401k Plan data: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN plan

BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

BLOCK IMAGING INTERNATIONAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: BLOCK IMAGING INTERNATIONAL, INC.

Employer identification number (EIN): 383381724

NAIC Classification: 454390
NAIC Description: Other Direct Selling Establishments

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 JOSH BLOCK 2023-10-12 JOSH BLOCK 2023-10-12
001 2021-01-01 JOSH BLOCK 2022-10-12 JOSH BLOCK 2022-10-12
001 2020-01-01 JOSH BLOCK 2021-10-04 JOSH BLOCK 2021-10-04
001 2019-01-01 JOSH BLOCK 2020-09-30 JOSH BLOCK 2020-09-30
001 2018-01-01 JOSH BLOCK 2019-10-08 JOSH BLOCK 2019-10-08
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 PAMELA LAWRIE AS PRACTITIONER 2013-10-09
001 2011-01-01 DAN SUTTER 2012-09-27
001 2010-01-01 BRUCE BLOCK 2011-09-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	JOSH BLOCK	2023-10-12	JOSH BLOCK	2023-10-12
001	2021-01-01	JOSH BLOCK	2022-10-12	JOSH BLOCK	2022-10-12
001	2020-01-01	JOSH BLOCK	2021-10-04	JOSH BLOCK	2021-10-04
001	2019-01-01	JOSH BLOCK	2020-09-30	JOSH BLOCK	2020-09-30
001	2018-01-01	JOSH BLOCK	2019-10-08	JOSH BLOCK	2019-10-08
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	PAMELA LAWRIE AS PRACTITIONER	2013-10-09
001	2011-01-01	DAN SUTTER	2012-09-27
001	2010-01-01	BRUCE BLOCK	2011-09-01

Plan Statistics for BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 171
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 50
Total of all active and inactive participants 2022-01-01 221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 221
Number of participants with account balances 2022-01-01 221
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 5
2021: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 164
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 143
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 42
Total of all active and inactive participants 2021-01-01 185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 185
Number of participants with account balances 2021-01-01 185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 5
2020: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 162
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 126
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 34
Total of all active and inactive participants 2020-01-01 160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 160
Number of participants with account balances 2020-01-01 159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 4
2019: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 120
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 41
Total of all active and inactive participants 2019-01-01 161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 161
Number of participants with account balances 2019-01-01 158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 5
2018: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 148
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 113
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 35
Total of all active and inactive participants 2018-01-01 148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 148
Number of participants with account balances 2018-01-01 141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 6
2017: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 109
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 36
Total of all active and inactive participants 2017-01-01 145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 145
Number of participants with account balances 2017-01-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 1
2016: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 108
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 24
Total of all active and inactive participants 2016-01-01 132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 132
Number of participants with account balances 2016-01-01 112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2022: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	171
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	50
Total of all active and inactive participants	2022-01-01	221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	221
Number of participants with account balances	2022-01-01	221
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	5
2021: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	164
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	143
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	42
Total of all active and inactive participants	2021-01-01	185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	185
Number of participants with account balances	2021-01-01	185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	5
2020: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	162
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	126
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	34
Total of all active and inactive participants	2020-01-01	160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	160
Number of participants with account balances	2020-01-01	159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	4
2019: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	120
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	41
Total of all active and inactive participants	2019-01-01	161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	161
Number of participants with account balances	2019-01-01	158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	5
2018: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	148
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	113
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	35
Total of all active and inactive participants	2018-01-01	148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	148
Number of participants with account balances	2018-01-01	141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	6
2017: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	109
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	36
Total of all active and inactive participants	2017-01-01	145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	145
Number of participants with account balances	2017-01-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	1
2016: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	108
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	24
Total of all active and inactive participants	2016-01-01	132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	132
Number of participants with account balances	2016-01-01	112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-789,105
Total of all expenses incurred	2022-12-31	$778,843
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$714,021
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,792,517
Value of total assets at end of year	2022-12-31	$11,991,707
Value of total assets at beginning of year	2022-12-31	$13,559,655
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$64,822
Total interest from all sources	2022-12-31	$3,115
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$60,218
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	$60,218
Administrative expenses professional fees incurred	2022-12-31	$500
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$1,000,000
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	$1,151,954
Participant contributions at end of year	2022-12-31	$34,570
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$17,740
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	$-1,567,948
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$11,991,707
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$13,559,655
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	$4,221,406
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$5,187,349
Value of interest in pooled separate accounts at end of year	2022-12-31	$547,564
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$549,260
Interest on participant loans	2022-12-31	$238
Interest earned on other investments	2022-12-31	$2,877
Value of interest in common/collective trusts at end of year	2022-12-31	$6,279,987
Value of interest in common/collective trusts at beginning of year	2022-12-31	$7,205,459
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$366,729
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$48,005
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,307,198
Net investment gain/loss from pooled separate accounts	2022-12-31	$-99,874
Net investment gain or loss from common/collective trusts	2022-12-31	$-1,237,883
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	$622,823
Employer contributions (assets) at end of year	2022-12-31	$541,451
Employer contributions (assets) at beginning of year	2022-12-31	$569,582
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$714,021
Contract administrator fees	2022-12-31	$64,322
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	BDO USA, P.C.
Accountancy firm EIN	2022-12-31	135381590
2021 : BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$3,573,820
Total of all expenses incurred	2021-12-31	$289,624
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$222,799
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,860,696
Value of total assets at end of year	2021-12-31	$13,559,655
Value of total assets at beginning of year	2021-12-31	$10,275,459
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$66,825
Total interest from all sources	2021-12-31	$1,468
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$61,136
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	$61,136
Administrative expenses professional fees incurred	2021-12-31	$3,381
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$1,000,000
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	$990,409
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$201,330
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	$3,284,196
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$13,559,655
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$10,275,459
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	$5,187,349
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$3,777,723
Value of interest in pooled separate accounts at end of year	2021-12-31	$549,260
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$344,856
Interest earned on other investments	2021-12-31	$1,468
Value of interest in common/collective trusts at end of year	2021-12-31	$7,205,459
Value of interest in common/collective trusts at beginning of year	2021-12-31	$5,690,548
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$48,005
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$85,178
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$624,294
Net investment gain/loss from pooled separate accounts	2021-12-31	$109,907
Net investment gain or loss from common/collective trusts	2021-12-31	$916,319
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	$668,957
Employer contributions (assets) at end of year	2021-12-31	$569,582
Employer contributions (assets) at beginning of year	2021-12-31	$377,154
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$222,799
Contract administrator fees	2021-12-31	$63,444
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	BDO USA, LLP
Accountancy firm EIN	2021-12-31	135381590
2020 : BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$3,244,322
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$421,844
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$375,902
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,694,446
Value of total assets at end of year	2020-12-31	$10,275,459
Value of total assets at beginning of year	2020-12-31	$7,452,981
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$45,942
Total interest from all sources	2020-12-31	$1,691
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$31,756
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	$31,756
Administrative expenses professional fees incurred	2020-12-31	$3,428
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	$747,808
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$543,234
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-12-31	$237
Other income not declared elsewhere	2020-12-31	$237
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	$2,822,478
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$10,275,459
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$7,452,981
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	$3,777,723
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$2,690,264
Value of interest in pooled separate accounts at end of year	2020-12-31	$344,856
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$262,032
Interest earned on other investments	2020-12-31	$1,691
Value of interest in common/collective trusts at end of year	2020-12-31	$5,690,548
Value of interest in common/collective trusts at beginning of year	2020-12-31	$4,193,996
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$85,178
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$47,174
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$764,974
Net investment gain/loss from pooled separate accounts	2020-12-31	$40,576
Net investment gain or loss from common/collective trusts	2020-12-31	$710,642
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	$403,404
Employer contributions (assets) at end of year	2020-12-31	$377,154
Employer contributions (assets) at beginning of year	2020-12-31	$259,515
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$375,665
Contract administrator fees	2020-12-31	$42,514
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	Unqualified
Accountancy firm name	2020-12-31	BDO USA, LLP
Accountancy firm EIN	2020-12-31	135381590
2019 : BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$2,398,832
Total of all expenses incurred	2019-12-31	$185,773
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$150,272
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,043,735
Value of total assets at end of year	2019-12-31	$7,452,981
Value of total assets at beginning of year	2019-12-31	$5,239,922
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$35,501
Total interest from all sources	2019-12-31	$840
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$31,567
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	$31,567
Was this plan covered by a fidelity bond	2019-12-31	Yes
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
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	$575,805
Participant contributions at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$208,415
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	$2,213,059
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$7,452,981
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$5,239,922
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	$2,690,264
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,664,724
Value of interest in pooled separate accounts at end of year	2019-12-31	$262,032
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$187,579
Interest earned on other investments	2019-12-31	$840
Value of interest in common/collective trusts at end of year	2019-12-31	$4,193,996
Value of interest in common/collective trusts at beginning of year	2019-12-31	$3,061,492
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$47,174
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$78,580
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$514,810
Net investment gain/loss from pooled separate accounts	2019-12-31	$50,239
Net investment gain or loss from common/collective trusts	2019-12-31	$757,641
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	$259,515
Employer contributions (assets) at end of year	2019-12-31	$259,515
Employer contributions (assets) at beginning of year	2019-12-31	$247,547
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$150,272
Contract administrator fees	2019-12-31	$35,501
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
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	BDO USA, LLP
Accountancy firm EIN	2019-12-31	135381590
2018 : BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$572,668
Total of all expenses incurred	2018-12-31	$148,428
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$121,524
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$841,683
Value of total assets at end of year	2018-12-31	$5,239,922
Value of total assets at beginning of year	2018-12-31	$4,815,682
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$26,904
Total interest from all sources	2018-12-31	$753
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$22,937
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	$22,937
Administrative expenses professional fees incurred	2018-12-31	$2,250
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	Yes
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	$474,087
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$16
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$41,128
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$4
Other income not declared elsewhere	2018-12-31	$6,856
Administrative expenses (other) incurred	2018-12-31	$185
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	$424,240
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$5,239,922
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$4,815,682
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	$1,664,724
Value of interest in pooled separate accounts at end of year	2018-12-31	$187,579
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$4,581,775
Interest earned on other investments	2018-12-31	$753
Value of interest in common/collective trusts at end of year	2018-12-31	$3,061,492
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$78,580
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-161,688
Net investment gain/loss from pooled separate accounts	2018-12-31	$70,889
Net investment gain or loss from common/collective trusts	2018-12-31	$-208,762
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	$326,468
Employer contributions (assets) at end of year	2018-12-31	$247,547
Employer contributions (assets) at beginning of year	2018-12-31	$233,891
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$121,520
Contract administrator fees	2018-12-31	$24,469
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	Yes
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	BDO USA, LLP
Accountancy firm EIN	2018-12-31	135381590
2017 : BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$1,368,483
Total of all expenses incurred	2017-12-31	$731,817
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$728,362
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$607,551
Value of total assets at end of year	2017-12-31	$4,815,682
Value of total assets at beginning of year	2017-12-31	$4,179,016
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$3,455
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$1,125
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
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	$361,750
Participant contributions at end of year	2017-12-31	$16
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$5,453
Other income not declared elsewhere	2017-12-31	$1,759
Administrative expenses (other) incurred	2017-12-31	$2,330
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	$636,666
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$4,815,682
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$4,179,016
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 pooled separate accounts at end of year	2017-12-31	$4,581,775
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$3,975,628
Net investment gain/loss from pooled separate accounts	2017-12-31	$759,173
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	$240,348
Employer contributions (assets) at end of year	2017-12-31	$233,891
Employer contributions (assets) at beginning of year	2017-12-31	$203,388
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$728,362
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
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	BDO USA, LLP
Accountancy firm EIN	2017-12-31	135381590
2016 : BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$867,034
Total of all expenses incurred	2016-12-31	$66,912
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$63,503
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$632,426
Value of total assets at end of year	2016-12-31	$4,179,016
Value of total assets at beginning of year	2016-12-31	$3,378,894
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$3,409
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$1,000
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$359,191
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$69,847
Other income not declared elsewhere	2016-12-31	$633
Administrative expenses (other) incurred	2016-12-31	$2,409
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$800,122
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$4,179,016
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$3,378,894
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$3,975,628
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$3,184,835
Net investment gain/loss from pooled separate accounts	2016-12-31	$233,975
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$203,388
Employer contributions (assets) at end of year	2016-12-31	$203,388
Employer contributions (assets) at beginning of year	2016-12-31	$194,059
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$63,503
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	BDO USA, LLP
Accountancy firm EIN	2016-12-31	135381590

Form 5500 Responses for BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN

2022: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING 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 – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING 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 – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING 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 – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING 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 – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING 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 – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING 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 – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: BLOCK IMAGING INTERNATIONAL, INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

531751

Policy instance

Insurance contract or identification number	531751
Number of Individuals Covered	213
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,279
Total amount of fees paid to insurance company	USD $256
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,279
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE

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

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	213
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $270
Total amount of fees paid to insurance company	USD $54
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $270
Insurance broker organization code?	3
Amount paid for insurance broker fees	54
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE

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

Policy contract number

531751

Policy instance

Insurance contract or identification number	531751
Number of Individuals Covered	186
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $1,107
Total amount of fees paid to insurance company	USD $221
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,107
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE

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

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	186
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $234
Total amount of fees paid to insurance company	USD $47
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $234
Insurance broker organization code?	3
Amount paid for insurance broker fees	47
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE

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

Policy contract number

531751

Policy instance

Insurance contract or identification number	531751
Number of Individuals Covered	162
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $615
Total amount of fees paid to insurance company	USD $123
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $615
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE

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

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	162
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $214
Total amount of fees paid to insurance company	USD $43
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $214
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE

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

Policy contract number

531751

Policy instance

Insurance contract or identification number	531751
Number of Individuals Covered	160
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $596
Total amount of fees paid to insurance company	USD $119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $596
Insurance broker organization code?	3
Amount paid for insurance broker fees	119
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE

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

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	160
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $137
Total amount of fees paid to insurance company	USD $27
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $137
Insurance broker organization code?	3
Amount paid for insurance broker fees	27
Additional information about fees paid to insurance broker	REFERRAL/SERVICE FEE

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

92362

Policy instance

Insurance contract or identification number	92362
Number of Individuals Covered	0
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $4,698
Total amount of fees paid to insurance company	USD $392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,698
Insurance broker organization code?	3
Amount paid for insurance broker fees	392
Additional information about fees paid to insurance broker	FORUM - NOT PART OF CONTRACT OR PLAN COSTS

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

Policy contract number

613953

Policy instance

Insurance contract or identification number	613953
Number of Individuals Covered	142
Insurance policy start date	2018-03-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $72
Total amount of fees paid to insurance company	USD $15
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $72
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	REFERRAL SERVICE FEE

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

92362

Policy instance

Insurance contract or identification number	92362
Number of Individuals Covered	122
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $17,359
Total amount of fees paid to insurance company	USD $2,173
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $17,359
Insurance broker organization code?	3
Amount paid for insurance broker fees	2173
Additional information about fees paid to insurance broker	NOT PART OF CONTRACT OR PLAN COSTS
Insurance broker name	GREAT LAKES PENSION ASSOCIATES, INC

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Company Name:	BLOCK IMAGING INTERNATIONAL, INC.
Employer identification number (EIN):	383381724
NAIC Classification:	454390
NAIC Description:	Other Direct Selling Establishments