401k Plan data: ROCK SOLID RESTAURANTS LLC 401(K) PLAN plan

ROCK SOLID RESTAURANTS LLC 401(K) PLAN 401k Plan overview

Plan Name	ROCK SOLID RESTAURANTS LLC 401(K) PLAN
Plan identification number	001

ROCK SOLID RESTAURANTS 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.
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

ROCK SOLID RESTAURANTS LLC has sponsored the creation of one or more 401k plans.

Company Name: ROCK SOLID RESTAURANTS LLC

Employer identification number (EIN): 462371003

NAIC Classification: 722511
NAIC Description: Full-Service Restaurants

Additional information about ROCK SOLID RESTAURANTS LLC

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 2016-01-15

Company Identification Number: 117841692

Legal Registered Office Address: 17155 SE SUNNYSIDE RD

HAPPY VALLEY
United States of America (USA)
97086

More information about ROCK SOLID RESTAURANTS LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROCK SOLID RESTAURANTS LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 THOMAS TRIBBETT 2023-11-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 THOMAS TRIBBETT THOMAS TRIBBETT 2018-10-10
001 2016-07-01 THOMAS TRIBBETT THOMAS TRIBBETT 2017-10-16

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	THOMAS TRIBBETT	2023-11-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	THOMAS TRIBBETT		THOMAS TRIBBETT	2018-10-10
001	2016-07-01	THOMAS TRIBBETT		THOMAS TRIBBETT	2017-10-16

Plan Statistics for ROCK SOLID RESTAURANTS LLC 401(K) PLAN

401k plan membership statisitcs for ROCK SOLID RESTAURANTS LLC 401(K) PLAN

Measure Date Value
2022: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 500
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 390
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 15
Total of all active and inactive participants 2022-01-01 405
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 405
Number of participants with account balances 2022-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 500
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 390
Number of other retired or separated participants entitled to future benefits 2021-01-01 15
Total of all active and inactive participants 2021-01-01 405
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 405
Number of participants with account balances 2021-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 1
2020: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 349
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 357
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 13
Total of all active and inactive participants 2020-01-01 370
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 370
Number of participants with account balances 2020-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 294
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 325
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 9
Total of all active and inactive participants 2019-01-01 334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 334
Number of participants with account balances 2019-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 297
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 297
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 7
Total of all active and inactive participants 2018-01-01 304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 304
Number of participants with account balances 2018-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 257
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 304
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 2
Total of all active and inactive participants 2017-01-01 306
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 306
Number of participants with account balances 2017-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 196
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 187
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 1
Total of all active and inactive participants 2016-07-01 188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 188
Number of participants with account balances 2016-07-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 0

Measure	Date	Value
2022: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	500
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	390
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	15
Total of all active and inactive participants	2022-01-01	405
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	405
Number of participants with account balances	2022-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	500
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	390
Number of other retired or separated participants entitled to future benefits	2021-01-01	15
Total of all active and inactive participants	2021-01-01	405
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	405
Number of participants with account balances	2021-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	1
2020: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	349
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	357
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	13
Total of all active and inactive participants	2020-01-01	370
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	370
Number of participants with account balances	2020-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	294
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	325
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	9
Total of all active and inactive participants	2019-01-01	334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	334
Number of participants with account balances	2019-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	297
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	297
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	7
Total of all active and inactive participants	2018-01-01	304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	304
Number of participants with account balances	2018-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	257
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	304
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	2
Total of all active and inactive participants	2017-01-01	306
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	306
Number of participants with account balances	2017-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	196
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	187
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	1
Total of all active and inactive participants	2016-07-01	188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	188
Number of participants with account balances	2016-07-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	0

Financial Data on ROCK SOLID RESTAURANTS LLC 401(K) PLAN

Measure	Date	Value
2022 : ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets	2022-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$0
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total transfer of assets to this plan	2022-12-31	$0
Total transfer of assets from this plan	2022-12-31	$0
Expenses. Interest paid	2022-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-31,018
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$22,460
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$18,958
Expenses. Certain deemed distributions of participant loans	2022-12-31	$0
Value of total corrective distributions	2022-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$43,355
Value of total assets at end of year	2022-12-31	$333,895
Value of total assets at beginning of year	2022-12-31	$387,373
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$3,502
Total income from rents	2022-12-31	$0
Total interest from all sources	2022-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$0
Administrative expenses professional fees incurred	2022-12-31	$0
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$150,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$43,355
Participant contributions at end of year	2022-12-31	$1,442
Participant contributions at beginning of year	2022-12-31	$1,729
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2022-12-31	$0
Other income not declared elsewhere	2022-12-31	$-74,373
Administrative expenses (other) incurred	2022-12-31	$3,502
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Income. Non cash contributions	2022-12-31	$0
Value of net income/loss	2022-12-31	$-53,478
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$333,895
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$387,373
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,568
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$43,330
Interest on participant loans	2022-12-31	$0
Income. Interest from loans (other than to participants)	2022-12-31	$0
Interest earned on other investments	2022-12-31	$0
Income. Interest from US Government securities	2022-12-31	$0
Income. Interest from corporate debt instruments	2022-12-31	$0
Value of interest in common/collective trusts at end of year	2022-12-31	$332,453
Value of interest in common/collective trusts at beginning of year	2022-12-31	$339,746
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$0
Net investment gain/loss from pooled separate accounts	2022-12-31	$0
Net investment gain or loss from common/collective trusts	2022-12-31	$0
Net gain/loss from 103.12 investment entities	2022-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$0
Income. Dividends from preferred stock	2022-12-31	$0
Income. Dividends from common stock	2022-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$18,958
Contract administrator fees	2022-12-31	$0
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Aggregate proceeds on sale of assets	2022-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2022-12-31	$0
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	HMA CPA
Accountancy firm EIN	2022-12-31	470888689
2021 : ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$102,634
Total of all expenses incurred	2021-12-31	$8,119
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$4,356
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$53,627
Value of total assets at end of year	2021-12-31	$387,373
Value of total assets at beginning of year	2021-12-31	$292,858
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$3,763
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Administrative expenses professional fees incurred	2021-12-31	$3,763
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$150,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$53,627
Participant contributions at end of year	2021-12-31	$1,729
Participant contributions at beginning of year	2021-12-31	$425
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$94,515
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$387,373
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$292,858
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$2,568
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$2,310
Value of interest in pooled separate accounts at end of year	2021-12-31	$43,330
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$29,087
Value of interest in common/collective trusts at end of year	2021-12-31	$339,746
Value of interest in common/collective trusts at beginning of year	2021-12-31	$261,036
Net investment gain or loss from common/collective trusts	2021-12-31	$49,007
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$0
Employer contributions (assets) at beginning of year	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$4,356
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	HMA CPA
Accountancy firm EIN	2021-12-31	470888689
2020 : ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$110,468
Total of all expenses incurred	2020-12-31	$30,516
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$27,205
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$70,609
Value of total assets at end of year	2020-12-31	$292,858
Value of total assets at beginning of year	2020-12-31	$212,906
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$3,311
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$150,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$43,533
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$27,076
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$79,952
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$292,858
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$212,906
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$2,310
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,692
Value of interest in pooled separate accounts at end of year	2020-12-31	$29,087
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$16,754
Value of interest in common/collective trusts at end of year	2020-12-31	$261,036
Value of interest in common/collective trusts at beginning of year	2020-12-31	$188,791
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$699
Net investment gain/loss from pooled separate accounts	2020-12-31	$4,804
Net investment gain or loss from common/collective trusts	2020-12-31	$34,356
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Employer contributions (assets) at end of year	2020-12-31	$425
Employer contributions (assets) at beginning of year	2020-12-31	$5,669
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$27,205
Contract administrator fees	2020-12-31	$3,311
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	HMA CPA
Accountancy firm EIN	2020-12-31	470888689
2019 : ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$97,992
Total income from all sources (including contributions)	2019-12-31	$97,992
Total of all expenses incurred	2019-12-31	$5,764
Total of all expenses incurred	2019-12-31	$5,764
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$3,524
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$3,524
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$66,217
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$66,217
Value of total assets at end of year	2019-12-31	$212,906
Value of total assets at end of year	2019-12-31	$212,906
Value of total assets at beginning of year	2019-12-31	$120,678
Value of total assets at beginning of year	2019-12-31	$120,678
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$2,240
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$2,240
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$150,000
Value of fidelity bond cover	2019-12-31	$150,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$66,217
Contributions received from participants	2019-12-31	$66,217
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$92,228
Value of net income/loss	2019-12-31	$92,228
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$212,906
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$212,906
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$120,678
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$120,678
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,692
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,692
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,176
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,176
Value of interest in pooled separate accounts at end of year	2019-12-31	$16,754
Value of interest in pooled separate accounts at end of year	2019-12-31	$16,754
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$3,758
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$3,758
Value of interest in common/collective trusts at end of year	2019-12-31	$188,791
Value of interest in common/collective trusts at end of year	2019-12-31	$188,791
Value of interest in common/collective trusts at beginning of year	2019-12-31	$110,769
Value of interest in common/collective trusts at beginning of year	2019-12-31	$110,769
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$413
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$413
Net investment gain/loss from pooled separate accounts	2019-12-31	$2,187
Net investment gain/loss from pooled separate accounts	2019-12-31	$2,187
Net investment gain or loss from common/collective trusts	2019-12-31	$29,175
Net investment gain or loss from common/collective trusts	2019-12-31	$29,175
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Employer contributions (assets) at end of year	2019-12-31	$5,669
Employer contributions (assets) at end of year	2019-12-31	$5,669
Employer contributions (assets) at beginning of year	2019-12-31	$4,975
Employer contributions (assets) at beginning of year	2019-12-31	$4,975
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$3,524
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$3,524
Contract administrator fees	2019-12-31	$2,240
Contract administrator fees	2019-12-31	$2,240
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	HMA CPA
Accountancy firm name	2019-12-31	HMA CPA
Accountancy firm EIN	2019-12-31	470888689
Accountancy firm EIN	2019-12-31	470888689
2018 : ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2018 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$16,737
Total income from all sources (including contributions)	2018-12-31	$40,900
Total of all expenses incurred	2018-12-31	$7,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$5,082
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$51,478
Value of total assets at end of year	2018-12-31	$120,678
Value of total assets at beginning of year	2018-12-31	$103,515
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$1,918
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$150,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$51,478
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$16,737
Other income not declared elsewhere	2018-12-31	$60
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$33,900
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$120,678
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$86,778
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,176
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$5,066
Value of interest in pooled separate accounts at end of year	2018-12-31	$3,758
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$5,107
Value of interest in common/collective trusts at end of year	2018-12-31	$110,769
Value of interest in common/collective trusts at beginning of year	2018-12-31	$90,901
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$170
Net investment gain/loss from pooled separate accounts	2018-12-31	$262
Net investment gain or loss from common/collective trusts	2018-12-31	$-11,070
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Employer contributions (assets) at end of year	2018-12-31	$4,975
Employer contributions (assets) at beginning of year	2018-12-31	$2,441
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$5,082
Contract administrator fees	2018-12-31	$1,918
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	HMA CPA
Accountancy firm EIN	2018-12-31	470888689
2017 : ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$16,737
Total income from all sources (including contributions)	2017-12-31	$91,125
Total of all expenses incurred	2017-12-31	$19,259
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,617
Value of total corrective distributions	2017-12-31	$16,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$81,358
Value of total assets at end of year	2017-12-31	$103,515
Value of total assets at beginning of year	2017-12-31	$14,912
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$905
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$10,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$81,358
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$16,737
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$71,866
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$86,778
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$14,912
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$5,066
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$262
Value of interest in pooled separate accounts at end of year	2017-12-31	$5,107
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$261
Value of interest in common/collective trusts at end of year	2017-12-31	$90,901
Value of interest in common/collective trusts at beginning of year	2017-12-31	$14,389
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$585
Net investment gain/loss from pooled separate accounts	2017-12-31	$627
Net investment gain or loss from common/collective trusts	2017-12-31	$8,555
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Employer contributions (assets) at end of year	2017-12-31	$2,441
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,617
Contract administrator fees	2017-12-31	$905
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	HMA CPA
Accountancy firm EIN	2017-12-31	470888689
2016 : ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2016 401k financial data
Total transfer of assets to this plan	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$14,944
Total of all expenses incurred	2016-12-31	$32
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$14,747
Value of total assets at end of year	2016-12-31	$14,912
Value of total assets at beginning of year	2016-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$32
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$10,000
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	$14,747
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$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	2016-12-31	No
Income. Non cash contributions	2016-12-31	$0
Value of net income/loss	2016-12-31	$14,912
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$14,912
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$0
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	$262
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$0
Value of interest in pooled separate accounts at end of year	2016-12-31	$261
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$0
Value of interest in common/collective trusts at end of year	2016-12-31	$14,389
Value of interest in common/collective trusts at beginning of year	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$-2
Net investment gain/loss from pooled separate accounts	2016-12-31	$-3
Net investment gain or loss from common/collective trusts	2016-12-31	$202
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	$0
Contract administrator fees	2016-12-31	$32
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

Form 5500 Responses for ROCK SOLID RESTAURANTS LLC 401(K) PLAN

2022: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	Yes
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: ROCK SOLID RESTAURANTS 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	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ROCK SOLID RESTAURANTS LLC 401(K) PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	First time form 5500 has been submitted	Yes
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	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	69
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $189
Total amount of fees paid to insurance company	USD $19
Commission paid to Insurance Broker	USD $189
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE

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

Policy contract number

813401

Policy instance

Insurance contract or identification number	813401
Number of Individuals Covered	67
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $168
Total amount of fees paid to insurance company	USD $17
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $168
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE

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

Policy contract number

813401

Policy instance

Insurance contract or identification number	813401
Number of Individuals Covered	62
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $98
Total amount of fees paid to insurance company	USD $10
Commission paid to Insurance Broker	USD $98
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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

Policy contract number

813401

Policy instance

Insurance contract or identification number	813401
Number of Individuals Covered	50
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $46
Total amount of fees paid to insurance company	USD $5
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 $46
Insurance broker organization code?	3
Amount paid for insurance broker fees	5

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

Policy contract number

813401

Policy instance

Insurance contract or identification number	813401
Number of Individuals Covered	46
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $21
Total amount of fees paid to insurance company	USD $23
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 $0
Amount paid for insurance broker fees	2
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	5

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

Policy contract number

813401

Policy instance

Insurance contract or identification number	813401
Number of Individuals Covered	44
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $10
Total amount of fees paid to insurance company	USD $1
Commission paid to Insurance Broker	USD $10
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker name	G. RUSSELL KNOBEL & ASSOCIATES, INC

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Company Name:	ROCK SOLID RESTAURANTS LLC
Employer identification number (EIN):	462371003
NAIC Classification:	722511
NAIC Description:	Full-Service Restaurants

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	2016-01-15
Company Identification Number:	117841692
Legal Registered Office Address:	17155 SE SUNNYSIDE RD HAPPY VALLEY United States of America (USA) 97086