401k Plan data: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN plan

ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 401k Plan overview

Plan Name	ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN
Plan identification number	002

ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Money purchase (other than target benefit) 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.

401k Sponsoring company profile

ABILITY BEYOND DISABILITY, INC. has sponsored the creation of one or more 401k plans.

Company Name: ABILITY BEYOND DISABILITY, INC.

Employer identification number (EIN): 060776594

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-07-01 JEFF TOMASCAK JEFF TOMASCAK 2018-03-15
002 2015-07-01 JEFF TOMASCAK JEFF TOMASCAK 2017-04-03
002 2014-07-01 CINDY SCHNEIDER CINDY SCHNEIDER 2016-04-12
002 2013-07-01 THOMAS FANNING THOMAS FANNING 2015-03-20
002 2012-07-01 THOMAS FANNING THOMAS FANNING 2014-04-11
002 2011-07-01 THOMAS FANNING
002 2010-07-01 THOMAS FANNING
002 2009-07-01 CINDY SCHNEIDER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2016-07-01	JEFF TOMASCAK	JEFF TOMASCAK	2018-03-15
002	2015-07-01	JEFF TOMASCAK	JEFF TOMASCAK	2017-04-03
002	2014-07-01	CINDY SCHNEIDER	CINDY SCHNEIDER	2016-04-12
002	2013-07-01	THOMAS FANNING	THOMAS FANNING	2015-03-20
002	2012-07-01	THOMAS FANNING	THOMAS FANNING	2014-04-11
002	2011-07-01	THOMAS FANNING
002	2010-07-01	THOMAS FANNING
002	2009-07-01	CINDY SCHNEIDER

Plan Statistics for ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN

401k plan membership statisitcs for ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN

Measure Date Value
2016: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 507
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 0
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 0
Number of participants with account balances 2016-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 500
2015: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 604
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 439
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 64
Total of all active and inactive participants 2015-07-01 503
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 4
Total participants 2015-07-01 507
Number of participants with account balances 2015-07-01 507
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 92
2014: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 755
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 477
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 122
Total of all active and inactive participants 2014-07-01 599
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 5
Total participants 2014-07-01 604
Number of participants with account balances 2014-07-01 604
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 24
2013: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 816
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 528
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 222
Total of all active and inactive participants 2013-07-01 750
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 5
Total participants 2013-07-01 755
Number of participants with account balances 2013-07-01 754
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 10
2012: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 834
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 600
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 213
Total of all active and inactive participants 2012-07-01 813
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 3
Total participants 2012-07-01 816
Number of participants with account balances 2012-07-01 816
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 17
2011: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 914
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 672
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 161
Total of all active and inactive participants 2011-07-01 833
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 1
Total participants 2011-07-01 834
Number of participants with account balances 2011-07-01 834
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 35
2010: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 874
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 753
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 159
Total of all active and inactive participants 2010-07-01 912
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 2
Total participants 2010-07-01 914
Number of participants with account balances 2010-07-01 914
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 79
2009: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 805
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 725
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 149
Total of all active and inactive participants 2009-07-01 874
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 1
Total participants 2009-07-01 875
Number of participants with account balances 2009-07-01 874
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 63

Measure	Date	Value
2016: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	507
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	0
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	0
Number of participants with account balances	2016-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	500
2015: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	604
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	439
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	64
Total of all active and inactive participants	2015-07-01	503
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	4
Total participants	2015-07-01	507
Number of participants with account balances	2015-07-01	507
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	92
2014: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	755
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	477
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	122
Total of all active and inactive participants	2014-07-01	599
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	5
Total participants	2014-07-01	604
Number of participants with account balances	2014-07-01	604
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	24
2013: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	816
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	528
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	222
Total of all active and inactive participants	2013-07-01	750
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	5
Total participants	2013-07-01	755
Number of participants with account balances	2013-07-01	754
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	10
2012: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	834
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	600
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	213
Total of all active and inactive participants	2012-07-01	813
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	3
Total participants	2012-07-01	816
Number of participants with account balances	2012-07-01	816
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	17
2011: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	914
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	672
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	161
Total of all active and inactive participants	2011-07-01	833
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	1
Total participants	2011-07-01	834
Number of participants with account balances	2011-07-01	834
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	35
2010: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	874
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	753
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	159
Total of all active and inactive participants	2010-07-01	912
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	2
Total participants	2010-07-01	914
Number of participants with account balances	2010-07-01	914
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	79
2009: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	805
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	725
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	149
Total of all active and inactive participants	2009-07-01	874
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	1
Total participants	2009-07-01	875
Number of participants with account balances	2009-07-01	874
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	63

Financial Data on ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN

Measure	Date	Value
2017 : ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$243,081
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$5,618,848
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$5,615,410
Expenses. Certain deemed distributions of participant loans	2017-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$0
Value of total assets at end of year	2017-06-30	$0
Value of total assets at beginning of year	2017-06-30	$5,375,767
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$3,438
Total interest from all sources	2017-06-30	$14,418
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-06-30	$0
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$500,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Participant contributions at end of year	2017-06-30	$0
Participant contributions at beginning of year	2017-06-30	$0
Administrative expenses (other) incurred	2017-06-30	$3,438
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$-5,375,767
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$5,375,767
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-06-30	$2,865,651
Interest earned on other investments	2017-06-30	$14,418
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$2,510,116
Expenses. Payments to insurance carriers foe the provision of benefits	2017-06-30	$0
Net investment gain/loss from pooled separate accounts	2017-06-30	$228,663
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	No
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$5,615,410
Did the plan have assets held for investment	2017-06-30	No
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	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2017-06-30	271728945
2016 : ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$194,939
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$680,287
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$673,759
Expenses. Certain deemed distributions of participant loans	2016-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$218,177
Value of total assets at end of year	2016-06-30	$5,375,767
Value of total assets at beginning of year	2016-06-30	$5,861,115
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$6,528
Total interest from all sources	2016-06-30	$25,877
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$500,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$0
Participant contributions at end of year	2016-06-30	$0
Participant contributions at beginning of year	2016-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$218,177
Other income not declared elsewhere	2016-06-30	$0
Administrative expenses (other) incurred	2016-06-30	$6,528
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$-485,348
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$5,375,767
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$5,861,115
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$2,865,651
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$3,149,517
Interest on participant loans	2016-06-30	$0
Interest earned on other investments	2016-06-30	$25,877
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$2,510,116
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$2,711,598
Expenses. Payments to insurance carriers foe the provision of benefits	2016-06-30	$0
Net investment gain/loss from pooled separate accounts	2016-06-30	$-49,115
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	No
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$673,759
Did the plan have assets held for investment	2016-06-30	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	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2016-06-30	271728945
2015 : ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$166,005
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$331,637
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$331,251
Expenses. Certain deemed distributions of participant loans	2015-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$0
Value of total assets at end of year	2015-06-30	$5,861,115
Value of total assets at beginning of year	2015-06-30	$6,026,747
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$386
Total interest from all sources	2015-06-30	$27,179
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$500,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2015-06-30	$0
Minimum employer required contribution for this plan year	2015-06-30	$0
Amount contributed by the employer to the plan for this plan year	2015-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$0
Participant contributions at end of year	2015-06-30	$0
Participant contributions at beginning of year	2015-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$0
Other income not declared elsewhere	2015-06-30	$0
Administrative expenses (other) incurred	2015-06-30	$386
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$-165,632
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$5,861,115
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$6,026,747
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$3,149,517
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$3,250,357
Interest on participant loans	2015-06-30	$0
Interest earned on other investments	2015-06-30	$27,179
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$2,711,598
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$2,776,390
Expenses. Payments to insurance carriers foe the provision of benefits	2015-06-30	$0
Net investment gain/loss from pooled separate accounts	2015-06-30	$138,826
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$331,251
Did the plan have assets held for investment	2015-06-30	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	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	O'CONNOR DAVIES, LLP
Accountancy firm EIN	2015-06-30	271728945
2014 : ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-06-30	$0
Total income from all sources (including contributions)	2014-06-30	$558,655
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$343,151
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$342,739
Expenses. Certain deemed distributions of participant loans	2014-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$0
Value of total assets at end of year	2014-06-30	$6,026,747
Value of total assets at beginning of year	2014-06-30	$5,811,243
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$412
Total interest from all sources	2014-06-30	$28,246
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$500,000
If this is an individual account plan, was there a blackout period	2014-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2014-06-30	$0
Minimum employer required contribution for this plan year	2014-06-30	$0
Amount contributed by the employer to the plan for this plan year	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Contributions received from participants	2014-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-06-30	$0
Other income not declared elsewhere	2014-06-30	$0
Administrative expenses (other) incurred	2014-06-30	$412
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$215,504
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$6,026,747
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$5,811,243
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$3,250,357
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$2,914,890
Interest on participant loans	2014-06-30	$0
Interest earned on other investments	2014-06-30	$28,246
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$2,776,390
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$2,896,353
Expenses. Payments to insurance carriers foe the provision of benefits	2014-06-30	$0
Net investment gain/loss from pooled separate accounts	2014-06-30	$530,409
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$342,739
Did the plan have assets held for investment	2014-06-30	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	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	O'CONNOR DAVIES, LLP
Accountancy firm EIN	2014-06-30	271728945
2013 : ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$399,610
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$414,702
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$413,474
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$0
Value of total assets at end of year	2013-06-30	$5,811,243
Value of total assets at beginning of year	2013-06-30	$5,826,335
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$1,228
Total interest from all sources	2013-06-30	$40,445
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Administrative expenses professional fees incurred	2013-06-30	$1,228
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$500,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Funding deficiency by the employer to the plan for this plan year	2013-06-30	$0
Minimum employer required contribution for this plan year	2013-06-30	$0
Amount contributed by the employer to the plan for this plan year	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-06-30	$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	2013-06-30	No
Value of net income/loss	2013-06-30	$-15,092
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$5,811,243
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$5,826,335
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$2,914,890
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$2,750,310
Interest on participant loans	2013-06-30	$0
Interest earned on other investments	2013-06-30	$40,445
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$2,896,353
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$3,076,025
Expenses. Payments to insurance carriers foe the provision of benefits	2013-06-30	$0
Net investment gain/loss from pooled separate accounts	2013-06-30	$359,165
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$413,474
Did the plan have assets held for investment	2013-06-30	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	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	O'CONNOR DAVIES , LLP
Accountancy firm EIN	2013-06-30	271728945
2012 : ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-06-30	$73,278
Total of all expenses incurred	2012-06-30	$180,908
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$179,508
Value of total assets at end of year	2012-06-30	$5,826,335
Value of total assets at beginning of year	2012-06-30	$5,933,965
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$1,400
Total interest from all sources	2012-06-30	$57,754
Administrative expenses professional fees incurred	2012-06-30	$1,400
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$500,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Funding deficiency by the employer to the plan for this plan year	2012-06-30	$0
Minimum employer required contribution for this plan year	2012-06-30	$0
Amount contributed by the employer to the plan for this plan year	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Participant contributions at end of year	2012-06-30	$441,417
Participant contributions at beginning of year	2012-06-30	$370,854
Other income not declared elsewhere	2012-06-30	$1,978
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$-107,630
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$5,826,335
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$5,933,965
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in pooled separate accounts at end of year	2012-06-30	$2,750,310
Value of interest in pooled separate accounts at beginning of year	2012-06-30	$2,881,599
Interest on participant loans	2012-06-30	$123
Interest earned on other investments	2012-06-30	$57,631
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$2,634,608
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$2,681,512
Net investment gain/loss from pooled separate accounts	2012-06-30	$13,546
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$179,508
Did the plan have assets held for investment	2012-06-30	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	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	O'CONNOR DAVIES, LLP
Accountancy firm EIN	2012-06-30	271728945
2011 : ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-06-30	$660,254
Total of all expenses incurred	2011-06-30	$308,022
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$306,132
Value of total assets at end of year	2011-06-30	$5,933,965
Value of total assets at beginning of year	2011-06-30	$5,581,733
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$1,890
Total interest from all sources	2011-06-30	$70,682
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$500,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Participant contributions at end of year	2011-06-30	$370,854
Participant contributions at beginning of year	2011-06-30	$363,585
Administrative expenses (other) incurred	2011-06-30	$1,890
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$352,232
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$5,933,965
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$5,581,733
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$2,881,599
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$2,529,830
Interest on participant loans	2011-06-30	$1,460
Interest earned on other investments	2011-06-30	$69,222
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$2,681,512
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$2,688,318
Net investment gain/loss from pooled separate accounts	2011-06-30	$589,572
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$306,132
Did the plan have assets held for investment	2011-06-30	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	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	O'CONNOR DAVIES, LLP
Accountancy firm EIN	2011-06-30	133385019
2010 : ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2010 401k financial data
Funding deficiency by the employer to the plan for this plan year	2010-06-30	$0
Minimum employer required contribution for this plan year	2010-06-30	$251,102
Amount contributed by the employer to the plan for this plan year	2010-06-30	$251,102

Form 5500 Responses for ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN

2016: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	Yes
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes
2015: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: ABILITY BEYOND DISABILITY, INC RETIREMENT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

007295C

Policy instance

Insurance contract or identification number	007295C
Number of Individuals Covered	507
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $3
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	1
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	3
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	HARTFORD REGIONAL OFFICE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

007295C

Policy instance

Insurance contract or identification number	007295C
Number of Individuals Covered	604
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $4
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	1
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	4
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	HARTFORD REGIONAL OFFICE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

007295C

Policy instance

Insurance contract or identification number	007295C
Number of Individuals Covered	755
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $43
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	1
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	43
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	HARTFORD REGIONAL OFFICE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

007295C

Policy instance

Insurance contract or identification number	007295C
Number of Individuals Covered	816
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $13
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	1
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	5
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	CHRISTOPHER MCGLYNN

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

007295-C

Policy instance

Insurance contract or identification number	007295-C
Number of Individuals Covered	834
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $75
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

007295-C

Policy instance

Insurance contract or identification number	007295-C
Number of Individuals Covered	914
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ABILITY BEYOND DISABILITY, INC.
Employer identification number (EIN):	060776594
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers