401k Plan data: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN plan

KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 401k Plan overview

Plan Name	KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN
Plan identification number	002

KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP 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.
Stock bonus
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
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

KNICKERBOCKER GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: KNICKERBOCKER GROUP, INC.

Employer identification number (EIN): 010389577

NAIC Classification: 236110

Additional information about KNICKERBOCKER GROUP, INC.

Jurisdiction of Incorporation: Vermont Secretary of State Corporations Division

Incorporation Date: 2006-04-27

Company Identification Number: 127479

Legal Registered Office Address: PO BOX 448

BRATTLEBORO
United States of America (USA)
05301

More information about KNICKERBOCKER GROUP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01 PETER DUSSEAULT
002 2017-01-01 PETER DUSSEAULT

Plan Statistics for KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN

401k plan membership statisitcs for KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN

Measure Date Value
2022: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 103
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 85
Number of retired or separated participants receiving benefits 2022-01-01 2
Number of other retired or separated participants entitled to future benefits 2022-01-01 28
Total of all active and inactive participants 2022-01-01 115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 115
Number of participants with account balances 2022-01-01 115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 10
2021: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 95
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 80
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 24
Total of all active and inactive participants 2021-01-01 104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 104
Number of participants with account balances 2021-01-01 104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 3
2020: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 79
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 69
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 21
Total of all active and inactive participants 2020-01-01 90
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 90
Number of participants with account balances 2020-01-01 90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 3
2019: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 71
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 58
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 22
Total of all active and inactive participants 2019-01-01 81
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 81
Number of participants with account balances 2019-01-01 81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 5
2018: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 52
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 47
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 1
Total of all active and inactive participants 2018-01-01 48
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 48
Number of participants with account balances 2018-01-01 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 7
2017: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 40
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 0
Total of all active and inactive participants 2017-01-01 40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 40
Number of participants with account balances 2017-01-01 40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0

Measure	Date	Value
2022: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	103
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	85
Number of retired or separated participants receiving benefits	2022-01-01	2
Number of other retired or separated participants entitled to future benefits	2022-01-01	28
Total of all active and inactive participants	2022-01-01	115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	115
Number of participants with account balances	2022-01-01	115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	10
2021: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	95
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	80
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	24
Total of all active and inactive participants	2021-01-01	104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	104
Number of participants with account balances	2021-01-01	104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	3
2020: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	79
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	69
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	21
Total of all active and inactive participants	2020-01-01	90
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	90
Number of participants with account balances	2020-01-01	90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	3
2019: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	71
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	58
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	22
Total of all active and inactive participants	2019-01-01	81
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	81
Number of participants with account balances	2019-01-01	81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	5
2018: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	52
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	47
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	1
Total of all active and inactive participants	2018-01-01	48
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	48
Number of participants with account balances	2018-01-01	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	7
2017: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	40
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	0
Total of all active and inactive participants	2017-01-01	40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	40
Number of participants with account balances	2017-01-01	40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0

Financial Data on KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN

Measure	Date	Value
2022 : KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2022 401k financial data
Total plan liabilities at end of year	2022-12-31	$93,299
Total plan liabilities at beginning of year	2022-12-31	$94,975
Total income from all sources	2022-12-31	$-108,392
Expenses. Total of all expenses incurred	2022-12-31	$256,830
Benefits paid (including direct rollovers)	2022-12-31	$243,282
Total plan assets at end of year	2022-12-31	$9,165,917
Total plan assets at beginning of year	2022-12-31	$9,532,815
Value of fidelity bond covering the plan	2022-12-31	$954,000
Total contributions received or receivable from participants	2022-12-31	$418,094
Expenses. Other expenses not covered elsewhere	2022-12-31	$3,783
Other income received	2022-12-31	$-697,511
Net income (gross income less expenses)	2022-12-31	$-365,222
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$9,072,618
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$9,437,840
Assets. Value of employer securities	2022-12-31	$2,881,118
Total contributions received or receivable from employer(s)	2022-12-31	$171,025
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$9,765
2021 : KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2021 401k financial data
Total plan liabilities at end of year	2021-12-31	$94,975
Total plan liabilities at beginning of year	2021-12-31	$96,212
Total income from all sources	2021-12-31	$2,352,174
Expenses. Total of all expenses incurred	2021-12-31	$135,135
Benefits paid (including direct rollovers)	2021-12-31	$123,154
Total plan assets at end of year	2021-12-31	$9,532,815
Total plan assets at beginning of year	2021-12-31	$7,317,013
Value of fidelity bond covering the plan	2021-12-31	$732,000
Total contributions received or receivable from participants	2021-12-31	$361,306
Expenses. Other expenses not covered elsewhere	2021-12-31	$3,832
Contributions received from other sources (not participants or employers)	2021-12-31	$24,420
Other income received	2021-12-31	$1,825,432
Net income (gross income less expenses)	2021-12-31	$2,217,039
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$9,437,840
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$7,220,801
Assets. Value of employer securities	2021-12-31	$1,558,219
Total contributions received or receivable from employer(s)	2021-12-31	$141,016
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$8,149
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$1,563
2020 : KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2020 401k financial data
Total plan liabilities at end of year	2020-12-31	$96,212
Total plan liabilities at beginning of year	2020-12-31	$97,391
Total income from all sources	2020-12-31	$1,733,724
Expenses. Total of all expenses incurred	2020-12-31	$58,251
Benefits paid (including direct rollovers)	2020-12-31	$48,523
Total plan assets at end of year	2020-12-31	$7,317,013
Total plan assets at beginning of year	2020-12-31	$5,642,719
Value of fidelity bond covering the plan	2020-12-31	$565,000
Total contributions received or receivable from participants	2020-12-31	$127,833
Expenses. Other expenses not covered elsewhere	2020-12-31	$3,890
Contributions received from other sources (not participants or employers)	2020-12-31	$812
Other income received	2020-12-31	$1,312,267
Net income (gross income less expenses)	2020-12-31	$1,675,473
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$7,220,801
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$5,545,328
Assets. Value of employer securities	2020-12-31	$711,197
Total contributions received or receivable from employer(s)	2020-12-31	$292,812
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$5,838
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$2,961
2019 : KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$4,992,825
Total plan liabilities at end of year	2019-12-31	$97,391
Total plan liabilities at beginning of year	2019-12-31	$98,145
Total income from all sources	2019-12-31	$204,916
Expenses. Total of all expenses incurred	2019-12-31	$4,268
Benefits paid (including direct rollovers)	2019-12-31	$343
Total plan assets at end of year	2019-12-31	$5,642,719
Total plan assets at beginning of year	2019-12-31	$450,000
Value of fidelity bond covering the plan	2019-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2019-12-31	$3,925
Other income received	2019-12-31	$199,847
Net income (gross income less expenses)	2019-12-31	$200,648
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$5,545,328
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$351,855
Assets. Value of employer securities	2019-12-31	$649,504
Total contributions received or receivable from employer(s)	2019-12-31	$5,069
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$343
2018 : KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$98,145
Total plan liabilities at beginning of year	2018-12-31	$99,244
Total income from all sources	2018-12-31	$180,069
Expenses. Total of all expenses incurred	2018-12-31	$3,970
Total plan assets at end of year	2018-12-31	$450,000
Total plan assets at beginning of year	2018-12-31	$275,000
Value of fidelity bond covering the plan	2018-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2018-12-31	$3,970
Other income received	2018-12-31	$175,000
Net income (gross income less expenses)	2018-12-31	$176,099
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$351,855
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$175,756
Assets. Value of employer securities	2018-12-31	$450,000
Total contributions received or receivable from employer(s)	2018-12-31	$5,069
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$99,244
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$178,737
Expenses. Total of all expenses incurred	2017-12-31	$2,981
Total plan assets at end of year	2017-12-31	$275,000
Total plan assets at beginning of year	2017-12-31	$0
Value of fidelity bond covering the plan	2017-12-31	$500,000
Expenses. Other expenses not covered elsewhere	2017-12-31	$2,981
Other income received	2017-12-31	$175,000
Net income (gross income less expenses)	2017-12-31	$175,756
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$175,756
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$0
Assets. Value of employer securities	2017-12-31	$275,000
Total contributions received or receivable from employer(s)	2017-12-31	$3,737
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0

Form 5500 Responses for KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN

2022: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP 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 – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP 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 – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP 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 – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP 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 – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP 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 – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: KNICKERBOCKER GROUP EMPLOYEE STOCK OWNERSHIP PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

336639-01

Policy instance

Insurance contract or identification number	336639-01
Number of Individuals Covered	22
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $28,106
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 $0
Amount paid for insurance broker fees	27095
Additional information about fees paid to insurance broker	INVESTMENT MANAGEMENT FEES
Insurance broker organization code?	7

Potentially related plans

KNICKERBOCKER GROUP LLC INCENTIVE SAVINGS PLAN AND TRUST - SIMPLE 401(K) [EIN = 263295578]

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Company Name:	KNICKERBOCKER GROUP, INC.
Employer identification number (EIN):	010389577
NAIC Classification:	236110

Jurisdiction of Incorporation:	Vermont Secretary of State Corporations Division
Incorporation Date:	2006-04-27
Company Identification Number:	127479
Legal Registered Office Address:	PO BOX 448 BRATTLEBORO United States of America (USA) 05301