401k Plan data: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST plan

RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 401k Plan overview

Plan Name	RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST
Plan identification number	001

RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 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.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

FLOERSCH IGA, INC. has sponsored the creation of one or more 401k plans.

Company Name: FLOERSCH IGA, INC.

Employer identification number (EIN): 480939268

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-10-01 AMY CHAFFEE 2023-04-19
001 2020-10-01 AMY CHAFFEE 2022-05-04
001 2019-10-01 AMY CHAFFEE 2021-07-06
001 2018-10-01 AMY CHAFFEE 2020-07-12
001 2017-10-01 MICHAEL FLOERSCH 2019-07-08
001 2017-10-01 MICHAEL FLOERSCH 2019-07-08
001 2016-10-01
001 2015-10-01 MICHAEL FLOERSCH
001 2014-10-01 MICHAEL FLOERSCH
001 2013-10-01 MICHAEL FLOERSCH
001 2012-10-01 MICHAEL FLOERSCH
001 2011-10-01 MICHAEL FLOERSCH
001 2009-10-01 MICHAEL FLOERSCH
001 2008-10-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-10-01	AMY CHAFFEE	2023-04-19
001	2020-10-01	AMY CHAFFEE	2022-05-04
001	2019-10-01	AMY CHAFFEE	2021-07-06
001	2018-10-01	AMY CHAFFEE	2020-07-12
001	2017-10-01	MICHAEL FLOERSCH	2019-07-08
001	2017-10-01	MICHAEL FLOERSCH	2019-07-08
001	2016-10-01
001	2015-10-01	MICHAEL FLOERSCH
001	2014-10-01	MICHAEL FLOERSCH
001	2013-10-01	MICHAEL FLOERSCH
001	2012-10-01	MICHAEL FLOERSCH
001	2011-10-01	MICHAEL FLOERSCH
001	2009-10-01	MICHAEL FLOERSCH
001	2008-10-01

Plan Statistics for RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST

401k plan membership statisitcs for RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST

Measure Date Value
2021: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2021 401k membership
Total participants, beginning-of-year 2021-10-01 210
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 160
Number of retired or separated participants receiving benefits 2021-10-01 2
Number of other retired or separated participants entitled to future benefits 2021-10-01 17
Total of all active and inactive participants 2021-10-01 179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-10-01 0
Total participants 2021-10-01 179
Number of participants with account balances 2021-10-01 115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-10-01 13
2020: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year 2020-10-01 215
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 159
Number of retired or separated participants receiving benefits 2020-10-01 11
Number of other retired or separated participants entitled to future benefits 2020-10-01 26
Total of all active and inactive participants 2020-10-01 196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-10-01 0
Total participants 2020-10-01 196
Number of participants with account balances 2020-10-01 131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-10-01 11
2019: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year 2019-10-01 200
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 196
Number of retired or separated participants receiving benefits 2019-10-01 15
Number of other retired or separated participants entitled to future benefits 2019-10-01 8
Total of all active and inactive participants 2019-10-01 219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-10-01 0
Total participants 2019-10-01 219
Number of participants with account balances 2019-10-01 139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-10-01 6
2018: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year 2018-10-01 205
Total number of active participants reported on line 7a of the Form 5500 2018-10-01 174
Number of retired or separated participants receiving benefits 2018-10-01 3
Number of other retired or separated participants entitled to future benefits 2018-10-01 10
Total of all active and inactive participants 2018-10-01 187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-10-01 0
Total participants 2018-10-01 187
Number of participants with account balances 2018-10-01 119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-10-01 9
2017: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year 2017-10-01 179
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 159
Number of retired or separated participants receiving benefits 2017-10-01 11
Number of other retired or separated participants entitled to future benefits 2017-10-01 15
Total of all active and inactive participants 2017-10-01 185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-10-01 0
Total participants 2017-10-01 185
Number of participants with account balances 2017-10-01 120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-10-01 3
2016: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year 2016-10-01 152
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 160
Number of retired or separated participants receiving benefits 2016-10-01 3
Number of other retired or separated participants entitled to future benefits 2016-10-01 9
Total of all active and inactive participants 2016-10-01 172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-10-01 0
Total participants 2016-10-01 172
Number of participants with account balances 2016-10-01 109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-10-01 4
2015: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year 2015-10-01 180
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 135
Number of retired or separated participants receiving benefits 2015-10-01 2
Number of other retired or separated participants entitled to future benefits 2015-10-01 10
Total of all active and inactive participants 2015-10-01 147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 147
Number of participants with account balances 2015-10-01 98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 8
2014: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year 2014-10-01 195
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 146
Number of retired or separated participants receiving benefits 2014-10-01 12
Number of other retired or separated participants entitled to future benefits 2014-10-01 11
Total of all active and inactive participants 2014-10-01 169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 169
Number of participants with account balances 2014-10-01 112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 11
2013: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year 2013-10-01 215
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 176
Number of retired or separated participants receiving benefits 2013-10-01 1
Number of other retired or separated participants entitled to future benefits 2013-10-01 4
Total of all active and inactive participants 2013-10-01 181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 181
Number of participants with account balances 2013-10-01 110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 12
2012: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-10-01 215
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 177
Number of retired or separated participants receiving benefits 2012-10-01 2
Number of other retired or separated participants entitled to future benefits 2012-10-01 16
Total of all active and inactive participants 2012-10-01 195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 195
Number of participants with account balances 2012-10-01 131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 8
2011: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year 2011-10-01 199
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 170
Number of retired or separated participants receiving benefits 2011-10-01 3
Number of other retired or separated participants entitled to future benefits 2011-10-01 16
Total of all active and inactive participants 2011-10-01 189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 189
Number of participants with account balances 2011-10-01 128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 6
2009: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year 2009-10-01 168
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 154
Number of retired or separated participants receiving benefits 2009-10-01 1
Number of other retired or separated participants entitled to future benefits 2009-10-01 9
Total of all active and inactive participants 2009-10-01 164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 164
Number of participants with account balances 2009-10-01 120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 8

Measure	Date	Value
2021: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2021 401k membership
Total participants, beginning-of-year	2021-10-01	210
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	160
Number of retired or separated participants receiving benefits	2021-10-01	2
Number of other retired or separated participants entitled to future benefits	2021-10-01	17
Total of all active and inactive participants	2021-10-01	179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-10-01	0
Total participants	2021-10-01	179
Number of participants with account balances	2021-10-01	115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-10-01	13
2020: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year	2020-10-01	215
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	159
Number of retired or separated participants receiving benefits	2020-10-01	11
Number of other retired or separated participants entitled to future benefits	2020-10-01	26
Total of all active and inactive participants	2020-10-01	196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-10-01	0
Total participants	2020-10-01	196
Number of participants with account balances	2020-10-01	131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-10-01	11
2019: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year	2019-10-01	200
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	196
Number of retired or separated participants receiving benefits	2019-10-01	15
Number of other retired or separated participants entitled to future benefits	2019-10-01	8
Total of all active and inactive participants	2019-10-01	219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-10-01	0
Total participants	2019-10-01	219
Number of participants with account balances	2019-10-01	139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-10-01	6
2018: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year	2018-10-01	205
Total number of active participants reported on line 7a of the Form 5500	2018-10-01	174
Number of retired or separated participants receiving benefits	2018-10-01	3
Number of other retired or separated participants entitled to future benefits	2018-10-01	10
Total of all active and inactive participants	2018-10-01	187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-10-01	0
Total participants	2018-10-01	187
Number of participants with account balances	2018-10-01	119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-10-01	9
2017: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year	2017-10-01	179
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	159
Number of retired or separated participants receiving benefits	2017-10-01	11
Number of other retired or separated participants entitled to future benefits	2017-10-01	15
Total of all active and inactive participants	2017-10-01	185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-10-01	0
Total participants	2017-10-01	185
Number of participants with account balances	2017-10-01	120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-10-01	3
2016: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year	2016-10-01	152
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	160
Number of retired or separated participants receiving benefits	2016-10-01	3
Number of other retired or separated participants entitled to future benefits	2016-10-01	9
Total of all active and inactive participants	2016-10-01	172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-10-01	0
Total participants	2016-10-01	172
Number of participants with account balances	2016-10-01	109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-10-01	4
2015: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year	2015-10-01	180
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	135
Number of retired or separated participants receiving benefits	2015-10-01	2
Number of other retired or separated participants entitled to future benefits	2015-10-01	10
Total of all active and inactive participants	2015-10-01	147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	147
Number of participants with account balances	2015-10-01	98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	8
2014: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year	2014-10-01	195
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	146
Number of retired or separated participants receiving benefits	2014-10-01	12
Number of other retired or separated participants entitled to future benefits	2014-10-01	11
Total of all active and inactive participants	2014-10-01	169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	169
Number of participants with account balances	2014-10-01	112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	11
2013: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year	2013-10-01	215
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	176
Number of retired or separated participants receiving benefits	2013-10-01	1
Number of other retired or separated participants entitled to future benefits	2013-10-01	4
Total of all active and inactive participants	2013-10-01	181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	181
Number of participants with account balances	2013-10-01	110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	12
2012: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-10-01	215
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	177
Number of retired or separated participants receiving benefits	2012-10-01	2
Number of other retired or separated participants entitled to future benefits	2012-10-01	16
Total of all active and inactive participants	2012-10-01	195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	195
Number of participants with account balances	2012-10-01	131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	8
2011: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year	2011-10-01	199
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	170
Number of retired or separated participants receiving benefits	2011-10-01	3
Number of other retired or separated participants entitled to future benefits	2011-10-01	16
Total of all active and inactive participants	2011-10-01	189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	189
Number of participants with account balances	2011-10-01	128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	6
2009: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year	2009-10-01	168
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	154
Number of retired or separated participants receiving benefits	2009-10-01	1
Number of other retired or separated participants entitled to future benefits	2009-10-01	9
Total of all active and inactive participants	2009-10-01	164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	164
Number of participants with account balances	2009-10-01	120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	8

Financial Data on RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST

Measure	Date	Value
2022 : RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-09-30	$0
Total income from all sources (including contributions)	2022-09-30	$-530,143
Total loss/gain on sale of assets	2022-09-30	$0
Total of all expenses incurred	2022-09-30	$135,212
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-09-30	$107,855
Value of total corrective distributions	2022-09-30	$350
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-09-30	$284,218
Value of total assets at end of year	2022-09-30	$3,798,640
Value of total assets at beginning of year	2022-09-30	$4,463,995
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-09-30	$27,007
Total interest from all sources	2022-09-30	$802
Total dividends received (eg from common stock, registered investment company shares)	2022-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-09-30	No
Was this plan covered by a fidelity bond	2022-09-30	Yes
Value of fidelity bond cover	2022-09-30	$500,000
If this is an individual account plan, was there a blackout period	2022-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-09-30	No
Contributions received from participants	2022-09-30	$238,746
Participant contributions at end of year	2022-09-30	$23,445
Participant contributions at beginning of year	2022-09-30	$9,147
Participant contributions at beginning of year	2022-09-30	$733
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-09-30	No
Value of net income/loss	2022-09-30	$-665,355
Value of net assets at end of year (total assets less liabilities)	2022-09-30	$3,798,640
Value of net assets at beginning of year (total assets less liabilities)	2022-09-30	$4,463,995
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-09-30	No
Were any leases to which the plan was party in default or uncollectible	2022-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-09-30	$3,679,035
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-09-30	$4,440,443
Interest on participant loans	2022-09-30	$802
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-09-30	$96,160
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-09-30	$13,525
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-09-30	$-815,163
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-09-30	No
Was there a failure to transmit to the plan any participant contributions	2022-09-30	No
Has the plan failed to provide any benefit when due under the plan	2022-09-30	No
Contributions received in cash from employer	2022-09-30	$45,472
Employer contributions (assets) at beginning of year	2022-09-30	$147
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-09-30	$107,855
Contract administrator fees	2022-09-30	$27,007
Did the plan have assets held for investment	2022-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-09-30	No
Opinion of an independent qualified public accountant for this plan	2022-09-30	Unqualified
Accountancy firm name	2022-09-30	VARNEY'S & ASSOCIATES CPA LLC
Accountancy firm EIN	2022-09-30	300038643
2021 : RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-09-30	$0
Total income from all sources (including contributions)	2021-09-30	$904,186
Total loss/gain on sale of assets	2021-09-30	$0
Total of all expenses incurred	2021-09-30	$583,011
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-09-30	$554,691
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-09-30	$251,554
Value of total assets at end of year	2021-09-30	$4,463,995
Value of total assets at beginning of year	2021-09-30	$4,142,820
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-09-30	$28,320
Total interest from all sources	2021-09-30	$990
Total dividends received (eg from common stock, registered investment company shares)	2021-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-09-30	No
Was this plan covered by a fidelity bond	2021-09-30	Yes
Value of fidelity bond cover	2021-09-30	$500,000
If this is an individual account plan, was there a blackout period	2021-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-09-30	No
Contributions received from participants	2021-09-30	$210,991
Participant contributions at end of year	2021-09-30	$9,147
Participant contributions at beginning of year	2021-09-30	$32,694
Participant contributions at end of year	2021-09-30	$733
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-09-30	No
Value of net income/loss	2021-09-30	$321,175
Value of net assets at end of year (total assets less liabilities)	2021-09-30	$4,463,995
Value of net assets at beginning of year (total assets less liabilities)	2021-09-30	$4,142,820
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-09-30	No
Were any leases to which the plan was party in default or uncollectible	2021-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-09-30	$4,440,443
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-09-30	$4,098,232
Interest on participant loans	2021-09-30	$990
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-09-30	$13,525
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-09-30	$11,884
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-09-30	$651,642
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-09-30	No
Was there a failure to transmit to the plan any participant contributions	2021-09-30	No
Has the plan failed to provide any benefit when due under the plan	2021-09-30	No
Contributions received in cash from employer	2021-09-30	$40,563
Employer contributions (assets) at end of year	2021-09-30	$147
Employer contributions (assets) at beginning of year	2021-09-30	$10
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-09-30	$554,691
Contract administrator fees	2021-09-30	$28,320
Did the plan have assets held for investment	2021-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-09-30	No
Opinion of an independent qualified public accountant for this plan	2021-09-30	Disclaimer
Accountancy firm name	2021-09-30	VARNEY'S & ASSOCIATES CPA LLC
Accountancy firm EIN	2021-09-30	300038643
2020 : RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-09-30	$0
Total income from all sources (including contributions)	2020-09-30	$591,303
Total loss/gain on sale of assets	2020-09-30	$0
Total of all expenses incurred	2020-09-30	$331,637
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-09-30	$316,952
Value of total corrective distributions	2020-09-30	$45
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-09-30	$268,870
Value of total assets at end of year	2020-09-30	$4,142,820
Value of total assets at beginning of year	2020-09-30	$3,883,154
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-09-30	$14,640
Total interest from all sources	2020-09-30	$3,312
Total dividends received (eg from common stock, registered investment company shares)	2020-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-09-30	No
Was this plan covered by a fidelity bond	2020-09-30	Yes
Value of fidelity bond cover	2020-09-30	$500,000
If this is an individual account plan, was there a blackout period	2020-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-09-30	No
Contributions received from participants	2020-09-30	$225,793
Participant contributions at end of year	2020-09-30	$32,694
Participant contributions at beginning of year	2020-09-30	$62,015
Income. Received or receivable in cash from other sources (including rollovers)	2020-09-30	$84
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-09-30	No
Value of net income/loss	2020-09-30	$259,666
Value of net assets at end of year (total assets less liabilities)	2020-09-30	$4,142,820
Value of net assets at beginning of year (total assets less liabilities)	2020-09-30	$3,883,154
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-09-30	No
Were any leases to which the plan was party in default or uncollectible	2020-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-09-30	$4,098,232
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-09-30	$3,794,550
Interest on participant loans	2020-09-30	$3,312
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-09-30	$11,884
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-09-30	$26,589
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-09-30	$319,121
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-09-30	No
Was there a failure to transmit to the plan any participant contributions	2020-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2020-09-30	No
Contributions received in cash from employer	2020-09-30	$42,993
Employer contributions (assets) at end of year	2020-09-30	$10
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-09-30	$316,952
Contract administrator fees	2020-09-30	$14,640
Did the plan have assets held for investment	2020-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-09-30	Disclaimer
Accountancy firm name	2020-09-30	VARNEY'S & ASSOCIATES CPA LLC
Accountancy firm EIN	2020-09-30	300038643
2019 : RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-09-30	$0
Total income from all sources (including contributions)	2019-09-30	$346,088
Total loss/gain on sale of assets	2019-09-30	$0
Total of all expenses incurred	2019-09-30	$257,239
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-09-30	$255,933
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-09-30	$232,763
Value of total assets at end of year	2019-09-30	$3,883,154
Value of total assets at beginning of year	2019-09-30	$3,794,305
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-09-30	$1,306
Total interest from all sources	2019-09-30	$3,620
Total dividends received (eg from common stock, registered investment company shares)	2019-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-09-30	No
Was this plan covered by a fidelity bond	2019-09-30	Yes
Value of fidelity bond cover	2019-09-30	$500,000
If this is an individual account plan, was there a blackout period	2019-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-09-30	No
Contributions received from participants	2019-09-30	$193,844
Participant contributions at end of year	2019-09-30	$62,015
Participant contributions at beginning of year	2019-09-30	$60,129
Income. Received or receivable in cash from other sources (including rollovers)	2019-09-30	$816
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-09-30	No
Value of net income/loss	2019-09-30	$88,849
Value of net assets at end of year (total assets less liabilities)	2019-09-30	$3,883,154
Value of net assets at beginning of year (total assets less liabilities)	2019-09-30	$3,794,305
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-09-30	No
Were any leases to which the plan was party in default or uncollectible	2019-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-09-30	$3,794,550
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-09-30	$3,700,228
Interest on participant loans	2019-09-30	$3,620
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-09-30	$26,589
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-09-30	$33,336
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-09-30	$109,705
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-09-30	No
Was there a failure to transmit to the plan any participant contributions	2019-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2019-09-30	No
Contributions received in cash from employer	2019-09-30	$38,103
Employer contributions (assets) at beginning of year	2019-09-30	$612
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-09-30	$255,933
Contract administrator fees	2019-09-30	$1,306
Did the plan have assets held for investment	2019-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-09-30	Disclaimer
Accountancy firm name	2019-09-30	VARNEY' & ASSOCIATES CPA LLC
Accountancy firm EIN	2019-09-30	300038643
2018 : RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-09-30	$0
Total income from all sources (including contributions)	2018-09-30	$443,926
Total loss/gain on sale of assets	2018-09-30	$0
Total of all expenses incurred	2018-09-30	$72,944
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-09-30	$66,494
Value of total corrective distributions	2018-09-30	$503
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-09-30	$200,393
Value of total assets at end of year	2018-09-30	$3,794,305
Value of total assets at beginning of year	2018-09-30	$3,423,323
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-09-30	$5,947
Total interest from all sources	2018-09-30	$3,701
Total dividends received (eg from common stock, registered investment company shares)	2018-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-09-30	No
Was this plan covered by a fidelity bond	2018-09-30	Yes
Value of fidelity bond cover	2018-09-30	$284,000
If this is an individual account plan, was there a blackout period	2018-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-09-30	No
Contributions received from participants	2018-09-30	$170,314
Participant contributions at end of year	2018-09-30	$60,129
Participant contributions at beginning of year	2018-09-30	$70,183
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-09-30	No
Value of net income/loss	2018-09-30	$370,982
Value of net assets at end of year (total assets less liabilities)	2018-09-30	$3,794,305
Value of net assets at beginning of year (total assets less liabilities)	2018-09-30	$3,423,323
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-09-30	No
Were any leases to which the plan was party in default or uncollectible	2018-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-09-30	$3,700,228
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-09-30	$3,317,271
Interest on participant loans	2018-09-30	$3,701
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-09-30	$33,336
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-09-30	$35,869
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-09-30	$239,832
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-09-30	No
Was there a failure to transmit to the plan any participant contributions	2018-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2018-09-30	No
Contributions received in cash from employer	2018-09-30	$30,079
Employer contributions (assets) at end of year	2018-09-30	$612
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-09-30	$66,494
Contract administrator fees	2018-09-30	$5,947
Did the plan have assets held for investment	2018-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-09-30	Disclaimer
Accountancy firm name	2018-09-30	VARNEY'S & ASSOCIATES CPA LLC
Accountancy firm EIN	2018-09-30	300038643
2017 : RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$0
Total income from all sources (including contributions)	2017-09-30	$508,871
Total loss/gain on sale of assets	2017-09-30	$0
Total of all expenses incurred	2017-09-30	$75,998
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-09-30	$72,156
Value of total corrective distributions	2017-09-30	$2,718
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-09-30	$195,439
Value of total assets at end of year	2017-09-30	$3,423,323
Value of total assets at beginning of year	2017-09-30	$2,990,450
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-09-30	$1,124
Total interest from all sources	2017-09-30	$4,140
Total dividends received (eg from common stock, registered investment company shares)	2017-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-09-30	No
Was this plan covered by a fidelity bond	2017-09-30	Yes
Value of fidelity bond cover	2017-09-30	$343,000
If this is an individual account plan, was there a blackout period	2017-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-09-30	No
Contributions received from participants	2017-09-30	$161,052
Participant contributions at end of year	2017-09-30	$70,183
Participant contributions at beginning of year	2017-09-30	$82,454
Participant contributions at beginning of year	2017-09-30	$5,166
Income. Received or receivable in cash from other sources (including rollovers)	2017-09-30	$2,564
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-30	No
Value of net income/loss	2017-09-30	$432,873
Value of net assets at end of year (total assets less liabilities)	2017-09-30	$3,423,323
Value of net assets at beginning of year (total assets less liabilities)	2017-09-30	$2,990,450
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-09-30	No
Were any leases to which the plan was party in default or uncollectible	2017-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-09-30	$3,317,271
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-09-30	$2,861,984
Interest on participant loans	2017-09-30	$4,140
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-09-30	$35,869
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-09-30	$39,889
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-09-30	$309,292
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-09-30	No
Was there a failure to transmit to the plan any participant contributions	2017-09-30	Yes
Has the plan failed to provide any benefit when due under the plan	2017-09-30	No
Contributions received in cash from employer	2017-09-30	$31,823
Employer contributions (assets) at beginning of year	2017-09-30	$957
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-09-30	$72,156
Contract administrator fees	2017-09-30	$1,124
Did the plan have assets held for investment	2017-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-09-30	Disclaimer
Accountancy firm name	2017-09-30	VARNEY'S & ASSOCIATES CPA LLC
Accountancy firm EIN	2017-09-30	300038643
2016 : RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total income from all sources (including contributions)	2016-09-30	$457,276
Total loss/gain on sale of assets	2016-09-30	$0
Total of all expenses incurred	2016-09-30	$228,691
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-09-30	$222,624
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-09-30	$211,728
Value of total assets at end of year	2016-09-30	$2,990,450
Value of total assets at beginning of year	2016-09-30	$2,761,865
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-09-30	$6,067
Total interest from all sources	2016-09-30	$245,548
Total dividends received (eg from common stock, registered investment company shares)	2016-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-09-30	No
Was this plan covered by a fidelity bond	2016-09-30	Yes
Value of fidelity bond cover	2016-09-30	$300,000
If this is an individual account plan, was there a blackout period	2016-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-09-30	No
Contributions received from participants	2016-09-30	$170,045
Participant contributions at end of year	2016-09-30	$82,454
Participant contributions at beginning of year	2016-09-30	$42,886
Participant contributions at end of year	2016-09-30	$5,166
Participant contributions at beginning of year	2016-09-30	$4
Income. Received or receivable in cash from other sources (including rollovers)	2016-09-30	$10,684
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Value of net income/loss	2016-09-30	$228,585
Value of net assets at end of year (total assets less liabilities)	2016-09-30	$2,990,450
Value of net assets at beginning of year (total assets less liabilities)	2016-09-30	$2,761,865
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-09-30	No
Were any leases to which the plan was party in default or uncollectible	2016-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-09-30	$2,861,984
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-09-30	$2,718,975
Interest on participant loans	2016-09-30	$2,902
Interest earned on other investments	2016-09-30	$242,646
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-09-30	$39,889
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-09-30	No
Was there a failure to transmit to the plan any participant contributions	2016-09-30	No
Has the plan failed to provide any benefit when due under the plan	2016-09-30	No
Contributions received in cash from employer	2016-09-30	$30,999
Employer contributions (assets) at end of year	2016-09-30	$957
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-09-30	$222,624
Contract administrator fees	2016-09-30	$6,067
Did the plan have assets held for investment	2016-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-09-30	Disclaimer
Accountancy firm name	2016-09-30	VARNEY'S & ASSOCIATES CPA LLC
Accountancy firm EIN	2016-09-30	300038643
2015 : RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total income from all sources (including contributions)	2015-09-30	$147,554
Total loss/gain on sale of assets	2015-09-30	$0
Total of all expenses incurred	2015-09-30	$243,528
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$235,261
Value of total corrective distributions	2015-09-30	$1,669
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$227,943
Value of total assets at end of year	2015-09-30	$2,761,865
Value of total assets at beginning of year	2015-09-30	$2,857,839
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$6,598
Total interest from all sources	2015-09-30	$-80,389
Total dividends received (eg from common stock, registered investment company shares)	2015-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	No
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$284,000
If this is an individual account plan, was there a blackout period	2015-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Contributions received from participants	2015-09-30	$195,967
Participant contributions at end of year	2015-09-30	$42,886
Participant contributions at beginning of year	2015-09-30	$62,661
Participant contributions at end of year	2015-09-30	$4
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Value of net income/loss	2015-09-30	$-95,974
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$2,761,865
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$2,857,839
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-09-30	$2,718,975
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-09-30	$2,795,178
Interest on participant loans	2015-09-30	$3,374
Interest earned on other investments	2015-09-30	$-83,763
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	No
Was there a failure to transmit to the plan any participant contributions	2015-09-30	No
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Contributions received in cash from employer	2015-09-30	$31,976
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$235,261
Contract administrator fees	2015-09-30	$6,598
Did the plan have assets held for investment	2015-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-09-30	Disclaimer
Accountancy firm name	2015-09-30	VARNEY'S & ASSOCIATES CPA LLC
Accountancy firm EIN	2015-09-30	300038643
2014 : RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total income from all sources (including contributions)	2014-09-30	$397,801
Total loss/gain on sale of assets	2014-09-30	$0
Total of all expenses incurred	2014-09-30	$374,859
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$371,151
Value of total corrective distributions	2014-09-30	$932
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$219,164
Value of total assets at end of year	2014-09-30	$2,857,839
Value of total assets at beginning of year	2014-09-30	$2,834,897
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$2,776
Total interest from all sources	2014-09-30	$4,100
Total dividends received (eg from common stock, registered investment company shares)	2014-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	No
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$290,000
If this is an individual account plan, was there a blackout period	2014-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Contributions received from participants	2014-09-30	$187,752
Participant contributions at end of year	2014-09-30	$62,661
Participant contributions at beginning of year	2014-09-30	$88,935
Other income not declared elsewhere	2014-09-30	$174,537
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Value of net income/loss	2014-09-30	$22,942
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$2,857,839
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$2,834,897
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-09-30	No
Were any leases to which the plan was party in default or uncollectible	2014-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-09-30	$2,795,178
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-09-30	$2,745,962
Interest on participant loans	2014-09-30	$4,100
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	No
Was there a failure to transmit to the plan any participant contributions	2014-09-30	No
Has the plan failed to provide any benefit when due under the plan	2014-09-30	No
Contributions received in cash from employer	2014-09-30	$31,412
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$371,151
Contract administrator fees	2014-09-30	$2,776
Did the plan have assets held for investment	2014-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-09-30	Disclaimer
Accountancy firm name	2014-09-30	VARNEY'S & ASSOCIATES CPA LLC
Accountancy firm EIN	2014-09-30	300038643
2013 : RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total income from all sources (including contributions)	2013-09-30	$494,280
Total loss/gain on sale of assets	2013-09-30	$0
Total of all expenses incurred	2013-09-30	$184,394
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$182,237
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$243,628
Value of total assets at end of year	2013-09-30	$2,834,897
Value of total assets at beginning of year	2013-09-30	$2,525,011
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$2,157
Total interest from all sources	2013-09-30	$250,652
Total dividends received (eg from common stock, registered investment company shares)	2013-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-09-30	No
Was this plan covered by a fidelity bond	2013-09-30	Yes
Value of fidelity bond cover	2013-09-30	$200,000
If this is an individual account plan, was there a blackout period	2013-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Contributions received from participants	2013-09-30	$190,869
Participant contributions at end of year	2013-09-30	$88,935
Participant contributions at beginning of year	2013-09-30	$77,927
Participant contributions at beginning of year	2013-09-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-09-30	$16,017
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Value of net income/loss	2013-09-30	$309,886
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$2,834,897
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$2,525,011
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-09-30	No
Were any leases to which the plan was party in default or uncollectible	2013-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-09-30	$2,745,962
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-09-30	$2,447,084
Interest on participant loans	2013-09-30	$4,939
Interest earned on other investments	2013-09-30	$245,713
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-09-30	No
Was there a failure to transmit to the plan any participant contributions	2013-09-30	No
Has the plan failed to provide any benefit when due under the plan	2013-09-30	No
Contributions received in cash from employer	2013-09-30	$36,742
Employer contributions (assets) at beginning of year	2013-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-09-30	$182,237
Contract administrator fees	2013-09-30	$2,157
Did the plan have assets held for investment	2013-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-09-30	Disclaimer
Accountancy firm name	2013-09-30	VARNEY & ASSOCIATES CPA LLC
Accountancy firm EIN	2013-09-30	300038643
2012 : RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$0
Total income from all sources (including contributions)	2012-09-30	$563,897
Total loss/gain on sale of assets	2012-09-30	$0
Total of all expenses incurred	2012-09-30	$95,639
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-09-30	$93,435
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-09-30	$260,849
Value of total assets at end of year	2012-09-30	$2,525,011
Value of total assets at beginning of year	2012-09-30	$2,056,753
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-09-30	$2,204
Total interest from all sources	2012-09-30	$303,048
Total dividends received (eg from common stock, registered investment company shares)	2012-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-09-30	No
Was this plan covered by a fidelity bond	2012-09-30	Yes
Value of fidelity bond cover	2012-09-30	$206,000
If this is an individual account plan, was there a blackout period	2012-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-09-30	No
Contributions received from participants	2012-09-30	$201,277
Participant contributions at end of year	2012-09-30	$77,927
Participant contributions at beginning of year	2012-09-30	$99,561
Participant contributions at end of year	2012-09-30	$0
Participant contributions at beginning of year	2012-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Value of net income/loss	2012-09-30	$468,258
Value of net assets at end of year (total assets less liabilities)	2012-09-30	$2,525,011
Value of net assets at beginning of year (total assets less liabilities)	2012-09-30	$2,056,753
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-09-30	No
Were any leases to which the plan was party in default or uncollectible	2012-09-30	No
Investment advisory and management fees	2012-09-30	$2,204
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-09-30	$2,447,084
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-09-30	$1,957,192
Interest on participant loans	2012-09-30	$4,504
Interest earned on other investments	2012-09-30	$298,544
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-09-30	No
Was there a failure to transmit to the plan any participant contributions	2012-09-30	No
Has the plan failed to provide any benefit when due under the plan	2012-09-30	No
Contributions received in cash from employer	2012-09-30	$59,572
Employer contributions (assets) at end of year	2012-09-30	$0
Employer contributions (assets) at beginning of year	2012-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-09-30	$93,435
Did the plan have assets held for investment	2012-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-09-30	Disclaimer
Accountancy firm name	2012-09-30	VARNEY & ASSOCIATES CPA LLC
Accountancy firm EIN	2012-09-30	300038643
2011 : RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$0
Total income from all sources (including contributions)	2011-09-30	$210,230
Total loss/gain on sale of assets	2011-09-30	$0
Total of all expenses incurred	2011-09-30	$71,649
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-09-30	$69,108
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-09-30	$290,321
Value of total assets at end of year	2011-09-30	$2,056,753
Value of total assets at beginning of year	2011-09-30	$1,918,172
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-09-30	$2,541
Total interest from all sources	2011-09-30	$-80,091
Total dividends received (eg from common stock, registered investment company shares)	2011-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-09-30	No
Was this plan covered by a fidelity bond	2011-09-30	Yes
Value of fidelity bond cover	2011-09-30	$200,000
If this is an individual account plan, was there a blackout period	2011-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-09-30	No
Contributions received from participants	2011-09-30	$216,759
Participant contributions at end of year	2011-09-30	$99,561
Participant contributions at beginning of year	2011-09-30	$29,982
Participant contributions at end of year	2011-09-30	$0
Participant contributions at beginning of year	2011-09-30	$113
Income. Received or receivable in cash from other sources (including rollovers)	2011-09-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Income. Non cash contributions	2011-09-30	$0
Value of net income/loss	2011-09-30	$138,581
Value of net assets at end of year (total assets less liabilities)	2011-09-30	$2,056,753
Value of net assets at beginning of year (total assets less liabilities)	2011-09-30	$1,918,172
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-09-30	No
Were any leases to which the plan was party in default or uncollectible	2011-09-30	No
Investment advisory and management fees	2011-09-30	$2,541
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-09-30	$1,957,192
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-09-30	$1,888,077
Interest on participant loans	2011-09-30	$3,778
Interest earned on other investments	2011-09-30	$-83,869
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-09-30	No
Was there a failure to transmit to the plan any participant contributions	2011-09-30	No
Has the plan failed to provide any benefit when due under the plan	2011-09-30	No
Contributions received in cash from employer	2011-09-30	$73,562
Employer contributions (assets) at end of year	2011-09-30	$0
Employer contributions (assets) at beginning of year	2011-09-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-09-30	$69,108
Did the plan have assets held for investment	2011-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-09-30	Disclaimer
Accountancy firm name	2011-09-30	VARNEY & ASSOCIATES CPA LLC
Accountancy firm EIN	2011-09-30	300038643
2010 : RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-09-30	$0

Form 5500 Responses for RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST

2021: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	No
2021-10-01	This submission is the final filing	No
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan funding arrangement – Trust	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement - Trust	Yes
2020: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Submission has been amended	No
2020-10-01	This submission is the final filing	No
2020-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-10-01	Plan is a collectively bargained plan	No
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan funding arrangement – Trust	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement - Trust	Yes
2019: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan funding arrangement – Trust	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement - Trust	Yes
2018: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	Submission has been amended	No
2018-10-01	This submission is the final filing	No
2018-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-10-01	Plan is a collectively bargained plan	No
2018-10-01	Plan funding arrangement – Insurance	Yes
2018-10-01	Plan funding arrangement – Trust	Yes
2018-10-01	Plan benefit arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement - Trust	Yes
2017: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Submission has been amended	No
2017-10-01	This submission is the final filing	No
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan funding arrangement – Trust	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement - Trust	Yes
2016: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan funding arrangement – Trust	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement - Trust	Yes
2015: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2009: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes
2008: RAY'S APPLE MARKET STORES PROFIT SHARING 401(K) PLAN & TRUST 2008 form 5500 responses
2008-10-01	Type of plan entity	Single employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-HA6C

Policy instance

Insurance contract or identification number	GAP-B2-HA6C
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-HA6C

Policy instance

Insurance contract or identification number	GAP-B2-HA6C
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-HA6C

Policy instance

Insurance contract or identification number	GAP-B2-HA6C
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $10
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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-HA6C

Policy instance

Insurance contract or identification number	GAP-B2-HA6C
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Total amount of commissions paid to insurance broker	USD $239
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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $239
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B2-HA6C

Policy instance

Insurance contract or identification number	GAP-B2-HA6C
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $282
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	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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:	FLOERSCH IGA, INC.
Employer identification number (EIN):	480939268
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores