401k Plan data: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST plan

HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 401k Plan overview

Plan Name	HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST
Plan identification number	001

HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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

HSU'S GINSENG ENTERPRISES, INC. has sponsored the creation of one or more 401k plans.

Company Name: HSU'S GINSENG ENTERPRISES, INC.

Employer identification number (EIN): 391385498

NAIC Classification: 424990
NAIC Description: Other Miscellaneous Nondurable Goods Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-07-01
001 2020-07-01
001 2019-07-01
001 2018-07-01
001 2017-07-01
001 2016-07-01 SHARON HSU
001 2015-07-01 SHARON HSU
001 2014-07-01 SHARON HSU 2016-03-23
001 2013-07-01 SHARON HSU 2015-04-10
001 2012-07-01 SHARON HSU 2014-03-12
001 2011-07-01 SHARON HSU 2013-03-12 SHARON HSU 2013-03-12
001 2010-07-01 SHARON HSU 2012-02-28 SHARON HSU 2012-02-28

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-07-01
001	2020-07-01
001	2019-07-01
001	2018-07-01
001	2017-07-01
001	2016-07-01	SHARON HSU
001	2015-07-01	SHARON HSU
001	2014-07-01	SHARON HSU	2016-03-23
001	2013-07-01	SHARON HSU	2015-04-10
001	2012-07-01	SHARON HSU	2014-03-12
001	2011-07-01	SHARON HSU	2013-03-12	SHARON HSU	2013-03-12
001	2010-07-01	SHARON HSU	2012-02-28	SHARON HSU	2012-02-28

Plan Statistics for HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST

401k plan membership statisitcs for HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST

Measure Date Value
2021: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year 2021-07-01 119
Total number of active participants reported on line 7a of the Form 5500 2021-07-01 94
Number of retired or separated participants receiving benefits 2021-07-01 2
Number of other retired or separated participants entitled to future benefits 2021-07-01 15
Total of all active and inactive participants 2021-07-01 111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-07-01 1
Total participants 2021-07-01 112
Number of participants with account balances 2021-07-01 71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-07-01 1
2020: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year 2020-07-01 134
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 112
Number of retired or separated participants receiving benefits 2020-07-01 2
Number of other retired or separated participants entitled to future benefits 2020-07-01 13
Total of all active and inactive participants 2020-07-01 127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-07-01 0
Total participants 2020-07-01 127
Number of participants with account balances 2020-07-01 80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-07-01 2
2019: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year 2019-07-01 144
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 104
Number of retired or separated participants receiving benefits 2019-07-01 2
Number of other retired or separated participants entitled to future benefits 2019-07-01 24
Total of all active and inactive participants 2019-07-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-07-01 0
Total participants 2019-07-01 130
Number of participants with account balances 2019-07-01 94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-07-01 6
2018: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year 2018-07-01 147
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 100
Number of retired or separated participants receiving benefits 2018-07-01 2
Number of other retired or separated participants entitled to future benefits 2018-07-01 28
Total of all active and inactive participants 2018-07-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-07-01 0
Total participants 2018-07-01 130
Number of participants with account balances 2018-07-01 109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-07-01 6
2017: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-07-01 149
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 106
Number of retired or separated participants receiving benefits 2017-07-01 2
Number of other retired or separated participants entitled to future benefits 2017-07-01 35
Total of all active and inactive participants 2017-07-01 143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-07-01 1
Total participants 2017-07-01 144
Number of participants with account balances 2017-07-01 127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-07-01 12
2016: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-07-01 137
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 109
Number of retired or separated participants receiving benefits 2016-07-01 2
Number of other retired or separated participants entitled to future benefits 2016-07-01 23
Total of all active and inactive participants 2016-07-01 134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-07-01 0
Total participants 2016-07-01 134
Number of participants with account balances 2016-07-01 133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-07-01 8
2015: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-07-01 126
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 99
Number of retired or separated participants receiving benefits 2015-07-01 3
Number of other retired or separated participants entitled to future benefits 2015-07-01 15
Total of all active and inactive participants 2015-07-01 117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 117
Number of participants with account balances 2015-07-01 116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 5

Measure	Date	Value
2021: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year	2021-07-01	119
Total number of active participants reported on line 7a of the Form 5500	2021-07-01	94
Number of retired or separated participants receiving benefits	2021-07-01	2
Number of other retired or separated participants entitled to future benefits	2021-07-01	15
Total of all active and inactive participants	2021-07-01	111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-07-01	1
Total participants	2021-07-01	112
Number of participants with account balances	2021-07-01	71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-07-01	1
2020: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year	2020-07-01	134
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	112
Number of retired or separated participants receiving benefits	2020-07-01	2
Number of other retired or separated participants entitled to future benefits	2020-07-01	13
Total of all active and inactive participants	2020-07-01	127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-07-01	0
Total participants	2020-07-01	127
Number of participants with account balances	2020-07-01	80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-07-01	2
2019: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year	2019-07-01	144
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	104
Number of retired or separated participants receiving benefits	2019-07-01	2
Number of other retired or separated participants entitled to future benefits	2019-07-01	24
Total of all active and inactive participants	2019-07-01	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-07-01	0
Total participants	2019-07-01	130
Number of participants with account balances	2019-07-01	94
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-07-01	6
2018: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year	2018-07-01	147
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	100
Number of retired or separated participants receiving benefits	2018-07-01	2
Number of other retired or separated participants entitled to future benefits	2018-07-01	28
Total of all active and inactive participants	2018-07-01	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-07-01	0
Total participants	2018-07-01	130
Number of participants with account balances	2018-07-01	109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-07-01	6
2017: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-07-01	149
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	106
Number of retired or separated participants receiving benefits	2017-07-01	2
Number of other retired or separated participants entitled to future benefits	2017-07-01	35
Total of all active and inactive participants	2017-07-01	143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-07-01	1
Total participants	2017-07-01	144
Number of participants with account balances	2017-07-01	127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-07-01	12
2016: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-07-01	137
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	109
Number of retired or separated participants receiving benefits	2016-07-01	2
Number of other retired or separated participants entitled to future benefits	2016-07-01	23
Total of all active and inactive participants	2016-07-01	134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-07-01	0
Total participants	2016-07-01	134
Number of participants with account balances	2016-07-01	133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-07-01	8
2015: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-07-01	126
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	99
Number of retired or separated participants receiving benefits	2015-07-01	3
Number of other retired or separated participants entitled to future benefits	2015-07-01	15
Total of all active and inactive participants	2015-07-01	117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	117
Number of participants with account balances	2015-07-01	116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	5

Financial Data on HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST

Measure	Date	Value
2022 : HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-06-30	$0
Total income from all sources (including contributions)	2022-06-30	$-231,228
Total loss/gain on sale of assets	2022-06-30	$0
Total of all expenses incurred	2022-06-30	$149,076
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-06-30	$137,043
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-06-30	$0
Value of total assets at end of year	2022-06-30	$1,258,067
Value of total assets at beginning of year	2022-06-30	$1,638,371
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-06-30	$12,033
Total interest from all sources	2022-06-30	$8,719
Total dividends received (eg from common stock, registered investment company shares)	2022-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-06-30	No
Administrative expenses professional fees incurred	2022-06-30	$4,673
Was this plan covered by a fidelity bond	2022-06-30	Yes
Value of fidelity bond cover	2022-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2022-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2022-06-30	No
Liabilities. Value of operating payables at end of year	2022-06-30	$0
Liabilities. Value of operating payables at beginning of year	2022-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Value of net income/loss	2022-06-30	$-380,304
Value of net assets at end of year (total assets less liabilities)	2022-06-30	$1,258,067
Value of net assets at beginning of year (total assets less liabilities)	2022-06-30	$1,638,371
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-06-30	No
Were any leases to which the plan was party in default or uncollectible	2022-06-30	No
Value of interest in pooled separate accounts at end of year	2022-06-30	$870,752
Value of interest in pooled separate accounts at beginning of year	2022-06-30	$1,220,991
Interest earned on other investments	2022-06-30	$8,719
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-06-30	$387,315
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-06-30	$417,380
Net investment gain/loss from pooled separate accounts	2022-06-30	$-239,947
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2022-06-30	No
Has the plan failed to provide any benefit when due under the plan	2022-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-06-30	$137,043
Contract administrator fees	2022-06-30	$7,360
Did the plan have assets held for investment	2022-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-06-30	No
Opinion of an independent qualified public accountant for this plan	2022-06-30	Unqualified
Accountancy firm name	2022-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2022-06-30	410746749
2021 : HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-06-30	$7,134
Total income from all sources (including contributions)	2021-06-30	$388,297
Total loss/gain on sale of assets	2021-06-30	$0
Total of all expenses incurred	2021-06-30	$105,258
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-30	$86,018
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-06-30	$0
Value of total assets at end of year	2021-06-30	$1,638,371
Value of total assets at beginning of year	2021-06-30	$1,362,466
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-30	$19,240
Total interest from all sources	2021-06-30	$9,655
Total dividends received (eg from common stock, registered investment company shares)	2021-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-30	No
Administrative expenses professional fees incurred	2021-06-30	$12,075
Was this plan covered by a fidelity bond	2021-06-30	Yes
Value of fidelity bond cover	2021-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2021-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-30	No
Liabilities. Value of operating payables at end of year	2021-06-30	$0
Liabilities. Value of operating payables at beginning of year	2021-06-30	$7,134
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Value of net income/loss	2021-06-30	$283,039
Value of net assets at end of year (total assets less liabilities)	2021-06-30	$1,638,371
Value of net assets at beginning of year (total assets less liabilities)	2021-06-30	$1,355,332
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-30	No
Were any leases to which the plan was party in default or uncollectible	2021-06-30	No
Value of interest in pooled separate accounts at end of year	2021-06-30	$1,220,991
Value of interest in pooled separate accounts at beginning of year	2021-06-30	$920,060
Interest earned on other investments	2021-06-30	$9,655
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-30	$417,380
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-30	$442,406
Net investment gain/loss from pooled separate accounts	2021-06-30	$378,642
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2021-06-30	No
Has the plan failed to provide any benefit when due under the plan	2021-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-30	$86,018
Contract administrator fees	2021-06-30	$7,165
Did the plan have assets held for investment	2021-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-30	No
Opinion of an independent qualified public accountant for this plan	2021-06-30	Disclaimer
Accountancy firm name	2021-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2021-06-30	410746749
2020 : HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$7,134
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-06-30	$0
Total income from all sources (including contributions)	2020-06-30	$16,473
Total loss/gain on sale of assets	2020-06-30	$0
Total of all expenses incurred	2020-06-30	$151,008
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-06-30	$131,285
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-06-30	$0
Value of total assets at end of year	2020-06-30	$1,362,466
Value of total assets at beginning of year	2020-06-30	$1,489,867
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-06-30	$19,723
Total interest from all sources	2020-06-30	$10,796
Total dividends received (eg from common stock, registered investment company shares)	2020-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-06-30	No
Administrative expenses professional fees incurred	2020-06-30	$11,859
Was this plan covered by a fidelity bond	2020-06-30	Yes
Value of fidelity bond cover	2020-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2020-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-06-30	No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-06-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-06-30	$0
Liabilities. Value of operating payables at end of year	2020-06-30	$7,134
Liabilities. Value of operating payables at beginning of year	2020-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Value of net income/loss	2020-06-30	$-134,535
Value of net assets at end of year (total assets less liabilities)	2020-06-30	$1,355,332
Value of net assets at beginning of year (total assets less liabilities)	2020-06-30	$1,489,867
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-06-30	No
Were any leases to which the plan was party in default or uncollectible	2020-06-30	No
Value of interest in pooled separate accounts at end of year	2020-06-30	$920,060
Value of interest in pooled separate accounts at beginning of year	2020-06-30	$1,012,200
Interest earned on other investments	2020-06-30	$10,796
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-06-30	$442,406
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-06-30	$477,667
Net investment gain/loss from pooled separate accounts	2020-06-30	$5,677
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2020-06-30	No
Has the plan failed to provide any benefit when due under the plan	2020-06-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-06-30	$131,285
Contract administrator fees	2020-06-30	$7,864
Did the plan have assets held for investment	2020-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2020-06-30	Disclaimer
Accountancy firm name	2020-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2020-06-30	410746749
2019 : HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-06-30	$0
Total income from all sources (including contributions)	2019-06-30	$37,155
Total loss/gain on sale of assets	2019-06-30	$0
Total of all expenses incurred	2019-06-30	$200,470
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-06-30	$188,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-06-30	$0
Value of total assets at end of year	2019-06-30	$1,489,867
Value of total assets at beginning of year	2019-06-30	$1,653,182
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-06-30	$12,237
Total interest from all sources	2019-06-30	$11,779
Total dividends received (eg from common stock, registered investment company shares)	2019-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-06-30	No
Administrative expenses professional fees incurred	2019-06-30	$4,400
Was this plan covered by a fidelity bond	2019-06-30	Yes
Value of fidelity bond cover	2019-06-30	$300,000
If this is an individual account plan, was there a blackout period	2019-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2019-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Value of net income/loss	2019-06-30	$-163,315
Value of net assets at end of year (total assets less liabilities)	2019-06-30	$1,489,867
Value of net assets at beginning of year (total assets less liabilities)	2019-06-30	$1,653,182
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-06-30	No
Were any leases to which the plan was party in default or uncollectible	2019-06-30	No
Value of interest in pooled separate accounts at end of year	2019-06-30	$1,012,200
Value of interest in pooled separate accounts at beginning of year	2019-06-30	$1,122,561
Interest earned on other investments	2019-06-30	$11,779
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-06-30	$477,667
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-06-30	$530,621
Net investment gain/loss from pooled separate accounts	2019-06-30	$25,376
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2019-06-30	No
Has the plan failed to provide any benefit when due under the plan	2019-06-30	No
Employer contributions (assets) at end of year	2019-06-30	$0
Employer contributions (assets) at beginning of year	2019-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-06-30	$188,233
Contract administrator fees	2019-06-30	$7,837
Did the plan have assets held for investment	2019-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2019-06-30	Disclaimer
Accountancy firm name	2019-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2019-06-30	410746749
2018 : HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-06-30	$0
Total income from all sources (including contributions)	2018-06-30	$127,749
Total loss/gain on sale of assets	2018-06-30	$0
Total of all expenses incurred	2018-06-30	$194,574
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-06-30	$187,902
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-06-30	$0
Value of total assets at end of year	2018-06-30	$1,653,182
Value of total assets at beginning of year	2018-06-30	$1,720,007
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-06-30	$6,672
Total interest from all sources	2018-06-30	$12,069
Total dividends received (eg from common stock, registered investment company shares)	2018-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-06-30	No
Was this plan covered by a fidelity bond	2018-06-30	Yes
Value of fidelity bond cover	2018-06-30	$300,000
If this is an individual account plan, was there a blackout period	2018-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2018-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Value of net income/loss	2018-06-30	$-66,825
Value of net assets at end of year (total assets less liabilities)	2018-06-30	$1,653,182
Value of net assets at beginning of year (total assets less liabilities)	2018-06-30	$1,720,007
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-06-30	No
Were any leases to which the plan was party in default or uncollectible	2018-06-30	No
Value of interest in pooled separate accounts at end of year	2018-06-30	$1,122,561
Value of interest in pooled separate accounts at beginning of year	2018-06-30	$1,051,141
Interest earned on other investments	2018-06-30	$12,069
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-06-30	$530,621
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-06-30	$543,866
Net investment gain/loss from pooled separate accounts	2018-06-30	$115,680
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2018-06-30	No
Has the plan failed to provide any benefit when due under the plan	2018-06-30	No
Contributions received in cash from employer	2018-06-30	$0
Employer contributions (assets) at end of year	2018-06-30	$0
Employer contributions (assets) at beginning of year	2018-06-30	$125,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-06-30	$187,902
Contract administrator fees	2018-06-30	$6,672
Did the plan have assets held for investment	2018-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2018-06-30	Disclaimer
Accountancy firm name	2018-06-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2018-06-30	410746749
2017 : HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-06-30	$0
Total income from all sources (including contributions)	2017-06-30	$321,287
Total loss/gain on sale of assets	2017-06-30	$0
Total of all expenses incurred	2017-06-30	$154,519
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-06-30	$145,862
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-06-30	$125,000
Value of total assets at end of year	2017-06-30	$1,720,007
Value of total assets at beginning of year	2017-06-30	$1,553,239
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-06-30	$8,657
Total interest from all sources	2017-06-30	$12,724
Total dividends received (eg from common stock, registered investment company shares)	2017-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-06-30	No
Was this plan covered by a fidelity bond	2017-06-30	Yes
Value of fidelity bond cover	2017-06-30	$300,000
If this is an individual account plan, was there a blackout period	2017-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Value of net income/loss	2017-06-30	$166,768
Value of net assets at end of year (total assets less liabilities)	2017-06-30	$1,720,007
Value of net assets at beginning of year (total assets less liabilities)	2017-06-30	$1,553,239
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-06-30	No
Were any leases to which the plan was party in default or uncollectible	2017-06-30	No
Value of interest in pooled separate accounts at end of year	2017-06-30	$1,051,141
Value of interest in pooled separate accounts at beginning of year	2017-06-30	$946,222
Interest earned on other investments	2017-06-30	$12,724
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-06-30	$543,866
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-06-30	$482,017
Net investment gain/loss from pooled separate accounts	2017-06-30	$183,563
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2017-06-30	No
Has the plan failed to provide any benefit when due under the plan	2017-06-30	No
Contributions received in cash from employer	2017-06-30	$125,000
Employer contributions (assets) at end of year	2017-06-30	$125,000
Employer contributions (assets) at beginning of year	2017-06-30	$125,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-06-30	$145,862
Contract administrator fees	2017-06-30	$8,657
Did the plan have assets held for investment	2017-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-06-30	Disclaimer
Accountancy firm name	2017-06-30	SCHENCK SC
Accountancy firm EIN	2017-06-30	391173131
2016 : HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-06-30	$0
Total income from all sources (including contributions)	2016-06-30	$97,373
Total loss/gain on sale of assets	2016-06-30	$0
Total of all expenses incurred	2016-06-30	$214,496
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$209,273
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$125,000
Value of total assets at end of year	2016-06-30	$1,553,239
Value of total assets at beginning of year	2016-06-30	$1,670,362
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$5,223
Total interest from all sources	2016-06-30	$11,552
Total dividends received (eg from common stock, registered investment company shares)	2016-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	No
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$300,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Value of net income/loss	2016-06-30	$-117,123
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$1,553,239
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$1,670,362
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Value of interest in pooled separate accounts at end of year	2016-06-30	$946,222
Value of interest in pooled separate accounts at beginning of year	2016-06-30	$1,031,433
Interest earned on other investments	2016-06-30	$11,552
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-30	$482,017
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-30	$488,929
Net investment gain/loss from pooled separate accounts	2016-06-30	$-39,179
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$125,000
Employer contributions (assets) at end of year	2016-06-30	$125,000
Employer contributions (assets) at beginning of year	2016-06-30	$150,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$209,273
Contract administrator fees	2016-06-30	$5,223
Did the plan have assets held for investment	2016-06-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	SCHENCK SC
Accountancy firm EIN	2016-06-30	391173131

Form 5500 Responses for HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST

2021: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2021 form 5500 responses
2021-07-01	Type of plan entity	Mulitple employer plan
2021-07-01	Submission has been amended	No
2021-07-01	This submission is the final filing	No
2021-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-07-01	Plan is a collectively bargained plan	No
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan funding arrangement – Trust	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement - Trust	Yes
2020: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2020 form 5500 responses
2020-07-01	Type of plan entity	Mulitple employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – Trust	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement - Trust	Yes
2019: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2019 form 5500 responses
2019-07-01	Type of plan entity	Mulitple employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes
2018: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2018 form 5500 responses
2018-07-01	Type of plan entity	Mulitple employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan funding arrangement – Trust	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement - Trust	Yes
2017: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2017 form 5500 responses
2017-07-01	Type of plan entity	Mulitple employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan funding arrangement – Trust	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement - Trust	Yes
2016: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2016 form 5500 responses
2016-07-01	Type of plan entity	Mulitple employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan funding arrangement – Trust	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement - Trust	Yes
2015: HSU'S GINSENG ENTERPRISES INC PROFIT-SHARING PLAN AND TRUST 2015 form 5500 responses
2015-07-01	Type of plan entity	Mulitple employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-EC-BP88

Policy instance

Insurance contract or identification number	GAP-EC-BP88
Number of Individuals Covered	112
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $777
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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 $777
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-44-F712

Policy instance

Insurance contract or identification number	GAP-44-F712
Number of Individuals Covered	112
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $2,116
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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 $2,116
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-EC-BP88

Policy instance

Insurance contract or identification number	GAP-EC-BP88
Number of Individuals Covered	127
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $836
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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 $836
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-44-F712

Policy instance

Insurance contract or identification number	GAP-44-F712
Number of Individuals Covered	127
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $2,135
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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 $2,135
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-EC-BP88

Policy instance

Insurance contract or identification number	GAP-EC-BP88
Number of Individuals Covered	130
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $890
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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 $890
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-44-F712

Policy instance

Insurance contract or identification number	GAP-44-F712
Number of Individuals Covered	130
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $1,837
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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 $1,837
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-EC-BP88

Policy instance

Insurance contract or identification number	GAP-EC-BP88
Number of Individuals Covered	130
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $955
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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 $955
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-44-F712

Policy instance

Insurance contract or identification number	GAP-44-F712
Number of Individuals Covered	130
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $1,965
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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 $1,965
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-EC-BP88

Policy instance

Insurance contract or identification number	GAP-EC-BP88
Number of Individuals Covered	144
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $1,019
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-44-F712

Policy instance

Insurance contract or identification number	GAP-44-F712
Number of Individuals Covered	144
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $2,108
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-EC-BP88

Policy instance

Insurance contract or identification number	GAP-EC-BP88
Number of Individuals Covered	117
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $1,125
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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 $1,125
Insurance broker organization code?	3
Insurance broker name	LPL FINANCIAL, LLC

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-44-F712

Policy instance

Insurance contract or identification number	GAP-44-F712
Number of Individuals Covered	117
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $1,750
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 $1,750
Insurance broker organization code?	3
Insurance broker name	LPL FINANCIAL LLC

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Company Name:	HSU'S GINSENG ENTERPRISES, INC.
Employer identification number (EIN):	391385498
NAIC Classification:	424990
NAIC Description:	Other Miscellaneous Nondurable Goods Merchant Wholesalers