401k Plan data: THE BLUE SKY TAVERN RETIREMENT PLAN plan

THE BLUE SKY TAVERN RETIREMENT PLAN 401k Plan overview

Plan Name	THE BLUE SKY TAVERN RETIREMENT PLAN
Plan identification number	001

THE BLUE SKY TAVERN RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.

401k Sponsoring company profile

THE BLUE SKY TAVERN COMPANY has sponsored the creation of one or more 401k plans.

Company Name: THE BLUE SKY TAVERN COMPANY

Employer identification number (EIN): 852083652

NAIC Classification: 722410
NAIC Description: Drinking Places (Alcoholic Beverages)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE BLUE SKY TAVERN RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-10-01
001 2021-10-01
001 2020-10-01
001 2019-10-01

Plan Statistics for THE BLUE SKY TAVERN RETIREMENT PLAN

401k plan membership statisitcs for THE BLUE SKY TAVERN RETIREMENT PLAN

Measure Date Value
2022: THE BLUE SKY TAVERN RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-10-01 4
Total number of active participants reported on line 7a of the Form 5500 2022-10-01 5
Number of retired or separated participants receiving benefits 2022-10-01 0
Number of other retired or separated participants entitled to future benefits 2022-10-01 0
Total of all active and inactive participants 2022-10-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-10-01 0
Total participants 2022-10-01 5
Number of participants with account balances 2022-10-01 5
2021: THE BLUE SKY TAVERN RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 8
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 5
Number of retired or separated participants receiving benefits 2021-10-01 0
Number of other retired or separated participants entitled to future benefits 2021-10-01 0
Total of all active and inactive participants 2021-10-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-10-01 0
Total participants 2021-10-01 5
Number of participants with account balances 2021-10-01 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-10-01 0
2020: THE BLUE SKY TAVERN RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 1
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 1
Number of retired or separated participants receiving benefits 2020-10-01 0
Number of other retired or separated participants entitled to future benefits 2020-10-01 0
Total of all active and inactive participants 2020-10-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-10-01 0
Total participants 2020-10-01 1
Number of participants with account balances 2020-10-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-10-01 0
2019: THE BLUE SKY TAVERN RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 1
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 1
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 0
Total of all active and inactive participants 2019-10-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-10-01 0
Total participants 2019-10-01 1
Number of participants with account balances 2019-10-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-10-01 0

Measure	Date	Value
2022: THE BLUE SKY TAVERN RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-10-01	4
Total number of active participants reported on line 7a of the Form 5500	2022-10-01	5
Number of retired or separated participants receiving benefits	2022-10-01	0
Number of other retired or separated participants entitled to future benefits	2022-10-01	0
Total of all active and inactive participants	2022-10-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-10-01	0
Total participants	2022-10-01	5
Number of participants with account balances	2022-10-01	5
2021: THE BLUE SKY TAVERN RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	8
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	5
Number of retired or separated participants receiving benefits	2021-10-01	0
Number of other retired or separated participants entitled to future benefits	2021-10-01	0
Total of all active and inactive participants	2021-10-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-10-01	0
Total participants	2021-10-01	5
Number of participants with account balances	2021-10-01	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-10-01	0
2020: THE BLUE SKY TAVERN RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	1
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	1
Number of retired or separated participants receiving benefits	2020-10-01	0
Number of other retired or separated participants entitled to future benefits	2020-10-01	0
Total of all active and inactive participants	2020-10-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-10-01	0
Total participants	2020-10-01	1
Number of participants with account balances	2020-10-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-10-01	0
2019: THE BLUE SKY TAVERN RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	1
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	1
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	0
Total of all active and inactive participants	2019-10-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-10-01	0
Total participants	2019-10-01	1
Number of participants with account balances	2019-10-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-10-01	0

Financial Data on THE BLUE SKY TAVERN RETIREMENT PLAN

Measure	Date	Value
2023 : THE BLUE SKY TAVERN RETIREMENT PLAN 2023 401k financial data
Total income from all sources	2023-09-30	$-44,810
Expenses. Total of all expenses incurred	2023-09-30	$463
Benefits paid (including direct rollovers)	2023-09-30	$463
Total plan assets at end of year	2023-09-30	$375,287
Total plan assets at beginning of year	2023-09-30	$420,560
Value of fidelity bond covering the plan	2023-09-30	$500,000
Total contributions received or receivable from participants	2023-09-30	$7,530
Other income received	2023-09-30	$-57,592
Net income (gross income less expenses)	2023-09-30	$-45,273
Net plan assets at end of year (total assets less liabilities)	2023-09-30	$375,287
Net plan assets at beginning of year (total assets less liabilities)	2023-09-30	$420,560
Assets. Value of employer securities	2023-09-30	$359,772
Total contributions received or receivable from employer(s)	2023-09-30	$5,252
2022 : THE BLUE SKY TAVERN RETIREMENT PLAN 2022 401k financial data
Total income from all sources	2022-09-30	$34,585
Expenses. Total of all expenses incurred	2022-09-30	$0
Total plan assets at end of year	2022-09-30	$420,560
Total plan assets at beginning of year	2022-09-30	$385,975
Value of fidelity bond covering the plan	2022-09-30	$500,000
Total contributions received or receivable from participants	2022-09-30	$1,148
Other income received	2022-09-30	$32,807
Net income (gross income less expenses)	2022-09-30	$34,585
Net plan assets at end of year (total assets less liabilities)	2022-09-30	$420,560
Net plan assets at beginning of year (total assets less liabilities)	2022-09-30	$385,975
Assets. Value of employer securities	2022-09-30	$418,783
Total contributions received or receivable from employer(s)	2022-09-30	$630
2021 : THE BLUE SKY TAVERN RETIREMENT PLAN 2021 401k financial data
Total income from all sources	2021-09-30	$248,513
Expenses. Total of all expenses incurred	2021-09-30	$0
Total plan assets at end of year	2021-09-30	$385,975
Total plan assets at beginning of year	2021-09-30	$137,462
Other income received	2021-09-30	$248,513
Net income (gross income less expenses)	2021-09-30	$248,513
Net plan assets at end of year (total assets less liabilities)	2021-09-30	$385,975
Net plan assets at beginning of year (total assets less liabilities)	2021-09-30	$137,462
Assets. Value of employer securities	2021-09-30	$385,975
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-09-30	$0
2020 : THE BLUE SKY TAVERN RETIREMENT PLAN 2020 401k financial data
Total income from all sources	2020-09-30	$137,462
Expenses. Total of all expenses incurred	2020-09-30	$0
Total plan assets at end of year	2020-09-30	$137,462
Contributions received from other sources (not participants or employers)	2020-09-30	$137,462
Net income (gross income less expenses)	2020-09-30	$137,462
Net plan assets at end of year (total assets less liabilities)	2020-09-30	$137,462
Net plan assets at beginning of year (total assets less liabilities)	2020-09-30	$0
Assets. Value of employer securities	2020-09-30	$137,462

Form 5500 Responses for THE BLUE SKY TAVERN RETIREMENT PLAN

2022: THE BLUE SKY TAVERN RETIREMENT PLAN 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	Submission has been amended	No
2022-10-01	This submission is the final filing	No
2022-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-10-01	Plan is a collectively bargained plan	No
2022-10-01	Plan funding arrangement – Trust	Yes
2022-10-01	Plan benefit arrangement - Trust	Yes
2021: THE BLUE SKY TAVERN RETIREMENT PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	No
2021-10-01	This submission is the final filing	No
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Trust	Yes
2021-10-01	Plan benefit arrangement - Trust	Yes
2020: THE BLUE SKY TAVERN RETIREMENT PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Submission has been amended	No
2020-10-01	This submission is the final filing	No
2020-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-10-01	Plan is a collectively bargained plan	No
2020-10-01	Plan funding arrangement – Trust	Yes
2020-10-01	Plan benefit arrangement - Trust	Yes
2019: THE BLUE SKY TAVERN RETIREMENT PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	First time form 5500 has been submitted	Yes
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Trust	Yes
2019-10-01	Plan benefit arrangement - Trust	Yes

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Company Name:	THE BLUE SKY TAVERN COMPANY
Employer identification number (EIN):	852083652
NAIC Classification:	722410
NAIC Description:	Drinking Places (Alcoholic Beverages)