401k Plan data: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN plan

LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 401k Plan overview

Plan Name	LIFESTYLE HEARING CORPORATION, INC. 401K PLAN
Plan identification number	001

LIFESTYLE HEARING CORPORATION, INC. 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

LIFESTYLE HEARING CORPORATION, INC. has sponsored the creation of one or more 401k plans.

Company Name: LIFESTYLE HEARING CORPORATION, INC.

Employer identification number (EIN): 900884363

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFESTYLE HEARING CORPORATION, INC. 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 MARILYN GONZALEZ
001 2016-01-01 CRISTIANO TONINI
001 2015-01-01 MARY O'MALLEY
001 2014-01-01 DAVE DUTSON
001 2013-01-01 ALEX HERRERA 2014-06-09

Plan Statistics for LIFESTYLE HEARING CORPORATION, INC. 401K PLAN

401k plan membership statisitcs for LIFESTYLE HEARING CORPORATION, INC. 401K PLAN

Measure Date Value
2020: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 434
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 232
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 15
Total of all active and inactive participants 2020-01-01 247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 247
Number of participants with account balances 2020-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 15
2019: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 453
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 296
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 138
Total of all active and inactive participants 2019-01-01 434
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 434
Number of participants with account balances 2019-01-01 318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 54
2018: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 365
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 337
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 111
Total of all active and inactive participants 2018-01-01 448
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 448
Number of participants with account balances 2018-01-01 313
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 55
2017: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 329
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 303
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 74
Total of all active and inactive participants 2017-01-01 377
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 377
Number of participants with account balances 2017-01-01 246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 65
2016: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 177
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 293
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 36
Total of all active and inactive participants 2016-01-01 329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 329
Number of participants with account balances 2016-01-01 159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 25
2015: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 117
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 153
Number of retired or separated participants receiving benefits 2015-01-01 1
Number of other retired or separated participants entitled to future benefits 2015-01-01 23
Total of all active and inactive participants 2015-01-01 177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 177
Number of participants with account balances 2015-01-01 109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 31
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 82
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 12
Total of all active and inactive participants 2014-01-01 94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 94
Number of participants with account balances 2014-01-01 52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 6

Measure	Date	Value
2020: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	434
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	232
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	15
Total of all active and inactive participants	2020-01-01	247
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	247
Number of participants with account balances	2020-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	15
2019: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	453
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	296
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	138
Total of all active and inactive participants	2019-01-01	434
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	434
Number of participants with account balances	2019-01-01	318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	54
2018: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	365
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	337
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	111
Total of all active and inactive participants	2018-01-01	448
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	448
Number of participants with account balances	2018-01-01	313
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	55
2017: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	329
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	303
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	74
Total of all active and inactive participants	2017-01-01	377
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	377
Number of participants with account balances	2017-01-01	246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	65
2016: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	177
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	293
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	36
Total of all active and inactive participants	2016-01-01	329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	329
Number of participants with account balances	2016-01-01	159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	25
2015: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	117
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	153
Number of retired or separated participants receiving benefits	2015-01-01	1
Number of other retired or separated participants entitled to future benefits	2015-01-01	23
Total of all active and inactive participants	2015-01-01	177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	177
Number of participants with account balances	2015-01-01	109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	31
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	82
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	12
Total of all active and inactive participants	2014-01-01	94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	94
Number of participants with account balances	2014-01-01	52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	6

Financial Data on LIFESTYLE HEARING CORPORATION, INC. 401K PLAN

Measure	Date	Value
2020 : LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total transfer of assets from this plan	2020-12-31	$6,954,531
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$66,037
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$30,344
Total income from all sources (including contributions)	2020-12-31	$2,037,668
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,273,662
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,205,630
Value of total corrective distributions	2020-12-31	$61,805
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,210,898
Value of total assets at end of year	2020-12-31	$367,010
Value of total assets at beginning of year	2020-12-31	$6,521,842
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$6,227
Total interest from all sources	2020-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2020-12-31	$0
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$937,642
Participant contributions at end of year	2020-12-31	$64,845
Participant contributions at beginning of year	2020-12-31	$36,810
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$152,690
Assets. Loans (other than to participants) at end of year	2020-12-31	$2,421
Assets. Loans (other than to participants) at beginning of year	2020-12-31	$18,879
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$66,037
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$30,344
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$764,006
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$300,973
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$6,491,498
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in pooled separate accounts at end of year	2020-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$6,320,985
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$265,653
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$131,214
Net investment gain/loss from pooled separate accounts	2020-12-31	$826,770
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$120,566
Employer contributions (assets) at end of year	2020-12-31	$34,091
Employer contributions (assets) at beginning of year	2020-12-31	$13,954
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,205,630
Contract administrator fees	2020-12-31	$6,227
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	BERKOWITZ POLLACK BRANT
Accountancy firm EIN	2020-12-31	592742314
2019 : LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$30,344
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$30,344
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$9,333
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$9,333
Total income from all sources (including contributions)	2019-12-31	$2,851,229
Total income from all sources (including contributions)	2019-12-31	$2,851,229
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$804,790
Total of all expenses incurred	2019-12-31	$804,790
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$750,376
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$750,376
Value of total corrective distributions	2019-12-31	$19,467
Value of total corrective distributions	2019-12-31	$19,467
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,802,052
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,802,052
Value of total assets at end of year	2019-12-31	$6,521,842
Value of total assets at end of year	2019-12-31	$6,521,842
Value of total assets at beginning of year	2019-12-31	$4,454,392
Value of total assets at beginning of year	2019-12-31	$4,454,392
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$34,947
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$34,947
Total interest from all sources	2019-12-31	$279
Total interest from all sources	2019-12-31	$279
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Administrative expenses professional fees incurred	2019-12-31	$700
Administrative expenses professional fees incurred	2019-12-31	$700
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,287,912
Contributions received from participants	2019-12-31	$1,287,912
Participant contributions at end of year	2019-12-31	$36,810
Participant contributions at end of year	2019-12-31	$36,810
Participant contributions at beginning of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$154,475
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$154,475
Assets. Loans (other than to participants) at end of year	2019-12-31	$18,879
Assets. Loans (other than to participants) at end of year	2019-12-31	$18,879
Assets. Loans (other than to participants) at beginning of year	2019-12-31	$6,777
Assets. Loans (other than to participants) at beginning of year	2019-12-31	$6,777
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$30,344
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$30,344
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$9,333
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$9,333
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$2,046,439
Value of net income/loss	2019-12-31	$2,046,439
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$6,491,498
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$6,491,498
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$4,445,059
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$4,445,059
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$30,277
Investment advisory and management fees	2019-12-31	$30,277
Value of interest in pooled separate accounts at end of year	2019-12-31	$6,320,985
Value of interest in pooled separate accounts at end of year	2019-12-31	$6,320,985
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$4,385,463
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$4,385,463
Interest on participant loans	2019-12-31	$279
Interest on participant loans	2019-12-31	$279
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$131,214
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$131,214
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$62,152
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$62,152
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,048,898
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,048,898
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$359,665
Contributions received in cash from employer	2019-12-31	$359,665
Employer contributions (assets) at end of year	2019-12-31	$13,954
Employer contributions (assets) at end of year	2019-12-31	$13,954
Employer contributions (assets) at beginning of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$750,376
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$750,376
Contract administrator fees	2019-12-31	$3,970
Contract administrator fees	2019-12-31	$3,970
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BERKOWITZ POLLACK BRANT
Accountancy firm name	2019-12-31	BERKOWITZ POLLACK BRANT
Accountancy firm EIN	2019-12-31	592742314
Accountancy firm EIN	2019-12-31	592742314
2018 : LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$9,333
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$38,339
Total income from all sources (including contributions)	2018-12-31	$1,973,267
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$910,623
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$879,608
Value of total corrective distributions	2018-12-31	$8,371
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$2,332,032
Value of total assets at end of year	2018-12-31	$4,454,392
Value of total assets at beginning of year	2018-12-31	$3,420,754
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$22,644
Total interest from all sources	2018-12-31	$1,174
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	$400,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,284,002
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$704,999
Assets. Loans (other than to participants) at end of year	2018-12-31	$6,777
Assets. Loans (other than to participants) at beginning of year	2018-12-31	$8,202
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$9,333
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$38,339
Administrative expenses (other) incurred	2018-12-31	$956
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	$1,062,644
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$4,445,059
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$3,382,415
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
Investment advisory and management fees	2018-12-31	$21,488
Value of interest in pooled separate accounts at end of year	2018-12-31	$4,385,463
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$3,337,675
Interest on participant loans	2018-12-31	$286
Income. Interest from corporate debt instruments	2018-12-31	$888
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$62,152
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$74,877
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-359,939
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	$343,031
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$879,608
Contract administrator fees	2018-12-31	$200
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	BERKOWITZ POLLACK BRANT
Accountancy firm EIN	2018-12-31	592742314
2017 : LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 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	$38,339
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$2,109
Total income from all sources (including contributions)	2017-12-31	$2,059,929
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$488,572
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$435,677
Value of total corrective distributions	2017-12-31	$38,339
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,666,466
Value of total assets at end of year	2017-12-31	$3,420,754
Value of total assets at beginning of year	2017-12-31	$1,813,167
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$14,556
Total interest from all sources	2017-12-31	$1,221
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	No
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,007,624
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$37,998
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$395,068
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-12-31	$0
Assets. Loans (other than to participants) at end of year	2017-12-31	$8,202
Assets. Loans (other than to participants) at beginning of year	2017-12-31	$11,626
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$38,339
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$0
Administrative expenses (other) incurred	2017-12-31	$1,031
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
Income. Non cash contributions	2017-12-31	$0
Value of net income/loss	2017-12-31	$1,571,357
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$3,382,415
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,811,058
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
Investment advisory and management fees	2017-12-31	$13,325
Value of interest in pooled separate accounts at end of year	2017-12-31	$3,337,675
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$1,709,428
Interest on participant loans	2017-12-31	$437
Income. Interest from corporate debt instruments	2017-12-31	$784
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$74,877
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$48,346
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$392,242
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	Yes
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	$263,774
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$5,769
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$435,677
Contract administrator fees	2017-12-31	$200
Liabilities. Value of benefit claims payable at end of year	2017-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$2,109
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	BERKOWITZ POLLACK BRANT
Accountancy firm EIN	2017-12-31	592742314
2016 : LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 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	$2,109
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	$1,128,786
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$227,329
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$217,177
Value of total corrective distributions	2016-12-31	$3,267
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,013,568
Value of total assets at end of year	2016-12-31	$1,813,167
Value of total assets at beginning of year	2016-12-31	$909,601
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$6,885
Total interest from all sources	2016-12-31	$1,141
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Was this plan covered by a fidelity bond	2016-12-31	No
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	$596,834
Participant contributions at end of year	2016-12-31	$37,998
Participant contributions at beginning of year	2016-12-31	$17,506
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$262,395
Assets. Loans (other than to participants) at end of year	2016-12-31	$11,626
Assets. Loans (other than to participants) at beginning of year	2016-12-31	$6,275
Administrative expenses (other) incurred	2016-12-31	$494
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	$901,457
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,811,058
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$909,601
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
Investment advisory and management fees	2016-12-31	$6,191
Value of interest in pooled separate accounts at end of year	2016-12-31	$1,709,428
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$791,975
Interest on participant loans	2016-12-31	$379
Income. Interest from corporate debt instruments	2016-12-31	$762
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$48,346
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$89,053
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$114,077
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	Yes
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	$154,339
Employer contributions (assets) at end of year	2016-12-31	$5,769
Employer contributions (assets) at beginning of year	2016-12-31	$4,792
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$217,177
Contract administrator fees	2016-12-31	$200
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$2,109
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$0
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	BERKOWITZ POLLACK BRANT
Accountancy firm EIN	2016-12-31	592742314
2015 : LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$381,805
Expenses. Total of all expenses incurred	2015-12-31	$2,404
Benefits paid (including direct rollovers)	2015-12-31	$2,404
Total plan assets at end of year	2015-12-31	$909,601
Total plan assets at beginning of year	2015-12-31	$530,200
Total contributions received or receivable from participants	2015-12-31	$294,657
Contributions received from other sources (not participants or employers)	2015-12-31	$6,820
Other income received	2015-12-31	$-16,176
Net income (gross income less expenses)	2015-12-31	$379,401
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$909,601
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$530,200
Assets. Value of participant loans	2015-12-31	$6,275
Total contributions received or receivable from employer(s)	2015-12-31	$96,504
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$376,228
Total income from all sources	2014-12-31	$127,435
Expenses. Total of all expenses incurred	2014-12-31	$916
Benefits paid (including direct rollovers)	2014-12-31	$916
Total plan assets at end of year	2014-12-31	$530,200
Total plan assets at beginning of year	2014-12-31	$27,453
Total contributions received or receivable from participants	2014-12-31	$76,995
Contributions received from other sources (not participants or employers)	2014-12-31	$19,084
Other income received	2014-12-31	$5,154
Net income (gross income less expenses)	2014-12-31	$126,519
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$530,200
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$27,453
Total contributions received or receivable from employer(s)	2014-12-31	$26,202
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0

Form 5500 Responses for LIFESTYLE HEARING CORPORATION, INC. 401K PLAN

2020: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 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: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 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: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 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
2015: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: LIFESTYLE HEARING CORPORATION, INC. 401K PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

916496-01

Policy instance

Insurance contract or identification number	916496-01
Number of Individuals Covered	28
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

916496-01

Policy instance

Insurance contract or identification number	916496-01
Number of Individuals Covered	314
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

916496-01

Policy instance

Insurance contract or identification number	916496-01
Number of Individuals Covered	312
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

916496-01

Policy instance

Insurance contract or identification number	916496-01
Number of Individuals Covered	247
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

916496-01

Policy instance

Insurance contract or identification number	916496-01
Number of Individuals Covered	109
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
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

916496-01

Policy instance

Insurance contract or identification number	916496-01
Number of Individuals Covered	52
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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

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Company Name:	LIFESTYLE HEARING CORPORATION, INC.
Employer identification number (EIN):	900884363
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners