401k Plan data: SPOTTER, INC. WRAP PLAN plan

SPOTTER, INC. WRAP PLAN 401k Plan overview

Plan Name	SPOTTER, INC. WRAP PLAN
Plan identification number	501

SPOTTER, INC. WRAP PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

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

Company Name: SPOTTER, INC.

Employer identification number (EIN): 842562137

NAIC Classification: 522291
NAIC Description: Consumer Lending

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPOTTER, INC. WRAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 BETH BRADMON 2024-03-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	BETH BRADMON	2024-03-12

Plan Statistics for SPOTTER, INC. WRAP PLAN

401k plan membership statisitcs for SPOTTER, INC. WRAP PLAN

Measure Date Value
2023: SPOTTER, INC. WRAP PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 153
Number of retired or separated participants receiving benefits 2023-01-01 6
Number of other retired or separated participants entitled to future benefits 2023-01-01 9
Total of all active and inactive participants 2023-01-01 168
Number of employers contributing to the scheme 2023-01-01 0

Measure	Date	Value
2023: SPOTTER, INC. WRAP PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	153
Number of retired or separated participants receiving benefits	2023-01-01	6
Number of other retired or separated participants entitled to future benefits	2023-01-01	9
Total of all active and inactive participants	2023-01-01	168
Number of employers contributing to the scheme	2023-01-01	0

Form 5500 Responses for SPOTTER, INC. WRAP PLAN

2023: SPOTTER, INC. WRAP PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	First time form 5500 has been submitted	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

G87878

Policy instance

Insurance contract or identification number	G87878
Number of Individuals Covered	153
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $52,548
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,299,004
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

510672

Policy instance

Insurance contract or identification number	510672
Number of Individuals Covered	155
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $18,396
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $259,891
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

40152799

Policy instance

Insurance contract or identification number	40152799
Number of Individuals Covered	137
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $1,362
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $31,466
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

ER00046355

Policy instance

Insurance contract or identification number	ER00046355
Number of Individuals Covered	54
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $9,045
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $14,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	SPOTTER, INC.
Employer identification number (EIN):	842562137
NAIC Classification:	522291
NAIC Description:	Consumer Lending