401k Plan data: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN plan

RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan Name	RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN
Plan identification number	501

RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

LUPE HOLDINGS, LP has sponsored the creation of one or more 401k plans.

Company Name: LUPE HOLDINGS, LP

Employer identification number (EIN): 371776187

NAIC Classification: 722511
NAIC Description: Full-Service Restaurants

Additional information about LUPE HOLDINGS, LP

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2014-12-30

Company Identification Number: 0802126401

Legal Registered Office Address: 11111 KATY FWY STE 400

HOUSTON
United States of America (USA)
77079

More information about LUPE HOLDINGS, LP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 JOE ROCHA 2023-08-30
501 2021-01-01 JOE ROCHA 2022-08-09
501 2020-01-01 JOSEPH ROCHA 2021-07-05
501 2019-01-01 JOSEPH ROCHA 2020-09-18
501 2018-01-01
501 2017-01-01
501 2016-01-01 JOE ROCHA

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-01-01	JOE ROCHA	2023-08-30
501	2021-01-01	JOE ROCHA	2022-08-09
501	2020-01-01	JOSEPH ROCHA	2021-07-05
501	2019-01-01	JOSEPH ROCHA	2020-09-18
501	2018-01-01
501	2017-01-01
501	2016-01-01	JOE ROCHA

Plan Statistics for RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN

Measure Date Value
2022: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 0
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 0
Number of employers contributing to the scheme 2022-01-01 0
2021: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 128
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 133
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 133
Number of employers contributing to the scheme 2021-01-01 0
2020: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 128
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 128
Number of employers contributing to the scheme 2020-01-01 0
2019: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 361
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 80
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 80
Number of employers contributing to the scheme 2019-01-01 0
2018: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 344
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 361
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 361
Number of employers contributing to the scheme 2018-01-01 0
2017: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 297
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 344
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 344
2016: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 265
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 297
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 297

Measure	Date	Value
2022: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	0
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	0
Number of employers contributing to the scheme	2022-01-01	0
2021: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	133
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	133
Number of employers contributing to the scheme	2021-01-01	0
2020: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	128
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	128
Number of employers contributing to the scheme	2020-01-01	0
2019: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	361
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	80
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	80
Number of employers contributing to the scheme	2019-01-01	0
2018: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	344
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	361
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	361
Number of employers contributing to the scheme	2018-01-01	0
2017: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	297
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	344
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	344
2016: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	265
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	297
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	297

Form 5500 Responses for RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN

2022: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	This submission is the final filing	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: RDM INC. / LUPE TORTILLA EMPLOYEE BENEFITS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	First time form 5500 has been submitted	Yes
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

634793

Policy instance

Insurance contract or identification number	634793
Number of Individuals Covered	205
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $57,882
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,340,699
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	48854
Additional information about fees paid to insurance broker	BENEFIT ADVISOR FEES, INCENTIVE COMPENSATION
Insurance broker organization code?	3

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Company Name:	LUPE HOLDINGS, LP
Employer identification number (EIN):	371776187
NAIC Classification:	722511
NAIC Description:	Full-Service Restaurants

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2014-12-30
Company Identification Number:	0802126401
Legal Registered Office Address:	11111 KATY FWY STE 400 HOUSTON United States of America (USA) 77079