401k Plan data: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN plan

JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN
Plan identification number	001

JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING 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.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

JIM'S FORMAL WEAR LLC has sponsored the creation of one or more 401k plans.

Company Name: JIM'S FORMAL WEAR LLC

Employer identification number (EIN): 461233026

NAIC Classification: 532281
NAIC Description: Formal Wear and Costume Rental

Additional information about JIM'S FORMAL WEAR LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 5230491

More information about JIM'S FORMAL WEAR LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2019-01-01
001 2019-01-01
001 2018-01-01
001 2018-01-01
001 2017-01-01 STEPHEN BUZZARD
001 2016-01-01 KEVIN L LITTEKEN KEVIN L LITTEKEN 2017-10-10
001 2015-01-01 KEVIN LITTEKEN KEVIL LITTEKEN 2016-10-10
001 2014-01-01 KEVIN LITTEKEN STEVE BUZZARD 2015-09-17
001 2014-01-01 KEVIN LITTEKEN STEVE BUZZARD 2015-09-17
001 2013-01-01 KEVIN L LITTEKEN KEVIN L LITTEKEN 2014-10-02

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2019-01-01
001	2019-01-01
001	2018-01-01
001	2018-01-01
001	2017-01-01	STEPHEN BUZZARD
001	2016-01-01	KEVIN L LITTEKEN	KEVIN L LITTEKEN	2017-10-10
001	2015-01-01	KEVIN LITTEKEN	KEVIL LITTEKEN	2016-10-10
001	2014-01-01	KEVIN LITTEKEN	STEVE BUZZARD	2015-09-17
001	2014-01-01	KEVIN LITTEKEN	STEVE BUZZARD	2015-09-17
001	2013-01-01	KEVIN L LITTEKEN	KEVIN L LITTEKEN	2014-10-02

Plan Statistics for JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 477
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 328
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 149
Total of all active and inactive participants 2022-01-01 477
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 477
Number of participants with account balances 2022-01-01 438
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 9
2021: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 467
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 317
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 148
Total of all active and inactive participants 2021-01-01 466
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 466
Number of participants with account balances 2021-01-01 438
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 8
2020: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 503
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 318
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 142
Total of all active and inactive participants 2020-01-01 460
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 1
Total participants 2020-01-01 461
Number of participants with account balances 2020-01-01 448
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 12
2019: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 507
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 396
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 99
Total of all active and inactive participants 2019-01-01 496
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 496
Number of participants with account balances 2019-01-01 476
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 12
2018: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 641
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 417
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 84
Total of all active and inactive participants 2018-01-01 501
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 501
Number of participants with account balances 2018-01-01 497
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 22
2017: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 587
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 485
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 148
Total of all active and inactive participants 2017-01-01 633
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 633
Number of participants with account balances 2017-01-01 602
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 14
2016: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 653
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 532
Number of retired or separated participants receiving benefits 2016-01-01 1
Number of other retired or separated participants entitled to future benefits 2016-01-01 81
Total of all active and inactive participants 2016-01-01 614
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 614
Number of participants with account balances 2016-01-01 593
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 63
2015: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 663
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 567
Number of retired or separated participants receiving benefits 2015-01-01 2
Number of other retired or separated participants entitled to future benefits 2015-01-01 78
Total of all active and inactive participants 2015-01-01 647
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 647
Number of participants with account balances 2015-01-01 606
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 60
2014: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 767
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 605
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 53
Total of all active and inactive participants 2014-01-01 659
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 659
Number of participants with account balances 2014-01-01 613
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 56
2013: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 666
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 766
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 1
Total of all active and inactive participants 2013-01-01 767
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 767
Number of participants with account balances 2013-01-01 679
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2

Measure	Date	Value
2022: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	477
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	328
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	149
Total of all active and inactive participants	2022-01-01	477
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	477
Number of participants with account balances	2022-01-01	438
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	9
2021: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	467
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	317
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	148
Total of all active and inactive participants	2021-01-01	466
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	466
Number of participants with account balances	2021-01-01	438
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	8
2020: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	503
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	318
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	142
Total of all active and inactive participants	2020-01-01	460
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	1
Total participants	2020-01-01	461
Number of participants with account balances	2020-01-01	448
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	12
2019: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	507
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	396
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	99
Total of all active and inactive participants	2019-01-01	496
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	496
Number of participants with account balances	2019-01-01	476
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	12
2018: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	641
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	417
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	84
Total of all active and inactive participants	2018-01-01	501
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	501
Number of participants with account balances	2018-01-01	497
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	22
2017: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	587
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	485
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	148
Total of all active and inactive participants	2017-01-01	633
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	633
Number of participants with account balances	2017-01-01	602
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	14
2016: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	653
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	532
Number of retired or separated participants receiving benefits	2016-01-01	1
Number of other retired or separated participants entitled to future benefits	2016-01-01	81
Total of all active and inactive participants	2016-01-01	614
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	614
Number of participants with account balances	2016-01-01	593
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	63
2015: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	663
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	567
Number of retired or separated participants receiving benefits	2015-01-01	2
Number of other retired or separated participants entitled to future benefits	2015-01-01	78
Total of all active and inactive participants	2015-01-01	647
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	647
Number of participants with account balances	2015-01-01	606
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	60
2014: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	767
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	605
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	53
Total of all active and inactive participants	2014-01-01	659
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	659
Number of participants with account balances	2014-01-01	613
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	56
2013: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	666
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	766
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	1
Total of all active and inactive participants	2013-01-01	767
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	767
Number of participants with account balances	2013-01-01	679
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2

Financial Data on JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total transfer of assets to this plan	2022-12-31	$0
Total transfer of assets from this plan	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-3,475,075
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$4,477,540
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$4,326,087
Expenses. Certain deemed distributions of participant loans	2022-12-31	$51,956
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,685,862
Value of total assets at end of year	2022-12-31	$27,252,718
Value of total assets at beginning of year	2022-12-31	$35,205,333
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$99,497
Total interest from all sources	2022-12-31	$27,371
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$1,201,167
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$1,201,167
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$1,176,593
Participant contributions at end of year	2022-12-31	$367,911
Participant contributions at beginning of year	2022-12-31	$403,760
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$57,795
Other income not declared elsewhere	2022-12-31	$22
Administrative expenses (other) incurred	2022-12-31	$99,497
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-7,952,615
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$27,252,718
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$35,205,333
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$26,884,807
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$34,801,573
Interest on participant loans	2022-12-31	$27,371
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-6,389,497
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$451,474
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$4,326,087
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2022-12-31	410746749
2021 : JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total transfer of assets to this plan	2021-12-31	$0
Total transfer of assets from this plan	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$4,922,478
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$3,910,575
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$3,779,527
Expenses. Certain deemed distributions of participant loans	2021-12-31	$27,389
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,359,262
Value of total assets at end of year	2021-12-31	$35,205,333
Value of total assets at beginning of year	2021-12-31	$34,193,430
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$103,659
Total interest from all sources	2021-12-31	$37,297
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$943,552
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$943,552
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$963,366
Participant contributions at end of year	2021-12-31	$403,760
Participant contributions at beginning of year	2021-12-31	$460,966
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$35,000
Other income not declared elsewhere	2021-12-31	$49
Administrative expenses (other) incurred	2021-12-31	$103,659
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$1,011,903
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$35,205,333
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$34,193,430
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$34,801,573
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$33,732,464
Interest on participant loans	2021-12-31	$37,297
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$2,582,318
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$360,896
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$3,779,527
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2021-12-31	410746749
2020 : JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total transfer of assets to this plan	2020-12-31	$0
Total transfer of assets from this plan	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$5,058,790
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$4,737,215
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$4,570,546
Expenses. Certain deemed distributions of participant loans	2020-12-31	$59,264
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,085,026
Value of total assets at end of year	2020-12-31	$34,193,430
Value of total assets at beginning of year	2020-12-31	$33,871,855
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$107,405
Total interest from all sources	2020-12-31	$23,775
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$1,064,915
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$1,064,915
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$791,073
Participant contributions at end of year	2020-12-31	$460,966
Participant contributions at beginning of year	2020-12-31	$623,421
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$495
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-12-31	$12,000
Other income not declared elsewhere	2020-12-31	$52
Administrative expenses (other) incurred	2020-12-31	$107,405
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$321,575
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$34,193,430
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$33,871,855
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$33,732,464
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$33,248,434
Interest on participant loans	2020-12-31	$23,775
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$2,885,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$293,458
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$4,558,546
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2020-12-31	410746749
2019 : JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$0
Total transfer of assets from this plan	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$7,520,950
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$1,347,203
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,212,416
Expenses. Certain deemed distributions of participant loans	2019-12-31	$14,411
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,961,231
Value of total assets at end of year	2019-12-31	$33,871,855
Value of total assets at beginning of year	2019-12-31	$27,698,108
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$120,376
Total interest from all sources	2019-12-31	$27,784
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$829,023
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$829,023
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,182,859
Participant contributions at end of year	2019-12-31	$623,421
Participant contributions at beginning of year	2019-12-31	$503,747
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$178,589
Other income not declared elsewhere	2019-12-31	$13,337
Administrative expenses (other) incurred	2019-12-31	$120,376
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$6,173,747
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$33,871,855
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$27,698,108
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$33,248,434
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$27,194,361
Interest on participant loans	2019-12-31	$27,784
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$4,689,575
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$599,783
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,212,416
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2019-12-31	410746749
2018 : JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total transfer of assets to this plan	2018-12-31	$0
Total transfer of assets from this plan	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$371,037
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$2,221,298
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$2,063,369
Expenses. Certain deemed distributions of participant loans	2018-12-31	$31,501
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,915,353
Value of total assets at end of year	2018-12-31	$27,698,108
Value of total assets at beginning of year	2018-12-31	$29,548,369
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$126,428
Total interest from all sources	2018-12-31	$26,414
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$859,761
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$859,761
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,211,780
Participant contributions at end of year	2018-12-31	$503,747
Participant contributions at beginning of year	2018-12-31	$593,720
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$54,814
Other income not declared elsewhere	2018-12-31	$1
Administrative expenses (other) incurred	2018-12-31	$126,428
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-1,850,261
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$27,698,108
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$29,548,369
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$27,194,361
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$28,954,649
Interest on participant loans	2018-12-31	$26,414
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-2,430,492
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$648,759
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$2,063,369
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2018-12-31	410746749
2017 : JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets from this plan	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$6,040,395
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,830,550
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,623,269
Expenses. Certain deemed distributions of participant loans	2017-12-31	$101,344
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,679,214
Value of total assets at end of year	2017-12-31	$29,548,369
Value of total assets at beginning of year	2017-12-31	$25,338,524
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$105,937
Total interest from all sources	2017-12-31	$13,843
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$647,851
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$647,851
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,412,087
Participant contributions at end of year	2017-12-31	$593,720
Participant contributions at beginning of year	2017-12-31	$821,520
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$15,398
Other income not declared elsewhere	2017-12-31	$310
Administrative expenses (other) incurred	2017-12-31	$105,937
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$4,209,845
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$29,548,369
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$25,338,524
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$28,954,649
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$24,052,620
Interest on participant loans	2017-12-31	$13,843
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$464,384
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$3,699,177
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$251,729
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,623,269
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	2017-12-31	Yes
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	CLIFTON LARSON ALLEN LLP
Accountancy firm EIN	2017-12-31	410746749
2016 : JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$3,221,589
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$1,102,298
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$972,219
Expenses. Certain deemed distributions of participant loans	2016-12-31	$18,661
Value of total corrective distributions	2016-12-31	$72
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,782,505
Value of total assets at end of year	2016-12-31	$25,338,524
Value of total assets at beginning of year	2016-12-31	$23,219,233
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$111,346
Total interest from all sources	2016-12-31	$35,167
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$712,528
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$712,528
Administrative expenses professional fees incurred	2016-12-31	$0
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,136,771
Participant contributions at end of year	2016-12-31	$821,520
Participant contributions at beginning of year	2016-12-31	$764,986
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$813
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$0
Other income not declared elsewhere	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$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	2016-12-31	No
Value of net income/loss	2016-12-31	$2,119,291
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$25,338,524
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$23,219,233
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$83,950
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$24,052,620
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$21,906,651
Value of interest in pooled separate accounts at end of year	2016-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$0
Interest on participant loans	2016-12-31	$26,266
Interest earned on other investments	2016-12-31	$8,901
Value of interest in common/collective trusts at end of year	2016-12-31	$0
Value of interest in common/collective trusts at beginning of year	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$464,384
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$547,596
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$691,389
Net investment gain/loss from pooled separate accounts	2016-12-31	$0
Net investment gain or loss from common/collective trusts	2016-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Assets. Invements in employer securities at end of year	2016-12-31	$0
Assets. Invements in employer securities at beginning of year	2016-12-31	$0
Contributions received in cash from employer	2016-12-31	$644,921
Income. Dividends from common stock	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$972,219
Contract administrator fees	2016-12-31	$27,396
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2016-12-31	410746749
2015 : JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$1,829,141
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$4,319,008
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$4,183,888
Expenses. Certain deemed distributions of participant loans	2015-12-31	$21,150
Value of total corrective distributions	2015-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,881,076
Value of total assets at end of year	2015-12-31	$23,219,233
Value of total assets at beginning of year	2015-12-31	$25,709,100
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$113,970
Total interest from all sources	2015-12-31	$31,699
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$854,348
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$854,348
Administrative expenses professional fees incurred	2015-12-31	$0
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2015-12-31	$0
Minimum employer required contribution for this plan year	2015-12-31	$0
Amount contributed by the employer to the plan for this plan year	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,165,224
Participant contributions at end of year	2015-12-31	$764,986
Participant contributions at beginning of year	2015-12-31	$795,738
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$11,057
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-12-31	$0
Other income not declared elsewhere	2015-12-31	$0
Administrative expenses (other) incurred	2015-12-31	$200
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-2,489,867
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$23,219,233
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$25,709,100
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$86,362
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$21,906,651
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$24,372,836
Value of interest in pooled separate accounts at end of year	2015-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$0
Interest on participant loans	2015-12-31	$23,420
Interest earned on other investments	2015-12-31	$8,279
Value of interest in common/collective trusts at end of year	2015-12-31	$0
Value of interest in common/collective trusts at beginning of year	2015-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$547,596
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$540,526
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-937,982
Net investment gain/loss from pooled separate accounts	2015-12-31	$0
Net investment gain or loss from common/collective trusts	2015-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Assets. Invements in employer securities at end of year	2015-12-31	$0
Assets. Invements in employer securities at beginning of year	2015-12-31	$0
Contributions received in cash from employer	2015-12-31	$704,795
Income. Dividends from common stock	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$4,183,888
Contract administrator fees	2015-12-31	$27,408
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	CLIFTON LARSON ALLEN LLP
Accountancy firm EIN	2015-12-31	410746749
2014 : JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$3,567,048
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$4,012,451
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$3,868,513
Expenses. Certain deemed distributions of participant loans	2014-12-31	$22,532
Value of total corrective distributions	2014-12-31	$606
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,723,141
Value of total assets at end of year	2014-12-31	$25,709,100
Value of total assets at beginning of year	2014-12-31	$26,154,503
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$120,800
Total interest from all sources	2014-12-31	$39,141
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$988,949
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$988,949
Administrative expenses professional fees incurred	2014-12-31	$0
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,136,287
Participant contributions at end of year	2014-12-31	$795,738
Participant contributions at beginning of year	2014-12-31	$841,127
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$97,932
Administrative expenses (other) incurred	2014-12-31	$140
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-445,403
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$25,709,100
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$26,154,503
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$94,696
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$24,372,836
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$24,512,820
Interest on participant loans	2014-12-31	$27,510
Interest earned on other investments	2014-12-31	$11,631
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$540,526
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$590,304
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$815,817
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$488,922
Employer contributions (assets) at beginning of year	2014-12-31	$210,252
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$3,868,513
Contract administrator fees	2014-12-31	$25,964
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	CLIFTON LARSON ALLEN
Accountancy firm EIN	2014-12-31	410746749
2013 : JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$4,700,603
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,075,161
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,040,420
Expenses. Certain deemed distributions of participant loans	2013-12-31	$8,261
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,774,424
Value of total assets at end of year	2013-12-31	$26,154,503
Value of total assets at beginning of year	2013-12-31	$22,529,061
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$26,480
Total interest from all sources	2013-12-31	$26,927
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$512,435
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$512,435
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,058,056
Participant contributions at end of year	2013-12-31	$841,127
Participant contributions at beginning of year	2013-12-31	$804,240
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$26,557
Other income not declared elsewhere	2013-12-31	$0
Administrative expenses (other) incurred	2013-12-31	$6,590
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$250
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,625,442
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$26,154,503
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$22,529,061
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$14,945
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$24,512,820
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$20,791,557
Interest on participant loans	2013-12-31	$25,398
Interest earned on other investments	2013-12-31	$1,529
Value of interest in common/collective trusts at end of year	2013-12-31	$0
Value of interest in common/collective trusts at beginning of year	2013-12-31	$688,576
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$2,328
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$2,328
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$590,304
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,380,933
Net investment gain or loss from common/collective trusts	2013-12-31	$5,884
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$689,811
Employer contributions (assets) at end of year	2013-12-31	$210,252
Employer contributions (assets) at beginning of year	2013-12-31	$242,110
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,040,420
Contract administrator fees	2013-12-31	$4,945
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	2013-12-31	Yes
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	CLIFTON LARSEN ALLEN
Accountancy firm EIN	2013-12-31	410746749

Form 5500 Responses for JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN

2022: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	Yes
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING 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 – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
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 – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: JIM'S FORMAL WEAR LLC 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 61179 - 1

Policy instance

Insurance contract or identification number	MR 61179 - 1
Insurance policy start date	2017-01-01
Insurance policy end date	2017-07-03
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?	No
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 61179

Policy instance

Insurance contract or identification number	MR 61179
Number of Individuals Covered	647
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 61179

Policy instance

Insurance contract or identification number	MR 61179
Number of Individuals Covered	659
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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?	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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 61179

Policy instance

Insurance contract or identification number	MR 61179
Number of Individuals Covered	767
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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?	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

Potentially related plans

JIM'S FORMAL WEAR CO. 401(K) PROFIT SHARING PLAN [EIN = 370906581]

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Company Name:	JIM'S FORMAL WEAR LLC
Employer identification number (EIN):	461233026
NAIC Classification:	532281
NAIC Description:	Formal Wear and Costume Rental

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	5230491