401k Plan data: FUSION ALLIANCE, INC. LIFE AND LTD PLAN plan

FUSION ALLIANCE, INC. LIFE AND LTD PLAN 401k Plan overview

Plan Name	FUSION ALLIANCE, INC. LIFE AND LTD PLAN
Plan identification number	502

FUSION ALLIANCE, INC. LIFE AND LTD PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

FUSION ALLIANCE, INC. has sponsored the creation of one or more 401k plans.

Company Name: FUSION ALLIANCE, INC.

Employer identification number (EIN): 351927246

NAIC Classification: 541519
NAIC Description: Other Computer Related Services

Additional information about FUSION ALLIANCE, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2013-01-31

Company Identification Number: N13000001032

Legal Registered Office Address: 6840 DABNEY STREET

FORT MYERS

33966

More information about FUSION ALLIANCE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FUSION ALLIANCE, INC. LIFE AND LTD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2013-01-01 VALERIE RIEGER
502 2012-01-01 VALERIE RIEGER VALERIE RIEGER 2013-10-11
502 2011-01-01 VALERIE RIEGER
502 2010-01-01 DOUGLAS BROWN
502 2009-01-01 DOUGLAS BROWN
502 2009-01-01 DOUGLAS BROWN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2013-01-01	VALERIE RIEGER
502	2012-01-01	VALERIE RIEGER	VALERIE RIEGER	2013-10-11
502	2011-01-01	VALERIE RIEGER
502	2010-01-01	DOUGLAS BROWN
502	2009-01-01	DOUGLAS BROWN
502	2009-01-01	DOUGLAS BROWN

Plan Statistics for FUSION ALLIANCE, INC. LIFE AND LTD PLAN

401k plan membership statisitcs for FUSION ALLIANCE, INC. LIFE AND LTD PLAN

Measure Date Value
2013: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 216
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 253
Total of all active and inactive participants 2013-01-01 253
2012: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 215
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 216
Total of all active and inactive participants 2012-01-01 216
2011: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 196
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 212
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 212
2010: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 190
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 196
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 196
2009: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 200
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 190
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 190

Measure	Date	Value
2013: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	216
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	253
Total of all active and inactive participants	2013-01-01	253
2012: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	215
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	216
Total of all active and inactive participants	2012-01-01	216
2011: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	196
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	212
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	212
2010: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	190
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	196
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	196
2009: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	200
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	190
Number of retired or separated participants receiving benefits	2009-01-01	0
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	190

Form 5500 Responses for FUSION ALLIANCE, INC. LIFE AND LTD PLAN

2013: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
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 benefit arrangement – Insurance	Yes
2012: FUSION ALLIANCE, INC. LIFE AND LTD 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 benefit arrangement – Insurance	Yes
2011: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: FUSION ALLIANCE, INC. LIFE AND LTD PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
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 benefit arrangement – Insurance	Yes

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Company Name:	FUSION ALLIANCE, INC.
Employer identification number (EIN):	351927246
NAIC Classification:	541519
NAIC Description:	Other Computer Related Services

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2013-01-31
Company Identification Number:	N13000001032
Legal Registered Office Address:	6840 DABNEY STREET FORT MYERS 33966