401k Plan data: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN plan

APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 401k Plan overview

Plan Name	APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN
Plan identification number	001

APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

APPLIED PREDICTIVE TECHNOLOGIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: APPLIED PREDICTIVE TECHNOLOGIES, INC.

Employer identification number (EIN): 134094079

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 GREG FITZWILLIAM
001 2015-01-01 GREG FITZWILLIAM
001 2014-01-01 GREG FITZWILLIAM
001 2013-01-01 GREG FITZWILLIAM
001 2012-01-01 GREG FITZWILLIAM
001 2011-01-01 GREG FITZWILLIAM
001 2010-01-01 GREG FITZWILLIAM 2011-10-17

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2016-01-01	GREG FITZWILLIAM
001	2015-01-01	GREG FITZWILLIAM
001	2014-01-01	GREG FITZWILLIAM
001	2013-01-01	GREG FITZWILLIAM
001	2012-01-01	GREG FITZWILLIAM
001	2011-01-01	GREG FITZWILLIAM
001	2010-01-01	GREG FITZWILLIAM	2011-10-17

Plan Statistics for APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN

401k plan membership statisitcs for APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN

Measure Date Value
2016: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 418
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 355
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 318
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 100
Total of all active and inactive participants 2015-01-01 418
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 418
Number of participants with account balances 2015-01-01 418
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 284
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 277
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 78
Total of all active and inactive participants 2014-01-01 355
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 355
Number of participants with account balances 2014-01-01 355
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 226
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 217
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 63
Total of all active and inactive participants 2013-01-01 280
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 280
Number of participants with account balances 2013-01-01 280
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 174
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 174
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 50
Total of all active and inactive participants 2012-01-01 224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 224
Number of participants with account balances 2012-01-01 224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 134
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 137
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 38
Total of all active and inactive participants 2011-01-01 175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 175
Number of participants with account balances 2011-01-01 174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2016: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	418
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	355
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	318
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	100
Total of all active and inactive participants	2015-01-01	418
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	418
Number of participants with account balances	2015-01-01	418
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	284
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	277
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	78
Total of all active and inactive participants	2014-01-01	355
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	355
Number of participants with account balances	2014-01-01	355
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	226
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	217
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	63
Total of all active and inactive participants	2013-01-01	280
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	280
Number of participants with account balances	2013-01-01	280
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	174
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	174
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	50
Total of all active and inactive participants	2012-01-01	224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	224
Number of participants with account balances	2012-01-01	224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	134
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	137
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	38
Total of all active and inactive participants	2011-01-01	175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	175
Number of participants with account balances	2011-01-01	174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN

Measure	Date	Value
2016 : APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$334,819
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$21,810,611
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$21,769,583
Expenses. Certain deemed distributions of participant loans	2016-06-30	$37,309
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$0
Value of total assets at end of year	2016-06-30	$0
Value of total assets at beginning of year	2016-06-30	$21,475,792
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$3,719
Total interest from all sources	2016-06-30	$2,203
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-06-30	$0
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$500,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
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
Participant contributions at end of year	2016-06-30	$0
Participant contributions at beginning of year	2016-06-30	$38,923
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	$-21,475,792
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$21,475,792
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Investment advisory and management fees	2016-06-30	$3,719
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$20,993,635
Interest on participant loans	2016-06-30	$275
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-06-30	$1,928
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	$443,234
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-06-30	$332,616
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$21,769,583
Did the plan have assets held for investment	2016-06-30	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	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	Yes
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	BOND BEEBE ADVISORS & ACCOUNTANTS
Accountancy firm EIN	2016-06-30	521044197
2015 : APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$4,921,385
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$732,620
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$703,444
Value of total corrective distributions	2015-12-31	$13,718
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$5,191,297
Value of total assets at end of year	2015-12-31	$21,475,792
Value of total assets at beginning of year	2015-12-31	$17,287,027
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$15,458
Total interest from all sources	2015-12-31	$6,845
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,486,262
Participant contributions at end of year	2015-12-31	$38,923
Participant contributions at beginning of year	2015-12-31	$62,175
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$229,869
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$4,188,765
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$21,475,792
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$17,287,027
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$15,458
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$20,993,635
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$16,865,940
Value of interest in pooled separate accounts at end of year	2015-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$0
Income. Interest from loans (other than to participants)	2015-12-31	$2,287
Value of interest in common/collective trusts at end of year	2015-12-31	$0
Value of interest in common/collective trusts at beginning of year	2015-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$4,558
Assets. Value of investments in 103.12 investment entities at end of year	2015-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2015-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$443,234
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$358,912
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-276,757
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$3,475,166
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$703,444
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BOND BEEBE ADVISORS & ACCOUNTANTS
Accountancy firm EIN	2015-12-31	521044197
2014 : APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$4,596,938
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$432,184
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$420,432
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,711,210
Value of total assets at end of year	2014-12-31	$17,287,027
Value of total assets at beginning of year	2014-12-31	$13,122,273
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$11,752
Total interest from all sources	2014-12-31	$7,144
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$2,472,870
Participant contributions at end of year	2014-12-31	$62,175
Participant contributions at beginning of year	2014-12-31	$72,387
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$30,414
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$4,164,754
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$17,287,027
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$13,122,273
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$11,752
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$16,865,940
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$12,747,227
Value of interest in pooled separate accounts at end of year	2014-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$0
Interest on participant loans	2014-12-31	$2,827
Value of interest in common/collective trusts at end of year	2014-12-31	$0
Value of interest in common/collective trusts at beginning of year	2014-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$4,317
Assets. Value of investments in 103.12 investment entities at end of year	2014-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2014-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$358,912
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$302,659
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$878,584
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,207,926
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$420,432
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	BOND BEEBE ADVISORS & ACCOUNTANTS
Accountancy firm EIN	2014-12-31	521044197
2013 : APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$4,903,525
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$940,472
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$932,770
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,773,272
Value of total assets at end of year	2013-12-31	$13,122,273
Value of total assets at beginning of year	2013-12-31	$9,159,220
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$7,702
Total interest from all sources	2013-12-31	$6,098
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,824,931
Participant contributions at end of year	2013-12-31	$72,387
Participant contributions at beginning of year	2013-12-31	$51,357
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,963,053
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$13,122,273
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$9,159,220
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$7,702
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$12,747,227
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$8,901,492
Value of interest in pooled separate accounts at end of year	2013-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$0
Income. Interest from loans (other than to participants)	2013-12-31	$2,986
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$3,112
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$302,659
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$206,371
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,124,155
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$948,341
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$932,770
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	BOND BEEBE ADVISORS & ACCOUNTANTS
Accountancy firm EIN	2013-12-31	521044197
2012 : APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$3,152,762
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$403,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$398,536
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,124,780
Value of total assets at end of year	2012-12-31	$9,159,220
Value of total assets at beginning of year	2012-12-31	$6,409,574
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$4,580
Total interest from all sources	2012-12-31	$4,479
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,373,123
Participant contributions at end of year	2012-12-31	$51,357
Participant contributions at beginning of year	2012-12-31	$21,658
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$7,068
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$2,749,646
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$9,159,220
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$6,409,574
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$4,580
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$8,901,492
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$0
Value of interest in pooled separate accounts at end of year	2012-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$6,165,985
Interest on participant loans	2012-12-31	$1,471
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$3,008
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$206,371
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$221,931
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,023,503
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$744,589
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$398,536
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	BOND BEEBE ADVISORS & ACCOUNTANTS
Accountancy firm EIN	2012-12-31	521044197
2011 : APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$1,357,649
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$180,847
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$178,200
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,660,302
Value of total assets at end of year	2011-12-31	$6,409,574
Value of total assets at beginning of year	2011-12-31	$5,232,772
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,647
Total interest from all sources	2011-12-31	$4,946
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,017,632
Participant contributions at end of year	2011-12-31	$21,658
Participant contributions at beginning of year	2011-12-31	$27,278
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$1,176,802
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$6,409,574
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$5,232,772
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$2,647
Value of interest in pooled separate accounts at end of year	2011-12-31	$6,165,985
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$5,057,267
Interest on participant loans	2011-12-31	$1,051
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$3,895
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$221,931
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$148,227
Net investment gain/loss from pooled separate accounts	2011-12-31	$-307,599
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$642,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$178,200
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	BOND BEEBE ADVISORS & ACCOUNTANTS
Accountancy firm EIN	2011-12-31	521044197

Form 5500 Responses for APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN

2016: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: APPLIED PREDICTIVE TECHNOLOGIES INC 401K PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

939793-01

Policy instance

Insurance contract or identification number	939793-01
Number of Individuals Covered	0
Insurance policy start date	2016-01-01
Insurance policy end date	2016-06-14
Total amount of commissions paid to insurance broker	USD $444
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
Commission paid to Insurance Broker	USD $444
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	GEORGE DEEGAN/EVEREN SECURITIES

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

939793-01

Policy instance

Insurance contract or identification number	939793-01
Number of Individuals Covered	47
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $993
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
Commission paid to Insurance Broker	USD $993
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	GEORGE DEEGAN/EVEREN SECURITIES,INC

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

939793-01

Policy instance

Insurance contract or identification number	939793-01
Number of Individuals Covered	28
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $770
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
Commission paid to Insurance Broker	USD $770
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	GEORGE DEEGAN/EVEREN SECURITIES,INC

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

939793-01

Policy instance

Insurance contract or identification number	939793-01
Number of Individuals Covered	24
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $631
Total amount of fees paid to insurance company	USD $631
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 $631
Amount paid for insurance broker fees	631
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	GEORGE DEEGAN/EVEREN SECURITIES,INC

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

939793-01

Policy instance

Insurance contract or identification number	939793-01
Number of Individuals Covered	18
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $476
Total amount of fees paid to insurance company	USD $476
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 $476
Amount paid for insurance broker fees	476
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	GEORGE DEEGAN/EVEREN SECURITIES,INC

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

939793-01

Policy instance

Insurance contract or identification number	939793-01
Number of Individuals Covered	175
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $33,453
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:	APPLIED PREDICTIVE TECHNOLOGIES, INC.
Employer identification number (EIN):	134094079
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services