401k Plan data: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN plan

SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 401k Plan overview

Plan Name	SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN
Plan identification number	001

SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

SPORT & HEALTH, INC. has sponsored the creation of one or more 401k plans.

Company Name: SPORT & HEALTH, INC.

Employer identification number (EIN): 521195516

NAIC Classification: 713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 YVONNE STEWART YVONNE STEWART 2016-01-15
001 2014-01-01 YVONNE STEWART YVONNE STEWART 2016-01-15
001 2014-01-01 YVONNE STEWART YVONNE STEWART 2016-01-19
001 2013-01-01 CYNTHIA SUOMELA SCOTT THOMAS 2014-10-15
001 2012-01-01 CYNTHIA SUOMELA SCOTT THOMAS 2013-10-03
001 2011-01-01 CYNTHIA SUOMELA SCOTT THOMAS 2012-10-11
001 2010-01-01 CYNTHIA SUOMELA SCOTT THOMAS 2011-10-17
001 2009-01-01 CYNTHIA SUOMELA SCOTT THOMAS 2010-10-13
001 2009-01-01 CYNTHIA SUOMELA SCOTT THOMAS 2010-10-13
001 2009-01-01 CYNTHIA SUOMELA SCOTT THOMAS 2010-10-18

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	YVONNE STEWART	YVONNE STEWART	2016-01-15
001	2014-01-01	YVONNE STEWART	YVONNE STEWART	2016-01-15
001	2014-01-01	YVONNE STEWART	YVONNE STEWART	2016-01-19
001	2013-01-01	CYNTHIA SUOMELA	SCOTT THOMAS	2014-10-15
001	2012-01-01	CYNTHIA SUOMELA	SCOTT THOMAS	2013-10-03
001	2011-01-01	CYNTHIA SUOMELA	SCOTT THOMAS	2012-10-11
001	2010-01-01	CYNTHIA SUOMELA	SCOTT THOMAS	2011-10-17
001	2009-01-01	CYNTHIA SUOMELA	SCOTT THOMAS	2010-10-13
001	2009-01-01	CYNTHIA SUOMELA	SCOTT THOMAS	2010-10-13
001	2009-01-01	CYNTHIA SUOMELA	SCOTT THOMAS	2010-10-18

Plan Statistics for SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN

401k plan membership statisitcs for SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN

Measure Date Value
2015: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 339
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,015
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 338
Total of all active and inactive participants 2014-01-01 339
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 339
Number of participants with account balances 2014-01-01 339
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,274
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 927
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 87
Total of all active and inactive participants 2013-01-01 1,015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,015
Number of participants with account balances 2013-01-01 342
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,339
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,151
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 60
Total of all active and inactive participants 2012-01-01 1,212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1,212
Number of participants with account balances 2012-01-01 240
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,734
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,225
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 56
Total of all active and inactive participants 2011-01-01 1,282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1,282
Number of participants with account balances 2011-01-01 244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 4
2010: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,564
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,417
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 51
Total of all active and inactive participants 2010-01-01 1,469
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 1,469
Number of participants with account balances 2010-01-01 253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 8
2009: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 962
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,418
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 55
Total of all active and inactive participants 2009-01-01 1,474
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,474
Number of participants with account balances 2009-01-01 288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 18

Measure	Date	Value
2015: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	339
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,015
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	338
Total of all active and inactive participants	2014-01-01	339
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	339
Number of participants with account balances	2014-01-01	339
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,274
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	927
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	87
Total of all active and inactive participants	2013-01-01	1,015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,015
Number of participants with account balances	2013-01-01	342
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,339
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,151
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	60
Total of all active and inactive participants	2012-01-01	1,212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1,212
Number of participants with account balances	2012-01-01	240
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,734
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,225
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	56
Total of all active and inactive participants	2011-01-01	1,282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1,282
Number of participants with account balances	2011-01-01	244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	4
2010: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,564
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,417
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	51
Total of all active and inactive participants	2010-01-01	1,469
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	1,469
Number of participants with account balances	2010-01-01	253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	8
2009: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	962
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,418
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	55
Total of all active and inactive participants	2009-01-01	1,474
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,474
Number of participants with account balances	2009-01-01	288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	18

Financial Data on SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN

Measure	Date	Value
2015 : SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-03-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-03-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-03-31	$0
Total income from all sources (including contributions)	2015-03-31	$45,413
Total loss/gain on sale of assets	2015-03-31	$0
Total of all expenses incurred	2015-03-31	$9,079,834
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-03-31	$9,063,365
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-03-31	$0
Value of total assets at end of year	2015-03-31	$0
Value of total assets at beginning of year	2015-03-31	$9,034,421
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-03-31	$16,469
Total interest from all sources	2015-03-31	$2,364
Total dividends received (eg from common stock, registered investment company shares)	2015-03-31	$22
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-03-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-03-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-03-31	$22
Was this plan covered by a fidelity bond	2015-03-31	Yes
Value of fidelity bond cover	2015-03-31	$500,000
If this is an individual account plan, was there a blackout period	2015-03-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-03-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-03-31	No
Other income not declared elsewhere	2015-03-31	$5,136
Administrative expenses (other) incurred	2015-03-31	$16,469
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-03-31	No
Value of net income/loss	2015-03-31	$-9,034,421
Value of net assets at end of year (total assets less liabilities)	2015-03-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-03-31	$9,034,421
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-03-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-03-31	No
Were any leases to which the plan was party in default or uncollectible	2015-03-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-03-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-03-31	$6,459,585
Value of interest in pooled separate accounts at end of year	2015-03-31	$0
Value of interest in pooled separate accounts at beginning of year	2015-03-31	$1,285,286
Interest earned on other investments	2015-03-31	$2,364
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-03-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-03-31	$1,289,550
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-03-31	$27,000
Net investment gain/loss from pooled separate accounts	2015-03-31	$10,891
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-03-31	Yes
Was there a failure to transmit to the plan any participant contributions	2015-03-31	No
Has the plan failed to provide any benefit when due under the plan	2015-03-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-03-31	$9,063,365
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	2015-03-31	Yes
Did the plan have assets held for investment	2015-03-31	No
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	2015-03-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-03-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-03-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-03-31	Disclaimer
Accountancy firm name	2015-03-31	RSM US LLP
Accountancy firm EIN	2015-03-31	420714325
2014 : SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$1,364,872
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$3,281,019
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$3,079,545
Value of total corrective distributions	2014-12-31	$124,397
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$740,526
Value of total assets at end of year	2014-12-31	$9,034,421
Value of total assets at beginning of year	2014-12-31	$10,950,568
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$77,077
Total interest from all sources	2014-12-31	$28,861
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$45,498
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$45,498
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$645,408
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$348,969
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$95,118
Other income not declared elsewhere	2014-12-31	$23,859
Administrative expenses (other) incurred	2014-12-31	$77,077
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-1,916,147
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$9,034,421
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$10,950,568
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$6,459,585
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$7,297,656
Value of interest in pooled separate accounts at end of year	2014-12-31	$1,285,286
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$1,847,679
Interest on participant loans	2014-12-31	$7,999
Interest earned on other investments	2014-12-31	$20,862
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,289,550
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,456,264
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$393,432
Net investment gain/loss from pooled separate accounts	2014-12-31	$132,696
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$3,079,545
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	RSM US LLP
Accountancy firm EIN	2014-12-31	420714325
2013 : SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$2,539,334
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$622,581
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$501,353
Value of total corrective distributions	2013-12-31	$97,075
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$750,922
Value of total assets at end of year	2013-12-31	$10,950,568
Value of total assets at beginning of year	2013-12-31	$9,033,815
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$24,153
Total interest from all sources	2013-12-31	$31,250
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$39,127
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$39,127
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	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	$747,808
Participant contributions at end of year	2013-12-31	$348,969
Participant contributions at beginning of year	2013-12-31	$314,587
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$3,114
Other income not declared elsewhere	2013-12-31	$29,685
Administrative expenses (other) incurred	2013-12-31	$24,153
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	$1,916,753
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$10,950,568
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$9,033,815
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$7,297,656
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$5,776,278
Value of interest in pooled separate accounts at end of year	2013-12-31	$1,847,679
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$1,649,860
Interest on participant loans	2013-12-31	$9,192
Interest earned on other investments	2013-12-31	$22,058
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,456,264
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,293,090
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$1,482,411
Net investment gain/loss from pooled separate accounts	2013-12-31	$205,939
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$501,353
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	MCGLADREY LLP
Accountancy firm EIN	2013-12-31	420714325
2012 : SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,701,972
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$447,494
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$385,352
Value of total corrective distributions	2012-12-31	$56,088
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$805,827
Value of total assets at end of year	2012-12-31	$9,033,815
Value of total assets at beginning of year	2012-12-31	$7,779,337
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$6,054
Total interest from all sources	2012-12-31	$34,412
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$52,550
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$52,550
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	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	$773,358
Participant contributions at end of year	2012-12-31	$314,587
Participant contributions at beginning of year	2012-12-31	$266,177
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$32,469
Administrative expenses (other) incurred	2012-12-31	$6,054
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	$1,254,478
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$9,033,815
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$7,779,337
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$5,776,278
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$4,795,439
Value of interest in pooled separate accounts at end of year	2012-12-31	$1,649,860
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$1,414,688
Interest on participant loans	2012-12-31	$10,189
Interest earned on other investments	2012-12-31	$24,223
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,293,090
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,303,033
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$636,445
Net investment gain/loss from pooled separate accounts	2012-12-31	$172,738
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	$385,352
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	MCGLADREY LLP
Accountancy firm EIN	2012-12-31	420714325
2011 : SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$526,007
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$460,511
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$424,091
Value of total corrective distributions	2011-12-31	$30,278
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$743,531
Value of total assets at end of year	2011-12-31	$7,779,337
Value of total assets at beginning of year	2011-12-31	$7,713,841
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$6,142
Total interest from all sources	2011-12-31	$38,194
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$34,998
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$34,998
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	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	$658,458
Participant contributions at end of year	2011-12-31	$266,177
Participant contributions at beginning of year	2011-12-31	$254,642
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$85,073
Administrative expenses (other) incurred	2011-12-31	$6,142
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	$65,496
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$7,779,337
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$7,713,841
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$4,795,439
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$4,859,943
Value of interest in pooled separate accounts at end of year	2011-12-31	$1,414,688
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,456,922
Interest on participant loans	2011-12-31	$8,173
Interest earned on other investments	2011-12-31	$30,021
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,303,033
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,142,334
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-320,031
Net investment gain/loss from pooled separate accounts	2011-12-31	$29,315
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	$424,091
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	MCGLADREY LLP
Accountancy firm EIN	2011-12-31	420714325
2010 : SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,482,749
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$620,523
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$612,725
Expenses. Certain deemed distributions of participant loans	2010-12-31	$1,011
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$692,682
Value of total assets at end of year	2010-12-31	$7,713,841
Value of total assets at beginning of year	2010-12-31	$6,851,615
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$6,787
Total interest from all sources	2010-12-31	$42,248
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$30,722
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$30,722
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	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	$688,429
Participant contributions at end of year	2010-12-31	$254,642
Participant contributions at beginning of year	2010-12-31	$227,253
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$4,253
Administrative expenses (other) incurred	2010-12-31	$6,787
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	$862,226
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$7,713,841
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$6,851,615
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$4,859,943
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$4,218,983
Value of interest in pooled separate accounts at end of year	2010-12-31	$1,456,922
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,296,122
Interest on participant loans	2010-12-31	$9,329
Interest earned on other investments	2010-12-31	$32,919
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,142,334
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,109,257
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$587,621
Net investment gain/loss from pooled separate accounts	2010-12-31	$129,476
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	$612,725
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	MCGLADREY & PULLEN
Accountancy firm EIN	2010-12-31	420714325
2009 : SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN

2015: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: SPORT & HEALTH, INC. EMPLOYEE 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

41279

Policy instance

Insurance contract or identification number	41279
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-03-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

41279

Policy instance

Insurance contract or identification number	41279
Number of Individuals Covered	339
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

41279

Policy instance

Insurance contract or identification number	41279
Number of Individuals Covered	1015
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

41279

Policy instance

Insurance contract or identification number	41279
Number of Individuals Covered	1212
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,382
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1382
Additional information about fees paid to insurance broker	SERVICES TO INSURER OR PLAN
Insurance broker organization code?	4
Insurance broker name	PLANNING CORP OF AMERICA

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

41279

Policy instance

Insurance contract or identification number	41279
Number of Individuals Covered	1282
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $5,509
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

41279

Policy instance

Insurance contract or identification number	41279
Number of Individuals Covered	1469
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $3,794
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	SPORT & HEALTH, INC.
Employer identification number (EIN):	521195516
NAIC Classification:	713900