401k Plan data: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN plan

ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.

401k Sponsoring company profile

ALTA ORTHOPAEDICS MEDICAL GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: ALTA ORTHOPAEDICS MEDICAL GROUP, INC.

Employer identification number (EIN): 770452777

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01 MICHAEL KENLY 2021-05-06
001 2019-01-01
001 2018-01-01 ASHER KUPPERMAN, M.D. 2019-10-14
001 2017-01-01 STUART R. HUTCHINSON, M.D.
001 2016-01-01 CHRISTOPHER S. PROCTOR, M.D.
001 2015-01-01 CHRISTOPHER S. PROCTOR, M.D.
001 2014-01-01 CHRISTOPHER S. PROCTOR, M.D.
001 2013-01-01 CHRISTOPHER S. PROCTOR, M.D.
001 2012-01-01 CHRISTOPHER S. PROCTOR, M.D.
001 2011-01-01 CHRISTOPHER S. PROCTOR, M.D. CHRISTOPHER S. PROCTOR, M.D. 2012-10-05
001 2010-01-01 CHRISTOPHER S. PROCTOR, M.D. CHRISTOPHER S. PROCTOR, M.D. 2011-10-07
001 2009-01-01 CHRISTOPHER S. PROCTOR, M.D. CHRISTOPHER S. PROCTOR, M.D. 2010-10-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01	MICHAEL KENLY	2021-05-06
001	2019-01-01
001	2018-01-01	ASHER KUPPERMAN, M.D.	2019-10-14
001	2017-01-01	STUART R. HUTCHINSON, M.D.
001	2016-01-01	CHRISTOPHER S. PROCTOR, M.D.
001	2015-01-01	CHRISTOPHER S. PROCTOR, M.D.
001	2014-01-01	CHRISTOPHER S. PROCTOR, M.D.
001	2013-01-01	CHRISTOPHER S. PROCTOR, M.D.
001	2012-01-01	CHRISTOPHER S. PROCTOR, M.D.
001	2011-01-01	CHRISTOPHER S. PROCTOR, M.D.		CHRISTOPHER S. PROCTOR, M.D.	2012-10-05
001	2010-01-01	CHRISTOPHER S. PROCTOR, M.D.		CHRISTOPHER S. PROCTOR, M.D.	2011-10-07
001	2009-01-01	CHRISTOPHER S. PROCTOR, M.D.		CHRISTOPHER S. PROCTOR, M.D.	2010-10-11

Plan Statistics for ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 54
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 54
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 25
Total of all active and inactive participants 2022-01-01 79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 79
Number of participants with account balances 2022-01-01 73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 61
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 46
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 8
Total of all active and inactive participants 2021-01-01 54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 54
Number of participants with account balances 2021-01-01 41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2019: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 44
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 36
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 13
Total of all active and inactive participants 2019-01-01 50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 1
Total participants 2019-01-01 51
Number of participants with account balances 2019-01-01 51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 6
2018: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 44
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 35
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 6
Total of all active and inactive participants 2018-01-01 41
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 41
Number of participants with account balances 2018-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 3
2017: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 40
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 34
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 34
Number of participants with account balances 2017-01-01 33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 3
2016: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 38
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 34
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 6
Total of all active and inactive participants 2016-01-01 40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 40
Number of participants with account balances 2016-01-01 40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 5
2015: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 33
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 31
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 7
Total of all active and inactive participants 2015-01-01 38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 38
Number of participants with account balances 2015-01-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 32
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 26
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 6
Total of all active and inactive participants 2014-01-01 32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 32
Number of participants with account balances 2014-01-01 32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 2
2013: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 28
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 2
Total of all active and inactive participants 2013-01-01 30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 30
Number of participants with account balances 2013-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 25
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 1
Total of all active and inactive participants 2012-01-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 26
Number of participants with account balances 2012-01-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 22
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 1
Total of all active and inactive participants 2011-01-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 23
Number of participants with account balances 2011-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 3
2010: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 25
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 1
Total of all active and inactive participants 2010-01-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 26
Number of participants with account balances 2010-01-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1
2009: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 23
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 24
Number of participants with account balances 2009-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2022: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	54
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	54
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	25
Total of all active and inactive participants	2022-01-01	79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	79
Number of participants with account balances	2022-01-01	73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	61
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	46
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	8
Total of all active and inactive participants	2021-01-01	54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	54
Number of participants with account balances	2021-01-01	41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2019: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	44
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	36
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	13
Total of all active and inactive participants	2019-01-01	50
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	1
Total participants	2019-01-01	51
Number of participants with account balances	2019-01-01	51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	6
2018: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	44
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	35
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	6
Total of all active and inactive participants	2018-01-01	41
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	41
Number of participants with account balances	2018-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	3
2017: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	40
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	34
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	34
Number of participants with account balances	2017-01-01	33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	3
2016: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	38
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	34
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	6
Total of all active and inactive participants	2016-01-01	40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	40
Number of participants with account balances	2016-01-01	40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	5
2015: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	33
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	31
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	7
Total of all active and inactive participants	2015-01-01	38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	38
Number of participants with account balances	2015-01-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	32
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	26
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	6
Total of all active and inactive participants	2014-01-01	32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	32
Number of participants with account balances	2014-01-01	32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	2
2013: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	28
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	2
Total of all active and inactive participants	2013-01-01	30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	30
Number of participants with account balances	2013-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	25
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	26
Number of participants with account balances	2012-01-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	22
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	1
Total of all active and inactive participants	2011-01-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	23
Number of participants with account balances	2011-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	3
2010: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	25
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	1
Total of all active and inactive participants	2010-01-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	26
Number of participants with account balances	2010-01-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1
2009: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	23
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	24
Number of participants with account balances	2009-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Transfers to/from the plan	2022-12-31	$0
Total plan liabilities at end of year	2022-12-31	$0
Total plan liabilities at beginning of year	2022-12-31	$0
Total income from all sources	2022-12-31	$-577,945
Expenses. Total of all expenses incurred	2022-12-31	$39,512
Benefits paid (including direct rollovers)	2022-12-31	$19,236
Total plan assets at end of year	2022-12-31	$6,445,246
Total plan assets at beginning of year	2022-12-31	$7,062,703
Value of fidelity bond covering the plan	2022-12-31	$500,000
Total contributions received or receivable from participants	2022-12-31	$291,654
Expenses. Other expenses not covered elsewhere	2022-12-31	$0
Contributions received from other sources (not participants or employers)	2022-12-31	$0
Other income received	2022-12-31	$-1,273,638
Noncash contributions received	2022-12-31	$0
Net income (gross income less expenses)	2022-12-31	$-617,457
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$6,445,246
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$7,062,703
Assets. Value of participant loans	2022-12-31	$16,000
Total contributions received or receivable from employer(s)	2022-12-31	$404,039
Value of certain deemed distributions of participant loans	2022-12-31	$0
Value of corrective distributions	2022-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$20,276
2021 : ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$1,203,501
Expenses. Total of all expenses incurred	2021-12-31	$4,066,605
Benefits paid (including direct rollovers)	2021-12-31	$4,038,744
Total plan assets at end of year	2021-12-31	$7,062,703
Total plan assets at beginning of year	2021-12-31	$9,925,807
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$222,177
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$892,067
Noncash contributions received	2021-12-31	$0
Net income (gross income less expenses)	2021-12-31	$-2,863,104
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$7,062,703
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$9,925,807
Assets. Value of participant loans	2021-12-31	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2021-12-31	$0
Total contributions received or receivable from employer(s)	2021-12-31	$89,257
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$27,861
2019 : ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$2,439,147
Expenses. Total of all expenses incurred	2019-12-31	$299,618
Benefits paid (including direct rollovers)	2019-12-31	$234,067
Total plan assets at end of year	2019-12-31	$8,915,287
Total plan assets at beginning of year	2019-12-31	$6,775,758
Value of fidelity bond covering the plan	2019-12-31	$400,000
Total contributions received or receivable from participants	2019-12-31	$292,367
Contributions received from other sources (not participants or employers)	2019-12-31	$5,182
Other income received	2019-12-31	$1,806,499
Net income (gross income less expenses)	2019-12-31	$2,139,529
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$8,915,287
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$6,775,758
Assets. Value of participant loans	2019-12-31	$6,984
Assets. Value of assets in partnership/joint-venture interests	2019-12-31	$0
Total contributions received or receivable from employer(s)	2019-12-31	$335,099
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$65,551
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-168,501
Expenses. Total of all expenses incurred	2018-12-31	$848,656
Benefits paid (including direct rollovers)	2018-12-31	$785,437
Total plan assets at end of year	2018-12-31	$6,775,758
Total plan assets at beginning of year	2018-12-31	$7,792,915
Value of fidelity bond covering the plan	2018-12-31	$400,000
Total contributions received or receivable from participants	2018-12-31	$197,751
Expenses. Other expenses not covered elsewhere	2018-12-31	$63,219
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-573,689
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$-1,017,157
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$6,775,758
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$7,792,915
Assets. Value of participant loans	2018-12-31	$60,352
Assets. Value of assets in partnership/joint-venture interests	2018-12-31	$10,000
Total contributions received or receivable from employer(s)	2018-12-31	$207,437
Value of certain deemed distributions of participant loans	2018-12-31	$0
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$1,587,761
Expenses. Total of all expenses incurred	2017-12-31	$86,628
Benefits paid (including direct rollovers)	2017-12-31	$20,000
Total plan assets at end of year	2017-12-31	$7,792,915
Total plan assets at beginning of year	2017-12-31	$6,291,782
Value of fidelity bond covering the plan	2017-12-31	$400,000
Total contributions received or receivable from participants	2017-12-31	$264,698
Expenses. Other expenses not covered elsewhere	2017-12-31	$57,397
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$997,563
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$1,501,133
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$7,792,915
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$6,291,782
Assets. Value of participant loans	2017-12-31	$18,370
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$20,000
Total contributions received or receivable from employer(s)	2017-12-31	$325,500
Value of certain deemed distributions of participant loans	2017-12-31	$9,231
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$1,011,083
Expenses. Total of all expenses incurred	2016-12-31	$371,347
Benefits paid (including direct rollovers)	2016-12-31	$329,120
Total plan assets at end of year	2016-12-31	$6,291,782
Total plan assets at beginning of year	2016-12-31	$5,652,046
Value of fidelity bond covering the plan	2016-12-31	$400,000
Total contributions received or receivable from participants	2016-12-31	$232,394
Contributions received from other sources (not participants or employers)	2016-12-31	$54,699
Other income received	2016-12-31	$466,872
Net income (gross income less expenses)	2016-12-31	$639,736
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$6,291,782
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$5,652,046
Assets. Value of participant loans	2016-12-31	$28,642
Assets. Value of assets in partnership/joint-venture interests	2016-12-31	$20,000
Total contributions received or receivable from employer(s)	2016-12-31	$257,118
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$42,227
2015 : ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$318,439
Expenses. Total of all expenses incurred	2015-12-31	$51,148
Benefits paid (including direct rollovers)	2015-12-31	$16,370
Total plan assets at end of year	2015-12-31	$5,652,046
Total plan assets at beginning of year	2015-12-31	$5,384,755
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$215,413
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-131,001
Net income (gross income less expenses)	2015-12-31	$267,291
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$5,652,046
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$5,384,755
Assets. Value of participant loans	2015-12-31	$88,489
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$45,300
Total contributions received or receivable from employer(s)	2015-12-31	$234,027
Value of certain deemed distributions of participant loans	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$34,778
2014 : ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$870,726
Expenses. Total of all expenses incurred	2014-12-31	$29,846
Benefits paid (including direct rollovers)	2014-12-31	$5,277
Total plan assets at end of year	2014-12-31	$5,384,755
Total plan assets at beginning of year	2014-12-31	$4,543,875
Value of fidelity bond covering the plan	2014-12-31	$400,000
Total contributions received or receivable from participants	2014-12-31	$198,368
Expenses. Other expenses not covered elsewhere	2014-12-31	$24,569
Contributions received from other sources (not participants or employers)	2014-12-31	$240,200
Other income received	2014-12-31	$210,481
Net income (gross income less expenses)	2014-12-31	$840,880
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$5,384,755
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$4,543,875
Assets. Value of participant loans	2014-12-31	$22,232
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$45,300
Total contributions received or receivable from employer(s)	2014-12-31	$221,677
2013 : ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$952,905
Expenses. Total of all expenses incurred	2013-12-31	$32,174
Total plan assets at end of year	2013-12-31	$4,543,875
Total plan assets at beginning of year	2013-12-31	$3,623,144
Value of fidelity bond covering the plan	2013-12-31	$400,000
Total contributions received or receivable from participants	2013-12-31	$143,414
Expenses. Other expenses not covered elsewhere	2013-12-31	$32,174
Other income received	2013-12-31	$613,575
Net income (gross income less expenses)	2013-12-31	$920,731
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$4,543,875
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$3,623,144
Assets. Value of participant loans	2013-12-31	$15,445
Assets. Value of assets in partnership/joint-venture interests	2013-12-31	$45,300
Total contributions received or receivable from employer(s)	2013-12-31	$195,916
2012 : ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$702,140
Expenses. Total of all expenses incurred	2012-12-31	$34,586
Benefits paid (including direct rollovers)	2012-12-31	$3,676
Total plan assets at end of year	2012-12-31	$3,623,144
Total plan assets at beginning of year	2012-12-31	$2,955,590
Value of fidelity bond covering the plan	2012-12-31	$375,000
Total contributions received or receivable from participants	2012-12-31	$142,429
Expenses. Other expenses not covered elsewhere	2012-12-31	$30,910
Other income received	2012-12-31	$393,810
Net income (gross income less expenses)	2012-12-31	$667,554
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$3,623,144
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,955,590
Assets. Value of participant loans	2012-12-31	$12,908
Assets. Value of assets in partnership/joint-venture interests	2012-12-31	$45,300
Total contributions received or receivable from employer(s)	2012-12-31	$165,901
2011 : ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$156,884
Expenses. Total of all expenses incurred	2011-12-31	$87,334
Benefits paid (including direct rollovers)	2011-12-31	$58,963
Total plan assets at end of year	2011-12-31	$2,955,590
Total plan assets at beginning of year	2011-12-31	$2,886,040
Value of fidelity bond covering the plan	2011-12-31	$375,000
Total contributions received or receivable from participants	2011-12-31	$114,105
Expenses. Other expenses not covered elsewhere	2011-12-31	$28,371
Other income received	2011-12-31	$-108,432
Net income (gross income less expenses)	2011-12-31	$69,550
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,955,590
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,886,040
Assets. Value of participant loans	2011-12-31	$16,876
Assets. Value of assets in partnership/joint-venture interests	2011-12-31	$45,300
Total contributions received or receivable from employer(s)	2011-12-31	$151,211
2010 : ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$585,872
Expenses. Total of all expenses incurred	2010-12-31	$21,232
Total plan assets at end of year	2010-12-31	$2,886,040
Total plan assets at beginning of year	2010-12-31	$2,321,400
Value of fidelity bond covering the plan	2010-12-31	$375,000
Total contributions received or receivable from participants	2010-12-31	$114,197
Contributions received from other sources (not participants or employers)	2010-12-31	$74,739
Other income received	2010-12-31	$239,632
Net income (gross income less expenses)	2010-12-31	$564,640
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$2,886,040
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$2,321,400
Assets. Value of participant loans	2010-12-31	$6,641
Assets. Value of assets in partnership/joint-venture interests	2010-12-31	$79,772
Total contributions received or receivable from employer(s)	2010-12-31	$157,304
Value of corrective distributions	2010-12-31	$10,907
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$10,325

Form 5500 Responses for ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN

2022: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	This submission is the final filing	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2019: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: ALTA ORTHOPAEDICS MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37306

Policy instance

Insurance contract or identification number	G37306
Number of Individuals Covered	36
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37306

Policy instance

Insurance contract or identification number	G37306
Number of Individuals Covered	28
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37306

Policy instance

Insurance contract or identification number	G37306
Number of Individuals Covered	33
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $3,124
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,124
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	4
Insurance broker name	KESTRA INVESTMENT SERVICES

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37306

Policy instance

Insurance contract or identification number	G37306
Number of Individuals Covered	32
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $5,176
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,949
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	4
Insurance broker name	LINSCO PRIVATE LEDGER CORP

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37306

Policy instance

Insurance contract or identification number	G37306
Number of Individuals Covered	28
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $26,512
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $26,512
Insurance broker organization code?	4
Insurance broker name	LINSCO PRIVATE LEDGER CORP

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

Policy contract number

60712

Policy instance

Insurance contract or identification number	60712
Number of Individuals Covered	29
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of fees paid to insurance company	USD $7,644
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
Amount paid for insurance broker fees	7644
Insurance broker organization code?	5
Insurance broker name	MERIDIAN RETIREMENT PLAN ADVISORS

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

Policy contract number

60712

Policy instance

Insurance contract or identification number	60712
Number of Individuals Covered	25
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $6,019
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	5914
Additional information about fees paid to insurance broker	TPA FEES PAID
Insurance broker organization code?	5
Insurance broker name	JRN BENEFITS, INC.

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

Policy contract number

60712

Policy instance

Insurance contract or identification number	60712
Number of Individuals Covered	23
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $6,455
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

60712

Policy instance

Insurance contract or identification number	60712
Number of Individuals Covered	25
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 $5,603
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	5239
Additional information about fees paid to insurance broker	TPA FEES PAID
Insurance broker organization code?	5
Insurance broker name	JRN BENEFITS, INC.

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Company Name:	ALTA ORTHOPAEDICS MEDICAL GROUP, INC.
Employer identification number (EIN):	770452777
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)