401k Plan data: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN plan

JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN
Plan identification number	001

JOHN GALT STAFFING, INC. RETIREMENT SAVINGS 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

JOHN GALT STAFFING, INC. has sponsored the creation of one or more 401k plans.

Company Name: JOHN GALT STAFFING, INC.

Employer identification number (EIN): 043374474

NAIC Classification: 561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 ROBERT SIEMERING ROBERT SIEMERING 2018-10-15
001 2016-01-01 ROBERT SIEMERING ROBERT SIEMERING 2017-10-16
001 2015-01-01 ROBERT SIEMERING 2016-07-22 ROBERT SIEMERING 2016-07-22
001 2014-01-01 ROBERT SIEMERING 2015-05-28 ROBERT SIEMERING 2015-05-28
001 2013-01-01 ROBERT SIEMERING 2014-08-07 ROBERT SIEMERING 2014-08-07
001 2012-01-01 ROBERT SIEMERING 2013-06-25 ROBERT SIEMERING 2013-06-25
001 2011-01-01 ROBERT SIEMERING 2012-06-05 ROBERT SIEMERING 2012-06-05
001 2010-01-01 ROBERT SIEMERING 2012-05-31 ROBERT SIEMERING 2012-05-31
001 2008-01-01 ROBERT SIEMERING

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	ROBERT SIEMERING		ROBERT SIEMERING	2018-10-15
001	2016-01-01	ROBERT SIEMERING		ROBERT SIEMERING	2017-10-16
001	2015-01-01	ROBERT SIEMERING	2016-07-22	ROBERT SIEMERING	2016-07-22
001	2014-01-01	ROBERT SIEMERING	2015-05-28	ROBERT SIEMERING	2015-05-28
001	2013-01-01	ROBERT SIEMERING	2014-08-07	ROBERT SIEMERING	2014-08-07
001	2012-01-01	ROBERT SIEMERING	2013-06-25	ROBERT SIEMERING	2013-06-25
001	2011-01-01	ROBERT SIEMERING	2012-06-05	ROBERT SIEMERING	2012-06-05
001	2010-01-01	ROBERT SIEMERING	2012-05-31	ROBERT SIEMERING	2012-05-31
001	2008-01-01	ROBERT SIEMERING

Plan Statistics for JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN

Measure Date Value
2022: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 196
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 110
Number of retired or separated participants receiving benefits 2022-01-01 11
Number of other retired or separated participants entitled to future benefits 2022-01-01 46
Total of all active and inactive participants 2022-01-01 167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 167
Number of participants with account balances 2022-01-01 161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 12
2021: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 193
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 93
Number of retired or separated participants receiving benefits 2021-01-01 13
Number of other retired or separated participants entitled to future benefits 2021-01-01 69
Total of all active and inactive participants 2021-01-01 175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 175
Number of participants with account balances 2021-01-01 174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 27
2020: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 189
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 110
Number of retired or separated participants receiving benefits 2020-01-01 10
Number of other retired or separated participants entitled to future benefits 2020-01-01 41
Total of all active and inactive participants 2020-01-01 161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 161
Number of participants with account balances 2020-01-01 158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 18
2019: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 169
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 99
Number of retired or separated participants receiving benefits 2019-01-01 14
Number of other retired or separated participants entitled to future benefits 2019-01-01 43
Total of all active and inactive participants 2019-01-01 156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 156
Number of participants with account balances 2019-01-01 152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 26
2018: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 166
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 103
Number of retired or separated participants receiving benefits 2018-01-01 11
Number of other retired or separated participants entitled to future benefits 2018-01-01 32
Total of all active and inactive participants 2018-01-01 146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 146
Number of participants with account balances 2018-01-01 141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 17
2017: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 162
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 95
Number of retired or separated participants receiving benefits 2017-01-01 13
Number of other retired or separated participants entitled to future benefits 2017-01-01 35
Total of all active and inactive participants 2017-01-01 143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 143
Number of participants with account balances 2017-01-01 137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 23
2016: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 94
Number of retired or separated participants receiving benefits 2016-01-01 16
Number of other retired or separated participants entitled to future benefits 2016-01-01 22
Total of all active and inactive participants 2016-01-01 132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 132
Number of participants with account balances 2016-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 21
2008: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 51
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 38
Number of retired or separated participants receiving benefits 2008-01-01 9
Number of other retired or separated participants entitled to future benefits 2008-01-01 9
Total of all active and inactive participants 2008-01-01 56
Total participants 2008-01-01 56
Number of participants with account balances 2008-01-01 32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 7

Measure	Date	Value
2022: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	196
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	110
Number of retired or separated participants receiving benefits	2022-01-01	11
Number of other retired or separated participants entitled to future benefits	2022-01-01	46
Total of all active and inactive participants	2022-01-01	167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	167
Number of participants with account balances	2022-01-01	161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	12
2021: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	193
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	93
Number of retired or separated participants receiving benefits	2021-01-01	13
Number of other retired or separated participants entitled to future benefits	2021-01-01	69
Total of all active and inactive participants	2021-01-01	175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	175
Number of participants with account balances	2021-01-01	174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	27
2020: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	189
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	110
Number of retired or separated participants receiving benefits	2020-01-01	10
Number of other retired or separated participants entitled to future benefits	2020-01-01	41
Total of all active and inactive participants	2020-01-01	161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	161
Number of participants with account balances	2020-01-01	158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	18
2019: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	169
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	99
Number of retired or separated participants receiving benefits	2019-01-01	14
Number of other retired or separated participants entitled to future benefits	2019-01-01	43
Total of all active and inactive participants	2019-01-01	156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	156
Number of participants with account balances	2019-01-01	152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	26
2018: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	166
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	103
Number of retired or separated participants receiving benefits	2018-01-01	11
Number of other retired or separated participants entitled to future benefits	2018-01-01	32
Total of all active and inactive participants	2018-01-01	146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	146
Number of participants with account balances	2018-01-01	141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	17
2017: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	162
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	95
Number of retired or separated participants receiving benefits	2017-01-01	13
Number of other retired or separated participants entitled to future benefits	2017-01-01	35
Total of all active and inactive participants	2017-01-01	143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	143
Number of participants with account balances	2017-01-01	137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	23
2016: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	94
Number of retired or separated participants receiving benefits	2016-01-01	16
Number of other retired or separated participants entitled to future benefits	2016-01-01	22
Total of all active and inactive participants	2016-01-01	132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	132
Number of participants with account balances	2016-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	21
2008: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	51
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	38
Number of retired or separated participants receiving benefits	2008-01-01	9
Number of other retired or separated participants entitled to future benefits	2008-01-01	9
Total of all active and inactive participants	2008-01-01	56
Total participants	2008-01-01	56
Number of participants with account balances	2008-01-01	32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	7

Financial Data on JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN

Measure	Date	Value
2022 : JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$50,995
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$105,934
Total income from all sources (including contributions)	2022-12-31	$-1,602,766
Total of all expenses incurred	2022-12-31	$1,345,772
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,243,482
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,198,787
Value of total assets at end of year	2022-12-31	$12,227,821
Value of total assets at beginning of year	2022-12-31	$15,231,298
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$102,290
Total interest from all sources	2022-12-31	$561
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Administrative expenses professional fees incurred	2022-12-31	$102,290
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$606,104
Participant contributions at end of year	2022-12-31	$8,412
Participant contributions at beginning of year	2022-12-31	$15,160
Participant contributions at end of year	2022-12-31	$12,216
Participant contributions at beginning of year	2022-12-31	$1,651
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	$-2,948,538
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$12,176,826
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$15,125,364
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$10,849,746
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$13,849,420
Interest on participant loans	2022-12-31	$561
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$764,764
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$658,594
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-2,802,114
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	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$592,683
Employer contributions (assets) at end of year	2022-12-31	$592,683
Employer contributions (assets) at beginning of year	2022-12-31	$706,473
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,243,482
Liabilities. Value of benefit claims payable at end of year	2022-12-31	$50,995
Liabilities. Value of benefit claims payable at beginning of year	2022-12-31	$105,934
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
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	CARON & BLETZER, PLLC
Accountancy firm EIN	2022-12-31	043499945
2021 : JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$105,934
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$109,817
Total income from all sources (including contributions)	2021-12-31	$3,207,861
Total of all expenses incurred	2021-12-31	$964,053
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$856,211
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,390,145
Value of total assets at end of year	2021-12-31	$15,231,298
Value of total assets at beginning of year	2021-12-31	$12,991,373
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$107,842
Total interest from all sources	2021-12-31	$516
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Administrative expenses professional fees incurred	2021-12-31	$107,842
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$1,000,000
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	$684,320
Participant contributions at end of year	2021-12-31	$15,160
Participant contributions at end of year	2021-12-31	$1,651
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	$2,243,808
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$15,125,364
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$12,881,556
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	$13,849,420
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$12,018,833
Interest on participant loans	2021-12-31	$516
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$658,594
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$277,976
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,817,200
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	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$705,825
Employer contributions (assets) at end of year	2021-12-31	$706,473
Employer contributions (assets) at beginning of year	2021-12-31	$694,564
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$856,211
Liabilities. Value of benefit claims payable at end of year	2021-12-31	$105,934
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$109,817
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
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	CARON & BLETZER, PLLC
Accountancy firm EIN	2021-12-31	043499945
2020 : JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$109,817
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$123,971
Total income from all sources (including contributions)	2020-12-31	$3,688,171
Total of all expenses incurred	2020-12-31	$519,845
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$439,725
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,387,584
Value of total assets at end of year	2020-12-31	$12,991,373
Value of total assets at beginning of year	2020-12-31	$9,837,201
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$80,120
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$80,120
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$1,000,000
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	$695,211
Participant contributions at beginning of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$221
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	$3,168,326
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$12,881,556
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$9,713,230
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$12,018,833
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$8,876,914
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$277,976
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$429,048
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$2,300,587
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
Contributions received in cash from employer	2020-12-31	$692,373
Employer contributions (assets) at end of year	2020-12-31	$694,564
Employer contributions (assets) at beginning of year	2020-12-31	$531,018
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$439,725
Liabilities. Value of benefit claims payable at end of year	2020-12-31	$109,817
Liabilities. Value of benefit claims payable at beginning of year	2020-12-31	$123,971
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
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	CARON & BLETZER, PLLC
Accountancy firm EIN	2020-12-31	043499945
2019 : JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$123,971
Total income from all sources (including contributions)	2019-12-31	$2,878,981
Total of all expenses incurred	2019-12-31	$627,973
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$563,013
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,132,772
Value of total assets at end of year	2019-12-31	$9,837,201
Value of total assets at beginning of year	2019-12-31	$7,462,222
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$64,960
Total interest from all sources	2019-12-31	$9,772
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Administrative expenses professional fees incurred	2019-12-31	$64,960
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$1,000,000
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	$601,754
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$5,227
Participant contributions at end of year	2019-12-31	$221
Participant contributions at beginning of year	2019-12-31	$500
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	$2,251,008
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$9,713,230
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$7,462,222
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$8,876,914
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$6,494,058
Interest on participant loans	2019-12-31	$242
Interest earned on other investments	2019-12-31	$9,530
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$429,048
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$477,154
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,736,437
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	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$531,018
Employer contributions (assets) at end of year	2019-12-31	$531,018
Employer contributions (assets) at beginning of year	2019-12-31	$485,283
Income. Dividends from preferred stock	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$563,013
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$123,971
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
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	CARON & BLETZER, PLLC
Accountancy firm EIN	2019-12-31	043499945
2018 : JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$710,607
Total of all expenses incurred	2018-12-31	$149,839
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$83,235
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,130,081
Value of total assets at end of year	2018-12-31	$7,462,222
Value of total assets at beginning of year	2018-12-31	$6,901,454
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$66,604
Total interest from all sources	2018-12-31	$178
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$66,604
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
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	$644,798
Participant contributions at end of year	2018-12-31	$5,227
Participant contributions at beginning of year	2018-12-31	$0
Participant contributions at end of year	2018-12-31	$500
Participant contributions at beginning of year	2018-12-31	$11,215
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	$560,768
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$7,462,222
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$6,901,454
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	$6,494,058
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$6,082,798
Interest on participant loans	2018-12-31	$178
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$477,154
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$279,702
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-419,652
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	Yes
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	$485,283
Employer contributions (assets) at end of year	2018-12-31	$485,283
Employer contributions (assets) at beginning of year	2018-12-31	$527,739
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$83,235
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	CARON & BLETZER, PLLC
Accountancy firm EIN	2018-12-31	043499945
2017 : JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$2,004,219
Total of all expenses incurred	2017-12-31	$242,968
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$188,464
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,056,390
Value of total assets at end of year	2017-12-31	$6,901,454
Value of total assets at beginning of year	2017-12-31	$5,140,203
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$54,504
Total interest from all sources	2017-12-31	$117
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$54,504
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$528,651
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$12,039
Participant contributions at end of year	2017-12-31	$11,215
Participant contributions at beginning of year	2017-12-31	$2,274
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	$1,761,251
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$6,901,454
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$5,140,203
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$6,082,798
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$4,232,331
Income. Interest from loans (other than to participants)	2017-12-31	$117
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$279,702
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$365,509
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$947,712
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	$527,739
Employer contributions (assets) at end of year	2017-12-31	$527,739
Employer contributions (assets) at beginning of year	2017-12-31	$528,050
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$188,464
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	CARON & BLETZER, PLLC
Accountancy firm EIN	2017-12-31	043499945
2016 : JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$1,322,991
Total of all expenses incurred	2016-12-31	$184,482
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$143,285
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$979,658
Value of total assets at end of year	2016-12-31	$5,140,203
Value of total assets at beginning of year	2016-12-31	$4,001,694
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$41,197
Total interest from all sources	2016-12-31	$447
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$41,197
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$350,000
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	$451,608
Participant contributions at end of year	2016-12-31	$12,039
Participant contributions at end of year	2016-12-31	$2,274
Participant contributions at beginning of year	2016-12-31	$1,334
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	$1,138,509
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$5,140,203
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,001,694
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$4,232,331
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$3,365,621
Interest on participant loans	2016-12-31	$447
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$365,509
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$191,012
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$342,886
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	$528,050
Employer contributions (assets) at end of year	2016-12-31	$528,050
Employer contributions (assets) at beginning of year	2016-12-31	$443,727
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$143,285
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	CARON & BLETZER, PLLC
Accountancy firm EIN	2016-12-31	043499945

Form 5500 Responses for JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN

2022: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS 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: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS 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: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS 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: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS 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: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS 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
2017: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS 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 – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS 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 – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2008: JOHN GALT STAFFING, INC. RETIREMENT SAVINGS PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	Yes
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-HL8Y

Policy instance

Insurance contract or identification number	GAP-CP-HL8Y
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $2,923
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $2,923
Insurance broker organization code?	6

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-HL8Y

Policy instance

Insurance contract or identification number	GAP-CP-HL8Y
Number of Individuals Covered	16
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $2,436
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $2,436
Insurance broker organization code?	6

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-HL8Y

Policy instance

Insurance contract or identification number	GAP-CP-HL8Y
Number of Individuals Covered	17
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $1,494
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $347
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-CP-HL8Y

Policy instance

Insurance contract or identification number	GAP-CP-HL8Y
Number of Individuals Covered	24
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,047
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $2,047
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-B0-HL8Y

Policy instance

Insurance contract or identification number	GAP-B0-HL8Y
Number of Individuals Covered	24
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $1,820
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,820
Insurance broker organization code?	3
Insurance broker name	FIRST ALLIED SECURITIES INC

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Company Name:	JOHN GALT STAFFING, INC.
Employer identification number (EIN):	043374474
NAIC Classification:	561300