401k Plan data: COST PLUS, INC. 401(K) MONEY PLUS PLAN plan

COST PLUS, INC. 401(K) MONEY PLUS PLAN 401k Plan overview

Plan Name	COST PLUS, INC. 401(K) MONEY PLUS PLAN
Plan identification number	001

COST PLUS, INC. 401(K) MONEY PLUS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

WORLD MARKET, LLC has sponsored the creation of one or more 401k plans.

Company Name: WORLD MARKET, LLC

Employer identification number (EIN): 941067973

NAIC Classification: 442299
NAIC Description: All Other Home Furnishings Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COST PLUS, INC. 401(K) MONEY PLUS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 LAURA CROSSEN LAURA CROSSEN 2017-10-16
001 2015-01-01 SUSAN E. LATTMANN SUSAN E. LATTMANN 2016-10-17
001 2014-01-01 SUSAN LATTMANN SUSAN LATTMANN 2015-10-15
001 2013-03-01 CHRISTINE MOK CHRISTOPHER COOPER 2014-07-24
001 2012-02-29 KEVIN WARD KEVIN WARD 2013-12-16
001 2009-03-01 KEVIN WARD JOAN FUJII 2010-09-20

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	LAURA CROSSEN	LAURA CROSSEN	2017-10-16
001	2015-01-01	SUSAN E. LATTMANN	SUSAN E. LATTMANN	2016-10-17
001	2014-01-01	SUSAN LATTMANN	SUSAN LATTMANN	2015-10-15
001	2013-03-01	CHRISTINE MOK	CHRISTOPHER COOPER	2014-07-24
001	2012-02-29	KEVIN WARD	KEVIN WARD	2013-12-16
001	2009-03-01	KEVIN WARD	JOAN FUJII	2010-09-20

Plan Statistics for COST PLUS, INC. 401(K) MONEY PLUS PLAN

401k plan membership statisitcs for COST PLUS, INC. 401(K) MONEY PLUS PLAN

Measure Date Value
2016: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,044
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,191
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 830
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 214
Total of all active and inactive participants 2015-01-01 1,044
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1,044
Number of participants with account balances 2015-01-01 1,028
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4,607
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 996
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 195
Total of all active and inactive participants 2014-01-01 1,191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1,191
Number of participants with account balances 2014-01-01 1,179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-03-01 4,907
Total number of active participants reported on line 7a of the Form 5500 2013-03-01 4,353
Number of retired or separated participants receiving benefits 2013-03-01 1
Number of other retired or separated participants entitled to future benefits 2013-03-01 253
Total of all active and inactive participants 2013-03-01 4,607
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-03-01 0
Total participants 2013-03-01 4,607
Number of participants with account balances 2013-03-01 1,431
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-03-01 0
2012: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-02-29 4,363
Total number of active participants reported on line 7a of the Form 5500 2012-02-29 4,644
Number of retired or separated participants receiving benefits 2012-02-29 1
Number of other retired or separated participants entitled to future benefits 2012-02-29 261
Total of all active and inactive participants 2012-02-29 4,906
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-02-29 1
Total participants 2012-02-29 4,907
Number of participants with account balances 2012-02-29 1,340
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-02-29 26
2009: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-03-01 4,144
Total number of active participants reported on line 7a of the Form 5500 2009-03-01 5,785
Number of retired or separated participants receiving benefits 2009-03-01 1
Number of other retired or separated participants entitled to future benefits 2009-03-01 256
Total of all active and inactive participants 2009-03-01 6,042
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-03-01 0
Total participants 2009-03-01 6,042
Number of participants with account balances 2009-03-01 1,029
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-03-01 28

Measure	Date	Value
2016: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,044
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,191
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	830
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	214
Total of all active and inactive participants	2015-01-01	1,044
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1,044
Number of participants with account balances	2015-01-01	1,028
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4,607
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	996
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	195
Total of all active and inactive participants	2014-01-01	1,191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1,191
Number of participants with account balances	2014-01-01	1,179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-03-01	4,907
Total number of active participants reported on line 7a of the Form 5500	2013-03-01	4,353
Number of retired or separated participants receiving benefits	2013-03-01	1
Number of other retired or separated participants entitled to future benefits	2013-03-01	253
Total of all active and inactive participants	2013-03-01	4,607
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-03-01	0
Total participants	2013-03-01	4,607
Number of participants with account balances	2013-03-01	1,431
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-03-01	0
2012: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-02-29	4,363
Total number of active participants reported on line 7a of the Form 5500	2012-02-29	4,644
Number of retired or separated participants receiving benefits	2012-02-29	1
Number of other retired or separated participants entitled to future benefits	2012-02-29	261
Total of all active and inactive participants	2012-02-29	4,906
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-02-29	1
Total participants	2012-02-29	4,907
Number of participants with account balances	2012-02-29	1,340
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-02-29	26
2009: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-03-01	4,144
Total number of active participants reported on line 7a of the Form 5500	2009-03-01	5,785
Number of retired or separated participants receiving benefits	2009-03-01	1
Number of other retired or separated participants entitled to future benefits	2009-03-01	256
Total of all active and inactive participants	2009-03-01	6,042
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-03-01	0
Total participants	2009-03-01	6,042
Number of participants with account balances	2009-03-01	1,029
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-03-01	28

Financial Data on COST PLUS, INC. 401(K) MONEY PLUS PLAN

Measure	Date	Value
2016 : COST PLUS, INC. 401(K) MONEY PLUS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$38,466,163
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$2,605,284
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,182,295
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,112,651
Expenses. Certain deemed distributions of participant loans	2016-12-31	$14,666
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$0
Value of total assets at end of year	2016-12-31	$0
Value of total assets at beginning of year	2016-12-31	$38,043,174
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$54,978
Total interest from all sources	2016-12-31	$175,480
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$8,638
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$1,077,560
Administrative expenses (other) incurred	2016-12-31	$125
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$422,989
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$38,043,174
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$2,617
Value of interest in pooled separate accounts at end of year	2016-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$32,602,315
Interest on participant loans	2016-12-31	$39,614
Interest earned on other investments	2016-12-31	$135,866
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$4,363,299
Net investment gain or loss from common/collective trusts	2016-12-31	$2,429,804
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,112,651
Contract administrator fees	2016-12-31	$43,598
Did the plan have assets held for investment	2016-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	GELTRUDE & COMPANY
Accountancy firm EIN	2016-12-31	223363665
2015 : COST PLUS, INC. 401(K) MONEY PLUS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$849,062
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,934,239
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,881,278
Expenses. Certain deemed distributions of participant loans	2015-12-31	$8,354
Value of total corrective distributions	2015-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$19,080
Value of total assets at end of year	2015-12-31	$38,043,174
Value of total assets at beginning of year	2015-12-31	$39,128,351
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$44,607
Total interest from all sources	2015-12-31	$184,652
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$8,045
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$0
Participant contributions at end of year	2015-12-31	$1,077,560
Participant contributions at beginning of year	2015-12-31	$1,220,326
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-12-31	$0
Other income not declared elsewhere	2015-12-31	$0
Administrative expenses (other) incurred	2015-12-31	$125
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-1,085,177
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$38,043,174
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$39,128,351
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$1,122
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$0
Value of interest in pooled separate accounts at end of year	2015-12-31	$32,602,315
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$33,740,309
Interest on participant loans	2015-12-31	$49,158
Interest earned on other investments	2015-12-31	$135,494
Value of interest in common/collective trusts at beginning of year	2015-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$4,363,299
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$4,167,716
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$0
Net investment gain/loss from pooled separate accounts	2015-12-31	$645,330
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Assets. Invements in employer securities at end of year	2015-12-31	$0
Assets. Invements in employer securities at beginning of year	2015-12-31	$0
Contributions received in cash from employer	2015-12-31	$19,080
Income. Dividends from common stock	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,881,278
Contract administrator fees	2015-12-31	$35,315
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	GELTRUDE & COMPANY
Accountancy firm EIN	2015-12-31	223363665
2014 : COST PLUS, INC. 401(K) MONEY PLUS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$3,204,687
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$4,055,461
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$4,030,816
Expenses. Certain deemed distributions of participant loans	2014-12-31	$3,465
Value of total corrective distributions	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$69,844
Value of total assets at end of year	2014-12-31	$39,128,351
Value of total assets at beginning of year	2014-12-31	$39,979,125
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$21,180
Total interest from all sources	2014-12-31	$163,930
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$6,024
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$6,024
Administrative expenses professional fees incurred	2014-12-31	$0
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$0
Participant contributions at end of year	2014-12-31	$1,220,326
Participant contributions at beginning of year	2014-12-31	$951,669
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$48,216
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$0
Administrative expenses (other) incurred	2014-12-31	$734
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-850,774
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$39,128,351
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$39,979,125
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$35,062,209
Value of interest in pooled separate accounts at end of year	2014-12-31	$33,740,309
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$0
Interest on participant loans	2014-12-31	$48,775
Interest earned on other investments	2014-12-31	$115,119
Value of interest in common/collective trusts at end of year	2014-12-31	$0
Value of interest in common/collective trusts at beginning of year	2014-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$3,965,247
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$3,965,247
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$36
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$4,167,716
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-828,209
Net investment gain/loss from pooled separate accounts	2014-12-31	$3,793,098
Net investment gain or loss from common/collective trusts	2014-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Assets. Invements in employer securities at end of year	2014-12-31	$0
Assets. Invements in employer securities at beginning of year	2014-12-31	$0
Contributions received in cash from employer	2014-12-31	$21,628
Income. Dividends from common stock	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$4,030,816
Contract administrator fees	2014-12-31	$20,446
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	Yes
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	GELTRUDE & COMPANY
Accountancy firm EIN	2014-12-31	223363665
2013 : COST PLUS, INC. 401(K) MONEY PLUS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$10,241,627
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$4,285,596
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$4,252,802
Expenses. Certain deemed distributions of participant loans	2013-12-31	$935
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$4,266,311
Value of total assets at end of year	2013-12-31	$39,979,125
Value of total assets at beginning of year	2013-12-31	$34,023,094
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$31,859
Total interest from all sources	2013-12-31	$32,641
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$1,816,621
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$1,816,621
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$2,742,952
Participant contributions at end of year	2013-12-31	$951,669
Participant contributions at beginning of year	2013-12-31	$842,930
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$220,067
Administrative expenses (other) incurred	2013-12-31	$27,457
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$5,956,031
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$39,979,125
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$34,023,094
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$4,402
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$35,062,209
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$29,304,926
Interest on participant loans	2013-12-31	$32,287
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$3,965,247
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$3,875,238
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$3,875,238
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$354
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$4,126,054
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,303,292
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$4,252,802
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	MOSS ADAMS LLP
Accountancy firm EIN	2013-12-31	910189318
Total unrealized appreciation/depreciation of assets	2013-02-28	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-02-28	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-02-28	$0
Total income from all sources (including contributions)	2013-02-28	$6,423,125
Total loss/gain on sale of assets	2013-02-28	$0
Total of all expenses incurred	2013-02-28	$2,313,955
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-02-28	$2,282,564
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-02-28	$4,040,254
Value of total assets at end of year	2013-02-28	$34,023,094
Value of total assets at beginning of year	2013-02-28	$29,913,924
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-02-28	$31,391
Total interest from all sources	2013-02-28	$38,029
Total dividends received (eg from common stock, registered investment company shares)	2013-02-28	$818,528
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-02-28	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-02-28	$818,528
Was this plan covered by a fidelity bond	2013-02-28	Yes
Value of fidelity bond cover	2013-02-28	$5,000,000
If this is an individual account plan, was there a blackout period	2013-02-28	No
Were there any nonexempt tranactions with any party-in-interest	2013-02-28	No
Contributions received from participants	2013-02-28	$2,872,085
Participant contributions at end of year	2013-02-28	$842,930
Participant contributions at beginning of year	2013-02-28	$819,826
Income. Received or receivable in cash from other sources (including rollovers)	2013-02-28	$102,445
Administrative expenses (other) incurred	2013-02-28	$28,083
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-02-28	No
Value of net income/loss	2013-02-28	$4,109,170
Value of net assets at end of year (total assets less liabilities)	2013-02-28	$34,023,094
Value of net assets at beginning of year (total assets less liabilities)	2013-02-28	$29,913,924
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-02-28	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-02-28	No
Were any leases to which the plan was party in default or uncollectible	2013-02-28	No
Investment advisory and management fees	2013-02-28	$3,308
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-02-28	$29,304,926
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-02-28	$25,522,281
Interest on participant loans	2013-02-28	$37,588
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-02-28	$3,875,238
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-02-28	$3,571,817
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-02-28	$3,571,817
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-02-28	$441
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-02-28	$1,526,314
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-02-28	No
Was there a failure to transmit to the plan any participant contributions	2013-02-28	No
Has the plan failed to provide any benefit when due under the plan	2013-02-28	No
Contributions received in cash from employer	2013-02-28	$1,065,724
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-02-28	$2,282,564
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-02-28	No
Did the plan have assets held for investment	2013-02-28	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	2013-02-28	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-02-28	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-02-28	No
Opinion of an independent qualified public accountant for this plan	2013-02-28	Unqualified
Accountancy firm name	2013-02-28	MOSS ADAMS LLP
Accountancy firm EIN	2013-02-28	910189318
2012 : COST PLUS, INC. 401(K) MONEY PLUS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-02-28	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-02-28	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-02-28	$0
Total income from all sources (including contributions)	2012-02-28	$3,314,529
Total loss/gain on sale of assets	2012-02-28	$0
Total of all expenses incurred	2012-02-28	$2,630,087
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-02-28	$2,595,538
Expenses. Certain deemed distributions of participant loans	2012-02-28	$8,654
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-02-28	$2,608,338
Value of total assets at end of year	2012-02-28	$29,913,924
Value of total assets at beginning of year	2012-02-28	$29,229,482
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-02-28	$25,895
Total interest from all sources	2012-02-28	$39,578
Total dividends received (eg from common stock, registered investment company shares)	2012-02-28	$631,352
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-02-28	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-02-28	$631,352
Was this plan covered by a fidelity bond	2012-02-28	Yes
Value of fidelity bond cover	2012-02-28	$5,000,000
If this is an individual account plan, was there a blackout period	2012-02-28	No
Were there any nonexempt tranactions with any party-in-interest	2012-02-28	No
Contributions received from participants	2012-02-28	$2,317,677
Participant contributions at end of year	2012-02-28	$819,826
Participant contributions at beginning of year	2012-02-28	$784,739
Participant contributions at beginning of year	2012-02-28	$81,677
Income. Received or receivable in cash from other sources (including rollovers)	2012-02-28	$290,661
Administrative expenses (other) incurred	2012-02-28	$24,873
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-02-28	No
Value of net income/loss	2012-02-28	$684,442
Value of net assets at end of year (total assets less liabilities)	2012-02-28	$29,913,924
Value of net assets at beginning of year (total assets less liabilities)	2012-02-28	$29,229,482
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-02-28	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-02-28	No
Were any leases to which the plan was party in default or uncollectible	2012-02-28	No
Investment advisory and management fees	2012-02-28	$1,022
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-02-28	$25,522,281
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-02-28	$24,743,637
Interest on participant loans	2012-02-28	$39,235
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-02-28	$3,571,817
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-02-28	$3,619,429
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-02-28	$3,619,429
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-02-28	$343
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-02-28	$35,261
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-02-28	No
Was there a failure to transmit to the plan any participant contributions	2012-02-28	No
Has the plan failed to provide any benefit when due under the plan	2012-02-28	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-02-28	$2,595,538
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-02-28	No
Did the plan have assets held for investment	2012-02-28	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	2012-02-28	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-02-28	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-02-28	No
Opinion of an independent qualified public accountant for this plan	2012-02-28	Unqualified
Accountancy firm name	2012-02-28	MOHLER, NIXON, & WILLIAMS
Accountancy firm EIN	2012-02-28	770106234
2011 : COST PLUS, INC. 401(K) MONEY PLUS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-02-28	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-02-28	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-02-28	$0
Total income from all sources (including contributions)	2011-02-28	$6,409,038
Total loss/gain on sale of assets	2011-02-28	$0
Total of all expenses incurred	2011-02-28	$2,302,561
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-02-28	$2,236,842
Value of total corrective distributions	2011-02-28	$4,805
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-02-28	$2,257,033
Value of total assets at end of year	2011-02-28	$29,229,482
Value of total assets at beginning of year	2011-02-28	$25,123,005
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-02-28	$60,914
Total interest from all sources	2011-02-28	$41,978
Total dividends received (eg from common stock, registered investment company shares)	2011-02-28	$328,842
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-02-28	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-02-28	$328,842
Was this plan covered by a fidelity bond	2011-02-28	Yes
Value of fidelity bond cover	2011-02-28	$5,000,000
If this is an individual account plan, was there a blackout period	2011-02-28	No
Were there any nonexempt tranactions with any party-in-interest	2011-02-28	No
Contributions received from participants	2011-02-28	$2,104,725
Participant contributions at end of year	2011-02-28	$784,739
Participant contributions at beginning of year	2011-02-28	$850,030
Participant contributions at end of year	2011-02-28	$81,677
Participant contributions at beginning of year	2011-02-28	$80,055
Income. Received or receivable in cash from other sources (including rollovers)	2011-02-28	$152,308
Administrative expenses (other) incurred	2011-02-28	$60,799
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-02-28	No
Value of net income/loss	2011-02-28	$4,106,477
Value of net assets at end of year (total assets less liabilities)	2011-02-28	$29,229,482
Value of net assets at beginning of year (total assets less liabilities)	2011-02-28	$25,123,005
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-02-28	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-02-28	No
Were any leases to which the plan was party in default or uncollectible	2011-02-28	No
Investment advisory and management fees	2011-02-28	$115
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-02-28	$24,743,637
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-02-28	$20,258,245
Interest on participant loans	2011-02-28	$41,308
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-02-28	$3,619,429
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-02-28	$3,934,675
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-02-28	$3,934,675
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-02-28	$670
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-02-28	$3,781,185
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-02-28	No
Was there a failure to transmit to the plan any participant contributions	2011-02-28	No
Has the plan failed to provide any benefit when due under the plan	2011-02-28	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-02-28	$2,236,842
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-02-28	No
Did the plan have assets held for investment	2011-02-28	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	2011-02-28	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-02-28	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-02-28	No
Opinion of an independent qualified public accountant for this plan	2011-02-28	Unqualified
Accountancy firm name	2011-02-28	MOHLER, NIXON, & WILLIAMS
Accountancy firm EIN	2011-02-28	770106234

Form 5500 Responses for COST PLUS, INC. 401(K) MONEY PLUS PLAN

2016: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2013 form 5500 responses
2013-03-01	Type of plan entity	Single employer plan
2013-03-01	Submission has been amended	No
2013-03-01	This submission is the final filing	No
2013-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-03-01	Plan is a collectively bargained plan	No
2013-03-01	Plan funding arrangement – Trust	Yes
2013-03-01	Plan benefit arrangement - Trust	Yes
2012: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2012 form 5500 responses
2012-02-29	Type of plan entity	Single employer plan
2012-02-29	Submission has been amended	No
2012-02-29	This submission is the final filing	No
2012-02-29	This return/report is a short plan year return/report (less than 12 months)	No
2012-02-29	Plan is a collectively bargained plan	No
2012-02-29	Plan funding arrangement – Trust	Yes
2012-02-29	Plan benefit arrangement - Trust	Yes
2009: COST PLUS, INC. 401(K) MONEY PLUS PLAN 2009 form 5500 responses
2009-03-01	Type of plan entity	Single employer plan
2009-03-01	Submission has been amended	No
2009-03-01	This submission is the final filing	No
2009-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-03-01	Plan is a collectively bargained plan	No
2009-03-01	Plan funding arrangement – Trust	Yes
2009-03-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

SF 8794

Policy instance

Insurance contract or identification number	SF 8794
Number of Individuals Covered	1044
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
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?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

SF 8794

Policy instance

Insurance contract or identification number	SF 8794
Number of Individuals Covered	1191
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	WORLD MARKET, LLC
Employer identification number (EIN):	941067973
NAIC Classification:	442299
NAIC Description:	All Other Home Furnishings Stores