401k Plan data: B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA plan

B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 401k Plan overview

Plan Name	B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA
Plan identification number	001

B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 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.
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

B2 EQUITY HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name: B2 EQUITY HOLDINGS, INC.

Employer identification number (EIN): 810703541

NAIC Classification: 541511
NAIC Description: Custom Computer Programming Services

Additional information about B2 EQUITY HOLDINGS, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2015-12-02

Company Identification Number: P15000096068

Legal Registered Office Address: 1200 SOUTH PINE ISLAND ROAD

PLANTATION

33324

More information about B2 EQUITY HOLDINGS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 AMY LEWIS 2023-03-22
001 2021-01-01 AMY LEWIS 2022-02-07
001 2020-01-01 AMY LEWIS 2021-04-01
001 2018-01-01
001 2018-01-01
001 2017-01-01 AMY LEWIS
001 2016-01-01 TAMMY DAWSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	AMY LEWIS	2023-03-22
001	2021-01-01	AMY LEWIS	2022-02-07
001	2020-01-01	AMY LEWIS	2021-04-01
001	2018-01-01
001	2018-01-01
001	2017-01-01	AMY LEWIS
001	2016-01-01	TAMMY DAWSON

Plan Statistics for B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA

401k plan membership statisitcs for B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA

Measure Date Value
2018: B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 2018 401k membership
Total participants, beginning-of-year 2018-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 77
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 56
Total of all active and inactive participants 2018-01-01 133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 133
Number of participants with account balances 2018-01-01 76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 2017 401k membership
Total participants, beginning-of-year 2017-01-01 150
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 111
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 35
Total of all active and inactive participants 2017-01-01 146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 146
Number of participants with account balances 2017-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 2016 401k membership
Total participants, beginning-of-year 2016-01-01 144
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 115
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 35
Total of all active and inactive participants 2016-01-01 150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 150
Number of participants with account balances 2016-01-01 147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2018: B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 2018 401k membership
Total participants, beginning-of-year	2018-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	77
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	56
Total of all active and inactive participants	2018-01-01	133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	133
Number of participants with account balances	2018-01-01	76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 2017 401k membership
Total participants, beginning-of-year	2017-01-01	150
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	111
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	35
Total of all active and inactive participants	2017-01-01	146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	146
Number of participants with account balances	2017-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 2016 401k membership
Total participants, beginning-of-year	2016-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	115
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	35
Total of all active and inactive participants	2016-01-01	150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	150
Number of participants with account balances	2016-01-01	147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA

Measure	Date	Value
2018 : B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total transfer of assets from this plan	2018-12-31	$1,369,556
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$51,995
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$2,067,410
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$2,048,714
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$484,230
Value of total assets at end of year	2018-12-31	$6,663,332
Value of total assets at beginning of year	2018-12-31	$10,048,303
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$18,696
Total interest from all sources	2018-12-31	$5,064
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$750,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$326,673
Participant contributions at end of year	2018-12-31	$24,910
Participant contributions at beginning of year	2018-12-31	$230,746
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$17,689
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$2,425
Other income not declared elsewhere	2018-12-31	$129
Total non interest bearing cash at beginning of year	2018-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-2,015,415
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$6,663,332
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$10,048,303
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$6,598,002
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$9,785,534
Interest on participant loans	2018-12-31	$5,064
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$40,420
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$3,858
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-437,428
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$155,132
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$10,476
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$2,048,714
Contract administrator fees	2018-12-31	$18,696
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	CPAOKC, PLLC
Accountancy firm EIN	2018-12-31	472242686
2017 : B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$2,312,798
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$783,871
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$773,378
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$827,926
Value of total assets at end of year	2017-12-31	$10,048,303
Value of total assets at beginning of year	2017-12-31	$8,519,376
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$10,493
Total interest from all sources	2017-12-31	$10,968
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$750,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$539,605
Participant contributions at end of year	2017-12-31	$230,746
Participant contributions at beginning of year	2017-12-31	$242,722
Participant contributions at end of year	2017-12-31	$17,689
Other income not declared elsewhere	2017-12-31	$4,357
Total non interest bearing cash at beginning of year	2017-12-31	$4,437
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,528,927
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$10,048,303
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$8,519,376
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$9,785,534
Value of interest in pooled separate accounts at end of year	2017-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$8,270,726
Interest on participant loans	2017-12-31	$10,968
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$3,858
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$1,491
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$803,840
Net investment gain/loss from pooled separate accounts	2017-12-31	$665,707
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$288,321
Employer contributions (assets) at end of year	2017-12-31	$10,476
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$773,378
Contract administrator fees	2017-12-31	$10,493
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	CLIFTON LARSON ALLEN LLP
Accountancy firm EIN	2017-12-31	410746749
2016 : B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,257,323
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$890,547
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$862,401
Expenses. Certain deemed distributions of participant loans	2016-12-31	$27,424
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$709,345
Value of total assets at end of year	2016-12-31	$8,519,376
Value of total assets at beginning of year	2016-12-31	$8,152,600
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$722
Total interest from all sources	2016-12-31	$10,459
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$200,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$255,001
Participant contributions at end of year	2016-12-31	$242,722
Participant contributions at beginning of year	2016-12-31	$269,961
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$42,663
Total non interest bearing cash at end of year	2016-12-31	$4,437
Total non interest bearing cash at beginning of year	2016-12-31	$4,437
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$366,776
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$8,519,376
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$8,152,600
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$8,270,726
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$7,872,730
Interest on participant loans	2016-12-31	$10,459
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$1,491
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$5,472
Net investment gain/loss from pooled separate accounts	2016-12-31	$537,502
Net investment gain or loss from common/collective trusts	2016-12-31	$17
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$411,681
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$862,401
Contract administrator fees	2016-12-31	$722
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2016-12-31	410746749

Form 5500 Responses for B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA

2018: B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: B2 EQUITY HOLDINGS, INC. AND AFFILIATES 401(K) PLA 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

501909-01

Policy instance

Insurance contract or identification number	501909-01
Number of Individuals Covered	5
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

501909-01

Policy instance

Insurance contract or identification number	501909-01
Number of Individuals Covered	5
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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

71731

Policy instance

Insurance contract or identification number	71731
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-05-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,875
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
Amount paid for insurance broker fees	1875
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker organization code?	5
Insurance broker name	EMPLOYEE BENEFITS GROUP, LLC

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Company Name:	B2 EQUITY HOLDINGS, INC.
Employer identification number (EIN):	810703541
NAIC Classification:	541511
NAIC Description:	Custom Computer Programming Services

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2015-12-02
Company Identification Number:	P15000096068
Legal Registered Office Address:	1200 SOUTH PINE ISLAND ROAD PLANTATION 33324