Samy's Drug Store Inc.

Form 5500

SAMY'S DRUG STORE, INC.

3525 Ensign Rd NE STE H, Olympia, Wa 98506 (360) 584-9053 EIN:46-0979320 Plan Admin:Umesh Gajjala

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameSAMY'S DRUG STORE, INC. 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY5 / 5 Assets BOY/EOY$87,076 / $85,717	2022	SAMY'S DRUG STORE, INC. 401(K) PROFIT SHARING PLAN - Plan #001	5 / 5	$87,076 / $85,717
2021	Plan NameSAMY'S DRUG STORE, INC. 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY8 / 6 Assets BOY/EOY$47,755 / $87,076	2021	SAMY'S DRUG STORE, INC. 401(K) PROFIT SHARING PLAN - Plan #001	8 / 6	$47,755 / $87,076
2020	Plan NameSAMY'S DRUG STORE, INC. 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY5 / 5 Assets BOY/EOY$35,189 / $47,755	2020	SAMY'S DRUG STORE, INC. 401(K) PROFIT SHARING PLAN - Plan #001	5 / 5	$35,189 / $47,755
2019	Plan NameSAMYS DRUG STORE INC 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY6 / 5 Assets BOY/EOY$21,560 / $35,189	2019	SAMYS DRUG STORE INC 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	6 / 5	$21,560 / $35,189