Original filing (PDF)20240207225944NAL0001723603001

SPECIALTY COFFEE

Name: SPECIALTY COFFEE — SPECIALTY COFFEE MEDOVA LIFESTYLE HEALTH PLAN, Form 5500 (2022)
Creator: SPECIALTY COFFEE

Form 5500-SF

FILING_RECEIVED

SPECIALTY COFFEE MEDOVA LIFESTYLE HEALTH PLAN

Health & welfare plan

Signals · 1

Late filing · 2.7 mo

Active participants

Accounts w/ balance

—

Plan assets (EOY)

Net assets (EOY)

Plan health score (directional)

—

/ 100

Limited data

Limited public data — directional only

Directional indicator from public Form 5500 data — compliance & integrity, total plan cost, participant health and vendor stack, benchmarked against same-size peers. Not a fiduciary tool. Based on 35% of scoring inputs for this filing.

Compliance & integrity

Total plan cost

n/a

Plan health

n/a

Vendor & structure

n/a

Decision-maker contacts

CFO / Head of HR / Benefits Manager — verified email + LinkedIn for SPECIALTY COFFEE.

Plan sponsor

Name

SPECIALTY COFFEE

EIN

73-1702174

Address

3829 S M ST · TACOMA, WA · 984183933

Phone

(253) 589-1060

Industry

Accommodation & Food Servicessee all

Plan administrator

Name

RECEIVERSHIP MANAGEMENT, INC.

EIN

20-0200514

City

MADISON, TN

Phone

(615) 370-0041

Plan characteristics

Plan number

501

Plan year

2022

Plan year begin

2022-01-01

Tax period

2022-12-31

Filed

2024-02-07

Welfare benefit codes

4A · Health (other than dental or vision)

Audit & trust (Schedule H)

Auditor

—

Trustee / custodian

—

Trustee phone

—

Small plan (5500-SF) — Schedule H data not available.

Service providers (Schedule C)

Small plans don't disclose service providers

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