401k Plan data: 3 STAR LETTUCE, LLC 401(K) P/S PLAN plan

3 STAR LETTUCE, LLC 401(K) P/S PLAN 401k Plan overview

Plan Name	3 STAR LETTUCE, LLC 401(K) P/S PLAN
Plan identification number	001

3 STAR LETTUCE, LLC 401(K) P/S 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.
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) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

3 STAR LETTUCE, LLC has sponsored the creation of one or more 401k plans.

Company Name: 3 STAR LETTUCE, LLC

Employer identification number (EIN): 770574315

NAIC Classification: 115110

Additional information about 3 STAR LETTUCE, LLC

Jurisdiction of Incorporation: California Secretary of State

Incorporation Date: 2001-05-18

Company Identification Number: 200114310023

Legal Registered Office Address: 540 WORK STREET, SUITE B

SALINAS
United States of America (USA)
93901

More information about 3 STAR LETTUCE, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 3 STAR LETTUCE, LLC 401(K) P/S PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 KERRY L. VARNEY 2018-11-17 KERRY L. VARNEY 2018-11-17
001 2017-01-01 KERRY L. VARNEY 2018-10-13 KERRY L. VARNEY 2018-10-13
001 2016-01-01 KERRY L. VARNEY KERRY L. VARNEY 2017-10-11
001 2015-01-01 KERRY L. VARNEY KERRY L. VARNEY 2016-10-12
001 2014-01-01 KERRY L VARNEY KERRY L VARNEY 2015-09-18
001 2013-01-01 KERRY L. VARNEY 2014-10-14 KERRY L. VARNEY 2014-10-14
001 2012-01-01 DAVID DONNALLY 2013-06-24
001 2011-01-01 DAVID DONNELLY 2012-05-21
001 2010-01-01 DEBBIE LEATHERMAN 2011-04-07

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01	KERRY L. VARNEY	2018-11-17	KERRY L. VARNEY	2018-11-17
001	2017-01-01	KERRY L. VARNEY	2018-10-13	KERRY L. VARNEY	2018-10-13
001	2016-01-01	KERRY L. VARNEY		KERRY L. VARNEY	2017-10-11
001	2015-01-01	KERRY L. VARNEY		KERRY L. VARNEY	2016-10-12
001	2014-01-01	KERRY L VARNEY		KERRY L VARNEY	2015-09-18
001	2013-01-01	KERRY L. VARNEY	2014-10-14	KERRY L. VARNEY	2014-10-14
001	2012-01-01	DAVID DONNALLY	2013-06-24
001	2011-01-01	DAVID DONNELLY	2012-05-21
001	2010-01-01	DEBBIE LEATHERMAN	2011-04-07

Plan Statistics for 3 STAR LETTUCE, LLC 401(K) P/S PLAN

401k plan membership statisitcs for 3 STAR LETTUCE, LLC 401(K) P/S PLAN

Measure Date Value
2016: 3 STAR LETTUCE, LLC 401(K) P/S PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 34
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 2
Total of all active and inactive participants 2016-01-01 36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 36
Number of participants with account balances 2016-01-01 28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: 3 STAR LETTUCE, LLC 401(K) P/S PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 32
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 33
Number of participants with account balances 2015-01-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: 3 STAR LETTUCE, LLC 401(K) P/S PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 30
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 31
Number of participants with account balances 2014-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0

Measure	Date	Value
2016: 3 STAR LETTUCE, LLC 401(K) P/S PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	34
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	2
Total of all active and inactive participants	2016-01-01	36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	36
Number of participants with account balances	2016-01-01	28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: 3 STAR LETTUCE, LLC 401(K) P/S PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	32
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	33
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	33
Number of participants with account balances	2015-01-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: 3 STAR LETTUCE, LLC 401(K) P/S PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	30
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	31
Number of participants with account balances	2014-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0

Financial Data on 3 STAR LETTUCE, LLC 401(K) P/S PLAN

Measure	Date	Value
2016 : 3 STAR LETTUCE, LLC 401(K) P/S PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$337,509
Expenses. Total of all expenses incurred	2016-12-31	$1,269
Benefits paid (including direct rollovers)	2016-12-31	$1,229
Total plan assets at end of year	2016-12-31	$1,382,863
Total plan assets at beginning of year	2016-12-31	$1,046,623
Value of fidelity bond covering the plan	2016-12-31	$500,000
Total contributions received or receivable from participants	2016-12-31	$152,631
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$10,295
Other income received	2016-12-31	$89,358
Net income (gross income less expenses)	2016-12-31	$336,240
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,382,863
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,046,623
Assets. Value of participant loans	2016-12-31	$15,386
Total contributions received or receivable from employer(s)	2016-12-31	$85,225
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$40
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : 3 STAR LETTUCE, LLC 401(K) P/S PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$283,325
Expenses. Total of all expenses incurred	2015-12-31	$414,639
Benefits paid (including direct rollovers)	2015-12-31	$414,394
Total plan assets at end of year	2015-12-31	$1,046,623
Total plan assets at beginning of year	2015-12-31	$1,177,937
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$149,004
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$50,364
Other income received	2015-12-31	$9,376
Net income (gross income less expenses)	2015-12-31	$-131,314
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,046,623
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,177,937
Assets. Value of participant loans	2015-12-31	$16,286
Total contributions received or receivable from employer(s)	2015-12-31	$74,581
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$245
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : 3 STAR LETTUCE, LLC 401(K) P/S PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$247,698
Expenses. Total of all expenses incurred	2014-12-31	$109,317
Benefits paid (including direct rollovers)	2014-12-31	$108,732
Total plan assets at end of year	2014-12-31	$1,177,937
Total plan assets at beginning of year	2014-12-31	$1,039,556
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$117,983
Expenses. Other expenses not covered elsewhere	2014-12-31	$125
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$63,754
Net income (gross income less expenses)	2014-12-31	$138,381
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,177,937
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,039,556
Total contributions received or receivable from employer(s)	2014-12-31	$65,961
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$460
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0

Form 5500 Responses for 3 STAR LETTUCE, LLC 401(K) P/S PLAN

2016: 3 STAR LETTUCE, LLC 401(K) P/S 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: 3 STAR LETTUCE, LLC 401(K) P/S 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: 3 STAR LETTUCE, LLC 401(K) P/S PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
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

Insurance Providers Used on plan

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

Policy contract number

MR 60405

Policy instance

Insurance contract or identification number	MR 60405
Number of Individuals Covered	33
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $89
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $89
Insurance broker organization code?	1
Insurance broker name	BAY MUTUAL FINANCIAL, LLC

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

Policy contract number

MR 60405

Policy instance

Insurance contract or identification number	MR 60405
Number of Individuals Covered	31
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $134
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $134
Insurance broker organization code?	1
Insurance broker name	BAY MUTUAL FINANCIAL, LLC

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Company Name:	3 STAR LETTUCE, LLC
Employer identification number (EIN):	770574315
NAIC Classification:	115110

Jurisdiction of Incorporation:	California Secretary of State
Incorporation Date:	2001-05-18
Company Identification Number:	200114310023
Legal Registered Office Address:	540 WORK STREET, SUITE B SALINAS United States of America (USA) 93901