401k Plan data: TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN plan

TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN 401k Plan overview

Plan Name	TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN
Plan identification number	002

TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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

TECHNOLOGY ASSOCIATION OF AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name: TECHNOLOGY ASSOCIATION OF AMERICA, INC.

Employer identification number (EIN): 541966209

NAIC Classification: 812990
NAIC Description: All Other Personal Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2014-01-01 DAVID SOMMER 2015-04-01
002 2013-01-01 DAVID SOMMER 2014-10-03
002 2012-01-01 BENJAMIN ADERSON
002 2011-01-01 JANICE KI
002 2010-01-01 JANICE KI

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2014-01-01	DAVID SOMMER	2015-04-01
002	2013-01-01	DAVID SOMMER	2014-10-03
002	2012-01-01	BENJAMIN ADERSON
002	2011-01-01	JANICE KI
002	2010-01-01	JANICE KI

Plan Statistics for TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN

401k plan membership statisitcs for TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN

Measure Date Value
2012: TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 32
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 50
Total of all active and inactive participants 2012-01-01 82
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 82
Number of participants with account balances 2012-01-01 76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 157
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 58
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 47
Total of all active and inactive participants 2011-01-01 105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 105
Number of participants with account balances 2011-01-01 97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2010: TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 141
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 68
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 89
Total of all active and inactive participants 2010-01-01 157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 157
Number of participants with account balances 2010-01-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 4

Measure	Date	Value
2012: TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	32
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	50
Total of all active and inactive participants	2012-01-01	82
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	82
Number of participants with account balances	2012-01-01	76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	157
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	58
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	47
Total of all active and inactive participants	2011-01-01	105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	105
Number of participants with account balances	2011-01-01	97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2010: TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	141
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	68
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	89
Total of all active and inactive participants	2010-01-01	157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	157
Number of participants with account balances	2010-01-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	4

Financial Data on TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN

Measure	Date	Value
2012 : TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 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	$1,380,533
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$3,504,122
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$3,499,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$590,882
Value of total assets at end of year	2012-12-31	$5,397,165
Value of total assets at beginning of year	2012-12-31	$7,520,754
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$4,129
Total interest from all sources	2012-12-31	$4,497
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
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	$340,320
Participant contributions at end of year	2012-12-31	$69,233
Participant contributions at beginning of year	2012-12-31	$160,552
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$94,078
Administrative expenses (other) incurred	2012-12-31	$3,901
Total non interest bearing cash at end of year	2012-12-31	$6,356
Total non interest bearing cash at beginning of year	2012-12-31	$10,903
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	$-2,123,589
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$5,397,165
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$7,520,754
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	$5,321,576
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$7,349,299
Interest on participant loans	2012-12-31	$4,497
Net investment gain/loss from pooled separate accounts	2012-12-31	$785,154
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
Contributions received in cash from employer	2012-12-31	$156,484
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$3,499,993
Contract administrator fees	2012-12-31	$228
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	BDO USA, LLP
Accountancy firm EIN	2012-12-31	135381590
2011 : TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 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	$393,088
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$3,397,295
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$3,391,123
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$675,549
Value of total assets at end of year	2011-12-31	$7,520,754
Value of total assets at beginning of year	2011-12-31	$10,524,961
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$6,172
Total interest from all sources	2011-12-31	$7,153
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
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	$457,643
Participant contributions at end of year	2011-12-31	$160,552
Participant contributions at beginning of year	2011-12-31	$180,112
Participant contributions at beginning of year	2011-12-31	$17,320
Administrative expenses (other) incurred	2011-12-31	$5,862
Total non interest bearing cash at end of year	2011-12-31	$10,903
Total non interest bearing cash at beginning of year	2011-12-31	$7,368
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	$-3,004,207
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$7,520,754
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$10,524,961
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	$7,349,299
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$10,312,141
Interest on participant loans	2011-12-31	$7,153
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$0
Net investment gain/loss from pooled separate accounts	2011-12-31	$-289,614
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
Contributions received in cash from employer	2011-12-31	$217,906
Employer contributions (assets) at beginning of year	2011-12-31	$8,020
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$3,391,123
Contract administrator fees	2011-12-31	$310
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	ARGY, WILTSE & ROBINSON, P.C.
Accountancy firm EIN	2011-12-31	541586993
2010 : TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$5,922,083
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	$911
Total income from all sources (including contributions)	2010-12-31	$2,440,950
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$924,794
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$914,163
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,302,042
Value of total assets at end of year	2010-12-31	$10,524,961
Value of total assets at beginning of year	2010-12-31	$3,087,633
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$10,631
Total interest from all sources	2010-12-31	$6,612
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
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	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	Yes
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	$525,339
Participant contributions at end of year	2010-12-31	$180,112
Participant contributions at beginning of year	2010-12-31	$516
Participant contributions at end of year	2010-12-31	$17,320
Participant contributions at beginning of year	2010-12-31	$10,103
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$600,782
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$911
Other income not declared elsewhere	2010-12-31	$911
Administrative expenses (other) incurred	2010-12-31	$8,131
Total non interest bearing cash at end of year	2010-12-31	$7,368
Total non interest bearing cash at beginning of year	2010-12-31	$911
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	$1,516,156
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$10,524,961
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,086,722
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	$10,312,141
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$2,984,926
Interest on participant loans	2010-12-31	$5,813
Interest earned on other investments	2010-12-31	$799
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$0
Net investment gain/loss from pooled separate accounts	2010-12-31	$1,131,385
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
Contributions received in cash from employer	2010-12-31	$175,921
Employer contributions (assets) at end of year	2010-12-31	$8,020
Employer contributions (assets) at beginning of year	2010-12-31	$91,177
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$914,163
Contract administrator fees	2010-12-31	$2,500
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	2010-12-31	Yes
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	ARGY, WILTSE & ROBINSON, P.C.
Accountancy firm EIN	2010-12-31	541586993

Form 5500 Responses for TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 401(K) PLAN

2012: TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 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: TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 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: TECHNOLOGY ASSOCIATION OF AMERICA, INC. SAFE HARBOR 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

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

95349

Policy instance

Insurance contract or identification number	95349
Number of Individuals Covered	101
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $42,223
Total amount of fees paid to insurance company	USD $13,348
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

95349

Policy instance

Insurance contract or identification number	95349
Number of Individuals Covered	153
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $76,904
Total amount of fees paid to insurance company	USD $15,355
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $58,509
Insurance broker organization code?	3
Amount paid for insurance broker fees	2225
Additional information about fees paid to insurance broker	WITHDRAWAL & LOAN PROCESSING
Insurance broker name	FIDELITY MANAGEMENT & RESEARCH COMP

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Company Name:	TECHNOLOGY ASSOCIATION OF AMERICA, INC.
Employer identification number (EIN):	541966209
NAIC Classification:	812990
NAIC Description:	All Other Personal Services