401k Plan data: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN plan

KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN
Plan identification number	002

KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

KHORPORATE HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name: KHORPORATE HOLDINGS, INC.

Employer identification number (EIN): 351119749

NAIC Classification: 333200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01 GREG BAKER

Plan Statistics for KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN

Measure Date Value
2022: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 309
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 285
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 29
Total of all active and inactive participants 2022-01-01 314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 314
Number of participants with account balances 2022-01-01 192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 322
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 262
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 31
Total of all active and inactive participants 2021-01-01 294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 294
Number of participants with account balances 2021-01-01 188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 6
2020: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 327
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 284
Number of retired or separated participants receiving benefits 2020-01-01 2
Number of other retired or separated participants entitled to future benefits 2020-01-01 26
Total of all active and inactive participants 2020-01-01 312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 312
Number of participants with account balances 2020-01-01 205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 2
2019: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 329
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 284
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 20
Total of all active and inactive participants 2019-01-01 305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 305
Number of participants with account balances 2019-01-01 196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 1
2018: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 232
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 295
Number of retired or separated participants receiving benefits 2018-01-01 5
Number of other retired or separated participants entitled to future benefits 2018-01-01 21
Total of all active and inactive participants 2018-01-01 321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 321
Number of participants with account balances 2018-01-01 203
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 279
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 219
Number of retired or separated participants receiving benefits 2017-01-01 1
Number of other retired or separated participants entitled to future benefits 2017-01-01 12
Total of all active and inactive participants 2017-01-01 232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 232
Number of participants with account balances 2017-01-01 150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 1

Measure	Date	Value
2022: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	309
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	285
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	29
Total of all active and inactive participants	2022-01-01	314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	314
Number of participants with account balances	2022-01-01	192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	322
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	262
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	31
Total of all active and inactive participants	2021-01-01	294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	294
Number of participants with account balances	2021-01-01	188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	6
2020: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	327
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	284
Number of retired or separated participants receiving benefits	2020-01-01	2
Number of other retired or separated participants entitled to future benefits	2020-01-01	26
Total of all active and inactive participants	2020-01-01	312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	312
Number of participants with account balances	2020-01-01	205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	2
2019: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	329
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	284
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	20
Total of all active and inactive participants	2019-01-01	305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	305
Number of participants with account balances	2019-01-01	196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	1
2018: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	232
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	295
Number of retired or separated participants receiving benefits	2018-01-01	5
Number of other retired or separated participants entitled to future benefits	2018-01-01	21
Total of all active and inactive participants	2018-01-01	321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	321
Number of participants with account balances	2018-01-01	203
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	279
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	219
Number of retired or separated participants receiving benefits	2017-01-01	1
Number of other retired or separated participants entitled to future benefits	2017-01-01	12
Total of all active and inactive participants	2017-01-01	232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	232
Number of participants with account balances	2017-01-01	150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	1

Financial Data on KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN

Measure	Date	Value
2022 : KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$-3,307,693
Total unrealized appreciation/depreciation of assets	2022-12-31	$-3,307,693
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-1,926,819
Total loss/gain on sale of assets	2022-12-31	$-474,801
Total of all expenses incurred	2022-12-31	$1,886,657
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,823,267
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,107,103
Value of total assets at end of year	2022-12-31	$14,149,452
Value of total assets at beginning of year	2022-12-31	$17,962,928
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$63,390
Total interest from all sources	2022-12-31	$3,692
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$596,760
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$596,760
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	$724,732
Participant contributions at end of year	2022-12-31	$64,523
Participant contributions at beginning of year	2022-12-31	$55,453
Participant contributions at end of year	2022-12-31	$1,020
Participant contributions at beginning of year	2022-12-31	$4,945
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$149,233
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$140,581
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$0
Other income not declared elsewhere	2022-12-31	$148,120
Administrative expenses (other) incurred	2022-12-31	$63,390
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	$-3,813,476
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$14,149,452
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$17,962,928
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 registered invesment companies (eg mutual funds) at end of year	2022-12-31	$13,051,686
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$16,907,849
Interest on participant loans	2022-12-31	$3,692
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$891,004
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$979,448
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	Yes
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	$233,138
Employer contributions (assets) at end of year	2022-12-31	$638
Employer contributions (assets) at beginning of year	2022-12-31	$15,233
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,823,267
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
Aggregate proceeds on sale of assets	2022-12-31	$1,991,760
Aggregate carrying amount (costs) on sale of assets	2022-12-31	$2,466,561
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	HAINES, ISENBARGER & SKIBA, LLC
Accountancy firm EIN	2022-12-31	522127371
2021 : KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2021-12-31	$1,118,775
Total unrealized appreciation/depreciation of assets	2021-12-31	$1,118,775
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$249
Total income from all sources (including contributions)	2021-12-31	$3,286,086
Total loss/gain on sale of assets	2021-12-31	$246,749
Total of all expenses incurred	2021-12-31	$1,073,256
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,008,505
Value of total corrective distributions	2021-12-31	$3,321
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$953,843
Value of total assets at end of year	2021-12-31	$17,962,928
Value of total assets at beginning of year	2021-12-31	$15,750,347
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$61,430
Total interest from all sources	2021-12-31	$3,456
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$954,201
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$954,201
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	$682,070
Participant contributions at end of year	2021-12-31	$55,453
Participant contributions at beginning of year	2021-12-31	$77,297
Participant contributions at end of year	2021-12-31	$4,945
Participant contributions at beginning of year	2021-12-31	$5,624
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$52,943
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$249
Other income not declared elsewhere	2021-12-31	$9,062
Administrative expenses (other) incurred	2021-12-31	$61,430
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	$2,212,830
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$17,962,928
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$15,750,098
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 registered invesment companies (eg mutual funds) at end of year	2021-12-31	$16,907,849
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$14,661,253
Interest on participant loans	2021-12-31	$3,456
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$979,448
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$993,918
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	$218,830
Employer contributions (assets) at end of year	2021-12-31	$15,233
Employer contributions (assets) at beginning of year	2021-12-31	$12,255
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,008,505
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
Aggregate proceeds on sale of assets	2021-12-31	$2,805,185
Aggregate carrying amount (costs) on sale of assets	2021-12-31	$2,558,436
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	ZULAGER CPA, LLC
Accountancy firm EIN	2021-12-31	463966083
2020 : KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2020-12-31	$1,439,270
Total unrealized appreciation/depreciation of assets	2020-12-31	$1,439,270
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$249
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$1,496
Total income from all sources (including contributions)	2020-12-31	$3,119,081
Total loss/gain on sale of assets	2020-12-31	$146,534
Total of all expenses incurred	2020-12-31	$1,814,848
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,755,885
Value of total corrective distributions	2020-12-31	$8,040
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$974,497
Value of total assets at end of year	2020-12-31	$15,750,347
Value of total assets at beginning of year	2020-12-31	$14,447,361
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$50,923
Total interest from all sources	2020-12-31	$4,029
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$547,936
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$547,936
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
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	$651,306
Participant contributions at end of year	2020-12-31	$77,297
Participant contributions at beginning of year	2020-12-31	$85,829
Participant contributions at end of year	2020-12-31	$5,624
Participant contributions at beginning of year	2020-12-31	$10,271
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$112,639
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$249
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$1,496
Other income not declared elsewhere	2020-12-31	$6,815
Administrative expenses (other) incurred	2020-12-31	$50,923
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$1,304,233
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$15,750,098
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$14,445,865
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 registered invesment companies (eg mutual funds) at end of year	2020-12-31	$14,661,253
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$13,293,936
Interest on participant loans	2020-12-31	$4,029
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$993,918
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$1,044,370
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	$210,552
Employer contributions (assets) at end of year	2020-12-31	$12,255
Employer contributions (assets) at beginning of year	2020-12-31	$12,955
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,755,885
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
Aggregate proceeds on sale of assets	2020-12-31	$3,974,841
Aggregate carrying amount (costs) on sale of assets	2020-12-31	$3,828,307
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	ZULAGER CPA, LLC
Accountancy firm EIN	2020-12-31	463966083
2019 : KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$2,127,055
Total unrealized appreciation/depreciation of assets	2019-12-31	$2,127,055
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$1,496
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$14
Total income from all sources (including contributions)	2019-12-31	$3,775,984
Total loss/gain on sale of assets	2019-12-31	$139,288
Total of all expenses incurred	2019-12-31	$1,237,277
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,189,198
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$983,232
Value of total assets at end of year	2019-12-31	$14,447,361
Value of total assets at beginning of year	2019-12-31	$11,907,172
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$48,079
Total interest from all sources	2019-12-31	$3,807
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$516,001
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$516,001
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
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
Contributions received from participants	2019-12-31	$635,733
Participant contributions at end of year	2019-12-31	$85,829
Participant contributions at beginning of year	2019-12-31	$77,932
Participant contributions at end of year	2019-12-31	$10,271
Participant contributions at beginning of year	2019-12-31	$5,124
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$159,809
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$1,496
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$14
Other income not declared elsewhere	2019-12-31	$6,601
Administrative expenses (other) incurred	2019-12-31	$48,079
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	$2,538,707
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$14,445,865
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$11,907,158
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 leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$13,293,936
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$10,644,706
Interest on participant loans	2019-12-31	$3,807
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$1,044,370
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$1,164,892
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
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	$187,690
Employer contributions (assets) at end of year	2019-12-31	$12,955
Employer contributions (assets) at beginning of year	2019-12-31	$14,518
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,189,198
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
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
Aggregate proceeds on sale of assets	2019-12-31	$1,254,104
Aggregate carrying amount (costs) on sale of assets	2019-12-31	$1,114,816
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
Accountancy firm name	2019-12-31	ZULAGER CPA, LLC
Accountancy firm EIN	2019-12-31	463966083
2018 : KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$-1,276,472
Total unrealized appreciation/depreciation of assets	2018-12-31	$-1,276,472
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$14
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$198
Total income from all sources (including contributions)	2018-12-31	$1,429,168
Total loss/gain on sale of assets	2018-12-31	$26,086
Total of all expenses incurred	2018-12-31	$1,077,626
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,033,174
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$2,013,696
Value of total assets at end of year	2018-12-31	$11,907,172
Value of total assets at beginning of year	2018-12-31	$11,555,814
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$44,452
Total interest from all sources	2018-12-31	$4,569
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$649,083
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$649,083
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	$616,279
Participant contributions at end of year	2018-12-31	$77,932
Participant contributions at beginning of year	2018-12-31	$117,856
Participant contributions at end of year	2018-12-31	$5,124
Participant contributions at beginning of year	2018-12-31	$20,065
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$1,228,252
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$14
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$198
Other income not declared elsewhere	2018-12-31	$12,206
Administrative expenses (other) incurred	2018-12-31	$44,452
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	$351,542
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$11,907,158
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$11,555,616
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 registered invesment companies (eg mutual funds) at end of year	2018-12-31	$10,644,706
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$10,330,365
Interest on participant loans	2018-12-31	$4,569
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$1,164,892
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$1,071,662
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$169,165
Employer contributions (assets) at end of year	2018-12-31	$14,518
Employer contributions (assets) at beginning of year	2018-12-31	$15,866
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,033,174
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Aggregate proceeds on sale of assets	2018-12-31	$1,614,178
Aggregate carrying amount (costs) on sale of assets	2018-12-31	$1,588,092
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	ZULAGER CPA, LLC
Accountancy firm EIN	2018-12-31	463966083
2017 : KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$1,319,184
Total unrealized appreciation/depreciation of assets	2017-12-31	$1,319,184
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$198
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$44
Total income from all sources (including contributions)	2017-12-31	$2,587,227
Total loss/gain on sale of assets	2017-12-31	$90,792
Total of all expenses incurred	2017-12-31	$986,182
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$940,654
Value of total corrective distributions	2017-12-31	$4,945
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$813,256
Value of total assets at end of year	2017-12-31	$11,555,814
Value of total assets at beginning of year	2017-12-31	$9,954,615
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$40,583
Total interest from all sources	2017-12-31	$5,204
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$346,385
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$346,385
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$506,785
Participant contributions at end of year	2017-12-31	$20,065
Participant contributions at beginning of year	2017-12-31	$16,181
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$141,308
Assets. Loans (other than to participants) at end of year	2017-12-31	$117,856
Assets. Loans (other than to participants) at beginning of year	2017-12-31	$115,051
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$198
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$44
Other income not declared elsewhere	2017-12-31	$12,406
Administrative expenses (other) incurred	2017-12-31	$40,583
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,601,045
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$11,555,616
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$9,954,571
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$10,330,365
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$8,549,415
Interest on participant loans	2017-12-31	$5,204
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$1,071,662
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$1,260,488
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$165,163
Employer contributions (assets) at end of year	2017-12-31	$15,866
Employer contributions (assets) at beginning of year	2017-12-31	$13,480
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$940,654
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Aggregate proceeds on sale of assets	2017-12-31	$1,557,125
Aggregate carrying amount (costs) on sale of assets	2017-12-31	$1,466,333
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	ZULAGER CPA, LLC
Accountancy firm EIN	2017-12-31	463966083

Form 5500 Responses for KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN

2022: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS 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: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS 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: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS 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: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS 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: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS 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
2017: KHORPORATE HOLDINGS, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

331181-01

Policy instance

Insurance contract or identification number	331181-01
Number of Individuals Covered	314
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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

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

Policy contract number

331181-01

Policy instance

Insurance contract or identification number	331181-01
Number of Individuals Covered	294
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
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

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

Policy contract number

331181-01

Policy instance

Insurance contract or identification number	331181-01
Number of Individuals Covered	312
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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

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

Policy contract number

331181-01

Policy instance

Insurance contract or identification number	331181-01
Number of Individuals Covered	305
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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

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

Policy contract number

331181-01

Policy instance

Insurance contract or identification number	331181-01
Number of Individuals Covered	232
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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

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

Policy contract number

331181-01

Policy instance

Insurance contract or identification number	331181-01
Number of Individuals Covered	232
Insurance policy start date	2017-07-01
Insurance policy end date	2017-12-31
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:	KHORPORATE HOLDINGS, INC.
Employer identification number (EIN):	351119749
NAIC Classification:	333200