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STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 401k Plan overview

Plan NameSTAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN
Plan identification number 001

STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN Benefits

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

401k Sponsoring company profile

STAFFING 360 SOLUTIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name:STAFFING 360 SOLUTIONS, INC.
Employer identification number (EIN):680680859
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Additional information about STAFFING 360 SOLUTIONS, INC.

Jurisdiction of Incorporation: Nevada Department of State
Incorporation Date: 2009-12-22
Company Identification Number: 20101032522
Legal Registered Office Address: 2215-B RENAISSANCE DR

LAS VEGAS
United States of America (USA)
89119

More information about STAFFING 360 SOLUTIONS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01NICK KOUTSIVITIS2023-09-28
0012021-01-01NICK KOUTSIVITIS2022-10-10
0012020-01-01WENDY MOSCOWITZ2021-10-04
0012019-01-01WENDY MOSCOWITZ2020-10-08
0012018-01-01DAVID FAIMAN2019-10-01
0012017-01-01
0012016-01-01MATT BRIAND

Plan Statistics for STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN

401k plan membership statisitcs for STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN

Measure Date Value
2022: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,438
Total number of active participants reported on line 7a of the Form 55002022-01-011,665
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01287
Total of all active and inactive participants2022-01-011,952
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-011
Total participants2022-01-011,953
Number of participants with account balances2022-01-01382
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,406
Total number of active participants reported on line 7a of the Form 55002021-01-012,139
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01299
Total of all active and inactive participants2021-01-012,438
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-012,438
Number of participants with account balances2021-01-01404
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,976
Total number of active participants reported on line 7a of the Form 55002020-01-011,829
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01240
Total of all active and inactive participants2020-01-012,069
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-012,069
Number of participants with account balances2020-01-01374
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,622
Total number of active participants reported on line 7a of the Form 55002019-01-011,767
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01209
Total of all active and inactive participants2019-01-011,976
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-011,976
Number of participants with account balances2019-01-01336
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,814
Total number of active participants reported on line 7a of the Form 55002018-01-011,435
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01187
Total of all active and inactive participants2018-01-011,622
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-011,622
Number of participants with account balances2018-01-01349
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,235
Total number of active participants reported on line 7a of the Form 55002017-01-011,697
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01117
Total of all active and inactive participants2017-01-011,814
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,814
Number of participants with account balances2017-01-01262
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,280
Total number of active participants reported on line 7a of the Form 55002016-01-011,180
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0155
Total of all active and inactive participants2016-01-011,235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,235
Number of participants with account balances2016-01-01212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010

Financial Data on STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN

Measure Date Value
2022 : STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-1,048,820
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$2,066,101
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,066,101
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,096,114
Value of total assets at end of year2022-12-31$9,038,939
Value of total assets at beginning of year2022-12-31$12,153,860
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$0
Total interest from all sources2022-12-31$4,791
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$5,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$712,809
Participant contributions at end of year2022-12-31$8,442
Participant contributions at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$37,212
Assets. Loans (other than to participants) at end of year2022-12-31$0
Assets. Loans (other than to participants) at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Income. Non cash contributions2022-12-31$0
Value of net income/loss2022-12-31$-3,114,921
Value of net assets at end of year (total assets less liabilities)2022-12-31$9,038,939
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$12,153,860
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$8,316,825
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$11,390,478
Interest earned on other investments2022-12-31$4,791
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$367,579
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$384,046
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,149,725
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Assets. Invements in employer securities at end of year2022-12-31$0
Assets. Invements in employer securities at beginning of year2022-12-31$0
Contributions received in cash from employer2022-12-31$346,093
Employer contributions (assets) at end of year2022-12-31$346,093
Employer contributions (assets) at beginning of year2022-12-31$379,336
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$2,066,101
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-12-31410746749
2021 : STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$2,937,170
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$3,474,393
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$3,434,515
Expenses. Certain deemed distributions of participant loans2021-12-31$584
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,241,312
Value of total assets at end of year2021-12-31$12,153,860
Value of total assets at beginning of year2021-12-31$12,691,083
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$39,294
Total interest from all sources2021-12-31$7,042
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$5,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$769,815
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$8,873
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$96,617
Assets. Loans (other than to participants) at end of year2021-12-31$0
Assets. Loans (other than to participants) at beginning of year2021-12-31$578
Administrative expenses (other) incurred2021-12-31$39,294
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-537,223
Value of net assets at end of year (total assets less liabilities)2021-12-31$12,153,860
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$12,691,083
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$11,390,478
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$11,221,219
Income. Interest from loans (other than to participants)2021-12-31$6
Interest earned on other investments2021-12-31$7,036
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$384,046
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$945,152
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,688,816
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$374,880
Employer contributions (assets) at end of year2021-12-31$379,336
Employer contributions (assets) at beginning of year2021-12-31$515,261
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$3,434,515
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2021-12-31410746749
2020 : STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$3,144,976
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,420,687
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,420,687
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,489,517
Value of total assets at end of year2020-12-31$12,691,083
Value of total assets at beginning of year2020-12-31$10,966,794
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$0
Total interest from all sources2020-12-31$10,007
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$5,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$973,712
Participant contributions at end of year2020-12-31$8,873
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$306
Assets. Loans (other than to participants) at end of year2020-12-31$578
Assets. Loans (other than to participants) at beginning of year2020-12-31$578
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,724,289
Value of net assets at end of year (total assets less liabilities)2020-12-31$12,691,083
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$10,966,794
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$11,221,219
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$9,958,726
Interest earned on other investments2020-12-31$10,007
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$945,152
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$450,754
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,645,452
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$515,499
Employer contributions (assets) at end of year2020-12-31$515,261
Employer contributions (assets) at beginning of year2020-12-31$556,736
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,420,687
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2020-12-31410746749
2019 : STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets from this plan2019-12-31$1,257,888
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$3,659,554
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,551,843
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,551,843
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,663,340
Value of total assets at end of year2019-12-31$10,966,794
Value of total assets at beginning of year2019-12-31$10,116,971
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$0
Total interest from all sources2019-12-31$8,345
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$5,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,027,074
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$16,251
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$84,314
Assets. Loans (other than to participants) at end of year2019-12-31$578
Assets. Loans (other than to participants) at beginning of year2019-12-31$1,618
Other income not declared elsewhere2019-12-31$186
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,107,711
Value of net assets at end of year (total assets less liabilities)2019-12-31$10,966,794
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$10,116,971
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$9,958,726
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$9,005,390
Interest on participant loans2019-12-31$16
Interest earned on other investments2019-12-31$8,329
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$450,754
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$416,574
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,987,683
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$551,952
Employer contributions (assets) at end of year2019-12-31$556,736
Employer contributions (assets) at beginning of year2019-12-31$677,138
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,551,843
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BLUMSHAPIRO
Accountancy firm EIN2019-12-31061009205
2018 : STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$1,373,504
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$1,329,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,329,116
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,954,748
Value of total assets at end of year2018-12-31$10,116,971
Value of total assets at beginning of year2018-12-31$10,072,583
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$0
Total interest from all sources2018-12-31$8,106
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$5,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,265,347
Participant contributions at end of year2018-12-31$16,251
Participant contributions at beginning of year2018-12-31$22,877
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$7,525
Assets. Loans (other than to participants) at end of year2018-12-31$1,618
Assets. Loans (other than to participants) at beginning of year2018-12-31$3,647
Other income not declared elsewhere2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$44,388
Value of net assets at end of year (total assets less liabilities)2018-12-31$10,116,971
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$10,072,583
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$9,005,390
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$9,137,790
Interest on participant loans2018-12-31$89
Interest earned on other investments2018-12-31$8,017
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$416,574
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$414,716
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-589,350
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$681,876
Employer contributions (assets) at end of year2018-12-31$677,138
Employer contributions (assets) at beginning of year2018-12-31$493,553
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,329,116
Contract administrator fees2018-12-31$0
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BLUMSHAPIRO
Accountancy firm EIN2018-12-31061009205
2017 : STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$813,261
Total transfer of assets from this plan2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$2,872,840
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$405,796
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$405,796
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,580,737
Value of total assets at end of year2017-12-31$10,072,583
Value of total assets at beginning of year2017-12-31$6,792,278
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$0
Total interest from all sources2017-12-31$6,903
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$5,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,039,503
Participant contributions at end of year2017-12-31$22,877
Participant contributions at beginning of year2017-12-31$13,312
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$47,378
Assets. Loans (other than to participants) at end of year2017-12-31$3,647
Assets. Loans (other than to participants) at beginning of year2017-12-31$0
Other income not declared elsewhere2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Income. Non cash contributions2017-12-31$0
Value of net income/loss2017-12-31$2,467,044
Value of net assets at end of year (total assets less liabilities)2017-12-31$10,072,583
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$6,792,278
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$9,137,790
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$6,055,148
Interest on participant loans2017-12-31$271
Interest earned on other investments2017-12-31$6,632
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$301
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$301
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$414,716
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$315,186
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,285,200
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$493,856
Employer contributions (assets) at end of year2017-12-31$493,553
Employer contributions (assets) at beginning of year2017-12-31$408,331
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$405,796
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BLUMSHAPIRO
Accountancy firm EIN2017-12-31061009205
2016 : STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$1,891,444
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$323,606
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$323,606
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,425,100
Value of total assets at end of year2016-12-31$6,792,278
Value of total assets at beginning of year2016-12-31$5,224,440
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$0
Total interest from all sources2016-12-31$5,852
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$5,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$797,159
Participant contributions at end of year2016-12-31$13,312
Participant contributions at beginning of year2016-12-31$15,386
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$219,307
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,567,838
Value of net assets at end of year (total assets less liabilities)2016-12-31$6,792,278
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$5,224,440
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$6,055,148
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$4,558,980
Interest earned on other investments2016-12-31$5,852
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$301
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$304
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$304
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$315,186
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$319,272
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$460,492
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$408,634
Employer contributions (assets) at end of year2016-12-31$408,331
Employer contributions (assets) at beginning of year2016-12-31$330,498
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$323,606
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BLUMSHAPIRO
Accountancy firm EIN2016-12-31061009205

Form 5500 Responses for STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN

2022: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: STAFFING 360 SOLUTIONS, INC. & SUBSIDIARIES 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FW9D
Policy instance 1
Insurance contract or identification numberGAP-CP-FW9D
Number of Individuals Covered382
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FW9D
Policy instance 1
Insurance contract or identification numberGAP-CP-FW9D
Number of Individuals Covered130
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FW9D
Policy instance 1
Insurance contract or identification numberGAP-CP-FW9D
Number of Individuals Covered105
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $0
Insurance broker organization code?5
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FW9D
Policy instance 1
Insurance contract or identification numberGAP-CP-FW9D
Number of Individuals Covered35
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $787
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $787
Insurance broker organization code?5
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FW9D
Policy instance 1
Insurance contract or identification numberGAP-CP-FW9D
Number of Individuals Covered38
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,454
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $1,454
Insurance broker organization code?5
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FW9D
Policy instance 1
Insurance contract or identification numberGAP-CP-FW9D
Number of Individuals Covered34
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,430
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 BrokerUSD $1,430
Insurance broker organization code?5
Insurance broker nameRAYMOND JAMES FINANCIAL SVCS

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