401k Plan data: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS plan

BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 401k Plan overview

Plan Name	BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS
Plan identification number	001

BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Stock bonus
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.
ESOP other than a leveraged ESOP - A completed Schedule E must be attached to a Form 5500 filed for an Employee Stock Ownership Plan (ESOP).
Plan requiring that all or part of employer contributions be invested and held, at least for a limited period, in employer securities.

401k Sponsoring company profile

BENEFIT RESOURCES, INC. has sponsored the creation of one or more 401k plans.

Company Name: BENEFIT RESOURCES, INC.

Employer identification number (EIN): 621838285

NAIC Classification: 541219
NAIC Description: Other Accounting Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01 BEVERLY ALLEN
001 2017-01-01 BEVERLY ALLEN
001 2016-01-01 BEVERLY ALLEN
001 2015-01-01 BEVERLY ALLEN
001 2014-01-01 BEVERLY ALLEN
001 2013-01-01 BEVERLY ALLEN
001 2012-01-01 BEVERLY B. ALLEN
001 2011-01-01 BEVERLY ALLEN
001 2009-01-01 BEVERLY B. ALLEN

Plan Statistics for BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS

401k plan membership statisitcs for BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS

Measure Date Value
2022: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2022 401k membership
Total participants, beginning-of-year 2022-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 3
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 3
Number of participants with account balances 2022-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2021 401k membership
Total participants, beginning-of-year 2021-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 3
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 3
Number of participants with account balances 2021-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2020 401k membership
Total participants, beginning-of-year 2020-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 3
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 3
Number of participants with account balances 2020-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2019 401k membership
Total participants, beginning-of-year 2019-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 3
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 3
Number of participants with account balances 2019-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2018 401k membership
Total participants, beginning-of-year 2018-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 3
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 3
Number of participants with account balances 2018-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2017 401k membership
Total participants, beginning-of-year 2017-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 3
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 3
Number of participants with account balances 2017-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2016 401k membership
Total participants, beginning-of-year 2016-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 3
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 3
Number of participants with account balances 2016-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3
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 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 3
Number of participants with account balances 2015-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3
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 0
Total of all active and inactive participants 2014-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3
Number of participants with account balances 2014-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 3
Number of participants with account balances 2013-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
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 0
Total of all active and inactive participants 2012-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 3
Number of participants with account balances 2012-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3
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 0
Total of all active and inactive participants 2011-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 3
Number of participants with account balances 2011-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2009 401k membership
Total participants, beginning-of-year 2009-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
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 1
Total of all active and inactive participants 2009-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2022: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2022 401k membership
Total participants, beginning-of-year	2022-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	3
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	3
Number of participants with account balances	2022-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2021 401k membership
Total participants, beginning-of-year	2021-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	3
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	3
Number of participants with account balances	2021-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2020 401k membership
Total participants, beginning-of-year	2020-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	3
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	3
Number of participants with account balances	2020-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2019 401k membership
Total participants, beginning-of-year	2019-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	3
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	3
Number of participants with account balances	2019-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2018 401k membership
Total participants, beginning-of-year	2018-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	3
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	3
Number of participants with account balances	2018-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2017 401k membership
Total participants, beginning-of-year	2017-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	3
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	3
Number of participants with account balances	2017-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2016 401k membership
Total participants, beginning-of-year	2016-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	3
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	3
Number of participants with account balances	2016-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3
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	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	3
Number of participants with account balances	2015-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3
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	0
Total of all active and inactive participants	2014-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3
Number of participants with account balances	2014-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	3
Number of participants with account balances	2013-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
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	0
Total of all active and inactive participants	2012-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	3
Number of participants with account balances	2012-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3
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	0
Total of all active and inactive participants	2011-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	3
Number of participants with account balances	2011-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2009 401k membership
Total participants, beginning-of-year	2009-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
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	1
Total of all active and inactive participants	2009-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	4
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS

Measure	Date	Value
2022 : BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2022 401k financial data
Total plan liabilities at end of year	2022-12-31	$0
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$-132,832
Expenses. Total of all expenses incurred	2022-12-31	$0
Total plan assets at end of year	2022-12-31	$1,846,714
Total plan assets at beginning of year	2022-12-31	$1,979,546
Value of fidelity bond covering the plan	2022-12-31	$200,000
Total contributions received or receivable from participants	2022-12-31	$55,030
Other income received	2022-12-31	$-204,522
Net income (gross income less expenses)	2022-12-31	$-132,832
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$1,846,714
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$1,979,546
Assets. Value of participant loans	2022-12-31	$0
Assets. Value of employer securities	2022-12-31	$301,591
Total contributions received or receivable from employer(s)	2022-12-31	$16,660
2021 : BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2021 401k financial data
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$243,161
Expenses. Total of all expenses incurred	2021-12-31	$300,000
Benefits paid (including direct rollovers)	2021-12-31	$300,000
Total plan assets at end of year	2021-12-31	$1,979,546
Total plan assets at beginning of year	2021-12-31	$2,036,385
Value of fidelity bond covering the plan	2021-12-31	$200,000
Total contributions received or receivable from participants	2021-12-31	$55,124
Other income received	2021-12-31	$171,840
Net income (gross income less expenses)	2021-12-31	$-56,839
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$1,979,546
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$2,036,385
Assets. Value of participant loans	2021-12-31	$10,111
Assets. Value of employer securities	2021-12-31	$313,655
Total contributions received or receivable from employer(s)	2021-12-31	$16,197
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2020 401k financial data
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$261,486
Expenses. Total of all expenses incurred	2020-12-31	$0
Total plan assets at end of year	2020-12-31	$2,036,385
Total plan assets at beginning of year	2020-12-31	$1,774,899
Value of fidelity bond covering the plan	2020-12-31	$200,000
Total contributions received or receivable from participants	2020-12-31	$47,531
Other income received	2020-12-31	$197,706
Net income (gross income less expenses)	2020-12-31	$261,486
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$2,036,385
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$1,774,899
Assets. Value of participant loans	2020-12-31	$16,588
Assets. Value of employer securities	2020-12-31	$301,591
Total contributions received or receivable from employer(s)	2020-12-31	$16,249
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$249,210
Expenses. Total of all expenses incurred	2019-12-31	$0
Benefits paid (including direct rollovers)	2019-12-31	$0
Total plan assets at end of year	2019-12-31	$1,774,899
Total plan assets at beginning of year	2019-12-31	$1,525,689
Value of fidelity bond covering the plan	2019-12-31	$200,000
Total contributions received or receivable from participants	2019-12-31	$36,798
Other income received	2019-12-31	$198,657
Net income (gross income less expenses)	2019-12-31	$249,210
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,774,899
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,525,689
Assets. Value of participant loans	2019-12-31	$4,993
Assets. Value of employer securities	2019-12-31	$331,750
Total contributions received or receivable from employer(s)	2019-12-31	$13,755
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$3,131
Expenses. Total of all expenses incurred	2018-12-31	$0
Total plan assets at end of year	2018-12-31	$1,525,689
Total plan assets at beginning of year	2018-12-31	$1,522,558
Value of fidelity bond covering the plan	2018-12-31	$50,000
Total contributions received or receivable from participants	2018-12-31	$48,059
Other income received	2018-12-31	$-60,007
Net income (gross income less expenses)	2018-12-31	$3,131
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,525,689
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,522,558
Assets. Value of participant loans	2018-12-31	$8,189
Assets. Value of employer securities	2018-12-31	$358,893
Total contributions received or receivable from employer(s)	2018-12-31	$15,079
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$220,185
Expenses. Total of all expenses incurred	2017-12-31	$0
Total plan assets at end of year	2017-12-31	$1,522,558
Total plan assets at beginning of year	2017-12-31	$1,302,373
Value of fidelity bond covering the plan	2017-12-31	$50,000
Total contributions received or receivable from participants	2017-12-31	$39,291
Other income received	2017-12-31	$166,900
Net income (gross income less expenses)	2017-12-31	$220,185
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,522,558
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,302,373
Assets. Value of participant loans	2017-12-31	$11,284
Assets. Value of employer securities	2017-12-31	$343,814
Total contributions received or receivable from employer(s)	2017-12-31	$13,994
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$107,194
Expenses. Total of all expenses incurred	2016-12-31	$27,000
Benefits paid (including direct rollovers)	2016-12-31	$27,000
Total plan assets at end of year	2016-12-31	$1,302,373
Total plan assets at beginning of year	2016-12-31	$1,222,179
Value of fidelity bond covering the plan	2016-12-31	$50,000
Total contributions received or receivable from participants	2016-12-31	$43,871
Other income received	2016-12-31	$48,195
Net income (gross income less expenses)	2016-12-31	$80,194
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,302,373
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,222,179
Assets. Value of participant loans	2016-12-31	$14,280
Assets. Value of employer securities	2016-12-31	$328,734
Total contributions received or receivable from employer(s)	2016-12-31	$15,128
2015 : BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$33,066
Expenses. Total of all expenses incurred	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$1,222,179
Total plan assets at beginning of year	2015-12-31	$1,189,113
Value of fidelity bond covering the plan	2015-12-31	$50,000
Total contributions received or receivable from participants	2015-12-31	$38,706
Other income received	2015-12-31	$-21,613
Net income (gross income less expenses)	2015-12-31	$33,066
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,222,179
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,189,113
Assets. Value of participant loans	2015-12-31	$15,644
Assets. Value of employer securities	2015-12-31	$331,750
Total contributions received or receivable from employer(s)	2015-12-31	$15,973
2014 : BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$103,537
Expenses. Total of all expenses incurred	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$1,189,113
Total plan assets at beginning of year	2014-12-31	$1,085,576
Value of fidelity bond covering the plan	2014-12-31	$50,000
Total contributions received or receivable from participants	2014-12-31	$28,929
Contributions received from other sources (not participants or employers)	2014-12-31	$36,997
Other income received	2014-12-31	$21,712
Net income (gross income less expenses)	2014-12-31	$103,537
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,189,113
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,085,576
Assets. Value of participant loans	2014-12-31	$26,170
Assets. Value of employer securities	2014-12-31	$331,750
Total contributions received or receivable from employer(s)	2014-12-31	$15,899
2013 : BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$140,468
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$1,085,576
Total plan assets at beginning of year	2013-12-31	$945,108
Value of fidelity bond covering the plan	2013-12-31	$50,000
Total contributions received or receivable from participants	2013-12-31	$24,716
Other income received	2013-12-31	$100,827
Net income (gross income less expenses)	2013-12-31	$140,468
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,085,576
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$945,108
Assets. Value of participant loans	2013-12-31	$36,361
Assets. Value of employer securities	2013-12-31	$331,750
Total contributions received or receivable from employer(s)	2013-12-31	$14,925
2012 : BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$100,680
Expenses. Total of all expenses incurred	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$945,108
Total plan assets at beginning of year	2012-12-31	$844,428
Value of fidelity bond covering the plan	2012-12-31	$50,000
Total contributions received or receivable from participants	2012-12-31	$32,097
Other income received	2012-12-31	$53,206
Net income (gross income less expenses)	2012-12-31	$100,680
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$945,108
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$844,428
Assets. Value of participant loans	2012-12-31	$33,926
Assets. Value of employer securities	2012-12-31	$331,750
Total contributions received or receivable from employer(s)	2012-12-31	$15,377
2011 : BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$56,937
Expenses. Total of all expenses incurred	2011-12-31	$82,816
Benefits paid (including direct rollovers)	2011-12-31	$82,816
Total plan assets at end of year	2011-12-31	$844,428
Total plan assets at beginning of year	2011-12-31	$870,307
Value of fidelity bond covering the plan	2011-12-31	$50,000
Total contributions received or receivable from participants	2011-12-31	$44,442
Other income received	2011-12-31	$-1,699
Net income (gross income less expenses)	2011-12-31	$-25,879
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$844,428
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$870,307
Assets. Value of participant loans	2011-12-31	$42,299
Assets. Value of employer securities	2011-12-31	$331,750
Total contributions received or receivable from employer(s)	2011-12-31	$14,194
2010 : BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$106,554
Expenses. Total of all expenses incurred	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$870,307
Total plan assets at beginning of year	2010-12-31	$763,753
Value of fidelity bond covering the plan	2010-12-31	$50,000
Total contributions received or receivable from participants	2010-12-31	$48,073
Other income received	2010-12-31	$43,649
Net income (gross income less expenses)	2010-12-31	$106,554
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$870,307
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$763,753
Assets. Value of participant loans	2010-12-31	$28,875
Assets. Value of employer securities	2010-12-31	$316,671
Total contributions received or receivable from employer(s)	2010-12-31	$14,832

Form 5500 Responses for BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS

2022: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 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	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
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: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 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: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 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: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 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
2009: BENEFIT RESOURCES, INC. EMPLOYEE STOCK OWNERSHIP PLAN W/401(K) PROVISIONS 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

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-54-FR30

Policy instance

Insurance contract or identification number	GAP-54-FR30
Number of Individuals Covered	3
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-54-FR30

Policy instance

Insurance contract or identification number	GAP-54-FR30
Number of Individuals Covered	3
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-54-FR30

Policy instance

Insurance contract or identification number	GAP-54-FR30
Number of Individuals Covered	3
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-54-FR30

Policy instance

Insurance contract or identification number	GAP-54-FR30
Number of Individuals Covered	3
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-54-FR30

Policy instance

Insurance contract or identification number	GAP-54-FR30
Number of Individuals Covered	3
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-54-FR30

Policy instance

Insurance contract or identification number	GAP-54-FR30
Number of Individuals Covered	3
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	BENEFIT RESOURCES, INC.
Employer identification number (EIN):	621838285
NAIC Classification:	541219
NAIC Description:	Other Accounting Services