401k Plan data: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN plan

COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

COIN & PROFESSIONAL EQUIPMENT CO., 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.
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

COIN & PROFESSIONAL EQUIPMENT CO., INC. has sponsored the creation of one or more 401k plans.

Company Name: COIN & PROFESSIONAL EQUIPMENT CO., INC.

Employer identification number (EIN): 860190329

NAIC Classification: 423990
NAIC Description: Other Miscellaneous Durable Goods Merchant Wholesalers

Additional information about COIN & PROFESSIONAL EQUIPMENT CO., INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2014-06-30

Company Identification Number: 0802020805

Legal Registered Office Address: 3120 W WELDON AVE

PHOENIX
United States of America (USA)
85017

More information about COIN & PROFESSIONAL EQUIPMENT CO., INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COIN & PROFESSIONAL EQUIPMENT CO., 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 2022-06-01
001 2021-06-01 GREGORY SVANCARA 2023-03-06
001 2019-06-01 DAVID SVANCARA 2021-03-07
001 2018-06-01 DAVID SVANCARA 2020-03-04
001 2017-06-01 DAVID SVANCARA
001 2016-06-01
001 2015-06-01
001 2014-06-01 GREG SVANCARA
001 2013-06-01 DAVID A. SVANCARA
001 2012-06-01 DAVID A. SVANCARA
001 2011-06-01 DAVID A. SVANCARA
001 2010-06-01 DAVID A. SVANCARA

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-06-01
001	2021-06-01	GREGORY SVANCARA	2023-03-06
001	2019-06-01	DAVID SVANCARA	2021-03-07
001	2018-06-01	DAVID SVANCARA	2020-03-04
001	2017-06-01	DAVID SVANCARA
001	2016-06-01
001	2015-06-01
001	2014-06-01	GREG SVANCARA
001	2013-06-01	DAVID A. SVANCARA
001	2012-06-01	DAVID A. SVANCARA
001	2011-06-01	DAVID A. SVANCARA
001	2010-06-01	DAVID A. SVANCARA

Plan Statistics for COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-06-01 29
Total number of active participants reported on line 7a of the Form 5500 2022-06-01 21
Number of retired or separated participants receiving benefits 2022-06-01 0
Number of other retired or separated participants entitled to future benefits 2022-06-01 2
Total of all active and inactive participants 2022-06-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-06-01 0
Total participants 2022-06-01 23
Number of participants with account balances 2022-06-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-06-01 0
2021: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-06-01 26
Total number of active participants reported on line 7a of the Form 5500 2021-06-01 18
Number of retired or separated participants receiving benefits 2021-06-01 1
Number of other retired or separated participants entitled to future benefits 2021-06-01 6
Total of all active and inactive participants 2021-06-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-06-01 0
Total participants 2021-06-01 25
Number of participants with account balances 2021-06-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-06-01 0
2019: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-06-01 26
Total number of active participants reported on line 7a of the Form 5500 2019-06-01 21
Number of retired or separated participants receiving benefits 2019-06-01 0
Number of other retired or separated participants entitled to future benefits 2019-06-01 3
Total of all active and inactive participants 2019-06-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-06-01 0
Total participants 2019-06-01 24
Number of participants with account balances 2019-06-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-06-01 0
2018: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-06-01 30
Total number of active participants reported on line 7a of the Form 5500 2018-06-01 23
Number of retired or separated participants receiving benefits 2018-06-01 0
Number of other retired or separated participants entitled to future benefits 2018-06-01 1
Total of all active and inactive participants 2018-06-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-06-01 0
Total participants 2018-06-01 24
Number of participants with account balances 2018-06-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-06-01 0
2017: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-06-01 28
Total number of active participants reported on line 7a of the Form 5500 2017-06-01 24
Number of retired or separated participants receiving benefits 2017-06-01 0
Number of other retired or separated participants entitled to future benefits 2017-06-01 2
Total of all active and inactive participants 2017-06-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-06-01 0
Total participants 2017-06-01 26
Number of participants with account balances 2017-06-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-06-01 0
2016: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-06-01 26
Total number of active participants reported on line 7a of the Form 5500 2016-06-01 22
Number of retired or separated participants receiving benefits 2016-06-01 0
Number of other retired or separated participants entitled to future benefits 2016-06-01 4
Total of all active and inactive participants 2016-06-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-06-01 0
Total participants 2016-06-01 26
Number of participants with account balances 2016-06-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-06-01 0
2015: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-06-01 23
Total number of active participants reported on line 7a of the Form 5500 2015-06-01 22
Number of retired or separated participants receiving benefits 2015-06-01 0
Number of other retired or separated participants entitled to future benefits 2015-06-01 4
Total of all active and inactive participants 2015-06-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-06-01 0
Total participants 2015-06-01 26
Number of participants with account balances 2015-06-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-06-01 0
2014: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-06-01 27
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 21
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 2
Total of all active and inactive participants 2014-06-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-06-01 0
Total participants 2014-06-01 23
Number of participants with account balances 2014-06-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-06-01 0
2013: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-01 21
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 21
Number of retired or separated participants receiving benefits 2013-06-01 0
Number of other retired or separated participants entitled to future benefits 2013-06-01 0
Total of all active and inactive participants 2013-06-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-06-01 0
Total participants 2013-06-01 21
Number of participants with account balances 2013-06-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-06-01 0
2012: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 22
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 21
Number of retired or separated participants receiving benefits 2012-06-01 0
Number of other retired or separated participants entitled to future benefits 2012-06-01 0
Total of all active and inactive participants 2012-06-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-06-01 0
Total participants 2012-06-01 21
Number of participants with account balances 2012-06-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-06-01 0
2011: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-06-01 25
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 22
Number of retired or separated participants receiving benefits 2011-06-01 0
Number of other retired or separated participants entitled to future benefits 2011-06-01 0
Total of all active and inactive participants 2011-06-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-06-01 0
Total participants 2011-06-01 22
Number of participants with account balances 2011-06-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-06-01 0
2010: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-06-01 25
Total number of active participants reported on line 7a of the Form 5500 2010-06-01 25
Number of retired or separated participants receiving benefits 2010-06-01 0
Number of other retired or separated participants entitled to future benefits 2010-06-01 0
Total of all active and inactive participants 2010-06-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-06-01 0
Total participants 2010-06-01 25
Number of participants with account balances 2010-06-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-06-01 0

Measure	Date	Value
2022: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-06-01	29
Total number of active participants reported on line 7a of the Form 5500	2022-06-01	21
Number of retired or separated participants receiving benefits	2022-06-01	0
Number of other retired or separated participants entitled to future benefits	2022-06-01	2
Total of all active and inactive participants	2022-06-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-06-01	0
Total participants	2022-06-01	23
Number of participants with account balances	2022-06-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-06-01	0
2021: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-06-01	26
Total number of active participants reported on line 7a of the Form 5500	2021-06-01	18
Number of retired or separated participants receiving benefits	2021-06-01	1
Number of other retired or separated participants entitled to future benefits	2021-06-01	6
Total of all active and inactive participants	2021-06-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-06-01	0
Total participants	2021-06-01	25
Number of participants with account balances	2021-06-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-06-01	0
2019: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-06-01	26
Total number of active participants reported on line 7a of the Form 5500	2019-06-01	21
Number of retired or separated participants receiving benefits	2019-06-01	0
Number of other retired or separated participants entitled to future benefits	2019-06-01	3
Total of all active and inactive participants	2019-06-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-06-01	0
Total participants	2019-06-01	24
Number of participants with account balances	2019-06-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-06-01	0
2018: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-06-01	30
Total number of active participants reported on line 7a of the Form 5500	2018-06-01	23
Number of retired or separated participants receiving benefits	2018-06-01	0
Number of other retired or separated participants entitled to future benefits	2018-06-01	1
Total of all active and inactive participants	2018-06-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-06-01	0
Total participants	2018-06-01	24
Number of participants with account balances	2018-06-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-06-01	0
2017: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-06-01	28
Total number of active participants reported on line 7a of the Form 5500	2017-06-01	24
Number of retired or separated participants receiving benefits	2017-06-01	0
Number of other retired or separated participants entitled to future benefits	2017-06-01	2
Total of all active and inactive participants	2017-06-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-06-01	0
Total participants	2017-06-01	26
Number of participants with account balances	2017-06-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-06-01	0
2016: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-06-01	26
Total number of active participants reported on line 7a of the Form 5500	2016-06-01	22
Number of retired or separated participants receiving benefits	2016-06-01	0
Number of other retired or separated participants entitled to future benefits	2016-06-01	4
Total of all active and inactive participants	2016-06-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-06-01	0
Total participants	2016-06-01	26
Number of participants with account balances	2016-06-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-06-01	0
2015: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-06-01	23
Total number of active participants reported on line 7a of the Form 5500	2015-06-01	22
Number of retired or separated participants receiving benefits	2015-06-01	0
Number of other retired or separated participants entitled to future benefits	2015-06-01	4
Total of all active and inactive participants	2015-06-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-06-01	0
Total participants	2015-06-01	26
Number of participants with account balances	2015-06-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-06-01	0
2014: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	27
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	21
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	2
Total of all active and inactive participants	2014-06-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-06-01	0
Total participants	2014-06-01	23
Number of participants with account balances	2014-06-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-06-01	0
2013: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	21
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	21
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	0
Total of all active and inactive participants	2013-06-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-06-01	0
Total participants	2013-06-01	21
Number of participants with account balances	2013-06-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-06-01	0
2012: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	22
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	21
Number of retired or separated participants receiving benefits	2012-06-01	0
Number of other retired or separated participants entitled to future benefits	2012-06-01	0
Total of all active and inactive participants	2012-06-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-06-01	0
Total participants	2012-06-01	21
Number of participants with account balances	2012-06-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-06-01	0
2011: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-06-01	25
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	22
Number of retired or separated participants receiving benefits	2011-06-01	0
Number of other retired or separated participants entitled to future benefits	2011-06-01	0
Total of all active and inactive participants	2011-06-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-06-01	0
Total participants	2011-06-01	22
Number of participants with account balances	2011-06-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-06-01	0
2010: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-06-01	25
Total number of active participants reported on line 7a of the Form 5500	2010-06-01	25
Number of retired or separated participants receiving benefits	2010-06-01	0
Number of other retired or separated participants entitled to future benefits	2010-06-01	0
Total of all active and inactive participants	2010-06-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-06-01	0
Total participants	2010-06-01	25
Number of participants with account balances	2010-06-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-06-01	0

Financial Data on COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2023 : COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2023 401k financial data
Total income from all sources	2023-05-31	$154,507
Expenses. Total of all expenses incurred	2023-05-31	$1,369,615
Benefits paid (including direct rollovers)	2023-05-31	$1,368,840
Total plan assets at end of year	2023-05-31	$1,697,338
Total plan assets at beginning of year	2023-05-31	$2,912,446
Value of fidelity bond covering the plan	2023-05-31	$250,000
Total contributions received or receivable from participants	2023-05-31	$114,387
Expenses. Other expenses not covered elsewhere	2023-05-31	$775
Other income received	2023-05-31	$-14,672
Net income (gross income less expenses)	2023-05-31	$-1,215,108
Net plan assets at end of year (total assets less liabilities)	2023-05-31	$1,697,338
Net plan assets at beginning of year (total assets less liabilities)	2023-05-31	$2,912,446
Assets. Value of participant loans	2023-05-31	$8,735
Assets. Value of assets in partnership/joint-venture interests	2023-05-31	$12,744
Total contributions received or receivable from employer(s)	2023-05-31	$54,792
2022 : COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources	2022-05-31	$50,690
Expenses. Total of all expenses incurred	2022-05-31	$54,590
Benefits paid (including direct rollovers)	2022-05-31	$54,140
Total plan assets at end of year	2022-05-31	$2,912,446
Total plan assets at beginning of year	2022-05-31	$2,916,346
Value of fidelity bond covering the plan	2022-05-31	$250,000
Total contributions received or receivable from participants	2022-05-31	$97,241
Expenses. Other expenses not covered elsewhere	2022-05-31	$450
Other income received	2022-05-31	$-92,505
Net income (gross income less expenses)	2022-05-31	$-3,900
Net plan assets at end of year (total assets less liabilities)	2022-05-31	$2,912,446
Net plan assets at beginning of year (total assets less liabilities)	2022-05-31	$2,916,346
Assets. Value of participant loans	2022-05-31	$19,333
Assets. Value of assets in partnership/joint-venture interests	2022-05-31	$12,864
Total contributions received or receivable from employer(s)	2022-05-31	$45,954
2020 : COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-05-31	$193,173
Expenses. Total of all expenses incurred	2020-05-31	$2,977
Benefits paid (including direct rollovers)	2020-05-31	$2,541
Total plan assets at end of year	2020-05-31	$2,335,287
Total plan assets at beginning of year	2020-05-31	$2,145,091
Value of fidelity bond covering the plan	2020-05-31	$250,000
Total contributions received or receivable from participants	2020-05-31	$123,009
Other income received	2020-05-31	$22,219
Net income (gross income less expenses)	2020-05-31	$190,196
Net plan assets at end of year (total assets less liabilities)	2020-05-31	$2,335,287
Net plan assets at beginning of year (total assets less liabilities)	2020-05-31	$2,145,091
Assets. Value of participant loans	2020-05-31	$14,131
Assets. Value of assets in partnership/joint-venture interests	2020-05-31	$13,000
Total contributions received or receivable from employer(s)	2020-05-31	$47,945
Expenses. Administrative service providers (salaries,fees and commissions)	2020-05-31	$436
2019 : COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-05-31	$219,795
Expenses. Total of all expenses incurred	2019-05-31	$182,610
Benefits paid (including direct rollovers)	2019-05-31	$151,932
Total plan assets at end of year	2019-05-31	$2,145,091
Total plan assets at beginning of year	2019-05-31	$2,107,906
Value of fidelity bond covering the plan	2019-05-31	$250,000
Total contributions received or receivable from participants	2019-05-31	$100,948
Other income received	2019-05-31	$64,218
Net income (gross income less expenses)	2019-05-31	$37,185
Net plan assets at end of year (total assets less liabilities)	2019-05-31	$2,145,091
Net plan assets at beginning of year (total assets less liabilities)	2019-05-31	$2,107,906
Assets. Value of participant loans	2019-05-31	$11,025
Assets. Value of assets in partnership/joint-venture interests	2019-05-31	$13,052
Total contributions received or receivable from employer(s)	2019-05-31	$54,629
Expenses. Administrative service providers (salaries,fees and commissions)	2019-05-31	$30,678
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-05-31	$0
2018 : COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-05-31	$311,289
Expenses. Total of all expenses incurred	2018-05-31	$387,640
Benefits paid (including direct rollovers)	2018-05-31	$384,596
Total plan assets at end of year	2018-05-31	$2,107,906
Total plan assets at beginning of year	2018-05-31	$2,184,257
Value of fidelity bond covering the plan	2018-05-31	$250,000
Total contributions received or receivable from participants	2018-05-31	$88,758
Other income received	2018-05-31	$181,446
Net income (gross income less expenses)	2018-05-31	$-76,351
Net plan assets at end of year (total assets less liabilities)	2018-05-31	$2,107,906
Net plan assets at beginning of year (total assets less liabilities)	2018-05-31	$2,184,257
Assets. Value of participant loans	2018-05-31	$35,025
Assets. Value of assets in partnership/joint-venture interests	2018-05-31	$13,156
Total contributions received or receivable from employer(s)	2018-05-31	$41,085
Value of certain deemed distributions of participant loans	2018-05-31	$98
Expenses. Administrative service providers (salaries,fees and commissions)	2018-05-31	$2,946
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-05-31	$0
2017 : COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan	2017-05-31	$0
Total plan liabilities at end of year	2017-05-31	$0
Total plan liabilities at beginning of year	2017-05-31	$0
Total income from all sources	2017-05-31	$275,807
Expenses. Total of all expenses incurred	2017-05-31	$4,847
Benefits paid (including direct rollovers)	2017-05-31	$2,274
Total plan assets at end of year	2017-05-31	$2,184,257
Total plan assets at beginning of year	2017-05-31	$1,913,297
Value of fidelity bond covering the plan	2017-05-31	$250,000
Total contributions received or receivable from participants	2017-05-31	$68,422
Expenses. Other expenses not covered elsewhere	2017-05-31	$0
Contributions received from other sources (not participants or employers)	2017-05-31	$0
Other income received	2017-05-31	$167,465
Noncash contributions received	2017-05-31	$0
Net income (gross income less expenses)	2017-05-31	$270,960
Net plan assets at end of year (total assets less liabilities)	2017-05-31	$2,184,257
Net plan assets at beginning of year (total assets less liabilities)	2017-05-31	$1,913,297
Assets. Value of participant loans	2017-05-31	$59,807
Assets. Value of assets in partnership/joint-venture interests	2017-05-31	$3,000
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	2017-05-31	$3,178
Total contributions received or receivable from employer(s)	2017-05-31	$39,920
Value of certain deemed distributions of participant loans	2017-05-31	$0
Value of corrective distributions	2017-05-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-05-31	$2,573
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-05-31	$0
2016 : COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Transfers to/from the plan	2016-05-31	$0
Total plan liabilities at end of year	2016-05-31	$0
Total plan liabilities at beginning of year	2016-05-31	$0
Total income from all sources	2016-05-31	$34,274
Expenses. Total of all expenses incurred	2016-05-31	$2,660
Total plan assets at end of year	2016-05-31	$1,913,297
Total plan assets at beginning of year	2016-05-31	$1,881,683
Value of fidelity bond covering the plan	2016-05-31	$200,000
Total contributions received or receivable from participants	2016-05-31	$58,363
Other income received	2016-05-31	$-60,974
Net income (gross income less expenses)	2016-05-31	$31,614
Net plan assets at end of year (total assets less liabilities)	2016-05-31	$1,913,297
Net plan assets at beginning of year (total assets less liabilities)	2016-05-31	$1,881,683
Assets. Value of participant loans	2016-05-31	$13,853
Assets. Value of assets in partnership/joint-venture interests	2016-05-31	$3,000
Total contributions received or receivable from employer(s)	2016-05-31	$36,885
Expenses. Administrative service providers (salaries,fees and commissions)	2016-05-31	$2,660
2015 : COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan	2015-05-31	$0
Total plan liabilities at end of year	2015-05-31	$0
Total income from all sources	2015-05-31	$210,636
Expenses. Total of all expenses incurred	2015-05-31	$63,613
Benefits paid (including direct rollovers)	2015-05-31	$60,030
Total plan assets at end of year	2015-05-31	$1,881,683
Total plan assets at beginning of year	2015-05-31	$1,734,660
Value of fidelity bond covering the plan	2015-05-31	$200,000
Total contributions received or receivable from participants	2015-05-31	$52,514
Expenses. Other expenses not covered elsewhere	2015-05-31	$3,583
Contributions received from other sources (not participants or employers)	2015-05-31	$47,554
Other income received	2015-05-31	$71,766
Noncash contributions received	2015-05-31	$0
Net income (gross income less expenses)	2015-05-31	$147,023
Net plan assets at end of year (total assets less liabilities)	2015-05-31	$1,881,683
Net plan assets at beginning of year (total assets less liabilities)	2015-05-31	$1,734,660
Assets. Value of participant loans	2015-05-31	$23,588
Assets. Value of assets in partnership/joint-venture interests	2015-05-31	$3,000
Total contributions received or receivable from employer(s)	2015-05-31	$38,802
Value of certain deemed distributions of participant loans	2015-05-31	$0
Value of corrective distributions	2015-05-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-05-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-05-31	$0
2014 : COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-05-31	$249,622
Expenses. Total of all expenses incurred	2014-05-31	$158,585
Benefits paid (including direct rollovers)	2014-05-31	$151,936
Total plan assets at end of year	2014-05-31	$1,734,660
Total plan assets at beginning of year	2014-05-31	$1,643,623
Value of fidelity bond covering the plan	2014-05-31	$200,000
Total contributions received or receivable from participants	2014-05-31	$55,031
Expenses. Other expenses not covered elsewhere	2014-05-31	$3,253
Other income received	2014-05-31	$154,482
Net income (gross income less expenses)	2014-05-31	$91,037
Net plan assets at end of year (total assets less liabilities)	2014-05-31	$1,734,660
Net plan assets at beginning of year (total assets less liabilities)	2014-05-31	$1,643,623
Assets. Value of participant loans	2014-05-31	$24,474
Assets. Value of assets in partnership/joint-venture interests	2014-05-31	$3,000
Total contributions received or receivable from employer(s)	2014-05-31	$40,109
Value of certain deemed distributions of participant loans	2014-05-31	$3,396
2013 : COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-05-31	$216,961
Expenses. Total of all expenses incurred	2013-05-31	$3,498
Total plan assets at end of year	2013-05-31	$1,643,623
Total plan assets at beginning of year	2013-05-31	$1,430,160
Value of fidelity bond covering the plan	2013-05-31	$200,000
Total contributions received or receivable from participants	2013-05-31	$48,799
Expenses. Other expenses not covered elsewhere	2013-05-31	$3,498
Other income received	2013-05-31	$133,524
Net income (gross income less expenses)	2013-05-31	$213,463
Net plan assets at end of year (total assets less liabilities)	2013-05-31	$1,643,623
Net plan assets at beginning of year (total assets less liabilities)	2013-05-31	$1,430,160
Assets. Value of participant loans	2013-05-31	$19,817
Assets. Value of assets in partnership/joint-venture interests	2013-05-31	$3,000
Total contributions received or receivable from employer(s)	2013-05-31	$34,638
2012 : COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-05-31	$-61,411
Expenses. Total of all expenses incurred	2012-05-31	$22,470
Benefits paid (including direct rollovers)	2012-05-31	$18,239
Total plan assets at end of year	2012-05-31	$1,430,160
Total plan assets at beginning of year	2012-05-31	$1,514,041
Value of fidelity bond covering the plan	2012-05-31	$200,000
Total contributions received or receivable from participants	2012-05-31	$46,855
Other income received	2012-05-31	$-140,105
Net income (gross income less expenses)	2012-05-31	$-83,881
Net plan assets at end of year (total assets less liabilities)	2012-05-31	$1,430,160
Net plan assets at beginning of year (total assets less liabilities)	2012-05-31	$1,514,041
Assets. Value of participant loans	2012-05-31	$30,287
Assets. Value of assets in partnership/joint-venture interests	2012-05-31	$3,375
Total contributions received or receivable from employer(s)	2012-05-31	$31,839
Expenses. Administrative service providers (salaries,fees and commissions)	2012-05-31	$4,231
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-05-31	$0
2011 : COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-05-31	$267,112
Expenses. Total of all expenses incurred	2011-05-31	$17,522
Benefits paid (including direct rollovers)	2011-05-31	$17,116
Total plan assets at end of year	2011-05-31	$1,514,041
Total plan assets at beginning of year	2011-05-31	$1,264,451
Value of fidelity bond covering the plan	2011-05-31	$150,000
Total contributions received or receivable from participants	2011-05-31	$53,833
Contributions received from other sources (not participants or employers)	2011-05-31	$-766
Other income received	2011-05-31	$185,560
Net income (gross income less expenses)	2011-05-31	$249,590
Net plan assets at end of year (total assets less liabilities)	2011-05-31	$1,514,041
Net plan assets at beginning of year (total assets less liabilities)	2011-05-31	$1,264,451
Assets. Value of participant loans	2011-05-31	$42,710
Assets. Value of assets in partnership/joint-venture interests	2011-05-31	$14,493
Total contributions received or receivable from employer(s)	2011-05-31	$28,485
Expenses. Administrative service providers (salaries,fees and commissions)	2011-05-31	$406
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-05-31	$0

Form 5500 Responses for COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN

2022: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-06-01	Type of plan entity	Single employer plan
2022-06-01	Submission has been amended	No
2022-06-01	This submission is the final filing	No
2022-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-06-01	Plan is a collectively bargained plan	No
2022-06-01	Plan funding arrangement – Trust	Yes
2022-06-01	Plan benefit arrangement - Trust	Yes
2021: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-06-01	Type of plan entity	Single employer plan
2021-06-01	Submission has been amended	No
2021-06-01	This submission is the final filing	No
2021-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-06-01	Plan is a collectively bargained plan	No
2021-06-01	Plan funding arrangement – Trust	Yes
2021-06-01	Plan benefit arrangement - Trust	Yes
2019: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-06-01	Type of plan entity	Single employer plan
2019-06-01	Submission has been amended	No
2019-06-01	This submission is the final filing	No
2019-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-06-01	Plan is a collectively bargained plan	No
2019-06-01	Plan funding arrangement – Trust	Yes
2019-06-01	Plan benefit arrangement - Trust	Yes
2018: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-06-01	Type of plan entity	Single employer plan
2018-06-01	Submission has been amended	No
2018-06-01	This submission is the final filing	No
2018-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-06-01	Plan is a collectively bargained plan	No
2018-06-01	Plan funding arrangement – Insurance	Yes
2018-06-01	Plan funding arrangement – Trust	Yes
2018-06-01	Plan benefit arrangement - Trust	Yes
2017: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-06-01	Type of plan entity	Single employer plan
2017-06-01	Submission has been amended	No
2017-06-01	This submission is the final filing	No
2017-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-06-01	Plan is a collectively bargained plan	No
2017-06-01	Plan funding arrangement – Insurance	Yes
2017-06-01	Plan funding arrangement – Trust	Yes
2017-06-01	Plan benefit arrangement - Trust	Yes
2016: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-06-01	Type of plan entity	Single employer plan
2016-06-01	Plan funding arrangement – Insurance	Yes
2016-06-01	Plan funding arrangement – Trust	Yes
2016-06-01	Plan benefit arrangement - Trust	Yes
2015: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-06-01	Type of plan entity	Single employer plan
2015-06-01	Submission has been amended	No
2015-06-01	This submission is the final filing	No
2015-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-06-01	Plan is a collectively bargained plan	No
2015-06-01	Plan funding arrangement – Insurance	Yes
2015-06-01	Plan funding arrangement – Trust	Yes
2015-06-01	Plan benefit arrangement - Trust	Yes
2014: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Submission has been amended	No
2014-06-01	This submission is the final filing	No
2014-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-06-01	Plan is a collectively bargained plan	No
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan funding arrangement – Trust	Yes
2014-06-01	Plan benefit arrangement - Trust	Yes
2013: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Submission has been amended	No
2013-06-01	This submission is the final filing	No
2013-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-06-01	Plan is a collectively bargained plan	No
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan funding arrangement – Trust	Yes
2013-06-01	Plan benefit arrangement - Trust	Yes
2012: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan funding arrangement – Trust	Yes
2012-06-01	Plan benefit arrangement - Trust	Yes
2011: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Submission has been amended	No
2011-06-01	This submission is the final filing	No
2011-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-06-01	Plan is a collectively bargained plan	No
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan funding arrangement – Trust	Yes
2011-06-01	Plan benefit arrangement - Trust	Yes
2010: COIN & PROFESSIONAL EQUIPMENT CO., INC. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-06-01	Type of plan entity	Single employer plan
2010-06-01	Submission has been amended	No
2010-06-01	This submission is the final filing	No
2010-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-06-01	Plan is a collectively bargained plan	No
2010-06-01	Plan funding arrangement – Insurance	Yes
2010-06-01	Plan funding arrangement – Trust	Yes
2010-06-01	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

332036-01

Policy instance

Insurance contract or identification number	332036-01
Number of Individuals Covered	0
Insurance policy start date	2017-06-01
Insurance policy end date	2018-05-31
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

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

Policy contract number

332036-01

Policy instance

Insurance contract or identification number	332036-01
Number of Individuals Covered	15
Insurance policy start date	2015-06-01
Insurance policy end date	2016-05-31
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?	Yes
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
Other information about contract	GROUP ANNUITY CONTRACT

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

Policy contract number

332036-01

Policy instance

Insurance contract or identification number	332036-01
Number of Individuals Covered	13
Insurance policy start date	2014-06-01
Insurance policy end date	2015-05-31
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?	Yes
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
Other information about contract	GROUP ANNUITY CONTRACT

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

Policy contract number

332036-01

Policy instance

Insurance contract or identification number	332036-01
Number of Individuals Covered	13
Insurance policy start date	2013-06-01
Insurance policy end date	2014-05-31
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

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

Policy contract number

332036-01

Policy instance

Insurance contract or identification number	332036-01
Number of Individuals Covered	15
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
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

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

Policy contract number

332036-01

Policy instance

Insurance contract or identification number	332036-01
Number of Individuals Covered	13
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
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

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

Policy contract number

332036-01

Policy instance

Insurance contract or identification number	332036-01
Number of Individuals Covered	10
Insurance policy start date	2010-06-01
Insurance policy end date	2011-05-31
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

69474

Policy instance

Insurance contract or identification number	69474
Number of Individuals Covered	0
Insurance policy start date	2010-06-01
Insurance policy end date	2010-09-13
Total amount of commissions paid to insurance broker	USD $699
Total amount of fees paid to insurance company	USD $160
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
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
Commission paid to Insurance Broker	USD $699
Insurance broker organization code?	4
Amount paid for insurance broker fees	160
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	SOUTHEASTERN EMPLOYEE BENEFIT SERV

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Company Name:	COIN & PROFESSIONAL EQUIPMENT CO., INC.
Employer identification number (EIN):	860190329
NAIC Classification:	423990
NAIC Description:	Other Miscellaneous Durable Goods Merchant Wholesalers

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2014-06-30
Company Identification Number:	0802020805
Legal Registered Office Address:	3120 W WELDON AVE PHOENIX United States of America (USA) 85017