401k Plan data: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN plan

FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 401k Plan overview

Plan Name	FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN
Plan identification number	001

FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Plan covering Self-Employed individuals.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

FURNITURE FACTORY OUTLET, LLC has sponsored the creation of one or more 401k plans.

Company Name: FURNITURE FACTORY OUTLET, LLC

Employer identification number (EIN): 208263952

NAIC Classification: 442110
NAIC Description: Furniture Stores

Additional information about FURNITURE FACTORY OUTLET, LLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2015-06-15

Company Identification Number: 0802236565

Legal Registered Office Address: 1518 S. FT. HOOD STREET KILLEEN

United States of America (USA)
76549

More information about FURNITURE FACTORY OUTLET, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 AMBER HYDE
001 2014-01-01 AMBER HYDE
001 2013-01-01 AMBER HYDE
001 2012-01-01 AMBER HYDE
001 2011-01-01 AMBER HYDE
001 2010-01-01 LARRY RAINWATER
001 2009-01-01 LARRY RAINWATER
001 2009-01-01 LARRY RAINWATER
001 2009-01-01 LARRY RAINWATER
001 2009-01-01 LARRY RAINWATER
001 2009-01-01 LARRY J. RAINWATER
001 2009-01-01 LORI HARGUS

Plan id#	Filing Submission Date	Name of Administrator
001	2015-01-01	AMBER HYDE
001	2014-01-01	AMBER HYDE
001	2013-01-01	AMBER HYDE
001	2012-01-01	AMBER HYDE
001	2011-01-01	AMBER HYDE
001	2010-01-01	LARRY RAINWATER
001	2009-01-01	LARRY RAINWATER
001	2009-01-01	LARRY RAINWATER
001	2009-01-01	LARRY RAINWATER
001	2009-01-01	LARRY RAINWATER
001	2009-01-01	LARRY J. RAINWATER
001	2009-01-01	LORI HARGUS

Plan Statistics for FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN

401k plan membership statisitcs for FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN

Measure Date Value
2015: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 199
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
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 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 2
2014: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 207
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 189
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 11
Total of all active and inactive participants 2014-01-01 200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 200
Number of participants with account balances 2014-01-01 145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 19
2013: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 211
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 193
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 11
Total of all active and inactive participants 2013-01-01 204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 204
Number of participants with account balances 2013-01-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 26
2012: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 216
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 256
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 12
Total of all active and inactive participants 2012-01-01 268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 268
Number of participants with account balances 2012-01-01 132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 25
2011: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 212
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 194
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 9
Total of all active and inactive participants 2011-01-01 203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 203
Number of participants with account balances 2011-01-01 125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 28
2010: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 232
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 202
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 10
Total of all active and inactive participants 2010-01-01 212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 212
Number of participants with account balances 2010-01-01 130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 29
2009: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 237
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 211
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 9
Total of all active and inactive participants 2009-01-01 221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 221
Number of participants with account balances 2009-01-01 148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 18

Measure	Date	Value
2015: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	199
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	2
2014: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	207
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	189
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	11
Total of all active and inactive participants	2014-01-01	200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	200
Number of participants with account balances	2014-01-01	145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	19
2013: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	211
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	193
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	11
Total of all active and inactive participants	2013-01-01	204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	204
Number of participants with account balances	2013-01-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	26
2012: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	216
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	256
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	12
Total of all active and inactive participants	2012-01-01	268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	268
Number of participants with account balances	2012-01-01	132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	25
2011: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	212
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	194
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	9
Total of all active and inactive participants	2011-01-01	203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	203
Number of participants with account balances	2011-01-01	125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	28
2010: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	232
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	202
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	10
Total of all active and inactive participants	2010-01-01	212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	212
Number of participants with account balances	2010-01-01	130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	29
2009: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	237
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	211
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	9
Total of all active and inactive participants	2009-01-01	221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	221
Number of participants with account balances	2009-01-01	148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	18

Financial Data on FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN

Measure	Date	Value
2015 : FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-19	$0
Total transfer of assets from this plan	2015-06-19	$7,886,441
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-19	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-19	$0
Total income from all sources (including contributions)	2015-06-19	$559,029
Total loss/gain on sale of assets	2015-06-19	$0
Total of all expenses incurred	2015-06-19	$487,367
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-19	$451,739
Value of total corrective distributions	2015-06-19	$13,710
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-19	$225,864
Value of total assets at end of year	2015-06-19	$0
Value of total assets at beginning of year	2015-06-19	$7,814,779
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-19	$21,918
Total interest from all sources	2015-06-19	$4,703
Total dividends received (eg from common stock, registered investment company shares)	2015-06-19	$5,229
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-19	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-06-19	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-06-19	$5,229
Was this plan covered by a fidelity bond	2015-06-19	Yes
Value of fidelity bond cover	2015-06-19	$500,000
If this is an individual account plan, was there a blackout period	2015-06-19	Yes
Were there any nonexempt tranactions with any party-in-interest	2015-06-19	No
Contributions received from participants	2015-06-19	$187,392
Participant contributions at end of year	2015-06-19	$0
Participant contributions at beginning of year	2015-06-19	$279,018
Assets. Other investments not covered elsewhere at end of year	2015-06-19	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-06-19	$151,164
Other income not declared elsewhere	2015-06-19	$7,694
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-19	No
Value of net income/loss	2015-06-19	$71,662
Value of net assets at end of year (total assets less liabilities)	2015-06-19	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-06-19	$7,814,779
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-19	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-19	No
Were any leases to which the plan was party in default or uncollectible	2015-06-19	No
Investment advisory and management fees	2015-06-19	$18,598
Value of interest in pooled separate accounts at end of year	2015-06-19	$0
Value of interest in pooled separate accounts at beginning of year	2015-06-19	$6,501,618
Interest on participant loans	2015-06-19	$4,703
Value of interest in common/collective trusts at end of year	2015-06-19	$0
Value of interest in common/collective trusts at beginning of year	2015-06-19	$882,979
Expenses. Payments to insurance carriers foe the provision of benefits	2015-06-19	$9,573
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-19	$193,246
Net investment gain/loss from pooled separate accounts	2015-06-19	$130,674
Net investment gain or loss from common/collective trusts	2015-06-19	$-8,381
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-19	No
Was there a failure to transmit to the plan any participant contributions	2015-06-19	No
Has the plan failed to provide any benefit when due under the plan	2015-06-19	No
Contributions received in cash from employer	2015-06-19	$38,472
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-19	$442,166
Contract administrator fees	2015-06-19	$3,320
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	2015-06-19	Yes
Did the plan have assets held for investment	2015-06-19	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	2015-06-19	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-19	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-19	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-19	Disclaimer
Accountancy firm name	2015-06-19	BEALL, BARCLAY & COMPANY PLC
Accountancy firm EIN	2015-06-19	710355269
2014 : FURNITURE FACTORY OUTLET PROFIT SHARING 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	$13,710
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	$944,781
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$812,836
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$749,149
Value of total corrective distributions	2014-12-31	$18,199
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$533,262
Value of total assets at end of year	2014-12-31	$7,814,779
Value of total assets at beginning of year	2014-12-31	$7,669,124
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$45,488
Total interest from all sources	2014-12-31	$17,606
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$436,407
Participant contributions at end of year	2014-12-31	$279,018
Participant contributions at beginning of year	2014-12-31	$411,127
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$151,164
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$181,610
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$7,777
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$13,710
Other income not declared elsewhere	2014-12-31	$20,835
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	$131,945
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$7,801,069
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$7,669,124
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
Investment advisory and management fees	2014-12-31	$35,984
Value of interest in pooled separate accounts at end of year	2014-12-31	$6,501,618
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$6,218,780
Interest on participant loans	2014-12-31	$17,606
Value of interest in common/collective trusts at end of year	2014-12-31	$882,979
Value of interest in common/collective trusts at beginning of year	2014-12-31	$857,607
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$20,339
Net investment gain/loss from pooled separate accounts	2014-12-31	$366,422
Net investment gain or loss from common/collective trusts	2014-12-31	$6,656
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	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$89,078
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$728,810
Contract administrator fees	2014-12-31	$9,504
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$0
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	BEALL, BARCLAY & COMPANY, PLC
Accountancy firm EIN	2014-12-31	710355269
2013 : FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,953,499
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$657,350
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$616,998
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$518,193
Value of total assets at end of year	2013-12-31	$7,669,124
Value of total assets at beginning of year	2013-12-31	$6,372,975
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$40,352
Total interest from all sources	2013-12-31	$19,656
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$433,444
Participant contributions at end of year	2013-12-31	$411,127
Participant contributions at beginning of year	2013-12-31	$379,155
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$181,610
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$156,531
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$6,769
Other income not declared elsewhere	2013-12-31	$25,079
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,296,149
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$7,669,124
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$6,372,975
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$31,196
Value of interest in pooled separate accounts at end of year	2013-12-31	$6,218,780
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$4,903,341
Interest on participant loans	2013-12-31	$19,656
Value of interest in common/collective trusts at end of year	2013-12-31	$857,607
Value of interest in common/collective trusts at beginning of year	2013-12-31	$933,948
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$14,724
Net investment gain/loss from pooled separate accounts	2013-12-31	$1,399,523
Net investment gain or loss from common/collective trusts	2013-12-31	$-8,952
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$77,980
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$602,274
Contract administrator fees	2013-12-31	$9,156
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$0
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	BEALL, BARCLAY & COMPANY, PLC
Accountancy firm EIN	2013-12-31	710355269
2012 : FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$5,811
Total income from all sources (including contributions)	2012-12-31	$1,161,284
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,157,249
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,116,383
Value of total corrective distributions	2012-12-31	$5,623
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$509,811
Value of total assets at end of year	2012-12-31	$6,372,975
Value of total assets at beginning of year	2012-12-31	$6,374,751
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$35,243
Total interest from all sources	2012-12-31	$19,623
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$428,482
Participant contributions at end of year	2012-12-31	$379,155
Participant contributions at beginning of year	2012-12-31	$337,565
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$156,531
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$209,683
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$7,411
Other income not declared elsewhere	2012-12-31	$14,617
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$4,035
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$6,372,975
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$6,368,940
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$28,891
Value of interest in pooled separate accounts at end of year	2012-12-31	$4,903,341
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$4,755,568
Interest on participant loans	2012-12-31	$19,623
Value of interest in common/collective trusts at end of year	2012-12-31	$933,948
Value of interest in common/collective trusts at beginning of year	2012-12-31	$1,071,935
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$18,690
Net investment gain/loss from pooled separate accounts	2012-12-31	$609,197
Net investment gain or loss from common/collective trusts	2012-12-31	$8,036
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$73,918
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,097,693
Contract administrator fees	2012-12-31	$6,352
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$5,811
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	BEALL, BARCLAY & COMPANY, PLC
Accountancy firm EIN	2012-12-31	710355269
2011 : FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$5,811
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$5,045
Total income from all sources (including contributions)	2011-12-31	$601,624
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$565,705
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$524,134
Value of total corrective distributions	2011-12-31	$6,010
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$546,598
Value of total assets at end of year	2011-12-31	$6,374,751
Value of total assets at beginning of year	2011-12-31	$6,338,066
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$35,561
Total interest from all sources	2011-12-31	$19,885
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$386,947
Participant contributions at end of year	2011-12-31	$337,565
Participant contributions at beginning of year	2011-12-31	$293,930
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$209,683
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$187,196
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$40,785
Other income not declared elsewhere	2011-12-31	$27,287
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$35,919
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$6,368,940
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$6,333,021
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$35,561
Value of interest in pooled separate accounts at end of year	2011-12-31	$4,755,568
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$5,418,322
Interest on participant loans	2011-12-31	$19,885
Value of interest in common/collective trusts at end of year	2011-12-31	$1,071,935
Value of interest in common/collective trusts at beginning of year	2011-12-31	$438,618
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$19,805
Net investment gain/loss from pooled separate accounts	2011-12-31	$7,854
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$118,866
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$504,329
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$5,811
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$5,045
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	BEALL, BARCLAY & COMPANY, PLC
Accountancy firm EIN	2011-12-31	710355269
2010 : FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$5,045
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,544,258
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$941,134
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$906,729
Value of total corrective distributions	2010-12-31	$3,020
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$463,985
Value of total assets at end of year	2010-12-31	$6,338,066
Value of total assets at beginning of year	2010-12-31	$5,729,897
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$31,385
Total interest from all sources	2010-12-31	$24,469
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$360,790
Participant contributions at end of year	2010-12-31	$293,930
Participant contributions at beginning of year	2010-12-31	$382,364
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$187,196
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$186,381
Other income not declared elsewhere	2010-12-31	$21,333
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$603,124
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$6,333,021
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$5,729,897
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$25,425
Value of interest in pooled separate accounts at end of year	2010-12-31	$5,418,322
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$4,647,751
Interest on participant loans	2010-12-31	$24,469
Value of interest in common/collective trusts at end of year	2010-12-31	$438,618
Value of interest in common/collective trusts at beginning of year	2010-12-31	$503,854
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$9,547
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$20,230
Net investment gain/loss from pooled separate accounts	2010-12-31	$1,018,970
Net investment gain or loss from common/collective trusts	2010-12-31	$15,501
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$103,195
Employer contributions (assets) at end of year	2010-12-31	$0
Employer contributions (assets) at beginning of year	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$886,499
Contract administrator fees	2010-12-31	$5,960
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$5,045
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	BEALL, BARCLAY & COMPANY, PLC
Accountancy firm EIN	2010-12-31	710355269

Form 5500 Responses for FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN

2015: FURNITURE FACTORY OUTLET PROFIT SHARING 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	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: FURNITURE FACTORY OUTLET PROFIT SHARING 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

314939

Policy instance

Insurance contract or identification number	314939
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-06-19
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,021
Are there contracts with allocated funds for individual policies?	No
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	0
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?	Yes
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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	1644
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	5
Insurance broker name	EMPLOYEE BENEFITS GROUP, LLC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

6-9566

Policy instance

Insurance contract or identification number	6-9566
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-06-19
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?	No
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	0
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

314939

Policy instance

Insurance contract or identification number	314939
Number of Individuals Covered	200
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $6,550
Are there contracts with allocated funds for individual policies?	No
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	0
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?	Yes
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
Amount paid for insurance broker fees	6550
Additional information about fees paid to insurance broker	SERVICE FEE
Insurance broker organization code?	5
Insurance broker name	CONSOLIDATED BENEFITS RESOURCES,LLC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

6-9566

Policy instance

Insurance contract or identification number	6-9566
Number of Individuals Covered	3
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $4,250
Total amount of fees paid to insurance company	USD $773
Are there contracts with allocated funds for individual policies?	No
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	0
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
Welfare Benefit Premiums Paid to Carrier	USD $17,386
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,084
Amount paid for insurance broker fees	672
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	WILLIAM MICHAEL HOLLENKAMP

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

314939

Policy instance

Insurance contract or identification number	314939
Number of Individuals Covered	134
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $6,354
Are there contracts with allocated funds for individual policies?	No
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	0
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?	Yes
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
Amount paid for insurance broker fees	6354
Additional information about fees paid to insurance broker	SERVICE FEE
Insurance broker organization code?	5
Insurance broker name	CONSOLIDATED BENEFITS RESOURCES,LLC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

6-9566

Policy instance

Insurance contract or identification number	6-9566
Number of Individuals Covered	5
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $428
Total amount of fees paid to insurance company	USD $442
Are there contracts with allocated funds for individual policies?	No
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	0
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
Commission paid to Insurance Broker	USD $379
Amount paid for insurance broker fees	402
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	WILLIAM MICHAEL HOLLENKAMP

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

314939

Policy instance

Insurance contract or identification number	314939
Number of Individuals Covered	132
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $5,720
Are there contracts with allocated funds for individual policies?	No
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	0
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?	Yes
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
Amount paid for insurance broker fees	5720
Additional information about fees paid to insurance broker	SERVICE FEE
Insurance broker organization code?	5
Insurance broker name	CONSOLIDATED BENEFITS RESOURCES,LLC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

6-9566

Policy instance

Insurance contract or identification number	6-9566
Number of Individuals Covered	5
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $360
Total amount of fees paid to insurance company	USD $498
Are there contracts with allocated funds for individual policies?	No
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	0
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	Yes
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
Commission paid to Insurance Broker	USD $294
Amount paid for insurance broker fees	463
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	WILLIAM MICHAEL HOLLENKAMP

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

314939

Policy instance

Insurance contract or identification number	314939
Number of Individuals Covered	125
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
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?	No
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	0
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?	Yes
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

6-9566

Policy instance

Insurance contract or identification number	6-9566
Number of Individuals Covered	7
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,360
Total amount of fees paid to insurance company	USD $606
Are there contracts with allocated funds for individual policies?	No
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	0
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	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $19,805
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

314939

Policy instance

Insurance contract or identification number	314939
Number of Individuals Covered	212
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
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?	No
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	0
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?	Yes
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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

6-9566

Policy instance

Insurance contract or identification number	6-9566
Number of Individuals Covered	9
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $439
Total amount of fees paid to insurance company	USD $439
Are there contracts with allocated funds for individual policies?	No
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	0
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	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $20,230
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	FURNITURE FACTORY OUTLET, LLC
Employer identification number (EIN):	208263952
NAIC Classification:	442110
NAIC Description:	Furniture Stores

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2015-06-15
Company Identification Number:	0802236565
Legal Registered Office Address:	1518 S. FT. HOOD STREET KILLEEN United States of America (USA) 76549