Original filing (PDF)20250708111025NAL0011061186001

GREEN TEA ENTERPRISES, INC. DBA SUSHI SAM

Name: GREEN TEA ENTERPRISES, INC. DBA SUSHI SAM — DE LAVA INC RETIREMENT PLAN, Form 5500 (2024)
Creator: GREEN TEA ENTERPRISES, INC. DBA SUSHI SAM

Form 5500-SF

FILING_RECEIVED

DE LAVA INC RETIREMENT PLAN

401(k) retirement plan

Active participants

Accounts w/ balance

Plan assets (EOY)

$2.5M

Net assets (EOY)

$2.5M

Plan health score (directional)

/ 100

Grade B

Above-average plan

Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.

Compliance & disclosures

100

Concentration risk

Total plan cost

Vendor stack

100

Participation health

Decision-maker contacts

CFO / Head of HR / Benefits Manager — verified email + LinkedIn for GREEN TEA ENTERPRISES, INC. DBA SUSHI SAM.

Plan sponsor

Name

GREEN TEA ENTERPRISES, INC. DBA SUSHI SAM

EIN

75-2765335

Address

500 W. SOUTHLAKE BLVD., #138 · SOUTHLAKE, TX · 76092

Phone

(817) 966-1586

Industry

Retail Tradesee all

Plan administrator

Same as plan sponsor.

Plan characteristics

Plan number

001

Plan year

2024

Plan year begin

2024-01-01

Tax period

2024-12-31

Filed

2025-07-08

Pension benefit codes

2A · Age/service weighted or new comparability

2E · Profit-sharing

2F · ERISA section 404(c)

2G · Total participant-directed accounts

2J · 401(k) feature

2K · 401(m) arrangement

3D · Pre-approved plan (master / prototype / VS)

Audit & trust (Schedule H)

Service providers (Schedule C)

Small plans don't disclose service providers

Related plans

Similar-size Retail Trade plans

SAVORY SPICE SHOP LLC

SAVORY SPICE 401(K) PLAN

$2.5M · 84 participants

DIBRUNO BROTHERS, INC

DIBRUNO BROTHERS 401K RETIREMENT PLAN

$2.4M · 195 participants

MARCZYK FINE FOODS INC

MARCZYK FINE FOODS INC 401(K) PROFIT SHARING PLAN

$2.4M · 63 participants

GOURMET SPECIALTY FOODS LLC

GOURMET SPECIALTY FOODS LLC 401(K) PROFIT SHARING PLAN & TRUST

$2.5M · 69 participants

TEAM CAROLINAS, INC.

TEAM CAROLINAS INC. 401(K) PLAN

$2.5M · 506 participants