401k Plan data: THE FORTISS GROUP 401K PLAN plan

THE FORTISS GROUP 401K PLAN 401k Plan overview

Plan Name	THE FORTISS GROUP 401K PLAN
Plan identification number	001

THE FORTISS GROUP 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) received services of leased employees, as defined in Code section 414(n), during the plan year.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

FORTISS, LLC has sponsored the creation of one or more 401k plans.

Company Name: FORTISS, LLC

Employer identification number (EIN): 201057643

NAIC Classification: 713200
NAIC Description: Gambling Industries

Additional information about FORTISS, LLC

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 2004-05-12

Company Identification Number: 20041102924

Legal Registered Office Address: 917 TAHOE BLVD SUITE 100A

INCLINE VILLAGE
United States of America (USA)
89451

More information about FORTISS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE FORTISS GROUP 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 MICHAEL VASEY 2024-10-15
001 2022-01-01 MICHAEL VASEY 2023-10-13
001 2022-01-01 MICHAEL VASEY 2024-03-13 MICHAEL VASEY 2024-03-13
001 2021-01-01 MICHAEL VASEY 2022-10-17
001 2021-01-01 TOM CHAN 2023-04-27
001 2020-01-01 MICHAEL VASEY 2021-10-13
001 2019-01-01 MICHAEL VASEY 2020-10-15
001 2018-01-01 MICHAEL VASEY 2019-10-14
001 2017-01-01
001 2016-01-01 TOM CHAN
001 2015-01-01 TOM CHAN
001 2014-01-01 TOM CHAN
001 2013-01-01 TOM CHAN
001 2012-01-01 TOM CHAN
001 2011-01-01 TOM CHAN
001 2010-01-01 DAVID TIERNEY
001 2009-01-01 DAVID TIERNEY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	MICHAEL VASEY	2024-10-15
001	2022-01-01	MICHAEL VASEY	2023-10-13
001	2022-01-01	MICHAEL VASEY	2024-03-13	MICHAEL VASEY	2024-03-13
001	2021-01-01	MICHAEL VASEY	2022-10-17
001	2021-01-01	TOM CHAN	2023-04-27
001	2020-01-01	MICHAEL VASEY	2021-10-13
001	2019-01-01	MICHAEL VASEY	2020-10-15
001	2018-01-01	MICHAEL VASEY	2019-10-14
001	2017-01-01
001	2016-01-01	TOM CHAN
001	2015-01-01	TOM CHAN
001	2014-01-01	TOM CHAN
001	2013-01-01	TOM CHAN
001	2012-01-01	TOM CHAN
001	2011-01-01	TOM CHAN
001	2010-01-01	DAVID TIERNEY
001	2009-01-01	DAVID TIERNEY

Plan Statistics for THE FORTISS GROUP 401K PLAN

401k plan membership statisitcs for THE FORTISS GROUP 401K PLAN

Measure Date Value
2023: THE FORTISS GROUP 401K PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 1,607
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 1,576
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 145
Total of all active and inactive participants 2023-01-01 1,721
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2023-01-01 0
Total participants 2023-01-01 1,721
Number of participants with account balances 2023-01-01 978
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2023-01-01 11
2022: THE FORTISS GROUP 401K PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 656
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,439
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 137
Total of all active and inactive participants 2022-01-01 1,576
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 1,576
Number of participants with account balances 2022-01-01 938
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 7
2021: THE FORTISS GROUP 401K PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 602
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 424
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 128
Total of all active and inactive participants 2021-01-01 552
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 552
Number of participants with account balances 2021-01-01 347
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 2
2020: THE FORTISS GROUP 401K PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 734
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 609
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 105
Total of all active and inactive participants 2020-01-01 714
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 714
Number of participants with account balances 2020-01-01 347
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 6
2019: THE FORTISS GROUP 401K PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 705
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 619
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 103
Total of all active and inactive participants 2019-01-01 722
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 722
Number of participants with account balances 2019-01-01 350
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 5
2018: THE FORTISS GROUP 401K PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 675
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 595
Number of other retired or separated participants entitled to future benefits 2018-01-01 107
Total of all active and inactive participants 2018-01-01 702
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 702
Number of participants with account balances 2018-01-01 307
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 1
2017: THE FORTISS GROUP 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 657
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 560
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 101
Total of all active and inactive participants 2017-01-01 661
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 661
Number of participants with account balances 2017-01-01 280
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 1
2016: THE FORTISS GROUP 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 639
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 525
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 112
Total of all active and inactive participants 2016-01-01 637
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 637
Number of participants with account balances 2016-01-01 276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 6
2015: THE FORTISS GROUP 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 639
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 496
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 117
Total of all active and inactive participants 2015-01-01 613
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 613
Number of participants with account balances 2015-01-01 278
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 12
2014: THE FORTISS GROUP 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 708
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 491
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 114
Total of all active and inactive participants 2014-01-01 605
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 605
Number of participants with account balances 2014-01-01 229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 6
2013: THE FORTISS GROUP 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 747
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 579
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 105
Total of all active and inactive participants 2013-01-01 684
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 684
Number of participants with account balances 2013-01-01 252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 2
2012: THE FORTISS GROUP 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 679
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 576
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 130
Total of all active and inactive participants 2012-01-01 706
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 706
Number of participants with account balances 2012-01-01 267
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: THE FORTISS GROUP 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 963
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 508
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 158
Total of all active and inactive participants 2011-01-01 666
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 666
Number of participants with account balances 2011-01-01 297
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 68
2010: THE FORTISS GROUP 401K PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,316
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 695
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 214
Total of all active and inactive participants 2010-01-01 909
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 909
Number of participants with account balances 2010-01-01 541
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 209
2009: THE FORTISS GROUP 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,202
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 943
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 112
Total of all active and inactive participants 2009-01-01 1,055
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,055
Number of participants with account balances 2009-01-01 793
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 111

Measure	Date	Value
2023: THE FORTISS GROUP 401K PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	1,607
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	1,576
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	145
Total of all active and inactive participants	2023-01-01	1,721
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2023-01-01	0
Total participants	2023-01-01	1,721
Number of participants with account balances	2023-01-01	978
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2023-01-01	11
2022: THE FORTISS GROUP 401K PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	656
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,439
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	137
Total of all active and inactive participants	2022-01-01	1,576
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	1,576
Number of participants with account balances	2022-01-01	938
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	7
2021: THE FORTISS GROUP 401K PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	602
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	424
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	128
Total of all active and inactive participants	2021-01-01	552
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	552
Number of participants with account balances	2021-01-01	347
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	2
2020: THE FORTISS GROUP 401K PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	734
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	609
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	105
Total of all active and inactive participants	2020-01-01	714
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	714
Number of participants with account balances	2020-01-01	347
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	6
2019: THE FORTISS GROUP 401K PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	705
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	619
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	103
Total of all active and inactive participants	2019-01-01	722
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	722
Number of participants with account balances	2019-01-01	350
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	5
2018: THE FORTISS GROUP 401K PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	675
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	595
Number of other retired or separated participants entitled to future benefits	2018-01-01	107
Total of all active and inactive participants	2018-01-01	702
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	702
Number of participants with account balances	2018-01-01	307
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	1
2017: THE FORTISS GROUP 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	657
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	560
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	101
Total of all active and inactive participants	2017-01-01	661
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	661
Number of participants with account balances	2017-01-01	280
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	1
2016: THE FORTISS GROUP 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	639
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	525
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	112
Total of all active and inactive participants	2016-01-01	637
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	637
Number of participants with account balances	2016-01-01	276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	6
2015: THE FORTISS GROUP 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	639
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	496
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	117
Total of all active and inactive participants	2015-01-01	613
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	613
Number of participants with account balances	2015-01-01	278
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	12
2014: THE FORTISS GROUP 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	708
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	491
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	114
Total of all active and inactive participants	2014-01-01	605
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	605
Number of participants with account balances	2014-01-01	229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	6
2013: THE FORTISS GROUP 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	747
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	579
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	105
Total of all active and inactive participants	2013-01-01	684
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	684
Number of participants with account balances	2013-01-01	252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	2
2012: THE FORTISS GROUP 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	679
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	576
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	130
Total of all active and inactive participants	2012-01-01	706
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	706
Number of participants with account balances	2012-01-01	267
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: THE FORTISS GROUP 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	963
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	508
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	158
Total of all active and inactive participants	2011-01-01	666
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	666
Number of participants with account balances	2011-01-01	297
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	68
2010: THE FORTISS GROUP 401K PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,316
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	695
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	214
Total of all active and inactive participants	2010-01-01	909
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	909
Number of participants with account balances	2010-01-01	541
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	209
2009: THE FORTISS GROUP 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,202
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	943
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	112
Total of all active and inactive participants	2009-01-01	1,055
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,055
Number of participants with account balances	2009-01-01	793
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	111

Financial Data on THE FORTISS GROUP 401K PLAN

Measure	Date	Value
2023 : THE FORTISS GROUP 401K PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets	2023-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$27,164
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$37,592
Total income from all sources (including contributions)	2023-12-31	$11,758,999
Total loss/gain on sale of assets	2023-12-31	$0
Total of all expenses incurred	2023-12-31	$1,636,280
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$1,477,721
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$6,897,339
Value of total assets at end of year	2023-12-31	$38,194,084
Value of total assets at beginning of year	2023-12-31	$28,081,793
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$158,559
Total interest from all sources	2023-12-31	$46,148
Total dividends received (eg from common stock, registered investment company shares)	2023-12-31	$596,941
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2023-12-31	$596,941
Was this plan covered by a fidelity bond	2023-12-31	Yes
Value of fidelity bond cover	2023-12-31	$500,000
If this is an individual account plan, was there a blackout period	2023-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-12-31	No
Contributions received from participants	2023-12-31	$5,476,291
Participant contributions at end of year	2023-12-31	$899,125
Participant contributions at beginning of year	2023-12-31	$466,257
Participant contributions at end of year	2023-12-31	$0
Participant contributions at beginning of year	2023-12-31	$632
Income. Received or receivable in cash from other sources (including rollovers)	2023-12-31	$288,258
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2023-12-31	$27,164
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2023-12-31	$37,592
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Value of net income/loss	2023-12-31	$10,122,719
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$38,166,920
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$28,044,201
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-12-31	No
Were any leases to which the plan was party in default or uncollectible	2023-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-12-31	$32,436,012
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-12-31	$23,350,423
Interest on participant loans	2023-12-31	$46,148
Value of interest in common/collective trusts at end of year	2023-12-31	$4,858,947
Value of interest in common/collective trusts at beginning of year	2023-12-31	$4,258,176
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-12-31	$3,846,730
Net investment gain or loss from common/collective trusts	2023-12-31	$371,841
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-12-31	No
Was there a failure to transmit to the plan any participant contributions	2023-12-31	No
Has the plan failed to provide any benefit when due under the plan	2023-12-31	No
Contributions received in cash from employer	2023-12-31	$1,132,790
Employer contributions (assets) at end of year	2023-12-31	$0
Employer contributions (assets) at beginning of year	2023-12-31	$6,305
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$1,477,721
Contract administrator fees	2023-12-31	$158,559
Did the plan have assets held for investment	2023-12-31	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	2023-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-12-31	No
Opinion of an independent qualified public accountant for this plan	2023-12-31	Unqualified
Accountancy firm name	2023-12-31	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2023-12-31	954649521
2022 : THE FORTISS GROUP 401K PLAN 2022 401k financial data
Total transfer of assets to this plan	2022-12-31	$8,397,157
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$37,592
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$30,933
Total income from all sources (including contributions)	2022-12-31	$7,375,150
Total of all expenses incurred	2022-12-31	$830,984
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$751,393
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$9,758,569
Value of total assets at end of year	2022-12-31	$28,072,879
Value of total assets at beginning of year	2022-12-31	$13,162,489
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$79,591
Total interest from all sources	2022-12-31	$21,517
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$371,318
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$371,318
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$3,222,780
Participant contributions at end of year	2022-12-31	$464,280
Participant contributions at beginning of year	2022-12-31	$482,104
Participant contributions at end of year	2022-12-31	$632
Participant contributions at beginning of year	2022-12-31	$55,551
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$5,842,468
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$9,013
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$37,592
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$30,933
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$6,544,166
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$28,072,879
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$13,131,556
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$23,350,423
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$10,763,138
Interest on participant loans	2022-12-31	$21,517
Value of interest in common/collective trusts at end of year	2022-12-31	$4,258,176
Value of interest in common/collective trusts at beginning of year	2022-12-31	$1,840,215
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-2,598,352
Net investment gain/loss from pooled separate accounts	2022-12-31	$0
Net investment gain or loss from common/collective trusts	2022-12-31	$-177,902
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$693,321
Employer contributions (assets) at end of year	2022-12-31	$6,305
Employer contributions (assets) at beginning of year	2022-12-31	$12,468
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$751,393
Contract administrator fees	2022-12-31	$79,591
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2022-12-31	954649521
2021 : THE FORTISS GROUP 401K PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$30,933
Total income from all sources (including contributions)	2021-12-31	$3,333,904
Total of all expenses incurred	2021-12-31	$741,392
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$637,337
Expenses. Certain deemed distributions of participant loans	2021-12-31	$32,131
Value of total corrective distributions	2021-12-31	$29,351
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,580,449
Value of total assets at end of year	2021-12-31	$13,160,452
Value of total assets at beginning of year	2021-12-31	$10,567,940
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$71,924
Total interest from all sources	2021-12-31	$103,549
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
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	$1,248,127
Participant contributions at end of year	2021-12-31	$489,376
Participant contributions at beginning of year	2021-12-31	$529,135
Participant contributions at end of year	2021-12-31	$55,277
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$42,275
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$9,013
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$30,933
Other income not declared elsewhere	2021-12-31	$3,323
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	$14,751
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
Value of net income/loss	2021-12-31	$2,592,512
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$13,160,452
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$10,567,940
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
Investment advisory and management fees	2021-12-31	$71,924
Value of interest in pooled separate accounts at end of year	2021-12-31	$12,603,354
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$10,024,054
Interest on participant loans	2021-12-31	$26,401
Interest earned on other investments	2021-12-31	$77,148
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,649,906
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	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$290,047
Employer contributions (assets) at end of year	2021-12-31	$12,445
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$637,337
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
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2021-12-31	954649521
2020 : THE FORTISS GROUP 401K PLAN 2020 401k financial data
Expenses. Interest paid	2020-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$2,666,472
Total of all expenses incurred	2020-12-31	$2,032,611
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,946,928
Expenses. Certain deemed distributions of participant loans	2020-12-31	$0
Value of total corrective distributions	2020-12-31	$18,428
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,026,650
Value of total assets at end of year	2020-12-31	$10,567,940
Value of total assets at beginning of year	2020-12-31	$9,934,079
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$67,255
Total interest from all sources	2020-12-31	$30,922
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	$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	$756,031
Participant contributions at end of year	2020-12-31	$529,135
Participant contributions at beginning of year	2020-12-31	$547,015
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$56,457
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-12-31	$0
Other income not declared elsewhere	2020-12-31	$2,257
Total non interest bearing cash at end of year	2020-12-31	$14,751
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
Income. Non cash contributions	2020-12-31	$0
Value of net income/loss	2020-12-31	$633,861
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$10,567,940
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$9,934,079
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	$10,024,054
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$9,387,064
Interest on participant loans	2020-12-31	$30,922
Income. Interest from loans (other than to participants)	2020-12-31	$0
Income. Interest from US Government securities	2020-12-31	$0
Income. Interest from corporate debt instruments	2020-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$0
Net investment gain/loss from pooled separate accounts	2020-12-31	$1,606,643
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	$214,162
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,946,928
Contract administrator fees	2020-12-31	$67,255
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	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2020-12-31	954649521
2019 : THE FORTISS GROUP 401K PLAN 2019 401k financial data
Total transfer of assets to this plan	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$0
Total transfer of assets from this plan	2019-12-31	$0
Total transfer of assets from this plan	2019-12-31	$0
Expenses. Interest paid	2019-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2019-12-31	$0
Expenses. Interest paid	2019-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$3,029,352
Total income from all sources (including contributions)	2019-12-31	$3,029,352
Total of all expenses incurred	2019-12-31	$655,348
Total of all expenses incurred	2019-12-31	$655,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$565,521
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$565,521
Expenses. Certain deemed distributions of participant loans	2019-12-31	$17,568
Expenses. Certain deemed distributions of participant loans	2019-12-31	$17,568
Value of total corrective distributions	2019-12-31	$13,625
Value of total corrective distributions	2019-12-31	$13,625
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,329,656
Value of total assets at end of year	2019-12-31	$9,934,079
Value of total assets at end of year	2019-12-31	$9,934,079
Value of total assets at beginning of year	2019-12-31	$7,560,075
Value of total assets at beginning of year	2019-12-31	$7,560,075
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$58,634
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$58,634
Total interest from all sources	2019-12-31	$30,712
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	$0
Administrative expenses professional fees incurred	2019-12-31	$0
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	$1,049,397
Contributions received from participants	2019-12-31	$1,049,397
Participant contributions at end of year	2019-12-31	$547,015
Participant contributions at end of year	2019-12-31	$547,015
Participant contributions at beginning of year	2019-12-31	$490,125
Participant contributions at beginning of year	2019-12-31	$490,125
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$10,165
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$10,165
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-31	$0
Other income not declared elsewhere	2019-12-31	$402
Other income not declared elsewhere	2019-12-31	$402
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
Income. Non cash contributions	2019-12-31	$0
Income. Non cash contributions	2019-12-31	$0
Value of net income/loss	2019-12-31	$2,374,004
Value of net income/loss	2019-12-31	$2,374,004
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$9,934,079
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$7,560,075
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$7,560,075
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 leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$0
Investment advisory and management fees	2019-12-31	$0
Value of interest in pooled separate accounts at end of year	2019-12-31	$9,387,064
Value of interest in pooled separate accounts at end of year	2019-12-31	$9,387,064
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$7,069,950
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$7,069,950
Interest on participant loans	2019-12-31	$30,712
Interest on participant loans	2019-12-31	$30,712
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$0
Net investment gain/loss from pooled separate accounts	2019-12-31	$1,668,582
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
Contributions received in cash from employer	2019-12-31	$270,094
Contributions received in cash from employer	2019-12-31	$270,094
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$565,521
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$565,521
Contract administrator fees	2019-12-31	$58,634
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
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	MELONI HRIBAL TRATNER LLP
Accountancy firm name	2019-12-31	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2019-12-31	954649521
Accountancy firm EIN	2019-12-31	954649521
2018 : THE FORTISS GROUP 401K PLAN 2018 401k financial data
Total transfer of assets to this plan	2018-12-31	$0
Total transfer of assets from this plan	2018-12-31	$0
Expenses. Interest paid	2018-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$831,660
Total of all expenses incurred	2018-12-31	$355,314
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$310,121
Expenses. Certain deemed distributions of participant loans	2018-12-31	$0
Value of total corrective distributions	2018-12-31	$6,320
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,245,387
Value of total assets at end of year	2018-12-31	$7,560,075
Value of total assets at beginning of year	2018-12-31	$7,083,729
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$38,873
Total interest from all sources	2018-12-31	$21,841
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
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	$969,334
Participant contributions at end of year	2018-12-31	$490,125
Participant contributions at beginning of year	2018-12-31	$340,397
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$24,286
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$0
Other income not declared elsewhere	2018-12-31	$373
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
Income. Non cash contributions	2018-12-31	$0
Value of net income/loss	2018-12-31	$476,346
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$7,560,075
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$7,083,729
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	$0
Value of interest in pooled separate accounts at end of year	2018-12-31	$7,069,950
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$6,743,332
Interest on participant loans	2018-12-31	$21,841
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$0
Net investment gain/loss from pooled separate accounts	2018-12-31	$-435,941
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	$251,767
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$310,121
Contract administrator fees	2018-12-31	$38,873
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	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2018-12-31	954649521
2017 : THE FORTISS GROUP 401K PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$1,994,598
Total of all expenses incurred	2017-12-31	$399,227
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$357,873
Expenses. Certain deemed distributions of participant loans	2017-12-31	$14,168
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,097,410
Value of total assets at end of year	2017-12-31	$7,083,729
Value of total assets at beginning of year	2017-12-31	$5,488,358
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$27,186
Total interest from all sources	2017-12-31	$14,148
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$854,010
Participant contributions at end of year	2017-12-31	$340,397
Participant contributions at beginning of year	2017-12-31	$290,117
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$32,586
Other income not declared elsewhere	2017-12-31	$332
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,595,371
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$7,083,729
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$5,488,358
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$0
Value of interest in pooled separate accounts at end of year	2017-12-31	$6,743,332
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$5,198,241
Interest on participant loans	2017-12-31	$14,148
Net investment gain/loss from pooled separate accounts	2017-12-31	$882,708
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$210,814
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$357,873
Contract administrator fees	2017-12-31	$27,186
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	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2017-12-31	954649521
2016 : THE FORTISS GROUP 401K PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets	2016-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$0
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Expenses. Interest paid	2016-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,308,001
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$703,575
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$672,925
Expenses. Certain deemed distributions of participant loans	2016-12-31	$9,933
Value of total corrective distributions	2016-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$931,858
Value of total assets at end of year	2016-12-31	$5,488,358
Value of total assets at beginning of year	2016-12-31	$4,883,932
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$20,717
Total income from rents	2016-12-31	$0
Total interest from all sources	2016-12-31	$11,998
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$0
Administrative expenses professional fees incurred	2016-12-31	$0
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$758,737
Participant contributions at end of year	2016-12-31	$290,117
Participant contributions at beginning of year	2016-12-31	$310,200
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$0
Other income not declared elsewhere	2016-12-31	$290
Administrative expenses (other) incurred	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$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	2016-12-31	No
Income. Non cash contributions	2016-12-31	$0
Value of net income/loss	2016-12-31	$604,426
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$5,488,358
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,883,932
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	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$0
Value of interest in pooled separate accounts at end of year	2016-12-31	$5,198,241
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$4,573,732
Interest on participant loans	2016-12-31	$11,998
Income. Interest from loans (other than to participants)	2016-12-31	$0
Interest earned on other investments	2016-12-31	$0
Income. Interest from US Government securities	2016-12-31	$0
Income. Interest from corporate debt instruments	2016-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$0
Net investment gain/loss from pooled separate accounts	2016-12-31	$363,855
Net investment gain or loss from common/collective trusts	2016-12-31	$0
Net gain/loss from 103.12 investment entities	2016-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$173,121
Income. Dividends from preferred stock	2016-12-31	$0
Income. Dividends from common stock	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$672,925
Contract administrator fees	2016-12-31	$20,717
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
Aggregate proceeds on sale of assets	2016-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$0
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	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2016-12-31	954649521
2015 : THE FORTISS GROUP 401K PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets	2015-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$0
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Expenses. Interest paid	2015-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$907,340
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$344,622
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$318,013
Expenses. Certain deemed distributions of participant loans	2015-12-31	$0
Value of total corrective distributions	2015-12-31	$1,011
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$951,863
Value of total assets at end of year	2015-12-31	$4,883,932
Value of total assets at beginning of year	2015-12-31	$4,321,214
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$25,598
Total income from rents	2015-12-31	$0
Total interest from all sources	2015-12-31	$10,301
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$0
Administrative expenses professional fees incurred	2015-12-31	$0
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$721,055
Participant contributions at end of year	2015-12-31	$310,200
Participant contributions at beginning of year	2015-12-31	$212,938
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$58,799
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-12-31	$0
Administrative expenses (other) incurred	2015-12-31	$0
Total non interest bearing cash at end of year	2015-12-31	$0
Total non interest bearing cash at beginning of year	2015-12-31	$7,907
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Income. Non cash contributions	2015-12-31	$0
Value of net income/loss	2015-12-31	$562,718
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,883,932
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,321,214
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$0
Value of interest in pooled separate accounts at end of year	2015-12-31	$4,573,732
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$4,100,369
Interest on participant loans	2015-12-31	$10,301
Income. Interest from loans (other than to participants)	2015-12-31	$0
Interest earned on other investments	2015-12-31	$0
Income. Interest from US Government securities	2015-12-31	$0
Income. Interest from corporate debt instruments	2015-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$0
Net investment gain/loss from pooled separate accounts	2015-12-31	$-54,824
Net investment gain or loss from common/collective trusts	2015-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$172,009
Income. Dividends from preferred stock	2015-12-31	$0
Income. Dividends from common stock	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$318,013
Contract administrator fees	2015-12-31	$25,598
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Aggregate proceeds on sale of assets	2015-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2015-12-31	954649521
2014 : THE FORTISS GROUP 401K PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$0
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$0
Total transfer of assets from this plan	2014-12-31	$0
Expenses. Interest paid	2014-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$975,316
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,531,351
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,499,312
Expenses. Certain deemed distributions of participant loans	2014-12-31	$9,230
Value of total corrective distributions	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$771,030
Value of total assets at end of year	2014-12-31	$4,321,214
Value of total assets at beginning of year	2014-12-31	$4,877,249
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$22,809
Total income from rents	2014-12-31	$0
Total interest from all sources	2014-12-31	$10,411
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$0
Administrative expenses professional fees incurred	2014-12-31	$0
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$561,540
Participant contributions at end of year	2014-12-31	$212,938
Participant contributions at beginning of year	2014-12-31	$273,294
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$70,883
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$739
Administrative expenses (other) incurred	2014-12-31	$0
Total non interest bearing cash at end of year	2014-12-31	$7,907
Total non interest bearing cash at beginning of year	2014-12-31	$7,907
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Income. Non cash contributions	2014-12-31	$0
Value of net income/loss	2014-12-31	$-556,035
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,321,214
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,877,249
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$0
Value of interest in pooled separate accounts at end of year	2014-12-31	$4,100,369
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$4,596,048
Interest on participant loans	2014-12-31	$10,411
Income. Interest from loans (other than to participants)	2014-12-31	$0
Interest earned on other investments	2014-12-31	$0
Income. Interest from US Government securities	2014-12-31	$0
Income. Interest from corporate debt instruments	2014-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$0
Net investment gain/loss from pooled separate accounts	2014-12-31	$193,136
Net investment gain or loss from common/collective trusts	2014-12-31	$0
Net gain/loss from 103.12 investment entities	2014-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$138,607
Income. Dividends from preferred stock	2014-12-31	$0
Income. Dividends from common stock	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,499,312
Contract administrator fees	2014-12-31	$22,809
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Aggregate proceeds on sale of assets	2014-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2014-12-31	954649521
2013 : THE FORTISS GROUP 401K PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets	2013-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$0
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$0
Total transfer of assets from this plan	2013-12-31	$0
Expenses. Interest paid	2013-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,390,347
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$774,295
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$737,818
Expenses. Certain deemed distributions of participant loans	2013-12-31	$9,554
Value of total corrective distributions	2013-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$785,704
Value of total assets at end of year	2013-12-31	$4,877,249
Value of total assets at beginning of year	2013-12-31	$4,261,197
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$26,923
Total income from rents	2013-12-31	$0
Total interest from all sources	2013-12-31	$11,255
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$0
Administrative expenses professional fees incurred	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$492,840
Participant contributions at end of year	2013-12-31	$273,294
Participant contributions at beginning of year	2013-12-31	$229,930
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$146,821
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$0
Administrative expenses (other) incurred	2013-12-31	$142
Total non interest bearing cash at end of year	2013-12-31	$7,907
Total non interest bearing cash at beginning of year	2013-12-31	$8,049
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Income. Non cash contributions	2013-12-31	$0
Value of net income/loss	2013-12-31	$616,052
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,877,249
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,261,197
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$0
Value of interest in pooled separate accounts at end of year	2013-12-31	$4,596,048
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$4,023,218
Interest on participant loans	2013-12-31	$11,255
Income. Interest from loans (other than to participants)	2013-12-31	$0
Interest earned on other investments	2013-12-31	$0
Income. Interest from US Government securities	2013-12-31	$0
Income. Interest from corporate debt instruments	2013-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$0
Net investment gain/loss from pooled separate accounts	2013-12-31	$593,388
Net investment gain or loss from common/collective trusts	2013-12-31	$0
Net gain/loss from 103.12 investment entities	2013-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$146,043
Income. Dividends from preferred stock	2013-12-31	$0
Income. Dividends from common stock	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$737,818
Contract administrator fees	2013-12-31	$26,781
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Aggregate proceeds on sale of assets	2013-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2013-12-31	954649521
2012 : THE FORTISS GROUP 401K PLAN 2012 401k financial data
Total transfer of assets to this plan	2012-12-31	$0
Total transfer of assets from this plan	2012-12-31	$0
Expenses. Interest paid	2012-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$876,768
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$720,083
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$685,192
Expenses. Certain deemed distributions of participant loans	2012-12-31	$0
Value of total corrective distributions	2012-12-31	$1,398
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$517,157
Value of total assets at end of year	2012-12-31	$4,261,197
Value of total assets at beginning of year	2012-12-31	$4,104,512
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$33,493
Total income from rents	2012-12-31	$0
Total interest from all sources	2012-12-31	$9,918
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$0
Administrative expenses professional fees incurred	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$383,568
Participant contributions at end of year	2012-12-31	$229,930
Participant contributions at beginning of year	2012-12-31	$266,375
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$19,146
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-12-31	$0
Other income not declared elsewhere	2012-12-31	$142
Administrative expenses (other) incurred	2012-12-31	$0
Total non interest bearing cash at end of year	2012-12-31	$8,049
Total non interest bearing cash at beginning of year	2012-12-31	$11,622
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Income. Non cash contributions	2012-12-31	$0
Value of net income/loss	2012-12-31	$156,685
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,261,197
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$4,104,512
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$0
Value of interest in pooled separate accounts at end of year	2012-12-31	$4,023,218
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$3,826,515
Interest on participant loans	2012-12-31	$0
Income. Interest from loans (other than to participants)	2012-12-31	$9,918
Interest earned on other investments	2012-12-31	$0
Income. Interest from US Government securities	2012-12-31	$0
Income. Interest from corporate debt instruments	2012-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$0
Net investment gain/loss from pooled separate accounts	2012-12-31	$349,551
Net investment gain or loss from common/collective trusts	2012-12-31	$0
Net gain/loss from 103.12 investment entities	2012-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$114,443
Income. Dividends from preferred stock	2012-12-31	$0
Income. Dividends from common stock	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$685,192
Contract administrator fees	2012-12-31	$33,493
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2012-12-31	954649521
2011 : THE FORTISS GROUP 401K PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets	2011-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-228,063
Total unrealized appreciation/depreciation of assets	2011-12-31	$-228,063
Total transfer of assets to this plan	2011-12-31	$0
Total transfer of assets from this plan	2011-12-31	$3,956,510
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Expenses. Interest paid	2011-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$749,635
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,201,622
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,137,767
Expenses. Certain deemed distributions of participant loans	2011-12-31	$15,769
Value of total corrective distributions	2011-12-31	$6,861
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$958,453
Value of total assets at end of year	2011-12-31	$4,104,512
Value of total assets at beginning of year	2011-12-31	$8,513,009
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$41,225
Total income from rents	2011-12-31	$0
Total interest from all sources	2011-12-31	$19,245
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$0
Administrative expenses professional fees incurred	2011-12-31	$0
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$735,080
Participant contributions at end of year	2011-12-31	$266,375
Participant contributions at beginning of year	2011-12-31	$519,677
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$9,596
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$0
Other income not declared elsewhere	2011-12-31	$0
Administrative expenses (other) incurred	2011-12-31	$0
Total non interest bearing cash at end of year	2011-12-31	$11,622
Total non interest bearing cash at beginning of year	2011-12-31	$36,122
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Income. Non cash contributions	2011-12-31	$0
Value of net income/loss	2011-12-31	$-451,987
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$4,104,512
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$8,513,009
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$0
Value of interest in pooled separate accounts at end of year	2011-12-31	$3,826,515
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$7,957,210
Interest on participant loans	2011-12-31	$19,245
Income. Interest from loans (other than to participants)	2011-12-31	$0
Interest earned on other investments	2011-12-31	$0
Income. Interest from US Government securities	2011-12-31	$0
Income. Interest from corporate debt instruments	2011-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$0
Net investment gain/loss from pooled separate accounts	2011-12-31	$0
Net investment gain or loss from common/collective trusts	2011-12-31	$0
Net gain/loss from 103.12 investment entities	2011-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$213,777
Income. Dividends from preferred stock	2011-12-31	$0
Income. Dividends from common stock	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,137,767
Contract administrator fees	2011-12-31	$41,225
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	Yes
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2011-12-31	954649521
2010 : THE FORTISS GROUP 401K PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$648,447
Total unrealized appreciation/depreciation of assets	2010-12-31	$648,447
Total transfer of assets to this plan	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,952,142
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,378,105
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,303,461
Expenses. Certain deemed distributions of participant loans	2010-12-31	$9,858
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,282,705
Value of total assets at end of year	2010-12-31	$8,513,009
Value of total assets at beginning of year	2010-12-31	$7,938,972
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$64,786
Total interest from all sources	2010-12-31	$20,506
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$300,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,024,831
Participant contributions at end of year	2010-12-31	$519,677
Participant contributions at beginning of year	2010-12-31	$400,573
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$18,017
Other income not declared elsewhere	2010-12-31	$484
Administrative expenses (other) incurred	2010-12-31	$182
Total non interest bearing cash at end of year	2010-12-31	$36,122
Total non interest bearing cash at beginning of year	2010-12-31	$11,830
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Income. Non cash contributions	2010-12-31	$0
Value of net income/loss	2010-12-31	$574,037
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$8,513,009
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$7,938,972
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at end of year	2010-12-31	$7,957,210
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$7,526,569
Interest on participant loans	2010-12-31	$20,506
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$239,857
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,303,461
Contract administrator fees	2010-12-31	$64,604
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	MELONI HRIBAL TRATNER LLP
Accountancy firm EIN	2010-12-31	954649521
2009 : THE FORTISS GROUP 401K PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for THE FORTISS GROUP 401K PLAN

2023: THE FORTISS GROUP 401K PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Mulitple employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: THE FORTISS GROUP 401K PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Mulitple employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: THE FORTISS GROUP 401K PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Mulitple 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	Yes
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: THE FORTISS GROUP 401K PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Mulitple 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	Yes
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: THE FORTISS GROUP 401K PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Mulitple 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	Yes
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: THE FORTISS GROUP 401K PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Mulitple 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	Yes
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: THE FORTISS GROUP 401K PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Mulitple 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	Yes
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: THE FORTISS GROUP 401K PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Mulitple 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: THE FORTISS GROUP 401K PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Mulitple 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: THE FORTISS GROUP 401K PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple 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
2013: THE FORTISS GROUP 401K PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THE FORTISS GROUP 401K PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: THE FORTISS GROUP 401K PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: THE FORTISS GROUP 401K PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Mulitple employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: THE FORTISS GROUP 401K PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90841

Policy instance

Insurance contract or identification number	90841
Number of Individuals Covered	602
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $2,838
Total amount of fees paid to insurance company	USD $1,399
Are there contracts with unallocated funds for contracts of type 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 $2,402
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

58373

Policy instance

Insurance contract or identification number	58373
Number of Individuals Covered	602
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $3,115
Total amount of fees paid to insurance company	USD $3,334
Are there contracts with unallocated funds for contracts of type 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 $2,673
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSION
Insurance broker organization code?	3

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

58373

Policy instance

Insurance contract or identification number	58373
Number of Individuals Covered	602
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $3,115
Total amount of fees paid to insurance company	USD $3,334
Are there contracts with unallocated funds for contracts of type 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 $2,673
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSION
Insurance broker organization code?	3

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90841

Policy instance

Insurance contract or identification number	90841
Number of Individuals Covered	602
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $2,838
Total amount of fees paid to insurance company	USD $1,399
Are there contracts with unallocated funds for contracts of type 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 $2,402
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

58373

Policy instance

Insurance contract or identification number	58373
Number of Individuals Covered	158
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $9,039
Total amount of fees paid to insurance company	USD $5,689
Are there contracts with unallocated funds for contracts of type 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 $9,039
Insurance broker organization code?	3
Amount paid for insurance broker fees	5689
Additional information about fees paid to insurance broker	TPA ASSET CHARGES FOR FEES AND REVENUE SHARING

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90841

Policy instance

Insurance contract or identification number	90841
Number of Individuals Covered	260
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $9,742
Total amount of fees paid to insurance company	USD $12,221
Are there contracts with unallocated funds for contracts of type 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 $9,742
Insurance broker organization code?	3
Amount paid for insurance broker fees	12221
Additional information about fees paid to insurance broker	TPA ASSET CHARGES TO PAY FEES AND REVENUE SHARE

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90841

Policy instance

Insurance contract or identification number	90841
Number of Individuals Covered	256
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $8,386
Total amount of fees paid to insurance company	USD $3,616
Are there contracts with unallocated funds for contracts of type 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 $8,386
Insurance broker organization code?	3
Amount paid for insurance broker fees	3616
Additional information about fees paid to insurance broker	TPA FORUM COMPENSATION

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

58373

Policy instance

Insurance contract or identification number	58373
Number of Individuals Covered	160
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $8,161
Total amount of fees paid to insurance company	USD $2,042
Are there contracts with unallocated funds for contracts of type 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 $8,161
Insurance broker organization code?	3
Amount paid for insurance broker fees	2042
Additional information about fees paid to insurance broker	TPA FORUM COMPENSATION

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

58373

Policy instance

Insurance contract or identification number	58373
Number of Individuals Covered	159
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $7,686
Total amount of fees paid to insurance company	USD $1,923
Are there contracts with unallocated funds for contracts of type 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 $7,686
Insurance broker organization code?	3
Amount paid for insurance broker fees	1923
Additional information about fees paid to insurance broker	TPA FORUM COMPENSATION

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90841

Policy instance

Insurance contract or identification number	90841
Number of Individuals Covered	207
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $7,162
Total amount of fees paid to insurance company	USD $1,874
Are there contracts with unallocated funds for contracts of type 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 $7,162
Insurance broker organization code?	3
Amount paid for insurance broker fees	1874
Additional information about fees paid to insurance broker	TPA FORUM COMPENSATION

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90841

Policy instance

Insurance contract or identification number	90841
Number of Individuals Covered	177
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $5,676
Total amount of fees paid to insurance company	USD $1,423
Are there contracts with unallocated funds for contracts of type 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 $5,676
Insurance broker organization code?	3
Amount paid for insurance broker fees	1423
Additional information about fees paid to insurance broker	TPA FORUM COMPENSATION
Insurance broker name	QBI, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

58373

Policy instance

Insurance contract or identification number	58373
Number of Individuals Covered	163
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $6,681
Total amount of fees paid to insurance company	USD $1,671
Are there contracts with unallocated funds for contracts of type 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 $6,681
Insurance broker organization code?	3
Amount paid for insurance broker fees	1671
Additional information about fees paid to insurance broker	TPA FORUM COMPENSATION
Insurance broker name	QBI, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

58373

Policy instance

Insurance contract or identification number	58373
Number of Individuals Covered	173
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $6,325
Total amount of fees paid to insurance company	USD $1,587
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,021
Insurance broker organization code?	3
Amount paid for insurance broker fees	1587
Additional information about fees paid to insurance broker	TPA FORUM COMPENSATION PAID BY JOHN HANCOCK
Insurance broker name	CETERA ADVISOR NETWORKS, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90841

Policy instance

Insurance contract or identification number	90841
Number of Individuals Covered	162
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $2,935
Total amount of fees paid to insurance company	USD $739
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,364
Insurance broker organization code?	3
Amount paid for insurance broker fees	739
Additional information about fees paid to insurance broker	TPA FORUM COMPENSATION
Insurance broker name	CETERA ADVISOR NETWORKS, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

58373

Policy instance

Insurance contract or identification number	58373
Number of Individuals Covered	177
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $7,048
Total amount of fees paid to insurance company	USD $7,900
Are there contracts with unallocated funds for contracts of type 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 $3,524
Insurance broker organization code?	3
Amount paid for insurance broker fees	6128
Additional information about fees paid to insurance broker	TPA DISTRIBUTION AND LOAN FEES/PLAN ASSET CHARGES USED TO OFFSET QBI INVOICES
Insurance broker name	CAMBRIDGE INVESTMENT RESEARCH

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90841

Policy instance

Insurance contract or identification number	90841
Number of Individuals Covered	107
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,113
Total amount of fees paid to insurance company	USD $3,935
Are there contracts with unallocated funds for contracts of type 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 $1,057
Insurance broker organization code?	3
Amount paid for insurance broker fees	3400
Additional information about fees paid to insurance broker	TPA LOAN AND DISTRIBUTION FEES/PLAN ASSET CHARGES USED TO OFFSET INVOICES
Insurance broker name	FINANCIAL TELESIS, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

58373

Policy instance

Insurance contract or identification number	58373
Number of Individuals Covered	220
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $7,129
Total amount of fees paid to insurance company	USD $9,599
Are there contracts with unallocated funds for contracts of type 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 $3,245
Insurance broker organization code?	3
Amount paid for insurance broker fees	7806
Additional information about fees paid to insurance broker	TPA FEES FOR LOANS AND DISTRIBUTIONS PAID BY THE PARTICIPANTS
Insurance broker name	FINANCIAL TELESIS, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90841

Policy instance

Insurance contract or identification number	90841
Number of Individuals Covered	87
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $1,665
Total amount of fees paid to insurance company	USD $2,669
Are there contracts with unallocated funds for contracts of type 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 $1,140
Insurance broker organization code?	3
Amount paid for insurance broker fees	2243
Additional information about fees paid to insurance broker	TPA FEES PAID THROUGH THE PARTICIPANT ACCOUNTS
Insurance broker name	FINANCIAL TELESIS, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90841

Policy instance

Insurance contract or identification number	90841
Number of Individuals Covered	68
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,250
Total amount of fees paid to insurance company	USD $1,740
Are there contracts with unallocated funds for contracts of type 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 $1,250
Insurance broker organization code?	3
Amount paid for insurance broker fees	326
Additional information about fees paid to insurance broker	TPA FORUM COMPENSATION FEES PAID BY JOHN HANCOCK
Insurance broker name	QBI, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

58373

Policy instance

Insurance contract or identification number	58373
Number of Individuals Covered	260
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $6,865
Total amount of fees paid to insurance company	USD $18,321
Are there contracts with unallocated funds for contracts of type 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 $3,433
Insurance broker organization code?	3
Amount paid for insurance broker fees	1770
Additional information about fees paid to insurance broker	TPA FORUM COMPENSATION PAID BY JOHN HANCOCK
Insurance broker name	QBI, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90841

Policy instance

Insurance contract or identification number	90841
Number of Individuals Covered	41
Insurance policy start date	2011-01-23
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $1,087
Total amount of fees paid to insurance company	USD $1,436
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

58373

Policy instance

Insurance contract or identification number	58373
Number of Individuals Covered	699
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $13,205
Total amount of fees paid to insurance company	USD $17,625
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

90841

Policy instance

Insurance contract or identification number	90841
Number of Individuals Covered	42
Insurance policy start date	2010-01-23
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $591
Total amount of fees paid to insurance company	USD $2,023
Are there contracts with unallocated funds for contracts of type 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 $591
Insurance broker organization code?	3
Amount paid for insurance broker fees	845
Additional information about fees paid to insurance broker	TPA QUARTERLY PARTICIPANT FEES TAKEN FROM PARTICIPANTS ACCOUNTS
Insurance broker name	QBI, LLC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

58373

Policy instance

Insurance contract or identification number	58373
Number of Individuals Covered	998
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $15,466
Total amount of fees paid to insurance company	USD $36,659
Are there contracts with unallocated funds for contracts of type 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 $7,733
Insurance broker organization code?	3
Amount paid for insurance broker fees	32757
Additional information about fees paid to insurance broker	TPA ANNUAL FEES PAID QUARTERLY FROM PARTICIPANT ACCOUNTS
Insurance broker name	QBI, LLC

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Company Name:	FORTISS, LLC
Employer identification number (EIN):	201057643
NAIC Classification:	713200
NAIC Description:	Gambling Industries

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	2004-05-12
Company Identification Number:	20041102924
Legal Registered Office Address:	917 TAHOE BLVD SUITE 100A INCLINE VILLAGE United States of America (USA) 89451