Jacobs Floors, Inc.

Form 5500

JACOBS FLOORS, INC

4112 Highway Z, Wentzville, Mo 63385 (636) 398-4741 EIN:43-1793620 Plan Admin:Brendan Cossette

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameJACOBS FLOORS, INC MCF BENEFIT PLAN Plan #501 Participants BOY/EOY3 / 3 Assets BOY/EOY$1,873 / $2,249	2022	JACOBS FLOORS, INC MCF BENEFIT PLAN - Plan #501	3 / 3	$1,873 / $2,249
2021	Plan NameJACOBS FLOORS, INC MCF BENEFIT PLAN Plan #501 Participants BOY/EOY3 / 3 Assets BOY/EOY$1,132 / $1,873	2021	JACOBS FLOORS, INC MCF BENEFIT PLAN - Plan #501	3 / 3	$1,132 / $1,873
2020	Plan NameJACOBS FLOORS, INC MCF BENEFIT PLAN Plan #501 Participants BOY/EOY2 / 3 Assets BOY/EOY$503 / $1,132	2020	JACOBS FLOORS, INC MCF BENEFIT PLAN - Plan #501	2 / 3	$503 / $1,132
2020	Plan NameJACOBS FLOORS, INC MCF BENEFIT PLAN Plan #501 Participants BOY/EOY2 / 2 Assets BOY/EOY$0 / $503	2020	JACOBS FLOORS, INC MCF BENEFIT PLAN - Plan #501	2 / 2	$0 / $503