest bearing cash at beginning of year	2018-12-31	$2
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	$217,676
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$2,496,152
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$2,278,476
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 registered invesment companies (eg mutual funds) at end of year	2018-12-31	$2,013,796
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$2,220,827
Interest on participant loans	2018-12-31	$298
Interest earned on other investments	2018-12-31	$2,739
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$479,029
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$48,784
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-353,835
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	No
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	$2,395
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$145,308
Contract administrator fees	2018-12-31	$24,897
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	BERNTSON PORTER & COMPANY, PLLC
Accountancy firm EIN	2018-12-31	911308574
2017 : TOM DOUGLAS RESTAURANTS 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$80
Total income from all sources (including contributions)	2017-12-31	$776,245
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$88,678
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$71,789
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$494,297
Value of total assets at end of year	2017-12-31	$2,278,476
Value of total assets at beginning of year	2017-12-31	$1,590,989
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$16,889
Total interest from all sources	2017-12-31	$1,290
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$67,407
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$67,407
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$250,000
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	$491,481
Participant contributions at end of year	2017-12-31	$8,863
Participant contributions at beginning of year	2017-12-31	$5,966
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$2,591
Liabilities. Value of operating payables at beginning of year	2017-12-31	$80
Total non interest bearing cash at end of year	2017-12-31	$2
Total non interest bearing cash at beginning of year	2017-12-31	$80
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	$687,567
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$2,278,476
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,590,909
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 registered invesment companies (eg mutual funds) at end of year	2017-12-31	$2,220,827
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,541,556
Interest on participant loans	2017-12-31	$264
Interest earned on other investments	2017-12-31	$1,026
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$48,784
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$43,387
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$213,251
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	No
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	$225
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$71,789
Contract administrator fees	2017-12-31	$16,889
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	BERNTSON PORTER & COMPANY, PLLC
Accountancy firm EIN	2017-12-31	911308574
2016 : TOM DOUGLAS RESTAURANTS 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$80
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$546,647
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$53,884
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$53,449
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$451,838
Value of total assets at end of year	2016-12-31	$1,590,989
Value of total assets at beginning of year	2016-12-31	$1,098,146
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$435
Total interest from all sources	2016-12-31	$251
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$43,645
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$43,645
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$250,000
If this is an individual account plan, was there a blackout period	2016-12-31	Yes
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	$446,238
Participant contributions at end of year	2016-12-31	$5,966
Participant contributions at beginning of year	2016-12-31	$7,102
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$5,600
Liabilities. Value of operating payables at end of year	2016-12-31	$80
Total non interest bearing cash at end of year	2016-12-31	$80
Total non interest bearing cash at beginning of year	2016-12-31	$683
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	$492,763
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,590,909
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,098,146
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 registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,541,556
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,090,361
Interest on participant loans	2016-12-31	$206
Interest earned on other investments	2016-12-31	$45
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$43,387
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$50,913
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	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$53,449
Contract administrator fees	2016-12-31	$435
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	2016-12-31	Yes
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	BERNTSON PORTER & COMPANY, PLLC
Accountancy firm EIN	2016-12-31	911308574
2015 : TOM DOUGLAS RESTAURANTS 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$799,006
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$9,297
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$8,655
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$830,840
Value of total assets at end of year	2015-12-31	$1,098,146
Value of total assets at beginning of year	2015-12-31	$308,437
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$642
Total interest from all sources	2015-12-31	$41
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$16,697
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$16,697
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$439,236
Participant contributions at end of year	2015-12-31	$7,102
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$136
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$391,604
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$789,709
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,098,146
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$308,437
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,090,361
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$308,199
Interest on participant loans	2015-12-31	$41
Income. Interest from loans (other than to participants)	2015-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$683
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$102
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$102
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-48,572
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$8,655
Contract administrator fees	2015-12-31	$642
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BERNTSON PORTER & COMPANY, PLLC
Accountancy firm EIN	2015-12-31	911308574
2014 : TOM DOUGLAS RESTAURANTS 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$308,664
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$227
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$135
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$300,535
Value of total assets at end of year	2014-12-31	$308,437
Value of total assets at beginning of year	2014-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$92
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$5,565
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$5,565
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$290,141
Participant contributions at end of year	2014-12-31	$136
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$10,394
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$308,437
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$308,437
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$308,199
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$102
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$2,564
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$135
Contract administrator fees	2014-12-31	$92
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	BERNTSON PORTER & COMPANY, PLLC
Accountancy firm EIN	2014-12-31	911308574

Form 5500 Responses for TOM DOUGLAS RESTAURANTS 401(K) PLAN

2020: TOM DOUGLAS RESTAURANTS 401(K) 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	Yes
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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
2019: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
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: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
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: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
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: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
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
2015: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: TOM DOUGLAS RESTAURANTS 401(K) PLAN 2014 form 5500 responses
2014-01-15	Type of plan entity	Single employer plan
2014-01-15	First time form 5500 has been submitted	Yes
2014-01-15	Submission has been amended	No
2014-01-15	This submission is the final filing	No
2014-01-15	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-15	Plan is a collectively bargained plan	No
2014-01-15	Plan funding arrangement – Trust	Yes
2014-01-15	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

810814

Policy instance

Insurance contract or identification number	810814
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

810814

Policy instance

Insurance contract or identification number	810814
Number of Individuals Covered	758
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

810814

Policy instance

Insurance contract or identification number	810814
Number of Individuals Covered	689
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	SEA-TOWN RESTAURANTS, INC.
Employer identification number (EIN):	208117957
NAIC Classification:	722511
NAIC Description:	Full-Service Restaurants

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	2006-12-27
Company Identification Number:	602679759
Legal Registered Office Address:	711 CAPITOL WAY S STE 204 OLYMPIA United States of America (USA) 985011267