401k Plan data: EMPLOYERS 401(K) ELITE RETIREMENT PLAN plan

EMPLOYERS 401(K) ELITE RETIREMENT PLAN 401k Plan overview

Plan Name	EMPLOYERS 401(K) ELITE RETIREMENT PLAN
Plan identification number	001

EMPLOYERS 401(K) ELITE RETIREMENT 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

DIVINE DINING GROUP has sponsored the creation of one or more 401k plans.

Company Name: DIVINE DINING GROUP

Employer identification number (EIN): 571041505

NAIC Classification: 722511
NAIC Description: Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYERS 401(K) ELITE RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 BETTY CALDWELL
001 2016-01-01 BETTY CALDWELL
001 2016-01-01
001 2015-01-01 BETTY CALDWELL
001 2015-01-01 BETTY CALDWELL
001 2014-01-01 BETTY CALDWELL
001 2013-01-01 JILL M. WILLIAMS
001 2012-01-01 ROBERT D. ALIN
001 2011-01-01 JACK DIVINE IV
001 2009-01-01 JACK DIVINE IV JACK DIVINE IV 2010-08-27

Plan Statistics for EMPLOYERS 401(K) ELITE RETIREMENT PLAN

401k plan membership statisitcs for EMPLOYERS 401(K) ELITE RETIREMENT PLAN

Measure Date Value
2020: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 250
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 200
Number of retired or separated participants receiving benefits 2020-01-01 4
Number of other retired or separated participants entitled to future benefits 2020-01-01 13
Total of all active and inactive participants 2020-01-01 217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 217
Number of participants with account balances 2020-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 3
2019: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 253
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 209
Number of retired or separated participants receiving benefits 2019-01-01 12
Number of other retired or separated participants entitled to future benefits 2019-01-01 12
Total of all active and inactive participants 2019-01-01 233
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 233
Number of participants with account balances 2019-01-01 60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 217
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 187
Number of retired or separated participants receiving benefits 2018-01-01 13
Number of other retired or separated participants entitled to future benefits 2018-01-01 17
Total of all active and inactive participants 2018-01-01 217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 217
Number of participants with account balances 2018-01-01 61
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 2
2017: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 261
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 187
Number of retired or separated participants receiving benefits 2017-01-01 14
Number of other retired or separated participants entitled to future benefits 2017-01-01 15
Total of all active and inactive participants 2017-01-01 216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 216
Number of participants with account balances 2017-01-01 59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 59
2016: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 269
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 233
Number of retired or separated participants receiving benefits 2016-01-01 9
Number of other retired or separated participants entitled to future benefits 2016-01-01 12
Total of all active and inactive participants 2016-01-01 254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 255
Number of participants with account balances 2016-01-01 59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 4
2015: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 261
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 200
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 18
Total of all active and inactive participants 2015-01-01 218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 218
Number of participants with account balances 2015-01-01 59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 4
2014: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 248
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 234
Number of retired or separated participants receiving benefits 2014-01-01 2
Number of other retired or separated participants entitled to future benefits 2014-01-01 6
Total of all active and inactive participants 2014-01-01 242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 242
Number of participants with account balances 2014-01-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 7
2013: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 310
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 205
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 16
Total of all active and inactive participants 2013-01-01 221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 221
Number of participants with account balances 2013-01-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 313
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 240
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 19
Total of all active and inactive participants 2012-01-01 259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 259
Number of participants with account balances 2012-01-01 56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 4
2011: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 249
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 348
Number of retired or separated participants receiving benefits 2011-01-01 5
Number of other retired or separated participants entitled to future benefits 2011-01-01 10
Total of all active and inactive participants 2011-01-01 363
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 363
Number of participants with account balances 2011-01-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 270
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 259
Number of retired or separated participants receiving benefits 2009-01-01 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 13
Total of all active and inactive participants 2009-01-01 274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 274
Number of participants with account balances 2009-01-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 7

Measure	Date	Value
2020: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	250
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	200
Number of retired or separated participants receiving benefits	2020-01-01	4
Number of other retired or separated participants entitled to future benefits	2020-01-01	13
Total of all active and inactive participants	2020-01-01	217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	217
Number of participants with account balances	2020-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	3
2019: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	253
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	209
Number of retired or separated participants receiving benefits	2019-01-01	12
Number of other retired or separated participants entitled to future benefits	2019-01-01	12
Total of all active and inactive participants	2019-01-01	233
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	233
Number of participants with account balances	2019-01-01	60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	217
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	187
Number of retired or separated participants receiving benefits	2018-01-01	13
Number of other retired or separated participants entitled to future benefits	2018-01-01	17
Total of all active and inactive participants	2018-01-01	217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	217
Number of participants with account balances	2018-01-01	61
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	2
2017: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	261
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	187
Number of retired or separated participants receiving benefits	2017-01-01	14
Number of other retired or separated participants entitled to future benefits	2017-01-01	15
Total of all active and inactive participants	2017-01-01	216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	216
Number of participants with account balances	2017-01-01	59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	59
2016: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	269
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	233
Number of retired or separated participants receiving benefits	2016-01-01	9
Number of other retired or separated participants entitled to future benefits	2016-01-01	12
Total of all active and inactive participants	2016-01-01	254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	255
Number of participants with account balances	2016-01-01	59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	4
2015: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	261
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	200
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	18
Total of all active and inactive participants	2015-01-01	218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	218
Number of participants with account balances	2015-01-01	59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	4
2014: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	248
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	234
Number of retired or separated participants receiving benefits	2014-01-01	2
Number of other retired or separated participants entitled to future benefits	2014-01-01	6
Total of all active and inactive participants	2014-01-01	242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	242
Number of participants with account balances	2014-01-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	7
2013: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	310
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	205
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	16
Total of all active and inactive participants	2013-01-01	221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	221
Number of participants with account balances	2013-01-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	313
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	240
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	19
Total of all active and inactive participants	2012-01-01	259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	259
Number of participants with account balances	2012-01-01	56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	4
2011: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	249
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	348
Number of retired or separated participants receiving benefits	2011-01-01	5
Number of other retired or separated participants entitled to future benefits	2011-01-01	10
Total of all active and inactive participants	2011-01-01	363
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	363
Number of participants with account balances	2011-01-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	270
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	259
Number of retired or separated participants receiving benefits	2009-01-01	2
Number of other retired or separated participants entitled to future benefits	2009-01-01	13
Total of all active and inactive participants	2009-01-01	274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	274
Number of participants with account balances	2009-01-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	7

Financial Data on EMPLOYERS 401(K) ELITE RETIREMENT PLAN

Measure	Date	Value
2020 : EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$2,956
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$1,730
Total income from all sources (including contributions)	2020-12-31	$261,880
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$179,356
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$175,928
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$135,775
Value of total assets at end of year	2020-12-31	$1,140,279
Value of total assets at beginning of year	2020-12-31	$1,056,529
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$3,428
Total interest from all sources	2020-12-31	$435
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$110,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$69,595
Participant contributions at end of year	2020-12-31	$2,393
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$50,063
Assets. Loans (other than to participants) at end of year	2020-12-31	$21,512
Assets. Loans (other than to participants) at beginning of year	2020-12-31	$11,716
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$2,956
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$1,730
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$82,524
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$1,137,323
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,054,799
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in pooled separate accounts at end of year	2020-12-31	$1,078,817
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$1,009,763
Interest on participant loans	2020-12-31	$435
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$19,833
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$16,969
Net investment gain/loss from pooled separate accounts	2020-12-31	$125,256
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$16,117
Employer contributions (assets) at end of year	2020-12-31	$17,724
Employer contributions (assets) at beginning of year	2020-12-31	$18,081
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$175,928
Contract administrator fees	2020-12-31	$3,428
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	PARSONS CPA, PLLC
Accountancy firm EIN	2020-12-31	274214364
2019 : EMPLOYERS 401(K) ELITE RETIREMENT 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	$1,730
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$2,726
Total income from all sources (including contributions)	2019-12-31	$265,035
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$28,423
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$26,874
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$88,741
Value of total assets at end of year	2019-12-31	$1,056,529
Value of total assets at beginning of year	2019-12-31	$820,913
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$1,549
Total interest from all sources	2019-12-31	$554
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$100,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
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	$70,444
Assets. Loans (other than to participants) at end of year	2019-12-31	$11,716
Assets. Loans (other than to participants) at beginning of year	2019-12-31	$15,407
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$1,730
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$2,726
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	$236,612
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,054,799
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$818,187
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 pooled separate accounts at end of year	2019-12-31	$1,009,763
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$773,551
Interest on participant loans	2019-12-31	$554
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$16,969
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$14,838
Net investment gain/loss from pooled separate accounts	2019-12-31	$175,368
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	Yes
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	$18,297
Employer contributions (assets) at end of year	2019-12-31	$18,081
Employer contributions (assets) at beginning of year	2019-12-31	$17,117
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$26,874
Contract administrator fees	2019-12-31	$1,549
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	PARSONS CPA, PLLC
Accountancy firm EIN	2019-12-31	274214364
2018 : EMPLOYERS 401(K) ELITE RETIREMENT 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	$2,726
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	$13,985
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$10,081
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$6,802
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$83,762
Value of total assets at end of year	2018-12-31	$820,913
Value of total assets at beginning of year	2018-12-31	$814,283
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$3,279
Total interest from all sources	2018-12-31	$643
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$100,000
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	$66,657
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$2,519
Assets. Loans (other than to participants) at end of year	2018-12-31	$15,407
Assets. Loans (other than to participants) at beginning of year	2018-12-31	$15,233
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$2,726
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$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	2018-12-31	No
Value of net income/loss	2018-12-31	$3,904
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$818,187
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$814,283
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 pooled separate accounts at end of year	2018-12-31	$773,551
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$767,188
Interest on participant loans	2018-12-31	$643
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$14,838
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$15,037
Net investment gain/loss from pooled separate accounts	2018-12-31	$-70,752
Net investment gain or loss from common/collective trusts	2018-12-31	$0
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	$17,105
Employer contributions (assets) at end of year	2018-12-31	$17,117
Employer contributions (assets) at beginning of year	2018-12-31	$14,306
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$6,802
Contract administrator fees	2018-12-31	$3,279
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	PARSONS CPA, PLLC
Accountancy firm EIN	2018-12-31	274214364
2017 : EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$188,978
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$134,312
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$131,489
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$73,233
Value of total assets at end of year	2017-12-31	$814,283
Value of total assets at beginning of year	2017-12-31	$759,617
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$2,823
Total interest from all sources	2017-12-31	$1,067
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$100,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$58,430
Participant contributions at end of year	2017-12-31	$2,519
Participant contributions at beginning of year	2017-12-31	$2,202
Assets. Loans (other than to participants) at end of year	2017-12-31	$15,233
Assets. Loans (other than to participants) at beginning of year	2017-12-31	$14,884
Administrative expenses (other) incurred	2017-12-31	$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	2017-12-31	No
Value of net income/loss	2017-12-31	$54,666
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$814,283
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$759,617
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$1,382
Value of interest in pooled separate accounts at end of year	2017-12-31	$767,188
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$702,448
Interest on participant loans	2017-12-31	$719
Interest earned on other investments	2017-12-31	$348
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$15,037
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$22,632
Net investment gain or loss from common/collective trusts	2017-12-31	$114,678
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$14,803
Employer contributions (assets) at end of year	2017-12-31	$14,306
Employer contributions (assets) at beginning of year	2017-12-31	$17,451
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$131,489
Contract administrator fees	2017-12-31	$1,158
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	PARSONS CPA, PLLC
Accountancy firm EIN	2017-12-31	274214364
2016 : EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$141,185
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$63,505
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$59,328
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$87,254
Value of total assets at end of year	2016-12-31	$759,617
Value of total assets at beginning of year	2016-12-31	$681,937
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$4,177
Total interest from all sources	2016-12-31	$1,014
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$100,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$69,803
Participant contributions at end of year	2016-12-31	$14,884
Participant contributions at beginning of year	2016-12-31	$13,186
Participant contributions at end of year	2016-12-31	$2,202
Participant contributions at beginning of year	2016-12-31	$2,733
Other income not declared elsewhere	2016-12-31	$5,486
Administrative expenses (other) incurred	2016-12-31	$1,376
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$77,680
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$759,617
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$681,937
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$702,448
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$622,486
Interest on participant loans	2016-12-31	$446
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$568
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$22,632
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$25,609
Net investment gain/loss from pooled separate accounts	2016-12-31	$47,431
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$17,451
Employer contributions (assets) at end of year	2016-12-31	$17,451
Employer contributions (assets) at beginning of year	2016-12-31	$17,923
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$59,328
Contract administrator fees	2016-12-31	$2,801
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	PARSONS CPA, PLLC
Accountancy firm EIN	2016-12-31	274214364
2015 : EMPLOYERS 401(K) ELITE RETIREMENT 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	$72,858
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$36,818
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$32,192
Expenses. Certain deemed distributions of participant loans	2015-12-31	$1,926
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$89,615
Value of total assets at end of year	2015-12-31	$683,853
Value of total assets at beginning of year	2015-12-31	$647,813
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$4,626
Total interest from all sources	2015-12-31	$630
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	$100,000
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	$71,692
Participant contributions at end of year	2015-12-31	$13,186
Participant contributions at beginning of year	2015-12-31	$18,720
Participant contributions at end of year	2015-12-31	$2,733
Participant contributions at beginning of year	2015-12-31	$2,437
Administrative expenses (other) incurred	2015-12-31	$990
Total non interest bearing cash at end of year	2015-12-31	$280
Total non interest bearing cash at beginning of year	2015-12-31	$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	2015-12-31	No
Value of net income/loss	2015-12-31	$36,040
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$683,853
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$647,813
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	$624,272
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$589,081
Interest on participant loans	2015-12-31	$637
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$630
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$25,469
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$20,134
Net investment gain/loss from pooled separate accounts	2015-12-31	$-17,387
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	$17,923
Employer contributions (assets) at end of year	2015-12-31	$17,913
Employer contributions (assets) at beginning of year	2015-12-31	$17,441
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$32,192
Contract administrator fees	2015-12-31	$3,636
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	PARSONS CPA, PLLC
Accountancy firm EIN	2015-12-31	274214364
2014 : EMPLOYERS 401(K) ELITE RETIREMENT 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	$113,544
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$135,023
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$116,365
Expenses. Certain deemed distributions of participant loans	2014-12-31	$15,252
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$86,955
Value of total assets at end of year	2014-12-31	$647,813
Value of total assets at beginning of year	2014-12-31	$669,292
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$3,406
Total interest from all sources	2014-12-31	$1,577
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	$100,000
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	$69,514
Participant contributions at end of year	2014-12-31	$18,720
Participant contributions at beginning of year	2014-12-31	$34,341
Participant contributions at end of year	2014-12-31	$2,437
Participant contributions at beginning of year	2014-12-31	$249
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$248
Administrative expenses (other) incurred	2014-12-31	$755
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-21,479
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$647,813
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$669,292
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
Investment advisory and management fees	2014-12-31	$1,395
Value of interest in pooled separate accounts at end of year	2014-12-31	$589,081
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$593,000
Interest on participant loans	2014-12-31	$1,092
Interest earned on other investments	2014-12-31	$485
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$20,134
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$18,064
Net investment gain/loss from pooled separate accounts	2014-12-31	$25,012
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	$17,441
Employer contributions (assets) at end of year	2014-12-31	$17,441
Employer contributions (assets) at beginning of year	2014-12-31	$23,638
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$116,117
Contract administrator fees	2014-12-31	$1,256
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	PARSONS CPA, PLLC
Accountancy firm EIN	2014-12-31	274214364
2013 : EMPLOYERS 401(K) ELITE RETIREMENT 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	$205,112
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$63,423
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$58,793
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$118,193
Value of total assets at end of year	2013-12-31	$669,292
Value of total assets at beginning of year	2013-12-31	$527,603
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$4,630
Total interest from all sources	2013-12-31	$1,280
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	$100,000
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	$94,554
Participant contributions at end of year	2013-12-31	$34,341
Participant contributions at beginning of year	2013-12-31	$14,142
Participant contributions at end of year	2013-12-31	$249
Participant contributions at beginning of year	2013-12-31	$523
Administrative expenses (other) incurred	2013-12-31	$3,322
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$141,689
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$669,292
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$527,603
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	$593,000
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$463,279
Interest on participant loans	2013-12-31	$972
Interest earned on other investments	2013-12-31	$308
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$18,064
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$30,272
Net investment gain/loss from pooled separate accounts	2013-12-31	$85,639
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	Yes
Contributions received in cash from employer	2013-12-31	$23,639
Employer contributions (assets) at end of year	2013-12-31	$23,638
Employer contributions (assets) at beginning of year	2013-12-31	$19,387
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$58,793
Contract administrator fees	2013-12-31	$1,308
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	PARSONS CPA, PLLC
Accountancy firm EIN	2013-12-31	274214364
2012 : EMPLOYERS 401(K) ELITE RETIREMENT 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	$149,950
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$55,437
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$52,580
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$115,597
Value of total assets at end of year	2012-12-31	$527,603
Value of total assets at beginning of year	2012-12-31	$433,090
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$2,857
Total interest from all sources	2012-12-31	$643
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	$100,000
If this is an individual account plan, was there a blackout period	2012-12-31	Yes
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	$79,228
Participant contributions at end of year	2012-12-31	$14,142
Participant contributions at beginning of year	2012-12-31	$14,632
Participant contributions at end of year	2012-12-31	$523
Participant contributions at beginning of year	2012-12-31	$0
Other income not declared elsewhere	2012-12-31	$1,069
Administrative expenses (other) incurred	2012-12-31	$2,256
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	$94,513
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$527,603
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$433,090
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
Investment advisory and management fees	2012-12-31	$415
Value of interest in pooled separate accounts at end of year	2012-12-31	$463,279
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$418,458
Interest on participant loans	2012-12-31	$618
Interest earned on other investments	2012-12-31	$25
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$30,272
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$0
Net investment gain/loss from pooled separate accounts	2012-12-31	$32,641
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	Yes
Contributions received in cash from employer	2012-12-31	$36,369
Employer contributions (assets) at end of year	2012-12-31	$19,387
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$52,580
Contract administrator fees	2012-12-31	$186
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	2012-12-31	Yes
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	PARSONS CPA, PLLC
Accountancy firm EIN	2012-12-31	274214364
2011 : EMPLOYERS 401(K) ELITE RETIREMENT 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	$70,216
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$66,694
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$61,099
Expenses. Certain deemed distributions of participant loans	2011-12-31	$2,859
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$81,608
Value of total assets at end of year	2011-12-31	$433,090
Value of total assets at beginning of year	2011-12-31	$429,568
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,736
Total interest from all sources	2011-12-31	$782
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
Administrative expenses professional fees incurred	2011-12-31	$2,736
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$100,000
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	$67,639
Participant contributions at end of year	2011-12-31	$14,632
Participant contributions at beginning of year	2011-12-31	$13,310
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$440
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	$3,522
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$433,090
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$429,568
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
Value of interest in pooled separate accounts at end of year	2011-12-31	$418,458
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$416,258
Interest on participant loans	2011-12-31	$782
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-12,174
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	$13,969
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$60,659
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	PARSONS CPA PLLC
Accountancy firm EIN	2011-12-31	274214364
2010 : EMPLOYERS 401(K) ELITE RETIREMENT 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	$103,605
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$34,056
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$31,411
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$67,031
Value of total assets at end of year	2010-12-31	$429,568
Value of total assets at beginning of year	2010-12-31	$360,019
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$2,645
Total interest from all sources	2010-12-31	$482
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$266
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$2,645
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$100,000
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	$53,635
Participant contributions at end of year	2010-12-31	$13,310
Participant contributions at beginning of year	2010-12-31	$11,236
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	$69,549
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$429,568
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$360,019
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	$416,258
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$348,783
Interest on participant loans	2010-12-31	$482
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$35,826
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	$13,396
Income. Dividends from preferred stock	2010-12-31	$266
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$31,411
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	CLAYTON S. PARSONS III CPA PA
Accountancy firm EIN	2010-12-31	562035494
2009 : EMPLOYERS 401(K) ELITE RETIREMENT 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 EMPLOYERS 401(K) ELITE RETIREMENT PLAN

2020: EMPLOYERS 401(K) ELITE RETIREMENT 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	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: EMPLOYERS 401(K) ELITE RETIREMENT 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: EMPLOYERS 401(K) ELITE RETIREMENT 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
2017: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
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: EMPLOYERS 401(K) ELITE RETIREMENT 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: EMPLOYERS 401(K) ELITE RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: EMPLOYERS 401(K) ELITE RETIREMENT 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: EMPLOYERS 401(K) ELITE RETIREMENT 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: EMPLOYERS 401(K) ELITE RETIREMENT 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
2009: EMPLOYERS 401(K) ELITE RETIREMENT 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

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	E31 7611
Policy instance	1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	E31 7611
Policy instance	1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	E31 7611
Policy instance	1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	E31 7611
Policy instance	1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	E31 7611
Policy instance	1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	E31 7611
Policy instance	1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	E31 7611
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	023470
Policy instance	1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	E31 7611
Policy instance	2
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	023470
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	023470
Policy instance	1

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Company Name:	DIVINE DINING GROUP
Employer identification number (EIN):	571041505
NAIC Classification:	722511
NAIC Description:	Full-Service Restaurants