401k Plan data: MOTHER'S MARKET 401(K) RETIREMENT PLAN plan

MOTHER'S MARKET 401(K) RETIREMENT PLAN 401k Plan overview

Plan Name	MOTHER'S MARKET 401(K) RETIREMENT PLAN
Plan identification number	001

MOTHER'S MARKET 401(K) RETIREMENT 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

MOTHER'S MARKET & KITCHEN INC. has sponsored the creation of one or more 401k plans.

Company Name: MOTHER'S MARKET & KITCHEN INC.

Employer identification number (EIN): 474634734

NAIC Classification: 445110
NAIC Description: Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOTHER'S MARKET 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 SALLY ANN KAWAMOTO 2023-10-12
001 2021-01-01 SALLY ANN KAWAMOTO 2022-09-25
001 2020-01-01 SALLY ANN KAWAMOTO 2021-07-29
001 2020-01-01 SALLY ANN KAWAMOTO 2021-07-29
001 2019-01-01 SALLY ANN KAWAMOTO 2020-09-16

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	SALLY ANN KAWAMOTO	2023-10-12
001	2021-01-01	SALLY ANN KAWAMOTO	2022-09-25
001	2020-01-01	SALLY ANN KAWAMOTO	2021-07-29
001	2020-01-01	SALLY ANN KAWAMOTO	2021-07-29
001	2019-01-01	SALLY ANN KAWAMOTO	2020-09-16

Plan Statistics for MOTHER'S MARKET 401(K) RETIREMENT PLAN

401k plan membership statisitcs for MOTHER'S MARKET 401(K) RETIREMENT PLAN

Measure Date Value
2022: MOTHER'S MARKET 401(K) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 469
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 381
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 53
Total of all active and inactive participants 2022-01-01 434
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 434
Number of participants with account balances 2022-01-01 265
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: MOTHER'S MARKET 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 574
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 388
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 64
Total of all active and inactive participants 2021-01-01 452
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 452
Number of participants with account balances 2021-01-01 287
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: MOTHER'S MARKET 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 579
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 495
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 56
Total of all active and inactive participants 2020-01-01 551
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 1
Total participants 2020-01-01 552
Number of participants with account balances 2020-01-01 338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: MOTHER'S MARKET 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 469
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 473
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 72
Total of all active and inactive participants 2019-01-01 545
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 545
Number of participants with account balances 2019-01-01 340
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0

Measure	Date	Value
2022: MOTHER'S MARKET 401(K) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	469
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	381
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	53
Total of all active and inactive participants	2022-01-01	434
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	434
Number of participants with account balances	2022-01-01	265
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: MOTHER'S MARKET 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	574
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	388
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	64
Total of all active and inactive participants	2021-01-01	452
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	452
Number of participants with account balances	2021-01-01	287
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: MOTHER'S MARKET 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	579
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	495
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	56
Total of all active and inactive participants	2020-01-01	551
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	1
Total participants	2020-01-01	552
Number of participants with account balances	2020-01-01	338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: MOTHER'S MARKET 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	469
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	473
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	72
Total of all active and inactive participants	2019-01-01	545
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	545
Number of participants with account balances	2019-01-01	340
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0

Financial Data on MOTHER'S MARKET 401(K) RETIREMENT PLAN

Measure	Date	Value
2022 : MOTHER'S MARKET 401(K) RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$390,168
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$149,703
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$115,470
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$631,010
Value of total assets at end of year	2022-12-31	$1,678,896
Value of total assets at beginning of year	2022-12-31	$1,438,431
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$34,233
Total interest from all sources	2022-12-31	$4,148
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$44,960
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$44,960
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$1,000,000
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	$613,414
Participant contributions at end of year	2022-12-31	$20,237
Participant contributions at beginning of year	2022-12-31	$1,065
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$779
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$17,596
Total non interest bearing cash at end of year	2022-12-31	$1
Total non interest bearing cash at beginning of year	2022-12-31	$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$240,465
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$1,678,896
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$1,438,431
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$1,470,521
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$1,278,251
Interest on participant loans	2022-12-31	$340
Interest earned on other investments	2022-12-31	$3,808
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$188,137
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$158,334
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-289,950
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$115,470
Contract administrator fees	2022-12-31	$34,233
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
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	HASKELL & WHITE LLP
Accountancy firm EIN	2022-12-31	330310569
2021 : MOTHER'S MARKET 401(K) RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$710,211
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$184,305
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$153,077
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$567,185
Value of total assets at end of year	2021-12-31	$1,438,431
Value of total assets at beginning of year	2021-12-31	$912,525
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$31,228
Total interest from all sources	2021-12-31	$3,186
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$43,913
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$43,913
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$560,545
Participant contributions at end of year	2021-12-31	$1,065
Participant contributions at beginning of year	2021-12-31	$3,616
Participant contributions at end of year	2021-12-31	$779
Participant contributions at beginning of year	2021-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$6,640
Total non interest bearing cash at end of year	2021-12-31	$2
Total non interest bearing cash at beginning of year	2021-12-31	$3
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$525,906
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$1,438,431
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$912,525
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	$1,278,251
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$801,929
Interest on participant loans	2021-12-31	$220
Interest earned on other investments	2021-12-31	$2,966
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$158,334
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$106,977
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$95,927
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$153,077
Contract administrator fees	2021-12-31	$31,228
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	HASKELL & WHITE
Accountancy firm EIN	2021-12-31	330310569
2020 : MOTHER'S MARKET 401(K) RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$155
Total income from all sources (including contributions)	2020-12-31	$632,531
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$160,227
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$135,806
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$508,422
Value of total assets at end of year	2020-12-31	$912,525
Value of total assets at beginning of year	2020-12-31	$440,376
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$24,421
Total interest from all sources	2020-12-31	$1,997
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$17,367
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$17,367
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$1,000,000
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	$462,128
Participant contributions at end of year	2020-12-31	$3,616
Participant contributions at beginning of year	2020-12-31	$3,000
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$46,294
Liabilities. Value of operating payables at beginning of year	2020-12-31	$155
Total non interest bearing cash at end of year	2020-12-31	$3
Total non interest bearing cash at beginning of year	2020-12-31	$14,833
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	$472,304
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$912,525
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$440,221
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	$801,929
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$372,980
Interest on participant loans	2020-12-31	$230
Interest earned on other investments	2020-12-31	$1,767
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$106,977
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$49,563
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$104,745
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$135,806
Contract administrator fees	2020-12-31	$24,421
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	Disclaimer
Accountancy firm name	2020-12-31	HASKELL & WHITE
Accountancy firm EIN	2020-12-31	330310569
2019 : MOTHER'S MARKET 401(K) RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$155
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$468,766
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$28,545
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$16,911
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$431,791
Value of total assets at end of year	2019-12-31	$440,376
Value of total assets at beginning of year	2019-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$11,634
Total interest from all sources	2019-12-31	$520
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$7,318
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$7,318
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$50,000
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
Contributions received from participants	2019-12-31	$431,791
Participant contributions at end of year	2019-12-31	$3,000
Liabilities. Value of operating payables at end of year	2019-12-31	$155
Total non interest bearing cash at end of year	2019-12-31	$14,833
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	$440,221
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$440,221
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$0
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 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	$372,980
Interest earned on other investments	2019-12-31	$520
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$49,563
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$29,137
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
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$16,911
Contract administrator fees	2019-12-31	$11,634
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
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	HASKELL & WHITE
Accountancy firm EIN	2019-12-31	330310569

Form 5500 Responses for MOTHER'S MARKET 401(K) RETIREMENT PLAN

2022: MOTHER'S MARKET 401(K) RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
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: MOTHER'S MARKET 401(K) RETIREMENT 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: MOTHER'S MARKET 401(K) RETIREMENT 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: MOTHER'S MARKET 401(K) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	First time form 5500 has been submitted	Yes
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

Insurance Providers Used on plan

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

Policy contract number

812918

Policy instance

Insurance contract or identification number	812918
Number of Individuals Covered	434
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

812918

Policy instance

Insurance contract or identification number	812918
Number of Individuals Covered	452
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

812918

Policy instance

Insurance contract or identification number	812918
Number of Individuals Covered	552
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

812918

Policy instance

Insurance contract or identification number	812918
Number of Individuals Covered	545
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MOTHER'S MARKET & KITCHEN INC.
Employer identification number (EIN):	474634734
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores