401k Plan data: G & A PARTNERS EMPLOYEE BENEFIT PLAN

G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 401k Plan overview

Plan Name	G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN
Plan identification number	502

G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental

401k Sponsoring company profile

CORE INNOVATIVE SOLUTIONS, LLC has sponsored the creation of one or more 401k plans.

Company Name: CORE INNOVATIVE SOLUTIONS, LLC

Employer identification number (EIN): 263945501

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Additional information about CORE INNOVATIVE SOLUTIONS, LLC

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 2013-05-08

Company Identification Number: S453965

Legal Registered Office Address: 1934 OLD GALLOWS RD

VIENNA
United States of America (USA)
22182

More information about CORE INNOVATIVE SOLUTIONS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2015-01-01 ANTONIO GRIJALVA
502 2015-01-01 ANTONIO GRIJALVA
502 2014-01-01 ANTONIO GRIJALVA
502 2013-01-01 ANTONIO GRIJALVA
502 2012-01-01 ANTONIO GRIJALVA
502 2012-01-01 ANTONIO GRIJALVA
502 2009-01-01 JOHN W ALLEN

Plan id#	Filing Submission Date	Name of Administrator
502	2015-01-01	ANTONIO GRIJALVA
502	2015-01-01	ANTONIO GRIJALVA
502	2014-01-01	ANTONIO GRIJALVA
502	2013-01-01	ANTONIO GRIJALVA
502	2012-01-01	ANTONIO GRIJALVA
502	2012-01-01	ANTONIO GRIJALVA
502	2009-01-01	JOHN W ALLEN

Plan Statistics for G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN

401k plan membership statisitcs for G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN

Measure Date Value
2015: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 783
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 824
Number of retired or separated participants receiving benefits 2015-01-01 7
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 831
2014: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 809
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 774
Number of retired or separated participants receiving benefits 2014-01-01 9
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 783
2013: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 628
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 743
Number of retired or separated participants receiving benefits 2013-01-01 8
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 751
2012: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 596
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 631
Number of retired or separated participants receiving benefits 2012-01-01 6
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 637
2009: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 272
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 410
Number of retired or separated participants receiving benefits 2009-01-01 7
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 417

Measure	Date	Value
2015: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	783
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	824
Number of retired or separated participants receiving benefits	2015-01-01	7
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	831
2014: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	809
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	774
Number of retired or separated participants receiving benefits	2014-01-01	9
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	783
2013: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	628
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	743
Number of retired or separated participants receiving benefits	2013-01-01	8
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	751
2012: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	596
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	631
Number of retired or separated participants receiving benefits	2012-01-01	6
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	637
2009: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	272
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	410
Number of retired or separated participants receiving benefits	2009-01-01	7
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	417

Financial Data on G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN

Measure	Date	Value
2015 : G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$1,082,256
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$542,801
Total income from all sources (including contributions)	2015-12-31	$7,423,740
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$7,940,604
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$6,876,362
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$7,423,740
Value of total assets at end of year	2015-12-31	$102,768
Value of total assets at beginning of year	2015-12-31	$80,177
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$1,064,242
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$21,325
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$100,000
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$2,322,633
Participant contributions at end of year	2015-12-31	$6,377
Participant contributions at beginning of year	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$67,193
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$52,258
Administrative expenses (other) incurred	2015-12-31	$994,425
Liabilities. Value of operating payables at end of year	2015-12-31	$294,516
Liabilities. Value of operating payables at beginning of year	2015-12-31	$80,437
Total non interest bearing cash at end of year	2015-12-31	$29,198
Total non interest bearing cash at beginning of year	2015-12-31	$27,919
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-516,864
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$-979,488
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$-462,624
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$29,198
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$27,919
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$27,919
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$692,371
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$5,101,107
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$6,183,991
Contract administrator fees	2015-12-31	$48,492
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$787,740
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$462,364
Did the plan have assets held for investment	2015-12-31	No
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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	HAYNIE & COMPANY
Accountancy firm EIN	2015-12-31	870325228
2014 : G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$542,801
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$1,915,126
Total income from all sources (including contributions)	2014-12-31	$7,562,834
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$6,262,126
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$5,193,934
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$7,562,834
Value of total assets at end of year	2014-12-31	$80,177
Value of total assets at beginning of year	2014-12-31	$151,794
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$1,068,192
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$3,402
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$100,000
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$2,144,307
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$11,077
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$52,258
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$0
Administrative expenses (other) incurred	2014-12-31	$950,780
Liabilities. Value of operating payables at end of year	2014-12-31	$80,437
Liabilities. Value of operating payables at beginning of year	2014-12-31	$129,340
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,300,708
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$-462,624
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$-1,763,332
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$27,919
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$140,717
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$140,717
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$598,380
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$5,418,527
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$4,595,554
Contract administrator fees	2014-12-31	$114,010
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$462,364
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$1,785,786
Did the plan have assets held for investment	2014-12-31	No
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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	JAMES & CO., BUSINESS ADVISORS/CPAS
Accountancy firm EIN	2014-12-31	870409383
2013 : G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$1,284,590
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$671,313
Total income from all sources (including contributions)	2013-12-31	$7,092,551
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$7,559,865
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$6,719,369
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$7,092,551
Value of total assets at end of year	2013-12-31	$159,394
Value of total assets at beginning of year	2013-12-31	$13,431
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$840,496
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$12,812
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$100,000
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,013,000
Participant contributions at end of year	2013-12-31	$18,677
Participant contributions at beginning of year	2013-12-31	$9,122
Administrative expenses (other) incurred	2013-12-31	$619,863
Liabilities. Value of operating payables at end of year	2013-12-31	$129,340
Liabilities. Value of operating payables at beginning of year	2013-12-31	$1,100
Total non interest bearing cash at end of year	2013-12-31	$140,717
Total non interest bearing cash at beginning of year	2013-12-31	$4,309
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-467,314
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$-1,125,196
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$-657,882
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$140,717
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$4,309
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$4,309
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$561,367
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$6,079,551
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$6,158,002
Contract administrator fees	2013-12-31	$207,821
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$1,155,250
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$670,213
Did the plan have assets held for investment	2013-12-31	No
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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2013-12-31	870491579
2012 : G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$671,313
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$698,067
Total income from all sources (including contributions)	2012-12-31	$4,648,804
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$4,747,153
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$4,080,088
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$4,648,804
Value of total assets at end of year	2012-12-31	$13,431
Value of total assets at beginning of year	2012-12-31	$138,534
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$667,065
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$12,597
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$100,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$4,189,181
Participant contributions at end of year	2012-12-31	$9,122
Participant contributions at beginning of year	2012-12-31	$10,432
Administrative expenses (other) incurred	2012-12-31	$667,065
Liabilities. Value of operating payables at end of year	2012-12-31	$1,100
Liabilities. Value of operating payables at beginning of year	2012-12-31	$15,826
Total non interest bearing cash at end of year	2012-12-31	$4,309
Total non interest bearing cash at beginning of year	2012-12-31	$128,102
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-98,349
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$-657,882
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$-559,533
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$4,309
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$128,102
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$128,102
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$286,408
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$459,623
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$3,793,680
Contract administrator fees	2012-12-31	$166,058
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$670,213
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$682,241
Did the plan have assets held for investment	2012-12-31	No
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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2012-12-31	870491579

Form 5500 Responses for G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN

2015: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Mulitple employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2009: G & A PARTNERS EMPLOYEE BENEFIT PLAN - MEDICAL PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

IIS (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

IIS2359

Policy instance

Insurance contract or identification number	IIS2359
Number of Individuals Covered	824
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
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?	No
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
Welfare Benefit Premiums Paid to Carrier	USD $538,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

IIS (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

IIS2359

Policy instance

Insurance contract or identification number	IIS2359
Number of Individuals Covered	774
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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?	No
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
Welfare Benefit Premiums Paid to Carrier	USD $444,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

J ALLAN HALL AND ASSOCIATES (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

LL-0170-020112

Policy instance

Insurance contract or identification number	LL-0170-020112
Number of Individuals Covered	778
Insurance policy start date	2012-02-01
Insurance policy end date	2013-01-31
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?	No
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
Welfare Benefit Premiums Paid to Carrier	USD $292,488
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

J ALLAN HALL AND ASSOCIATES (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

LL-0170-020111

Policy instance

Insurance contract or identification number	LL-0170-020111
Number of Individuals Covered	589
Insurance policy start date	2011-02-01
Insurance policy end date	2012-01-31
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?	No
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
Welfare Benefit Premiums Paid to Carrier	USD $263,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	CORE INNOVATIVE SOLUTIONS, LLC
Employer identification number (EIN):	263945501
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	2013-05-08
Company Identification Number:	S453965
Legal Registered Office Address:	1934 OLD GALLOWS RD VIENNA United States of America (USA) 22182