Koz Hospitality, Inc.

John A Scheuring Individual Agent	1945 FRANCISCO BLVD E STE 32, SAN RAFAEL, CA 94901
Christopher Paul Smith CEO	1171 STARR AVE, SAINT HELENA, CA 94574 (View Past Addresses)
Christopher Paul Smith Chief Financial Officer	1171 STARR AVE, SAINT HELENA, CA 94574 (View Past Addresses)
Kevin John Williams Director	1171 STARR AVE, SAINT HELENA, CA 94574 (View Past Addresses)
Kevin John Williams Secretary	1171 STARR AVE, SAINT HELENA, CA 94574 (View Past Addresses)

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1171 STARR AVE, SAINT HELENA, CA 94574 View Map

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Form 5500

1171 Starr Ave, Saint Helena, Ca 94574 (415) 602-7759 EIN:47-5385663 Plan Admin:Christopher Smith

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameKOZ HOSPITALITY INC 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY12 / 10 Assets BOY/EOY$100,811 / $141,292	2023	KOZ HOSPITALITY INC 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	12 / 10	$100,811 / $141,292
2022	Plan NameKOZ HOSPITALITY INC 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY10 / 11 Assets BOY/EOY$78,884 / $100,811	2022	KOZ HOSPITALITY INC 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	10 / 11	$78,884 / $100,811
2021	Plan NameKOZ HOSPITALITY INC 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY11 / 11 Assets BOY/EOY$37,884 / $78,884	2021	KOZ HOSPITALITY INC 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	11 / 11	$37,884 / $78,884
2020	Plan NameKOZ HOSPITALITY INC 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY8 / 11 Assets BOY/EOY$16,995 / $37,884	2020	KOZ HOSPITALITY INC 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	8 / 11	$16,995 / $37,884
2019	Plan NameKOZ HOSPITALITY INC 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY8 / 8 Assets BOY/EOY$5,018 / $16,995	2019	KOZ HOSPITALITY INC 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	8 / 8	$5,018 / $16,995

Benefit & Retirement Plans based on Form 5500.

PPP Loans

175 Del Oro Lagoon, Novato, Ca 94949-5333 Industry:Hotels (except Casino Hotels) and Motels

Loan Date	Approved	Forgiven	Lender	Jobs
05/01/2020	Approved$92,944 Forgiven$93,591 LenderBank of America, National Association Jobs9	05/01/2020	$92,944	$93,591	Bank of America, National Association	9

PPP Loans based on Paycheck Protection Program.

Person/City Match:John A Scheuring - San Rafael, CA

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The following government agencies have contributed data:

California Secretary of State U.S. Department of Labor U.S. Small Business Administration

Company Summary