401k Plan data: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN plan

QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN
Plan identification number	001

QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

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

Company Name: QUALITY ASSOCIATES, INC.

Employer identification number (EIN): 061141281

NAIC Classification: 236110

Additional information about QUALITY ASSOCIATES, INC.

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 1999-01-27

Company Identification Number: 19991158985

Legal Registered Office Address: 340 KILBORNE AVE STE 100

RENO
United States of America (USA)
89509

More information about QUALITY ASSOCIATES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 THERESA FIORE 2023-10-12 THERESA FIORE 2023-10-12
001 2021-01-01 THERESA FIORE 2022-04-21
001 2020-01-01
001 2019-01-01 ANTHONY WARD AS ATTORNEY 2020-09-25
001 2018-01-01 ERISA FIDUCIARY SERVICES 2019-04-29 ERISA FIDUCIARY SERVICES 2019-04-29
001 2017-01-01 THERESA R. FIORE 2018-10-15
001 2016-01-01 THERESA R. FIORE 2017-05-31
001 2015-01-01 THERESA R. FIORE 2016-10-13
001 2014-01-01 THERESA R. FIORE
001 2013-01-01 THERESA R. FIORE
001 2012-01-01 THERESA R. FIORE
001 2011-01-01 THERESA R. FIORE
001 2009-01-01 THERESA R. FIORE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	THERESA FIORE	2023-10-12	THERESA FIORE	2023-10-12
001	2021-01-01	THERESA FIORE	2022-04-21
001	2020-01-01
001	2019-01-01	ANTHONY WARD AS ATTORNEY	2020-09-25
001	2018-01-01	ERISA FIDUCIARY SERVICES	2019-04-29	ERISA FIDUCIARY SERVICES	2019-04-29
001	2017-01-01	THERESA R. FIORE	2018-10-15
001	2016-01-01	THERESA R. FIORE	2017-05-31
001	2015-01-01	THERESA R. FIORE	2016-10-13
001	2014-01-01	THERESA R. FIORE
001	2013-01-01	THERESA R. FIORE
001	2012-01-01	THERESA R. FIORE
001	2011-01-01	THERESA R. FIORE
001	2009-01-01	THERESA R. FIORE

Plan Statistics for QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN

Measure Date Value
2014: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 82
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 56
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 26
Total of all active and inactive participants 2014-01-01 82
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 82
Number of participants with account balances 2014-01-01 72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 85
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 56
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 25
Total of all active and inactive participants 2013-01-01 81
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 82
Number of participants with account balances 2013-01-01 72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 85
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 55
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 30
Total of all active and inactive participants 2012-01-01 85
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 85
Number of participants with account balances 2012-01-01 77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 86
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 68
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 17
Total of all active and inactive participants 2011-01-01 85
Total participants 2011-01-01 85
Number of participants with account balances 2011-01-01 76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 91
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 76
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 11
Total of all active and inactive participants 2009-01-01 87
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 87
Number of participants with account balances 2009-01-01 59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	82
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	56
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	26
Total of all active and inactive participants	2014-01-01	82
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	82
Number of participants with account balances	2014-01-01	72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	85
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	56
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	25
Total of all active and inactive participants	2013-01-01	81
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	82
Number of participants with account balances	2013-01-01	72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	85
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	55
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	30
Total of all active and inactive participants	2012-01-01	85
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	85
Number of participants with account balances	2012-01-01	77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	86
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	68
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	17
Total of all active and inactive participants	2011-01-01	85
Total participants	2011-01-01	85
Number of participants with account balances	2011-01-01	76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	91
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	76
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	11
Total of all active and inactive participants	2009-01-01	87
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	87
Number of participants with account balances	2009-01-01	59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2014 : QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$200,004
Expenses. Total of all expenses incurred	2014-12-31	$195,745
Benefits paid (including direct rollovers)	2014-12-31	$195,745
Total plan assets at end of year	2014-12-31	$1,837,054
Total plan assets at beginning of year	2014-12-31	$1,832,795
Value of fidelity bond covering the plan	2014-12-31	$200,000
Total contributions received or receivable from participants	2014-12-31	$77,976
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$112,479
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$4,259
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,837,054
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,832,795
Assets. Value of participant loans	2014-12-31	$181,365
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2014-12-31	$77,976
Total contributions received or receivable from employer(s)	2014-12-31	$9,549
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$0
2013 : QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$443,798
Expenses. Total of all expenses incurred	2013-12-31	$288,697
Benefits paid (including direct rollovers)	2013-12-31	$288,697
Total plan assets at end of year	2013-12-31	$1,832,795
Total plan assets at beginning of year	2013-12-31	$1,677,694
Value of fidelity bond covering the plan	2013-12-31	$200,000
Total contributions received or receivable from participants	2013-12-31	$76,192
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$242,419
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$155,101
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,832,795
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,677,694
Assets. Value of participant loans	2013-12-31	$222,062
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2013-12-31	$76,192
Total contributions received or receivable from employer(s)	2013-12-31	$125,187
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$253,959
Expenses. Total of all expenses incurred	2012-12-31	$212,764
Benefits paid (including direct rollovers)	2012-12-31	$212,764
Total plan assets at end of year	2012-12-31	$1,677,694
Total plan assets at beginning of year	2012-12-31	$1,636,499
Value of fidelity bond covering the plan	2012-12-31	$200,000
Total contributions received or receivable from participants	2012-12-31	$98,265
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$139,112
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$41,195
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,677,694
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,636,499
Assets. Value of participant loans	2012-12-31	$196,255
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2012-12-31	$81,281
Total contributions received or receivable from employer(s)	2012-12-31	$16,582
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
2011 : QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$210,281
Expenses. Total of all expenses incurred	2011-12-31	$333,504
Benefits paid (including direct rollovers)	2011-12-31	$333,504
Total plan assets at end of year	2011-12-31	$1,636,499
Total plan assets at beginning of year	2011-12-31	$1,759,722
Value of fidelity bond covering the plan	2011-12-31	$110,000
Total contributions received or receivable from participants	2011-12-31	$113,420
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-33,875
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$-123,223
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,636,499
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,759,722
Assets. Value of participant loans	2011-12-31	$223,177
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2011-12-31	$108,831
Total contributions received or receivable from employer(s)	2011-12-31	$130,736
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$538,025
Expenses. Total of all expenses incurred	2010-12-31	$74,283
Benefits paid (including direct rollovers)	2010-12-31	$74,283
Total plan assets at end of year	2010-12-31	$1,759,722
Total plan assets at beginning of year	2010-12-31	$1,295,980
Value of fidelity bond covering the plan	2010-12-31	$100,000
Total contributions received or receivable from participants	2010-12-31	$115,902
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$114,861
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$463,742
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,759,722
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,295,980
Assets. Value of participant loans	2010-12-31	$399,089
Total contributions received or receivable from employer(s)	2010-12-31	$307,262
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN

2014: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: QUALITY ASSOCIATES, INC. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	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

GAP50U997/98

Policy instance

Insurance contract or identification number	GAP50U997/98
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $8,185
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,185
Insurance broker organization code?	7
Insurance broker name	AMERIPRISE FINANCIAL SERVICES

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

Policy contract number

GAP50U997/98

Policy instance

Insurance contract or identification number	GAP50U997/98
Number of Individuals Covered	72
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $884
Total amount of fees paid to insurance company	USD $6,781
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $884
Insurance broker organization code?	7
Amount paid for insurance broker fees	6781
Additional information about fees paid to insurance broker	ADMINISTRATIVE FEES
Insurance broker name	WELLS THOMAS, LLC

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

Policy contract number

GAP50U997/98

Policy instance

Insurance contract or identification number	GAP50U997/98
Number of Individuals Covered	75
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $7,950
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,950
Insurance broker organization code?	7
Insurance broker name	AMERIPRISE FINANCIAL SERVICES

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

Policy contract number

GAP50U997/98

Policy instance

Insurance contract or identification number	GAP50U997/98
Number of Individuals Covered	75
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $8,206
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

GAP50U997/98

Policy instance

Insurance contract or identification number	GAP50U997/98
Number of Individuals Covered	75
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $6,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,896
Insurance broker organization code?	7
Insurance broker name	AMERIPRISE FINANCIAL SERVICES

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See full terms and conditions

Company Name:	QUALITY ASSOCIATES, INC.
Employer identification number (EIN):	061141281
NAIC Classification:	236110

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	1999-01-27
Company Identification Number:	19991158985
Legal Registered Office Address:	340 KILBORNE AVE STE 100 RENO United States of America (USA) 89509