401k Plan data: THE CARPET SHOPPE, INC. RETIREMENT PLAN plan

THE CARPET SHOPPE, INC. RETIREMENT PLAN 401k Plan overview

Plan Name	THE CARPET SHOPPE, INC. RETIREMENT PLAN
Plan identification number	002

THE CARPET SHOPPE, INC. RETIREMENT 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
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.

401k Sponsoring company profile

THE CARPET SHOPPE, INC. has sponsored the creation of one or more 401k plans.

Company Name: THE CARPET SHOPPE, INC.

Employer identification number (EIN): 990153705

NAIC Classification: 442210
NAIC Description: Floor Covering Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE CARPET SHOPPE, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-05-01 TRUNG QUACH 2023-02-07
002 2020-05-01
002 2019-05-01
002 2018-05-01
002 2018-05-01
002 2017-05-01 ALVIN T. YOSHIOKA
002 2016-05-01 ALVIN T. YOSHIOKA
002 2016-05-01
002 2015-05-01 ALVIN YOSHIOKA
002 2014-05-01 DAVID K. ARITA
002 2013-05-01 DAVID K. ARITA
002 2012-05-01 DAVID K. ARITA
002 2012-01-01 GLENN R. ICHISHITA GLENN R. ICHISHITA 2013-02-12
002 2011-01-01 GLENN ICHISHITA GLENN ICHISHITA 2012-10-11
002 2009-01-01 DAVID K. ARITA DAVID K. ARITA 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2021-05-01	TRUNG QUACH	2023-02-07
002	2020-05-01
002	2019-05-01
002	2018-05-01
002	2018-05-01
002	2017-05-01	ALVIN T. YOSHIOKA
002	2016-05-01	ALVIN T. YOSHIOKA
002	2016-05-01
002	2015-05-01	ALVIN YOSHIOKA
002	2014-05-01	DAVID K. ARITA
002	2013-05-01	DAVID K. ARITA
002	2012-05-01	DAVID K. ARITA
002	2012-01-01	GLENN R. ICHISHITA		GLENN R. ICHISHITA	2013-02-12
002	2011-01-01	GLENN ICHISHITA		GLENN ICHISHITA	2012-10-11
002	2009-01-01	DAVID K. ARITA		DAVID K. ARITA	2010-10-14

Plan Statistics for THE CARPET SHOPPE, INC. RETIREMENT PLAN

401k plan membership statisitcs for THE CARPET SHOPPE, INC. RETIREMENT PLAN

Measure Date Value
2021: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-05-01 211
Total number of active participants reported on line 7a of the Form 5500 2021-05-01 0
Number of retired or separated participants receiving benefits 2021-05-01 0
Number of other retired or separated participants entitled to future benefits 2021-05-01 0
Total of all active and inactive participants 2021-05-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-05-01 0
Total participants 2021-05-01 0
Number of participants with account balances 2021-05-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-05-01 0
2020: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-05-01 206
Total number of active participants reported on line 7a of the Form 5500 2020-05-01 120
Number of retired or separated participants receiving benefits 2020-05-01 0
Number of other retired or separated participants entitled to future benefits 2020-05-01 91
Total of all active and inactive participants 2020-05-01 211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-05-01 0
Total participants 2020-05-01 211
Number of participants with account balances 2020-05-01 209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-05-01 11
2019: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-05-01 174
Total number of active participants reported on line 7a of the Form 5500 2019-05-01 120
Number of retired or separated participants receiving benefits 2019-05-01 3
Number of other retired or separated participants entitled to future benefits 2019-05-01 79
Total of all active and inactive participants 2019-05-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-05-01 0
Total participants 2019-05-01 202
Number of participants with account balances 2019-05-01 178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-05-01 14
2018: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-05-01 164
Total number of active participants reported on line 7a of the Form 5500 2018-05-01 98
Number of retired or separated participants receiving benefits 2018-05-01 1
Number of other retired or separated participants entitled to future benefits 2018-05-01 66
Total of all active and inactive participants 2018-05-01 165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-05-01 0
Total participants 2018-05-01 165
Number of participants with account balances 2018-05-01 163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-05-01 11
2017: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-05-01 168
Total number of active participants reported on line 7a of the Form 5500 2017-05-01 95
Number of retired or separated participants receiving benefits 2017-05-01 0
Number of other retired or separated participants entitled to future benefits 2017-05-01 66
Total of all active and inactive participants 2017-05-01 161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-05-01 0
Total participants 2017-05-01 161
Number of participants with account balances 2017-05-01 154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-05-01 8
2016: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-05-01 152
Total number of active participants reported on line 7a of the Form 5500 2016-05-01 99
Number of retired or separated participants receiving benefits 2016-05-01 0
Number of other retired or separated participants entitled to future benefits 2016-05-01 66
Total of all active and inactive participants 2016-05-01 165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-05-01 0
Total participants 2016-05-01 165
Number of participants with account balances 2016-05-01 154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-05-01 9
2015: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-05-01 158
Total number of active participants reported on line 7a of the Form 5500 2015-05-01 99
Number of retired or separated participants receiving benefits 2015-05-01 0
Number of other retired or separated participants entitled to future benefits 2015-05-01 53
Total of all active and inactive participants 2015-05-01 152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-05-01 0
Total participants 2015-05-01 152
Number of participants with account balances 2015-05-01 144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-05-01 1
2014: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-05-01 160
Total number of active participants reported on line 7a of the Form 5500 2014-05-01 93
Number of retired or separated participants receiving benefits 2014-05-01 0
Number of other retired or separated participants entitled to future benefits 2014-05-01 57
Total of all active and inactive participants 2014-05-01 150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-05-01 1
Total participants 2014-05-01 151
Number of participants with account balances 2014-05-01 150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-05-01 1
2013: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-05-01 187
Total number of active participants reported on line 7a of the Form 5500 2013-05-01 91
Number of retired or separated participants receiving benefits 2013-05-01 0
Number of other retired or separated participants entitled to future benefits 2013-05-01 67
Total of all active and inactive participants 2013-05-01 158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-05-01 0
Total participants 2013-05-01 158
Number of participants with account balances 2013-05-01 155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-05-01 2
2012: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-05-01 193
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 102
Number of retired or separated participants receiving benefits 2012-05-01 0
Number of other retired or separated participants entitled to future benefits 2012-05-01 82
Total of all active and inactive participants 2012-05-01 184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-05-01 1
Total participants 2012-05-01 185
Number of participants with account balances 2012-05-01 174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-05-01 0
Total participants, beginning-of-year 2012-01-01 186
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 97
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 95
Total of all active and inactive participants 2012-01-01 192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 193
Number of participants with account balances 2012-01-01 188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 164
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 16
Total of all active and inactive participants 2011-01-01 180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 180
Number of participants with account balances 2011-01-01 105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 150
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 133
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 14
Total of all active and inactive participants 2009-01-01 147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 147
Number of participants with account balances 2009-01-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2021: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-05-01	211
Total number of active participants reported on line 7a of the Form 5500	2021-05-01	0
Number of retired or separated participants receiving benefits	2021-05-01	0
Number of other retired or separated participants entitled to future benefits	2021-05-01	0
Total of all active and inactive participants	2021-05-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-05-01	0
Total participants	2021-05-01	0
Number of participants with account balances	2021-05-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-05-01	0
2020: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-05-01	206
Total number of active participants reported on line 7a of the Form 5500	2020-05-01	120
Number of retired or separated participants receiving benefits	2020-05-01	0
Number of other retired or separated participants entitled to future benefits	2020-05-01	91
Total of all active and inactive participants	2020-05-01	211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-05-01	0
Total participants	2020-05-01	211
Number of participants with account balances	2020-05-01	209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-05-01	11
2019: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-05-01	174
Total number of active participants reported on line 7a of the Form 5500	2019-05-01	120
Number of retired or separated participants receiving benefits	2019-05-01	3
Number of other retired or separated participants entitled to future benefits	2019-05-01	79
Total of all active and inactive participants	2019-05-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-05-01	0
Total participants	2019-05-01	202
Number of participants with account balances	2019-05-01	178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-05-01	14
2018: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-05-01	164
Total number of active participants reported on line 7a of the Form 5500	2018-05-01	98
Number of retired or separated participants receiving benefits	2018-05-01	1
Number of other retired or separated participants entitled to future benefits	2018-05-01	66
Total of all active and inactive participants	2018-05-01	165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-05-01	0
Total participants	2018-05-01	165
Number of participants with account balances	2018-05-01	163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-05-01	11
2017: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-05-01	168
Total number of active participants reported on line 7a of the Form 5500	2017-05-01	95
Number of retired or separated participants receiving benefits	2017-05-01	0
Number of other retired or separated participants entitled to future benefits	2017-05-01	66
Total of all active and inactive participants	2017-05-01	161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-05-01	0
Total participants	2017-05-01	161
Number of participants with account balances	2017-05-01	154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-05-01	8
2016: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-05-01	152
Total number of active participants reported on line 7a of the Form 5500	2016-05-01	99
Number of retired or separated participants receiving benefits	2016-05-01	0
Number of other retired or separated participants entitled to future benefits	2016-05-01	66
Total of all active and inactive participants	2016-05-01	165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-05-01	0
Total participants	2016-05-01	165
Number of participants with account balances	2016-05-01	154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-05-01	9
2015: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-05-01	158
Total number of active participants reported on line 7a of the Form 5500	2015-05-01	99
Number of retired or separated participants receiving benefits	2015-05-01	0
Number of other retired or separated participants entitled to future benefits	2015-05-01	53
Total of all active and inactive participants	2015-05-01	152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-05-01	0
Total participants	2015-05-01	152
Number of participants with account balances	2015-05-01	144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-05-01	1
2014: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-05-01	160
Total number of active participants reported on line 7a of the Form 5500	2014-05-01	93
Number of retired or separated participants receiving benefits	2014-05-01	0
Number of other retired or separated participants entitled to future benefits	2014-05-01	57
Total of all active and inactive participants	2014-05-01	150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-05-01	1
Total participants	2014-05-01	151
Number of participants with account balances	2014-05-01	150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-05-01	1
2013: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-05-01	187
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	91
Number of retired or separated participants receiving benefits	2013-05-01	0
Number of other retired or separated participants entitled to future benefits	2013-05-01	67
Total of all active and inactive participants	2013-05-01	158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-05-01	0
Total participants	2013-05-01	158
Number of participants with account balances	2013-05-01	155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-05-01	2
2012: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-05-01	193
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	102
Number of retired or separated participants receiving benefits	2012-05-01	0
Number of other retired or separated participants entitled to future benefits	2012-05-01	82
Total of all active and inactive participants	2012-05-01	184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-05-01	1
Total participants	2012-05-01	185
Number of participants with account balances	2012-05-01	174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-05-01	0
Total participants, beginning-of-year	2012-01-01	186
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	97
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	95
Total of all active and inactive participants	2012-01-01	192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	193
Number of participants with account balances	2012-01-01	188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	164
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	16
Total of all active and inactive participants	2011-01-01	180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	180
Number of participants with account balances	2011-01-01	105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	150
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	133
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	14
Total of all active and inactive participants	2009-01-01	147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	147
Number of participants with account balances	2009-01-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on THE CARPET SHOPPE, INC. RETIREMENT PLAN

Measure	Date	Value
2022 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-04-30	$0
Total transfer of assets from this plan	2022-04-30	$10,182,623
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-04-30	$136,088
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-04-30	$0
Total income from all sources (including contributions)	2022-04-30	$404,648
Total loss/gain on sale of assets	2022-04-30	$0
Total of all expenses incurred	2022-04-30	$487,242
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-04-30	$478,099
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-04-30	$80,306
Value of total assets at end of year	2022-04-30	$136,088
Value of total assets at beginning of year	2022-04-30	$10,265,217
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-04-30	$9,143
Total interest from all sources	2022-04-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2022-04-30	$44,075
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-04-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2022-04-30	$0
Total dividends received from registered investment company shares (eg mutual funds)	2022-04-30	$44,075
Administrative expenses professional fees incurred	2022-04-30	$9,143
Was this plan covered by a fidelity bond	2022-04-30	Yes
Value of fidelity bond cover	2022-04-30	$500,000
If this is an individual account plan, was there a blackout period	2022-04-30	Yes
Were there any nonexempt tranactions with any party-in-interest	2022-04-30	No
Contributions received from participants	2022-04-30	$63,482
Income. Received or receivable in cash from other sources (including rollovers)	2022-04-30	$16,824
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-04-30	$136,088
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-04-30	No
Value of net income/loss	2022-04-30	$-82,594
Value of net assets at end of year (total assets less liabilities)	2022-04-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2022-04-30	$10,265,217
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-04-30	No
Were any leases to which the plan was party in default or uncollectible	2022-04-30	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-04-30	$10,130,322
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-04-30	$136,088
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-04-30	$134,895
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-04-30	$280,267
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-04-30	No
Was there a failure to transmit to the plan any participant contributions	2022-04-30	No
Has the plan failed to provide any benefit when due under the plan	2022-04-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-04-30	$478,099
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	2022-04-30	Yes
Did the plan have assets held for investment	2022-04-30	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	2022-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-04-30	No
Opinion of an independent qualified public accountant for this plan	2022-04-30	Unqualified
Accountancy firm name	2022-04-30	SOMERSET CPAS, PC
Accountancy firm EIN	2022-04-30	201717681
2021 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets	2021-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2021-04-30	$0
Total unrealized appreciation/depreciation of assets	2021-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-04-30	$0
Expenses. Interest paid	2021-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2021-04-30	$0
Total income from all sources (including contributions)	2021-04-30	$2,548,472
Total loss/gain on sale of assets	2021-04-30	$0
Total of all expenses incurred	2021-04-30	$796,883
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-04-30	$779,769
Expenses. Certain deemed distributions of participant loans	2021-04-30	$0
Value of total corrective distributions	2021-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-04-30	$355,807
Value of total assets at end of year	2021-04-30	$10,265,217
Value of total assets at beginning of year	2021-04-30	$8,513,628
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-04-30	$17,114
Total income from rents	2021-04-30	$0
Total interest from all sources	2021-04-30	$2,950
Total dividends received (eg from common stock, registered investment company shares)	2021-04-30	$140,343
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-04-30	$140,343
Assets. Real estate other than employer real property at end of year	2021-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2021-04-30	$0
Administrative expenses professional fees incurred	2021-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2021-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2021-04-30	$0
Was this plan covered by a fidelity bond	2021-04-30	Yes
Value of fidelity bond cover	2021-04-30	$500,000
If this is an individual account plan, was there a blackout period	2021-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-04-30	No
Contributions received from participants	2021-04-30	$355,734
Participant contributions at end of year	2021-04-30	$0
Participant contributions at beginning of year	2021-04-30	$0
Participant contributions at end of year	2021-04-30	$0
Participant contributions at beginning of year	2021-04-30	$0
Assets. Other investments not covered elsewhere at end of year	2021-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2021-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-04-30	$73
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-04-30	$0
Assets. Loans (other than to participants) at end of year	2021-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2021-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-04-30	$0
Other income not declared elsewhere	2021-04-30	$0
Administrative expenses (other) incurred	2021-04-30	$0
Total non interest bearing cash at end of year	2021-04-30	$0
Total non interest bearing cash at beginning of year	2021-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-04-30	No
Income. Non cash contributions	2021-04-30	$0
Value of net income/loss	2021-04-30	$1,751,589
Value of net assets at end of year (total assets less liabilities)	2021-04-30	$10,265,217
Value of net assets at beginning of year (total assets less liabilities)	2021-04-30	$8,513,628
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-04-30	No
Were any leases to which the plan was party in default or uncollectible	2021-04-30	No
Assets. partnership/joint venture interests at end of year	2021-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2021-04-30	$0
Investment advisory and management fees	2021-04-30	$151
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-04-30	$10,130,322
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-04-30	$7,907,655
Interest on participant loans	2021-04-30	$0
Income. Interest from loans (other than to participants)	2021-04-30	$0
Interest earned on other investments	2021-04-30	$2,950
Income. Interest from US Government securities	2021-04-30	$0
Income. Interest from corporate debt instruments	2021-04-30	$0
Value of interest in master investment trust accounts at end of year	2021-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2021-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-04-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2021-04-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2021-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-04-30	$134,895
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-04-30	$605,973
Expenses. Payments to insurance carriers foe the provision of benefits	2021-04-30	$0
Asset value of US Government securities at end of year	2021-04-30	$0
Asset value of US Government securities at beginning of year	2021-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-04-30	$2,049,372
Net investment gain/loss from pooled separate accounts	2021-04-30	$0
Net gain/loss from 103.12 investment entities	2021-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-04-30	No
Was there a failure to transmit to the plan any participant contributions	2021-04-30	No
Has the plan failed to provide any benefit when due under the plan	2021-04-30	No
Assets. Invements in employer securities at end of year	2021-04-30	$0
Assets. Invements in employer securities at beginning of year	2021-04-30	$0
Assets. Value of employer real property at end of year	2021-04-30	$0
Assets. Value of employer real property at beginning of year	2021-04-30	$0
Contributions received in cash from employer	2021-04-30	$0
Employer contributions (assets) at end of year	2021-04-30	$0
Employer contributions (assets) at beginning of year	2021-04-30	$0
Income. Dividends from preferred stock	2021-04-30	$0
Income. Dividends from common stock	2021-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-04-30	$779,769
Asset. Corporate debt instrument preferred debt at end of year	2021-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2021-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2021-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2021-04-30	$0
Contract administrator fees	2021-04-30	$16,963
Assets. Corporate common stocks other than exployer securities at end of year	2021-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2021-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2021-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2021-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2021-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2021-04-30	$0
Did the plan have assets held for investment	2021-04-30	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	2021-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-04-30	No
Aggregate proceeds on sale of assets	2021-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2021-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2021-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2021-04-30	$0
Opinion of an independent qualified public accountant for this plan	2021-04-30	Unqualified
Accountancy firm name	2021-04-30	SOMERSET CPAS, PC
Accountancy firm EIN	2021-04-30	201717681
2020 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets	2020-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2020-04-30	$0
Total unrealized appreciation/depreciation of assets	2020-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-04-30	$1,641
Expenses. Interest paid	2020-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2020-04-30	$0
Total income from all sources (including contributions)	2020-04-30	$478,256
Total loss/gain on sale of assets	2020-04-30	$0
Total of all expenses incurred	2020-04-30	$416,988
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-04-30	$401,494
Expenses. Certain deemed distributions of participant loans	2020-04-30	$0
Value of total corrective distributions	2020-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-04-30	$324,007
Value of total assets at end of year	2020-04-30	$8,513,628
Value of total assets at beginning of year	2020-04-30	$8,454,001
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-04-30	$15,494
Total income from rents	2020-04-30	$0
Total interest from all sources	2020-04-30	$3,550
Total dividends received (eg from common stock, registered investment company shares)	2020-04-30	$201,699
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-04-30	$201,699
Assets. Real estate other than employer real property at end of year	2020-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2020-04-30	$0
Administrative expenses professional fees incurred	2020-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2020-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2020-04-30	$0
Was this plan covered by a fidelity bond	2020-04-30	Yes
Value of fidelity bond cover	2020-04-30	$500,000
If this is an individual account plan, was there a blackout period	2020-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-04-30	No
Contributions received from participants	2020-04-30	$324,007
Participant contributions at end of year	2020-04-30	$0
Participant contributions at beginning of year	2020-04-30	$0
Participant contributions at end of year	2020-04-30	$0
Participant contributions at beginning of year	2020-04-30	$0
Assets. Other investments not covered elsewhere at end of year	2020-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2020-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-04-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-04-30	$0
Assets. Loans (other than to participants) at end of year	2020-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2020-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-04-30	$1,641
Other income not declared elsewhere	2020-04-30	$0
Administrative expenses (other) incurred	2020-04-30	$0
Total non interest bearing cash at end of year	2020-04-30	$0
Total non interest bearing cash at beginning of year	2020-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-04-30	No
Income. Non cash contributions	2020-04-30	$0
Value of net income/loss	2020-04-30	$61,268
Value of net assets at end of year (total assets less liabilities)	2020-04-30	$8,513,628
Value of net assets at beginning of year (total assets less liabilities)	2020-04-30	$8,452,360
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-04-30	No
Were any leases to which the plan was party in default or uncollectible	2020-04-30	No
Assets. partnership/joint venture interests at end of year	2020-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2020-04-30	$0
Investment advisory and management fees	2020-04-30	$22
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-04-30	$7,907,655
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-04-30	$8,159,311
Interest on participant loans	2020-04-30	$0
Income. Interest from loans (other than to participants)	2020-04-30	$0
Interest earned on other investments	2020-04-30	$3,550
Income. Interest from US Government securities	2020-04-30	$0
Income. Interest from corporate debt instruments	2020-04-30	$0
Value of interest in master investment trust accounts at end of year	2020-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2020-04-30	$0
Value of interest in common/collective trusts at end of year	2020-04-30	$0
Value of interest in common/collective trusts at beginning of year	2020-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-04-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2020-04-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2020-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-04-30	$605,973
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-04-30	$294,690
Expenses. Payments to insurance carriers foe the provision of benefits	2020-04-30	$0
Asset value of US Government securities at end of year	2020-04-30	$0
Asset value of US Government securities at beginning of year	2020-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-04-30	$-51,000
Net investment gain/loss from pooled separate accounts	2020-04-30	$0
Net investment gain or loss from common/collective trusts	2020-04-30	$0
Net gain/loss from 103.12 investment entities	2020-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-04-30	No
Was there a failure to transmit to the plan any participant contributions	2020-04-30	No
Has the plan failed to provide any benefit when due under the plan	2020-04-30	No
Assets. Invements in employer securities at end of year	2020-04-30	$0
Assets. Invements in employer securities at beginning of year	2020-04-30	$0
Assets. Value of employer real property at end of year	2020-04-30	$0
Assets. Value of employer real property at beginning of year	2020-04-30	$0
Contributions received in cash from employer	2020-04-30	$0
Employer contributions (assets) at end of year	2020-04-30	$0
Employer contributions (assets) at beginning of year	2020-04-30	$0
Income. Dividends from preferred stock	2020-04-30	$0
Income. Dividends from common stock	2020-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-04-30	$401,494
Asset. Corporate debt instrument preferred debt at end of year	2020-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2020-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2020-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2020-04-30	$0
Contract administrator fees	2020-04-30	$15,472
Assets. Corporate common stocks other than exployer securities at end of year	2020-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2020-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2020-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2020-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2020-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2020-04-30	$0
Did the plan have assets held for investment	2020-04-30	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	2020-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-04-30	No
Aggregate proceeds on sale of assets	2020-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2020-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2020-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2020-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-04-30	Disclaimer
Accountancy firm name	2020-04-30	WACHI AND WATANABE, CPA, INC.
Accountancy firm EIN	2020-04-30	990291480
2019 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets	2019-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-04-30	$0
Total unrealized appreciation/depreciation of assets	2019-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-04-30	$1,641
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-04-30	$0
Expenses. Interest paid	2019-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2019-04-30	$0
Total income from all sources (including contributions)	2019-04-30	$887,492
Total loss/gain on sale of assets	2019-04-30	$0
Total of all expenses incurred	2019-04-30	$311,636
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-04-30	$295,644
Expenses. Certain deemed distributions of participant loans	2019-04-30	$0
Value of total corrective distributions	2019-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-04-30	$331,319
Value of total assets at end of year	2019-04-30	$8,454,001
Value of total assets at beginning of year	2019-04-30	$7,876,504
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-04-30	$15,992
Total income from rents	2019-04-30	$0
Total interest from all sources	2019-04-30	$4,992
Total dividends received (eg from common stock, registered investment company shares)	2019-04-30	$250,483
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-04-30	$250,483
Assets. Real estate other than employer real property at end of year	2019-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2019-04-30	$0
Administrative expenses professional fees incurred	2019-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2019-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2019-04-30	$0
Was this plan covered by a fidelity bond	2019-04-30	Yes
Value of fidelity bond cover	2019-04-30	$500,000
If this is an individual account plan, was there a blackout period	2019-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-04-30	No
Contributions received from participants	2019-04-30	$331,319
Participant contributions at end of year	2019-04-30	$0
Participant contributions at beginning of year	2019-04-30	$0
Participant contributions at end of year	2019-04-30	$0
Participant contributions at beginning of year	2019-04-30	$0
Assets. Other investments not covered elsewhere at end of year	2019-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2019-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-04-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-04-30	$0
Assets. Loans (other than to participants) at end of year	2019-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2019-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-04-30	$1,641
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-04-30	$0
Other income not declared elsewhere	2019-04-30	$1,917
Administrative expenses (other) incurred	2019-04-30	$0
Total non interest bearing cash at end of year	2019-04-30	$0
Total non interest bearing cash at beginning of year	2019-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-04-30	No
Income. Non cash contributions	2019-04-30	$0
Value of net income/loss	2019-04-30	$575,856
Value of net assets at end of year (total assets less liabilities)	2019-04-30	$8,452,360
Value of net assets at beginning of year (total assets less liabilities)	2019-04-30	$7,876,504
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-04-30	No
Were any leases to which the plan was party in default or uncollectible	2019-04-30	No
Assets. partnership/joint venture interests at end of year	2019-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2019-04-30	$0
Investment advisory and management fees	2019-04-30	$13
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-04-30	$8,159,311
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-04-30	$7,314,198
Interest on participant loans	2019-04-30	$0
Income. Interest from loans (other than to participants)	2019-04-30	$0
Interest earned on other investments	2019-04-30	$4,992
Income. Interest from US Government securities	2019-04-30	$0
Income. Interest from corporate debt instruments	2019-04-30	$0
Value of interest in master investment trust accounts at end of year	2019-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2019-04-30	$0
Value of interest in common/collective trusts at end of year	2019-04-30	$0
Value of interest in common/collective trusts at beginning of year	2019-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-04-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2019-04-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2019-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-04-30	$294,690
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-04-30	$562,306
Expenses. Payments to insurance carriers foe the provision of benefits	2019-04-30	$0
Asset value of US Government securities at end of year	2019-04-30	$0
Asset value of US Government securities at beginning of year	2019-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-04-30	$298,781
Net investment gain/loss from pooled separate accounts	2019-04-30	$0
Net investment gain or loss from common/collective trusts	2019-04-30	$0
Net gain/loss from 103.12 investment entities	2019-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-04-30	No
Was there a failure to transmit to the plan any participant contributions	2019-04-30	No
Has the plan failed to provide any benefit when due under the plan	2019-04-30	No
Assets. Invements in employer securities at end of year	2019-04-30	$0
Assets. Invements in employer securities at beginning of year	2019-04-30	$0
Assets. Value of employer real property at end of year	2019-04-30	$0
Assets. Value of employer real property at beginning of year	2019-04-30	$0
Contributions received in cash from employer	2019-04-30	$0
Employer contributions (assets) at end of year	2019-04-30	$0
Employer contributions (assets) at beginning of year	2019-04-30	$0
Income. Dividends from preferred stock	2019-04-30	$0
Income. Dividends from common stock	2019-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-04-30	$295,644
Asset. Corporate debt instrument preferred debt at end of year	2019-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2019-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2019-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2019-04-30	$0
Contract administrator fees	2019-04-30	$15,979
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	2019-04-30	No
Assets. Corporate common stocks other than exployer securities at end of year	2019-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2019-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2019-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2019-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2019-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-04-30	$0
Did the plan have assets held for investment	2019-04-30	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	2019-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-04-30	No
Aggregate proceeds on sale of assets	2019-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2019-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2019-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2019-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-04-30	Disclaimer
Accountancy firm name	2019-04-30	WACHI AND WATANABE, CPA, INC.
Accountancy firm EIN	2019-04-30	990291480
2018 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets	2018-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2018-04-30	$0
Total unrealized appreciation/depreciation of assets	2018-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-04-30	$0
Expenses. Interest paid	2018-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2018-04-30	$0
Total income from all sources (including contributions)	2018-04-30	$977,638
Total loss/gain on sale of assets	2018-04-30	$0
Total of all expenses incurred	2018-04-30	$1,682,066
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-04-30	$1,665,955
Expenses. Certain deemed distributions of participant loans	2018-04-30	$0
Value of total corrective distributions	2018-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-04-30	$320,852
Value of total assets at end of year	2018-04-30	$7,876,504
Value of total assets at beginning of year	2018-04-30	$8,580,932
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-04-30	$16,111
Total income from rents	2018-04-30	$0
Total interest from all sources	2018-04-30	$3,467
Total dividends received (eg from common stock, registered investment company shares)	2018-04-30	$205,472
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-04-30	$205,472
Assets. Real estate other than employer real property at end of year	2018-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2018-04-30	$0
Administrative expenses professional fees incurred	2018-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2018-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2018-04-30	$0
Was this plan covered by a fidelity bond	2018-04-30	Yes
Value of fidelity bond cover	2018-04-30	$500,000
If this is an individual account plan, was there a blackout period	2018-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-04-30	No
Contributions received from participants	2018-04-30	$320,852
Participant contributions at end of year	2018-04-30	$0
Participant contributions at beginning of year	2018-04-30	$0
Participant contributions at end of year	2018-04-30	$0
Participant contributions at beginning of year	2018-04-30	$0
Assets. Other investments not covered elsewhere at end of year	2018-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2018-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-04-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-04-30	$0
Assets. Loans (other than to participants) at end of year	2018-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2018-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-04-30	$0
Other income not declared elsewhere	2018-04-30	$1,300
Administrative expenses (other) incurred	2018-04-30	$0
Total non interest bearing cash at end of year	2018-04-30	$0
Total non interest bearing cash at beginning of year	2018-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-04-30	No
Income. Non cash contributions	2018-04-30	$0
Value of net income/loss	2018-04-30	$-704,428
Value of net assets at end of year (total assets less liabilities)	2018-04-30	$7,876,504
Value of net assets at beginning of year (total assets less liabilities)	2018-04-30	$8,580,932
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-04-30	No
Were any leases to which the plan was party in default or uncollectible	2018-04-30	No
Assets. partnership/joint venture interests at end of year	2018-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2018-04-30	$0
Investment advisory and management fees	2018-04-30	$5
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-04-30	$7,314,198
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-04-30	$8,323,923
Interest on participant loans	2018-04-30	$0
Income. Interest from loans (other than to participants)	2018-04-30	$0
Interest earned on other investments	2018-04-30	$3,467
Income. Interest from US Government securities	2018-04-30	$0
Income. Interest from corporate debt instruments	2018-04-30	$0
Value of interest in master investment trust accounts at end of year	2018-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2018-04-30	$0
Value of interest in common/collective trusts at end of year	2018-04-30	$0
Value of interest in common/collective trusts at beginning of year	2018-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-04-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2018-04-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2018-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-04-30	$562,306
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-04-30	$257,009
Expenses. Payments to insurance carriers foe the provision of benefits	2018-04-30	$0
Asset value of US Government securities at end of year	2018-04-30	$0
Asset value of US Government securities at beginning of year	2018-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-04-30	$446,547
Net investment gain/loss from pooled separate accounts	2018-04-30	$0
Net investment gain or loss from common/collective trusts	2018-04-30	$0
Net gain/loss from 103.12 investment entities	2018-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-04-30	No
Was there a failure to transmit to the plan any participant contributions	2018-04-30	No
Has the plan failed to provide any benefit when due under the plan	2018-04-30	No
Assets. Invements in employer securities at end of year	2018-04-30	$0
Assets. Invements in employer securities at beginning of year	2018-04-30	$0
Assets. Value of employer real property at end of year	2018-04-30	$0
Assets. Value of employer real property at beginning of year	2018-04-30	$0
Contributions received in cash from employer	2018-04-30	$0
Employer contributions (assets) at end of year	2018-04-30	$0
Employer contributions (assets) at beginning of year	2018-04-30	$0
Income. Dividends from preferred stock	2018-04-30	$0
Income. Dividends from common stock	2018-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-04-30	$1,665,955
Asset. Corporate debt instrument preferred debt at end of year	2018-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2018-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2018-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2018-04-30	$0
Contract administrator fees	2018-04-30	$16,106
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	2018-04-30	No
Assets. Corporate common stocks other than exployer securities at end of year	2018-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2018-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2018-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2018-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2018-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2018-04-30	$0
Did the plan have assets held for investment	2018-04-30	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	2018-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-04-30	No
Aggregate proceeds on sale of assets	2018-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2018-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2018-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2018-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-04-30	Disclaimer
Accountancy firm name	2018-04-30	WACHI AND WATANABE, CPA, INC.
Accountancy firm EIN	2018-04-30	990291480
2017 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets	2017-04-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2017-04-30	$0
Total unrealized appreciation/depreciation of assets	2017-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-04-30	$0
Expenses. Interest paid	2017-04-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2017-04-30	$0
Total income from all sources (including contributions)	2017-04-30	$985,928
Total loss/gain on sale of assets	2017-04-30	$0
Total of all expenses incurred	2017-04-30	$115,248
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-04-30	$78,755
Expenses. Certain deemed distributions of participant loans	2017-04-30	$0
Value of total corrective distributions	2017-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-04-30	$304,481
Value of total assets at end of year	2017-04-30	$8,580,932
Value of total assets at beginning of year	2017-04-30	$7,710,252
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-04-30	$36,493
Total income from rents	2017-04-30	$0
Total interest from all sources	2017-04-30	$10,470
Total dividends received (eg from common stock, registered investment company shares)	2017-04-30	$161,654
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-04-30	$161,654
Assets. Real estate other than employer real property at end of year	2017-04-30	$0
Assets. Real estate other than employer real property at beginning of year	2017-04-30	$0
Administrative expenses professional fees incurred	2017-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2017-04-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2017-04-30	$0
Was this plan covered by a fidelity bond	2017-04-30	Yes
Value of fidelity bond cover	2017-04-30	$500,000
If this is an individual account plan, was there a blackout period	2017-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-04-30	No
Contributions received from participants	2017-04-30	$288,263
Participant contributions at end of year	2017-04-30	$0
Participant contributions at beginning of year	2017-04-30	$0
Participant contributions at end of year	2017-04-30	$0
Participant contributions at beginning of year	2017-04-30	$0
Assets. Other investments not covered elsewhere at end of year	2017-04-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-04-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-04-30	$16,218
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-04-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-04-30	$0
Assets. Loans (other than to participants) at end of year	2017-04-30	$0
Assets. Loans (other than to participants) at beginning of year	2017-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-04-30	$0
Other income not declared elsewhere	2017-04-30	$2,306
Administrative expenses (other) incurred	2017-04-30	$0
Total non interest bearing cash at end of year	2017-04-30	$0
Total non interest bearing cash at beginning of year	2017-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-04-30	No
Income. Non cash contributions	2017-04-30	$0
Value of net income/loss	2017-04-30	$870,680
Value of net assets at end of year (total assets less liabilities)	2017-04-30	$8,580,932
Value of net assets at beginning of year (total assets less liabilities)	2017-04-30	$7,710,252
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-04-30	No
Were any leases to which the plan was party in default or uncollectible	2017-04-30	No
Assets. partnership/joint venture interests at end of year	2017-04-30	$0
Assets. partnership/joint venture interests at beginning of year	2017-04-30	$0
Investment advisory and management fees	2017-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-04-30	$8,323,923
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-04-30	$6,423,267
Interest on participant loans	2017-04-30	$0
Income. Interest from loans (other than to participants)	2017-04-30	$0
Interest earned on other investments	2017-04-30	$10,470
Income. Interest from US Government securities	2017-04-30	$0
Income. Interest from corporate debt instruments	2017-04-30	$0
Value of interest in master investment trust accounts at end of year	2017-04-30	$0
Value of interest in master investment trust accounts at beginning of year	2017-04-30	$0
Value of interest in common/collective trusts at end of year	2017-04-30	$0
Value of interest in common/collective trusts at beginning of year	2017-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-04-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-04-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2017-04-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2017-04-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-04-30	$257,009
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-04-30	$1,286,985
Expenses. Payments to insurance carriers foe the provision of benefits	2017-04-30	$0
Asset value of US Government securities at end of year	2017-04-30	$0
Asset value of US Government securities at beginning of year	2017-04-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-04-30	$507,017
Net investment gain/loss from pooled separate accounts	2017-04-30	$0
Net investment gain or loss from common/collective trusts	2017-04-30	$0
Net gain/loss from 103.12 investment entities	2017-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-04-30	No
Was there a failure to transmit to the plan any participant contributions	2017-04-30	No
Has the plan failed to provide any benefit when due under the plan	2017-04-30	No
Assets. Invements in employer securities at end of year	2017-04-30	$0
Assets. Invements in employer securities at beginning of year	2017-04-30	$0
Assets. Value of employer real property at end of year	2017-04-30	$0
Assets. Value of employer real property at beginning of year	2017-04-30	$0
Contributions received in cash from employer	2017-04-30	$0
Employer contributions (assets) at end of year	2017-04-30	$0
Employer contributions (assets) at beginning of year	2017-04-30	$0
Income. Dividends from preferred stock	2017-04-30	$0
Income. Dividends from common stock	2017-04-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-04-30	$78,755
Asset. Corporate debt instrument preferred debt at end of year	2017-04-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2017-04-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2017-04-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2017-04-30	$0
Contract administrator fees	2017-04-30	$36,493
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	2017-04-30	No
Assets. Corporate common stocks other than exployer securities at end of year	2017-04-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2017-04-30	$0
Liabilities. Value of benefit claims payable at end of year	2017-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-04-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2017-04-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2017-04-30	$0
Did the plan have assets held for investment	2017-04-30	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	2017-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-04-30	No
Aggregate proceeds on sale of assets	2017-04-30	$0
Aggregate carrying amount (costs) on sale of assets	2017-04-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2017-04-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2017-04-30	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-04-30	Disclaimer
Accountancy firm name	2017-04-30	WACHI AND WATANABE, CPA, INC.
Accountancy firm EIN	2017-04-30	990291480
2016 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-04-30	$0
Total income from all sources (including contributions)	2016-04-30	$195,211
Total loss/gain on sale of assets	2016-04-30	$0
Total of all expenses incurred	2016-04-30	$381,753
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-04-30	$298,448
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-04-30	$222,703
Value of total assets at end of year	2016-04-30	$7,710,252
Value of total assets at beginning of year	2016-04-30	$7,896,794
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-04-30	$83,305
Total interest from all sources	2016-04-30	$18,120
Total dividends received (eg from common stock, registered investment company shares)	2016-04-30	$217,606
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-04-30	$217,606
Was this plan covered by a fidelity bond	2016-04-30	Yes
Value of fidelity bond cover	2016-04-30	$500,000
If this is an individual account plan, was there a blackout period	2016-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-04-30	No
Contributions received from participants	2016-04-30	$222,703
Other income not declared elsewhere	2016-04-30	$24,888
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-04-30	No
Value of net income/loss	2016-04-30	$-186,542
Value of net assets at end of year (total assets less liabilities)	2016-04-30	$7,710,252
Value of net assets at beginning of year (total assets less liabilities)	2016-04-30	$7,896,794
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-04-30	No
Were any leases to which the plan was party in default or uncollectible	2016-04-30	No
Investment advisory and management fees	2016-04-30	$24,089
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-04-30	$6,423,267
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-04-30	$7,548,689
Interest earned on other investments	2016-04-30	$18,120
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-04-30	$1,286,985
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-04-30	$348,105
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-04-30	$-288,106
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-04-30	No
Was there a failure to transmit to the plan any participant contributions	2016-04-30	No
Has the plan failed to provide any benefit when due under the plan	2016-04-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-04-30	$298,448
Contract administrator fees	2016-04-30	$59,216
Did the plan have assets held for investment	2016-04-30	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	2016-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-04-30	Disclaimer
Accountancy firm name	2016-04-30	WACHI & WATANABE CPA INC
Accountancy firm EIN	2016-04-30	990291480
2015 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-04-30	$0
Total income from all sources (including contributions)	2015-04-30	$804,689
Total loss/gain on sale of assets	2015-04-30	$0
Total of all expenses incurred	2015-04-30	$313,928
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-04-30	$217,827
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-04-30	$182,007
Value of total assets at end of year	2015-04-30	$7,896,794
Value of total assets at beginning of year	2015-04-30	$7,406,033
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-04-30	$96,101
Total interest from all sources	2015-04-30	$9,494
Total dividends received (eg from common stock, registered investment company shares)	2015-04-30	$167,490
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-04-30	$167,490
Was this plan covered by a fidelity bond	2015-04-30	Yes
Value of fidelity bond cover	2015-04-30	$500,000
If this is an individual account plan, was there a blackout period	2015-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-04-30	No
Contributions received from participants	2015-04-30	$182,007
Other income not declared elsewhere	2015-04-30	$28,422
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-04-30	No
Value of net income/loss	2015-04-30	$490,761
Value of net assets at end of year (total assets less liabilities)	2015-04-30	$7,896,794
Value of net assets at beginning of year (total assets less liabilities)	2015-04-30	$7,406,033
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-04-30	No
Were any leases to which the plan was party in default or uncollectible	2015-04-30	No
Investment advisory and management fees	2015-04-30	$28,306
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-04-30	$7,548,689
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-04-30	$6,530,791
Interest earned on other investments	2015-04-30	$9,494
Value of interest in common/collective trusts at end of year	2015-04-30	$0
Value of interest in common/collective trusts at beginning of year	2015-04-30	$105,535
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-04-30	$348,105
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-04-30	$769,707
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-04-30	$414,929
Net investment gain or loss from common/collective trusts	2015-04-30	$2,347
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-04-30	No
Was there a failure to transmit to the plan any participant contributions	2015-04-30	No
Has the plan failed to provide any benefit when due under the plan	2015-04-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-04-30	$217,827
Contract administrator fees	2015-04-30	$67,795
Did the plan have assets held for investment	2015-04-30	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	2015-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-04-30	Disclaimer
Accountancy firm name	2015-04-30	WACHI & WATANABE CPA INC
Accountancy firm EIN	2015-04-30	990291480
2014 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-04-30	$0
Total income from all sources (including contributions)	2014-04-30	$925,669
Total loss/gain on sale of assets	2014-04-30	$0
Total of all expenses incurred	2014-04-30	$845,193
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-04-30	$745,067
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-04-30	$212,490
Value of total assets at end of year	2014-04-30	$7,406,033
Value of total assets at beginning of year	2014-04-30	$7,325,557
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-04-30	$100,126
Total interest from all sources	2014-04-30	$5,758
Total dividends received (eg from common stock, registered investment company shares)	2014-04-30	$210,198
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-04-30	$210,198
Administrative expenses professional fees incurred	2014-04-30	$8,942
Was this plan covered by a fidelity bond	2014-04-30	Yes
Value of fidelity bond cover	2014-04-30	$500,000
If this is an individual account plan, was there a blackout period	2014-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-04-30	No
Contributions received from participants	2014-04-30	$212,490
Other income not declared elsewhere	2014-04-30	$28,347
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-04-30	No
Value of net income/loss	2014-04-30	$80,476
Value of net assets at end of year (total assets less liabilities)	2014-04-30	$7,406,033
Value of net assets at beginning of year (total assets less liabilities)	2014-04-30	$7,325,557
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-04-30	No
Were any leases to which the plan was party in default or uncollectible	2014-04-30	No
Investment advisory and management fees	2014-04-30	$28,306
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-04-30	$6,530,791
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-04-30	$3,992,909
Interest earned on other investments	2014-04-30	$5,758
Value of interest in common/collective trusts at end of year	2014-04-30	$105,535
Value of interest in common/collective trusts at beginning of year	2014-04-30	$2,721,667
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-04-30	$769,707
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-04-30	$610,981
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-04-30	$464,264
Net investment gain or loss from common/collective trusts	2014-04-30	$4,612
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-04-30	No
Was there a failure to transmit to the plan any participant contributions	2014-04-30	No
Has the plan failed to provide any benefit when due under the plan	2014-04-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-04-30	$745,067
Contract administrator fees	2014-04-30	$62,878
Did the plan have assets held for investment	2014-04-30	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	2014-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-04-30	Disclaimer
Accountancy firm name	2014-04-30	WACHI & WATANABE CPA INC
Accountancy firm EIN	2014-04-30	990291480
2013 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-04-30	$10,120
Total income from all sources (including contributions)	2013-04-30	$961,389
Total loss/gain on sale of assets	2013-04-30	$0
Total of all expenses incurred	2013-04-30	$277,941
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-04-30	$169,313
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-04-30	$209,673
Value of total assets at end of year	2013-04-30	$7,325,557
Value of total assets at beginning of year	2013-04-30	$6,652,229
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-04-30	$108,628
Total interest from all sources	2013-04-30	$13,558
Total dividends received (eg from common stock, registered investment company shares)	2013-04-30	$173,746
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-04-30	$173,746
Administrative expenses professional fees incurred	2013-04-30	$19,200
Was this plan covered by a fidelity bond	2013-04-30	Yes
Value of fidelity bond cover	2013-04-30	$500,000
If this is an individual account plan, was there a blackout period	2013-04-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-04-30	No
Contributions received from participants	2013-04-30	$209,673
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-04-30	$2,830
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-04-30	$10,120
Other income not declared elsewhere	2013-04-30	$14,153
Total non interest bearing cash at beginning of year	2013-04-30	$544
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-04-30	No
Value of net income/loss	2013-04-30	$683,448
Value of net assets at end of year (total assets less liabilities)	2013-04-30	$7,325,557
Value of net assets at beginning of year (total assets less liabilities)	2013-04-30	$6,642,109
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-04-30	No
Were any leases to which the plan was party in default or uncollectible	2013-04-30	No
Investment advisory and management fees	2013-04-30	$14,153
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-04-30	$3,992,909
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-04-30	$5,878,593
Interest earned on other investments	2013-04-30	$13,555
Value of interest in common/collective trusts at end of year	2013-04-30	$2,721,667
Value of interest in common/collective trusts at beginning of year	2013-04-30	$96,141
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-04-30	$22,068
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-04-30	$22,068
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-04-30	$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-04-30	$610,981
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-04-30	$652,053
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-04-30	$550,259
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-04-30	No
Was there a failure to transmit to the plan any participant contributions	2013-04-30	No
Has the plan failed to provide any benefit when due under the plan	2013-04-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-04-30	$169,313
Contract administrator fees	2013-04-30	$75,275
Did the plan have assets held for investment	2013-04-30	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	2013-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-04-30	Disclaimer
Accountancy firm name	2013-04-30	WACHI & WATANABE CPA INC
Accountancy firm EIN	2013-04-30	990291480
2012 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-04-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-04-30	$10,120
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-04-30	$7,928
Total income from all sources (including contributions)	2012-04-30	$471,663
Total loss/gain on sale of assets	2012-04-30	$0
Total of all expenses incurred	2012-04-30	$88,016
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-04-30	$70,936
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-04-30	$71,079
Value of total assets at end of year	2012-04-30	$6,652,229
Value of total assets at beginning of year	2012-04-30	$6,266,390
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-04-30	$17,080
Total interest from all sources	2012-04-30	$4,864
Total dividends received (eg from common stock, registered investment company shares)	2012-04-30	$28,165
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-04-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-04-30	$28,165
Administrative expenses professional fees incurred	2012-04-30	$16,757
Was this plan covered by a fidelity bond	2012-04-30	Yes
Value of fidelity bond cover	2012-04-30	$500,000
If this is an individual account plan, was there a blackout period	2012-04-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-04-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-04-30	No
Contributions received from participants	2012-04-30	$69,990
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-04-30	$2,830
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-04-30	$3,363,041
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-04-30	$10,120
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-04-30	$7,928
Total non interest bearing cash at end of year	2012-04-30	$544
Total non interest bearing cash at beginning of year	2012-04-30	$544
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-04-30	No
Value of net income/loss	2012-04-30	$383,647
Value of net assets at end of year (total assets less liabilities)	2012-04-30	$6,642,109
Value of net assets at beginning of year (total assets less liabilities)	2012-04-30	$6,258,462
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-04-30	No
Were any leases to which the plan was party in default or uncollectible	2012-04-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-04-30	$5,878,593
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-04-30	$1,587,348
Interest earned on other investments	2012-04-30	$4,862
Value of interest in common/collective trusts at end of year	2012-04-30	$96,141
Value of interest in common/collective trusts at beginning of year	2012-04-30	$732,401
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-04-30	$22,068
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-04-30	$6,693
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-04-30	$6,693
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-04-30	$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-04-30	$652,053
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-04-30	$576,363
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-04-30	$350,316
Net investment gain or loss from common/collective trusts	2012-04-30	$17,239
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-04-30	No
Was there a failure to transmit to the plan any participant contributions	2012-04-30	No
Has the plan failed to provide any benefit when due under the plan	2012-04-30	No
Contributions received in cash from employer	2012-04-30	$1,089
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-04-30	$70,936
Contract administrator fees	2012-04-30	$323
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	2012-04-30	Yes
Did the plan have assets held for investment	2012-04-30	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	2012-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-04-30	Disclaimer
Accountancy firm name	2012-04-30	WACHI & WATANABE CPA INC
Accountancy firm EIN	2012-04-30	990291480
2011 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$3,361,460
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$7,928
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$2,955
Total income from all sources (including contributions)	2011-12-31	$159,050
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$182,559
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$182,149
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$188,254
Value of total assets at end of year	2011-12-31	$6,266,390
Value of total assets at beginning of year	2011-12-31	$2,923,466
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$410
Total interest from all sources	2011-12-31	$15,634
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$34,073
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$34,073
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$300,000
If this is an individual account plan, was there a blackout period	2011-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$187,936
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$3,363,041
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$1,865
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$7,928
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$2,955
Total non interest bearing cash at end of year	2011-12-31	$544
Total non interest bearing cash at beginning of year	2011-12-31	$544
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-23,509
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$6,258,462
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,920,511
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,587,348
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,616,025
Interest earned on other investments	2011-12-31	$15,634
Value of interest in common/collective trusts at end of year	2011-12-31	$732,401
Value of interest in common/collective trusts at beginning of year	2011-12-31	$764,525
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$6,693
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$1,435
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$1,435
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$576,363
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$539,072
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-71,394
Net investment gain or loss from common/collective trusts	2011-12-31	$-7,517
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$318
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$182,149
Contract administrator fees	2011-12-31	$410
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	2011-12-31	Yes
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	WACHI & WATANABE CPA INC
Accountancy firm EIN	2011-12-31	990291480
2010 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$2,955
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$2,281
Total income from all sources (including contributions)	2010-12-31	$531,721
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$53,061
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$52,513
Value of total corrective distributions	2010-12-31	$548
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$201,005
Value of total assets at end of year	2010-12-31	$2,923,466
Value of total assets at beginning of year	2010-12-31	$2,444,132
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$20,318
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$28,897
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$28,897
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$300,000
If this is an individual account plan, was there a blackout period	2010-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$200,689
Participant contributions at beginning of year	2010-12-31	$11,054
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$1,865
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$2,281
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$2,955
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$2,281
Other income not declared elsewhere	2010-12-31	$13,920
Total non interest bearing cash at end of year	2010-12-31	$544
Total non interest bearing cash at beginning of year	2010-12-31	$543
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$478,660
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,920,511
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,441,851
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,616,025
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,259,146
Interest earned on other investments	2010-12-31	$20,317
Value of interest in common/collective trusts at end of year	2010-12-31	$764,525
Value of interest in common/collective trusts at beginning of year	2010-12-31	$629,617
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$1,435
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$345
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$345
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$539,072
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$457,069
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$200,232
Net investment gain or loss from common/collective trusts	2010-12-31	$67,349
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$316
Employer contributions (assets) at beginning of year	2010-12-31	$84,077
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$52,513
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	2010-12-31	Yes
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	WACHI & WATANABE CPA INC
Accountancy firm EIN	2010-12-31	990291480
2009 : THE CARPET SHOPPE, INC. RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for THE CARPET SHOPPE, INC. RETIREMENT PLAN

2021: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2021 form 5500 responses
2021-05-01	Type of plan entity	Single employer plan
2021-05-01	Submission has been amended	No
2021-05-01	This submission is the final filing	Yes
2021-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-05-01	Plan is a collectively bargained plan	No
2021-05-01	Plan funding arrangement – Insurance	Yes
2021-05-01	Plan funding arrangement – Trust	Yes
2021-05-01	Plan benefit arrangement – Insurance	Yes
2021-05-01	Plan benefit arrangement - Trust	Yes
2020: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2020 form 5500 responses
2020-05-01	Type of plan entity	Single employer plan
2020-05-01	Submission has been amended	No
2020-05-01	This submission is the final filing	No
2020-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-05-01	Plan is a collectively bargained plan	No
2020-05-01	Plan funding arrangement – Insurance	Yes
2020-05-01	Plan funding arrangement – Trust	Yes
2020-05-01	Plan benefit arrangement – Insurance	Yes
2020-05-01	Plan benefit arrangement - Trust	Yes
2019: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2019 form 5500 responses
2019-05-01	Type of plan entity	Single employer plan
2019-05-01	Submission has been amended	No
2019-05-01	This submission is the final filing	No
2019-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-05-01	Plan is a collectively bargained plan	No
2019-05-01	Plan funding arrangement – Insurance	Yes
2019-05-01	Plan funding arrangement – Trust	Yes
2019-05-01	Plan benefit arrangement – Insurance	Yes
2019-05-01	Plan benefit arrangement - Trust	Yes
2018: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2018 form 5500 responses
2018-05-01	Type of plan entity	Single employer plan
2018-05-01	Submission has been amended	Yes
2018-05-01	This submission is the final filing	No
2018-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-05-01	Plan is a collectively bargained plan	No
2018-05-01	Plan funding arrangement – Insurance	Yes
2018-05-01	Plan funding arrangement – Trust	Yes
2018-05-01	Plan benefit arrangement – Insurance	Yes
2018-05-01	Plan benefit arrangement - Trust	Yes
2017: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2017 form 5500 responses
2017-05-01	Type of plan entity	Single employer plan
2017-05-01	Submission has been amended	No
2017-05-01	This submission is the final filing	No
2017-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-05-01	Plan is a collectively bargained plan	No
2017-05-01	Plan funding arrangement – Insurance	Yes
2017-05-01	Plan funding arrangement – Trust	Yes
2017-05-01	Plan benefit arrangement – Insurance	Yes
2017-05-01	Plan benefit arrangement - Trust	Yes
2016: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2016 form 5500 responses
2016-05-01	Type of plan entity	Single employer plan
2016-05-01	Submission has been amended	Yes
2016-05-01	This submission is the final filing	No
2016-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-05-01	Plan is a collectively bargained plan	No
2016-05-01	Plan funding arrangement – Insurance	Yes
2016-05-01	Plan funding arrangement – Trust	Yes
2016-05-01	Plan benefit arrangement – Insurance	Yes
2016-05-01	Plan benefit arrangement - Trust	Yes
2015: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2015 form 5500 responses
2015-05-01	Type of plan entity	Single employer plan
2015-05-01	Submission has been amended	No
2015-05-01	This submission is the final filing	No
2015-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-05-01	Plan is a collectively bargained plan	No
2015-05-01	Plan funding arrangement – Insurance	Yes
2015-05-01	Plan funding arrangement – Trust	Yes
2015-05-01	Plan benefit arrangement – Insurance	Yes
2015-05-01	Plan benefit arrangement - Trust	Yes
2014: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2014 form 5500 responses
2014-05-01	Type of plan entity	Single employer plan
2014-05-01	Submission has been amended	No
2014-05-01	This submission is the final filing	No
2014-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-05-01	Plan is a collectively bargained plan	No
2014-05-01	Plan funding arrangement – Insurance	Yes
2014-05-01	Plan funding arrangement – Trust	Yes
2014-05-01	Plan benefit arrangement – Insurance	Yes
2014-05-01	Plan benefit arrangement - Trust	Yes
2013: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2013 form 5500 responses
2013-05-01	Type of plan entity	Single employer plan
2013-05-01	Submission has been amended	No
2013-05-01	This submission is the final filing	No
2013-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-05-01	Plan is a collectively bargained plan	No
2013-05-01	Plan funding arrangement – Insurance	Yes
2013-05-01	Plan funding arrangement – Trust	Yes
2013-05-01	Plan benefit arrangement – Insurance	Yes
2013-05-01	Plan benefit arrangement - Trust	Yes
2012: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	Submission has been amended	No
2012-05-01	This submission is the final filing	No
2012-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-05-01	Plan is a collectively bargained plan	No
2012-05-01	Plan funding arrangement – Insurance	Yes
2012-05-01	Plan funding arrangement – Trust	Yes
2012-05-01	Plan benefit arrangement – Insurance	Yes
2012-05-01	Plan benefit arrangement - Trust	Yes
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: THE CARPET SHOPPE, INC. RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

375929-01

Policy instance

Insurance contract or identification number	375929-01
Number of Individuals Covered	19
Insurance policy start date	2021-05-01
Insurance policy end date	2022-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

375929-01

Policy instance

Insurance contract or identification number	375929-01
Number of Individuals Covered	18
Insurance policy start date	2020-05-01
Insurance policy end date	2021-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

375929-01

Policy instance

Insurance contract or identification number	375929-01
Number of Individuals Covered	21
Insurance policy start date	2019-05-01
Insurance policy end date	2020-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

375929-01

Policy instance

Insurance contract or identification number	375929-01
Number of Individuals Covered	17
Insurance policy start date	2018-05-01
Insurance policy end date	2019-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

375929-01

Policy instance

Insurance contract or identification number	375929-01
Number of Individuals Covered	20
Insurance policy start date	2017-05-01
Insurance policy end date	2018-04-30
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

893384

Policy instance

Insurance contract or identification number	893384
Number of Individuals Covered	20
Insurance policy start date	2015-05-01
Insurance policy end date	2016-04-30
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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

892804/893384

Policy instance

Insurance contract or identification number	892804/893384
Number of Individuals Covered	19
Insurance policy start date	2014-05-01
Insurance policy end date	2015-04-30
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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

892804-087

Policy instance

Insurance contract or identification number	892804-087
Number of Individuals Covered	69
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

892804-087

Policy instance

Insurance contract or identification number	892804-087
Number of Individuals Covered	73
Insurance policy start date	2012-05-01
Insurance policy end date	2013-04-30
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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

892804087

Policy instance

Insurance contract or identification number	892804087
Number of Individuals Covered	64
Insurance policy start date	2012-01-01
Insurance policy end date	2012-04-30
Total amount of commissions paid to insurance broker	USD $778
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
Commission paid to Insurance Broker	USD $778
Insurance broker organization code?	4
Insurance broker name	BANKOH INVESTMENT SERVICES, INC.

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

892804-087

Policy instance

Insurance contract or identification number	892804-087
Number of Individuals Covered	56
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,873
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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

892804-087

Policy instance

Insurance contract or identification number	892804-087
Number of Individuals Covered	58
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $2,558
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:	THE CARPET SHOPPE, INC.
Employer identification number (EIN):	990153705
NAIC Classification:	442210
NAIC Description:	Floor Covering Stores