401k Plan data: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN plan

MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN
Plan identification number	001

MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
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.

401k Sponsoring company profile

MADDOX RANCH HOUSE INC. has sponsored the creation of one or more 401k plans.

Company Name: MADDOX RANCH HOUSE INC.

Employer identification number (EIN): 870282713

NAIC Classification: 722511
NAIC Description: Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 IRVIN MADDOX IRVIN MADDOX 2016-07-12
001 2014-01-01 IRVIN MADDOX IRVIN MADDOX 2015-05-23
001 2013-01-01 IRVIN MADDOX IRVIN MADDOX 2014-09-18
001 2012-01-01 IRVIN MADDOX IRVIN MADDOX 2013-06-18
001 2011-01-01 STEVEN K MADDOX STEVEN K MADDOX 2012-06-21
001 2009-01-01 IRVIN MADDOX IRVIN MADDOX 2010-07-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	IRVIN MADDOX	IRVIN MADDOX	2016-07-12
001	2014-01-01	IRVIN MADDOX	IRVIN MADDOX	2015-05-23
001	2013-01-01	IRVIN MADDOX	IRVIN MADDOX	2014-09-18
001	2012-01-01	IRVIN MADDOX	IRVIN MADDOX	2013-06-18
001	2011-01-01	STEVEN K MADDOX	STEVEN K MADDOX	2012-06-21
001	2009-01-01	IRVIN MADDOX	IRVIN MADDOX	2010-07-14

Plan Statistics for MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN

401k plan membership statisitcs for MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN

Measure Date Value
2015: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 113
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
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 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 111
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 104
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 4
Total of all active and inactive participants 2014-01-01 108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 108
Number of participants with account balances 2014-01-01 35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 105
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 3
Total of all active and inactive participants 2013-01-01 108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 108
Number of participants with account balances 2013-01-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 113
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 102
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 3
Total of all active and inactive participants 2012-01-01 105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 105
Number of participants with account balances 2012-01-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 117
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 113
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 7
Total of all active and inactive participants 2011-01-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 120
Number of participants with account balances 2011-01-01 41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 103
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 96
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 8
Total of all active and inactive participants 2009-01-01 104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 104
Number of participants with account balances 2009-01-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	113
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	111
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	104
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	4
Total of all active and inactive participants	2014-01-01	108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	108
Number of participants with account balances	2014-01-01	35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	105
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	3
Total of all active and inactive participants	2013-01-01	108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	108
Number of participants with account balances	2013-01-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	113
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	102
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	3
Total of all active and inactive participants	2012-01-01	105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	105
Number of participants with account balances	2012-01-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	117
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	113
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	7
Total of all active and inactive participants	2011-01-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	120
Number of participants with account balances	2011-01-01	41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	103
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	96
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	8
Total of all active and inactive participants	2009-01-01	104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	104
Number of participants with account balances	2009-01-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN

Measure	Date	Value
2015 : MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at beginning of year	2015-12-31	$3,495
Total income from all sources	2015-12-31	$-13,057
Expenses. Total of all expenses incurred	2015-12-31	$1,086,290
Benefits paid (including direct rollovers)	2015-12-31	$1,082,077
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$1,102,842
Value of fidelity bond covering the plan	2015-12-31	$80,000
Total contributions received or receivable from participants	2015-12-31	$22,416
Other income received	2015-12-31	$-35,473
Net income (gross income less expenses)	2015-12-31	$-1,099,347
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,099,347
Total contributions received or receivable from employer(s)	2015-12-31	$0
Value of corrective distributions	2015-12-31	$4,213
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$3,495
Total plan liabilities at beginning of year	2014-12-31	$1,728
Total income from all sources	2014-12-31	$93,989
Expenses. Total of all expenses incurred	2014-12-31	$114,919
Benefits paid (including direct rollovers)	2014-12-31	$111,424
Total plan assets at end of year	2014-12-31	$1,102,842
Total plan assets at beginning of year	2014-12-31	$1,122,005
Value of fidelity bond covering the plan	2014-12-31	$80,000
Total contributions received or receivable from participants	2014-12-31	$33,095
Other income received	2014-12-31	$60,894
Net income (gross income less expenses)	2014-12-31	$-20,930
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,099,347
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,120,277
Assets. Value of participant loans	2014-12-31	$59,483
Value of corrective distributions	2014-12-31	$3,495
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$1,728
Total plan liabilities at beginning of year	2013-12-31	$597
Total income from all sources	2013-12-31	$191,784
Expenses. Total of all expenses incurred	2013-12-31	$134,903
Benefits paid (including direct rollovers)	2013-12-31	$131,788
Total plan assets at end of year	2013-12-31	$1,122,005
Total plan assets at beginning of year	2013-12-31	$1,063,993
Value of fidelity bond covering the plan	2013-12-31	$120,000
Total contributions received or receivable from participants	2013-12-31	$32,968
Other income received	2013-12-31	$158,816
Net income (gross income less expenses)	2013-12-31	$56,881
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,120,277
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,063,396
Assets. Value of participant loans	2013-12-31	$69,451
Value of corrective distributions	2013-12-31	$1,728
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$1,387
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$597
Total plan liabilities at beginning of year	2012-12-31	$57
Total income from all sources	2012-12-31	$188,514
Expenses. Total of all expenses incurred	2012-12-31	$224,743
Benefits paid (including direct rollovers)	2012-12-31	$222,010
Total plan assets at end of year	2012-12-31	$1,063,993
Total plan assets at beginning of year	2012-12-31	$1,099,682
Value of fidelity bond covering the plan	2012-12-31	$110,000
Total contributions received or receivable from participants	2012-12-31	$36,539
Other income received	2012-12-31	$151,975
Net income (gross income less expenses)	2012-12-31	$-36,229
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,063,396
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,099,625
Assets. Value of participant loans	2012-12-31	$48,973
Value of corrective distributions	2012-12-31	$597
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$2,136
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$57
Total income from all sources	2011-12-31	$24,891
Expenses. Total of all expenses incurred	2011-12-31	$3,629
Benefits paid (including direct rollovers)	2011-12-31	$2,782
Total plan assets at end of year	2011-12-31	$1,099,682
Total plan assets at beginning of year	2011-12-31	$1,078,363
Value of fidelity bond covering the plan	2011-12-31	$80,000
Total contributions received or receivable from participants	2011-12-31	$35,170
Other income received	2011-12-31	$-10,279
Net income (gross income less expenses)	2011-12-31	$21,262
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,099,625
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,078,363
Assets. Value of participant loans	2011-12-31	$73,176
Value of corrective distributions	2011-12-31	$57
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$790
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$141,137
Expenses. Total of all expenses incurred	2010-12-31	$183,994
Benefits paid (including direct rollovers)	2010-12-31	$183,249
Total plan assets at end of year	2010-12-31	$1,078,363
Total plan assets at beginning of year	2010-12-31	$1,121,220
Value of fidelity bond covering the plan	2010-12-31	$80,000
Total contributions received or receivable from participants	2010-12-31	$35,292
Other income received	2010-12-31	$105,845
Net income (gross income less expenses)	2010-12-31	$-42,857
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,078,363
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,121,220
Assets. Value of participant loans	2010-12-31	$70,871
Total contributions received or receivable from employer(s)	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$745
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN

2015: MADDOX RANCH HOUSE , INC. 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	Yes
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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MADDOX RANCH HOUSE , INC. PROFIT SHARING 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MADDOX RANCH HOUSE , INC. 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: MADDOX RANCH HOUSE , INC. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

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

Policy contract number

RM 83741-1

Policy instance

Insurance contract or identification number	RM 83741-1
Number of Individuals Covered	0
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $3,964
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,716
Insurance broker organization code?	3
Insurance broker name	TODD REID

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

Policy contract number

RM 83741-1

Policy instance

Insurance contract or identification number	RM 83741-1
Number of Individuals Covered	41
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $5,820
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

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

Policy contract number

RM 83741-1

Policy instance

Insurance contract or identification number	RM 83741-1
Number of Individuals Covered	41
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $6,183
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,800
Insurance broker organization code?	3
Insurance broker name	TODD REID

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Company Name:	MADDOX RANCH HOUSE INC.
Employer identification number (EIN):	870282713
NAIC Classification:	722511
NAIC Description:	Full-Service Restaurants