401k Plan data: LANTIS ENTERPRISES, INC. 401(K) PLAN plan

LANTIS ENTERPRISES, INC. 401(K) PLAN 401k Plan overview

Plan Name	LANTIS ENTERPRISES, INC. 401(K) PLAN
Plan identification number	001

LANTIS ENTERPRISES, INC. 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.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name: LANTIS ENTERPRISES, INC.

Employer identification number (EIN): 470615920

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LANTIS ENTERPRISES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 MICHAEL MOORE 2023-08-09 MICHAEL MOORE 2023-08-09
001 2021-01-01 MICHAEL MOORE 2022-10-16 MICHAEL MOORE 2022-10-16
001 2020-01-01 MICHAEL MOORE 2021-07-25 MICHAEL MOORE 2021-07-25
001 2019-01-01 MICHAEL MOORE 2020-07-19 MICHAEL MOORE 2020-07-19
001 2018-01-01
001 2017-01-01
001 2016-01-01 MICHAEL MOORE 2017-07-10
001 2015-01-01 MICHAEL MOORE 2016-07-21
001 2014-01-01 MICHAEL MOORE 2015-06-15
001 2013-01-01 MICHAEL L. MOORE
001 2012-01-01 MICHAEL L. MOORE
001 2011-01-01 MICHAEL L MOORE
001 2009-01-01 MICHAEL L MOORE
001 2009-01-01 MICHAEL L MOORE
001 2009-01-01 MICHAEL MOORE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	MICHAEL MOORE	2023-08-09	MICHAEL MOORE	2023-08-09
001	2021-01-01	MICHAEL MOORE	2022-10-16	MICHAEL MOORE	2022-10-16
001	2020-01-01	MICHAEL MOORE	2021-07-25	MICHAEL MOORE	2021-07-25
001	2019-01-01	MICHAEL MOORE	2020-07-19	MICHAEL MOORE	2020-07-19
001	2018-01-01
001	2017-01-01
001	2016-01-01	MICHAEL MOORE	2017-07-10
001	2015-01-01	MICHAEL MOORE	2016-07-21
001	2014-01-01	MICHAEL MOORE	2015-06-15
001	2013-01-01	MICHAEL L. MOORE
001	2012-01-01	MICHAEL L. MOORE
001	2011-01-01	MICHAEL L MOORE
001	2009-01-01	MICHAEL L MOORE
001	2009-01-01	MICHAEL L MOORE
001	2009-01-01	MICHAEL MOORE

Plan Statistics for LANTIS ENTERPRISES, INC. 401(K) PLAN

401k plan membership statisitcs for LANTIS ENTERPRISES, INC. 401(K) PLAN

Measure Date Value
2022: LANTIS ENTERPRISES, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 579
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 430
Number of retired or separated participants receiving benefits 2022-01-01 6
Number of other retired or separated participants entitled to future benefits 2022-01-01 51
Total of all active and inactive participants 2022-01-01 487
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 487
Number of participants with account balances 2022-01-01 170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: LANTIS ENTERPRISES, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 679
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 486
Number of retired or separated participants receiving benefits 2021-01-01 5
Number of other retired or separated participants entitled to future benefits 2021-01-01 48
Total of all active and inactive participants 2021-01-01 539
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 539
Number of participants with account balances 2021-01-01 181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: LANTIS ENTERPRISES, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 717
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 603
Number of retired or separated participants receiving benefits 2020-01-01 4
Number of other retired or separated participants entitled to future benefits 2020-01-01 37
Total of all active and inactive participants 2020-01-01 644
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 644
Number of participants with account balances 2020-01-01 184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: LANTIS ENTERPRISES, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 342
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 626
Number of retired or separated participants receiving benefits 2019-01-01 4
Number of other retired or separated participants entitled to future benefits 2019-01-01 29
Total of all active and inactive participants 2019-01-01 659
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 659
Number of participants with account balances 2019-01-01 193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 2
2013: LANTIS ENTERPRISES, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 321
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 18
Number of retired or separated participants receiving benefits 2013-01-01 4
Number of other retired or separated participants entitled to future benefits 2013-01-01 38
Total of all active and inactive participants 2013-01-01 60
Total participants 2013-01-01 60
Number of participants with account balances 2013-01-01 57
2012: LANTIS ENTERPRISES, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,032
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 27
Number of retired or separated participants receiving benefits 2012-01-01 6
Number of other retired or separated participants entitled to future benefits 2012-01-01 297
Total of all active and inactive participants 2012-01-01 330
Total participants 2012-01-01 330
Number of participants with account balances 2012-01-01 316
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 15
2011: LANTIS ENTERPRISES, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,138
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 963
Number of retired or separated participants receiving benefits 2011-01-01 2
Number of other retired or separated participants entitled to future benefits 2011-01-01 29
Total of all active and inactive participants 2011-01-01 994
Total participants 2011-01-01 994
Number of participants with account balances 2011-01-01 351
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: LANTIS ENTERPRISES, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,299
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,202
Number of other retired or separated participants entitled to future benefits 2009-01-01 84
Total of all active and inactive participants 2009-01-01 1,286
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 1,287
Number of participants with account balances 2009-01-01 629
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 9

Measure	Date	Value
2022: LANTIS ENTERPRISES, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	579
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	430
Number of retired or separated participants receiving benefits	2022-01-01	6
Number of other retired or separated participants entitled to future benefits	2022-01-01	51
Total of all active and inactive participants	2022-01-01	487
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	487
Number of participants with account balances	2022-01-01	170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: LANTIS ENTERPRISES, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	679
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	486
Number of retired or separated participants receiving benefits	2021-01-01	5
Number of other retired or separated participants entitled to future benefits	2021-01-01	48
Total of all active and inactive participants	2021-01-01	539
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	539
Number of participants with account balances	2021-01-01	181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: LANTIS ENTERPRISES, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	717
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	603
Number of retired or separated participants receiving benefits	2020-01-01	4
Number of other retired or separated participants entitled to future benefits	2020-01-01	37
Total of all active and inactive participants	2020-01-01	644
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	644
Number of participants with account balances	2020-01-01	184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: LANTIS ENTERPRISES, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	342
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	626
Number of retired or separated participants receiving benefits	2019-01-01	4
Number of other retired or separated participants entitled to future benefits	2019-01-01	29
Total of all active and inactive participants	2019-01-01	659
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	659
Number of participants with account balances	2019-01-01	193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	2
2013: LANTIS ENTERPRISES, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	321
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	18
Number of retired or separated participants receiving benefits	2013-01-01	4
Number of other retired or separated participants entitled to future benefits	2013-01-01	38
Total of all active and inactive participants	2013-01-01	60
Total participants	2013-01-01	60
Number of participants with account balances	2013-01-01	57
2012: LANTIS ENTERPRISES, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,032
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	27
Number of retired or separated participants receiving benefits	2012-01-01	6
Number of other retired or separated participants entitled to future benefits	2012-01-01	297
Total of all active and inactive participants	2012-01-01	330
Total participants	2012-01-01	330
Number of participants with account balances	2012-01-01	316
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	15
2011: LANTIS ENTERPRISES, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,138
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	963
Number of retired or separated participants receiving benefits	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	29
Total of all active and inactive participants	2011-01-01	994
Total participants	2011-01-01	994
Number of participants with account balances	2011-01-01	351
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: LANTIS ENTERPRISES, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,299
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,202
Number of other retired or separated participants entitled to future benefits	2009-01-01	84
Total of all active and inactive participants	2009-01-01	1,286
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	1,287
Number of participants with account balances	2009-01-01	629
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	9

Financial Data on LANTIS ENTERPRISES, INC. 401(K) PLAN

Measure	Date	Value
2022 : LANTIS ENTERPRISES, INC. 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$7,838
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	$-405,200
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$468,986
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$409,106
Expenses. Certain deemed distributions of participant loans	2022-12-31	$3,056
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$602,231
Value of total assets at end of year	2022-12-31	$5,091,798
Value of total assets at beginning of year	2022-12-31	$5,958,146
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$56,824
Total interest from all sources	2022-12-31	$31
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$413,149
Participant contributions at beginning of year	2022-12-31	$2,464
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$189,082
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$7,838
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	$-874,186
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$5,083,960
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$5,958,146
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$28,532
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$5,091,798
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$5,955,682
Interest on participant loans	2022-12-31	$31
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,007,462
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$409,106
Contract administrator fees	2022-12-31	$28,292
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	CLIFTONLARSONALLEN
Accountancy firm EIN	2022-12-31	410746749
2021 : LANTIS ENTERPRISES, INC. 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$1,099,796
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$352,313
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$343,129
Expenses. Certain deemed distributions of participant loans	2021-12-31	$7,544
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$438,690
Value of total assets at end of year	2021-12-31	$5,958,146
Value of total assets at beginning of year	2021-12-31	$5,210,663
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$1,640
Total interest from all sources	2021-12-31	$293
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$438,690
Participant contributions at end of year	2021-12-31	$2,464
Participant contributions at beginning of year	2021-12-31	$12,500
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	$747,483
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$5,958,146
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$5,210,663
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$5,955,682
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$5,196,718
Interest on participant loans	2021-12-31	$293
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$1,445
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$1,445
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$660,813
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	$343,129
Contract administrator fees	2021-12-31	$1,640
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
Accountancy firm name	2021-12-31	CASEY PTERSON, LTD
Accountancy firm EIN	2021-12-31	460403496
2020 : LANTIS ENTERPRISES, INC. 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$1,147,158
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$268,658
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$259,762
Expenses. Certain deemed distributions of participant loans	2020-12-31	$3,022
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$472,219
Value of total assets at end of year	2020-12-31	$5,210,663
Value of total assets at beginning of year	2020-12-31	$4,332,163
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$5,874
Total interest from all sources	2020-12-31	$411
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$472,219
Participant contributions at end of year	2020-12-31	$12,500
Participant contributions at beginning of year	2020-12-31	$12,904
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	$878,500
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$5,210,663
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$4,332,163
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$5,874
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$5,196,718
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$4,305,204
Interest on participant loans	2020-12-31	$411
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$1,445
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$860
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$860
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$674,528
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	$0
Employer contributions (assets) at beginning of year	2020-12-31	$13,195
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$259,762
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	CASEY PETERSON, LTD
Accountancy firm EIN	2020-12-31	460403496
2019 : LANTIS ENTERPRISES, INC. 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	$1,596,777
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$98,314
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$94,933
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$917,433
Value of total assets at end of year	2019-12-31	$4,332,163
Value of total assets at beginning of year	2019-12-31	$2,833,700
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$3,381
Total interest from all sources	2019-12-31	$756
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
Administrative expenses professional fees incurred	2019-12-31	$3,381
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$469,434
Participant contributions at end of year	2019-12-31	$12,904
Participant contributions at beginning of year	2019-12-31	$21,738
Participant contributions at beginning of year	2019-12-31	$53
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$439,889
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	$1,498,463
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$4,332,163
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,833,700
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	$4,305,204
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,805,643
Interest on participant loans	2019-12-31	$756
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$860
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$860
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$860
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$678,588
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	$8,110
Employer contributions (assets) at end of year	2019-12-31	$13,195
Employer contributions (assets) at beginning of year	2019-12-31	$5,406
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$94,933
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	CASEY PETERSON, LTD
Accountancy firm EIN	2019-12-31	460403496
2013 : LANTIS ENTERPRISES, INC. 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$623,270
Total of all expenses incurred	2013-12-31	$3,361,124
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$3,315,117
Expenses. Certain deemed distributions of participant loans	2013-12-31	$31,148
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$202,182
Value of total assets at end of year	2013-12-31	$2,092,542
Value of total assets at beginning of year	2013-12-31	$4,830,396
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$14,859
Total interest from all sources	2013-12-31	$2,155
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$14,859
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Funding deficiency by the employer to the plan for this plan year	2013-12-31	$0
Minimum employer required contribution for this plan year	2013-12-31	$0
Amount contributed by the employer to the plan for this plan year	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$115,908
Participant contributions at end of year	2013-12-31	$41,608
Participant contributions at beginning of year	2013-12-31	$71,608
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$13,360
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$-2,013
Other income not declared elsewhere	2013-12-31	$560
Total non interest bearing cash at end of year	2013-12-31	$923
Total non interest bearing cash at beginning of year	2013-12-31	$363
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-2,737,854
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,092,542
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,830,396
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Income. Interest from loans (other than to participants)	2013-12-31	$2,021
Interest earned on other investments	2013-12-31	$134
Value of interest in common/collective trusts at end of year	2013-12-31	$2,046,460
Value of interest in common/collective trusts at beginning of year	2013-12-31	$4,727,229
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$5,564
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$31,196
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$418,373
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$72,914
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$3,315,117
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	CASEY PETERSON & ASSOCIATES, LTD.
Accountancy firm EIN	2013-12-31	460403496
2012 : LANTIS ENTERPRISES, INC. 401(K) PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$1,045,750
Total of all expenses incurred	2012-12-31	$474,764
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$455,563
Expenses. Certain deemed distributions of participant loans	2012-12-31	$7,266
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$491,435
Value of total assets at end of year	2012-12-31	$4,830,396
Value of total assets at beginning of year	2012-12-31	$4,259,410
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$11,935
Total interest from all sources	2012-12-31	$3,309
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$11,935
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$0
Amount contributed by the employer to the plan for this plan year	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$491,107
Participant contributions at end of year	2012-12-31	$71,608
Participant contributions at beginning of year	2012-12-31	$84,077
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$328
Total non interest bearing cash at end of year	2012-12-31	$363
Total non interest bearing cash at beginning of year	2012-12-31	$364
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$570,986
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,830,396
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$4,259,410
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Interest on participant loans	2012-12-31	$3,220
Interest earned on other investments	2012-12-31	$89
Value of interest in common/collective trusts at end of year	2012-12-31	$4,727,229
Value of interest in common/collective trusts at beginning of year	2012-12-31	$4,151,507
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$31,196
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$23,462
Net investment gain or loss from common/collective trusts	2012-12-31	$551,006
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$455,563
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	CASEY PETERSON & ASSOCIATES, LTD.
Accountancy firm EIN	2012-12-31	460403496
2011 : LANTIS ENTERPRISES, INC. 401(K) PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$365,675
Total of all expenses incurred	2011-12-31	$376,078
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$358,828
Expenses. Certain deemed distributions of participant loans	2011-12-31	$1,740
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$508,541
Value of total assets at end of year	2011-12-31	$4,259,410
Value of total assets at beginning of year	2011-12-31	$4,269,813
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$15,510
Total interest from all sources	2011-12-31	$3,270
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$15,510
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$508,541
Participant contributions at end of year	2011-12-31	$84,077
Participant contributions at beginning of year	2011-12-31	$73,028
Total non interest bearing cash at end of year	2011-12-31	$364
Total non interest bearing cash at beginning of year	2011-12-31	$8,760
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-10,403
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$4,259,410
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$4,269,813
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Interest on participant loans	2011-12-31	$3,173
Interest earned on other investments	2011-12-31	$97
Value of interest in common/collective trusts at end of year	2011-12-31	$4,151,507
Value of interest in common/collective trusts at beginning of year	2011-12-31	$4,173,225
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$23,462
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$14,800
Net investment gain or loss from common/collective trusts	2011-12-31	$-146,136
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$358,828
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	CASEY PETERSON & ASSOCIATES, LTD.
Accountancy firm EIN	2011-12-31	460403496
2010 : LANTIS ENTERPRISES, INC. 401(K) PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$1,079,732
Total of all expenses incurred	2010-12-31	$704,337
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$676,922
Expenses. Certain deemed distributions of participant loans	2010-12-31	$9,805
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$570,975
Value of total assets at end of year	2010-12-31	$4,269,813
Value of total assets at beginning of year	2010-12-31	$3,894,418
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$17,610
Total interest from all sources	2010-12-31	$1,439
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$560,005
Participant contributions at end of year	2010-12-31	$73,028
Participant contributions at beginning of year	2010-12-31	$24,321
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$10,970
Total non interest bearing cash at end of year	2010-12-31	$8,760
Total non interest bearing cash at beginning of year	2010-12-31	$5,991
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$375,395
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$4,269,813
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,894,418
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$12,776
Interest on participant loans	2010-12-31	$1,439
Value of interest in common/collective trusts at end of year	2010-12-31	$4,173,225
Value of interest in common/collective trusts at beginning of year	2010-12-31	$3,820,039
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$14,800
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$44,067
Net investment gain or loss from common/collective trusts	2010-12-31	$507,318
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$676,922
Contract administrator fees	2010-12-31	$4,834
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	CASEY PETERSON & ASSOCIATES, LTD.
Accountancy firm EIN	2010-12-31	460403496
2009 : LANTIS ENTERPRISES, INC. 401(K) PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0

Form 5500 Responses for LANTIS ENTERPRISES, INC. 401(K) PLAN

2022: LANTIS ENTERPRISES, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: LANTIS ENTERPRISES, INC. 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 - Trust	Yes
2020: LANTIS ENTERPRISES, INC. 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 - Trust	Yes
2019: LANTIS ENTERPRISES, INC. 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 - Trust	Yes
2013: LANTIS ENTERPRISES, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: LANTIS ENTERPRISES, INC. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LANTIS ENTERPRISES, INC. 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: LANTIS ENTERPRISES, INC. 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

93469

Policy instance

Insurance contract or identification number	93469
Number of Individuals Covered	197
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $9,952
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Amount paid for insurance broker fees	9952
Additional information about fees paid to insurance broker	EXPENSE ALLOWANCE
Insurance broker organization code?	5

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

Policy contract number

93469

Policy instance

Insurance contract or identification number	93469
Number of Individuals Covered	208
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 $10,710
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Amount paid for insurance broker fees	10710
Additional information about fees paid to insurance broker	EXPENSE ALLOWANCE
Insurance broker organization code?	5

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

Policy contract number

93469

Policy instance

Insurance contract or identification number	93469
Number of Individuals Covered	203
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 $7,220
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Amount paid for insurance broker fees	7220
Additional information about fees paid to insurance broker	EXPENSE ALLOWANCE
Insurance broker organization code?	5

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

Policy contract number

93469

Policy instance

Insurance contract or identification number	93469
Number of Individuals Covered	209
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 $6,793
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Amount paid for insurance broker fees	6793
Additional information about fees paid to insurance broker	EXPENSE ALLOWANCE
Insurance broker organization code?	5

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

Policy contract number

93469

Policy instance

Insurance contract or identification number	93469
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $10,055
Total amount of fees paid to insurance company	USD $15,438
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	15438
Additional information about fees paid to insurance broker	EXPENSE ALLOWANCE
Insurance broker organization code?	5
Commission paid to Insurance Broker	USD $10,055
Insurance broker name	LPL FINANCIAL CORPORATION

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

Policy contract number

93469

Policy instance

Insurance contract or identification number	93469
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $17,362
Total amount of fees paid to insurance company	USD $13,103
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

93469

Policy instance

Insurance contract or identification number	93469
Number of Individuals Covered	414
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $7,189
Total amount of fees paid to insurance company	USD $26,117
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,189
Insurance broker organization code?	4
Amount paid for insurance broker fees	26117
Additional information about fees paid to insurance broker	EXPENSE ALLOWANCE
Insurance broker name	BENEFIT PLANS, INC.

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Company Name:	LANTIS ENTERPRISES, INC.
Employer identification number (EIN):	470615920
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities