401k Plan data: MOZAIC GROUP 401(K) PLAN plan

MOZAIC GROUP 401(K) PLAN 401k Plan overview

Plan Name	MOZAIC GROUP 401(K) PLAN
Plan identification number	001

MOZAIC GROUP 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MOZAIC MANAGEMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name: MOZAIC MANAGEMENT, INC.

Employer identification number (EIN): 721547562

NAIC Classification: 541800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOZAIC GROUP 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-05-01 MARY ANN GIBSON 2018-10-25 MARY ANN GIBSON 2018-10-25
001 2016-05-01 MARY ANN GIBSON MARY ANN GIBSON 2018-03-01
001 2015-05-01 MARY ANN GIBSON MARY ANN GIBSON 2017-02-09
001 2014-05-01 MARY ANN GIBSON MARY ANN GIBSON 2016-02-05
001 2013-05-01 MARY ANN GIBSON MARY ANN GIBSON 2015-02-03
001 2012-05-01 RAYMOND EARLEWINE RAYMOND EARLEWINE 2014-02-03
001 2011-05-01 RAYMOND EARLEWINE RAYMOND EARLEWINE 2013-02-13
001 2011-01-01 RAYMOND EARLEWINE RAYMOND EARLEWINE 2012-02-14
001 2010-01-01 RAYMOND EARLEWINE RAYMOND EARLEWINE 2011-10-14
001 2009-01-01 RAYMOND EARLEWINE RAYMOND EARLEWINE 2010-10-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2017-05-01	MARY ANN GIBSON	2018-10-25	MARY ANN GIBSON	2018-10-25
001	2016-05-01	MARY ANN GIBSON		MARY ANN GIBSON	2018-03-01
001	2015-05-01	MARY ANN GIBSON		MARY ANN GIBSON	2017-02-09
001	2014-05-01	MARY ANN GIBSON		MARY ANN GIBSON	2016-02-05
001	2013-05-01	MARY ANN GIBSON		MARY ANN GIBSON	2015-02-03
001	2012-05-01	RAYMOND EARLEWINE		RAYMOND EARLEWINE	2014-02-03
001	2011-05-01	RAYMOND EARLEWINE		RAYMOND EARLEWINE	2013-02-13
001	2011-01-01	RAYMOND EARLEWINE		RAYMOND EARLEWINE	2012-02-14
001	2010-01-01	RAYMOND EARLEWINE		RAYMOND EARLEWINE	2011-10-14
001	2009-01-01	RAYMOND EARLEWINE		RAYMOND EARLEWINE	2010-10-12

Plan Statistics for MOZAIC GROUP 401(K) PLAN

401k plan membership statisitcs for MOZAIC GROUP 401(K) PLAN

Measure Date Value
2016: MOZAIC GROUP 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-05-01 102
Total number of active participants reported on line 7a of the Form 5500 2016-05-01 44
Number of retired or separated participants receiving benefits 2016-05-01 0
Number of other retired or separated participants entitled to future benefits 2016-05-01 28
Total of all active and inactive participants 2016-05-01 72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-05-01 0
Total participants 2016-05-01 72
Number of participants with account balances 2016-05-01 64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-05-01 0
2015: MOZAIC GROUP 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-05-01 135
Total number of active participants reported on line 7a of the Form 5500 2015-05-01 42
Number of retired or separated participants receiving benefits 2015-05-01 0
Number of other retired or separated participants entitled to future benefits 2015-05-01 57
Total of all active and inactive participants 2015-05-01 99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-05-01 1
Total participants 2015-05-01 100
Number of participants with account balances 2015-05-01 92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-05-01 0
2014: MOZAIC GROUP 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-05-01 214
Total number of active participants reported on line 7a of the Form 5500 2014-05-01 43
Number of retired or separated participants receiving benefits 2014-05-01 0
Number of other retired or separated participants entitled to future benefits 2014-05-01 91
Total of all active and inactive participants 2014-05-01 134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-05-01 0
Total participants 2014-05-01 134
Number of participants with account balances 2014-05-01 125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-05-01 0
2013: MOZAIC GROUP 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-05-01 192
Total number of active participants reported on line 7a of the Form 5500 2013-05-01 150
Number of retired or separated participants receiving benefits 2013-05-01 0
Number of other retired or separated participants entitled to future benefits 2013-05-01 58
Total of all active and inactive participants 2013-05-01 208
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-05-01 0
Total participants 2013-05-01 208
Number of participants with account balances 2013-05-01 183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-05-01 0
2012: MOZAIC GROUP 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-05-01 189
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 121
Number of retired or separated participants receiving benefits 2012-05-01 0
Number of other retired or separated participants entitled to future benefits 2012-05-01 65
Total of all active and inactive participants 2012-05-01 186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-05-01 0
Total participants 2012-05-01 186
Number of participants with account balances 2012-05-01 166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-05-01 0
2011: MOZAIC GROUP 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-05-01 190
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 135
Number of retired or separated participants receiving benefits 2011-05-01 0
Number of other retired or separated participants entitled to future benefits 2011-05-01 46
Total of all active and inactive participants 2011-05-01 181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-05-01 0
Total participants 2011-05-01 181
Number of participants with account balances 2011-05-01 139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-05-01 0
Total participants, beginning-of-year 2011-01-01 162
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 154
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 32
Total of all active and inactive participants 2011-01-01 186
Total participants 2011-01-01 186
Number of participants with account balances 2011-01-01 133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: MOZAIC GROUP 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 160
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 137
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 34
Total of all active and inactive participants 2010-01-01 172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 172
Number of participants with account balances 2010-01-01 134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: MOZAIC GROUP 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 113
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 26
Total of all active and inactive participants 2009-01-01 140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 140
Number of participants with account balances 2009-01-01 106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: MOZAIC GROUP 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-05-01	102
Total number of active participants reported on line 7a of the Form 5500	2016-05-01	44
Number of retired or separated participants receiving benefits	2016-05-01	0
Number of other retired or separated participants entitled to future benefits	2016-05-01	28
Total of all active and inactive participants	2016-05-01	72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-05-01	0
Total participants	2016-05-01	72
Number of participants with account balances	2016-05-01	64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-05-01	0
2015: MOZAIC GROUP 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-05-01	135
Total number of active participants reported on line 7a of the Form 5500	2015-05-01	42
Number of retired or separated participants receiving benefits	2015-05-01	0
Number of other retired or separated participants entitled to future benefits	2015-05-01	57
Total of all active and inactive participants	2015-05-01	99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-05-01	1
Total participants	2015-05-01	100
Number of participants with account balances	2015-05-01	92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-05-01	0
2014: MOZAIC GROUP 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-05-01	214
Total number of active participants reported on line 7a of the Form 5500	2014-05-01	43
Number of retired or separated participants receiving benefits	2014-05-01	0
Number of other retired or separated participants entitled to future benefits	2014-05-01	91
Total of all active and inactive participants	2014-05-01	134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-05-01	0
Total participants	2014-05-01	134
Number of participants with account balances	2014-05-01	125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-05-01	0
2013: MOZAIC GROUP 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-05-01	192
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	150
Number of retired or separated participants receiving benefits	2013-05-01	0
Number of other retired or separated participants entitled to future benefits	2013-05-01	58
Total of all active and inactive participants	2013-05-01	208
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-05-01	0
Total participants	2013-05-01	208
Number of participants with account balances	2013-05-01	183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-05-01	0
2012: MOZAIC GROUP 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-05-01	189
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	121
Number of retired or separated participants receiving benefits	2012-05-01	0
Number of other retired or separated participants entitled to future benefits	2012-05-01	65
Total of all active and inactive participants	2012-05-01	186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-05-01	0
Total participants	2012-05-01	186
Number of participants with account balances	2012-05-01	166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-05-01	0
2011: MOZAIC GROUP 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-05-01	190
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	135
Number of retired or separated participants receiving benefits	2011-05-01	0
Number of other retired or separated participants entitled to future benefits	2011-05-01	46
Total of all active and inactive participants	2011-05-01	181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-05-01	0
Total participants	2011-05-01	181
Number of participants with account balances	2011-05-01	139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-05-01	0
Total participants, beginning-of-year	2011-01-01	162
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	154
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	32
Total of all active and inactive participants	2011-01-01	186
Total participants	2011-01-01	186
Number of participants with account balances	2011-01-01	133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: MOZAIC GROUP 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	160
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	137
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	34
Total of all active and inactive participants	2010-01-01	172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	172
Number of participants with account balances	2010-01-01	134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: MOZAIC GROUP 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	113
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	26
Total of all active and inactive participants	2009-01-01	140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	140
Number of participants with account balances	2009-01-01	106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on MOZAIC GROUP 401(K) PLAN

Measure	Date	Value
2017 : MOZAIC GROUP 401(K) PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-04-30	$0
Total income from all sources (including contributions)	2017-04-30	$789,061
Total of all expenses incurred	2017-04-30	$379,492
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-04-30	$341,586
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-04-30	$330,614
Value of total assets at end of year	2017-04-30	$4,002,658
Value of total assets at beginning of year	2017-04-30	$3,593,089
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-04-30	$37,906
Total interest from all sources	2017-04-30	$458,447
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-04-30	No
Administrative expenses professional fees incurred	2017-04-30	$1,550
Was this plan covered by a fidelity bond	2017-04-30	Yes
Value of fidelity bond cover	2017-04-30	$400,000
If this is an individual account plan, was there a blackout period	2017-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2017-04-30	No
Contributions received from participants	2017-04-30	$222,229
Participant contributions at end of year	2017-04-30	$100,594
Participant contributions at beginning of year	2017-04-30	$103,130
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-04-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-04-30	No
Value of net income/loss	2017-04-30	$409,569
Value of net assets at end of year (total assets less liabilities)	2017-04-30	$4,002,658
Value of net assets at beginning of year (total assets less liabilities)	2017-04-30	$3,593,089
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-04-30	No
Were any leases to which the plan was party in default or uncollectible	2017-04-30	No
Investment advisory and management fees	2017-04-30	$36,356
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-04-30	$3,463,228
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-04-30	$2,907,565
Interest on participant loans	2017-04-30	$5,695
Income. Interest from loans (other than to participants)	2017-04-30	$0
Interest earned on other investments	2017-04-30	$452,752
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-04-30	$438,836
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-04-30	$581,274
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-04-30	No
Was there a failure to transmit to the plan any participant contributions	2017-04-30	No
Has the plan failed to provide any benefit when due under the plan	2017-04-30	No
Contributions received in cash from employer	2017-04-30	$108,385
Employer contributions (assets) at end of year	2017-04-30	$0
Employer contributions (assets) at beginning of year	2017-04-30	$1,120
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-04-30	$341,586
Did the plan have assets held for investment	2017-04-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2017-04-30	Disclaimer
Accountancy firm name	2017-04-30	D A G & ASSOCIATES, LLC
Accountancy firm EIN	2017-04-30	460837738
2016 : MOZAIC GROUP 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-04-30	$208,689
Total of all expenses incurred	2016-04-30	$331,560
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-04-30	$303,640
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-04-30	$287,161
Value of total assets at end of year	2016-04-30	$3,593,089
Value of total assets at beginning of year	2016-04-30	$3,715,960
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-04-30	$27,920
Total interest from all sources	2016-04-30	$-78,472
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-04-30	No
Administrative expenses professional fees incurred	2016-04-30	$550
Was this plan covered by a fidelity bond	2016-04-30	Yes
Value of fidelity bond cover	2016-04-30	$500,000
If this is an individual account plan, was there a blackout period	2016-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2016-04-30	No
Contributions received from participants	2016-04-30	$191,028
Participant contributions at end of year	2016-04-30	$103,130
Participant contributions at beginning of year	2016-04-30	$140,808
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-04-30	No
Value of net income/loss	2016-04-30	$-122,871
Value of net assets at end of year (total assets less liabilities)	2016-04-30	$3,593,089
Value of net assets at beginning of year (total assets less liabilities)	2016-04-30	$3,715,960
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-04-30	No
Were any leases to which the plan was party in default or uncollectible	2016-04-30	No
Investment advisory and management fees	2016-04-30	$27,370
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-04-30	$2,907,565
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-04-30	$3,087,484
Interest on participant loans	2016-04-30	$6,314
Interest earned on other investments	2016-04-30	$-84,786
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-04-30	$581,274
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-04-30	$474,004
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-04-30	No
Was there a failure to transmit to the plan any participant contributions	2016-04-30	No
Has the plan failed to provide any benefit when due under the plan	2016-04-30	No
Contributions received in cash from employer	2016-04-30	$96,133
Employer contributions (assets) at end of year	2016-04-30	$1,120
Employer contributions (assets) at beginning of year	2016-04-30	$13,664
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-04-30	$303,640
Did the plan have assets held for investment	2016-04-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-04-30	Disclaimer
Accountancy firm name	2016-04-30	KIEFER BONFANTI & CO. LLP
Accountancy firm EIN	2016-04-30	431061959
2015 : MOZAIC GROUP 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-04-30	$1,219,039
Total of all expenses incurred	2015-04-30	$2,959,012
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-04-30	$2,892,839
Expenses. Certain deemed distributions of participant loans	2015-04-30	$15,946
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-04-30	$808,805
Value of total assets at end of year	2015-04-30	$3,715,960
Value of total assets at beginning of year	2015-04-30	$5,455,933
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-04-30	$50,227
Total interest from all sources	2015-04-30	$410,234
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-04-30	No
Administrative expenses professional fees incurred	2015-04-30	$1,150
Was this plan covered by a fidelity bond	2015-04-30	Yes
Value of fidelity bond cover	2015-04-30	$500,000
If this is an individual account plan, was there a blackout period	2015-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2015-04-30	No
Contributions received from participants	2015-04-30	$488,805
Participant contributions at end of year	2015-04-30	$140,808
Participant contributions at beginning of year	2015-04-30	$197,300
Income. Received or receivable in cash from other sources (including rollovers)	2015-04-30	$23,090
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-04-30	No
Value of net income/loss	2015-04-30	$-1,739,973
Value of net assets at end of year (total assets less liabilities)	2015-04-30	$3,715,960
Value of net assets at beginning of year (total assets less liabilities)	2015-04-30	$5,455,933
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-04-30	No
Were any leases to which the plan was party in default or uncollectible	2015-04-30	No
Investment advisory and management fees	2015-04-30	$49,077
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-04-30	$3,087,484
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-04-30	$4,728,009
Interest on participant loans	2015-04-30	$9,087
Interest earned on other investments	2015-04-30	$401,147
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-04-30	$474,004
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-04-30	$523,679
Expenses. Payments to insurance carriers foe the provision of benefits	2015-04-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-04-30	No
Was there a failure to transmit to the plan any participant contributions	2015-04-30	No
Has the plan failed to provide any benefit when due under the plan	2015-04-30	No
Contributions received in cash from employer	2015-04-30	$296,910
Employer contributions (assets) at end of year	2015-04-30	$13,664
Employer contributions (assets) at beginning of year	2015-04-30	$6,945
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-04-30	$2,892,839
Did the plan have assets held for investment	2015-04-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-04-30	Disclaimer
Accountancy firm name	2015-04-30	KIEFER BONFANTI & CO. LLP
Accountancy firm EIN	2015-04-30	431061959
2014 : MOZAIC GROUP 401(K) PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-04-30	$1,544,598
Total of all expenses incurred	2014-04-30	$1,027,050
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-04-30	$996,979
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-04-30	$952,933
Value of total assets at end of year	2014-04-30	$5,455,933
Value of total assets at beginning of year	2014-04-30	$4,938,385
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-04-30	$30,071
Total interest from all sources	2014-04-30	$591,665
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-04-30	No
Administrative expenses professional fees incurred	2014-04-30	$1,450
Was this plan covered by a fidelity bond	2014-04-30	Yes
Value of fidelity bond cover	2014-04-30	$500,000
If this is an individual account plan, was there a blackout period	2014-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2014-04-30	No
Contributions received from participants	2014-04-30	$541,701
Participant contributions at end of year	2014-04-30	$197,300
Participant contributions at beginning of year	2014-04-30	$202,744
Income. Received or receivable in cash from other sources (including rollovers)	2014-04-30	$110,522
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-04-30	No
Value of net income/loss	2014-04-30	$517,548
Value of net assets at end of year (total assets less liabilities)	2014-04-30	$5,455,933
Value of net assets at beginning of year (total assets less liabilities)	2014-04-30	$4,938,385
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-04-30	No
Were any leases to which the plan was party in default or uncollectible	2014-04-30	No
Investment advisory and management fees	2014-04-30	$28,621
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-04-30	$4,728,009
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-04-30	$4,225,074
Interest on participant loans	2014-04-30	$8,240
Interest earned on other investments	2014-04-30	$583,425
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-04-30	$523,679
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-04-30	$488,105
Expenses. Payments to insurance carriers foe the provision of benefits	2014-04-30	$30,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-04-30	No
Was there a failure to transmit to the plan any participant contributions	2014-04-30	No
Has the plan failed to provide any benefit when due under the plan	2014-04-30	No
Contributions received in cash from employer	2014-04-30	$300,710
Employer contributions (assets) at end of year	2014-04-30	$6,945
Employer contributions (assets) at beginning of year	2014-04-30	$22,462
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-04-30	$966,957
Did the plan have assets held for investment	2014-04-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-04-30	Disclaimer
Accountancy firm name	2014-04-30	KIEFER BONFANTI & CO. LLP
Accountancy firm EIN	2014-04-30	431061959
2013 : MOZAIC GROUP 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-04-30	$1,314,453
Total of all expenses incurred	2013-04-30	$913,226
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-04-30	$887,253
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-04-30	$802,506
Value of total assets at end of year	2013-04-30	$4,938,385
Value of total assets at beginning of year	2013-04-30	$4,537,158
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-04-30	$25,973
Total interest from all sources	2013-04-30	$9,636
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-04-30	No
Administrative expenses professional fees incurred	2013-04-30	$800
Was this plan covered by a fidelity bond	2013-04-30	Yes
Value of fidelity bond cover	2013-04-30	$500,000
If this is an individual account plan, was there a blackout period	2013-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-04-30	No
Contributions received from participants	2013-04-30	$457,180
Participant contributions at end of year	2013-04-30	$202,744
Participant contributions at beginning of year	2013-04-30	$293,060
Income. Received or receivable in cash from other sources (including rollovers)	2013-04-30	$107,959
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-04-30	$70,206
Other income not declared elsewhere	2013-04-30	$502,311
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-04-30	No
Value of net income/loss	2013-04-30	$401,227
Value of net assets at end of year (total assets less liabilities)	2013-04-30	$4,938,385
Value of net assets at beginning of year (total assets less liabilities)	2013-04-30	$4,537,158
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-04-30	No
Were any leases to which the plan was party in default or uncollectible	2013-04-30	No
Investment advisory and management fees	2013-04-30	$25,173
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-04-30	$4,225,074
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-04-30	$3,609,742
Interest on participant loans	2013-04-30	$9,636
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-04-30	$488,105
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-04-30	$634,356
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-04-30	No
Was there a failure to transmit to the plan any participant contributions	2013-04-30	No
Has the plan failed to provide any benefit when due under the plan	2013-04-30	No
Contributions received in cash from employer	2013-04-30	$237,367
Employer contributions (assets) at end of year	2013-04-30	$22,462
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-04-30	$817,047
Did the plan have assets held for investment	2013-04-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-04-30	Disclaimer
Accountancy firm name	2013-04-30	KIEFER BONFANTI & CO. LLP
Accountancy firm EIN	2013-04-30	431061959
2012 : MOZAIC GROUP 401(K) PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-04-30	$559,674
Total of all expenses incurred	2012-04-30	$732,102
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-04-30	$694,837
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-04-30	$543,464
Value of total assets at end of year	2012-04-30	$4,537,158
Value of total assets at beginning of year	2012-04-30	$4,709,586
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-04-30	$37,265
Total interest from all sources	2012-04-30	$13,239
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-04-30	No
Administrative expenses professional fees incurred	2012-04-30	$600
Was this plan covered by a fidelity bond	2012-04-30	Yes
Value of fidelity bond cover	2012-04-30	$500,000
If this is an individual account plan, was there a blackout period	2012-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2012-04-30	No
Contributions received from participants	2012-04-30	$498,077
Participant contributions at end of year	2012-04-30	$293,060
Participant contributions at beginning of year	2012-04-30	$295,135
Income. Received or receivable in cash from other sources (including rollovers)	2012-04-30	$45,387
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-04-30	$24,743
Other income not declared elsewhere	2012-04-30	$2,971
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-04-30	No
Value of net income/loss	2012-04-30	$-172,428
Value of net assets at end of year (total assets less liabilities)	2012-04-30	$4,537,158
Value of net assets at beginning of year (total assets less liabilities)	2012-04-30	$4,709,586
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-04-30	No
Were any leases to which the plan was party in default or uncollectible	2012-04-30	No
Investment advisory and management fees	2012-04-30	$36,665
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-04-30	$3,609,742
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-04-30	$3,823,374
Interest on participant loans	2012-04-30	$13,239
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-04-30	$634,356
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-04-30	$591,077
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-04-30	No
Was there a failure to transmit to the plan any participant contributions	2012-04-30	No
Has the plan failed to provide any benefit when due under the plan	2012-04-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-04-30	$670,094
Did the plan have assets held for investment	2012-04-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-04-30	Disclaimer
Accountancy firm name	2012-04-30	KIEFER BONFANTI & CO. LLP
Accountancy firm EIN	2012-04-30	431061959
2011 : MOZAIC GROUP 401(K) PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-04-30	$575,097
Total of all expenses incurred	2011-04-30	$215,257
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-04-30	$175,518
Value of total corrective distributions	2011-04-30	$22,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-04-30	$280,225
Value of total assets at end of year	2011-04-30	$4,709,586
Value of total assets at beginning of year	2011-04-30	$4,349,746
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-04-30	$17,204
Total interest from all sources	2011-04-30	$4,922
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-04-30	No
Was this plan covered by a fidelity bond	2011-04-30	Yes
Value of fidelity bond cover	2011-04-30	$500,000
If this is an individual account plan, was there a blackout period	2011-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2011-04-30	No
Contributions received from participants	2011-04-30	$198,235
Participant contributions at end of year	2011-04-30	$295,135
Participant contributions at beginning of year	2011-04-30	$289,905
Income. Received or receivable in cash from other sources (including rollovers)	2011-04-30	$81,990
Other income not declared elsewhere	2011-04-30	$289,950
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-04-30	No
Value of net income/loss	2011-04-30	$359,840
Value of net assets at end of year (total assets less liabilities)	2011-04-30	$4,709,586
Value of net assets at beginning of year (total assets less liabilities)	2011-04-30	$4,349,746
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-04-30	No
Were any leases to which the plan was party in default or uncollectible	2011-04-30	No
Investment advisory and management fees	2011-04-30	$17,204
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-04-30	$3,823,374
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-04-30	$3,494,972
Value of interest in pooled separate accounts at end of year	2011-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2011-04-30	$0
Interest on participant loans	2011-04-30	$4,922
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-04-30	$591,077
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-04-30	$564,869
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-04-30	No
Was there a failure to transmit to the plan any participant contributions	2011-04-30	No
Has the plan failed to provide any benefit when due under the plan	2011-04-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-04-30	$175,518
Did the plan have assets held for investment	2011-04-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-04-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-04-30	Disclaimer
Accountancy firm name	2011-04-30	KIEFER BONFANTI & CO. LLP
Accountancy firm EIN	2011-04-30	431061959
2010 : MOZAIC GROUP 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,383,051
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$334,792
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$306,579
Value of total corrective distributions	2010-12-31	$927
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$933,072
Value of total assets at end of year	2010-12-31	$4,349,746
Value of total assets at beginning of year	2010-12-31	$3,301,487
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$27,286
Total interest from all sources	2010-12-31	$13,265
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$481,995
Participant contributions at end of year	2010-12-31	$289,905
Participant contributions at beginning of year	2010-12-31	$168,103
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$451,077
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,048,259
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$4,349,746
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,301,487
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$27,286
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$3,494,972
Value of interest in pooled separate accounts at end of year	2010-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$2,644,207
Interest on participant loans	2010-12-31	$13,265
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$564,869
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$489,177
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$436,714
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$306,579
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	KIEFER BONFANTI & CO. LLP
Accountancy firm EIN	2010-12-31	431061959

Form 5500 Responses for MOZAIC GROUP 401(K) PLAN

2016: MOZAIC GROUP 401(K) PLAN 2016 form 5500 responses
2016-05-01	Type of plan entity	Single employer plan
2016-05-01	Submission has been amended	No
2016-05-01	This submission is the final filing	No
2016-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-05-01	Plan is a collectively bargained plan	No
2016-05-01	Plan funding arrangement – Insurance	Yes
2016-05-01	Plan funding arrangement – Trust	Yes
2016-05-01	Plan benefit arrangement – Insurance	Yes
2016-05-01	Plan benefit arrangement - Trust	Yes
2015: MOZAIC GROUP 401(K) PLAN 2015 form 5500 responses
2015-05-01	Type of plan entity	Single employer plan
2015-05-01	Submission has been amended	No
2015-05-01	This submission is the final filing	No
2015-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-05-01	Plan is a collectively bargained plan	No
2015-05-01	Plan funding arrangement – Insurance	Yes
2015-05-01	Plan funding arrangement – Trust	Yes
2015-05-01	Plan benefit arrangement – Insurance	Yes
2015-05-01	Plan benefit arrangement - Trust	Yes
2014: MOZAIC GROUP 401(K) PLAN 2014 form 5500 responses
2014-05-01	Type of plan entity	Single employer plan
2014-05-01	Submission has been amended	No
2014-05-01	This submission is the final filing	No
2014-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-05-01	Plan is a collectively bargained plan	No
2014-05-01	Plan funding arrangement – Insurance	Yes
2014-05-01	Plan funding arrangement – Trust	Yes
2014-05-01	Plan benefit arrangement – Insurance	Yes
2014-05-01	Plan benefit arrangement - Trust	Yes
2013: MOZAIC GROUP 401(K) PLAN 2013 form 5500 responses
2013-05-01	Type of plan entity	Mulitple employer plan
2013-05-01	Submission has been amended	No
2013-05-01	This submission is the final filing	No
2013-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-05-01	Plan is a collectively bargained plan	No
2013-05-01	Plan funding arrangement – Insurance	Yes
2013-05-01	Plan funding arrangement – Trust	Yes
2013-05-01	Plan benefit arrangement – Insurance	Yes
2013-05-01	Plan benefit arrangement - Trust	Yes
2012: MOZAIC GROUP 401(K) PLAN 2012 form 5500 responses
2012-05-01	Type of plan entity	Mulitple employer plan
2012-05-01	Submission has been amended	No
2012-05-01	This submission is the final filing	No
2012-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-05-01	Plan is a collectively bargained plan	No
2012-05-01	Plan funding arrangement – Insurance	Yes
2012-05-01	Plan funding arrangement – Trust	Yes
2012-05-01	Plan benefit arrangement – Insurance	Yes
2012-05-01	Plan benefit arrangement - Trust	Yes
2011: MOZAIC GROUP 401(K) PLAN 2011 form 5500 responses
2011-05-01	Type of plan entity	Mulitple employer plan
2011-05-01	Submission has been amended	No
2011-05-01	This submission is the final filing	No
2011-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-05-01	Plan is a collectively bargained plan	No
2011-05-01	Plan funding arrangement – Insurance	Yes
2011-05-01	Plan funding arrangement – Trust	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement - Trust	Yes
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	Submission has been amended	Yes
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)	Yes
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: MOZAIC GROUP 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Mulitple employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: MOZAIC GROUP 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Mulitple 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

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

Policy contract number

384385-01

Policy instance

Insurance contract or identification number	384385-01
Number of Individuals Covered	19
Insurance policy start date	2015-05-01
Insurance policy end date	2016-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

384385-01

Policy instance

Insurance contract or identification number	384385-01
Number of Individuals Covered	23
Insurance policy start date	2014-05-01
Insurance policy end date	2015-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

384385-01

Policy instance

Insurance contract or identification number	384385-01
Number of Individuals Covered	38
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

384385-01

Policy instance

Insurance contract or identification number	384385-01
Number of Individuals Covered	34
Insurance policy start date	2012-05-01
Insurance policy end date	2013-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

384385-01

Policy instance

Insurance contract or identification number	384385-01
Number of Individuals Covered	35
Insurance policy start date	2011-05-01
Insurance policy end date	2012-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

384385-01

Policy instance

Insurance contract or identification number	384385-01
Number of Individuals Covered	32
Insurance policy start date	2011-01-01
Insurance policy end date	2011-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

384385-01

Policy instance

Insurance contract or identification number	384385-01
Number of Individuals Covered	32
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MOZAIC MANAGEMENT, INC.
Employer identification number (EIN):	721547562
NAIC Classification:	541800