401k Plan data: THE ROSE 401K PLAN plan

THE ROSE 401K PLAN 401k Plan overview

Plan Name	THE ROSE 401K PLAN
Plan identification number	001

THE ROSE 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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.

401k Sponsoring company profile

THE ROSE has sponsored the creation of one or more 401k plans.

Company Name: THE ROSE

Employer identification number (EIN): 760193812

NAIC Classification: 621410
NAIC Description: Family Planning Centers

Additional information about THE ROSE

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1986-08-01

Company Identification Number: 0100606201

Legal Registered Office Address: 12700 N FEATHERWOOD DR STE 260

HOUSTON
United States of America (USA)
77034

More information about THE ROSE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE ROSE 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01 PAM LYLE 2022-10-13
001 2020-01-01 PAM LYLE 2021-10-01
001 2019-01-01 PAM LYLE 2020-07-25
001 2018-01-01 PAM LYLE 2019-10-08 DOROTHY GIBBONS 2019-10-08
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01 PAM LYLE 2015-06-29
001 2013-01-01 PAM LYLE 2014-06-03
001 2012-01-01 PAM LYLE 2013-05-08 DOROTHY GIBBONS 2013-05-13
001 2011-01-01 PAM LYLE 2012-06-15 DOROTHY GIBBONS 2012-04-12
001 2010-01-01 PAM LYLE 2011-07-26 DOROTHY GIBBONS 2011-06-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01	PAM LYLE	2022-10-13
001	2020-01-01	PAM LYLE	2021-10-01
001	2019-01-01	PAM LYLE	2020-07-25
001	2018-01-01	PAM LYLE	2019-10-08	DOROTHY GIBBONS	2019-10-08
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01	PAM LYLE	2015-06-29
001	2013-01-01	PAM LYLE	2014-06-03
001	2012-01-01	PAM LYLE	2013-05-08	DOROTHY GIBBONS	2013-05-13
001	2011-01-01	PAM LYLE	2012-06-15	DOROTHY GIBBONS	2012-04-12
001	2010-01-01	PAM LYLE	2011-07-26	DOROTHY GIBBONS	2011-06-10

Plan Statistics for THE ROSE 401K PLAN

401k plan membership statisitcs for THE ROSE 401K PLAN

Measure Date Value
2022: THE ROSE 401K PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 108
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 29
Total of all active and inactive participants 2022-01-01 137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 137
Number of participants with account balances 2022-01-01 85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 10
2021: THE ROSE 401K PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 109
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 23
Total of all active and inactive participants 2021-01-01 132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 132
Number of participants with account balances 2021-01-01 80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 1
2020: THE ROSE 401K PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 141
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 97
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 23
Total of all active and inactive participants 2020-01-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 120
Number of participants with account balances 2020-01-01 73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 6
2019: THE ROSE 401K PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 127
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 19
Total of all active and inactive participants 2019-01-01 146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 146
Number of participants with account balances 2019-01-01 74
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 4
2018: THE ROSE 401K PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 128
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 120
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 11
Total of all active and inactive participants 2018-01-01 131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 131
Number of participants with account balances 2018-01-01 73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 3
2017: THE ROSE 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 125
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 119
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 11
Total of all active and inactive participants 2017-01-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 130
Number of participants with account balances 2017-01-01 68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: THE ROSE 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 117
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 12
Total of all active and inactive participants 2016-01-01 129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 129
Number of participants with account balances 2016-01-01 62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 5

Measure	Date	Value
2022: THE ROSE 401K PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	108
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	29
Total of all active and inactive participants	2022-01-01	137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	137
Number of participants with account balances	2022-01-01	85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	10
2021: THE ROSE 401K PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	109
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	23
Total of all active and inactive participants	2021-01-01	132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	132
Number of participants with account balances	2021-01-01	80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	1
2020: THE ROSE 401K PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	141
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	97
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	23
Total of all active and inactive participants	2020-01-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	120
Number of participants with account balances	2020-01-01	73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	6
2019: THE ROSE 401K PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	127
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	19
Total of all active and inactive participants	2019-01-01	146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	146
Number of participants with account balances	2019-01-01	74
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	4
2018: THE ROSE 401K PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	120
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	11
Total of all active and inactive participants	2018-01-01	131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	131
Number of participants with account balances	2018-01-01	73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	3
2017: THE ROSE 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	125
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	119
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	11
Total of all active and inactive participants	2017-01-01	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	130
Number of participants with account balances	2017-01-01	68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: THE ROSE 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	117
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	12
Total of all active and inactive participants	2016-01-01	129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	129
Number of participants with account balances	2016-01-01	62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	5

Financial Data on THE ROSE 401K PLAN

Measure	Date	Value
2022 : THE ROSE 401K PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-64,100
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$83,261
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$53,553
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$461,354
Value of total assets at end of year	2022-12-31	$2,955,051
Value of total assets at beginning of year	2022-12-31	$3,102,412
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$29,708
Total interest from all sources	2022-12-31	$4,039
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$400,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$204,682
Participant contributions at end of year	2022-12-31	$80,487
Participant contributions at beginning of year	2022-12-31	$94,289
Participant contributions at end of year	2022-12-31	$7,885
Participant contributions at beginning of year	2022-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$58,899
Total non interest bearing cash at end of year	2022-12-31	$19,307
Total non interest bearing cash at beginning of year	2022-12-31	$16,640
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-147,361
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,955,051
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$3,102,412
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Interest on participant loans	2022-12-31	$4,039
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$2,599,233
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$2,895,475
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-529,493
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$197,773
Employer contributions (assets) at end of year	2022-12-31	$248,139
Employer contributions (assets) at beginning of year	2022-12-31	$96,008
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$53,553
Contract administrator fees	2022-12-31	$29,708
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	HAM, LANGSTON & BREZINA, LLP
Accountancy firm EIN	2022-12-31	760448495
2021 : THE ROSE 401K PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$730,971
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$543,719
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$516,329
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$349,681
Value of total assets at end of year	2021-12-31	$3,102,412
Value of total assets at beginning of year	2021-12-31	$2,915,160
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$27,390
Total interest from all sources	2021-12-31	$5,012
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$300,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$192,569
Participant contributions at end of year	2021-12-31	$94,289
Participant contributions at beginning of year	2021-12-31	$88,223
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$18,758
Total non interest bearing cash at end of year	2021-12-31	$16,640
Total non interest bearing cash at beginning of year	2021-12-31	$14,178
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$187,252
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$3,102,412
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,915,160
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Interest on participant loans	2021-12-31	$5,012
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$2,895,475
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$2,812,759
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$376,278
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$138,354
Employer contributions (assets) at end of year	2021-12-31	$96,008
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$516,329
Contract administrator fees	2021-12-31	$27,390
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	HAM, LANGSTON & BREZINA, LLP
Accountancy firm EIN	2021-12-31	760448495
2020 : THE ROSE 401K PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$600,971
Total of all expenses incurred	2020-12-31	$141,113
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$122,272
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$223,543
Value of total assets at end of year	2020-12-31	$2,915,160
Value of total assets at beginning of year	2020-12-31	$2,455,302
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$18,841
Total interest from all sources	2020-12-31	$6,132
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	$300,000
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	$180,206
Participant contributions at end of year	2020-12-31	$88,223
Participant contributions at beginning of year	2020-12-31	$90,197
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$244
Total non interest bearing cash at end of year	2020-12-31	$14,178
Total non interest bearing cash at beginning of year	2020-12-31	$7,460
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	$459,858
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,915,160
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$2,455,302
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
Interest on participant loans	2020-12-31	$6,132
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$2,812,759
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$2,357,645
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$371,296
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	$43,093
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$122,272
Contract administrator fees	2020-12-31	$18,841
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	Unqualified
Accountancy firm name	2020-12-31	HAM, LANGSTON & BREZINA, LLP
Accountancy firm EIN	2020-12-31	760448495
2019 : THE ROSE 401K PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$670,079
Total income from all sources (including contributions)	2019-12-31	$670,079
Total of all expenses incurred	2019-12-31	$86,697
Total of all expenses incurred	2019-12-31	$86,697
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$59,969
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$59,969
Value of total corrective distributions	2019-12-31	$8,228
Value of total corrective distributions	2019-12-31	$8,228
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$227,061
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$227,061
Value of total assets at end of year	2019-12-31	$2,455,302
Value of total assets at end of year	2019-12-31	$2,455,302
Value of total assets at beginning of year	2019-12-31	$1,871,920
Value of total assets at beginning of year	2019-12-31	$1,871,920
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$18,500
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$18,500
Total interest from all sources	2019-12-31	$4,537
Total interest from all sources	2019-12-31	$4,537
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
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
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$300,000
Value of fidelity bond cover	2019-12-31	$300,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$182,000
Contributions received from participants	2019-12-31	$182,000
Participant contributions at end of year	2019-12-31	$90,197
Participant contributions at end of year	2019-12-31	$90,197
Participant contributions at beginning of year	2019-12-31	$61,608
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$2,335
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$2,335
Total non interest bearing cash at end of year	2019-12-31	$7,460
Total non interest bearing cash at end of year	2019-12-31	$7,460
Total non interest bearing cash at beginning of year	2019-12-31	$2,052
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
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	$583,382
Value of net income/loss	2019-12-31	$583,382
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,455,302
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,455,302
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,871,920
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,871,920
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
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 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
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Interest on participant loans	2019-12-31	$4,537
Interest on participant loans	2019-12-31	$4,537
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$2,357,645
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$2,357,645
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$1,808,260
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$1,808,260
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$438,481
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$438,481
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
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	$42,726
Contributions received in cash from employer	2019-12-31	$42,726
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$59,969
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$59,969
Contract administrator fees	2019-12-31	$18,500
Contract administrator fees	2019-12-31	$18,500
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
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
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
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	HAM, LANGSTON & BREZINA, LLP
Accountancy firm name	2019-12-31	HAM, LANGSTON & BREZINA, LLP
Accountancy firm EIN	2019-12-31	760448495
Accountancy firm EIN	2019-12-31	760448495
2018 : THE ROSE 401K PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$62,614
Total of all expenses incurred	2018-12-31	$100,170
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$59,198
Value of total corrective distributions	2018-12-31	$21,205
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$209,978
Value of total assets at end of year	2018-12-31	$1,871,920
Value of total assets at beginning of year	2018-12-31	$1,909,476
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$19,767
Total interest from all sources	2018-12-31	$3,121
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	$300,000
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	$178,250
Participant contributions at end of year	2018-12-31	$61,608
Participant contributions at beginning of year	2018-12-31	$59,302
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$9,050
Total non interest bearing cash at end of year	2018-12-31	$2,052
Total non interest bearing cash at beginning of year	2018-12-31	$17,785
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	$-37,556
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,871,920
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,909,476
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
Interest on participant loans	2018-12-31	$3,121
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$1,808,260
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$1,832,389
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-150,485
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	$22,678
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$59,198
Contract administrator fees	2018-12-31	$19,767
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	HAM, LANGSTON & BREZINA, LLP
Accountancy firm EIN	2018-12-31	760448495
2017 : THE ROSE 401K 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	$516,760
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$115,847
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$96,983
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$239,109
Value of total assets at end of year	2017-12-31	$1,909,476
Value of total assets at beginning of year	2017-12-31	$1,508,563
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$18,864
Total interest from all sources	2017-12-31	$2,476
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	$200,000
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	$162,867
Participant contributions at end of year	2017-12-31	$59,302
Participant contributions at beginning of year	2017-12-31	$59,360
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$37,055
Total non interest bearing cash at end of year	2017-12-31	$17,785
Total non interest bearing cash at beginning of year	2017-12-31	$14,260
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	$400,913
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,909,476
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,508,563
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
Interest on participant loans	2017-12-31	$2,476
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$1,832,389
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$1,434,943
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$275,175
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	$39,187
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$96,983
Contract administrator fees	2017-12-31	$18,864
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	HAM, LANGSTON & BREZINA, LLP
Accountancy firm EIN	2017-12-31	760448495
2016 : THE ROSE 401K 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	$328,347
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$198,341
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$182,155
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$223,630
Value of total assets at end of year	2016-12-31	$1,508,563
Value of total assets at beginning of year	2016-12-31	$1,378,557
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$16,186
Total interest from all sources	2016-12-31	$2,231
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	$165,000
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	$154,234
Participant contributions at end of year	2016-12-31	$59,360
Participant contributions at beginning of year	2016-12-31	$52,106
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$33,420
Total non interest bearing cash at end of year	2016-12-31	$14,260
Total non interest bearing cash at beginning of year	2016-12-31	$13,562
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	$130,006
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,508,563
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,378,557
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
Interest on participant loans	2016-12-31	$2,231
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$1,434,943
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$1,312,889
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$102,486
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	$35,976
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$182,155
Contract administrator fees	2016-12-31	$16,186
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	HAM, LANGSTON & BREZINA, LLP
Accountancy firm EIN	2016-12-31	760448495

Form 5500 Responses for THE ROSE 401K PLAN

2022: THE ROSE 401K PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: THE ROSE 401K PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: THE ROSE 401K PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
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: THE ROSE 401K PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
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: THE ROSE 401K PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
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: THE ROSE 401K 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: THE ROSE 401K 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	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

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

18459

Policy instance

Insurance contract or identification number	18459
Number of Individuals Covered	85
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $9,215
Total amount of fees paid to insurance company	USD $2,560
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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 $9,215
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

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

Policy contract number

18459

Policy instance

Insurance contract or identification number	18459
Number of Individuals Covered	80
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $10,268
Total amount of fees paid to insurance company	USD $3,057
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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 $5,258
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

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

Policy contract number

18459

Policy instance

Insurance contract or identification number	18459
Number of Individuals Covered	73
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $8,611
Total amount of fees paid to insurance company	USD $2,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,611
Insurance broker organization code?	3
Amount paid for insurance broker fees	2632

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

Policy contract number

18459

Policy instance

Insurance contract or identification number	18459
Number of Individuals Covered	74
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $8,295
Total amount of fees paid to insurance company	USD $3,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,295
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3
Amount paid for insurance broker fees	3130

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

Policy contract number

18459

Policy instance

Insurance contract or identification number	18459
Number of Individuals Covered	73
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $10,635
Total amount of fees paid to insurance company	USD $2,593
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,635
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Amount paid for insurance broker fees	2593

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

Policy contract number

18459

Policy instance

Insurance contract or identification number	18459
Number of Individuals Covered	68
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $10,361
Total amount of fees paid to insurance company	USD $2,386
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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 $10,361
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	MALCOLM THOMPSON & ASSOCIATES, INC.

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Company Name:	THE ROSE
Employer identification number (EIN):	760193812
NAIC Classification:	621410
NAIC Description:	Family Planning Centers

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1986-08-01
Company Identification Number:	0100606201
Legal Registered Office Address:	12700 N FEATHERWOOD DR STE 260 HOUSTON United States of America (USA) 77034