401k Plan data: 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. plan

401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. 401k Plan overview

Plan Name	401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC.
Plan identification number	333

401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ASAH-SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. has sponsored the creation of one or more 401k plans.

Company Name: ASAH-SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC.

Employer identification number (EIN): 222127488

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
333 2015-07-01 GERARD THIERS
333 2014-07-01 GERARD THIERS
333 2013-07-01 GERARD THIERS
333 2012-07-01 GERARD THIERS 2013-12-20
333 2012-01-01 GERARD THIERS 2012-12-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
333	2015-07-01	GERARD THIERS
333	2014-07-01	GERARD THIERS
333	2013-07-01	GERARD THIERS
333	2012-07-01	GERARD THIERS	2013-12-20
333	2012-01-01	GERARD THIERS	2012-12-10

Plan Statistics for 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC.

401k plan membership statisitcs for 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC.

Measure Date Value
2015: 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. 2015 401k membership
Total participants, beginning-of-year 2015-07-01 635
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 0
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 0
Number of participants with account balances 2015-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. 2014 401k membership
Total participants, beginning-of-year 2014-07-01 612
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 535
Number of retired or separated participants receiving benefits 2014-07-01 100
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 635
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 635
Number of participants with account balances 2014-07-01 419
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 9
2013: 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. 2013 401k membership
Total participants, beginning-of-year 2013-07-01 359
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 513
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 99
Total of all active and inactive participants 2013-07-01 612
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 612
Number of participants with account balances 2013-07-01 404
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 20

Measure	Date	Value
2015: 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. 2015 401k membership
Total participants, beginning-of-year	2015-07-01	635
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	0
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	0
Number of participants with account balances	2015-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. 2014 401k membership
Total participants, beginning-of-year	2014-07-01	612
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	535
Number of retired or separated participants receiving benefits	2014-07-01	100
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	635
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	635
Number of participants with account balances	2014-07-01	419
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	9
2013: 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. 2013 401k membership
Total participants, beginning-of-year	2013-07-01	359
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	513
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	99
Total of all active and inactive participants	2013-07-01	612
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	612
Number of participants with account balances	2013-07-01	404
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	20

Financial Data on 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC.

Measure	Date	Value
2015 : 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-07-01	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-07-01	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-07-01	$0
Total income from all sources (including contributions)	2015-07-01	$61,830
Total loss/gain on sale of assets	2015-07-01	$0
Total of all expenses incurred	2015-07-01	$10,852,985
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-07-01	$10,852,935
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-07-01	$18,711
Value of total assets at end of year	2015-07-01	$0
Value of total assets at beginning of year	2015-07-01	$10,791,155
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-07-01	$50
Total interest from all sources	2015-07-01	$135
Total dividends received (eg from common stock, registered investment company shares)	2015-07-01	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-07-01	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-07-01	$0
Was this plan covered by a fidelity bond	2015-07-01	Yes
Value of fidelity bond cover	2015-07-01	$500,000
If this is an individual account plan, was there a blackout period	2015-07-01	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-07-01	$0
Were there any nonexempt tranactions with any party-in-interest	2015-07-01	No
Contributions received from participants	2015-07-01	$11,502
Participant contributions at end of year	2015-07-01	$0
Participant contributions at beginning of year	2015-07-01	$221,353
Administrative expenses (other) incurred	2015-07-01	$50
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-07-01	No
Value of net income/loss	2015-07-01	$-10,791,155
Value of net assets at end of year (total assets less liabilities)	2015-07-01	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-07-01	$10,791,155
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-07-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-07-01	No
Were any leases to which the plan was party in default or uncollectible	2015-07-01	No
Value of interest in pooled separate accounts at end of year	2015-07-01	$0
Value of interest in pooled separate accounts at beginning of year	2015-07-01	$9,427,582
Interest on participant loans	2015-07-01	$135
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-07-01	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-07-01	$1,142,220
Net investment gain/loss from pooled separate accounts	2015-07-01	$42,984
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-07-01	No
Was there a failure to transmit to the plan any participant contributions	2015-07-01	Yes
Has the plan failed to provide any benefit when due under the plan	2015-07-01	No
Contributions received in cash from employer	2015-07-01	$7,209
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-07-01	$10,852,935
Did the plan have assets held for investment	2015-07-01	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-07-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-07-01	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-07-01	Yes
Opinion of an independent qualified public accountant for this plan	2015-07-01	Disclaimer
Accountancy firm name	2015-07-01	ANDERSON & COMPANY PC
Accountancy firm EIN	2015-07-01	222892865
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total transfer of assets to this plan	2015-06-30	$24,421
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$3,089,535
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$655,900
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$644,090
Expenses. Certain deemed distributions of participant loans	2015-06-30	$3,842
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$2,804,487
Value of total assets at end of year	2015-06-30	$10,791,155
Value of total assets at beginning of year	2015-06-30	$8,333,099
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$7,968
Total interest from all sources	2015-06-30	$10,246
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$500,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$1,000,405
Participant contributions at end of year	2015-06-30	$221,353
Participant contributions at beginning of year	2015-06-30	$194,297
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$536,977
Other income not declared elsewhere	2015-06-30	$21,703
Administrative expenses (other) incurred	2015-06-30	$7,968
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$2,433,635
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$10,791,155
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$8,333,099
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in pooled separate accounts at end of year	2015-06-30	$9,427,582
Value of interest in pooled separate accounts at beginning of year	2015-06-30	$7,182,803
Interest on participant loans	2015-06-30	$10,246
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$1,142,220
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$955,999
Net investment gain/loss from pooled separate accounts	2015-06-30	$253,099
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$1,267,105
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$644,090
Did the plan have assets held for investment	2015-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	ANDERSON & COMPANY PC
Accountancy firm EIN	2015-06-30	222892865
2014 : 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total transfer of assets to this plan	2014-06-30	$3,771,853
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$2,177,381
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$196,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$189,885
Expenses. Certain deemed distributions of participant loans	2014-06-30	$2,531
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$1,538,796
Value of total assets at end of year	2014-06-30	$8,333,099
Value of total assets at beginning of year	2014-06-30	$2,580,269
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$3,988
Total interest from all sources	2014-06-30	$4,373
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$10,516
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-06-30	$10,516
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$500,000
If this is an individual account plan, was there a blackout period	2014-06-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$660,730
Participant contributions at end of year	2014-06-30	$194,297
Participant contributions at beginning of year	2014-06-30	$49,580
Income. Received or receivable in cash from other sources (including rollovers)	2014-06-30	$190,994
Administrative expenses (other) incurred	2014-06-30	$3,988
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$1,980,977
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$8,333,099
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$2,580,269
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in pooled separate accounts at end of year	2014-06-30	$7,182,803
Value of interest in pooled separate accounts at beginning of year	2014-06-30	$2,039,271
Interest on participant loans	2014-06-30	$4,373
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$955,999
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$491,418
Net investment gain/loss from pooled separate accounts	2014-06-30	$623,696
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	Yes
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$687,072
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$189,885
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-06-30	Yes
Did the plan have assets held for investment	2014-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	ANDERSON & COMPANY PC
Accountancy firm EIN	2014-06-30	222892865

Form 5500 Responses for 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC.

2015: 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. 2015 form 5500 responses
2015-07-01	Type of plan entity	Mulitple employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	Yes
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. 2014 form 5500 responses
2014-07-01	Type of plan entity	Mulitple employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: 401(K) RETIREMENT PLAN & TRUST FOR MEMBERS OF ASAH SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC. 2013 form 5500 responses
2013-07-01	Type of plan entity	Mulitple employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

874669

Policy instance

Insurance contract or identification number	874669
Number of Individuals Covered	0
Insurance policy start date	2015-07-01
Insurance policy end date	2015-07-01
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

874669

Policy instance

Insurance contract or identification number	874669
Number of Individuals Covered	419
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $22,817
Total amount of fees paid to insurance company	USD $16,057
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	16057
Additional information about fees paid to insurance broker	SERVICING FEES
Insurance broker organization code?	5
Commission paid to Insurance Broker	USD $16,109
Insurance broker name	COMPREHENSIVE BROKER. SERVICES, INC

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

874669

Policy instance

Insurance contract or identification number	874669
Number of Individuals Covered	404
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $35,911
Total amount of fees paid to insurance company	USD $8,455
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	8455
Additional information about fees paid to insurance broker	SERVICING FEES
Insurance broker organization code?	5
Commission paid to Insurance Broker	USD $35,911
Insurance broker name	LPL FINANCIAL

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Company Name:	ASAH-SERVING THE PRIVATE SPECIAL EDUCATION COMMUNITY SINCE 1974, INC.
Employer identification number (EIN):	222127488
NAIC Classification:	611000