Icona Cafe Usa, Inc.

Form 5500

ICONA CAFE USA, INC.

2108 N ST Suite 6836, Sacramento, Ca 95816 (619) 361-8602 EIN:82-4191894 Plan Admin:Guideline, Inc.

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameICONA CAFE USA 401(K) PLAN Plan #001 Participants BOY/EOY2 / 0 Assets BOY/EOY$99,156 / $42	2023	ICONA CAFE USA 401(K) PLAN - Plan #001	2 / 0	$99,156 / $42
2022	Plan NameICONA CAFE USA 401(K) PLAN Plan #001 Participants BOY/EOY2 / 2 Assets BOY/EOY$92,663 / $99,156	2022	ICONA CAFE USA 401(K) PLAN - Plan #001	2 / 2	$92,663 / $99,156
2021	Plan NameICONA CAFE USA 401(K) PLAN Plan #001 Participants BOY/EOY2 / 2 Assets BOY/EOY$54,015 / $92,663	2021	ICONA CAFE USA 401(K) PLAN - Plan #001	2 / 2	$54,015 / $92,663
2020	Plan NameICONA CAFE USA 401(K) PLAN Plan #001 Participants BOY/EOY2 / 2 Assets BOY/EOY$19,585 / $54,015	2020	ICONA CAFE USA 401(K) PLAN - Plan #001	2 / 2	$19,585 / $54,015
2019	Plan NameICONA CAFE USA 401(K) PLAN Plan #001 Participants BOY/EOY0 / 2 Assets BOY/EOY$0 / $19,585	2019	ICONA CAFE USA 401(K) PLAN - Plan #001	0 / 2	$0 / $19,585