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| Plan Name | GOLD STANDARD INNOVATIONS RETIREMENT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | GOLD STANDARD INNOVATIONS, INC. |
| Employer identification number (EIN): | 813511166 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2017-01-01 | ||||
| 001 | 2016-08-10 | JAMES A. SCOTT | JAMES A. SCOTT | 2017-07-28 |
| Measure | Date | Value |
|---|---|---|
| 2017 : GOLD STANDARD INNOVATIONS RETIREMENT PLAN 2017 401k financial data | ||
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2017-12-31 | $0 |
| 2016 : GOLD STANDARD INNOVATIONS RETIREMENT PLAN 2016 401k financial data | ||
| Total income from all sources | 2016-12-31 | $123,351 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $51 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $1 |
| Total plan assets at end of year | 2016-12-31 | $123,300 |
| Expenses. Other expenses not covered elsewhere | 2016-12-31 | $50 |
| Contributions received from other sources (not participants or employers) | 2016-12-31 | $118,173 |
| Other income received | 2016-12-31 | $5,178 |
| Net income (gross income less expenses) | 2016-12-31 | $123,300 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $123,300 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $0 |
| Assets. Value of employer securities | 2016-12-31 | $123,300 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-12-31 | $0 |
| 2017: GOLD STANDARD INNOVATIONS 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 | Yes |
| 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 – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: GOLD STANDARD INNOVATIONS RETIREMENT PLAN 2016 form 5500 responses | ||
| 2016-08-10 | Type of plan entity | Single employer plan |
| 2016-08-10 | First time form 5500 has been submitted | Yes |
| 2016-08-10 | Submission has been amended | No |
| 2016-08-10 | This submission is the final filing | No |
| 2016-08-10 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2016-08-10 | Plan is a collectively bargained plan | No |
| 2016-08-10 | Plan funding arrangement – Trust | Yes |
| 2016-08-10 | Plan benefit arrangement - Trust | Yes |
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