401k Plan data: BOOM HEALTH RETIREMENT PLAN plan

BOOM HEALTH RETIREMENT PLAN 401k Plan overview

Plan Name	BOOM HEALTH RETIREMENT PLAN
Plan identification number	001

BOOM HEALTH RETIREMENT 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.
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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

BOOM HEALTH has sponsored the creation of one or more 401k plans.

Company Name: BOOM HEALTH

Employer identification number (EIN): 133599121

NAIC Classification: 624200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOOM HEALTH RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01
001 2017-01-01 MATTHEW ARMANDI MATTHEW ARMANDI 2018-10-15
001 2016-07-01 INEZ SEGARRA INEZ SEGARRA 2017-10-16
001 2015-07-01 INEZ SEGARRA INEZ SEGARRA 2017-04-10
001 2014-07-01 INEZ SEGARRA INEZ SEGARRA 2016-04-11
001 2013-07-01 INEZ SEGARRA
001 2012-07-01 PLAN SPONSOR
001 2011-07-01 INEZ SEGARRA
001 2009-07-01 INEZ SEGARRA
001 2008-07-01 INEZ SEGARRA MICHAEL WINTER 2010-11-08
001 2007-07-01 INEZ SEGARRA MICHAEL WINTER 2010-11-08
001 2006-07-01 INEZ SEGARRA MICHAEL WINTER 2010-11-08

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01
001	2018-01-01
001	2017-01-01	MATTHEW ARMANDI	MATTHEW ARMANDI	2018-10-15
001	2016-07-01	INEZ SEGARRA	INEZ SEGARRA	2017-10-16
001	2015-07-01	INEZ SEGARRA	INEZ SEGARRA	2017-04-10
001	2014-07-01	INEZ SEGARRA	INEZ SEGARRA	2016-04-11
001	2013-07-01	INEZ SEGARRA
001	2012-07-01	PLAN SPONSOR
001	2011-07-01	INEZ SEGARRA
001	2009-07-01	INEZ SEGARRA
001	2008-07-01	INEZ SEGARRA	MICHAEL WINTER	2010-11-08
001	2007-07-01	INEZ SEGARRA	MICHAEL WINTER	2010-11-08
001	2006-07-01	INEZ SEGARRA	MICHAEL WINTER	2010-11-08

Plan Statistics for BOOM HEALTH RETIREMENT PLAN

401k plan membership statisitcs for BOOM HEALTH RETIREMENT PLAN

Measure Date Value
2019: BOOM HEALTH RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 271
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: BOOM HEALTH RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 98
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 39
Total of all active and inactive participants 2018-01-01 137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 137
Number of participants with account balances 2018-01-01 71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 7
2017: BOOM HEALTH RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 199
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 126
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 20
Total of all active and inactive participants 2017-01-01 146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 146
Number of participants with account balances 2017-01-01 88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 5
2016: BOOM HEALTH RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 154
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 117
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 20
Total of all active and inactive participants 2016-07-01 137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 137
Number of participants with account balances 2016-07-01 71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 2
2015: BOOM HEALTH RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 151
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 173
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 15
Total of all active and inactive participants 2015-07-01 188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 188
Number of participants with account balances 2015-07-01 83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 1
2014: BOOM HEALTH RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 139
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 157
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 4
Total of all active and inactive participants 2014-07-01 161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 0
Total participants 2014-07-01 161
Number of participants with account balances 2014-07-01 88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 1
2013: BOOM HEALTH RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 147
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 130
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 10
Total of all active and inactive participants 2013-07-01 140
Total participants 2013-07-01 140
Number of participants with account balances 2013-07-01 86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 2
2012: BOOM HEALTH RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 117
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 72
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 42
Total of all active and inactive participants 2012-07-01 114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 114
Number of participants with account balances 2012-07-01 99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 17
2011: BOOM HEALTH RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 118
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 78
Number of retired or separated participants receiving benefits 2011-07-01 1
Number of other retired or separated participants entitled to future benefits 2011-07-01 38
Total of all active and inactive participants 2011-07-01 117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 117
Number of participants with account balances 2011-07-01 89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 24
2009: BOOM HEALTH RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 169
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 64
Number of retired or separated participants receiving benefits 2009-07-01 1
Number of other retired or separated participants entitled to future benefits 2009-07-01 28
Total of all active and inactive participants 2009-07-01 93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 93
Number of participants with account balances 2009-07-01 78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 22
2008: BOOM HEALTH RETIREMENT PLAN 2008 401k membership
Total participants, beginning-of-year 2008-07-01 209
Total number of active participants reported on line 7a of the Form 5500 2008-07-01 90
Number of retired or separated participants receiving benefits 2008-07-01 0
Number of other retired or separated participants entitled to future benefits 2008-07-01 54
Total of all active and inactive participants 2008-07-01 144
Total participants 2008-07-01 144
Number of participants with account balances 2008-07-01 132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-07-01 22
2007: BOOM HEALTH RETIREMENT PLAN 2007 401k membership
Total participants, beginning-of-year 2007-07-01 163
Total number of active participants reported on line 7a of the Form 5500 2007-07-01 80
Number of retired or separated participants receiving benefits 2007-07-01 0
Number of other retired or separated participants entitled to future benefits 2007-07-01 81
Total of all active and inactive participants 2007-07-01 161
Total participants 2007-07-01 161
Number of participants with account balances 2007-07-01 155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-07-01 5
2006: BOOM HEALTH RETIREMENT PLAN 2006 401k membership
Total participants, beginning-of-year 2006-07-01 142
Total number of active participants reported on line 7a of the Form 5500 2006-07-01 62
Number of retired or separated participants receiving benefits 2006-07-01 8
Number of other retired or separated participants entitled to future benefits 2006-07-01 58
Total of all active and inactive participants 2006-07-01 128
Total participants 2006-07-01 128
Number of participants with account balances 2006-07-01 125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2006-07-01 8

Measure	Date	Value
2019: BOOM HEALTH RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	271
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: BOOM HEALTH RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	98
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	39
Total of all active and inactive participants	2018-01-01	137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	137
Number of participants with account balances	2018-01-01	71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	7
2017: BOOM HEALTH RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	199
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	126
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	20
Total of all active and inactive participants	2017-01-01	146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	146
Number of participants with account balances	2017-01-01	88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	5
2016: BOOM HEALTH RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	154
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	117
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	20
Total of all active and inactive participants	2016-07-01	137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	137
Number of participants with account balances	2016-07-01	71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	2
2015: BOOM HEALTH RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	151
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	173
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	15
Total of all active and inactive participants	2015-07-01	188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	188
Number of participants with account balances	2015-07-01	83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	1
2014: BOOM HEALTH RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	139
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	157
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	4
Total of all active and inactive participants	2014-07-01	161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	0
Total participants	2014-07-01	161
Number of participants with account balances	2014-07-01	88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	1
2013: BOOM HEALTH RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	147
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	130
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	10
Total of all active and inactive participants	2013-07-01	140
Total participants	2013-07-01	140
Number of participants with account balances	2013-07-01	86
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	2
2012: BOOM HEALTH RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	117
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	72
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	42
Total of all active and inactive participants	2012-07-01	114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	114
Number of participants with account balances	2012-07-01	99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	17
2011: BOOM HEALTH RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	118
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	78
Number of retired or separated participants receiving benefits	2011-07-01	1
Number of other retired or separated participants entitled to future benefits	2011-07-01	38
Total of all active and inactive participants	2011-07-01	117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	117
Number of participants with account balances	2011-07-01	89
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	24
2009: BOOM HEALTH RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	169
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	64
Number of retired or separated participants receiving benefits	2009-07-01	1
Number of other retired or separated participants entitled to future benefits	2009-07-01	28
Total of all active and inactive participants	2009-07-01	93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	93
Number of participants with account balances	2009-07-01	78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	22
2008: BOOM HEALTH RETIREMENT PLAN 2008 401k membership
Total participants, beginning-of-year	2008-07-01	209
Total number of active participants reported on line 7a of the Form 5500	2008-07-01	90
Number of retired or separated participants receiving benefits	2008-07-01	0
Number of other retired or separated participants entitled to future benefits	2008-07-01	54
Total of all active and inactive participants	2008-07-01	144
Total participants	2008-07-01	144
Number of participants with account balances	2008-07-01	132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-07-01	22
2007: BOOM HEALTH RETIREMENT PLAN 2007 401k membership
Total participants, beginning-of-year	2007-07-01	163
Total number of active participants reported on line 7a of the Form 5500	2007-07-01	80
Number of retired or separated participants receiving benefits	2007-07-01	0
Number of other retired or separated participants entitled to future benefits	2007-07-01	81
Total of all active and inactive participants	2007-07-01	161
Total participants	2007-07-01	161
Number of participants with account balances	2007-07-01	155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-07-01	5
2006: BOOM HEALTH RETIREMENT PLAN 2006 401k membership
Total participants, beginning-of-year	2006-07-01	142
Total number of active participants reported on line 7a of the Form 5500	2006-07-01	62
Number of retired or separated participants receiving benefits	2006-07-01	8
Number of other retired or separated participants entitled to future benefits	2006-07-01	58
Total of all active and inactive participants	2006-07-01	128
Total participants	2006-07-01	128
Number of participants with account balances	2006-07-01	125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2006-07-01	8

Financial Data on BOOM HEALTH RETIREMENT PLAN

Measure	Date	Value
2019 : BOOM HEALTH RETIREMENT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets	2019-12-16	$0
Unrealized appreciation/depreciation of real estate assets	2019-12-16	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-16	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-16	$0
Total unrealized appreciation/depreciation of assets	2019-12-16	$0
Total unrealized appreciation/depreciation of assets	2019-12-16	$0
Total transfer of assets to this plan	2019-12-16	$0
Total transfer of assets to this plan	2019-12-16	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-16	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-16	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-16	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-16	$0
Total income from all sources (including contributions)	2019-12-16	$531,116
Total income from all sources (including contributions)	2019-12-16	$531,116
Total loss/gain on sale of assets	2019-12-16	$0
Total loss/gain on sale of assets	2019-12-16	$0
Total of all expenses incurred	2019-12-16	$1,622,819
Total of all expenses incurred	2019-12-16	$1,622,819
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-16	$1,603,312
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-16	$1,603,312
Value of total corrective distributions	2019-12-16	$0
Value of total corrective distributions	2019-12-16	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-16	$281,162
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-16	$281,162
Value of total assets at end of year	2019-12-16	$0
Value of total assets at end of year	2019-12-16	$0
Value of total assets at beginning of year	2019-12-16	$1,091,703
Value of total assets at beginning of year	2019-12-16	$1,091,703
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-16	$19,507
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-16	$19,507
Total income from rents	2019-12-16	$0
Total income from rents	2019-12-16	$0
Total interest from all sources	2019-12-16	$0
Total interest from all sources	2019-12-16	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-16	$581
Total dividends received (eg from common stock, registered investment company shares)	2019-12-16	$581
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-16	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-16	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-16	$581
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-16	$581
Administrative expenses professional fees incurred	2019-12-16	$0
Administrative expenses professional fees incurred	2019-12-16	$0
Was this plan covered by a fidelity bond	2019-12-16	Yes
Was this plan covered by a fidelity bond	2019-12-16	Yes
Value of fidelity bond cover	2019-12-16	$250,000
Value of fidelity bond cover	2019-12-16	$250,000
If this is an individual account plan, was there a blackout period	2019-12-16	No
If this is an individual account plan, was there a blackout period	2019-12-16	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-16	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-16	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-16	No
Amount of non-exempt transactions with any party-in-interest	2019-12-16	$0
Amount of non-exempt transactions with any party-in-interest	2019-12-16	$0
Contributions received from participants	2019-12-16	$0
Contributions received from participants	2019-12-16	$0
Participant contributions at end of year	2019-12-16	$0
Participant contributions at end of year	2019-12-16	$0
Participant contributions at beginning of year	2019-12-16	$0
Participant contributions at beginning of year	2019-12-16	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-16	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-16	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-16	$815
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-16	$815
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-16	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-16	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-16	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-16	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-16	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-16	$0
Other income not declared elsewhere	2019-12-16	$24,326
Other income not declared elsewhere	2019-12-16	$24,326
Administrative expenses (other) incurred	2019-12-16	$0
Administrative expenses (other) incurred	2019-12-16	$0
Liabilities. Value of operating payables at beginning of year	2019-12-16	$0
Liabilities. Value of operating payables at beginning of year	2019-12-16	$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	2019-12-16	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-16	No
Value of net income/loss	2019-12-16	$-1,091,703
Value of net income/loss	2019-12-16	$-1,091,703
Value of net assets at end of year (total assets less liabilities)	2019-12-16	$0
Value of net assets at end of year (total assets less liabilities)	2019-12-16	$0
Value of net assets at beginning of year (total assets less liabilities)	2019-12-16	$1,091,703
Value of net assets at beginning of year (total assets less liabilities)	2019-12-16	$1,091,703
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-16	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-16	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-16	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-16	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2019-12-16	$0
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2019-12-16	$0
Were any leases to which the plan was party in default or uncollectible	2019-12-16	No
Were any leases to which the plan was party in default or uncollectible	2019-12-16	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2019-12-16	$0
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2019-12-16	$0
Investment advisory and management fees	2019-12-16	$0
Investment advisory and management fees	2019-12-16	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-16	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-16	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-16	$1,091,703
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-16	$1,091,703
Income. Interest from loans (other than to participants)	2019-12-16	$0
Income. Interest from loans (other than to participants)	2019-12-16	$0
Interest earned on other investments	2019-12-16	$0
Interest earned on other investments	2019-12-16	$0
Income. Interest from US Government securities	2019-12-16	$0
Income. Interest from US Government securities	2019-12-16	$0
Income. Interest from corporate debt instruments	2019-12-16	$0
Income. Interest from corporate debt instruments	2019-12-16	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-16	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-16	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-16	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-16	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-16	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-16	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-16	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-16	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-16	$225,047
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-16	$225,047
Net investment gain/loss from pooled separate accounts	2019-12-16	$0
Net investment gain/loss from pooled separate accounts	2019-12-16	$0
Net investment gain or loss from common/collective trusts	2019-12-16	$0
Net investment gain or loss from common/collective trusts	2019-12-16	$0
Net gain/loss from 103.12 investment entities	2019-12-16	$0
Net gain/loss from 103.12 investment entities	2019-12-16	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-16	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-16	No
Was there a failure to transmit to the plan any participant contributions	2019-12-16	No
Was there a failure to transmit to the plan any participant contributions	2019-12-16	No
Has the plan failed to provide any benefit when due under the plan	2019-12-16	No
Has the plan failed to provide any benefit when due under the plan	2019-12-16	No
Contributions received in cash from employer	2019-12-16	$281,162
Contributions received in cash from employer	2019-12-16	$281,162
Employer contributions (assets) at end of year	2019-12-16	$0
Employer contributions (assets) at end of year	2019-12-16	$0
Employer contributions (assets) at beginning of year	2019-12-16	$0
Employer contributions (assets) at beginning of year	2019-12-16	$0
Income. Dividends from preferred stock	2019-12-16	$0
Income. Dividends from preferred stock	2019-12-16	$0
Income. Dividends from common stock	2019-12-16	$0
Income. Dividends from common stock	2019-12-16	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-16	$1,602,497
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-16	$1,602,497
Contract administrator fees	2019-12-16	$19,507
Contract administrator fees	2019-12-16	$19,507
Liabilities. Value of benefit claims payable at beginning of year	2019-12-16	$0
Liabilities. Value of benefit claims payable at beginning of year	2019-12-16	$0
Did the plan have assets held for investment	2019-12-16	No
Did the plan have assets held for investment	2019-12-16	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	2019-12-16	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	2019-12-16	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-16	Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-16	Yes
Aggregate proceeds on sale of assets	2019-12-16	$0
Aggregate proceeds on sale of assets	2019-12-16	$0
Aggregate carrying amount (costs) on sale of assets	2019-12-16	$0
Aggregate carrying amount (costs) on sale of assets	2019-12-16	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2019-12-16	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2019-12-16	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-16	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-16	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-16	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-16	Disclaimer
Accountancy firm name	2019-12-16	BAKER TILLY, US, LLP
Accountancy firm name	2019-12-16	BAKER TILLY, US, LLP
Accountancy firm EIN	2019-12-16	390859910
Accountancy firm EIN	2019-12-16	390859910
2018 : BOOM HEALTH RETIREMENT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets	2018-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$0
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total transfer of assets to this plan	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$-91,710
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$224,400
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$214,599
Value of total corrective distributions	2018-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$0
Value of total assets at end of year	2018-12-31	$1,091,703
Value of total assets at beginning of year	2018-12-31	$1,407,813
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$9,801
Total income from rents	2018-12-31	$0
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$20,334
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$20,334
Administrative expenses professional fees incurred	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$250,000
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
Amount of non-exempt transactions with any party-in-interest	2018-12-31	$0
Contributions received from participants	2018-12-31	$0
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$0
Other income not declared elsewhere	2018-12-31	$0
Administrative expenses (other) incurred	2018-12-31	$0
Liabilities. Value of operating payables at beginning of year	2018-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-316,110
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,091,703
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,407,813
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2018-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2018-12-31	$0
Investment advisory and management fees	2018-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,091,703
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,407,813
Income. Interest from loans (other than to participants)	2018-12-31	$0
Interest earned on other investments	2018-12-31	$0
Income. Interest from US Government securities	2018-12-31	$0
Income. Interest from corporate debt instruments	2018-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-112,044
Net investment gain/loss from pooled separate accounts	2018-12-31	$0
Net investment gain or loss from common/collective trusts	2018-12-31	$0
Net gain/loss from 103.12 investment entities	2018-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$0
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$0
Income. Dividends from preferred stock	2018-12-31	$0
Income. Dividends from common stock	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$214,599
Contract administrator fees	2018-12-31	$9,801
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$0
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
Aggregate proceeds on sale of assets	2018-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2018-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2018-12-31	$0
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	BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN	2018-12-31	390085991
2017 : BOOM HEALTH RETIREMENT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets	2017-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$0
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets to this plan	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$427,609
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$174,223
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$164,716
Value of total corrective distributions	2017-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$224,100
Value of total assets at end of year	2017-12-31	$1,407,813
Value of total assets at beginning of year	2017-12-31	$1,154,427
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$9,507
Total income from rents	2017-12-31	$0
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$27,134
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$27,134
Administrative expenses professional fees incurred	2017-12-31	$0
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$250,000
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
Amount of non-exempt transactions with any party-in-interest	2017-12-31	$0
Contributions received from participants	2017-12-31	$0
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$0
Other income not declared elsewhere	2017-12-31	$0
Administrative expenses (other) incurred	2017-12-31	$0
Liabilities. Value of operating payables at beginning of year	2017-12-31	$0
Total non interest bearing cash at end of year	2017-12-31	$0
Total non interest bearing cash at beginning of year	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$253,386
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,407,813
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,154,427
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2017-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2017-12-31	$0
Investment advisory and management fees	2017-12-31	$147
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,407,813
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,154,427
Income. Interest from loans (other than to participants)	2017-12-31	$0
Interest earned on other investments	2017-12-31	$0
Income. Interest from US Government securities	2017-12-31	$0
Income. Interest from corporate debt instruments	2017-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$176,375
Net investment gain/loss from pooled separate accounts	2017-12-31	$0
Net investment gain or loss from common/collective trusts	2017-12-31	$0
Net gain/loss from 103.12 investment entities	2017-12-31	$0
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	$224,100
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$0
Income. Dividends from preferred stock	2017-12-31	$0
Income. Dividends from common stock	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$164,716
Contract administrator fees	2017-12-31	$9,360
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$0
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
Aggregate proceeds on sale of assets	2017-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2017-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2017-12-31	$0
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	DESIRE & COMPANY CPAS PLLC
Accountancy firm EIN	2017-12-31	452845518
2016 : BOOM HEALTH RETIREMENT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets	2016-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$0
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$39,171
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$28,229
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$24,026
Value of total corrective distributions	2016-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$0
Value of total assets at end of year	2016-12-31	$1,154,427
Value of total assets at beginning of year	2016-12-31	$1,143,485
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$4,203
Total income from rents	2016-12-31	$0
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$13,734
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$13,734
Administrative expenses professional fees incurred	2016-12-31	$0
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$250,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Amount of non-exempt transactions with any party-in-interest	2016-12-31	$0
Contributions received from participants	2016-12-31	$0
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$0
Other income not declared elsewhere	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$0
Liabilities. Value of operating payables at beginning of year	2016-12-31	$0
Total non interest bearing cash at end of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$10,942
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,154,427
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,143,485
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2016-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2016-12-31	$0
Investment advisory and management fees	2016-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,154,427
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,143,485
Income. Interest from loans (other than to participants)	2016-12-31	$0
Interest earned on other investments	2016-12-31	$0
Income. Interest from US Government securities	2016-12-31	$0
Income. Interest from corporate debt instruments	2016-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$25,437
Net investment gain/loss from pooled separate accounts	2016-12-31	$0
Net investment gain or loss from common/collective trusts	2016-12-31	$0
Net gain/loss from 103.12 investment entities	2016-12-31	$0
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	$0
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$0
Income. Dividends from preferred stock	2016-12-31	$0
Income. Dividends from common stock	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$24,026
Contract administrator fees	2016-12-31	$4,203
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$0
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
Aggregate proceeds on sale of assets	2016-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2016-12-31	$0
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	DESIRE & COMPANY CPAS, PLLC
Accountancy firm EIN	2016-12-31	452845518
Unrealized appreciation/depreciation of real estate assets	2016-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2016-06-30	$0
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total transfer of assets to this plan	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	$-20,406
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$66,003
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$58,094
Value of total corrective distributions	2016-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$3,261
Value of total assets at end of year	2016-06-30	$1,143,485
Value of total assets at beginning of year	2016-06-30	$1,229,894
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$7,909
Total income from rents	2016-06-30	$0
Total interest from all sources	2016-06-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$12,254
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-06-30	$12,254
Administrative expenses professional fees incurred	2016-06-30	$0
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$250,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Amount of non-exempt transactions with any party-in-interest	2016-06-30	$0
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	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-06-30	$0
Other income not declared elsewhere	2016-06-30	$0
Administrative expenses (other) incurred	2016-06-30	$0
Liabilities. Value of operating payables at beginning of year	2016-06-30	$0
Total non interest bearing cash at end of year	2016-06-30	$0
Total non interest bearing cash at beginning of year	2016-06-30	$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	2016-06-30	No
Value of net income/loss	2016-06-30	$-86,409
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$1,143,485
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$1,229,894
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2016-06-30	$0
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2016-06-30	$0
Investment advisory and management fees	2016-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$1,143,485
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$1,229,894
Income. Interest from loans (other than to participants)	2016-06-30	$0
Interest earned on other investments	2016-06-30	$0
Income. Interest from US Government securities	2016-06-30	$0
Income. Interest from corporate debt instruments	2016-06-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2016-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$-35,921
Net investment gain/loss from pooled separate accounts	2016-06-30	$0
Net investment gain or loss from common/collective trusts	2016-06-30	$0
Net gain/loss from 103.12 investment entities	2016-06-30	$0
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	$3,261
Employer contributions (assets) at end of year	2016-06-30	$0
Employer contributions (assets) at beginning of year	2016-06-30	$0
Income. Dividends from preferred stock	2016-06-30	$0
Income. Dividends from common stock	2016-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$58,094
Contract administrator fees	2016-06-30	$7,909
Liabilities. Value of benefit claims payable at beginning of year	2016-06-30	$0
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
Aggregate proceeds on sale of assets	2016-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2016-06-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2016-06-30	$0
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	DESIRE & COMPANY CPAS PLLC
Accountancy firm EIN	2016-06-30	452845518
2015 : BOOM HEALTH RETIREMENT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets	2015-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2015-06-30	$0
Total unrealized appreciation/depreciation of assets	2015-06-30	$0
Total transfer of assets to this plan	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
Expenses. Interest paid	2015-06-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2015-06-30	$0
Total income from all sources (including contributions)	2015-06-30	$152,044
Total loss/gain on sale of assets	2015-06-30	$0
Total of all expenses incurred	2015-06-30	$176,359
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$168,002
Value of total corrective distributions	2015-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$125,659
Value of total assets at end of year	2015-06-30	$1,229,894
Value of total assets at beginning of year	2015-06-30	$1,254,209
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$8,357
Total income from rents	2015-06-30	$0
Total interest from all sources	2015-06-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-06-30	$25,637
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-06-30	$25,637
Administrative expenses professional fees incurred	2015-06-30	$0
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$250,000
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
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Amount of non-exempt transactions with any party-in-interest	2015-06-30	$0
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
Assets. Other investments not covered elsewhere at beginning of year	2015-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-06-30	$0
Other income not declared elsewhere	2015-06-30	$0
Administrative expenses (other) incurred	2015-06-30	$0
Liabilities. Value of operating payables at beginning of year	2015-06-30	$0
Total non interest bearing cash at end of year	2015-06-30	$0
Total non interest bearing cash at beginning of year	2015-06-30	$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	2015-06-30	No
Income. Non cash contributions	2015-06-30	$0
Value of net income/loss	2015-06-30	$-24,315
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$1,229,894
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$1,254,209
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2015-06-30	$0
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2015-06-30	$0
Investment advisory and management fees	2015-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$1,229,894
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$1,254,209
Income. Interest from loans (other than to participants)	2015-06-30	$0
Interest earned on other investments	2015-06-30	$0
Income. Interest from US Government securities	2015-06-30	$0
Income. Interest from corporate debt instruments	2015-06-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-06-30	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2015-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-06-30	$748
Net investment gain/loss from pooled separate accounts	2015-06-30	$0
Net investment gain or loss from common/collective trusts	2015-06-30	$0
Net gain/loss from 103.12 investment entities	2015-06-30	$0
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	$125,659
Employer contributions (assets) at end of year	2015-06-30	$0
Employer contributions (assets) at beginning of year	2015-06-30	$0
Income. Dividends from preferred stock	2015-06-30	$0
Income. Dividends from common stock	2015-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$168,002
Contract administrator fees	2015-06-30	$8,357
Liabilities. Value of benefit claims payable at beginning of year	2015-06-30	$0
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
Aggregate proceeds on sale of assets	2015-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2015-06-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2015-06-30	$0
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	DESIRE & COMPANY CPAS PLLC
Accountancy firm EIN	2015-06-30	452845518
2014 : BOOM HEALTH 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	$268,247
Total loss/gain on sale of assets	2014-06-30	$0
Total of all expenses incurred	2014-06-30	$222,776
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$213,452
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$99,019
Value of total assets at end of year	2014-06-30	$1,409,657
Value of total assets at beginning of year	2014-06-30	$1,364,186
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$9,324
Total interest from all sources	2014-06-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$16,987
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-06-30	$16,987
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$250,000
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
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Assets. Other investments not covered elsewhere at end of year	2014-06-30	$0
Assets. Other investments not covered elsewhere at beginning of year	2014-06-30	$860,591
Administrative expenses (other) incurred	2014-06-30	$9,324
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	$45,471
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$1,409,657
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$1,364,186
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	$1,254,208
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-06-30	$377,345
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-06-30	$152,241
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	$99,019
Employer contributions (assets) at end of year	2014-06-30	$155,449
Employer contributions (assets) at beginning of year	2014-06-30	$126,250
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$213,452
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-06-30	No
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	DESIRE & COMPANY CPAS PLLC
Accountancy firm EIN	2014-06-30	452845518
2013 : BOOM HEALTH RETIREMENT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets	2013-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2013-06-30	$0
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
Expenses. Interest paid	2013-06-30	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$239,609
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$175,915
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$175,915
Expenses. Certain deemed distributions of participant loans	2013-06-30	$0
Value of total corrective distributions	2013-06-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$126,250
Value of total assets at end of year	2013-06-30	$1,364,186
Value of total assets at beginning of year	2013-06-30	$1,300,492
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$0
Total income from rents	2013-06-30	$0
Total interest from all sources	2013-06-30	$15,631
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
Assets. Real estate other than employer real property at end of year	2013-06-30	$0
Assets. Real estate other than employer real property at beginning of year	2013-06-30	$0
Administrative expenses professional fees incurred	2013-06-30	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2013-06-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2013-06-30	$0
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$100,000
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
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$0
Participant contributions at end of year	2013-06-30	$0
Participant contributions at beginning of year	2013-06-30	$0
Participant contributions at end of year	2013-06-30	$0
Participant contributions at beginning of year	2013-06-30	$0
Assets. Other investments not covered elsewhere at end of year	2013-06-30	$860,591
Assets. Other investments not covered elsewhere at beginning of year	2013-06-30	$604,794
Income. Received or receivable in cash from other sources (including rollovers)	2013-06-30	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-06-30	$44,100
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-06-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-06-30	$0
Assets. Loans (other than to participants) at end of year	2013-06-30	$0
Assets. Loans (other than to participants) at beginning of year	2013-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-06-30	$0
Other income not declared elsewhere	2013-06-30	$97,728
Administrative expenses (other) incurred	2013-06-30	$0
Total non interest bearing cash at end of year	2013-06-30	$0
Total non interest bearing cash at beginning of year	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
Income. Non cash contributions	2013-06-30	$0
Value of net income/loss	2013-06-30	$63,694
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$1,364,186
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$1,300,492
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
Assets. partnership/joint venture interests at end of year	2013-06-30	$0
Assets. partnership/joint venture interests at beginning of year	2013-06-30	$0
Investment advisory and management fees	2013-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$0
Interest on participant loans	2013-06-30	$0
Income. Interest from loans (other than to participants)	2013-06-30	$0
Interest earned on other investments	2013-06-30	$15,631
Income. Interest from US Government securities	2013-06-30	$0
Income. Interest from corporate debt instruments	2013-06-30	$0
Value of interest in master investment trust accounts at end of year	2013-06-30	$0
Value of interest in master investment trust accounts at beginning of year	2013-06-30	$0
Value of interest in common/collective trusts at end of year	2013-06-30	$0
Value of interest in common/collective trusts at beginning of year	2013-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-06-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-06-30	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-06-30	$0
Assets. Value of investments in 103.12 investment entities at end of year	2013-06-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2013-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$377,345
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$575,656
Expenses. Payments to insurance carriers foe the provision of benefits	2013-06-30	$0
Asset value of US Government securities at end of year	2013-06-30	$0
Asset value of US Government securities at beginning of year	2013-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$0
Net investment gain/loss from pooled separate accounts	2013-06-30	$0
Net investment gain or loss from common/collective trusts	2013-06-30	$0
Net gain/loss from 103.12 investment entities	2013-06-30	$0
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
Assets. Invements in employer securities at end of year	2013-06-30	$0
Assets. Invements in employer securities at beginning of year	2013-06-30	$0
Assets. Value of employer real property at end of year	2013-06-30	$0
Assets. Value of employer real property at beginning of year	2013-06-30	$0
Contributions received in cash from employer	2013-06-30	$126,250
Employer contributions (assets) at end of year	2013-06-30	$126,250
Employer contributions (assets) at beginning of year	2013-06-30	$120,042
Income. Dividends from preferred stock	2013-06-30	$0
Income. Dividends from common stock	2013-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$131,815
Asset. Corporate debt instrument preferred debt at end of year	2013-06-30	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2013-06-30	$0
Asset. Corporate debt instrument debt (other) at end of year	2013-06-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2013-06-30	$0
Contract administrator fees	2013-06-30	$0
Assets. Corporate common stocks other than exployer securities at end of year	2013-06-30	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-06-30	$0
Liabilities. Value of benefit claims payable at end of year	2013-06-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2013-06-30	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2013-06-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2013-06-30	$0
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
Aggregate proceeds on sale of assets	2013-06-30	$0
Aggregate carrying amount (costs) on sale of assets	2013-06-30	$0
Liabilities. Value of acquisition indebtedness at end of year	2013-06-30	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2013-06-30	$0
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	DESIRE & COMPANY CPAS, PLLC
Accountancy firm EIN	2013-06-30	452845518
2012 : BOOM HEALTH RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$122,411
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$92,218
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$92,218
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$120,042
Value of total assets at end of year	2012-06-30	$1,300,492
Value of total assets at beginning of year	2012-06-30	$1,270,299
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$0
Total interest from all sources	2012-06-30	$15,730
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	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	$120,042
Participant contributions at beginning of year	2012-06-30	$107,540
Assets. Other investments not covered elsewhere at end of year	2012-06-30	$604,794
Assets. Other investments not covered elsewhere at beginning of year	2012-06-30	$602,313
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	$30,193
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$1,300,492
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$1,270,299
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
Interest earned on other investments	2012-06-30	$15,730
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$575,656
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$560,446
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$-13,361
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
Contributions received in cash from employer	2012-06-30	$120,042
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$92,218
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	DESIRE & COMPANY CPAS, PLLC
Accountancy firm EIN	2012-06-30	452845518
2011 : BOOM HEALTH RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$314,497
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$72,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$72,115
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$178,857
Value of total assets at end of year	2011-06-30	$1,168,284
Value of total assets at beginning of year	2011-06-30	$925,902
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$0
Total interest from all sources	2011-06-30	$16,505
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Assets. Real estate other than employer real property at beginning of year	2011-06-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2011-06-30	$0
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 beginning of year	2011-06-30	$0
Participant contributions at beginning of year	2011-06-30	$0
Assets. Other investments not covered elsewhere at end of year	2011-06-30	$602,313
Assets. Other investments not covered elsewhere at beginning of year	2011-06-30	$336,502
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-06-30	$0
Assets. Loans (other than to participants) at beginning of year	2011-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-06-30	$0
Total non interest bearing cash at beginning of year	2011-06-30	$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	2011-06-30	No
Value of net income/loss	2011-06-30	$242,382
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$1,168,284
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$925,902
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
Assets. partnership/joint venture interests at beginning of year	2011-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$0
Interest earned on other investments	2011-06-30	$16,505
Value of interest in master investment trust accounts at beginning of year	2011-06-30	$0
Value of interest in common/collective trusts at beginning of year	2011-06-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-06-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-06-30	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$565,971
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$589,400
Asset value of US Government securities at beginning of year	2011-06-30	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$119,135
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
Assets. Invements in employer securities at beginning of year	2011-06-30	$0
Assets. Value of employer real property at beginning of year	2011-06-30	$0
Contributions received in cash from employer	2011-06-30	$178,857
Employer contributions (assets) at beginning of year	2011-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$72,115
Asset. Corporate debt instrument preferred debt at beginning of year	2011-06-30	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2011-06-30	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-06-30	No
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-06-30	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-06-30	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-06-30	$0
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
Liabilities. Value of acquisition indebtedness at beginning of year	2011-06-30	$0
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	WISS & COMPANY, LLP
Accountancy firm EIN	2011-06-30	221732349
2010 : BOOM HEALTH RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0
2009 : BOOM HEALTH RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-06-30	$0
2008 : BOOM HEALTH RETIREMENT PLAN 2008 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2008-06-30	$0
2007 : BOOM HEALTH RETIREMENT PLAN 2007 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2007-06-30	$0

Form 5500 Responses for BOOM HEALTH RETIREMENT PLAN

2019: BOOM HEALTH RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	This submission is the final filing	Yes
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: BOOM HEALTH RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
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: BOOM HEALTH RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
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: BOOM HEALTH RETIREMENT PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: BOOM HEALTH RETIREMENT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
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 funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: BOOM HEALTH RETIREMENT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
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 funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: BOOM HEALTH 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 funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: BOOM HEALTH 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: BOOM HEALTH 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
2009: BOOM HEALTH 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
2008: BOOM HEALTH RETIREMENT PLAN 2008 form 5500 responses
2008-07-01	Type of plan entity	Single employer plan
2008-07-01	Submission has been amended	No
2008-07-01	This submission is the final filing	No
2008-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-07-01	Plan is a collectively bargained plan	No
2008-07-01	Plan funding arrangement – Insurance	Yes
2008-07-01	Plan benefit arrangement – Insurance	Yes
2007: BOOM HEALTH RETIREMENT PLAN 2007 form 5500 responses
2007-07-01	Type of plan entity	Single employer plan
2007-07-01	Submission has been amended	No
2007-07-01	This submission is the final filing	No
2007-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-07-01	Plan is a collectively bargained plan	No
2007-07-01	Plan funding arrangement – Insurance	Yes
2007-07-01	Plan benefit arrangement – Insurance	Yes
2006: BOOM HEALTH RETIREMENT PLAN 2006 form 5500 responses
2006-07-01	Type of plan entity	Single employer plan
2006-07-01	Submission has been amended	No
2006-07-01	This submission is the final filing	No
2006-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-07-01	Plan is a collectively bargained plan	No
2006-07-01	Plan funding arrangement – Insurance	Yes
2006-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-16
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	137
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-01-18
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	146
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	188
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 $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	161
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 $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	140
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $13,598
Total amount of fees paid to insurance company	USD $16
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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 $13,598
Amount paid for insurance broker fees	16
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE
Insurance broker organization code?	3
Insurance broker name	SIGNATOR INVESTORS INC.

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

1005007-01

Policy instance

Insurance contract or identification number	1005007-01
Number of Individuals Covered	147
Insurance policy start date	2013-07-01
Insurance policy end date	2013-07-01
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

1005007-01

Policy instance

Insurance contract or identification number	1005007-01
Number of Individuals Covered	99
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

1005007-01

Policy instance

Insurance contract or identification number	1005007-01
Number of Individuals Covered	92
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $3,189
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

1005007-01

Policy instance

Insurance contract or identification number	1005007-01
Number of Individuals Covered	86
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 $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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

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Company Name:	BOOM HEALTH
Employer identification number (EIN):	133599121
NAIC Classification:	624200