401k Plan data: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN plan

I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 401k Plan overview

Plan Name	I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN
Plan identification number	001

I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

I3 VERTICALS MANAGEMENT SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: I3 VERTICALS MANAGEMENT SERVICES, INC.

Employer identification number (EIN): 300847828

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

Additional information about I3 VERTICALS MANAGEMENT SERVICES, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 5642456

More information about I3 VERTICALS MANAGEMENT SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-10-01
001 2020-10-01
001 2019-10-01
001 2018-10-01
001 2017-10-01
001 2016-10-01 SCOTT MERIWETHER
001 2015-10-01 SCOTT MERIWETHER

Plan Statistics for I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN

401k plan membership statisitcs for I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN

Measure Date Value
2021: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 1,552
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 1,354
Number of retired or separated participants receiving benefits 2021-10-01 14
Number of other retired or separated participants entitled to future benefits 2021-10-01 191
Total of all active and inactive participants 2021-10-01 1,559
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-10-01 0
Total participants 2021-10-01 1,559
Number of participants with account balances 2021-10-01 1,062
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-10-01 0
2020: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 705
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 1,000
Number of retired or separated participants receiving benefits 2020-10-01 11
Number of other retired or separated participants entitled to future benefits 2020-10-01 74
Total of all active and inactive participants 2020-10-01 1,085
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-10-01 0
Total participants 2020-10-01 1,085
Number of participants with account balances 2020-10-01 773
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-10-01 17
2019: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 614
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 542
Number of retired or separated participants receiving benefits 2019-10-01 16
Number of other retired or separated participants entitled to future benefits 2019-10-01 94
Total of all active and inactive participants 2019-10-01 652
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-10-01 0
Total participants 2019-10-01 652
Number of participants with account balances 2019-10-01 469
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-10-01 20
2018: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-10-01 406
Total number of active participants reported on line 7a of the Form 5500 2018-10-01 500
Number of retired or separated participants receiving benefits 2018-10-01 6
Number of other retired or separated participants entitled to future benefits 2018-10-01 49
Total of all active and inactive participants 2018-10-01 555
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-10-01 0
Total participants 2018-10-01 555
Number of participants with account balances 2018-10-01 393
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-10-01 18
2017: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 294
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 334
Number of retired or separated participants receiving benefits 2017-10-01 2
Number of other retired or separated participants entitled to future benefits 2017-10-01 56
Total of all active and inactive participants 2017-10-01 392
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-10-01 0
Total participants 2017-10-01 392
Number of participants with account balances 2017-10-01 260
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-10-01 13
2016: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 184
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 186
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 10
Total of all active and inactive participants 2016-10-01 196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-10-01 0
Total participants 2016-10-01 196
Number of participants with account balances 2016-10-01 90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-10-01 0
2015: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 154
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 179
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 1
Total of all active and inactive participants 2015-10-01 180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 180
Number of participants with account balances 2015-10-01 68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 0

Measure	Date	Value
2021: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	1,552
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	1,354
Number of retired or separated participants receiving benefits	2021-10-01	14
Number of other retired or separated participants entitled to future benefits	2021-10-01	191
Total of all active and inactive participants	2021-10-01	1,559
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-10-01	0
Total participants	2021-10-01	1,559
Number of participants with account balances	2021-10-01	1,062
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-10-01	0
2020: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	705
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	1,000
Number of retired or separated participants receiving benefits	2020-10-01	11
Number of other retired or separated participants entitled to future benefits	2020-10-01	74
Total of all active and inactive participants	2020-10-01	1,085
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-10-01	0
Total participants	2020-10-01	1,085
Number of participants with account balances	2020-10-01	773
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-10-01	17
2019: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	614
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	542
Number of retired or separated participants receiving benefits	2019-10-01	16
Number of other retired or separated participants entitled to future benefits	2019-10-01	94
Total of all active and inactive participants	2019-10-01	652
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-10-01	0
Total participants	2019-10-01	652
Number of participants with account balances	2019-10-01	469
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-10-01	20
2018: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-10-01	406
Total number of active participants reported on line 7a of the Form 5500	2018-10-01	500
Number of retired or separated participants receiving benefits	2018-10-01	6
Number of other retired or separated participants entitled to future benefits	2018-10-01	49
Total of all active and inactive participants	2018-10-01	555
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-10-01	0
Total participants	2018-10-01	555
Number of participants with account balances	2018-10-01	393
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-10-01	18
2017: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	294
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	334
Number of retired or separated participants receiving benefits	2017-10-01	2
Number of other retired or separated participants entitled to future benefits	2017-10-01	56
Total of all active and inactive participants	2017-10-01	392
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-10-01	0
Total participants	2017-10-01	392
Number of participants with account balances	2017-10-01	260
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-10-01	13
2016: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	184
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	186
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	10
Total of all active and inactive participants	2016-10-01	196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-10-01	0
Total participants	2016-10-01	196
Number of participants with account balances	2016-10-01	90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-10-01	0
2015: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	154
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	179
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	1
Total of all active and inactive participants	2015-10-01	180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	180
Number of participants with account balances	2015-10-01	68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	0

Financial Data on I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN

Measure	Date	Value
2022 : I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-09-30	$0
Total transfer of assets to this plan	2022-09-30	$0
Total transfer of assets from this plan	2022-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-09-30	$0
Total income from all sources (including contributions)	2022-09-30	$9,829,304
Total loss/gain on sale of assets	2022-09-30	$0
Total of all expenses incurred	2022-09-30	$4,457,596
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-09-30	$4,221,521
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-09-30	$19,141,407
Value of total assets at end of year	2022-09-30	$40,870,465
Value of total assets at beginning of year	2022-09-30	$35,498,757
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-09-30	$236,075
Total interest from all sources	2022-09-30	$12,888
Total dividends received (eg from common stock, registered investment company shares)	2022-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-09-30	No
Was this plan covered by a fidelity bond	2022-09-30	Yes
Value of fidelity bond cover	2022-09-30	$3,000,000
If this is an individual account plan, was there a blackout period	2022-09-30	Yes
Were there any nonexempt tranactions with any party-in-interest	2022-09-30	No
Contributions received from participants	2022-09-30	$6,429,549
Participant contributions at end of year	2022-09-30	$399,744
Participant contributions at beginning of year	2022-09-30	$260,676
Participant contributions at end of year	2022-09-30	$122
Participant contributions at beginning of year	2022-09-30	$-169,260
Income. Received or receivable in cash from other sources (including rollovers)	2022-09-30	$10,737,718
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-09-30	No
Income. Non cash contributions	2022-09-30	$0
Value of net income/loss	2022-09-30	$5,371,708
Value of net assets at end of year (total assets less liabilities)	2022-09-30	$40,870,465
Value of net assets at beginning of year (total assets less liabilities)	2022-09-30	$35,498,757
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-09-30	No
Were any leases to which the plan was party in default or uncollectible	2022-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-09-30	$1,046
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-09-30	$1,045
Value of interest in pooled separate accounts at end of year	2022-09-30	$38,441,809
Value of interest in pooled separate accounts at beginning of year	2022-09-30	$34,797,295
Interest on participant loans	2022-09-30	$12,888
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-09-30	$2,027,683
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-09-30	$668,476
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-09-30	$-9,324,991
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-09-30	No
Was there a failure to transmit to the plan any participant contributions	2022-09-30	No
Has the plan failed to provide any benefit when due under the plan	2022-09-30	No
Contributions received in cash from employer	2022-09-30	$1,974,140
Employer contributions (assets) at end of year	2022-09-30	$61
Employer contributions (assets) at beginning of year	2022-09-30	$-59,475
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-09-30	$4,221,521
Contract administrator fees	2022-09-30	$236,075
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	2022-09-30	Yes
Did the plan have assets held for investment	2022-09-30	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	2022-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-09-30	No
Opinion of an independent qualified public accountant for this plan	2022-09-30	Unqualified
Accountancy firm name	2022-09-30	BLANKENSHIP CPA GROUP, PLLC
Accountancy firm EIN	2022-09-30	450491842
2020 : I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-09-30	$0
Total transfer of assets to this plan	2020-09-30	$2,339,077
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-09-30	$6,848
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-09-30	$0
Total income from all sources (including contributions)	2020-09-30	$4,415,988
Total loss/gain on sale of assets	2020-09-30	$0
Total of all expenses incurred	2020-09-30	$2,519,474
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-09-30	$2,345,824
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-09-30	$3,136,820
Value of total assets at end of year	2020-09-30	$19,339,133
Value of total assets at beginning of year	2020-09-30	$15,096,694
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-09-30	$173,650
Total interest from all sources	2020-09-30	$14,184
Total dividends received (eg from common stock, registered investment company shares)	2020-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-09-30	No
Administrative expenses professional fees incurred	2020-09-30	$10,000
Was this plan covered by a fidelity bond	2020-09-30	Yes
Value of fidelity bond cover	2020-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2020-09-30	Yes
Were there any nonexempt tranactions with any party-in-interest	2020-09-30	No
Contributions received from participants	2020-09-30	$2,214,108
Participant contributions at end of year	2020-09-30	$268,994
Participant contributions at beginning of year	2020-09-30	$243,351
Participant contributions at beginning of year	2020-09-30	$28,313
Income. Received or receivable in cash from other sources (including rollovers)	2020-09-30	$528,019
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-09-30	$1,206
Liabilities. Value of operating payables at end of year	2020-09-30	$6,848
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-09-30	No
Value of net income/loss	2020-09-30	$1,896,514
Value of net assets at end of year (total assets less liabilities)	2020-09-30	$19,332,285
Value of net assets at beginning of year (total assets less liabilities)	2020-09-30	$15,096,694
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-09-30	No
Were any leases to which the plan was party in default or uncollectible	2020-09-30	No
Investment advisory and management fees	2020-09-30	$56,632
Value of interest in pooled separate accounts at end of year	2020-09-30	$18,433,880
Value of interest in pooled separate accounts at beginning of year	2020-09-30	$14,682,928
Interest on participant loans	2020-09-30	$14,184
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-09-30	$636,259
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-09-30	$133,265
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-09-30	$1,264,984
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-09-30	No
Was there a failure to transmit to the plan any participant contributions	2020-09-30	No
Has the plan failed to provide any benefit when due under the plan	2020-09-30	No
Contributions received in cash from employer	2020-09-30	$394,693
Employer contributions (assets) at beginning of year	2020-09-30	$7,631
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-09-30	$2,345,824
Contract administrator fees	2020-09-30	$107,018
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	2020-09-30	Yes
Did the plan have assets held for investment	2020-09-30	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	2020-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-09-30	Disclaimer
Accountancy firm name	2020-09-30	PRICE CPAS, PLLC
Accountancy firm EIN	2020-09-30	621016830
2019 : I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-09-30	$0
Total transfer of assets to this plan	2019-09-30	$7,917,260
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-09-30	$4,501
Total income from all sources (including contributions)	2019-09-30	$2,834,826
Total loss/gain on sale of assets	2019-09-30	$0
Total of all expenses incurred	2019-09-30	$1,074,194
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-09-30	$1,037,474
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-09-30	$2,638,847
Value of total assets at end of year	2019-09-30	$15,096,694
Value of total assets at beginning of year	2019-09-30	$5,423,303
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-09-30	$36,720
Total interest from all sources	2019-09-30	$4,029
Total dividends received (eg from common stock, registered investment company shares)	2019-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-09-30	No
Was this plan covered by a fidelity bond	2019-09-30	Yes
Value of fidelity bond cover	2019-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2019-09-30	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-09-30	No
Contributions received from participants	2019-09-30	$1,718,361
Participant contributions at end of year	2019-09-30	$243,351
Participant contributions at beginning of year	2019-09-30	$27,205
Participant contributions at end of year	2019-09-30	$28,313
Income. Received or receivable in cash from other sources (including rollovers)	2019-09-30	$410,140
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-09-30	$1,206
Liabilities. Value of operating payables at beginning of year	2019-09-30	$4,501
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-09-30	No
Value of net income/loss	2019-09-30	$1,760,632
Value of net assets at end of year (total assets less liabilities)	2019-09-30	$15,096,694
Value of net assets at beginning of year (total assets less liabilities)	2019-09-30	$5,418,802
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-09-30	No
Were any leases to which the plan was party in default or uncollectible	2019-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-09-30	$5,201,439
Value of interest in pooled separate accounts at end of year	2019-09-30	$14,682,928
Interest on participant loans	2019-09-30	$4,029
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-09-30	$133,265
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-09-30	$194,659
Net investment gain/loss from pooled separate accounts	2019-09-30	$191,950
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-09-30	No
Was there a failure to transmit to the plan any participant contributions	2019-09-30	No
Has the plan failed to provide any benefit when due under the plan	2019-09-30	No
Contributions received in cash from employer	2019-09-30	$510,346
Employer contributions (assets) at end of year	2019-09-30	$7,631
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-09-30	$1,037,474
Contract administrator fees	2019-09-30	$36,720
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	2019-09-30	Yes
Did the plan have assets held for investment	2019-09-30	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	2019-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-09-30	Disclaimer
Accountancy firm name	2019-09-30	PRICE CPAS, PLLC
Accountancy firm EIN	2019-09-30	621016830
2018 : I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-09-30	$0
Total transfer of assets to this plan	2018-09-30	$3,378,572
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-09-30	$4,501
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-09-30	$679
Total income from all sources (including contributions)	2018-09-30	$1,682,979
Total loss/gain on sale of assets	2018-09-30	$0
Total of all expenses incurred	2018-09-30	$823,621
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-09-30	$791,273
Value of total corrective distributions	2018-09-30	$29,345
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-09-30	$1,453,196
Value of total assets at end of year	2018-09-30	$5,423,303
Value of total assets at beginning of year	2018-09-30	$1,181,551
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-09-30	$3,003
Total interest from all sources	2018-09-30	$641
Total dividends received (eg from common stock, registered investment company shares)	2018-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-09-30	No
Was this plan covered by a fidelity bond	2018-09-30	Yes
Value of fidelity bond cover	2018-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2018-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-09-30	No
Contributions received from participants	2018-09-30	$1,136,403
Participant contributions at end of year	2018-09-30	$27,205
Income. Received or receivable in cash from other sources (including rollovers)	2018-09-30	$7,119
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-09-30	$679
Liabilities. Value of operating payables at end of year	2018-09-30	$4,501
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-09-30	No
Value of net income/loss	2018-09-30	$859,358
Value of net assets at end of year (total assets less liabilities)	2018-09-30	$5,418,802
Value of net assets at beginning of year (total assets less liabilities)	2018-09-30	$1,180,872
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-09-30	No
Were any leases to which the plan was party in default or uncollectible	2018-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-09-30	$5,201,439
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-09-30	$1,177,143
Interest on participant loans	2018-09-30	$641
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-09-30	$194,659
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-09-30	$4,408
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-09-30	$229,142
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-09-30	No
Was there a failure to transmit to the plan any participant contributions	2018-09-30	No
Has the plan failed to provide any benefit when due under the plan	2018-09-30	No
Contributions received in cash from employer	2018-09-30	$309,674
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-09-30	$791,273
Contract administrator fees	2018-09-30	$3,003
Did the plan have assets held for investment	2018-09-30	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	2018-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-09-30	Disclaimer
Accountancy firm name	2018-09-30	PRICE CPAS, PLLC
Accountancy firm EIN	2018-09-30	621016830
2017 : I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$679
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-30	$679
Total income from all sources (including contributions)	2017-09-30	$721,973
Total loss/gain on sale of assets	2017-09-30	$0
Total of all expenses incurred	2017-09-30	$86,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-09-30	$84,400
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-09-30	$612,912
Value of total assets at end of year	2017-09-30	$1,181,551
Value of total assets at beginning of year	2017-09-30	$546,515
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-09-30	$2,537
Total interest from all sources	2017-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-09-30	No
Was this plan covered by a fidelity bond	2017-09-30	Yes
Value of fidelity bond cover	2017-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2017-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-09-30	No
Contributions received from participants	2017-09-30	$530,139
Income. Received or receivable in cash from other sources (including rollovers)	2017-09-30	$82,773
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-09-30	$679
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-09-30	$679
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-30	No
Value of net income/loss	2017-09-30	$635,036
Value of net assets at end of year (total assets less liabilities)	2017-09-30	$1,180,872
Value of net assets at beginning of year (total assets less liabilities)	2017-09-30	$545,836
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-09-30	No
Were any leases to which the plan was party in default or uncollectible	2017-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-09-30	$1,177,143
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-09-30	$545,230
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-09-30	$4,408
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-09-30	$1,285
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-09-30	$109,061
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-09-30	No
Was there a failure to transmit to the plan any participant contributions	2017-09-30	No
Has the plan failed to provide any benefit when due under the plan	2017-09-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-09-30	$84,400
Contract administrator fees	2017-09-30	$2,537
Did the plan have assets held for investment	2017-09-30	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	2017-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-09-30	Disclaimer
Accountancy firm name	2017-09-30	PRICE CPAS, PLLC
Accountancy firm EIN	2017-09-30	621016830
2016 : I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-09-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$679
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-09-30	$0
Total income from all sources (including contributions)	2016-09-30	$548,353
Total loss/gain on sale of assets	2016-09-30	$0
Total of all expenses incurred	2016-09-30	$2,517
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-09-30	$809
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-09-30	$533,597
Value of total assets at end of year	2016-09-30	$546,515
Value of total assets at beginning of year	2016-09-30	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-09-30	$1,708
Total interest from all sources	2016-09-30	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-09-30	$0
Administrative expenses professional fees incurred	2016-09-30	$1,708
Was this plan covered by a fidelity bond	2016-09-30	Yes
Value of fidelity bond cover	2016-09-30	$1,000,000
If this is an individual account plan, was there a blackout period	2016-09-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-09-30	No
Contributions received from participants	2016-09-30	$125,747
Income. Received or receivable in cash from other sources (including rollovers)	2016-09-30	$407,850
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-09-30	$679
Total non interest bearing cash at beginning of year	2016-09-30	$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	2016-09-30	No
Value of net income/loss	2016-09-30	$545,836
Value of net assets at end of year (total assets less liabilities)	2016-09-30	$545,836
Value of net assets at beginning of year (total assets less liabilities)	2016-09-30	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-09-30	No
Were any leases to which the plan was party in default or uncollectible	2016-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-09-30	$545,230
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-09-30	$1,285
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-09-30	$14,756
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-09-30	No
Was there a failure to transmit to the plan any participant contributions	2016-09-30	No
Has the plan failed to provide any benefit when due under the plan	2016-09-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-09-30	$809
Did the plan have assets held for investment	2016-09-30	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	2016-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-09-30	Disclaimer
Accountancy firm name	2016-09-30	PRICE CPAS, PLLC
Accountancy firm EIN	2016-09-30	621016830

Form 5500 Responses for I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN

2021: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	No
2021-10-01	This submission is the final filing	No
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan funding arrangement – Trust	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement - Trust	Yes
2020: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Submission has been amended	No
2020-10-01	This submission is the final filing	No
2020-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-10-01	Plan is a collectively bargained plan	No
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan funding arrangement – Trust	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement - Trust	Yes
2019: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan funding arrangement – Trust	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement - Trust	Yes
2018: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	Submission has been amended	No
2018-10-01	This submission is the final filing	No
2018-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-10-01	Plan is a collectively bargained plan	No
2018-10-01	Plan funding arrangement – Insurance	Yes
2018-10-01	Plan funding arrangement – Trust	Yes
2018-10-01	Plan benefit arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement - Trust	Yes
2017: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Submission has been amended	No
2017-10-01	This submission is the final filing	No
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan funding arrangement – Trust	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement - Trust	Yes
2016: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan funding arrangement – Trust	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement - Trust	Yes
2015: I3 VERTICALS MANAGEMENT SERVICES, INC. 401(K) PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	First time form 5500 has been submitted	Yes
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

343310-000

Policy instance

Insurance contract or identification number	343310-000
Number of Individuals Covered	1062
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $21,599
Are there contracts with allocated funds for individual policies?	0
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
Amount paid for insurance broker fees	21599
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATION
Insurance broker organization code?	5

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

343310-000

Policy instance

Insurance contract or identification number	343310-000
Number of Individuals Covered	733
Insurance policy start date	2020-10-01
Insurance policy end date	2021-09-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $13,403
Are there contracts with allocated funds for individual policies?	0
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

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

343310-000

Policy instance

Insurance contract or identification number	343310-000
Number of Individuals Covered	469
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $12,392
Are there contracts with allocated funds for individual policies?	0
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
Amount paid for insurance broker fees	12392
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATION
Insurance broker organization code?	5

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

GA-839262

Policy instance

Insurance contract or identification number	GA-839262
Number of Individuals Covered	0
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Total amount of commissions paid to insurance broker	USD $14,889
Total amount of fees paid to insurance company	USD $1,861
Are there contracts with allocated funds for individual policies?	0
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 $14,889
Insurance broker organization code?	3
Amount paid for insurance broker fees	1861
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATION

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

343310-000

Policy instance

Insurance contract or identification number	343310-000
Number of Individuals Covered	393
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $17,558
Are there contracts with allocated funds for individual policies?	0
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
Amount paid for insurance broker fees	17558
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATION
Insurance broker organization code?	5

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

GA-839262

Policy instance

Insurance contract or identification number	GA-839262
Number of Individuals Covered	262
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $12,105
Total amount of fees paid to insurance company	USD $1,515
Are there contracts with allocated funds for individual policies?	0
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:	I3 VERTICALS MANAGEMENT SERVICES, INC.
Employer identification number (EIN):	300847828
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	5642456