401k Plan data: JPAY, INC. 401(K) PROFIT SHARING PLAN plan

JPAY, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	JPAY, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

JPAY, INC. 401(K) PROFIT SHARING 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.
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

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

Company Name: JPAY, INC.

Employer identification number (EIN): 010756761

NAIC Classification: 519100

Additional information about JPAY, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 3597023

More information about JPAY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JPAY, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01 KATE LENGYEL 2020-02-14 KATE LENGYEL 2020-02-14
001 2018-01-01 KATE LENGYEL 2019-10-15 KATE LENGYEL 2019-10-15
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01 ERROL FELDMAN ERROL FELDMAN 2015-10-13
001 2013-01-01 ERROL FELDMAN ERROL FELDMAN 2014-10-15
001 2012-01-01 ERROL FELDMAN 2013-09-10
001 2011-01-01 ERROL FELDMAN 2012-06-14
001 2010-01-01 ERROL FELDMAN 2011-08-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01	KATE LENGYEL	2020-02-14	KATE LENGYEL	2020-02-14
001	2018-01-01	KATE LENGYEL	2019-10-15	KATE LENGYEL	2019-10-15
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01	ERROL FELDMAN		ERROL FELDMAN	2015-10-13
001	2013-01-01	ERROL FELDMAN		ERROL FELDMAN	2014-10-15
001	2012-01-01	ERROL FELDMAN	2013-09-10
001	2011-01-01	ERROL FELDMAN	2012-06-14
001	2010-01-01	ERROL FELDMAN	2011-08-30

Plan Statistics for JPAY, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for JPAY, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2019: JPAY, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 261
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
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 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: JPAY, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 282
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 170
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 91
Total of all active and inactive participants 2018-01-01 261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 261
Number of participants with account balances 2018-01-01 197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: JPAY, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 261
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 189
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 77
Total of all active and inactive participants 2017-01-01 266
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 266
Number of participants with account balances 2017-01-01 201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: JPAY, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 285
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 190
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 66
Total of all active and inactive participants 2016-01-01 256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 256
Number of participants with account balances 2016-01-01 196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: JPAY, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 253
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 190
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 72
Total of all active and inactive participants 2015-01-01 262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 262
Number of participants with account balances 2015-01-01 200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: JPAY, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 213
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 186
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 52
Total of all active and inactive participants 2014-01-01 238
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 238
Number of participants with account balances 2014-01-01 192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: JPAY, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 151
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 42
Total of all active and inactive participants 2013-01-01 193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 193
Number of participants with account balances 2013-01-01 193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2019: JPAY, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	261
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
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	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: JPAY, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	282
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	170
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	91
Total of all active and inactive participants	2018-01-01	261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	261
Number of participants with account balances	2018-01-01	197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: JPAY, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	261
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	189
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	77
Total of all active and inactive participants	2017-01-01	266
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	266
Number of participants with account balances	2017-01-01	201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: JPAY, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	285
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	190
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	66
Total of all active and inactive participants	2016-01-01	256
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	256
Number of participants with account balances	2016-01-01	196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: JPAY, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	253
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	190
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	72
Total of all active and inactive participants	2015-01-01	262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	262
Number of participants with account balances	2015-01-01	200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: JPAY, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	213
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	186
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	52
Total of all active and inactive participants	2014-01-01	238
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	238
Number of participants with account balances	2014-01-01	192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: JPAY, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	151
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	42
Total of all active and inactive participants	2013-01-01	193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	193
Number of participants with account balances	2013-01-01	193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on JPAY, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2019 : JPAY, INC. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total transfer of assets from this plan	2019-04-30	$4,575,799
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-04-30	$0
Total income from all sources (including contributions)	2019-04-30	$244,333
Total of all expenses incurred	2019-04-30	$42,326
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-04-30	$41,606
Value of total assets at end of year	2019-04-30	$0
Value of total assets at beginning of year	2019-04-30	$4,373,792
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-04-30	$720
Total interest from all sources	2019-04-30	$307
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-04-30	No
Was this plan covered by a fidelity bond	2019-04-30	Yes
Value of fidelity bond cover	2019-04-30	$1,000,000
If this is an individual account plan, was there a blackout period	2019-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2019-04-30	No
Participant contributions at end of year	2019-04-30	$0
Participant contributions at beginning of year	2019-04-30	$75,230
Participant contributions at end of year	2019-04-30	$0
Participant contributions at beginning of year	2019-04-30	$32,862
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-04-30	No
Value of net income/loss	2019-04-30	$202,007
Value of net assets at end of year (total assets less liabilities)	2019-04-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2019-04-30	$4,373,792
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-04-30	No
Were any leases to which the plan was party in default or uncollectible	2019-04-30	No
Investment advisory and management fees	2019-04-30	$720
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-04-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-04-30	$3,954,184
Interest on participant loans	2019-04-30	$307
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-04-30	$244,026
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-04-30	No
Was there a failure to transmit to the plan any participant contributions	2019-04-30	No
Has the plan failed to provide any benefit when due under the plan	2019-04-30	No
Employer contributions (assets) at end of year	2019-04-30	$0
Employer contributions (assets) at beginning of year	2019-04-30	$311,516
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-04-30	$41,606
Liabilities. Value of benefit claims payable at end of year	2019-04-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2019-04-30	$0
Did the plan have assets held for investment	2019-04-30	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	2019-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-04-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-04-30	Disclaimer
Accountancy firm name	2019-04-30	DASZKAL BOLTON LLP
Accountancy firm EIN	2019-04-30	650406502
2018 : JPAY, INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$621,659
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,040,737
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,031,926
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$887,259
Value of total assets at end of year	2018-12-31	$4,373,792
Value of total assets at beginning of year	2018-12-31	$4,792,870
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$8,811
Total interest from all sources	2018-12-31	$4,548
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$575,743
Participant contributions at end of year	2018-12-31	$75,230
Participant contributions at beginning of year	2018-12-31	$97,377
Participant contributions at end of year	2018-12-31	$32,862
Participant contributions at beginning of year	2018-12-31	$12,349
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$0
Administrative expenses (other) incurred	2018-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-419,078
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$4,373,792
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$4,792,870
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
Investment advisory and management fees	2018-12-31	$8,811
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$3,954,184
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$4,390,073
Interest on participant loans	2018-12-31	$4,548
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-270,148
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	$311,516
Employer contributions (assets) at end of year	2018-12-31	$311,516
Employer contributions (assets) at beginning of year	2018-12-31	$293,071
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,031,926
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	DASZKAL BOLTON LLP
Accountancy firm EIN	2018-12-31	650406502
2017 : JPAY, INC. 401(K) PROFIT SHARING 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	$1,407,725
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$312,183
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$304,522
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$853,297
Value of total assets at end of year	2017-12-31	$4,792,870
Value of total assets at beginning of year	2017-12-31	$3,697,328
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$7,661
Total interest from all sources	2017-12-31	$4,098
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	$1,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$514,763
Participant contributions at end of year	2017-12-31	$97,377
Participant contributions at beginning of year	2017-12-31	$96,820
Participant contributions at end of year	2017-12-31	$12,349
Participant contributions at beginning of year	2017-12-31	$10,304
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$45,463
Administrative expenses (other) incurred	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,095,542
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$4,792,870
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$3,697,328
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$7,661
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$4,390,073
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$3,283,482
Interest on participant loans	2017-12-31	$4,098
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$550,330
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	$293,071
Employer contributions (assets) at end of year	2017-12-31	$293,071
Employer contributions (assets) at beginning of year	2017-12-31	$306,722
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$304,522
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	DASZKAL BOLTON LLP
Accountancy firm EIN	2017-12-31	650406502
2016 : JPAY, INC. 401(K) PROFIT SHARING 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	$1,246,445
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$295,201
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$286,711
Value of total corrective distributions	2016-12-31	$169
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,028,192
Value of total assets at end of year	2016-12-31	$3,697,328
Value of total assets at beginning of year	2016-12-31	$2,746,084
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$8,321
Total interest from all sources	2016-12-31	$3,098
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	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$565,881
Participant contributions at end of year	2016-12-31	$96,820
Participant contributions at beginning of year	2016-12-31	$60,697
Participant contributions at end of year	2016-12-31	$10,304
Participant contributions at beginning of year	2016-12-31	$16,563
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$155,589
Administrative expenses (other) incurred	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$951,244
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$3,697,328
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$2,746,084
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
Investment advisory and management fees	2016-12-31	$8,321
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$3,283,482
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$2,406,770
Interest on participant loans	2016-12-31	$3,098
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$215,155
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	$306,722
Employer contributions (assets) at end of year	2016-12-31	$306,722
Employer contributions (assets) at beginning of year	2016-12-31	$262,054
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$286,711
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	DASZKAL BOLTON LLP
Accountancy firm EIN	2016-12-31	650406502
2015 : JPAY, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$784,566
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$124,776
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$117,512
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$827,994
Value of total assets at end of year	2015-12-31	$2,746,084
Value of total assets at beginning of year	2015-12-31	$2,086,294
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$7,264
Total interest from all sources	2015-12-31	$1,346
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$469,652
Participant contributions at end of year	2015-12-31	$60,697
Participant contributions at beginning of year	2015-12-31	$16,554
Participant contributions at end of year	2015-12-31	$16,563
Participant contributions at beginning of year	2015-12-31	$5,572
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$96,288
Administrative expenses (other) incurred	2015-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$659,790
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$2,746,084
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,086,294
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$7,264
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$2,406,770
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,849,036
Interest on participant loans	2015-12-31	$1,346
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-44,774
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$262,054
Employer contributions (assets) at end of year	2015-12-31	$262,054
Employer contributions (assets) at beginning of year	2015-12-31	$215,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$117,512
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	DASZKAL BOLTON LLP
Accountancy firm EIN	2015-12-31	650406502
2014 : JPAY, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$2,121
Total income from all sources (including contributions)	2014-12-31	$670,738
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$53,481
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$44,714
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$580,631
Value of total assets at end of year	2014-12-31	$2,086,294
Value of total assets at beginning of year	2014-12-31	$1,471,158
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$8,767
Total interest from all sources	2014-12-31	$683
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$365,467
Participant contributions at end of year	2014-12-31	$16,554
Participant contributions at beginning of year	2014-12-31	$13,589
Participant contributions at end of year	2014-12-31	$5,572
Participant contributions at beginning of year	2014-12-31	$1,637
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$2,121
Administrative expenses (other) incurred	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$617,257
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,086,294
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$1,469,037
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$8,767
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$1,849,036
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$1,201,676
Interest on participant loans	2014-12-31	$683
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$89,424
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$215,164
Employer contributions (assets) at end of year	2014-12-31	$215,132
Employer contributions (assets) at beginning of year	2014-12-31	$254,256
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$44,714
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	DASZKAL BOLTON LLP
Accountancy firm EIN	2014-12-31	650406502
2013 : JPAY, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$2,121
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$684,312
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$84,599
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$76,130
Value of total corrective distributions	2013-12-31	$2,121
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$584,142
Value of total assets at end of year	2013-12-31	$1,471,158
Value of total assets at beginning of year	2013-12-31	$869,324
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$6,348
Total interest from all sources	2013-12-31	$392
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$300,025
Participant contributions at end of year	2013-12-31	$13,589
Participant contributions at beginning of year	2013-12-31	$9,101
Participant contributions at end of year	2013-12-31	$1,637
Participant contributions at beginning of year	2013-12-31	$1,637
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$29,861
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$2,121
Administrative expenses (other) incurred	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$599,713
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,469,037
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$869,324
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$6,348
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$1,201,676
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$691,314
Interest on participant loans	2013-12-31	$392
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$99,778
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$254,256
Employer contributions (assets) at end of year	2013-12-31	$254,256
Employer contributions (assets) at beginning of year	2013-12-31	$167,272
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$76,130
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	DASZKAL BOLTON LLP
Accountancy firm EIN	2013-12-31	650406502

Form 5500 Responses for JPAY, INC. 401(K) PROFIT SHARING PLAN

2019: JPAY, INC. 401(K) PROFIT SHARING 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	Yes
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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 - Trust	Yes
2018: JPAY, INC. 401(K) PROFIT SHARING 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 - Trust	Yes
2017: JPAY, INC. 401(K) PROFIT SHARING 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 - Trust	Yes
2016: JPAY, INC. 401(K) PROFIT SHARING 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 - Trust	Yes
2015: JPAY, INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: JPAY, INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: JPAY, INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - 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

78818

Policy instance

Insurance contract or identification number	78818
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $195
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	195
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker organization code?	5

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

Policy contract number

78818

Policy instance

Insurance contract or identification number	78818
Number of Individuals Covered	197
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $20,206
Total amount of fees paid to insurance company	USD $4,141
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $17,100
Insurance broker organization code?	3
Amount paid for insurance broker fees	4141
Additional information about fees paid to insurance broker	ADMINISTRATIVE EXPENSES/COMPENSATION.

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

Policy contract number

78818

Policy instance

Insurance contract or identification number	78818
Number of Individuals Covered	202
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $18,315
Total amount of fees paid to insurance company	USD $2,725
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,315
Insurance broker organization code?	3
Amount paid for insurance broker fees	2725
Additional information about fees paid to insurance broker	ADMINISTRATIVE EXPENSES.
Insurance broker name	THE PENSION SPECIALISTS, LTD.

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

Policy contract number

78818

Policy instance

Insurance contract or identification number	78818
Number of Individuals Covered	204
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $10,597
Total amount of fees paid to insurance company	USD $1,660
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,597
Insurance broker organization code?	3
Amount paid for insurance broker fees	1660
Additional information about fees paid to insurance broker	TPA FEES.
Insurance broker name	THE PENSION SPECIALISTS, LTD.

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

Policy contract number

78818

Policy instance

Insurance contract or identification number	78818
Number of Individuals Covered	191
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $7,536
Total amount of fees paid to insurance company	USD $985
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,536
Insurance broker organization code?	3
Amount paid for insurance broker fees	985
Additional information about fees paid to insurance broker	TPA FEES.
Insurance broker name	THE PENSION SPECIALISTS, LTD.

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

Policy contract number

78818

Policy instance

Insurance contract or identification number	78818
Number of Individuals Covered	138
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $4,398
Total amount of fees paid to insurance company	USD $400
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,398
Insurance broker organization code?	3
Amount paid for insurance broker fees	400
Additional information about fees paid to insurance broker	ADMINISTRATIVE EXPENSES
Insurance broker name	THE PENSION SPECIALISTS, LTD.

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Company Name:	JPAY, INC.
Employer identification number (EIN):	010756761
NAIC Classification:	519100

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	3597023