401k Plan data: CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN plan

CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN 401k Plan overview

Plan Name	CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN
Plan identification number	504

CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

CONSUMER TESTING LABORATORIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: CONSUMER TESTING LABORATORIES, INC.

Employer identification number (EIN): 042206004

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Additional information about CONSUMER TESTING LABORATORIES, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2002-06-21

Company Identification Number: P02000069120

Legal Registered Office Address: 1200 South Pine Island Road

Plantation

33324

More information about CONSUMER TESTING LABORATORIES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2014-03-01 PATRICIA A. BARNES
504 2014-03-01 BRAD EASLEY
504 2013-03-01 JIM MADDEN

Plan id#	Filing Submission Date	Name of Administrator
504	2014-03-01	PATRICIA A. BARNES
504	2014-03-01	BRAD EASLEY
504	2013-03-01	JIM MADDEN

Plan Statistics for CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN

401k plan membership statisitcs for CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN

Measure Date Value
2014: CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN 2014 401k membership
Total participants, beginning-of-year 2014-03-01 400
Total number of active participants reported on line 7a of the Form 5500 2014-03-01 0
Number of retired or separated participants receiving benefits 2014-03-01 0
Number of other retired or separated participants entitled to future benefits 2014-03-01 0
Total of all active and inactive participants 2014-03-01 0
2013: CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN 2013 401k membership
Total participants, beginning-of-year 2013-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2013-03-01 400
Number of retired or separated participants receiving benefits 2013-03-01 0
Number of other retired or separated participants entitled to future benefits 2013-03-01 0
Total of all active and inactive participants 2013-03-01 400

Measure	Date	Value
2014: CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN 2014 401k membership
Total participants, beginning-of-year	2014-03-01	400
Total number of active participants reported on line 7a of the Form 5500	2014-03-01	0
Number of retired or separated participants receiving benefits	2014-03-01	0
Number of other retired or separated participants entitled to future benefits	2014-03-01	0
Total of all active and inactive participants	2014-03-01	0
2013: CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN 2013 401k membership
Total participants, beginning-of-year	2013-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2013-03-01	400
Number of retired or separated participants receiving benefits	2013-03-01	0
Number of other retired or separated participants entitled to future benefits	2013-03-01	0
Total of all active and inactive participants	2013-03-01	400

Form 5500 Responses for CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN

2014: CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN 2014 form 5500 responses
2014-03-01	Type of plan entity	Single employer plan
2014-03-01	Submission has been amended	Yes
2014-03-01	This submission is the final filing	Yes
2014-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-03-01	Plan is a collectively bargained plan	No
2014-03-01	Plan funding arrangement – Insurance	Yes
2014-03-01	Plan benefit arrangement – Insurance	Yes
2013: CONSUMER TESTING LABS LIFE, ADD, STD AND LTD PLAN 2013 form 5500 responses
2013-03-01	Type of plan entity	Single employer plan
2013-03-01	First time form 5500 has been submitted	Yes
2013-03-01	Submission has been amended	No
2013-03-01	This submission is the final filing	No
2013-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-03-01	Plan is a collectively bargained plan	No
2013-03-01	Plan funding arrangement – Insurance	Yes
2013-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0ALW8

Policy instance

Insurance contract or identification number	GLUG0ALW8
Number of Individuals Covered	427
Insurance policy start date	2013-08-01
Insurance policy end date	2014-07-31
Total amount of commissions paid to insurance broker	USD $36,472
Total amount of fees paid to insurance company	USD $5,239
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $200,007
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,472
Amount paid for insurance broker fees	5239
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	LEGACY CAPITAL GROUP ARKANSAS, LLC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0ALW8

Policy instance

Insurance contract or identification number	GLUG0ALW8
Number of Individuals Covered	400
Insurance policy start date	2012-08-01
Insurance policy end date	2013-07-31
Total amount of commissions paid to insurance broker	USD $36,813
Total amount of fees paid to insurance company	USD $2,031
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $203,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,813
Amount paid for insurance broker fees	2031
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	LEGACY CAPITAL GROUP ARKANSAS, LLC

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Company Name:	CONSUMER TESTING LABORATORIES, INC.
Employer identification number (EIN):	042206004
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2002-06-21
Company Identification Number:	P02000069120
Legal Registered Office Address:	1200 South Pine Island Road Plantation 33324