401k Plan data: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN plan

SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 401k Plan overview

Plan Name	SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN
Plan identification number	002

SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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

SPAULDING COMPOSITES, INC. has sponsored the creation of one or more 401k plans.

Company Name: SPAULDING COMPOSITES, INC.

Employer identification number (EIN): 320095131

NAIC Classification: 339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 MICHAEL C. BECKER 2023-07-24
002 2021-01-01 MICHAEL C. BECKER 2022-07-26
002 2021-01-01 MICHAEL C. BECKER 2022-07-26
002 2020-01-01 TAMMY THIBAULT 2021-10-05
002 2019-01-01 TAMMY THIBAULT 2020-10-14
002 2018-01-01 TAMMY THIBAULT 2019-10-02
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01 TAMMY THIBAULT 2015-10-08
002 2013-01-01 TAMMY THIBAULT 2015-10-08
002 2012-01-01 DONNITA ROCKWELL 2013-05-15
002 2011-01-01 DONNITA ROCKWELL 2012-07-25
002 2010-01-01 DONNITA R. ROCKWELL 2011-06-27

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2022-01-01	MICHAEL C. BECKER	2023-07-24
002	2021-01-01	MICHAEL C. BECKER	2022-07-26
002	2021-01-01	MICHAEL C. BECKER	2022-07-26
002	2020-01-01	TAMMY THIBAULT	2021-10-05
002	2019-01-01	TAMMY THIBAULT	2020-10-14
002	2018-01-01	TAMMY THIBAULT	2019-10-02
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01	TAMMY THIBAULT	2015-10-08
002	2013-01-01	TAMMY THIBAULT	2015-10-08
002	2012-01-01	DONNITA ROCKWELL	2013-05-15
002	2011-01-01	DONNITA ROCKWELL	2012-07-25
002	2010-01-01	DONNITA R. ROCKWELL	2011-06-27

Plan Statistics for SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN

401k plan membership statisitcs for SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN

Measure Date Value
2022: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 164
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 118
Number of retired or separated participants receiving benefits 2022-01-01 3
Number of other retired or separated participants entitled to future benefits 2022-01-01 9
Total of all active and inactive participants 2022-01-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 130
Number of participants with account balances 2022-01-01 42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 4
2021: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 163
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 119
Number of retired or separated participants receiving benefits 2021-01-01 15
Number of other retired or separated participants entitled to future benefits 2021-01-01 21
Total of all active and inactive participants 2021-01-01 155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 155
Number of participants with account balances 2021-01-01 71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 5
2020: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 166
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 131
Number of retired or separated participants receiving benefits 2020-01-01 15
Number of other retired or separated participants entitled to future benefits 2020-01-01 16
Total of all active and inactive participants 2020-01-01 162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 162
Number of participants with account balances 2020-01-01 68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 5
2019: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 182
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 133
Number of retired or separated participants receiving benefits 2019-01-01 15
Number of other retired or separated participants entitled to future benefits 2019-01-01 18
Total of all active and inactive participants 2019-01-01 166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 166
Number of participants with account balances 2019-01-01 71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 3
2018: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 165
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 160
Number of retired or separated participants receiving benefits 2018-01-01 6
Number of other retired or separated participants entitled to future benefits 2018-01-01 14
Total of all active and inactive participants 2018-01-01 180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 180
Number of participants with account balances 2018-01-01 77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0

Measure	Date	Value
2022: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	164
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	118
Number of retired or separated participants receiving benefits	2022-01-01	3
Number of other retired or separated participants entitled to future benefits	2022-01-01	9
Total of all active and inactive participants	2022-01-01	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	130
Number of participants with account balances	2022-01-01	42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	4
2021: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	119
Number of retired or separated participants receiving benefits	2021-01-01	15
Number of other retired or separated participants entitled to future benefits	2021-01-01	21
Total of all active and inactive participants	2021-01-01	155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	155
Number of participants with account balances	2021-01-01	71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	5
2020: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	166
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	131
Number of retired or separated participants receiving benefits	2020-01-01	15
Number of other retired or separated participants entitled to future benefits	2020-01-01	16
Total of all active and inactive participants	2020-01-01	162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	162
Number of participants with account balances	2020-01-01	68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	5
2019: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	182
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	133
Number of retired or separated participants receiving benefits	2019-01-01	15
Number of other retired or separated participants entitled to future benefits	2019-01-01	18
Total of all active and inactive participants	2019-01-01	166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	166
Number of participants with account balances	2019-01-01	71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	3
2018: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	165
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	160
Number of retired or separated participants receiving benefits	2018-01-01	6
Number of other retired or separated participants entitled to future benefits	2018-01-01	14
Total of all active and inactive participants	2018-01-01	180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	180
Number of participants with account balances	2018-01-01	77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0

Financial Data on SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN

Measure	Date	Value
2022 : SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$1,897
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$1,251
Total income from all sources (including contributions)	2022-12-31	$-268,495
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$440,807
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$436,310
Value of total corrective distributions	2022-12-31	$1,897
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$195,610
Value of total assets at end of year	2022-12-31	$2,000,291
Value of total assets at beginning of year	2022-12-31	$2,708,947
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$2,600
Total interest from all sources	2022-12-31	$1,049
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$170,373
Participant contributions at end of year	2022-12-31	$4,095
Participant contributions at beginning of year	2022-12-31	$14,515
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$3,063
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$1,897
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$1,251
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-709,302
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$1,998,394
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$2,707,696
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in pooled separate accounts at end of year	2022-12-31	$1,959,976
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$2,631,410
Interest on participant loans	2022-12-31	$243
Interest earned on other investments	2022-12-31	$806
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$36,220
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$59,372
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-465,154
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$25,237
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$587
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$436,310
Contract administrator fees	2022-12-31	$2,600
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	NATHAN WECHSLER & CO P.A.
Accountancy firm EIN	2022-12-31	020327524
2021 : SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$1,251
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$7,992
Total income from all sources (including contributions)	2021-12-31	$563,614
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$98,091
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$92,069
Value of total corrective distributions	2021-12-31	$1,251
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$222,347
Value of total assets at end of year	2021-12-31	$2,708,947
Value of total assets at beginning of year	2021-12-31	$2,250,165
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$4,771
Total interest from all sources	2021-12-31	$2,011
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$189,467
Participant contributions at end of year	2021-12-31	$14,515
Participant contributions at beginning of year	2021-12-31	$13,229
Participant contributions at end of year	2021-12-31	$3,063
Participant contributions at beginning of year	2021-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$1,251
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$7,992
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$465,523
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$2,707,696
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,242,173
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in pooled separate accounts at end of year	2021-12-31	$2,631,410
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$2,174,382
Interest on participant loans	2021-12-31	$606
Interest earned on other investments	2021-12-31	$1,405
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$59,372
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$62,362
Net investment gain/loss from pooled separate accounts	2021-12-31	$339,256
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$32,880
Employer contributions (assets) at end of year	2021-12-31	$587
Employer contributions (assets) at beginning of year	2021-12-31	$192
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$92,069
Contract administrator fees	2021-12-31	$4,771
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	NATHAN WECHSLER & CO P.A.
Accountancy firm EIN	2021-12-31	020327524
2020 : SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$7,992
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$5,603
Total income from all sources (including contributions)	2020-12-31	$542,841
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$610,746
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$599,153
Value of total corrective distributions	2020-12-31	$7,992
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$227,459
Value of total assets at end of year	2020-12-31	$2,250,165
Value of total assets at beginning of year	2020-12-31	$2,315,681
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$3,601
Total interest from all sources	2020-12-31	$2,976
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$180,920
Participant contributions at end of year	2020-12-31	$13,229
Participant contributions at beginning of year	2020-12-31	$73,223
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$3,369
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$14,022
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$7,992
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$5,603
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$-67,905
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,242,173
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$2,310,078
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in pooled separate accounts at end of year	2020-12-31	$2,174,382
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$2,147,496
Interest on participant loans	2020-12-31	$2,976
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$62,362
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$90,694
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$312,406
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$32,517
Employer contributions (assets) at end of year	2020-12-31	$192
Employer contributions (assets) at beginning of year	2020-12-31	$899
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$599,153
Contract administrator fees	2020-12-31	$3,601
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	NATHAN WECHSLER & CO P.A.
Accountancy firm EIN	2020-12-31	020327524
2019 : SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$5,603
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$5,603
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$770,780
Total income from all sources (including contributions)	2019-12-31	$770,780
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$1,469,154
Total of all expenses incurred	2019-12-31	$1,469,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,460,451
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,460,451
Value of total corrective distributions	2019-12-31	$5,603
Value of total corrective distributions	2019-12-31	$5,603
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$255,154
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$255,154
Value of total assets at end of year	2019-12-31	$2,315,681
Value of total assets at end of year	2019-12-31	$2,315,681
Value of total assets at beginning of year	2019-12-31	$3,008,452
Value of total assets at beginning of year	2019-12-31	$3,008,452
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$3,100
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$3,100
Total interest from all sources	2019-12-31	$6,014
Total interest from all sources	2019-12-31	$6,014
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$1,000,000
Value of fidelity bond cover	2019-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$212,075
Contributions received from participants	2019-12-31	$212,075
Participant contributions at end of year	2019-12-31	$73,223
Participant contributions at end of year	2019-12-31	$73,223
Participant contributions at beginning of year	2019-12-31	$113,163
Participant contributions at beginning of year	2019-12-31	$113,163
Participant contributions at end of year	2019-12-31	$3,369
Participant contributions at end of year	2019-12-31	$3,369
Participant contributions at beginning of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$5,603
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$5,603
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$0
Other income not declared elsewhere	2019-12-31	$5,416
Other income not declared elsewhere	2019-12-31	$5,416
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$-698,374
Value of net income/loss	2019-12-31	$-698,374
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,310,078
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,310,078
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$3,008,452
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$3,008,452
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in pooled separate accounts at end of year	2019-12-31	$2,147,496
Value of interest in pooled separate accounts at end of year	2019-12-31	$2,147,496
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$2,757,812
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$2,757,812
Interest on participant loans	2019-12-31	$3,653
Interest on participant loans	2019-12-31	$3,653
Interest earned on other investments	2019-12-31	$2,361
Interest earned on other investments	2019-12-31	$2,361
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$90,694
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$90,694
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$137,477
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$137,477
Net investment gain/loss from pooled separate accounts	2019-12-31	$504,196
Net investment gain/loss from pooled separate accounts	2019-12-31	$504,196
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$43,079
Contributions received in cash from employer	2019-12-31	$43,079
Employer contributions (assets) at end of year	2019-12-31	$899
Employer contributions (assets) at end of year	2019-12-31	$899
Employer contributions (assets) at beginning of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,460,451
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,460,451
Contract administrator fees	2019-12-31	$3,100
Contract administrator fees	2019-12-31	$3,100
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	NATHAN WECHSLER & CO P.A.
Accountancy firm name	2019-12-31	NATHAN WECHSLER & CO P.A.
Accountancy firm EIN	2019-12-31	020327524
Accountancy firm EIN	2019-12-31	020327524
2018 : SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$425
Total income from all sources (including contributions)	2018-12-31	$125,068
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$410,802
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$405,636
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$344,628
Value of total assets at end of year	2018-12-31	$3,008,452
Value of total assets at beginning of year	2018-12-31	$3,294,611
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$5,166
Total interest from all sources	2018-12-31	$7,693
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$223,965
Participant contributions at end of year	2018-12-31	$113,163
Participant contributions at beginning of year	2018-12-31	$109,074
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$4,814
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$72,983
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$425
Other income not declared elsewhere	2018-12-31	$-2,863
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-285,734
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$3,008,452
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$3,294,186
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in pooled separate accounts at end of year	2018-12-31	$2,757,812
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$3,068,322
Interest on participant loans	2018-12-31	$5,442
Interest earned on other investments	2018-12-31	$2,229
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$22
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$137,477
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$111,427
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-224,390
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$47,680
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$974
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$405,636
Contract administrator fees	2018-12-31	$5,166
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	NATHAN WECHSLER & CO P.A.
Accountancy firm EIN	2018-12-31	020327524

Form 5500 Responses for SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN

2022: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: SPAULDING COMPOSITES, INC. PERSONAL RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

878780

Policy instance

Insurance contract or identification number	878780
Number of Individuals Covered	42
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $5,497
Total amount of fees paid to insurance company	USD $0
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 $5,497
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	INSURANCE AGENT/BROKER
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

878780

Policy instance

Insurance contract or identification number	878780
Number of Individuals Covered	71
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $10,010
Total amount of fees paid to insurance company	USD $0
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 $10,010
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	INSURANCE AGENT/BROKER
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

878780

Policy instance

Insurance contract or identification number	878780
Number of Individuals Covered	68
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $8,340
Total amount of fees paid to insurance company	USD $1,045
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 $8,340
Insurance broker organization code?	3
Amount paid for insurance broker fees	1045
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

878780

Policy instance

Insurance contract or identification number	878780
Number of Individuals Covered	67
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $10,860
Total amount of fees paid to insurance company	USD $1,448
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 $10,860
Insurance broker organization code?	3
Amount paid for insurance broker fees	1448
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

878780

Policy instance

Insurance contract or identification number	878780
Number of Individuals Covered	77
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $13,274
Total amount of fees paid to insurance company	USD $1,642
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 $13,274
Insurance broker organization code?	3
Amount paid for insurance broker fees	1642
Additional information about fees paid to insurance broker	TPA FORUM PAYMENT

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Company Name:	SPAULDING COMPOSITES, INC.
Employer identification number (EIN):	320095131
NAIC Classification:	339900