401k Plan data: AMERICAN HEALTH NETWORK, INC. 401(K) PLAN plan

AMERICAN HEALTH NETWORK, INC. 401(K) PLAN 401k Plan overview

Plan Name	AMERICAN HEALTH NETWORK, INC. 401(K) PLAN
Plan identification number	001

AMERICAN HEALTH NETWORK, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

AHN TARGET HOLDINGS, LLC has sponsored the creation of one or more 401k plans.

Company Name: AHN TARGET HOLDINGS, LLC

Employer identification number (EIN): 352582899

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Additional information about AHN TARGET HOLDINGS, LLC

Jurisdiction of Incorporation: Indiana Secretary of State

Incorporation Date:

Company Identification Number: 612081170438

More information about AHN TARGET HOLDINGS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN HEALTH NETWORK, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01 DAVID E. STRAUSS 2021-02-10 DAVID E. STRAUSS 2021-02-10
001 2019-01-01 DAVID E. STRAUSS 2020-10-01 DAVID E. STRAUSS 2020-10-01
001 2018-01-01 DAVID E. STRAUSS 2019-08-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01	DAVID E. STRAUSS	2021-02-10	DAVID E. STRAUSS	2021-02-10
001	2019-01-01	DAVID E. STRAUSS	2020-10-01	DAVID E. STRAUSS	2020-10-01
001	2018-01-01	DAVID E. STRAUSS	2019-08-29

Plan Statistics for AMERICAN HEALTH NETWORK, INC. 401(K) PLAN

401k plan membership statisitcs for AMERICAN HEALTH NETWORK, INC. 401(K) PLAN

Measure Date Value
2020: AMERICAN HEALTH NETWORK, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,697
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 0
Number of participants with account balances 2020-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: AMERICAN HEALTH NETWORK, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,622
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,448
Number of retired or separated participants receiving benefits 2019-01-01 7
Number of other retired or separated participants entitled to future benefits 2019-01-01 242
Total of all active and inactive participants 2019-01-01 1,697
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 1,697
Number of participants with account balances 2019-01-01 1,107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: AMERICAN HEALTH NETWORK, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,651
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,464
Number of retired or separated participants receiving benefits 2018-01-01 2
Number of other retired or separated participants entitled to future benefits 2018-01-01 156
Total of all active and inactive participants 2018-01-01 1,622
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 1,622
Number of participants with account balances 2018-01-01 1,088
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0

Measure	Date	Value
2020: AMERICAN HEALTH NETWORK, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,697
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	0
Number of participants with account balances	2020-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: AMERICAN HEALTH NETWORK, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,622
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,448
Number of retired or separated participants receiving benefits	2019-01-01	7
Number of other retired or separated participants entitled to future benefits	2019-01-01	242
Total of all active and inactive participants	2019-01-01	1,697
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	1,697
Number of participants with account balances	2019-01-01	1,107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: AMERICAN HEALTH NETWORK, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,651
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,464
Number of retired or separated participants receiving benefits	2018-01-01	2
Number of other retired or separated participants entitled to future benefits	2018-01-01	156
Total of all active and inactive participants	2018-01-01	1,622
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	1,622
Number of participants with account balances	2018-01-01	1,088
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0

Financial Data on AMERICAN HEALTH NETWORK, INC. 401(K) PLAN

Measure	Date	Value
2020 : AMERICAN HEALTH NETWORK, INC. 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-05-18	$0
Total transfer of assets from this plan	2020-05-18	$119,152,157
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-05-18	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-05-18	$0
Total income from all sources (including contributions)	2020-05-18	$-12,620,849
Total loss/gain on sale of assets	2020-05-18	$0
Total of all expenses incurred	2020-05-18	$8,221,343
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-05-18	$8,202,966
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-05-18	$0
Value of total assets at end of year	2020-05-18	$0
Value of total assets at beginning of year	2020-05-18	$139,994,349
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-05-18	$18,377
Total interest from all sources	2020-05-18	$25,337
Total dividends received (eg from common stock, registered investment company shares)	2020-05-18	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-05-18	No
Was this plan covered by a fidelity bond	2020-05-18	Yes
Value of fidelity bond cover	2020-05-18	$500,000
If this is an individual account plan, was there a blackout period	2020-05-18	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-05-18	$0
Were there any nonexempt tranactions with any party-in-interest	2020-05-18	No
Participant contributions at end of year	2020-05-18	$0
Participant contributions at beginning of year	2020-05-18	$1,013,364
Participant contributions at end of year	2020-05-18	$0
Participant contributions at beginning of year	2020-05-18	$248
Assets. Other investments not covered elsewhere at end of year	2020-05-18	$0
Assets. Other investments not covered elsewhere at beginning of year	2020-05-18	$1,611,035
Other income not declared elsewhere	2020-05-18	$-151,623
Administrative expenses (other) incurred	2020-05-18	$18,377
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-05-18	No
Value of net income/loss	2020-05-18	$-20,842,192
Value of net assets at end of year (total assets less liabilities)	2020-05-18	$0
Value of net assets at beginning of year (total assets less liabilities)	2020-05-18	$139,994,349
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-05-18	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-05-18	No
Were any leases to which the plan was party in default or uncollectible	2020-05-18	No
Interest on participant loans	2020-05-18	$25,337
Value of interest in master investment trust accounts at end of year	2020-05-18	$0
Value of interest in master investment trust accounts at beginning of year	2020-05-18	$136,909,578
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-05-18	No
Was there a failure to transmit to the plan any participant contributions	2020-05-18	No
Has the plan failed to provide any benefit when due under the plan	2020-05-18	No
Employer contributions (assets) at end of year	2020-05-18	$0
Employer contributions (assets) at beginning of year	2020-05-18	$460,124
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-05-18	$8,202,966
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	2020-05-18	Yes
Did the plan have assets held for investment	2020-05-18	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	2020-05-18	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-05-18	Yes
Opinion of an independent qualified public accountant for this plan	2020-05-18	Disclaimer
Accountancy firm name	2020-05-18	BAKER TILLY US, LLP
Accountancy firm EIN	2020-05-18	390859910
2019 : AMERICAN HEALTH NETWORK, INC. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$37,075,402
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$9,872,262
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$9,797,472
Expenses. Certain deemed distributions of participant loans	2019-12-31	$733
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$10,178,848
Value of total assets at end of year	2019-12-31	$139,994,349
Value of total assets at beginning of year	2019-12-31	$112,791,209
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$74,057
Total interest from all sources	2019-12-31	$193,216
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$771,710
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$771,710
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$6,419,056
Participant contributions at end of year	2019-12-31	$1,013,364
Participant contributions at beginning of year	2019-12-31	$826,366
Participant contributions at end of year	2019-12-31	$248
Participant contributions at beginning of year	2019-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2019-12-31	$1,611,035
Assets. Other investments not covered elsewhere at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$369,265
Other income not declared elsewhere	2019-12-31	$26,720
Administrative expenses (other) incurred	2019-12-31	$74,057
Total non interest bearing cash at end of year	2019-12-31	$0
Total non interest bearing cash at beginning of year	2019-12-31	$119
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$27,203,140
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$139,994,349
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$112,791,209
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$100,538,403
Interest on participant loans	2019-12-31	$59,144
Interest earned on other investments	2019-12-31	$134,072
Value of interest in master investment trust accounts at end of year	2019-12-31	$136,909,578
Value of interest in master investment trust accounts at beginning of year	2019-12-31	$0
Value of interest in common/collective trusts at end of year	2019-12-31	$0
Value of interest in common/collective trusts at beginning of year	2019-12-31	$2,502,117
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$8,472,232
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$15,759,961
Net investment gain or loss from common/collective trusts	2019-12-31	$314,844
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$3,390,527
Employer contributions (assets) at end of year	2019-12-31	$460,124
Employer contributions (assets) at beginning of year	2019-12-31	$451,972
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$9,797,472
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	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
2018 : AMERICAN HEALTH NETWORK, INC. 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$4,052,855
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$8,911,281
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$8,805,163
Expenses. Certain deemed distributions of participant loans	2018-12-31	$7,684
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$10,321,630
Value of total assets at end of year	2018-12-31	$112,791,209
Value of total assets at beginning of year	2018-12-31	$117,649,635
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$98,434
Total interest from all sources	2018-12-31	$289,898
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$6,607,475
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$6,607,475
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$6,355,844
Participant contributions at end of year	2018-12-31	$826,366
Participant contributions at beginning of year	2018-12-31	$822,537
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$14,402
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$734,214
Administrative expenses (other) incurred	2018-12-31	$98,434
Total non interest bearing cash at end of year	2018-12-31	$119
Total non interest bearing cash at beginning of year	2018-12-31	$7,316
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-4,858,426
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$112,791,209
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$117,649,635
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$100,538,403
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$106,284,091
Interest on participant loans	2018-12-31	$49,004
Interest earned on other investments	2018-12-31	$240,894
Value of interest in common/collective trusts at end of year	2018-12-31	$2,502,117
Value of interest in common/collective trusts at beginning of year	2018-12-31	$2,339,758
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$8,472,232
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$7,447,377
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-12,954,755
Net investment gain or loss from common/collective trusts	2018-12-31	$-211,393
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$3,231,572
Employer contributions (assets) at end of year	2018-12-31	$451,972
Employer contributions (assets) at beginning of year	2018-12-31	$734,154
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$8,805,163
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN	2018-12-31	390859910

Form 5500 Responses for AMERICAN HEALTH NETWORK, INC. 401(K) PLAN

2020: AMERICAN HEALTH NETWORK, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	Yes
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: AMERICAN HEALTH NETWORK, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: AMERICAN HEALTH NETWORK, INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 62125

Policy instance

Insurance contract or identification number	MR 62125
Number of Individuals Covered	1448
Insurance policy start date	2019-01-01
Insurance policy end date	2019-06-29
Total amount of commissions paid to insurance broker	USD $7,500
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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?	Yes
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
Commission paid to Insurance Broker	USD $7,500
Insurance broker organization code?	4

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 62125

Policy instance

Insurance contract or identification number	MR 62125
Number of Individuals Covered	1464
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $30,000
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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?	Yes
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
Commission paid to Insurance Broker	USD $30,000
Insurance broker organization code?	4

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Company Name:	AHN TARGET HOLDINGS, LLC
Employer identification number (EIN):	352582899
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Indiana Secretary of State
Incorporation Date:
Company Identification Number:	612081170438