401k Plan data: TSUDA USA 401(K) PLAN plan

TSUDA USA 401(K) PLAN 401k Plan overview

Plan Name	TSUDA USA 401(K) PLAN
Plan identification number	001

TSUDA USA 401(K) 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

TSUDA USA CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: TSUDA USA CORPORATION

Employer identification number (EIN): 990381676

NAIC Classification: 333610

Additional information about TSUDA USA CORPORATION

Jurisdiction of Incorporation: Indiana Secretary of State

Incorporation Date:

Company Identification Number: 012092500115

More information about TSUDA USA CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TSUDA USA 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01 MARK BERARDI 2021-10-05 MARK BERARDI 2021-10-05
001 2019-01-01 MARK BERARDI 2020-10-14 MARK BERARDI 2020-10-14
001 2018-01-01 MARIA DEER 2019-12-18 KIM WILLIAMS 2019-12-18
001 2018-01-01 MARK BERARDI 2019-10-14 MARK BERARDI 2019-10-14
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01 MARIA DEERE 2015-10-09 MARIA DEERE 2015-10-09

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01	MARK BERARDI	2021-10-05	MARK BERARDI	2021-10-05
001	2019-01-01	MARK BERARDI	2020-10-14	MARK BERARDI	2020-10-14
001	2018-01-01	MARIA DEER	2019-12-18	KIM WILLIAMS	2019-12-18
001	2018-01-01	MARK BERARDI	2019-10-14	MARK BERARDI	2019-10-14
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01	MARIA DEERE	2015-10-09	MARIA DEERE	2015-10-09

Plan Statistics for TSUDA USA 401(K) PLAN

401k plan membership statisitcs for TSUDA USA 401(K) PLAN

Measure Date Value
2022: TSUDA USA 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 176
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 0
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 0
Number of participants with account balances 2022-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: TSUDA USA 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 200
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 131
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 45
Total of all active and inactive participants 2021-01-01 176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 176
Number of participants with account balances 2021-01-01 106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 44
2020: TSUDA USA 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 266
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 151
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 47
Total of all active and inactive participants 2020-01-01 198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 198
Number of participants with account balances 2020-01-01 109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 22
2019: TSUDA USA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 267
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 440
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 22
Total of all active and inactive participants 2019-01-01 462
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 462
Number of participants with account balances 2019-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 10
2018: TSUDA USA 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 128
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 252
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 22
Total of all active and inactive participants 2018-01-01 274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 274
Number of participants with account balances 2018-01-01 84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 16

Measure	Date	Value
2022: TSUDA USA 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	176
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	0
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	0
Number of participants with account balances	2022-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: TSUDA USA 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	200
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	131
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	45
Total of all active and inactive participants	2021-01-01	176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	176
Number of participants with account balances	2021-01-01	106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	44
2020: TSUDA USA 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	266
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	151
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	47
Total of all active and inactive participants	2020-01-01	198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	198
Number of participants with account balances	2020-01-01	109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	22
2019: TSUDA USA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	267
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	440
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	22
Total of all active and inactive participants	2019-01-01	462
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	462
Number of participants with account balances	2019-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	10
2018: TSUDA USA 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	252
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	22
Total of all active and inactive participants	2018-01-01	274
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	274
Number of participants with account balances	2018-01-01	84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	16

Financial Data on TSUDA USA 401(K) PLAN

Measure	Date	Value
2022 : TSUDA USA 401(K) PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets	2022-05-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2022-05-31	$0
Total unrealized appreciation/depreciation of assets	2022-05-31	$0
Total transfer of assets from this plan	2022-05-31	$2,838,362
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-05-31	$0
Expenses. Interest paid	2022-05-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2022-05-31	$0
Total income from all sources (including contributions)	2022-05-31	$-449,527
Total loss/gain on sale of assets	2022-05-31	$0
Total of all expenses incurred	2022-05-31	$208,401
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-05-31	$188,459
Expenses. Certain deemed distributions of participant loans	2022-05-31	$0
Value of total corrective distributions	2022-05-31	$1,254
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-05-31	$141,098
Value of total assets at end of year	2022-05-31	$0
Value of total assets at beginning of year	2022-05-31	$3,496,290
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-05-31	$18,688
Total income from rents	2022-05-31	$0
Total interest from all sources	2022-05-31	$897
Total dividends received (eg from common stock, registered investment company shares)	2022-05-31	$7,697
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-05-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2022-05-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2022-05-31	$7,697
Assets. Real estate other than employer real property at end of year	2022-05-31	$0
Assets. Real estate other than employer real property at beginning of year	2022-05-31	$0
Administrative expenses professional fees incurred	2022-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2022-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2022-05-31	$0
Was this plan covered by a fidelity bond	2022-05-31	Yes
Value of fidelity bond cover	2022-05-31	$500,000
If this is an individual account plan, was there a blackout period	2022-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-05-31	No
Contributions received from participants	2022-05-31	$63,281
Participant contributions at end of year	2022-05-31	$0
Participant contributions at beginning of year	2022-05-31	$59,070
Participant contributions at end of year	2022-05-31	$0
Participant contributions at beginning of year	2022-05-31	$0
Assets. Other investments not covered elsewhere at end of year	2022-05-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2022-05-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-05-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2022-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-05-31	$0
Assets. Loans (other than to participants) at end of year	2022-05-31	$0
Assets. Loans (other than to participants) at beginning of year	2022-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-05-31	$0
Other income not declared elsewhere	2022-05-31	$0
Administrative expenses (other) incurred	2022-05-31	$0
Total non interest bearing cash at end of year	2022-05-31	$0
Total non interest bearing cash at beginning of year	2022-05-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-05-31	No
Income. Non cash contributions	2022-05-31	$0
Value of net income/loss	2022-05-31	$-657,928
Value of net assets at end of year (total assets less liabilities)	2022-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2022-05-31	$3,496,290
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-05-31	No
Were any leases to which the plan was party in default or uncollectible	2022-05-31	No
Assets. partnership/joint venture interests at end of year	2022-05-31	$0
Assets. partnership/joint venture interests at beginning of year	2022-05-31	$0
Investment advisory and management fees	2022-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-05-31	$3,409,932
Interest on participant loans	2022-05-31	$689
Income. Interest from loans (other than to participants)	2022-05-31	$0
Interest earned on other investments	2022-05-31	$208
Income. Interest from US Government securities	2022-05-31	$0
Income. Interest from corporate debt instruments	2022-05-31	$0
Value of interest in master investment trust accounts at end of year	2022-05-31	$0
Value of interest in master investment trust accounts at beginning of year	2022-05-31	$0
Value of interest in common/collective trusts at end of year	2022-05-31	$0
Value of interest in common/collective trusts at beginning of year	2022-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-05-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-05-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2022-05-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2022-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-05-31	$27,288
Expenses. Payments to insurance carriers foe the provision of benefits	2022-05-31	$0
Asset value of US Government securities at end of year	2022-05-31	$0
Asset value of US Government securities at beginning of year	2022-05-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-05-31	$-599,219
Net investment gain/loss from pooled separate accounts	2022-05-31	$0
Net investment gain or loss from common/collective trusts	2022-05-31	$0
Net gain/loss from 103.12 investment entities	2022-05-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-05-31	No
Was there a failure to transmit to the plan any participant contributions	2022-05-31	No
Has the plan failed to provide any benefit when due under the plan	2022-05-31	No
Assets. Invements in employer securities at end of year	2022-05-31	$0
Assets. Invements in employer securities at beginning of year	2022-05-31	$0
Assets. Value of employer real property at end of year	2022-05-31	$0
Assets. Value of employer real property at beginning of year	2022-05-31	$0
Contributions received in cash from employer	2022-05-31	$77,817
Employer contributions (assets) at end of year	2022-05-31	$0
Employer contributions (assets) at beginning of year	2022-05-31	$0
Income. Dividends from preferred stock	2022-05-31	$0
Income. Dividends from common stock	2022-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-05-31	$188,459
Asset. Corporate debt instrument preferred debt at end of year	2022-05-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2022-05-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2022-05-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2022-05-31	$0
Contract administrator fees	2022-05-31	$18,688
Assets. Corporate common stocks other than exployer securities at end of year	2022-05-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-05-31	$0
Liabilities. Value of benefit claims payable at end of year	2022-05-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2022-05-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2022-05-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2022-05-31	$0
Did the plan have assets held for investment	2022-05-31	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	2022-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-05-31	Yes
Aggregate proceeds on sale of assets	2022-05-31	$0
Aggregate carrying amount (costs) on sale of assets	2022-05-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2022-05-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2022-05-31	$0
Opinion of an independent qualified public accountant for this plan	2022-05-31	Unqualified
Accountancy firm name	2022-05-31	HOTTA LIESENBERG SAITO LLP
Accountancy firm EIN	2022-05-31	263613575
2021 : TSUDA USA 401(K) PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets	2021-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2021-12-31	$0
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Expenses. Interest paid	2021-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$854,473
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$527,944
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$493,264
Expenses. Certain deemed distributions of participant loans	2021-12-31	$0
Value of total corrective distributions	2021-12-31	$6,656
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$413,763
Value of total assets at end of year	2021-12-31	$3,496,290
Value of total assets at beginning of year	2021-12-31	$3,169,761
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$28,024
Total income from rents	2021-12-31	$0
Total interest from all sources	2021-12-31	$3,301
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$133,893
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$133,893
Assets. Real estate other than employer real property at end of year	2021-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2021-12-31	$0
Administrative expenses professional fees incurred	2021-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2021-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2021-12-31	$0
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$254,384
Participant contributions at end of year	2021-12-31	$59,070
Participant contributions at beginning of year	2021-12-31	$66,944
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2021-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2021-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$0
Assets. Loans (other than to participants) at end of year	2021-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2021-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$0
Other income not declared elsewhere	2021-12-31	$439
Administrative expenses (other) incurred	2021-12-31	$0
Total non interest bearing cash at end of year	2021-12-31	$0
Total non interest bearing cash at beginning of year	2021-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Income. Non cash contributions	2021-12-31	$0
Value of net income/loss	2021-12-31	$326,529
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$3,496,290
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$3,169,761
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Assets. partnership/joint venture interests at end of year	2021-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2021-12-31	$0
Investment advisory and management fees	2021-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$3,409,932
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$3,089,371
Interest on participant loans	2021-12-31	$2,856
Income. Interest from loans (other than to participants)	2021-12-31	$0
Interest earned on other investments	2021-12-31	$445
Income. Interest from US Government securities	2021-12-31	$0
Income. Interest from corporate debt instruments	2021-12-31	$0
Value of interest in master investment trust accounts at end of year	2021-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2021-12-31	$0
Value of interest in common/collective trusts at end of year	2021-12-31	$0
Value of interest in common/collective trusts at beginning of year	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2021-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2021-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$27,288
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$13,446
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$0
Asset value of US Government securities at end of year	2021-12-31	$0
Asset value of US Government securities at beginning of year	2021-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$303,077
Net investment gain/loss from pooled separate accounts	2021-12-31	$0
Net investment gain or loss from common/collective trusts	2021-12-31	$0
Net gain/loss from 103.12 investment entities	2021-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Assets. Invements in employer securities at end of year	2021-12-31	$0
Assets. Invements in employer securities at beginning of year	2021-12-31	$0
Assets. Value of employer real property at end of year	2021-12-31	$0
Assets. Value of employer real property at beginning of year	2021-12-31	$0
Contributions received in cash from employer	2021-12-31	$159,379
Employer contributions (assets) at end of year	2021-12-31	$0
Employer contributions (assets) at beginning of year	2021-12-31	$0
Income. Dividends from preferred stock	2021-12-31	$0
Income. Dividends from common stock	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$493,264
Asset. Corporate debt instrument preferred debt at end of year	2021-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2021-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2021-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2021-12-31	$0
Contract administrator fees	2021-12-31	$28,024
Assets. Corporate common stocks other than exployer securities at end of year	2021-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2021-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2021-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2021-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2021-12-31	$0
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Aggregate proceeds on sale of assets	2021-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2021-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2021-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2021-12-31	$0
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	HOTTA LIESENBERG SAITO LLP
Accountancy firm EIN	2021-12-31	263613575
2020 : TSUDA USA 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$633,996
Total of all expenses incurred	2020-12-31	$248,722
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$244,721
Expenses. Certain deemed distributions of participant loans	2020-12-31	$53
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$384,616
Value of total assets at end of year	2020-12-31	$3,169,761
Value of total assets at beginning of year	2020-12-31	$2,784,487
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$3,948
Total interest from all sources	2020-12-31	$3,103
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$316,977
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$236,444
Participant contributions at end of year	2020-12-31	$66,944
Participant contributions at beginning of year	2020-12-31	$49,860
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$385,274
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$3,169,761
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$2,784,487
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 registered invesment companies (eg mutual funds) at end of year	2020-12-31	$3,089,371
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$2,715,673
Income. Interest from loans (other than to participants)	2020-12-31	$3,103
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$13,446
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$18,954
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$246,277
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	$148,172
Employer contributions (assets) at end of year	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$244,721
Contract administrator fees	2020-12-31	$3,948
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	HOTTA LIESENBERG SAITO LLP
Accountancy firm EIN	2020-12-31	263613575
2019 : TSUDA USA 401(K) 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	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$962,590
Total income from all sources (including contributions)	2019-12-31	$962,590
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	$197,666
Total of all expenses incurred	2019-12-31	$197,666
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$192,515
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$192,515
Expenses. Certain deemed distributions of participant loans	2019-12-31	$76
Expenses. Certain deemed distributions of participant loans	2019-12-31	$76
Value of total corrective distributions	2019-12-31	$2,980
Value of total corrective distributions	2019-12-31	$2,980
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$437,500
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$437,500
Value of total assets at end of year	2019-12-31	$2,784,487
Value of total assets at end of year	2019-12-31	$2,784,487
Value of total assets at beginning of year	2019-12-31	$2,019,563
Value of total assets at beginning of year	2019-12-31	$2,019,563
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$2,095
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$2,095
Total interest from all sources	2019-12-31	$3,122
Total interest from all sources	2019-12-31	$3,122
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
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	$278,449
Value of fidelity bond cover	2019-12-31	$278,449
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
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	$248,243
Contributions received from participants	2019-12-31	$248,243
Participant contributions at end of year	2019-12-31	$49,860
Participant contributions at end of year	2019-12-31	$49,860
Participant contributions at beginning of year	2019-12-31	$51,649
Participant contributions at beginning of year	2019-12-31	$51,649
Participant contributions at end of year	2019-12-31	$0
Participant contributions at end of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$0
Administrative expenses (other) incurred	2019-12-31	$0
Administrative expenses (other) incurred	2019-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	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	$764,924
Value of net income/loss	2019-12-31	$764,924
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,784,487
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,784,487
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,019,563
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,019,563
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,715,673
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,715,673
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,956,114
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,956,114
Interest on participant loans	2019-12-31	$2,955
Interest on participant loans	2019-12-31	$2,955
Interest earned on other investments	2019-12-31	$167
Interest earned on other investments	2019-12-31	$167
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$18,954
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$18,954
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$11,800
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$11,800
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$521,968
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$521,968
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	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
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	$189,257
Contributions received in cash from employer	2019-12-31	$189,257
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at end of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$192,515
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$192,515
Contract administrator fees	2019-12-31	$2,095
Contract administrator fees	2019-12-31	$2,095
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	HOTTA LIESENBERG SAITO LLP
Accountancy firm name	2019-12-31	HOTTA LIESENBERG SAITO LLP
Accountancy firm EIN	2019-12-31	263613575
Accountancy firm EIN	2019-12-31	263613575
2018 : TSUDA USA 401(K) 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$272,109
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$167,651
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$162,325
Value of total corrective distributions	2018-12-31	$3,743
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$440,832
Value of total assets at end of year	2018-12-31	$2,021,480
Value of total assets at beginning of year	2018-12-31	$1,917,022
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$1,583
Total interest from all sources	2018-12-31	$1,977
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	$202,148
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$228,391
Participant contributions at end of year	2018-12-31	$53,566
Participant contributions at beginning of year	2018-12-31	$28,259
Participant contributions at beginning of year	2018-12-31	$7,842
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$39,133
Administrative expenses (other) incurred	2018-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$104,458
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$2,021,480
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,917,022
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,956,114
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,874,510
Interest on participant loans	2018-12-31	$1,977
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$11,800
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-170,700
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	$173,308
Employer contributions (assets) at beginning of year	2018-12-31	$6,411
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$162,325
Contract administrator fees	2018-12-31	$1,583
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	HOTTA LIESENBERG SAITO LLP
Accountancy firm EIN	2018-12-31	263613575

Form 5500 Responses for TSUDA USA 401(K) PLAN

2022: TSUDA USA 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	Yes
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: TSUDA USA 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: TSUDA USA 401(K) 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
2019: TSUDA USA 401(K) 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
2018: TSUDA USA 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	Yes
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

Insurance Providers Used on plan

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

Policy contract number

916303-01

Policy instance

Insurance contract or identification number	916303-01
Number of Individuals Covered	0
Insurance policy start date	2022-01-01
Insurance policy end date	2022-05-31
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

916303-01

Policy instance

Insurance contract or identification number	916303-01
Number of Individuals Covered	3
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
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

916303-01

Policy instance

Insurance contract or identification number	916303-01
Number of Individuals Covered	6
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $4
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4
Insurance broker organization code?	3

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

Policy contract number

916303-01

Policy instance

Insurance contract or identification number	916303-01
Number of Individuals Covered	123
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $9,357
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,357
Insurance broker organization code?	3

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

Policy contract number

916303-01

Policy instance

Insurance contract or identification number	916303-01
Number of Individuals Covered	84
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $8,579
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,579
Insurance broker organization code?	3

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Company Name:	TSUDA USA CORPORATION
Employer identification number (EIN):	990381676
NAIC Classification:	333610

Jurisdiction of Incorporation:	Indiana Secretary of State
Incorporation Date:
Company Identification Number:	012092500115