401k Plan data: FORMLABS RETIREMENT TRUST plan

FORMLABS RETIREMENT TRUST 401k Plan overview

Plan Name	FORMLABS RETIREMENT TRUST
Plan identification number	001

FORMLABS RETIREMENT TRUST 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

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

Company Name: FORMLABS, INC.

Employer identification number (EIN): 453644301

NAIC Classification: 541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FORMLABS RETIREMENT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 DANIEL O'SHAUGHNESSY 2023-10-15
001 2021-01-01 JORDAN MEDALIA 2022-10-02
001 2020-01-01 ROBIN GANEK 2021-10-06
001 2019-01-01 ROBIN GANEK 2020-10-04
001 2018-01-01 JIKUN KIM 2019-10-08
001 2017-01-01 PLAN SPONSOR
001 2016-01-01 PLAN SPONSOR 2017-07-28

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	DANIEL O'SHAUGHNESSY	2023-10-15
001	2021-01-01	JORDAN MEDALIA	2022-10-02
001	2020-01-01	ROBIN GANEK	2021-10-06
001	2019-01-01	ROBIN GANEK	2020-10-04
001	2018-01-01	JIKUN KIM	2019-10-08
001	2017-01-01	PLAN SPONSOR
001	2016-01-01	PLAN SPONSOR	2017-07-28

Plan Statistics for FORMLABS RETIREMENT TRUST

401k plan membership statisitcs for FORMLABS RETIREMENT TRUST

Measure Date Value
2022: FORMLABS RETIREMENT TRUST 2022 401k membership
Total participants, beginning-of-year 2022-01-01 497
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 507
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 76
Total of all active and inactive participants 2022-01-01 583
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 583
Number of participants with account balances 2022-01-01 292
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: FORMLABS RETIREMENT TRUST 2021 401k membership
Total participants, beginning-of-year 2021-01-01 460
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 423
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 58
Total of all active and inactive participants 2021-01-01 481
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 481
Number of participants with account balances 2021-01-01 257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: FORMLABS RETIREMENT TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 462
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 399
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 53
Total of all active and inactive participants 2020-01-01 452
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 452
Number of participants with account balances 2020-01-01 237
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: FORMLABS RETIREMENT TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 384
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 410
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 43
Total of all active and inactive participants 2019-01-01 453
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 453
Number of participants with account balances 2019-01-01 213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: FORMLABS RETIREMENT TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 324
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 360
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 19
Total of all active and inactive participants 2018-01-01 379
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 379
Number of participants with account balances 2018-01-01 182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: FORMLABS RETIREMENT TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 182
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 290
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 20
Total of all active and inactive participants 2017-01-01 310
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 310
Number of participants with account balances 2017-01-01 169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0

Measure	Date	Value
2022: FORMLABS RETIREMENT TRUST 2022 401k membership
Total participants, beginning-of-year	2022-01-01	497
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	507
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	76
Total of all active and inactive participants	2022-01-01	583
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	583
Number of participants with account balances	2022-01-01	292
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: FORMLABS RETIREMENT TRUST 2021 401k membership
Total participants, beginning-of-year	2021-01-01	460
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	423
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	58
Total of all active and inactive participants	2021-01-01	481
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	481
Number of participants with account balances	2021-01-01	257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: FORMLABS RETIREMENT TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	462
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	399
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	53
Total of all active and inactive participants	2020-01-01	452
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	452
Number of participants with account balances	2020-01-01	237
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: FORMLABS RETIREMENT TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	384
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	410
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	43
Total of all active and inactive participants	2019-01-01	453
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	453
Number of participants with account balances	2019-01-01	213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: FORMLABS RETIREMENT TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	324
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	360
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	19
Total of all active and inactive participants	2018-01-01	379
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	379
Number of participants with account balances	2018-01-01	182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: FORMLABS RETIREMENT TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	182
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	290
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	20
Total of all active and inactive participants	2017-01-01	310
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	310
Number of participants with account balances	2017-01-01	169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0

Financial Data on FORMLABS RETIREMENT TRUST

Measure	Date	Value
2022 : FORMLABS RETIREMENT TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$1,276,080
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$961,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$921,592
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$2,809,186
Value of total assets at end of year	2022-12-31	$8,876,086
Value of total assets at beginning of year	2022-12-31	$8,561,822
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$40,224
Total interest from all sources	2022-12-31	$2,279
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$189,596
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$189,596
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$2,583,355
Participant contributions at end of year	2022-12-31	$13,150
Participant contributions at beginning of year	2022-12-31	$16,825
Participant contributions at end of year	2022-12-31	$88,791
Participant contributions at beginning of year	2022-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$225,831
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$0
Total non interest bearing cash at end of year	2022-12-31	$3
Total non interest bearing cash at beginning of year	2022-12-31	$2,447
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$314,264
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$8,876,086
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$8,561,822
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$8,671,108
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$8,436,903
Interest on participant loans	2022-12-31	$725
Interest earned on other investments	2022-12-31	$1,554
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$103,034
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$105,647
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,724,981
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$921,592
Contract administrator fees	2022-12-31	$40,224
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	MAZARS USA LLP
Accountancy firm EIN	2022-12-31	131459550
2021 : FORMLABS RETIREMENT TRUST 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$5,402
Total income from all sources (including contributions)	2021-12-31	$3,479,949
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$1,091,595
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,042,874
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$2,373,769
Value of total assets at end of year	2021-12-31	$8,561,822
Value of total assets at beginning of year	2021-12-31	$6,178,870
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$48,721
Total interest from all sources	2021-12-31	$2,404
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$637,020
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$637,020
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$2,192,606
Participant contributions at end of year	2021-12-31	$16,825
Participant contributions at beginning of year	2021-12-31	$7,936
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$73,769
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$181,163
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$5,402
Total non interest bearing cash at end of year	2021-12-31	$2,447
Total non interest bearing cash at beginning of year	2021-12-31	$5
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	$2,388,354
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$8,561,822
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$6,173,468
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	$8,436,903
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$5,989,167
Interest on participant loans	2021-12-31	$250
Interest earned on other investments	2021-12-31	$2,154
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$105,647
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$107,993
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$466,756
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,042,874
Contract administrator fees	2021-12-31	$48,721
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	SAMET & COMPANY PC
Accountancy firm EIN	2021-12-31	043027605
2020 : FORMLABS RETIREMENT TRUST 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	$5,402
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	$2,860,142
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,144,990
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,108,343
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,968,050
Value of total assets at end of year	2020-12-31	$6,178,870
Value of total assets at beginning of year	2020-12-31	$4,458,316
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$36,647
Total interest from all sources	2020-12-31	$2,210
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$118,931
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$118,931
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$1,895,881
Participant contributions at end of year	2020-12-31	$7,936
Participant contributions at beginning of year	2020-12-31	$5,123
Participant contributions at end of year	2020-12-31	$73,769
Participant contributions at beginning of year	2020-12-31	$75,094
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$72,169
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$5,402
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$0
Total non interest bearing cash at end of year	2020-12-31	$5
Total non interest bearing cash at beginning of year	2020-12-31	$5
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$1,715,152
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$6,173,468
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$4,458,316
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	$5,989,167
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$4,355,515
Interest on participant loans	2020-12-31	$309
Interest earned on other investments	2020-12-31	$1,901
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$107,993
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$22,579
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$770,951
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	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,108,343
Contract administrator fees	2020-12-31	$36,647
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	SAMET & COMPANY PC
Accountancy firm EIN	2020-12-31	043027605
2019 : FORMLABS RETIREMENT TRUST 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	$2,306,408
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$383,557
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$356,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,568,134
Value of total assets at end of year	2019-12-31	$4,458,316
Value of total assets at beginning of year	2019-12-31	$2,535,465
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$27,508
Total interest from all sources	2019-12-31	$1,067
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,502,800
Participant contributions at end of year	2019-12-31	$5,123
Participant contributions at beginning of year	2019-12-31	$7,107
Participant contributions at end of year	2019-12-31	$75,094
Participant contributions at beginning of year	2019-12-31	$80,032
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$65,334
Total non interest bearing cash at end of year	2019-12-31	$5
Total non interest bearing cash at beginning of year	2019-12-31	$2
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	$1,922,851
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$4,458,316
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,535,465
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	$4,355,515
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,435,707
Interest on participant loans	2019-12-31	$408
Interest earned on other investments	2019-12-31	$659
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$22,579
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$12,617
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$737,207
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	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$356,049
Contract administrator fees	2019-12-31	$27,508
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	SAMET & COMPANY PC
Accountancy firm EIN	2019-12-31	043027605
2018 : FORMLABS RETIREMENT TRUST 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	$37,381
Total income from all sources (including contributions)	2018-12-31	$1,209,917
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$400,936
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$387,692
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,394,157
Value of total assets at end of year	2018-12-31	$2,535,465
Value of total assets at beginning of year	2018-12-31	$1,763,865
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$13,244
Total interest from all sources	2018-12-31	$2,653
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,309,456
Participant contributions at end of year	2018-12-31	$7,107
Participant contributions at beginning of year	2018-12-31	$16,584
Participant contributions at end of year	2018-12-31	$80,032
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$84,701
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$37,381
Total non interest bearing cash at end of year	2018-12-31	$2
Total non interest bearing cash at beginning of year	2018-12-31	$37,381
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	$808,981
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$2,535,465
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,726,484
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
Investment advisory and management fees	2018-12-31	$5,705
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$2,435,707
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,709,346
Interest on participant loans	2018-12-31	$676
Interest earned on other investments	2018-12-31	$1,977
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$554
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$554
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$12,617
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-186,893
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	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$387,692
Contract administrator fees	2018-12-31	$7,539
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	Yes
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	SAMET & COMPANY PC
Accountancy firm EIN	2018-12-31	043027605
2017 : FORMLABS RETIREMENT TRUST 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$37,381
Total income from all sources (including contributions)	2017-12-31	$1,364,474
Total of all expenses incurred	2017-12-31	$60,351
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$51,973
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,189,655
Value of total assets at end of year	2017-12-31	$1,763,865
Value of total assets at beginning of year	2017-12-31	$422,361
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$8,378
Total interest from all sources	2017-12-31	$313
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$29,780
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$29,780
Administrative expenses professional fees incurred	2017-12-31	$8,378
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$265,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$924,470
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$265,185
Assets. Loans (other than to participants) at end of year	2017-12-31	$16,584
Assets. Loans (other than to participants) at beginning of year	2017-12-31	$2,446
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$37,381
Total non interest bearing cash at end of year	2017-12-31	$37,381
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	$1,304,123
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,726,484
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$422,361
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,709,346
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$419,915
Interest on participant loans	2017-12-31	$198
Interest earned on other investments	2017-12-31	$115
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$554
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$144,726
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$51,973
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
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	SAMET & COMPANY PC
Accountancy firm EIN	2017-12-31	043027605

Form 5500 Responses for FORMLABS RETIREMENT TRUST

2022: FORMLABS RETIREMENT TRUST 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: FORMLABS RETIREMENT TRUST 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: FORMLABS RETIREMENT TRUST 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: FORMLABS RETIREMENT TRUST 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: FORMLABS RETIREMENT TRUST 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: FORMLABS RETIREMENT TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

812168

Policy instance

Insurance contract or identification number	812168
Number of Individuals Covered	583
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

812168

Policy instance

Insurance contract or identification number	812168
Number of Individuals Covered	481
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 $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	1
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

812168

Policy instance

Insurance contract or identification number	812168
Number of Individuals Covered	481
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 $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	1
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

812168

Policy instance

Insurance contract or identification number	812168
Number of Individuals Covered	452
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 $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	1
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

812168

Policy instance

Insurance contract or identification number	812168
Number of Individuals Covered	453
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 $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	1
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

812168

Policy instance

Insurance contract or identification number	812168
Number of Individuals Covered	324
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 $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	1
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

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Company Name:	FORMLABS, INC.
Employer identification number (EIN):	453644301
NAIC Classification:	541600