401k Plan data: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN plan

SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 401k Plan overview

Plan Name	SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN
Plan identification number	001

SOUTHERN DELI HOLDINGS, LLC 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

SOUTHERN DELI has sponsored the creation of one or more 401k plans.

Company Name: SOUTHERN DELI

Employer identification number (EIN): 454009425

NAIC Classification: 722513
NAIC Description: Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 JESSICA MARSON
001 2016-01-01 JESSICA MARSON
001 2015-01-01 MICHAEL E. KING
001 2014-01-01 YARON GOLDMAN
001 2013-01-01 YARON GOLDMAN
001 2012-01-01 YARON GOLDMAN

Plan id#	Filing Submission Date	Name of Administrator
001	2017-01-01	JESSICA MARSON
001	2016-01-01	JESSICA MARSON
001	2015-01-01	MICHAEL E. KING
001	2014-01-01	YARON GOLDMAN
001	2013-01-01	YARON GOLDMAN
001	2012-01-01	YARON GOLDMAN

Plan Statistics for SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN

401k plan membership statisitcs for SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN

Measure Date Value
2017: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 387
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
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 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 503
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 204
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 183
Total of all active and inactive participants 2016-01-01 387
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 387
Number of participants with account balances 2016-01-01 277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 29
2015: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 479
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 324
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 145
Total of all active and inactive participants 2015-01-01 469
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 469
Number of participants with account balances 2015-01-01 290
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 12
2014: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 396
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 262
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 143
Total of all active and inactive participants 2014-01-01 405
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 405
Number of participants with account balances 2014-01-01 284
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 5
2013: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 264
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 306
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 89
Total of all active and inactive participants 2013-01-01 396
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 396
Number of participants with account balances 2013-01-01 254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 33
2012: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 253
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 227
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 0
Total of all active and inactive participants 2012-01-01 227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 227
Number of participants with account balances 2012-01-01 113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 6

Measure	Date	Value
2017: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	387
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
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	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	503
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	204
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	183
Total of all active and inactive participants	2016-01-01	387
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	387
Number of participants with account balances	2016-01-01	277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	29
2015: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	479
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	324
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	145
Total of all active and inactive participants	2015-01-01	469
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	469
Number of participants with account balances	2015-01-01	290
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	12
2014: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	396
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	262
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	143
Total of all active and inactive participants	2014-01-01	405
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	405
Number of participants with account balances	2014-01-01	284
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	5
2013: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	264
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	306
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	89
Total of all active and inactive participants	2013-01-01	396
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	396
Number of participants with account balances	2013-01-01	254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	33
2012: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	253
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	227
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	0
Total of all active and inactive participants	2012-01-01	227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	227
Number of participants with account balances	2012-01-01	113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	6

Financial Data on SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN

Measure	Date	Value
2017 : SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-11-30	$0
Total transfer of assets from this plan	2017-11-30	$1,238,224
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-11-30	$11,828
Total income from all sources (including contributions)	2017-11-30	$247,041
Total loss/gain on sale of assets	2017-11-30	$0
Total of all expenses incurred	2017-11-30	$121,862
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-11-30	$88,889
Value of total corrective distributions	2017-11-30	$6,106
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-11-30	$72,247
Value of total assets at end of year	2017-11-30	$0
Value of total assets at beginning of year	2017-11-30	$1,124,873
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-11-30	$26,867
Total interest from all sources	2017-11-30	$38
Total dividends received (eg from common stock, registered investment company shares)	2017-11-30	$74
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-11-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-11-30	$74
Was this plan covered by a fidelity bond	2017-11-30	Yes
Value of fidelity bond cover	2017-11-30	$265,000
If this is an individual account plan, was there a blackout period	2017-11-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-11-30	$0
Were there any nonexempt tranactions with any party-in-interest	2017-11-30	No
Contributions received from participants	2017-11-30	$51,973
Participant contributions at end of year	2017-11-30	$0
Participant contributions at beginning of year	2017-11-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-11-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-11-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-11-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-11-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-11-30	No
Value of net income/loss	2017-11-30	$125,179
Value of net assets at end of year (total assets less liabilities)	2017-11-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-11-30	$1,113,045
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-11-30	No
Were any leases to which the plan was party in default or uncollectible	2017-11-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-11-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-11-30	$73,629
Value of interest in pooled separate accounts at end of year	2017-11-30	$0
Value of interest in pooled separate accounts at beginning of year	2017-11-30	$32,893
Interest earned on other investments	2017-11-30	$38
Value of interest in common/collective trusts at end of year	2017-11-30	$0
Value of interest in common/collective trusts at beginning of year	2017-11-30	$1,014,287
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-11-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-11-30	$4,064
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-11-30	$15,047
Net investment gain/loss from pooled separate accounts	2017-11-30	$8,289
Net investment gain or loss from common/collective trusts	2017-11-30	$151,346
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-11-30	No
Was there a failure to transmit to the plan any participant contributions	2017-11-30	No
Has the plan failed to provide any benefit when due under the plan	2017-11-30	No
Contributions received in cash from employer	2017-11-30	$20,274
Employer contributions (assets) at end of year	2017-11-30	$0
Employer contributions (assets) at beginning of year	2017-11-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-11-30	$88,889
Contract administrator fees	2017-11-30	$26,867
Liabilities. Value of benefit claims payable at end of year	2017-11-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-11-30	$11,828
Did the plan have assets held for investment	2017-11-30	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	2017-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-11-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-11-30	Disclaimer
Accountancy firm name	2017-11-30	GREERWALKER LLP
Accountancy firm EIN	2017-11-30	561434747
2016 : SOUTHERN DELI HOLDINGS, LLC 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	$11,828
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	$291,826
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$187,024
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$142,148
Value of total corrective distributions	2016-12-31	$6,854
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$205,866
Value of total assets at end of year	2016-12-31	$1,124,873
Value of total assets at beginning of year	2016-12-31	$1,008,243
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$38,022
Total interest from all sources	2016-12-31	$34
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$242
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	$242
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$265,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$128,759
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$5,373
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$27,862
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$0
Other income not declared elsewhere	2016-12-31	$28
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	$104,802
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,113,045
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,008,243
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	$73,629
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$72,094
Value of interest in pooled separate accounts at end of year	2016-12-31	$32,893
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$27,874
Interest earned on other investments	2016-12-31	$34
Value of interest in common/collective trusts at end of year	2016-12-31	$1,014,287
Value of interest in common/collective trusts at beginning of year	2016-12-31	$898,899
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$4,064
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$2,004
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$5,196
Net investment gain/loss from pooled separate accounts	2016-12-31	$1,013
Net investment gain or loss from common/collective trusts	2016-12-31	$79,447
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
Contributions received in cash from employer	2016-12-31	$49,245
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$1,999
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$142,148
Contract administrator fees	2016-12-31	$38,022
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$11,828
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$0
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	GREERWALKER LLP
Accountancy firm EIN	2016-12-31	561434747
2015 : SOUTHERN DELI HOLDINGS, LLC 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	$193,528
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$99,845
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$70,292
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$207,841
Value of total assets at end of year	2015-12-31	$1,008,243
Value of total assets at beginning of year	2015-12-31	$914,560
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$29,553
Total interest from all sources	2015-12-31	$37
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$409
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	$409
Administrative expenses professional fees incurred	2015-12-31	$65
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$265,000
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	$151,144
Participant contributions at end of year	2015-12-31	$5,373
Participant contributions at beginning of year	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$0
Other income not declared elsewhere	2015-12-31	$78
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	$93,683
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,008,243
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$914,560
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	$72,094
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$33,892
Value of interest in pooled separate accounts at end of year	2015-12-31	$27,874
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$12,296
Interest earned on other investments	2015-12-31	$37
Value of interest in common/collective trusts at end of year	2015-12-31	$898,899
Value of interest in common/collective trusts at beginning of year	2015-12-31	$866,719
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$2,004
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$1,653
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-4,213
Net investment gain/loss from pooled separate accounts	2015-12-31	$670
Net investment gain or loss from common/collective trusts	2015-12-31	$-11,294
Net gain/loss from 103.12 investment entities	2015-12-31	$0
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
Contributions received in cash from employer	2015-12-31	$56,697
Employer contributions (assets) at end of year	2015-12-31	$1,999
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$70,292
Contract administrator fees	2015-12-31	$29,488
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	GREERWALKER LLP
Accountancy firm EIN	2015-12-31	561434747
2014 : SOUTHERN DELI HOLDINGS, LLC 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	$9,045
Total income from all sources (including contributions)	2014-12-31	$199,734
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$36,463
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$15,687
Value of total corrective distributions	2014-12-31	$2,447
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$148,787
Value of total assets at end of year	2014-12-31	$914,560
Value of total assets at beginning of year	2014-12-31	$760,334
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$18,329
Total interest from all sources	2014-12-31	$3
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$214
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	$214
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$265,000
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	$112,445
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$9,045
Other income not declared elsewhere	2014-12-31	$21
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	$163,271
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$914,560
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$751,289
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	$33,892
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$19,041
Value of interest in pooled separate accounts at end of year	2014-12-31	$12,296
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$6,402
Interest earned on other investments	2014-12-31	$3
Value of interest in common/collective trusts at end of year	2014-12-31	$866,719
Value of interest in common/collective trusts at beginning of year	2014-12-31	$734,154
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,653
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$548
Net investment gain/loss from pooled separate accounts	2014-12-31	$808
Net investment gain or loss from common/collective trusts	2014-12-31	$49,353
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	$36,342
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$737
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$15,687
Contract administrator fees	2014-12-31	$18,329
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	GREERWALKER LLP
Accountancy firm EIN	2014-12-31	561434747
2013 : SOUTHERN DELI HOLDINGS, LLC 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	$9,045
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	$216,394
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$48,938
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$35,056
Value of total corrective distributions	2013-12-31	$9,045
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$98,876
Value of total assets at end of year	2013-12-31	$760,334
Value of total assets at beginning of year	2013-12-31	$583,833
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$4,837
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$144
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$144
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$265,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$58,962
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$315
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$9,045
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$3,493
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	$167,456
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$751,289
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$583,833
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$19,041
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$38,656
Value of interest in pooled separate accounts at end of year	2013-12-31	$6,402
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$634
Value of interest in common/collective trusts at end of year	2013-12-31	$734,154
Value of interest in common/collective trusts at beginning of year	2013-12-31	$479,006
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,562
Net investment gain/loss from pooled separate accounts	2013-12-31	$1,033
Net investment gain or loss from common/collective trusts	2013-12-31	$110,286
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	Yes
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	$39,599
Employer contributions (assets) at end of year	2013-12-31	$737
Employer contributions (assets) at beginning of year	2013-12-31	$65,537
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$35,056
Contract administrator fees	2013-12-31	$4,837
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	GREERWALKER LLP
Accountancy firm EIN	2013-12-31	561434747
2012 : SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$145,089
Total of all expenses incurred	2012-12-31	$5,365
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$4,007
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$85,501
Value of total assets at end of year	2012-12-31	$583,833
Value of total assets at beginning of year	2012-12-31	$444,109
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,358
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$3,491
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$3,491
Was this plan covered by a fidelity bond	2012-12-31	No
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	$44,682
Participant contributions at end of year	2012-12-31	$65,537
Participant contributions at beginning of year	2012-12-31	$12,180
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$0
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	$139,724
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$583,833
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$444,109
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$38,656
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$358,558
Value of interest in pooled separate accounts at end of year	2012-12-31	$634
Value of interest in common/collective trusts at end of year	2012-12-31	$479,006
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$34,005
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$797
Net investment gain/loss from pooled separate accounts	2012-12-31	$48,061
Net investment gain or loss from common/collective trusts	2012-12-31	$7,239
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	Yes
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	$40,819
Employer contributions (assets) at beginning of year	2012-12-31	$39,366
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$4,007
Contract administrator fees	2012-12-31	$1,358
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	GREERWALKER LLP
Accountancy firm EIN	2012-12-31	561434747

Form 5500 Responses for SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN

2017: SOUTHERN DELI HOLDINGS, LLC 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	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: SOUTHERN DELI HOLDINGS, LLC 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: SOUTHERN DELI HOLDINGS, LLC 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 – 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: SOUTHERN DELI HOLDINGS, LLC 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: SOUTHERN DELI HOLDINGS, LLC 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: SOUTHERN DELI HOLDINGS, LLC 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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

Insurance Providers Used on plan

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

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-11-30
Total amount of commissions paid to insurance broker	USD $18
Total amount of fees paid to insurance company	USD $2
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	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 $18
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSION
Insurance broker organization code?	3
Insurance broker name	GOLDLEAF PARTNERS

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

Policy contract number

458689

Policy instance

Insurance contract or identification number	458689
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-11-30
Total amount of commissions paid to insurance broker	USD $111
Total amount of fees paid to insurance company	USD $18
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	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 $111
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSION
Insurance broker organization code?	3
Insurance broker name	GOLDLEAF PARTNERS

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

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	316
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $32
Total amount of fees paid to insurance company	USD $1
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 $32
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSION
Insurance broker organization code?	3
Insurance broker name	GOLDLEAF PARTNERS

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

Policy contract number

458689

Policy instance

Insurance contract or identification number	458689
Number of Individuals Covered	316
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $120
Total amount of fees paid to insurance company	USD $10
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 $120
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSION
Insurance broker organization code?	3
Insurance broker name	MORGAN STANLEY DW INC

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

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	322
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1
Insurance broker organization code?	3
Insurance broker name	MORGAN STANLEY INS SERVICES INC

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

Policy contract number

458689

Policy instance

Insurance contract or identification number	458689
Number of Individuals Covered	322
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $25
Total amount of fees paid to insurance company	USD $2
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 $22
Insurance broker organization code?	3
Amount paid for insurance broker fees	1
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker name	MORGAN STANLEY DW INC

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

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	289
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $1,789
Total amount of fees paid to insurance company	USD $331
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 $1,789
Amount paid for insurance broker fees	83
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	MERRILL LYNCH PIERCE FENNER & SMITH

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

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	71
Insurance policy start date	2012-08-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $5,094
Total amount of fees paid to insurance company	USD $1,118
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $5,094
Amount paid for insurance broker fees	20
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	MERRILL LYNCH PIERCE FENNER & SMITH

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

800918

Policy instance

Insurance contract or identification number	800918
Number of Individuals Covered	0
Insurance policy start date	2012-01-01
Insurance policy end date	2012-09-23
Total amount of fees paid to insurance company	USD $156
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Amount paid for insurance broker fees	156
Additional information about fees paid to insurance broker	TPA FEE
Insurance broker organization code?	5
Insurance broker name	MERRILL LYNCH LIFE AGENCY

Potentially related plans

SOUTHERN DELI RETIREMENT PLAN [EIN = 640894467]

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Company Name:	SOUTHERN DELI
Employer identification number (EIN):	454009425
NAIC Classification:	722513
NAIC Description:	Limited-Service Restaurants