401k Plan data: FULLSTEAM PERSONNEL LLC 401K PLAN plan

FULLSTEAM PERSONNEL LLC 401K PLAN 401k Plan overview

Plan Name	FULLSTEAM PERSONNEL LLC 401K PLAN
Plan identification number	001

FULLSTEAM PERSONNEL LLC 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

FULLSTEAM PERSONNEL LLC has sponsored the creation of one or more 401k plans.

Company Name: FULLSTEAM PERSONNEL LLC

Employer identification number (EIN): 384080805

NAIC Classification: 541511
NAIC Description: Custom Computer Programming Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FULLSTEAM PERSONNEL LLC 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 TERMEH DEHDASHTI 2023-10-11
001 2021-01-01 DAVID PINCUS 2022-07-20
001 2020-01-01 DAVID PINCUS 2021-09-23
001 2019-01-01
001 2018-06-01 DAVID PINCUS 2019-08-07

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	TERMEH DEHDASHTI	2023-10-11
001	2021-01-01	DAVID PINCUS	2022-07-20
001	2020-01-01	DAVID PINCUS	2021-09-23
001	2019-01-01
001	2018-06-01	DAVID PINCUS	2019-08-07

Plan Statistics for FULLSTEAM PERSONNEL LLC 401K PLAN

401k plan membership statisitcs for FULLSTEAM PERSONNEL LLC 401K PLAN

Measure Date Value
2022: FULLSTEAM PERSONNEL LLC 401K PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 784
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,068
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 118
Total of all active and inactive participants 2022-01-01 1,186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 1
Total participants 2022-01-01 1,187
Number of participants with account balances 2022-01-01 1,156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 114
2021: FULLSTEAM PERSONNEL LLC 401K PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 525
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 686
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 53
Total of all active and inactive participants 2021-01-01 739
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 2
Total participants 2021-01-01 741
Number of participants with account balances 2021-01-01 715
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 95
2020: FULLSTEAM PERSONNEL LLC 401K PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 275
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 424
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 19
Total of all active and inactive participants 2020-01-01 443
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 443
Number of participants with account balances 2020-01-01 418
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 55

Measure	Date	Value
2022: FULLSTEAM PERSONNEL LLC 401K PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	784
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,068
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	118
Total of all active and inactive participants	2022-01-01	1,186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	1
Total participants	2022-01-01	1,187
Number of participants with account balances	2022-01-01	1,156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	114
2021: FULLSTEAM PERSONNEL LLC 401K PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	525
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	686
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	53
Total of all active and inactive participants	2021-01-01	739
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	2
Total participants	2021-01-01	741
Number of participants with account balances	2021-01-01	715
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	95
2020: FULLSTEAM PERSONNEL LLC 401K PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	275
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	424
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	19
Total of all active and inactive participants	2020-01-01	443
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	443
Number of participants with account balances	2020-01-01	418
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	55

Financial Data on FULLSTEAM PERSONNEL LLC 401K PLAN

Measure	Date	Value
2022 : FULLSTEAM PERSONNEL LLC 401K PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$4,558
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$12,560
Total income from all sources (including contributions)	2022-12-31	$9,028,626
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$1,660,187
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,487,968
Value of total corrective distributions	2022-12-31	$2,504
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$12,774,479
Value of total assets at end of year	2022-12-31	$26,696,426
Value of total assets at beginning of year	2022-12-31	$19,335,989
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$169,715
Total interest from all sources	2022-12-31	$9,943
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$5,536,830
Participant contributions at end of year	2022-12-31	$284,726
Participant contributions at beginning of year	2022-12-31	$178,203
Participant contributions at end of year	2022-12-31	$252,548
Participant contributions at beginning of year	2022-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$5,377,340
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$4,558
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$0
Liabilities. Value of operating payables at end of year	2022-12-31	$0
Liabilities. Value of operating payables at beginning of year	2022-12-31	$12,560
Total non interest bearing cash at end of year	2022-12-31	$26,061,853
Total non interest bearing cash at beginning of year	2022-12-31	$112,912
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	$7,368,439
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$26,691,868
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$19,323,429
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
Investment advisory and management fees	2022-12-31	$70,082
Value of interest in pooled separate accounts at end of year	2022-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$19,044,874
Interest on participant loans	2022-12-31	$9,943
Net investment gain/loss from pooled separate accounts	2022-12-31	$-3,755,796
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	$1,860,309
Employer contributions (assets) at end of year	2022-12-31	$97,299
Employer contributions (assets) at beginning of year	2022-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,487,968
Contract administrator fees	2022-12-31	$99,633
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2022-12-31	Yes
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	FRAZIER & DEETER, LLC
Accountancy firm EIN	2022-12-31	581433845
2021 : FULLSTEAM PERSONNEL LLC 401K PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$12,560
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	$11,941,354
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$1,278,978
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,103,539
Expenses. Certain deemed distributions of participant loans	2021-12-31	$10,122
Value of total corrective distributions	2021-12-31	$938
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$9,972,693
Value of total assets at end of year	2021-12-31	$19,335,989
Value of total assets at beginning of year	2021-12-31	$8,661,053
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$164,379
Total interest from all sources	2021-12-31	$7,373
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Administrative expenses professional fees incurred	2021-12-31	$6,934
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	$3,494,927
Participant contributions at end of year	2021-12-31	$178,203
Participant contributions at beginning of year	2021-12-31	$80,821
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$5,330,688
Liabilities. Value of operating payables at end of year	2021-12-31	$12,560
Liabilities. Value of operating payables at beginning of year	2021-12-31	$0
Total non interest bearing cash at end of year	2021-12-31	$112,912
Total non interest bearing cash at beginning of year	2021-12-31	$44,968
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	$10,662,376
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$19,323,429
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$8,661,053
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
Investment advisory and management fees	2021-12-31	$13,823
Value of interest in pooled separate accounts at end of year	2021-12-31	$19,044,874
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$8,076,637
Interest on participant loans	2021-12-31	$7,373
Net investment gain/loss from pooled separate accounts	2021-12-31	$1,961,288
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	$1,147,078
Employer contributions (assets) at end of year	2021-12-31	$0
Employer contributions (assets) at beginning of year	2021-12-31	$458,627
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,103,539
Contract administrator fees	2021-12-31	$143,622
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	FRAZIER & DEETER, LLC
Accountancy firm EIN	2021-12-31	581433845
2020 : FULLSTEAM PERSONNEL LLC 401K 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	$5,865,018
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$308,089
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$242,497
Value of total corrective distributions	2020-12-31	$1,104
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$4,867,746
Value of total assets at end of year	2020-12-31	$8,661,053
Value of total assets at beginning of year	2020-12-31	$3,104,124
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$64,488
Total interest from all sources	2020-12-31	$1,048
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$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	$1,918,230
Participant contributions at end of year	2020-12-31	$80,821
Participant contributions at beginning of year	2020-12-31	$13,136
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$2,064,651
Other income not declared elsewhere	2020-12-31	$0
Total non interest bearing cash at end of year	2020-12-31	$44,968
Total non interest bearing cash at beginning of year	2020-12-31	$2,540
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	$5,556,929
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$8,661,053
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$3,104,124
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
Investment advisory and management fees	2020-12-31	$980
Value of interest in pooled separate accounts at end of year	2020-12-31	$8,076,637
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$2,922,436
Interest on participant loans	2020-12-31	$1,048
Net investment gain/loss from pooled separate accounts	2020-12-31	$996,224
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	$884,865
Employer contributions (assets) at end of year	2020-12-31	$458,627
Employer contributions (assets) at beginning of year	2020-12-31	$166,012
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$242,497
Contract administrator fees	2020-12-31	$63,508
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	FRAZIER & DEETER, LLC
Accountancy firm EIN	2020-12-31	581433845

Form 5500 Responses for FULLSTEAM PERSONNEL LLC 401K PLAN

2022: FULLSTEAM PERSONNEL LLC 401K 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: FULLSTEAM PERSONNEL LLC 401K 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: FULLSTEAM PERSONNEL LLC 401K 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

Insurance Providers Used on plan

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

Policy contract number

139458

Policy instance

Insurance contract or identification number	139458
Number of Individuals Covered	0
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $28,181
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	28181
Additional information about fees paid to insurance broker	TPA FEES AND COMPENSATION
Insurance broker organization code?	5

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

Policy contract number

139458

Policy instance

Insurance contract or identification number	139458
Number of Individuals Covered	715
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $72,559
Total amount of fees paid to insurance company	USD $40,582
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $72,559
Insurance broker organization code?	3
Amount paid for insurance broker fees	40582
Additional information about fees paid to insurance broker	TPA FEES AND COMPENSATION

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

Policy contract number

139458

Policy instance

Insurance contract or identification number	139458
Number of Individuals Covered	418
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $27,004
Total amount of fees paid to insurance company	USD $17,650
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $27,004
Insurance broker organization code?	3
Amount paid for insurance broker fees	17650
Additional information about fees paid to insurance broker	TPA FEES AND COMPENSATION

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Company Name:	FULLSTEAM PERSONNEL LLC
Employer identification number (EIN):	384080805
NAIC Classification:	541511
NAIC Description:	Custom Computer Programming Services