401k Plan data: XOTECH-LLC 401(K) PROFIT SHARING PLAN plan

XOTECH-LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	XOTECH-LLC 401(K) PROFIT SHARING PLAN
Plan identification number	001

XOTECH-LLC 401(K) PROFIT SHARING 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)).
U.S.-based plan that covers residents of Puerto Rico and is qualified under both Code section 401 and section 1165 of the Puerto Rico Code.

401k Sponsoring company profile

XOTECH, LLC has sponsored the creation of one or more 401k plans.

Company Name: XOTECH, LLC

Employer identification number (EIN): 582528193

NAIC Classification: 541600

Additional information about XOTECH, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 13362

More information about XOTECH, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan XOTECH-LLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 GARY MARULLO 2023-07-19 GARY MARULLO 2023-07-19
001 2021-01-01 GARY L MARULLO 2022-08-11 GARY L MARULLO 2022-08-11
001 2020-01-01 GARY L MARULLO 2021-10-07 GARY L MARULLO 2021-10-07
001 2018-01-01 KATHY MARULLO 2019-10-07 KATHY MARULLO 2019-10-07
001 2017-01-01 KATHY MARULLO 2018-07-30 KATHY MARULLO 2018-07-30
001 2016-01-01 KATHY MARULLO 2017-10-04 KATHY MARULLO 2017-10-04
001 2015-01-01 KATHY MARULLO 2016-10-06 KATHY MARULLO 2016-10-06
001 2014-01-01 KATHY MARULLO 2016-04-19 KATHY MARULLO 2016-04-19
001 2013-01-01 KATHY MARULLO 2014-10-15 KATHY MARULLO 2014-10-15
001 2012-01-01 KATHY MARULLO KATHY MARULLO 2013-10-09
001 2011-01-01 KATHY MARULLO KATHY MARULLO 2012-07-16
001 2010-01-01 GARY MARULLO GARY MARULLO 2011-08-12
001 2009-01-01 GARY MARULLO GARY MARULLO 2010-08-18

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	GARY MARULLO	2023-07-19	GARY MARULLO	2023-07-19
001	2021-01-01	GARY L MARULLO	2022-08-11	GARY L MARULLO	2022-08-11
001	2020-01-01	GARY L MARULLO	2021-10-07	GARY L MARULLO	2021-10-07
001	2018-01-01	KATHY MARULLO	2019-10-07	KATHY MARULLO	2019-10-07
001	2017-01-01	KATHY MARULLO	2018-07-30	KATHY MARULLO	2018-07-30
001	2016-01-01	KATHY MARULLO	2017-10-04	KATHY MARULLO	2017-10-04
001	2015-01-01	KATHY MARULLO	2016-10-06	KATHY MARULLO	2016-10-06
001	2014-01-01	KATHY MARULLO	2016-04-19	KATHY MARULLO	2016-04-19
001	2013-01-01	KATHY MARULLO	2014-10-15	KATHY MARULLO	2014-10-15
001	2012-01-01	KATHY MARULLO		KATHY MARULLO	2013-10-09
001	2011-01-01	KATHY MARULLO		KATHY MARULLO	2012-07-16
001	2010-01-01	GARY MARULLO		GARY MARULLO	2011-08-12
001	2009-01-01	GARY MARULLO		GARY MARULLO	2010-08-18

Plan Statistics for XOTECH-LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for XOTECH-LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2012: XOTECH-LLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 215
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 2
Total of all active and inactive participants 2012-01-01 2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 2
Number of participants with account balances 2012-01-01 2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: XOTECH-LLC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 222
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 134
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 81
Total of all active and inactive participants 2011-01-01 215
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 215
Number of participants with account balances 2011-01-01 145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: XOTECH-LLC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 349
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 104
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 108
Total of all active and inactive participants 2010-01-01 212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 212
Number of participants with account balances 2010-01-01 180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: XOTECH-LLC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 246
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 274
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 55
Total of all active and inactive participants 2009-01-01 329
Total participants 2009-01-01 329
Number of participants with account balances 2009-01-01 285
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: XOTECH-LLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	215
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	2
Total of all active and inactive participants	2012-01-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	2
Number of participants with account balances	2012-01-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: XOTECH-LLC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	222
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	134
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	81
Total of all active and inactive participants	2011-01-01	215
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	215
Number of participants with account balances	2011-01-01	145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: XOTECH-LLC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	349
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	104
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	108
Total of all active and inactive participants	2010-01-01	212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	212
Number of participants with account balances	2010-01-01	180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: XOTECH-LLC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	246
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	274
Number of retired or separated participants receiving benefits	2009-01-01	0
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	329
Total participants	2009-01-01	329
Number of participants with account balances	2009-01-01	285
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on XOTECH-LLC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2012 : XOTECH-LLC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total transfer of assets from this plan	2012-12-31	$2,707,067
Total income from all sources (including contributions)	2012-12-31	$356,950
Total of all expenses incurred	2012-12-31	$164,859
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$162,998
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$194,339
Value of total assets at end of year	2012-12-31	$70,465
Value of total assets at beginning of year	2012-12-31	$2,585,441
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,861
Total interest from all sources	2012-12-31	$1,798
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	$100,000
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	$189,391
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$72,057
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$4,948
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$192,091
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$70,465
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,585,441
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	$70,465
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,513,384
Interest on participant loans	2012-12-31	$1,798
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$160,813
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
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$162,998
Contract administrator fees	2012-12-31	$1,861
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	D'ARCANGELO & CO. LLP
Accountancy firm EIN	2012-12-31	132550103
2011 : XOTECH-LLC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total transfer of assets to this plan	2011-12-31	$93
Total transfer of assets from this plan	2011-12-31	$102
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	$393,745
Total of all expenses incurred	2011-12-31	$302,546
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$298,711
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$414,388
Value of total assets at end of year	2011-12-31	$2,585,441
Value of total assets at beginning of year	2011-12-31	$2,494,251
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$3,835
Total interest from all sources	2011-12-31	$3,166
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	$160
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	$340,790
Participant contributions at end of year	2011-12-31	$72,057
Participant contributions at beginning of year	2011-12-31	$61,150
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$49,053
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$91,199
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,585,441
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,494,251
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	$2,513,384
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,433,101
Interest on participant loans	2011-12-31	$3,166
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-23,809
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	$24,545
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$298,711
Contract administrator fees	2011-12-31	$3,675
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	MCMULLAN AND COMPANY
Accountancy firm EIN	2011-12-31	581264232
2010 : XOTECH-LLC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$112,324
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	$1,079,434
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,787,084
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,778,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$835,505
Value of total assets at end of year	2010-12-31	$2,494,251
Value of total assets at beginning of year	2010-12-31	$3,314,225
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$8,585
Total interest from all sources	2010-12-31	$2,216
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
Administrative expenses professional fees incurred	2010-12-31	$128
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	$618,166
Participant contributions at end of year	2010-12-31	$61,150
Participant contributions at beginning of year	2010-12-31	$56,199
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$7,737
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-707,650
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,494,251
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,314,225
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	$2,433,101
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$3,058,026
Interest on participant loans	2010-12-31	$2,216
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$241,713
Net gain/loss from 103.12 investment entities	2010-12-31	$0
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	$209,602
Employer contributions (assets) at end of year	2010-12-31	$0
Employer contributions (assets) at beginning of year	2010-12-31	$200,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,778,499
Contract administrator fees	2010-12-31	$8,457
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	MCMULLAN AND COMPANY
Accountancy firm EIN	2010-12-31	581264232
2009 : XOTECH-LLC 401(K) PROFIT SHARING 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 XOTECH-LLC 401(K) PROFIT SHARING PLAN

2012: XOTECH-LLC 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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: XOTECH-LLC 401(K) PROFIT SHARING 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: XOTECH-LLC 401(K) PROFIT SHARING 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: XOTECH-LLC 401(K) PROFIT SHARING 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

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-806715

Policy instance

Insurance contract or identification number	GA-806715
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $4,098
Total amount of fees paid to insurance company	USD $1,086
Commission paid to Insurance Broker	USD $4,098
Insurance broker organization code?	3
Amount paid for insurance broker fees	1086
Additional information about fees paid to insurance broker	CONTRACT ADMINISTRATION
Insurance broker name	PENSION FINANCIAL SERVICES INC.

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-806715

Policy instance

Insurance contract or identification number	GA-806715
Number of Individuals Covered	145
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $4,541
Total amount of fees paid to insurance company	USD $1,214

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-806715

Policy instance

Insurance contract or identification number	GA-806715
Number of Individuals Covered	180
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $5,499
Total amount of fees paid to insurance company	USD $1,488
Commission paid to Insurance Broker	USD $5,499
Insurance broker organization code?	3
Amount paid for insurance broker fees	1488
Additional information about fees paid to insurance broker	CONTRACT ADMINISTRATION
Insurance broker name	PENSION FINANCIAL SERVICES INC.

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Company Name:	XOTECH, LLC
Employer identification number (EIN):	582528193
NAIC Classification:	541600

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	13362