401k Plan data: SUPER SIMPLIFIED SINGLE K plan

SUPER SIMPLIFIED SINGLE K 401k Plan overview

Plan Name	SUPER SIMPLIFIED SINGLE K
Plan identification number	001

SUPER SIMPLIFIED SINGLE K Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Participant-directed brokerage accounts provided as an investment option under the plan.

401k Sponsoring company profile

MEDOS INC. has sponsored the creation of one or more 401k plans.

Company Name: MEDOS INC.

Employer identification number (EIN): 341979170

NAIC Classification: 448110
NAIC Description: Men's Clothing Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUPER SIMPLIFIED SINGLE K

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 DOULAT P THADHANI
001 2017-01-01 DOULAT P THADHANI
001 2016-01-01 DOULAT P THADHANI
001 2015-01-01 DOULAT P THADHANI
001 2014-01-01 DOULAT P THADHANI
001 2013-01-01 DOULAT P THADHANI
001 2012-01-01 DOULAT P THADHANI
001 2011-01-01 DOULAT P THADHANI
001 2009-01-01 DOULAT P THADHANI
001 2009-01-01 DOULAT P THADHANI
001 2009-01-01 DOULAT P THADHANI

Plan id#	Filing Submission Date	Name of Administrator
001	2018-01-01	DOULAT P THADHANI
001	2017-01-01	DOULAT P THADHANI
001	2016-01-01	DOULAT P THADHANI
001	2015-01-01	DOULAT P THADHANI
001	2014-01-01	DOULAT P THADHANI
001	2013-01-01	DOULAT P THADHANI
001	2012-01-01	DOULAT P THADHANI
001	2011-01-01	DOULAT P THADHANI
001	2009-01-01	DOULAT P THADHANI
001	2009-01-01	DOULAT P THADHANI
001	2009-01-01	DOULAT P THADHANI

Plan Statistics for SUPER SIMPLIFIED SINGLE K

401k plan membership statisitcs for SUPER SIMPLIFIED SINGLE K

Measure Date Value
2018: SUPER SIMPLIFIED SINGLE K 2018 401k membership
Total participants, beginning-of-year 2018-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 2
Total of all active and inactive participants 2018-01-01 2
Total participants 2018-01-01 2
Number of participants with account balances 2018-01-01 2
2017: SUPER SIMPLIFIED SINGLE K 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2
Total of all active and inactive participants 2017-01-01 2
Total participants 2017-01-01 2
Number of participants with account balances 2017-01-01 2
2016: SUPER SIMPLIFIED SINGLE K 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2
Total of all active and inactive participants 2016-01-01 2
Total participants 2016-01-01 2
Number of participants with account balances 2016-01-01 2
2015: SUPER SIMPLIFIED SINGLE K 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2
Total of all active and inactive participants 2015-01-01 2
Total participants 2015-01-01 2
Number of participants with account balances 2015-01-01 2
2014: SUPER SIMPLIFIED SINGLE K 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2
Total of all active and inactive participants 2014-01-01 2
Total participants 2014-01-01 2
Number of participants with account balances 2014-01-01 2
2013: SUPER SIMPLIFIED SINGLE K 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2
Total of all active and inactive participants 2013-01-01 2
Total participants 2013-01-01 2
Number of participants with account balances 2013-01-01 2
2012: SUPER SIMPLIFIED SINGLE K 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2
Total of all active and inactive participants 2012-01-01 2
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 2
2011: SUPER SIMPLIFIED SINGLE K 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2
Total of all active and inactive participants 2011-01-01 2
Total participants 2011-01-01 2
Number of participants with account balances 2011-01-01 2
2009: SUPER SIMPLIFIED SINGLE K 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2
Total of all active and inactive participants 2009-01-01 2
Total participants 2009-01-01 2
Number of participants with account balances 2009-01-01 2

Measure	Date	Value
2018: SUPER SIMPLIFIED SINGLE K 2018 401k membership
Total participants, beginning-of-year	2018-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	2
Total of all active and inactive participants	2018-01-01	2
Total participants	2018-01-01	2
Number of participants with account balances	2018-01-01	2
2017: SUPER SIMPLIFIED SINGLE K 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2
Total of all active and inactive participants	2017-01-01	2
Total participants	2017-01-01	2
Number of participants with account balances	2017-01-01	2
2016: SUPER SIMPLIFIED SINGLE K 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2
Total of all active and inactive participants	2016-01-01	2
Total participants	2016-01-01	2
Number of participants with account balances	2016-01-01	2
2015: SUPER SIMPLIFIED SINGLE K 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2
Total of all active and inactive participants	2015-01-01	2
Total participants	2015-01-01	2
Number of participants with account balances	2015-01-01	2
2014: SUPER SIMPLIFIED SINGLE K 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2
Total of all active and inactive participants	2014-01-01	2
Total participants	2014-01-01	2
Number of participants with account balances	2014-01-01	2
2013: SUPER SIMPLIFIED SINGLE K 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2
Total of all active and inactive participants	2013-01-01	2
Total participants	2013-01-01	2
Number of participants with account balances	2013-01-01	2
2012: SUPER SIMPLIFIED SINGLE K 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2
Total of all active and inactive participants	2012-01-01	2
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	2
2011: SUPER SIMPLIFIED SINGLE K 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2
Total of all active and inactive participants	2011-01-01	2
Total participants	2011-01-01	2
Number of participants with account balances	2011-01-01	2
2009: SUPER SIMPLIFIED SINGLE K 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2
Total of all active and inactive participants	2009-01-01	2
Total participants	2009-01-01	2
Number of participants with account balances	2009-01-01	2

Financial Data on SUPER SIMPLIFIED SINGLE K

Measure	Date	Value
2018 : SUPER SIMPLIFIED SINGLE K 2018 401k financial data
Total income from all sources	2018-12-17	$-23,184
Expenses. Total of all expenses incurred	2018-12-17	$312,647
Benefits paid (including direct rollovers)	2018-12-17	$312,647
Total plan assets at end of year	2018-12-17	$0
Total plan assets at beginning of year	2018-12-17	$335,831
Other income received	2018-12-17	$-23,184
Net income (gross income less expenses)	2018-12-17	$-335,831
Net plan assets at end of year (total assets less liabilities)	2018-12-17	$0
Net plan assets at beginning of year (total assets less liabilities)	2018-12-17	$335,831
2017 : SUPER SIMPLIFIED SINGLE K 2017 401k financial data
Total income from all sources	2017-12-31	$43,764
Expenses. Total of all expenses incurred	2017-12-31	$5,699
Benefits paid (including direct rollovers)	2017-12-31	$5,699
Total plan assets at end of year	2017-12-31	$335,831
Total plan assets at beginning of year	2017-12-31	$297,766
Other income received	2017-12-31	$43,764
Net income (gross income less expenses)	2017-12-31	$38,065
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$335,831
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$297,766
2016 : SUPER SIMPLIFIED SINGLE K 2016 401k financial data
Total income from all sources	2016-12-31	$11,846
Expenses. Total of all expenses incurred	2016-12-31	$5,568
Benefits paid (including direct rollovers)	2016-12-31	$5,498
Total plan assets at end of year	2016-12-31	$297,766
Total plan assets at beginning of year	2016-12-31	$291,488
Other income received	2016-12-31	$11,846
Net income (gross income less expenses)	2016-12-31	$6,278
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$297,766
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$291,488
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$70
2015 : SUPER SIMPLIFIED SINGLE K 2015 401k financial data
Total income from all sources	2015-12-31	$1,792
Expenses. Total of all expenses incurred	2015-12-31	$5,559
Benefits paid (including direct rollovers)	2015-12-31	$5,559
Total plan assets at end of year	2015-12-31	$291,488
Total plan assets at beginning of year	2015-12-31	$295,255
Total contributions received or receivable from participants	2015-12-31	$2,800
Other income received	2015-12-31	$-1,008
Net income (gross income less expenses)	2015-12-31	$-3,767
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$291,488
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$295,255
2014 : SUPER SIMPLIFIED SINGLE K 2014 401k financial data
Total income from all sources	2014-12-31	$19,838
Expenses. Total of all expenses incurred	2014-12-31	$7,063
Benefits paid (including direct rollovers)	2014-12-31	$6,796
Total plan assets at end of year	2014-12-31	$295,255
Total plan assets at beginning of year	2014-12-31	$282,480
Total contributions received or receivable from participants	2014-12-31	$10,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$20
Other income received	2014-12-31	$9,838
Net income (gross income less expenses)	2014-12-31	$12,775
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$295,255
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$282,480
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$247
2013 : SUPER SIMPLIFIED SINGLE K 2013 401k financial data
Total income from all sources	2013-12-31	$50,874
Expenses. Total of all expenses incurred	2013-12-31	$6,122
Benefits paid (including direct rollovers)	2013-12-31	$5,852
Total plan assets at end of year	2013-12-31	$282,480
Total plan assets at beginning of year	2013-12-31	$237,728
Total contributions received or receivable from participants	2013-12-31	$10,000
Expenses. Other expenses not covered elsewhere	2013-12-31	$20
Other income received	2013-12-31	$40,874
Net income (gross income less expenses)	2013-12-31	$44,752
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$282,480
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$237,728
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$250
2012 : SUPER SIMPLIFIED SINGLE K 2012 401k financial data
Total income from all sources	2012-12-31	$38,015
Expenses. Total of all expenses incurred	2012-12-31	$5,240
Benefits paid (including direct rollovers)	2012-12-31	$5,220
Total plan assets at end of year	2012-12-31	$237,728
Total plan assets at beginning of year	2012-12-31	$204,953
Total contributions received or receivable from participants	2012-12-31	$12,000
Other income received	2012-12-31	$26,015
Net income (gross income less expenses)	2012-12-31	$32,775
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$237,728
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$204,953
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$20
2011 : SUPER SIMPLIFIED SINGLE K 2011 401k financial data
Total income from all sources	2011-12-31	$18,558
Expenses. Total of all expenses incurred	2011-12-31	$4,279
Benefits paid (including direct rollovers)	2011-12-31	$4,259
Total plan assets at end of year	2011-12-31	$204,953
Total plan assets at beginning of year	2011-12-31	$190,674
Total contributions received or receivable from participants	2011-12-31	$22,000
Other income received	2011-12-31	$-3,442
Net income (gross income less expenses)	2011-12-31	$14,279
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$204,953
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$190,674
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$20
2010 : SUPER SIMPLIFIED SINGLE K 2010 401k financial data
Total income from all sources	2010-12-31	$32,721
Expenses. Total of all expenses incurred	2010-12-31	$3,761
Benefits paid (including direct rollovers)	2010-12-31	$3,741
Total plan assets at end of year	2010-12-31	$190,674
Total plan assets at beginning of year	2010-12-31	$161,714
Total contributions received or receivable from participants	2010-12-31	$10,000
Other income received	2010-12-31	$22,721
Net income (gross income less expenses)	2010-12-31	$28,960
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$190,674
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$161,714
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$20

Form 5500 Responses for SUPER SIMPLIFIED SINGLE K

2018: SUPER SIMPLIFIED SINGLE K 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	This submission is the final filing	Yes
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: SUPER SIMPLIFIED SINGLE K 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: SUPER SIMPLIFIED SINGLE K 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: SUPER SIMPLIFIED SINGLE K 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SUPER SIMPLIFIED SINGLE K 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SUPER SIMPLIFIED SINGLE K 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SUPER SIMPLIFIED SINGLE K 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SUPER SIMPLIFIED SINGLE K 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: SUPER SIMPLIFIED SINGLE K 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MEDOS INC.
Employer identification number (EIN):	341979170
NAIC Classification:	448110
NAIC Description:	Men's Clothing Stores