401k Plan data: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN plan

DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan Name	DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN
Plan identification number	502

DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

DELEK US HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name: DELEK US HOLDINGS, INC.

Employer identification number (EIN): 352581557

NAIC Classification: 445120
NAIC Description: Convenience Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-01-01 JARED SERFF 2024-04-16
502 2022-01-01 JARED SERFF 2023-04-18
502 2021-01-01 JARED SERFF 2022-05-18
502 2020-01-01 JARED SERFF 2021-05-10
502 2019-01-01 JARED SERFF 2020-05-12
502 2018-01-01
502 2017-01-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2023-01-01	JARED SERFF	2024-04-16
502	2022-01-01	JARED SERFF	2023-04-18
502	2021-01-01	JARED SERFF	2022-05-18
502	2020-01-01	JARED SERFF	2021-05-10
502	2019-01-01	JARED SERFF	2020-05-12
502	2018-01-01
502	2017-01-01

Plan Statistics for DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN

401k plan membership statisitcs for DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN

Measure Date Value
2023: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 538
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 538
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 538
Number of employers contributing to the scheme 2023-01-01 0
2022: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 538
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 538
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 0
Total of all active and inactive participants 2022-01-01 538
Number of employers contributing to the scheme 2022-01-01 0
2021: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 538
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 538
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 0
Total of all active and inactive participants 2021-01-01 538
Number of employers contributing to the scheme 2021-01-01 0
2020: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 538
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 538
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 0
Total of all active and inactive participants 2020-01-01 538
Number of employers contributing to the scheme 2020-01-01 0
2019: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 538
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 538
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 0
Total of all active and inactive participants 2019-01-01 538
Number of employers contributing to the scheme 2019-01-01 0
2018: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 538
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 538
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 0
Total of all active and inactive participants 2018-01-01 538
Number of employers contributing to the scheme 2018-01-01 0
2017: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 512
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 538
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 0
Total of all active and inactive participants 2017-01-01 538

Measure	Date	Value
2023: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	538
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	538
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	538
Number of employers contributing to the scheme	2023-01-01	0
2022: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	538
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	538
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	0
Total of all active and inactive participants	2022-01-01	538
Number of employers contributing to the scheme	2022-01-01	0
2021: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	538
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	538
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	0
Total of all active and inactive participants	2021-01-01	538
Number of employers contributing to the scheme	2021-01-01	0
2020: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	538
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	538
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	0
Total of all active and inactive participants	2020-01-01	538
Number of employers contributing to the scheme	2020-01-01	0
2019: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	538
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	538
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	0
Total of all active and inactive participants	2019-01-01	538
Number of employers contributing to the scheme	2019-01-01	0
2018: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	538
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	538
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	0
Total of all active and inactive participants	2018-01-01	538
Number of employers contributing to the scheme	2018-01-01	0
2017: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	512
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	538
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	0
Total of all active and inactive participants	2017-01-01	538

Form 5500 Responses for DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN

2023: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: DELEK US HOLDINGS, INC. FLEXIBLE BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	DELEK US HOLDINGS, INC.
Employer identification number (EIN):	352581557
NAIC Classification:	445120
NAIC Description:	Convenience Stores