401k Plan data: RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN plan

RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 401k Plan overview

Plan Name	RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN
Plan identification number	001

RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

RUBICON GLOBAL HOLDINGS, LLC has sponsored the creation of one or more 401k plans.

Company Name: RUBICON GLOBAL HOLDINGS, LLC

Employer identification number (EIN): 452257211

NAIC Classification: 561110
NAIC Description: Office Administrative Services

Additional information about RUBICON GLOBAL HOLDINGS, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 1826323

More information about RUBICON GLOBAL HOLDINGS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 STACIE MOORE 2022-10-16
001 2020-01-01 STACIE MOORE 2021-10-12
001 2019-01-01
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01 SHEILA BAILEY 2015-09-24
001 2013-01-01 TRACY STROUD 2014-10-15
001 2012-01-01 KIMBERLY WARD 2013-07-19

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-01-01	STACIE MOORE	2022-10-16
001	2020-01-01	STACIE MOORE	2021-10-12
001	2019-01-01
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01	SHEILA BAILEY	2015-09-24
001	2013-01-01	TRACY STROUD	2014-10-15
001	2012-01-01	KIMBERLY WARD	2013-07-19

Plan Statistics for RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN

401k plan membership statisitcs for RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN

Measure Date Value
2021: RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 468
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 411
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 106
Total of all active and inactive participants 2021-01-01 517
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 517
Number of participants with account balances 2021-01-01 413
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 12
2020: RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 435
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 365
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 107
Total of all active and inactive participants 2020-01-01 472
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 472
Number of participants with account balances 2020-01-01 353
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 5
2019: RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 312
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 300
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 21
Total of all active and inactive participants 2019-01-01 322
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 322
Number of participants with account balances 2019-01-01 279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 7
2018: RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 299
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 290
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 21
Total of all active and inactive participants 2018-01-01 312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 312
Number of participants with account balances 2018-01-01 240
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 7
2017: RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 283
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 277
Number of retired or separated participants receiving benefits 2017-01-01 1
Number of other retired or separated participants entitled to future benefits 2017-01-01 21
Total of all active and inactive participants 2017-01-01 299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 299
Number of participants with account balances 2017-01-01 65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 7
2016: RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 140
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 242
Number of retired or separated participants receiving benefits 2016-01-01 7
Number of other retired or separated participants entitled to future benefits 2016-01-01 15
Total of all active and inactive participants 2016-01-01 264
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 264
Number of participants with account balances 2016-01-01 121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 11

Measure	Date	Value
2021: RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	468
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	411
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	106
Total of all active and inactive participants	2021-01-01	517
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	517
Number of participants with account balances	2021-01-01	413
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	12
2020: RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	435
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	365
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	107
Total of all active and inactive participants	2020-01-01	472
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	472
Number of participants with account balances	2020-01-01	353
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	5
2019: RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	312
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	300
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	21
Total of all active and inactive participants	2019-01-01	322
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	322
Number of participants with account balances	2019-01-01	279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	7
2018: RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	299
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	290
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	21
Total of all active and inactive participants	2018-01-01	312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	312
Number of participants with account balances	2018-01-01	240
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	7
2017: RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	283
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	277
Number of retired or separated participants receiving benefits	2017-01-01	1
Number of other retired or separated participants entitled to future benefits	2017-01-01	21
Total of all active and inactive participants	2017-01-01	299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	299
Number of participants with account balances	2017-01-01	65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	7
2016: RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	140
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	242
Number of retired or separated participants receiving benefits	2016-01-01	7
Number of other retired or separated participants entitled to future benefits	2016-01-01	15
Total of all active and inactive participants	2016-01-01	264
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	264
Number of participants with account balances	2016-01-01	121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	11

Financial Data on RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN

Measure	Date	Value
2021 : RUBICON GLOBAL HOLDINGS,LLC 401(K) 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	$11,747
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$15,000
Total income from all sources (including contributions)	2021-12-31	$3,731,088
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$895,789
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$818,454
Expenses. Certain deemed distributions of participant loans	2021-12-31	$13,170
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$2,344,073
Value of total assets at end of year	2021-12-31	$12,518,437
Value of total assets at beginning of year	2021-12-31	$9,686,391
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$64,165
Total interest from all sources	2021-12-31	$9,552
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$410,000
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	$1,721,776
Participant contributions at end of year	2021-12-31	$193,742
Participant contributions at beginning of year	2021-12-31	$84,074
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$4,334
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$176,714
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$1,277
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$11,747
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$15,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$2,835,299
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$12,506,690
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$9,671,391
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$11,670,328
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$9,030,027
Interest on participant loans	2021-12-31	$5,087
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$4,465
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$654,367
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$562,493
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,377,463
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	$445,583
Employer contributions (assets) at end of year	2021-12-31	$0
Employer contributions (assets) at beginning of year	2021-12-31	$4,186
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$818,454
Contract administrator fees	2021-12-31	$64,165
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	Disclaimer
2020 : RUBICON GLOBAL HOLDINGS,LLC 401(K) 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	$15,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$3,637,772
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$493,600
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$451,529
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,823,479
Value of total assets at end of year	2020-12-31	$9,686,391
Value of total assets at beginning of year	2020-12-31	$6,527,219
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$42,071
Total interest from all sources	2020-12-31	$7,425
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$410,000
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	$1,383,187
Participant contributions at end of year	2020-12-31	$84,074
Participant contributions at beginning of year	2020-12-31	$62,462
Participant contributions at end of year	2020-12-31	$4,334
Participant contributions at beginning of year	2020-12-31	$33,746
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$70,915
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$1,277
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$15,000
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	$3,144,172
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$9,671,391
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$6,527,219
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$9,030,027
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$6,093,634
Interest on participant loans	2020-12-31	$3,756
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$3,669
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$562,493
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$333,293
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,806,868
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	$369,377
Employer contributions (assets) at end of year	2020-12-31	$4,186
Employer contributions (assets) at beginning of year	2020-12-31	$4,084
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$451,529
Contract administrator fees	2020-12-31	$42,071
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	WINDHAM BRANNON, LLC
Accountancy firm EIN	2020-12-31	581763439
2019 : RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$2,858,456
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$677,512
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$632,207
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,726,047
Value of total assets at end of year	2019-12-31	$6,489,995
Value of total assets at beginning of year	2019-12-31	$4,309,051
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$45,305
Total interest from all sources	2019-12-31	$6,385
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$410,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,151,023
Participant contributions at end of year	2019-12-31	$63,068
Participant contributions at beginning of year	2019-12-31	$63,726
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$233,546
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$2,180,944
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$6,489,995
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$4,309,051
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$6,093,634
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$4,011,843
Interest on participant loans	2019-12-31	$3,886
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$2,499
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$333,293
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$233,482
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,126,024
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$341,478
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$632,207
Contract administrator fees	2019-12-31	$45,305
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	WINDHAM BRANNON, LLC
Accountancy firm EIN	2019-12-31	581763439
2018 : RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$6,815
Total income from all sources (including contributions)	2018-12-31	$1,576,029
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$307,627
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$281,654
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,867,881
Value of total assets at end of year	2018-12-31	$4,309,051
Value of total assets at beginning of year	2018-12-31	$3,047,464
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$25,973
Total interest from all sources	2018-12-31	$2,788
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$410,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,053,597
Participant contributions at end of year	2018-12-31	$63,726
Participant contributions at beginning of year	2018-12-31	$3,107
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$30,987
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$287,441
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$6,815
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$1,268,402
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$4,309,051
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$3,040,649
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$4,011,843
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$2,838,096
Interest on participant loans	2018-12-31	$2,255
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$533
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$233,482
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$161,973
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-294,640
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$526,843
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$13,301
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$281,654
Contract administrator fees	2018-12-31	$25,973
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	WINDHAM BRANNON, LLC
Accountancy firm EIN	2018-12-31	581763439
2017 : RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$6,815
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$2,166
Total income from all sources (including contributions)	2017-12-31	$1,776,643
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$161,454
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$150,500
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,395,902
Value of total assets at end of year	2017-12-31	$3,047,464
Value of total assets at beginning of year	2017-12-31	$1,427,626
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$10,954
Total interest from all sources	2017-12-31	$1,808
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$10,954
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$250,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$792,422
Participant contributions at end of year	2017-12-31	$3,107
Participant contributions at beginning of year	2017-12-31	$16,900
Participant contributions at end of year	2017-12-31	$30,987
Participant contributions at beginning of year	2017-12-31	$15,718
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$266,481
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$6,815
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$2,166
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,615,189
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$3,040,649
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,425,460
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in pooled separate accounts at end of year	2017-12-31	$2,838,096
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$1,272,294
Interest on participant loans	2017-12-31	$69
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$1,739
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$161,973
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$116,688
Net investment gain/loss from pooled separate accounts	2017-12-31	$378,933
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$336,999
Employer contributions (assets) at end of year	2017-12-31	$13,301
Employer contributions (assets) at beginning of year	2017-12-31	$6,026
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$150,500
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	SMITH & HOWARD, P.C.
Accountancy firm EIN	2017-12-31	581250486
2016 : RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$2,166
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$959,700
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$27,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$18,503
Value of total corrective distributions	2016-12-31	$2,166
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$898,633
Value of total assets at end of year	2016-12-31	$1,427,626
Value of total assets at beginning of year	2016-12-31	$492,764
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$6,335
Total interest from all sources	2016-12-31	$980
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$250,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$554,730
Participant contributions at end of year	2016-12-31	$16,900
Participant contributions at beginning of year	2016-12-31	$0
Participant contributions at end of year	2016-12-31	$15,718
Participant contributions at beginning of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$131,219
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$2,166
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$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	2016-12-31	No
Value of net income/loss	2016-12-31	$932,696
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,425,460
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$492,764
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$1,272,294
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$471,740
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$980
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$116,688
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$21,024
Net investment gain/loss from pooled separate accounts	2016-12-31	$60,087
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$212,684
Employer contributions (assets) at end of year	2016-12-31	$6,026
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$18,503
Contract administrator fees	2016-12-31	$6,335
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	SMITH & HOWARD, P.C.
Accountancy firm EIN	2016-12-31	581250486

Form 5500 Responses for RUBICON GLOBAL HOLDINGS,LLC 401(K) PLAN

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

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

513204-000

Policy instance

Insurance contract or identification number	513204-000
Number of Individuals Covered	356
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $5,622
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	5622
Additional information about fees paid to insurance broker	TPA ADMINISTRATION
Insurance broker organization code?	5

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

513204-000

Policy instance

Insurance contract or identification number	513204-000
Number of Individuals Covered	366
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $3,724
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1782
Additional information about fees paid to insurance broker	TPA ADMINISTRATION
Insurance broker organization code?	5

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

513204-000

Policy instance

Insurance contract or identification number	513204-000
Number of Individuals Covered	279
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,511
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1473
Additional information about fees paid to insurance broker	TPA ADMINISTRATION
Insurance broker organization code?	5

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

513204-000

Policy instance

Insurance contract or identification number	513204-000
Number of Individuals Covered	279
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $695
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	695
Additional information about fees paid to insurance broker	TPA ADMIN FEES
Insurance broker organization code?	5

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

804772

Policy instance

Insurance contract or identification number	804772
Number of Individuals Covered	65
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $2,089
Total amount of fees paid to insurance company	USD $1,178
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $922
Insurance broker organization code?	3
Amount paid for insurance broker fees	1178
Additional information about fees paid to insurance broker	TPA ADMINISTRATION

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

804772

Policy instance

Insurance contract or identification number	804772
Number of Individuals Covered	65
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $8,830
Total amount of fees paid to insurance company	USD $1,127
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,830
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3
Insurance broker name	RETIREMENT STRATEGIES, INC

Potentially related plans

RUBICON GLOBAL, LLC EMPLOYEE BENEFITS PLAN [EIN = 270682429]

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See full terms and conditions

Company Name:	RUBICON GLOBAL HOLDINGS, LLC
Employer identification number (EIN):	452257211
NAIC Classification:	561110
NAIC Description:	Office Administrative Services

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	1826323