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| Plan Name | STACY FAMILY ENTERPRISES, INC. CAFETERIA PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | STACY FAMILY ENTERPRISES, INC. |
| Employer identification number (EIN): | 752360470 |
| NAIC Classification: | 442110 |
| NAIC Description: | Furniture Stores |
Additional information about STACY FAMILY ENTERPRISES, INC.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 1991-01-09 |
| Company Identification Number: | 0117873300 |
| Legal Registered Office Address: |
1900 S MAIN ST STE 200 GRAPEVINE United States of America (USA) 76051 |
More information about STACY FAMILY ENTERPRISES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2018-12-01 | ||||
| 501 | 2017-12-01 | ||||
| 501 | 2016-12-01 | BILL CHERRY | |||
| 501 | 2015-12-01 | BILL CHERRY |
| Measure | Date | Value |
|---|---|---|
| 2018: STACY FAMILY ENTERPRISES, INC. CAFETERIA PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-12-01 | 122 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-12-01 | 120 |
| Number of retired or separated participants receiving benefits | 2018-12-01 | 2 |
| Total of all active and inactive participants | 2018-12-01 | 122 |
| Total participants | 2018-12-01 | 122 |
| 2017: STACY FAMILY ENTERPRISES, INC. CAFETERIA PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-12-01 | 102 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-01 | 102 |
| Number of retired or separated participants receiving benefits | 2017-12-01 | 2 |
| Total of all active and inactive participants | 2017-12-01 | 104 |
| Total participants | 2017-12-01 | 104 |
| 2016: STACY FAMILY ENTERPRISES, INC. CAFETERIA PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-12-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-12-01 | 88 |
| Number of retired or separated participants receiving benefits | 2016-12-01 | 1 |
| Total of all active and inactive participants | 2016-12-01 | 89 |
| Total participants | 2016-12-01 | 89 |
| 2015: STACY FAMILY ENTERPRISES, INC. CAFETERIA PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-12-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-12-01 | 106 |
| Number of retired or separated participants receiving benefits | 2015-12-01 | 1 |
| Total of all active and inactive participants | 2015-12-01 | 107 |
| Total participants | 2015-12-01 | 107 |
| 2018: STACY FAMILY ENTERPRISES, INC. CAFETERIA PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-12-01 | Type of plan entity | Single employer plan |
| 2018-12-01 | Submission has been amended | No |
| 2018-12-01 | This submission is the final filing | No |
| 2018-12-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2018-12-01 | Plan is a collectively bargained plan | No |
| 2018-12-01 | Plan funding arrangement – Insurance | Yes |
| 2018-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: STACY FAMILY ENTERPRISES, INC. CAFETERIA PLAN 2017 form 5500 responses | ||
| 2017-12-01 | Type of plan entity | Single employer plan |
| 2017-12-01 | Submission has been amended | No |
| 2017-12-01 | This submission is the final filing | No |
| 2017-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-12-01 | Plan is a collectively bargained plan | No |
| 2017-12-01 | Plan funding arrangement – Insurance | Yes |
| 2017-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: STACY FAMILY ENTERPRISES, INC. CAFETERIA PLAN 2016 form 5500 responses | ||
| 2016-12-01 | Type of plan entity | Single employer plan |
| 2016-12-01 | Submission has been amended | No |
| 2016-12-01 | This submission is the final filing | No |
| 2016-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-12-01 | Plan is a collectively bargained plan | No |
| 2016-12-01 | Plan funding arrangement – Insurance | Yes |
| 2016-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: STACY FAMILY ENTERPRISES, INC. CAFETERIA PLAN 2015 form 5500 responses | ||
| 2015-12-01 | Type of plan entity | Single employer plan |
| 2015-12-01 | First time form 5500 has been submitted | Yes |
| 2015-12-01 | Submission has been amended | No |
| 2015-12-01 | This submission is the final filing | No |
| 2015-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-12-01 | Plan is a collectively bargained plan | No |
| 2015-12-01 | Plan funding arrangement – Insurance | Yes |
| 2015-12-01 | Plan benefit arrangement – Insurance | Yes |
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 155092 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 10037341001 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | GAE60240 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 155092 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 10037341001 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | GAE60240 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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