401k Plan data: LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN plan

LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 401k Plan overview

Plan Name	LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN
Plan identification number	003

LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
Leveraged ESOP - An ESOP that acquires employer securities with borrowed money or other debt-financing techniques. A completed Schedule E must be attached to a Form 5500 filed for an ESOP.
The employer maintaining this ESOP is an S Corporation
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).
Plan requiring that all or part of employer contributions be invested and held, at least for a limited period, in employer securities.

401k Sponsoring company profile

LIBERTY BEHAVIORAL MANAGEMENT GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: LIBERTY BEHAVIORAL MANAGEMENT GROUP, INC.

Employer identification number (EIN): 815260872

NAIC Classification: 561490

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01 KARA DUGAN 2023-10-16
003 2021-01-01 KARA DUGAN 2022-10-17
003 2020-01-01 KARA DUGAN 2021-10-06
003 2019-01-01 KARA DUGAN 2020-09-15
003 2018-01-01 KARA DUGAN 2019-10-09
003 2018-01-01 KARA DUGAN 2019-10-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
003	2022-01-01	KARA DUGAN	2023-10-16
003	2021-01-01	KARA DUGAN	2022-10-17
003	2020-01-01	KARA DUGAN	2021-10-06
003	2019-01-01	KARA DUGAN	2020-09-15
003	2018-01-01	KARA DUGAN	2019-10-09
003	2018-01-01	KARA DUGAN	2019-10-11

Plan Statistics for LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN

401k plan membership statisitcs for LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN

Measure Date Value
2022: LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 282
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 195
Number of retired or separated participants receiving benefits 2022-01-01 4
Number of other retired or separated participants entitled to future benefits 2022-01-01 80
Total of all active and inactive participants 2022-01-01 279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 1
Total participants 2022-01-01 280
Number of participants with account balances 2022-01-01 268
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 22
2021: LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 276
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 179
Number of retired or separated participants receiving benefits 2021-01-01 17
Number of other retired or separated participants entitled to future benefits 2021-01-01 76
Total of all active and inactive participants 2021-01-01 272
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 4
Total participants 2021-01-01 276
Number of participants with account balances 2021-01-01 272
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 15
2020: LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 261
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 172
Number of retired or separated participants receiving benefits 2020-01-01 13
Number of other retired or separated participants entitled to future benefits 2020-01-01 86
Total of all active and inactive participants 2020-01-01 271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 2
Total participants 2020-01-01 273
Number of participants with account balances 2020-01-01 259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 7
2019: LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 254
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 172
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 76
Total of all active and inactive participants 2019-01-01 248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 1
Total participants 2019-01-01 249
Number of participants with account balances 2019-01-01 249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 6
2018: LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 216
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 183
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 19
Total of all active and inactive participants 2018-01-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 202
Number of participants with account balances 2018-01-01 202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 5

Measure	Date	Value
2022: LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	282
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	195
Number of retired or separated participants receiving benefits	2022-01-01	4
Number of other retired or separated participants entitled to future benefits	2022-01-01	80
Total of all active and inactive participants	2022-01-01	279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	1
Total participants	2022-01-01	280
Number of participants with account balances	2022-01-01	268
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	22
2021: LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	276
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	179
Number of retired or separated participants receiving benefits	2021-01-01	17
Number of other retired or separated participants entitled to future benefits	2021-01-01	76
Total of all active and inactive participants	2021-01-01	272
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	4
Total participants	2021-01-01	276
Number of participants with account balances	2021-01-01	272
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	15
2020: LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	261
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	172
Number of retired or separated participants receiving benefits	2020-01-01	13
Number of other retired or separated participants entitled to future benefits	2020-01-01	86
Total of all active and inactive participants	2020-01-01	271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	2
Total participants	2020-01-01	273
Number of participants with account balances	2020-01-01	259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	7
2019: LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	254
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	172
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	76
Total of all active and inactive participants	2019-01-01	248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	1
Total participants	2019-01-01	249
Number of participants with account balances	2019-01-01	249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	6
2018: LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	216
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	183
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	19
Total of all active and inactive participants	2018-01-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	202
Number of participants with account balances	2018-01-01	202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	5

Financial Data on LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN

Measure	Date	Value
2022 : LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$7,620,764
Total unrealized appreciation/depreciation of assets	2022-12-31	$7,620,764
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$52,037
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$38,935
Expenses. Interest paid	2022-12-31	$935
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2022-12-31	$935
Total income from all sources (including contributions)	2022-12-31	$6,044,000
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$1,604,902
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,550,916
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,087,081
Value of total assets at end of year	2022-12-31	$27,853,382
Value of total assets at beginning of year	2022-12-31	$23,401,182
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$53,051
Total interest from all sources	2022-12-31	$4,029
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$185,727
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$185,727
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$888,705
Participant contributions at end of year	2022-12-31	$138,091
Participant contributions at beginning of year	2022-12-31	$134,862
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$198,092
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$3
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$18,057
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$2,963
Other income not declared elsewhere	2022-12-31	$104,966
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	$4,439,098
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$27,801,345
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$23,362,247
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
Investment advisory and management fees	2022-12-31	$44,337
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$8,975,753
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$8,724,510
Interest on participant loans	2022-12-31	$4,029
Value of interest in common/collective trusts at end of year	2022-12-31	$0
Value of interest in common/collective trusts at beginning of year	2022-12-31	$3,537,124
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$2,862,947
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$2,748,856
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-371,787
Net investment gain or loss from common/collective trusts	2022-12-31	$-2,586,780
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	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Assets. Invements in employer securities at end of year	2022-12-31	$15,876,591
Assets. Invements in employer securities at beginning of year	2022-12-31	$8,255,827
Contributions received in cash from employer	2022-12-31	$284
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,550,916
Contract administrator fees	2022-12-31	$8,714
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	2022-12-31	Yes
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
Liabilities. Value of acquisition indebtedness at end of year	2022-12-31	$33,980
Liabilities. Value of acquisition indebtedness at beginning of year	2022-12-31	$35,972
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	BAKER TILLY US, LLP
Accountancy firm EIN	2022-12-31	390859910
2021 : LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2021-12-31	$-5,080,509
Total unrealized appreciation/depreciation of assets	2021-12-31	$-5,080,509
Total transfer of assets to this plan	2021-12-31	$102,616
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$38,935
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$37,912
Expenses. Interest paid	2021-12-31	$986
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2021-12-31	$986
Total income from all sources (including contributions)	2021-12-31	$-2,497,374
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$3,475,701
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$3,319,862
Value of total corrective distributions	2021-12-31	$9,848
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$914,178
Value of total assets at end of year	2021-12-31	$23,401,182
Value of total assets at beginning of year	2021-12-31	$29,270,618
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$145,005
Total interest from all sources	2021-12-31	$131,606
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$535,018
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$535,018
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$3,000,000
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	$886,116
Participant contributions at end of year	2021-12-31	$134,862
Participant contributions at beginning of year	2021-12-31	$73,190
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$25,136
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$3
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$1
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$2,963
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$0
Administrative expenses (other) incurred	2021-12-31	$145,005
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	$-5,973,075
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$23,362,247
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$29,232,706
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$8,724,510
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$9,415,367
Interest on participant loans	2021-12-31	$4,242
Interest earned on other investments	2021-12-31	$127,364
Value of interest in common/collective trusts at end of year	2021-12-31	$3,537,124
Value of interest in common/collective trusts at beginning of year	2021-12-31	$3,110,764
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$2,748,856
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$3,334,960
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$564,771
Net investment gain or loss from common/collective trusts	2021-12-31	$437,562
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
Assets. Invements in employer securities at end of year	2021-12-31	$8,255,827
Assets. Invements in employer securities at beginning of year	2021-12-31	$13,336,336
Contributions received in cash from employer	2021-12-31	$2,926
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$3,319,862
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
Liabilities. Value of acquisition indebtedness at end of year	2021-12-31	$35,972
Liabilities. Value of acquisition indebtedness at beginning of year	2021-12-31	$37,912
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	BAKER TILLY US, LLP
Accountancy firm EIN	2021-12-31	390859910
2020 : LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total transfer of assets to this plan	2020-12-31	$19,283
Total transfer of assets from this plan	2020-12-31	$11,962
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$37,912
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$39,800
Expenses. Interest paid	2020-12-31	$1,038
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2020-12-31	$1,038
Total income from all sources (including contributions)	2020-12-31	$7,276,220
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,477,601
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,419,793
Value of total corrective distributions	2020-12-31	$705
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,952,570
Value of total assets at end of year	2020-12-31	$29,270,618
Value of total assets at beginning of year	2020-12-31	$23,466,566
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$56,065
Total interest from all sources	2020-12-31	$104,677
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$408,312
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$408,312
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$3,000,000
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	$858,262
Participant contributions at end of year	2020-12-31	$73,190
Participant contributions at beginning of year	2020-12-31	$71,030
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$156,737
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$1
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$260
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$0
Other income not declared elsewhere	2020-12-31	$3,175,318
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	$5,798,619
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$29,232,706
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$23,426,766
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
Investment advisory and management fees	2020-12-31	$51,766
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$9,415,367
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$8,544,998
Interest on participant loans	2020-12-31	$4,215
Interest earned on other investments	2020-12-31	$100,462
Value of interest in common/collective trusts at end of year	2020-12-31	$3,110,764
Value of interest in common/collective trusts at beginning of year	2020-12-31	$2,229,161
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$3,334,960
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$2,460,099
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,296,854
Net investment gain or loss from common/collective trusts	2020-12-31	$338,489
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
Assets. Invements in employer securities at end of year	2020-12-31	$13,336,336
Assets. Invements in employer securities at beginning of year	2020-12-31	$10,161,018
Contributions received in cash from employer	2020-12-31	$937,571
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,419,793
Contract administrator fees	2020-12-31	$4,299
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
Liabilities. Value of acquisition indebtedness at end of year	2020-12-31	$37,912
Liabilities. Value of acquisition indebtedness at beginning of year	2020-12-31	$39,800
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	BAKER TILLY US, LLP
Accountancy firm EIN	2020-12-31	390859910
2019 : LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$6,619
Total transfer of assets from this plan	2019-12-31	$26,118
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$39,800
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$41,644
Expenses. Interest paid	2019-12-31	$1,083
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2019-12-31	$1,083
Total income from all sources (including contributions)	2019-12-31	$8,018,654
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$2,521,442
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,495,303
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,184,646
Value of total assets at end of year	2019-12-31	$23,466,566
Value of total assets at beginning of year	2019-12-31	$17,990,697
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$25,056
Total interest from all sources	2019-12-31	$98,940
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$382,572
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$382,572
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$3,000,000
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	$791,307
Participant contributions at end of year	2019-12-31	$71,030
Participant contributions at beginning of year	2019-12-31	$120,659
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$27,890
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$260
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$251
Other income not declared elsewhere	2019-12-31	$4,445,640
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$5,497,212
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$23,426,766
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$17,949,053
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
Investment advisory and management fees	2019-12-31	$15,709
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$8,544,998
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$9,715,894
Interest on participant loans	2019-12-31	$5,096
Interest earned on other investments	2019-12-31	$93,844
Value of interest in common/collective trusts at end of year	2019-12-31	$2,229,161
Value of interest in common/collective trusts at beginning of year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$2,460,099
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$2,436,916
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,758,383
Net investment gain or loss from common/collective trusts	2019-12-31	$148,473
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Assets. Invements in employer securities at end of year	2019-12-31	$10,161,018
Assets. Invements in employer securities at beginning of year	2019-12-31	$5,715,573
Contributions received in cash from employer	2019-12-31	$365,449
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$1,404
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,495,303
Contract administrator fees	2019-12-31	$9,347
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
Liabilities. Value of acquisition indebtedness at end of year	2019-12-31	$39,800
Liabilities. Value of acquisition indebtedness at beginning of year	2019-12-31	$41,644
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	BAKER TILLY US, LLP
Accountancy firm EIN	2019-12-31	390859910
2018 : LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$1,270,127
Total unrealized appreciation/depreciation of assets	2018-12-31	$1,270,127
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$41,644
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$43,441
Expenses. Interest paid	2018-12-31	$1,129
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2018-12-31	$1,129
Total income from all sources (including contributions)	2018-12-31	$1,754,020
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$860,688
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$853,010
Value of total corrective distributions	2018-12-31	$157
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,074,541
Value of total assets at end of year	2018-12-31	$17,990,697
Value of total assets at beginning of year	2018-12-31	$17,099,162
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$6,392
Total interest from all sources	2018-12-31	$71,699
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$662,071
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$662,071
Administrative expenses professional fees incurred	2018-12-31	$6,392
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$3,000,000
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	$722,195
Participant contributions at end of year	2018-12-31	$120,659
Participant contributions at beginning of year	2018-12-31	$149,222
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$24,723
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$15,571
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$251
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$26,163
Other income not declared elsewhere	2018-12-31	$1,251
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	$893,332
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$17,949,053
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$17,055,721
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$9,715,894
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$9,913,167
Interest on participant loans	2018-12-31	$6,913
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$300,044
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$300,044
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$64,786
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$2,436,916
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$2,082,580
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-1,325,669
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
Assets. Invements in employer securities at end of year	2018-12-31	$5,715,573
Assets. Invements in employer securities at beginning of year	2018-12-31	$4,572,155
Contributions received in cash from employer	2018-12-31	$336,775
Employer contributions (assets) at end of year	2018-12-31	$1,404
Employer contributions (assets) at beginning of year	2018-12-31	$31,108
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$853,010
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
Liabilities. Value of acquisition indebtedness at end of year	2018-12-31	$41,644
Liabilities. Value of acquisition indebtedness at beginning of year	2018-12-31	$43,441
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN	2018-12-31	390859910

Form 5500 Responses for LIBERTY MANAGEMENT NON-UNION EMPLOYEE STOCK OWNERSHIP 401(K)PLAN

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

Insurance Providers Used on plan

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

Policy contract number

MR 61066-3

Policy instance

Insurance contract or identification number	MR 61066-3
Number of Individuals Covered	0
Insurance policy start date	2022-01-01
Insurance policy end date	2022-10-28
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

772822-01

Policy instance

Insurance contract or identification number	772822-01
Number of Individuals Covered	268
Insurance policy start date	2022-10-28
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

MR 61066

Policy instance

Insurance contract or identification number	MR 61066
Number of Individuals Covered	273
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

MR 610660

Policy instance

Insurance contract or identification number	MR 610660
Number of Individuals Covered	254
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

MR 610660

Policy instance

Insurance contract or identification number	MR 610660
Number of Individuals Covered	255
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

MR 610660-3

Policy instance

Insurance contract or identification number	MR 610660-3
Number of Individuals Covered	188
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $6,043
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,043
Insurance broker organization code?	4

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Company Name:	LIBERTY BEHAVIORAL MANAGEMENT GROUP, INC.
Employer identification number (EIN):	815260872
NAIC Classification:	561490