401k Plan data: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. plan

SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 401k Plan overview

Plan Name	SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC.
Plan identification number	001

SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

CYPRESS GROVE CHEVRE, INC. has sponsored the creation of one or more 401k plans.

Company Name: CYPRESS GROVE CHEVRE, INC.

Employer identification number (EIN): 680454651

NAIC Classification: 311500
NAIC Description: Dairy Product Manufacturing

Additional information about CYPRESS GROVE CHEVRE, INC.

Jurisdiction of Incorporation: California Department of State

Incorporation Date: 2000-04-21

Company Identification Number: C2230271

Legal Registered Office Address: 2710 Gateway Oaks Dr Ste 150N

Sacramento
United States of America (USA)
95833

More information about CYPRESS GROVE CHEVRE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 LYNNE SANDSTROM
001 2016-01-01 SHOSHANNA BOOTHROYD 2017-06-19 SHOSHANNA BOOTHROYD 2017-06-19
001 2015-01-01 CINDY HORI 2016-09-12 CINDY HORI 2016-09-12
001 2014-01-01 MICHELLE ELLENA 2015-07-13 MICHELLE ELLENA 2015-07-13
001 2013-01-01 MICHELLE ELLENA 2014-07-24 MICHELLE ELLENA 2014-07-24
001 2012-01-01 PAMELA DRESSLER 2013-07-17 PAMELA DRESSLER 2013-07-17
001 2011-01-01 MAUREEN GROFF 2012-07-23
001 2010-01-01 MAUREEN GROFF 2011-07-12 MAUREEN GROFF 2011-07-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	LYNNE SANDSTROM
001	2016-01-01	SHOSHANNA BOOTHROYD	2017-06-19	SHOSHANNA BOOTHROYD	2017-06-19
001	2015-01-01	CINDY HORI	2016-09-12	CINDY HORI	2016-09-12
001	2014-01-01	MICHELLE ELLENA	2015-07-13	MICHELLE ELLENA	2015-07-13
001	2013-01-01	MICHELLE ELLENA	2014-07-24	MICHELLE ELLENA	2014-07-24
001	2012-01-01	PAMELA DRESSLER	2013-07-17	PAMELA DRESSLER	2013-07-17
001	2011-01-01	MAUREEN GROFF	2012-07-23
001	2010-01-01	MAUREEN GROFF	2011-07-12	MAUREEN GROFF	2011-07-12

Plan Statistics for SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC.

401k plan membership statisitcs for SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC.

Measure Date Value
2022: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2022 401k membership
Total participants, beginning-of-year 2022-01-01 79
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 71
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 20
Total of all active and inactive participants 2022-01-01 91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 91
Number of participants with account balances 2022-01-01 77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2021 401k membership
Total participants, beginning-of-year 2021-01-01 76
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 61
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 18
Total of all active and inactive participants 2021-01-01 79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 79
Number of participants with account balances 2021-01-01 69
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 2
2020: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2020 401k membership
Total participants, beginning-of-year 2020-01-01 87
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 63
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 13
Total of all active and inactive participants 2020-01-01 76
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 76
Number of participants with account balances 2020-01-01 66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 2
2019: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2019 401k membership
Total participants, beginning-of-year 2019-01-01 74
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 71
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 16
Total of all active and inactive participants 2019-01-01 87
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 87
Number of participants with account balances 2019-01-01 75
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 6
2018: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2018 401k membership
Total participants, beginning-of-year 2018-01-01 75
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 62
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 12
Total of all active and inactive participants 2018-01-01 74
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 74
Number of participants with account balances 2018-01-01 66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 1
2017: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2017 401k membership
Total participants, beginning-of-year 2017-01-01 71
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 54
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 21
Total of all active and inactive participants 2017-01-01 75
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 75
Number of participants with account balances 2017-01-01 57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0

Measure	Date	Value
2022: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2022 401k membership
Total participants, beginning-of-year	2022-01-01	79
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	71
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	20
Total of all active and inactive participants	2022-01-01	91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	91
Number of participants with account balances	2022-01-01	77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2021 401k membership
Total participants, beginning-of-year	2021-01-01	76
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	61
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	18
Total of all active and inactive participants	2021-01-01	79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	79
Number of participants with account balances	2021-01-01	69
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	2
2020: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2020 401k membership
Total participants, beginning-of-year	2020-01-01	87
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	63
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	13
Total of all active and inactive participants	2020-01-01	76
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	76
Number of participants with account balances	2020-01-01	66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	2
2019: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2019 401k membership
Total participants, beginning-of-year	2019-01-01	74
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	71
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	16
Total of all active and inactive participants	2019-01-01	87
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	87
Number of participants with account balances	2019-01-01	75
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	6
2018: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2018 401k membership
Total participants, beginning-of-year	2018-01-01	75
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	62
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	12
Total of all active and inactive participants	2018-01-01	74
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	74
Number of participants with account balances	2018-01-01	66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	1
2017: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2017 401k membership
Total participants, beginning-of-year	2017-01-01	71
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	54
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	21
Total of all active and inactive participants	2017-01-01	75
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	75
Number of participants with account balances	2017-01-01	57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0

Financial Data on SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC.

Measure	Date	Value
2022 : SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2022 401k financial data
Transfers to/from the plan	2022-12-31	$0
Total plan liabilities at end of year	2022-12-31	$0
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$-200,310
Expenses. Total of all expenses incurred	2022-12-31	$96,026
Benefits paid (including direct rollovers)	2022-12-31	$81,777
Total plan assets at end of year	2022-12-31	$5,350,116
Total plan assets at beginning of year	2022-12-31	$5,646,452
Value of fidelity bond covering the plan	2022-12-31	$500,000
Assets. Value of tangible personal property	2022-12-31	$0
Total contributions received or receivable from participants	2022-12-31	$373,055
Assets. Value of loans (other than to participants)	2022-12-31	$0
Expenses. Other expenses not covered elsewhere	2022-12-31	$0
Contributions received from other sources (not participants or employers)	2022-12-31	$24,310
Other income received	2022-12-31	$-963,001
Noncash contributions received	2022-12-31	$0
Net income (gross income less expenses)	2022-12-31	$-296,336
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$5,350,116
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$5,646,452
Assets. Value of participant loans	2022-12-31	$83,311
Assets. Value of assets in partnership/joint-venture interests	2022-12-31	$0
Assets. Value of real-estate (other than employer real property)	2022-12-31	$0
Assets. Value of employer securities	2022-12-31	$0
Assets. Value of employer real property	2022-12-31	$0
Total contributions received or receivable from employer(s)	2022-12-31	$365,326
Value of certain deemed distributions of participant loans	2022-12-31	$0
Value of corrective distributions	2022-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$14,249
2021 : SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$1,414,410
Expenses. Total of all expenses incurred	2021-12-31	$458,874
Benefits paid (including direct rollovers)	2021-12-31	$445,929
Total plan assets at end of year	2021-12-31	$5,646,452
Total plan assets at beginning of year	2021-12-31	$4,690,916
Value of fidelity bond covering the plan	2021-12-31	$500,000
Assets. Value of tangible personal property	2021-12-31	$0
Total contributions received or receivable from participants	2021-12-31	$324,750
Assets. Value of loans (other than to participants)	2021-12-31	$0
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$747,880
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$955,536
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$5,646,452
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$4,690,916
Assets. Value of participant loans	2021-12-31	$33,331
Assets. Value of assets in partnership/joint-venture interests	2021-12-31	$0
Assets. Value of real-estate (other than employer real property)	2021-12-31	$0
Assets. Value of employer securities	2021-12-31	$0
Assets. Value of employer real property	2021-12-31	$0
Total contributions received or receivable from employer(s)	2021-12-31	$341,780
Value of certain deemed distributions of participant loans	2021-12-31	$7,781
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$5,164
2020 : SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$1,344,213
Expenses. Total of all expenses incurred	2020-12-31	$262,913
Benefits paid (including direct rollovers)	2020-12-31	$258,292
Total plan assets at end of year	2020-12-31	$4,690,916
Total plan assets at beginning of year	2020-12-31	$3,609,616
Value of fidelity bond covering the plan	2020-12-31	$500,000
Assets. Value of tangible personal property	2020-12-31	$0
Total contributions received or receivable from participants	2020-12-31	$340,419
Assets. Value of loans (other than to participants)	2020-12-31	$0
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$682,424
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$1,081,300
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$4,690,916
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$3,609,616
Assets. Value of participant loans	2020-12-31	$62,616
Assets. Value of assets in partnership/joint-venture interests	2020-12-31	$0
Assets. Value of real-estate (other than employer real property)	2020-12-31	$0
Assets. Value of employer securities	2020-12-31	$0
Assets. Value of employer real property	2020-12-31	$0
Total contributions received or receivable from employer(s)	2020-12-31	$321,370
Value of certain deemed distributions of participant loans	2020-12-31	$0
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$4,621
2019 : SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$1,240,548
Expenses. Total of all expenses incurred	2019-12-31	$711,944
Benefits paid (including direct rollovers)	2019-12-31	$711,220
Total plan assets at end of year	2019-12-31	$3,609,616
Total plan assets at beginning of year	2019-12-31	$3,081,012
Value of fidelity bond covering the plan	2019-12-31	$500,000
Total contributions received or receivable from participants	2019-12-31	$287,781
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$10,024
Other income received	2019-12-31	$634,917
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$528,604
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$3,609,616
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$3,081,012
Assets. Value of participant loans	2019-12-31	$75,998
Total contributions received or receivable from employer(s)	2019-12-31	$307,826
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$724
2018 : SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2018 401k financial data
Transfers to/from the plan	2018-12-31	$0
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$256,694
Expenses. Total of all expenses incurred	2018-12-31	$179,935
Benefits paid (including direct rollovers)	2018-12-31	$173,854
Total plan assets at end of year	2018-12-31	$3,081,012
Total plan assets at beginning of year	2018-12-31	$3,004,253
Value of fidelity bond covering the plan	2018-12-31	$500,000
Total contributions received or receivable from participants	2018-12-31	$263,746
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$4,994
Other income received	2018-12-31	$-293,445
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$76,759
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$3,081,012
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$3,004,253
Assets. Value of participant loans	2018-12-31	$63,317
Total contributions received or receivable from employer(s)	2018-12-31	$281,399
Value of certain deemed distributions of participant loans	2018-12-31	$0
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$6,081
2017 : SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$972,360
Expenses. Total of all expenses incurred	2017-12-31	$1,213,138
Benefits paid (including direct rollovers)	2017-12-31	$1,212,231
Total plan assets at end of year	2017-12-31	$3,004,253
Total plan assets at beginning of year	2017-12-31	$3,245,031
Value of fidelity bond covering the plan	2017-12-31	$500,000
Total contributions received or receivable from participants	2017-12-31	$174,198
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$124,625
Other income received	2017-12-31	$438,133
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$-240,778
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$3,004,253
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$3,245,031
Assets. Value of participant loans	2017-12-31	$13,311
Total contributions received or receivable from employer(s)	2017-12-31	$235,404
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$907

Form 5500 Responses for SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC.

2022: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	This submission is the final filing	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	This submission is the final filing	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	This submission is the final filing	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: SAFE-HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF CYPRESS GROVE CHEVRE, INC. 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

089017K

Policy instance

Insurance contract or identification number	089017K
Number of Individuals Covered	0
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

089017K

Policy instance

Insurance contract or identification number	089017K
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

089017K

Policy instance

Insurance contract or identification number	089017K
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

089017K

Policy instance

Insurance contract or identification number	089017K
Number of Individuals Covered	0
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

089017K

Policy instance

Insurance contract or identification number	089017K
Number of Individuals Covered	75
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,215
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	1215
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3
Insurance broker name	SAN FRANCISCO REGIONAL OFFICE

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Company Name:	CYPRESS GROVE CHEVRE, INC.
Employer identification number (EIN):	680454651
NAIC Classification:	311500
NAIC Description:	Dairy Product Manufacturing

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:	2000-04-21
Company Identification Number:	C2230271
Legal Registered Office Address:	2710 Gateway Oaks Dr Ste 150N Sacramento United States of America (USA) 95833