Lucky Chances, Inc.

Form 5500

LUCKY CHANCES, INC

1700 Hillside Boulevard, Colma, Ca 94014 EIN:94-3199406 Plan Admin:Rommel Medina

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameHEALTH BENEFITS GROUP LLC HEALTH PLANS Plan #501 Participants BOY/EOY516 / 0 Assets BOY/EOY$0 / $0	2023	HEALTH BENEFITS GROUP LLC HEALTH PLANS - Plan #501	516 / 0	$0 / $0
2022	Plan NameLUCKY EMPLOYEE 401(K) RETIREMENT PLAN Plan #001 Participants BOY/EOY622 / 615 Assets BOY/EOY$22,919,173 / $19,454,573	2022	LUCKY EMPLOYEE 401(K) RETIREMENT PLAN - Plan #001	622 / 615	$22,919,173 / $19,454,573
2022	Plan NameHEALTH BENEFITS GROUP LLC HEALTH PLANS Plan #501 Participants BOY/EOY532 / 0 Assets BOY/EOY$0 / $0	2022	HEALTH BENEFITS GROUP LLC HEALTH PLANS - Plan #501	532 / 0	$0 / $0
2021	Plan NameLUCKY EMPLOYEE 401(K) RETIREMENT PLAN Plan #001 Participants BOY/EOY645 / 622 Assets BOY/EOY$18,988,802 / $22,919,173	2021	LUCKY EMPLOYEE 401(K) RETIREMENT PLAN - Plan #001	645 / 622	$18,988,802 / $22,919,173
2021	Plan NameLUCKY CHANCES HEALTH AND WELFARE PLAN Plan #501 Participants BOY/EOY542 / 0 Assets BOY/EOY$0 / $0	2021	LUCKY CHANCES HEALTH AND WELFARE PLAN - Plan #501	542 / 0	$0 / $0
2020	Plan NameLUCKY EMPLOYEE 401(K) RETIREMENT PLAN Plan #001 Participants BOY/EOY697 / 645 Assets BOY/EOY$18,144,221 / $18,988,802	2020	LUCKY EMPLOYEE 401(K) RETIREMENT PLAN - Plan #001	697 / 645	$18,144,221 / $18,988,802
2020	Plan NameLUCKY CHANCES HEALTH AND WELFARE PLAN Plan #501 Participants BOY/EOY202 / 0 Assets BOY/EOY$0 / $0	2020	LUCKY CHANCES HEALTH AND WELFARE PLAN - Plan #501	202 / 0	$0 / $0
2019	Plan NameLUCKY EMPLOYEE 401(K) RETIREMENT PLAN Plan #001 Participants BOY/EOY688 / 697 Assets BOY/EOY$14,906,047 / $18,144,221	2019	LUCKY EMPLOYEE 401(K) RETIREMENT PLAN - Plan #001	688 / 697	$14,906,047 / $18,144,221
2019	Plan NameLUCKY CHANCES HEALTH AND WELFARE PLAN Plan #501 Participants BOY/EOY405 / 0 Assets BOY/EOY$0 / $0	2019	LUCKY CHANCES HEALTH AND WELFARE PLAN - Plan #501	405 / 0	$0 / $0