401k Plan data: COSTA'S APOTHECARY, INC. 401(K) PLAN plan

COSTA'S APOTHECARY, INC. 401(K) PLAN 401k Plan overview

Plan Name	COSTA'S APOTHECARY, INC. 401(K) PLAN
Plan identification number	001

COSTA'S APOTHECARY, INC. 401(K) 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.

401k Sponsoring company profile

COSTA'S APOTHECARY, INC. has sponsored the creation of one or more 401k plans.

Company Name: COSTA'S APOTHECARY, INC.

Employer identification number (EIN): 231741796

NAIC Classification: 446110
NAIC Description: Pharmacies and Drug Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COSTA'S APOTHECARY, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 FRANCIS MCMULLIN 2015-10-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2011-01-01	FRANCIS MCMULLIN	2015-10-06

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Company Name:	COSTA'S APOTHECARY, INC.
Employer identification number (EIN):	231741796
NAIC Classification:	446110
NAIC Description:	Pharmacies and Drug Stores