401k Plan data: MTS 401(K) PLAN plan

MTS 401(K) PLAN 401k Plan overview

Plan Name	MTS 401(K) PLAN
Plan identification number	001

MTS 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) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MUTUAL TELECOM SERVICES INC. D/B/A BLACK BOX NETWORK SERVICES has sponsored the creation of one or more 401k plans.

Company Name: MUTUAL TELECOM SERVICES INC. D/B/A BLACK BOX NETWORK SERVICES

Employer identification number (EIN): 541418137

NAIC Classification: 517000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MTS 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 PAUL CHIMENTO
001 2015-01-01 PAUL CHIMENTO
001 2014-01-01 PAUL CHIMENTO
001 2014-01-01 PAUL CHIMENTO
001 2013-01-01 JEANNE M PHILIPPI
001 2012-01-01 JEANNE M PHILIPPI
001 2011-01-01 JEANNE M PHILIPPI
001 2010-01-01 JEANNE M PHILIPPI
001 2009-01-01 JEANNE M PHILIPPI

Plan id#	Filing Submission Date	Name of Administrator
001	2016-01-01	PAUL CHIMENTO
001	2015-01-01	PAUL CHIMENTO
001	2014-01-01	PAUL CHIMENTO
001	2014-01-01	PAUL CHIMENTO
001	2013-01-01	JEANNE M PHILIPPI
001	2012-01-01	JEANNE M PHILIPPI
001	2011-01-01	JEANNE M PHILIPPI
001	2010-01-01	JEANNE M PHILIPPI
001	2009-01-01	JEANNE M PHILIPPI

Plan Statistics for MTS 401(K) PLAN

401k plan membership statisitcs for MTS 401(K) PLAN

Measure Date Value
2016: MTS 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 222
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: MTS 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 229
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 174
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 48
Total of all active and inactive participants 2015-01-01 222
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 222
Number of participants with account balances 2015-01-01 130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 8
2014: MTS 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 204
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 183
Number of retired or separated participants receiving benefits 2014-01-01 46
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 229
Number of participants with account balances 2014-01-01 143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 3
2013: MTS 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 209
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 162
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 42
Total of all active and inactive participants 2013-01-01 204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 204
Number of participants with account balances 2013-01-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: MTS 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 207
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 162
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 47
Total of all active and inactive participants 2012-01-01 209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 209
Number of participants with account balances 2012-01-01 125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: MTS 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 243
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 158
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 49
Total of all active and inactive participants 2011-01-01 207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 207
Number of participants with account balances 2011-01-01 127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 6
2010: MTS 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 259
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 47
Total of all active and inactive participants 2010-01-01 243
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 243
Number of participants with account balances 2010-01-01 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: MTS 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 221
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 210
Number of other retired or separated participants entitled to future benefits 2009-01-01 49
Total of all active and inactive participants 2009-01-01 259
Total participants 2009-01-01 259
Number of participants with account balances 2009-01-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: MTS 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	222
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: MTS 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	229
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	174
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	48
Total of all active and inactive participants	2015-01-01	222
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	222
Number of participants with account balances	2015-01-01	130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	8
2014: MTS 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	204
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	183
Number of retired or separated participants receiving benefits	2014-01-01	46
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	229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	229
Number of participants with account balances	2014-01-01	143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	3
2013: MTS 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	209
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	162
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	42
Total of all active and inactive participants	2013-01-01	204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	204
Number of participants with account balances	2013-01-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: MTS 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	207
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	162
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	47
Total of all active and inactive participants	2012-01-01	209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	209
Number of participants with account balances	2012-01-01	125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: MTS 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	243
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	158
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	49
Total of all active and inactive participants	2011-01-01	207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	207
Number of participants with account balances	2011-01-01	127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	6
2010: MTS 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	259
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	47
Total of all active and inactive participants	2010-01-01	243
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	243
Number of participants with account balances	2010-01-01	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: MTS 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	221
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	210
Number of other retired or separated participants entitled to future benefits	2009-01-01	49
Total of all active and inactive participants	2009-01-01	259
Total participants	2009-01-01	259
Number of participants with account balances	2009-01-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on MTS 401(K) PLAN

Measure	Date	Value
2016 : MTS 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-01-14	$0
Total transfer of assets from this plan	2016-01-14	$5,688,072
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-01-14	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-01-14	$0
Total income from all sources (including contributions)	2016-01-14	$-327,356
Total loss/gain on sale of assets	2016-01-14	$0
Total of all expenses incurred	2016-01-14	$14,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-01-14	$14,260
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-01-14	$0
Value of total assets at end of year	2016-01-14	$0
Value of total assets at beginning of year	2016-01-14	$6,029,714
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-01-14	$26
Total interest from all sources	2016-01-14	$163
Total dividends received (eg from common stock, registered investment company shares)	2016-01-14	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-01-14	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-01-14	$0
Was this plan covered by a fidelity bond	2016-01-14	Yes
Value of fidelity bond cover	2016-01-14	$7,000,000
If this is an individual account plan, was there a blackout period	2016-01-14	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-01-14	$0
Were there any nonexempt tranactions with any party-in-interest	2016-01-14	No
Participant contributions at end of year	2016-01-14	$0
Participant contributions at beginning of year	2016-01-14	$82,786
Other income not declared elsewhere	2016-01-14	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-01-14	No
Value of net income/loss	2016-01-14	$-341,642
Value of net assets at end of year (total assets less liabilities)	2016-01-14	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-01-14	$6,029,714
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-01-14	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-01-14	No
Were any leases to which the plan was party in default or uncollectible	2016-01-14	No
Value of interest in pooled separate accounts at end of year	2016-01-14	$0
Value of interest in pooled separate accounts at beginning of year	2016-01-14	$5,946,688
Interest on participant loans	2016-01-14	$163
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-01-14	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-01-14	$240
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-01-14	$240
Net investment gain/loss from pooled separate accounts	2016-01-14	$-327,519
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-01-14	No
Was there a failure to transmit to the plan any participant contributions	2016-01-14	No
Has the plan failed to provide any benefit when due under the plan	2016-01-14	No
Contributions received in cash from employer	2016-01-14	$0
Employer contributions (assets) at end of year	2016-01-14	$0
Employer contributions (assets) at beginning of year	2016-01-14	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-01-14	$14,260
Contract administrator fees	2016-01-14	$26
Did the plan have assets held for investment	2016-01-14	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	2016-01-14	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-01-14	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-01-14	Yes
Opinion of an independent qualified public accountant for this plan	2016-01-14	Disclaimer
Accountancy firm name	2016-01-14	URISH POPECK & CO., LLC
Accountancy firm EIN	2016-01-14	251306171
2015 : MTS 401(K) 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$675,405
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,625,423
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,624,540
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$810,160
Value of total assets at end of year	2015-12-31	$6,029,714
Value of total assets at beginning of year	2015-12-31	$6,979,732
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$883
Total interest from all sources	2015-12-31	$2,487
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
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$7,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$553,423
Participant contributions at end of year	2015-12-31	$82,786
Participant contributions at beginning of year	2015-12-31	$14,972
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$0
Other income not declared elsewhere	2015-12-31	$3,283
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
Income. Non cash contributions	2015-12-31	$0
Value of net income/loss	2015-12-31	$-950,018
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$6,029,714
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$6,979,732
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 in pooled separate accounts at end of year	2015-12-31	$5,946,688
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$6,961,422
Interest on participant loans	2015-12-31	$2,487
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$240
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$3,338
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$3,338
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-140,525
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	$256,737
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,624,540
Contract administrator fees	2015-12-31	$883
Did the plan have assets held for investment	2015-12-31	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	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	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	URISH POPECK & CO., LLC
Accountancy firm EIN	2015-12-31	251306171
2014 : MTS 401(K) 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$1,231,718
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$454,073
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$454,069
Expenses. Certain deemed distributions of participant loans	2014-12-31	$4
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$967,568
Value of total assets at end of year	2014-12-31	$6,979,732
Value of total assets at beginning of year	2014-12-31	$6,202,087
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$0
Total interest from all sources	2014-12-31	$584
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
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$7,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$577,453
Participant contributions at end of year	2014-12-31	$14,972
Participant contributions at beginning of year	2014-12-31	$9,282
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$113,590
Administrative expenses (other) incurred	2014-12-31	$631
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
Income. Non cash contributions	2014-12-31	$0
Value of net income/loss	2014-12-31	$777,645
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$6,979,732
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$6,202,087
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 in pooled separate accounts at end of year	2014-12-31	$6,961,422
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$6,187,963
Interest on participant loans	2014-12-31	$584
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$3,338
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$4,842
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$4,842
Net investment gain/loss from pooled separate accounts	2014-12-31	$263,566
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	$276,525
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$454,069
Did the plan have assets held for investment	2014-12-31	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	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	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	URISH POPECK & CO., LLC
Accountancy firm EIN	2014-12-31	251306171
2013 : MTS 401(K) 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,795,510
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$688,173
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$687,621
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$853,603
Value of total assets at end of year	2013-12-31	$6,202,087
Value of total assets at beginning of year	2013-12-31	$5,094,750
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$552
Total interest from all sources	2013-12-31	$559
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
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$7,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$562,847
Participant contributions at end of year	2013-12-31	$9,282
Participant contributions at beginning of year	2013-12-31	$13,354
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$16,927
Administrative expenses (other) incurred	2013-12-31	$500
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
Income. Non cash contributions	2013-12-31	$0
Value of net income/loss	2013-12-31	$1,107,337
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$6,202,087
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$5,094,750
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 in pooled separate accounts at end of year	2013-12-31	$6,187,963
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$5,073,053
Interest on participant loans	2013-12-31	$559
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$4,842
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$8,343
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$8,343
Net investment gain/loss from pooled separate accounts	2013-12-31	$941,348
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	$273,829
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$687,621
Contract administrator fees	2013-12-31	$52
Did the plan have assets held for investment	2013-12-31	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	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	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	URISH POPECK & CO., LLC
Accountancy firm EIN	2013-12-31	251306171
2012 : MTS 401(K) 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,511,549
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$278,384
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$278,384
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,013,912
Value of total assets at end of year	2012-12-31	$5,094,750
Value of total assets at beginning of year	2012-12-31	$3,861,585
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$0
Total interest from all sources	2012-12-31	$780
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
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$7,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$509,982
Participant contributions at end of year	2012-12-31	$13,354
Participant contributions at beginning of year	2012-12-31	$18,068
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$241,836
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	$1,233,165
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$5,094,750
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,861,585
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 in pooled separate accounts at end of year	2012-12-31	$5,073,053
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$3,836,084
Interest on participant loans	2012-12-31	$780
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$8,343
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$7,433
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$7,433
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$496,857
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	$262,094
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$278,384
Did the plan have assets held for investment	2012-12-31	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	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	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	URISH POPECK & CO., LLC
Accountancy firm EIN	2012-12-31	251306171
2011 : MTS 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$694,935
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$517,555
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$493,033
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$902,528
Value of total assets at end of year	2011-12-31	$3,861,585
Value of total assets at beginning of year	2011-12-31	$3,684,205
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$24,522
Total interest from all sources	2011-12-31	$1,301
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$7,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$583,913
Participant contributions at end of year	2011-12-31	$18,068
Participant contributions at beginning of year	2011-12-31	$13,526
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$13,378
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$177,380
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,861,585
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,684,205
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$24,522
Value of interest in pooled separate accounts at end of year	2011-12-31	$3,836,084
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$3,668,757
Interest on participant loans	2011-12-31	$1,301
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$7,433
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$1,922
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$1,922
Net investment gain/loss from pooled separate accounts	2011-12-31	$-208,894
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$305,237
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$493,033
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	URISH POPECK & CO., LLC
Accountancy firm EIN	2011-12-31	251306171
2010 : MTS 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,283,470
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$207,636
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$184,230
Expenses. Certain deemed distributions of participant loans	2010-12-31	$1,306
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$894,965
Value of total assets at end of year	2010-12-31	$3,684,205
Value of total assets at beginning of year	2010-12-31	$2,608,371
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$22,100
Total interest from all sources	2010-12-31	$971
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$7,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$504,132
Participant contributions at end of year	2010-12-31	$13,526
Participant contributions at beginning of year	2010-12-31	$15,089
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$110,126
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,075,834
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,684,205
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,608,371
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at end of year	2010-12-31	$3,668,757
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$2,508,098
Interest on participant loans	2010-12-31	$429
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$1,922
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,646
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,646
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$542
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$83,538
Net investment gain/loss from pooled separate accounts	2010-12-31	$387,534
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$280,707
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$184,230
Contract administrator fees	2010-12-31	$22,100
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	URISH POPECK & CO., LLC
Accountancy firm EIN	2010-12-31	251306171
2009 : MTS 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for MTS 401(K) PLAN

2016: MTS 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MTS 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single 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: MTS 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
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: MTS 401(K) 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 funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MTS 401(K) 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
2011: MTS 401(K) 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 funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: MTS 401(K) 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 funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: MTS 401(K) 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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

23221

Policy instance

Insurance contract or identification number	23221
Number of Individuals Covered	134
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $33,167
Total amount of fees paid to insurance company	USD $4,166
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $33,167
Insurance broker organization code?	3
Amount paid for insurance broker fees	4166
Additional information about fees paid to insurance broker	TPA FEES AND ALLOWANCES
Insurance broker name	ABACUS BENEFIT CONSULTANTS, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

23221

Policy instance

Insurance contract or identification number	23221
Number of Individuals Covered	143
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $32,885
Total amount of fees paid to insurance company	USD $3,871
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $32,885
Insurance broker organization code?	3
Amount paid for insurance broker fees	3871
Additional information about fees paid to insurance broker	TPA FEES AND ALLOWANCES
Insurance broker name	ABACUS BENEFIT CONSULTANTS, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

23221

Policy instance

Insurance contract or identification number	23221
Number of Individuals Covered	138
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $28,217
Total amount of fees paid to insurance company	USD $3,334
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $28,217
Insurance broker organization code?	3
Amount paid for insurance broker fees	3334
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker name	ABACUS BENEFIT CONSULTANTS, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

23221

Policy instance

Insurance contract or identification number	23221
Number of Individuals Covered	125
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $21,531
Total amount of fees paid to insurance company	USD $2,534
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $21,531
Insurance broker organization code?	3
Amount paid for insurance broker fees	2534
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker name	ABACUS BENEFIT CONSULTANTS, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

23221

Policy instance

Insurance contract or identification number	23221
Number of Individuals Covered	129
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $21,697
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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

23221

Policy instance

Insurance contract or identification number	23221
Number of Individuals Covered	146
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $14,799
Total amount of fees paid to insurance company	USD $1,295
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

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Company Name:	MUTUAL TELECOM SERVICES INC. D/B/A BLACK BOX NETWORK SERVICES
Employer identification number (EIN):	541418137
NAIC Classification:	517000