401k Plan data: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST plan

CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 401k Plan overview

Plan Name	CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST
Plan identification number	002

CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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

CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. has sponsored the creation of one or more 401k plans.

Company Name: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC.

Employer identification number (EIN): 591478621

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Additional information about CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1972-10-02

Company Identification Number: 724466

Legal Registered Office Address: 1269 KINGSLEY AVENUE

ORANGE PARK

32073

More information about CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 NANCY KEATING
002 2014-01-01 NANCY C. KEATING
002 2013-01-01 NANCY C. KEATING, EXECUTIVE DIR.
002 2012-01-01 NANCY C. KEATING, EXECUTIVE DIR.
002 2011-01-01 NANCY C KEATING EXECUTIVE DIR
002 2010-01-01 NANCY C KEATING EXECUTIVE DIR
002 2009-01-01 NANCY C KEATING EXECUTIVE DIR
002 2009-01-01 NANCY C KEATING EXECUTIVE DIR

Plan id#	Filing Submission Date	Name of Administrator
002	2015-01-01	NANCY KEATING
002	2014-01-01	NANCY C. KEATING
002	2013-01-01	NANCY C. KEATING, EXECUTIVE DIR.
002	2012-01-01	NANCY C. KEATING, EXECUTIVE DIR.
002	2011-01-01	NANCY C KEATING EXECUTIVE DIR
002	2010-01-01	NANCY C KEATING EXECUTIVE DIR
002	2009-01-01	NANCY C KEATING EXECUTIVE DIR
002	2009-01-01	NANCY C KEATING EXECUTIVE DIR

Plan Statistics for CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST

401k plan membership statisitcs for CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST

Measure Date Value
2015: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 302
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: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 262
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 191
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 111
Total of all active and inactive participants 2014-01-01 302
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 302
Number of participants with account balances 2014-01-01 277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 241
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 170
Number of other retired or separated participants entitled to future benefits 2013-01-01 92
Total of all active and inactive participants 2013-01-01 262
Total participants 2013-01-01 262
2012: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 342
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 177
Number of other retired or separated participants entitled to future benefits 2012-01-01 64
Total of all active and inactive participants 2012-01-01 241
Total participants 2012-01-01 241
2011: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 299
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 194
Number of other retired or separated participants entitled to future benefits 2011-01-01 148
Total of all active and inactive participants 2011-01-01 342
Total participants 2011-01-01 342
2010: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 256
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 175
Number of other retired or separated participants entitled to future benefits 2010-01-01 124
Total of all active and inactive participants 2010-01-01 299
Total participants 2010-01-01 299
2009: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 343
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 149
Number of other retired or separated participants entitled to future benefits 2009-01-01 107
Total of all active and inactive participants 2009-01-01 256
Total participants 2009-01-01 256

Measure	Date	Value
2015: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	302
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: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	262
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	191
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	111
Total of all active and inactive participants	2014-01-01	302
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	302
Number of participants with account balances	2014-01-01	277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	241
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	170
Number of other retired or separated participants entitled to future benefits	2013-01-01	92
Total of all active and inactive participants	2013-01-01	262
Total participants	2013-01-01	262
2012: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	342
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	177
Number of other retired or separated participants entitled to future benefits	2012-01-01	64
Total of all active and inactive participants	2012-01-01	241
Total participants	2012-01-01	241
2011: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	299
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	194
Number of other retired or separated participants entitled to future benefits	2011-01-01	148
Total of all active and inactive participants	2011-01-01	342
Total participants	2011-01-01	342
2010: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	256
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	175
Number of other retired or separated participants entitled to future benefits	2010-01-01	124
Total of all active and inactive participants	2010-01-01	299
Total participants	2010-01-01	299
2009: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	343
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	149
Number of other retired or separated participants entitled to future benefits	2009-01-01	107
Total of all active and inactive participants	2009-01-01	256
Total participants	2009-01-01	256

Financial Data on CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST

Measure	Date	Value
2015 : CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets	2015-07-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2015-07-31	$0
Total unrealized appreciation/depreciation of assets	2015-07-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-07-31	$0
Expenses. Interest paid	2015-07-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2015-07-31	$0
Total income from all sources (including contributions)	2015-07-31	$25,019
Total loss/gain on sale of assets	2015-07-31	$0
Total of all expenses incurred	2015-07-31	$805,608
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-07-31	$784,329
Expenses. Certain deemed distributions of participant loans	2015-07-31	$0
Value of total corrective distributions	2015-07-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-07-31	$6,183
Value of total assets at end of year	2015-07-31	$0
Value of total assets at beginning of year	2015-07-31	$780,589
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-07-31	$21,279
Total income from rents	2015-07-31	$0
Total interest from all sources	2015-07-31	$5
Total dividends received (eg from common stock, registered investment company shares)	2015-07-31	$2,635
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-07-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-07-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-07-31	$2,635
Assets. Real estate other than employer real property at end of year	2015-07-31	$0
Assets. Real estate other than employer real property at beginning of year	2015-07-31	$0
Administrative expenses professional fees incurred	2015-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2015-07-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2015-07-31	$0
Was this plan covered by a fidelity bond	2015-07-31	Yes
Value of fidelity bond cover	2015-07-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-07-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-07-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-07-31	No
Contributions received from participants	2015-07-31	$0
Participant contributions at end of year	2015-07-31	$0
Participant contributions at beginning of year	2015-07-31	$0
Participant contributions at end of year	2015-07-31	$0
Participant contributions at beginning of year	2015-07-31	$0
Assets. Other investments not covered elsewhere at end of year	2015-07-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-07-31	$3,522
Income. Received or receivable in cash from other sources (including rollovers)	2015-07-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-07-31	$0
Assets. Loans (other than to participants) at end of year	2015-07-31	$0
Assets. Loans (other than to participants) at beginning of year	2015-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-07-31	$0
Other income not declared elsewhere	2015-07-31	$0
Administrative expenses (other) incurred	2015-07-31	$0
Total non interest bearing cash at end of year	2015-07-31	$0
Total non interest bearing cash at beginning of year	2015-07-31	$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	2015-07-31	No
Income. Non cash contributions	2015-07-31	$0
Value of net income/loss	2015-07-31	$-780,589
Value of net assets at end of year (total assets less liabilities)	2015-07-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-07-31	$780,589
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-07-31	No
Were any leases to which the plan was party in default or uncollectible	2015-07-31	No
Assets. partnership/joint venture interests at end of year	2015-07-31	$0
Assets. partnership/joint venture interests at beginning of year	2015-07-31	$0
Investment advisory and management fees	2015-07-31	$3,643
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-07-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-07-31	$776,012
Interest on participant loans	2015-07-31	$0
Income. Interest from loans (other than to participants)	2015-07-31	$0
Interest earned on other investments	2015-07-31	$5
Income. Interest from US Government securities	2015-07-31	$0
Income. Interest from corporate debt instruments	2015-07-31	$0
Value of interest in master investment trust accounts at end of year	2015-07-31	$0
Value of interest in master investment trust accounts at beginning of year	2015-07-31	$0
Value of interest in common/collective trusts at end of year	2015-07-31	$0
Value of interest in common/collective trusts at beginning of year	2015-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-07-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-07-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-07-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-07-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2015-07-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2015-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-07-31	$1,055
Expenses. Payments to insurance carriers foe the provision of benefits	2015-07-31	$0
Asset value of US Government securities at end of year	2015-07-31	$0
Asset value of US Government securities at beginning of year	2015-07-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-07-31	$16,196
Net investment gain/loss from pooled separate accounts	2015-07-31	$0
Net investment gain or loss from common/collective trusts	2015-07-31	$0
Net gain/loss from 103.12 investment entities	2015-07-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-07-31	No
Was there a failure to transmit to the plan any participant contributions	2015-07-31	No
Has the plan failed to provide any benefit when due under the plan	2015-07-31	No
Assets. Invements in employer securities at end of year	2015-07-31	$0
Assets. Invements in employer securities at beginning of year	2015-07-31	$0
Assets. Value of employer real property at end of year	2015-07-31	$0
Assets. Value of employer real property at beginning of year	2015-07-31	$0
Contributions received in cash from employer	2015-07-31	$6,183
Employer contributions (assets) at end of year	2015-07-31	$0
Employer contributions (assets) at beginning of year	2015-07-31	$0
Income. Dividends from preferred stock	2015-07-31	$0
Income. Dividends from common stock	2015-07-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-07-31	$784,329
Asset. Corporate debt instrument preferred debt at end of year	2015-07-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2015-07-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2015-07-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2015-07-31	$0
Contract administrator fees	2015-07-31	$17,636
Assets. Corporate common stocks other than exployer securities at end of year	2015-07-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-07-31	$0
Liabilities. Value of benefit claims payable at end of year	2015-07-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2015-07-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2015-07-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-07-31	$0
Did the plan have assets held for investment	2015-07-31	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	2015-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-07-31	Yes
Aggregate proceeds on sale of assets	2015-07-31	$0
Aggregate carrying amount (costs) on sale of assets	2015-07-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2015-07-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2015-07-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-07-31	Disclaimer
Accountancy firm name	2015-07-31	BAS PARTNERS, CPA
Accountancy firm EIN	2015-07-31	208779390
2014 : CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$0
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	$3,129
Expenses. Interest paid	2014-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$141,704
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$97,839
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$62,572
Expenses. Certain deemed distributions of participant loans	2014-12-31	$0
Value of total corrective distributions	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$101,239
Value of total assets at end of year	2014-12-31	$780,589
Value of total assets at beginning of year	2014-12-31	$739,853
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$35,267
Total income from rents	2014-12-31	$0
Total interest from all sources	2014-12-31	$373
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$55,313
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	$55,313
Assets. Real estate other than employer real property at end of year	2014-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2014-12-31	$0
Administrative expenses professional fees incurred	2014-12-31	$10,100
Assets. Corporate prefeered stocks other than exployer securities at end of year	2014-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2014-12-31	$0
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	Yes
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	$0
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$0
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$3,522
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$0
Assets. Loans (other than to participants) at end of year	2014-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$5,987
Administrative expenses (other) incurred	2014-12-31	$0
Liabilities. Value of operating payables at end of year	2014-12-31	$0
Liabilities. Value of operating payables at beginning of year	2014-12-31	$3,129
Total non interest bearing cash at end of year	2014-12-31	$0
Total non interest bearing cash at beginning of year	2014-12-31	$9,173
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
Income. Non cash contributions	2014-12-31	$0
Value of net income/loss	2014-12-31	$43,865
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$780,589
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$736,724
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
Assets. partnership/joint venture interests at end of year	2014-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2014-12-31	$0
Investment advisory and management fees	2014-12-31	$8,777
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$776,012
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$721,434
Interest on participant loans	2014-12-31	$0
Income. Interest from loans (other than to participants)	2014-12-31	$0
Interest earned on other investments	2014-12-31	$373
Income. Interest from US Government securities	2014-12-31	$0
Income. Interest from corporate debt instruments	2014-12-31	$0
Value of interest in master investment trust accounts at end of year	2014-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2014-12-31	$0
Value of interest in common/collective trusts at end of year	2014-12-31	$0
Value of interest in common/collective trusts at beginning of year	2014-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2014-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2014-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,055
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$0
Asset value of US Government securities at end of year	2014-12-31	$0
Asset value of US Government securities at beginning of year	2014-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-21,208
Net investment gain/loss from pooled separate accounts	2014-12-31	$0
Net investment gain or loss from common/collective trusts	2014-12-31	$0
Net gain/loss from 103.12 investment entities	2014-12-31	$0
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
Assets. Invements in employer securities at end of year	2014-12-31	$0
Assets. Invements in employer securities at beginning of year	2014-12-31	$0
Assets. Value of employer real property at end of year	2014-12-31	$0
Assets. Value of employer real property at beginning of year	2014-12-31	$0
Contributions received in cash from employer	2014-12-31	$101,239
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$9,246
Income. Dividends from preferred stock	2014-12-31	$0
Income. Dividends from common stock	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$62,572
Asset. Corporate debt instrument preferred debt at end of year	2014-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2014-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2014-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2014-12-31	$0
Contract administrator fees	2014-12-31	$16,390
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	2014-12-31	Yes
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2014-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-12-31	$0
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
Aggregate proceeds on sale of assets	2014-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2014-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2014-12-31	$0
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	BAS PARTNERS, CPA
Accountancy firm EIN	2014-12-31	208779390
2013 : CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$3,129
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$318
Total income from all sources (including contributions)	2013-12-31	$120,256
Total of all expenses incurred	2013-12-31	$105,516
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$58,845
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$122,563
Value of total assets at end of year	2013-12-31	$739,853
Value of total assets at beginning of year	2013-12-31	$722,302
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$46,671
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$8,100
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$85,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Administrative expenses (other) incurred	2013-12-31	$466
Liabilities. Value of operating payables at end of year	2013-12-31	$3,129
Total non interest bearing cash at end of year	2013-12-31	$9,173
Total non interest bearing cash at beginning of year	2013-12-31	$36
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	$14,740
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$736,724
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$721,984
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
Investment advisory and management fees	2013-12-31	$17,690
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$721,434
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$713,892
Value of interest in common/collective trusts at end of year	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$-2,307
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$122,563
Employer contributions (assets) at end of year	2013-12-31	$9,246
Employer contributions (assets) at beginning of year	2013-12-31	$8,374
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$58,845
Contract administrator fees	2013-12-31	$20,415
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$318
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	KING, SHORES & PRESTON CPAS
Accountancy firm EIN	2013-12-31	541643141
2012 : CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$318
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$4,685
Total income from all sources (including contributions)	2012-12-31	$134,772
Total of all expenses incurred	2012-12-31	$101,299
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$51,932
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$136,443
Value of total assets at end of year	2012-12-31	$722,302
Value of total assets at beginning of year	2012-12-31	$693,196
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$49,367
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$8,719
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$80,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Total non interest bearing cash at end of year	2012-12-31	$36
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	$33,473
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$721,984
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$688,511
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
Investment advisory and management fees	2012-12-31	$17,912
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$713,892
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$683,910
Value of interest in common/collective trusts at end of year	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$-1,671
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
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	$136,443
Employer contributions (assets) at end of year	2012-12-31	$8,374
Employer contributions (assets) at beginning of year	2012-12-31	$9,286
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$51,932
Contract administrator fees	2012-12-31	$22,736
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$318
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$4,685
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	KING, SHORES & PRESTON CPAS
Accountancy firm EIN	2012-12-31	541643141
2011 : CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$4,685
Total income from all sources (including contributions)	2011-12-31	$136,341
Total of all expenses incurred	2011-12-31	$87,008
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$46,814
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$138,309
Value of total assets at end of year	2011-12-31	$693,196
Value of total assets at beginning of year	2011-12-31	$639,178
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$40,194
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	$74,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
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	$49,333
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$688,511
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$639,178
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
Investment advisory and management fees	2011-12-31	$17,141
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$683,910
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$621,501
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-1,968
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
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	$138,309
Employer contributions (assets) at end of year	2011-12-31	$9,286
Employer contributions (assets) at beginning of year	2011-12-31	$17,677
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$46,814
Contract administrator fees	2011-12-31	$23,053
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$4,685
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	KING, SHORES & PRESTON CPAS
Accountancy firm EIN	2011-12-31	541643141
2010 : CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$156,786
Total of all expenses incurred	2010-12-31	$98,285
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$56,763
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$158,067
Value of total assets at end of year	2010-12-31	$639,178
Value of total assets at beginning of year	2010-12-31	$580,677
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$41,522
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	$75,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Administrative expenses (other) incurred	2010-12-31	$5,000
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	$58,501
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$639,178
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$580,677
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$15,707
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$621,501
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$555,604
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$-1,281
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
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	$158,067
Employer contributions (assets) at end of year	2010-12-31	$17,677
Employer contributions (assets) at beginning of year	2010-12-31	$25,073
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$56,763
Contract administrator fees	2010-12-31	$20,815
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	COLE & KING, LLC
Accountancy firm EIN	2010-12-31	541643141

Form 5500 Responses for CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST

2015: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 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: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 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: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
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: CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC. HEALTH & WELFARE RETIREMENT PLAN & TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

370052-01

Policy instance

Insurance contract or identification number	370052-01
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-07-31
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

370052-01

Policy instance

Insurance contract or identification number	370052-01
Number of Individuals Covered	1
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $4
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
Commission paid to Insurance Broker	USD $4
Insurance broker organization code?	3
Insurance broker name	RESOURCE HORIZONS GROUP LLC

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

Policy contract number

27678

Policy instance

Insurance contract or identification number	27678
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $1,033
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
Commission paid to Insurance Broker	USD $1,033
Insurance broker organization code?	3
Insurance broker name	RESOURCE HORIZONS INS. AGENCY LLC

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

Policy contract number

27678

Policy instance

Insurance contract or identification number	27678
Number of Individuals Covered	282
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $6,284
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,284
Insurance broker organization code?	3
Insurance broker name	RESOURCE HORIZONS INS. AGENCY, LLC

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

Policy contract number

27678

Policy instance

Insurance contract or identification number	27678
Number of Individuals Covered	330
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $6,274
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,368
Insurance broker organization code?	3
Insurance broker name	RESOURCE HORIZONS INS. AGENCY, LLC

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

Policy contract number

27678

Policy instance

Insurance contract or identification number	27678
Number of Individuals Covered	343
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $6,996
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

27678

Policy instance

Insurance contract or identification number	27678
Number of Individuals Covered	308
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $7,333
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	CHALLENGE ENTERPRISES OF NORTH FLORIDA, INC.
Employer identification number (EIN):	591478621
NAIC Classification:	624100
NAIC Description:	Individual and Family Services

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1972-10-02
Company Identification Number:	724466
Legal Registered Office Address:	1269 KINGSLEY AVENUE ORANGE PARK 32073