401k Plan data: FOSTA TEK OPTICS, INC. 401(K) PLAN plan

FOSTA TEK OPTICS, INC. 401(K) PLAN 401k Plan overview

Plan Name	FOSTA TEK OPTICS, INC. 401(K) PLAN
Plan identification number	001

FOSTA TEK OPTICS, INC. 401(K) 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.

401k Sponsoring company profile

FOSTA TEK OPTICS, INC. has sponsored the creation of one or more 401k plans.

Company Name: FOSTA TEK OPTICS, INC.

Employer identification number (EIN): 043128044

NAIC Classification: 339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FOSTA TEK OPTICS, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 SUZANNE SAUDELLI 2024-07-15 SUZANNE SAUDELLI 2024-07-15
001 2022-01-01 SUZANNE SAUDELLI 2023-07-18 SUZANNE SAUDELLI 2023-07-18
001 2021-01-01 TRACY STURGILL 2022-03-18 TRACY STURGILL 2022-03-18
001 2020-01-01 AMY HUNTER 2021-04-15 AMY HUNTER 2021-04-15
001 2019-01-01 AMY HUNTER 2020-03-11 AMY HUNTER 2020-03-11
001 2018-01-01 SUE SAUDELLI 2019-05-14 SUE SAUDELLI 2019-05-14
001 2017-01-01 SUE SAUDELLI 2018-07-25 SUE SAUDELLI 2018-07-25
001 2016-01-01 JOHN MORRISON, JR. 2017-05-19 JOHN MORRISON, JR. 2017-05-19
001 2015-01-01 JOHN MORRISON, JR.
001 2014-01-01 JOHN MORRISON, JR.
001 2013-01-01 JOHN MORRISON, JR.
001 2012-01-01 JOHN MORRISON, JR.
001 2011-01-01 JOHN MORRISON, JR.
001 2009-01-01 JOHN MORRISON, JR.

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	SUZANNE SAUDELLI	2024-07-15	SUZANNE SAUDELLI	2024-07-15
001	2022-01-01	SUZANNE SAUDELLI	2023-07-18	SUZANNE SAUDELLI	2023-07-18
001	2021-01-01	TRACY STURGILL	2022-03-18	TRACY STURGILL	2022-03-18
001	2020-01-01	AMY HUNTER	2021-04-15	AMY HUNTER	2021-04-15
001	2019-01-01	AMY HUNTER	2020-03-11	AMY HUNTER	2020-03-11
001	2018-01-01	SUE SAUDELLI	2019-05-14	SUE SAUDELLI	2019-05-14
001	2017-01-01	SUE SAUDELLI	2018-07-25	SUE SAUDELLI	2018-07-25
001	2016-01-01	JOHN MORRISON, JR.	2017-05-19	JOHN MORRISON, JR.	2017-05-19
001	2015-01-01	JOHN MORRISON, JR.
001	2014-01-01	JOHN MORRISON, JR.
001	2013-01-01	JOHN MORRISON, JR.
001	2012-01-01	JOHN MORRISON, JR.
001	2011-01-01	JOHN MORRISON, JR.
001	2009-01-01	JOHN MORRISON, JR.

Plan Statistics for FOSTA TEK OPTICS, INC. 401(K) PLAN

401k plan membership statisitcs for FOSTA TEK OPTICS, INC. 401(K) PLAN

Measure Date Value
2015: FOSTA TEK OPTICS, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 99
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 78
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 7
Total of all active and inactive participants 2015-01-01 85
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 85
Number of participants with account balances 2015-01-01 57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: FOSTA TEK OPTICS, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 82
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 17
Total of all active and inactive participants 2014-01-01 99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 99
Number of participants with account balances 2014-01-01 70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: FOSTA TEK OPTICS, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 108
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 14
Total of all active and inactive participants 2013-01-01 122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 122
Number of participants with account balances 2013-01-01 76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: FOSTA TEK OPTICS, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 157
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 132
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 15
Total of all active and inactive participants 2012-01-01 147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 147
Number of participants with account balances 2012-01-01 83
2011: FOSTA TEK OPTICS, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 148
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 9
Total of all active and inactive participants 2011-01-01 157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 157
Number of participants with account balances 2011-01-01 88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: FOSTA TEK OPTICS, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 145
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 7
Total of all active and inactive participants 2009-01-01 152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 152
Number of participants with account balances 2009-01-01 82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: FOSTA TEK OPTICS, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	99
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	78
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	7
Total of all active and inactive participants	2015-01-01	85
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	85
Number of participants with account balances	2015-01-01	57
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: FOSTA TEK OPTICS, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	82
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	17
Total of all active and inactive participants	2014-01-01	99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	99
Number of participants with account balances	2014-01-01	70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: FOSTA TEK OPTICS, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	108
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	14
Total of all active and inactive participants	2013-01-01	122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	122
Number of participants with account balances	2013-01-01	76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: FOSTA TEK OPTICS, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	157
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	132
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	15
Total of all active and inactive participants	2012-01-01	147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	147
Number of participants with account balances	2012-01-01	83
2011: FOSTA TEK OPTICS, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	148
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	9
Total of all active and inactive participants	2011-01-01	157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	157
Number of participants with account balances	2011-01-01	88
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: FOSTA TEK OPTICS, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	145
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	7
Total of all active and inactive participants	2009-01-01	152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	152
Number of participants with account balances	2009-01-01	82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on FOSTA TEK OPTICS, INC. 401(K) PLAN

Measure	Date	Value
2015 : FOSTA TEK OPTICS, INC. 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$152,709
Expenses. Total of all expenses incurred	2015-12-31	$821,912
Benefits paid (including direct rollovers)	2015-12-31	$819,383
Total plan assets at end of year	2015-12-31	$3,776,190
Total plan assets at beginning of year	2015-12-31	$4,445,393
Value of fidelity bond covering the plan	2015-12-31	$500,000
Total contributions received or receivable from participants	2015-12-31	$133,998
Contributions received from other sources (not participants or employers)	2015-12-31	$11,926
Other income received	2015-12-31	$-29,004
Net income (gross income less expenses)	2015-12-31	$-669,203
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$3,776,190
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$4,445,393
Assets. Value of participant loans	2015-12-31	$104,506
Total contributions received or receivable from employer(s)	2015-12-31	$35,789
Value of corrective distributions	2015-12-31	$327
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$2,202
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : FOSTA TEK OPTICS, INC. 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$383,387
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$402,333
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$399,469
Value of total corrective distributions	2014-12-31	$1,004
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$176,576
Value of total assets at end of year	2014-12-31	$4,445,393
Value of total assets at beginning of year	2014-12-31	$4,464,339
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$1,860
Total interest from all sources	2014-12-31	$6,042
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
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	$142,672
Participant contributions at end of year	2014-12-31	$95,248
Participant contributions at beginning of year	2014-12-31	$97,788
Total non interest bearing cash at end of year	2014-12-31	$0
Total non interest bearing cash at beginning of year	2014-12-31	$3,295
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
Value of net income/loss	2014-12-31	$-18,946
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,445,393
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,464,339
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
Value of interest in pooled separate accounts at end of year	2014-12-31	$4,349,524
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$4,362,524
Interest on participant loans	2014-12-31	$6,042
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$621
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$732
Net investment gain/loss from pooled separate accounts	2014-12-31	$200,769
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	$33,904
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$399,469
Contract administrator fees	2014-12-31	$1,860
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
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	CARON & BLETZER, PLLC
Accountancy firm EIN	2014-12-31	043499945
2013 : FOSTA TEK OPTICS, INC. 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,002,593
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$407,459
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$401,178
Value of total corrective distributions	2013-12-31	$4,779
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$254,263
Value of total assets at end of year	2013-12-31	$4,464,339
Value of total assets at beginning of year	2013-12-31	$3,869,205
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,502
Total interest from all sources	2013-12-31	$5,001
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
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	$202,739
Participant contributions at end of year	2013-12-31	$97,788
Participant contributions at beginning of year	2013-12-31	$118,890
Total non interest bearing cash at end of year	2013-12-31	$3,295
Total non interest bearing cash at beginning of year	2013-12-31	$3,161
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
Value of net income/loss	2013-12-31	$595,134
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,464,339
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,869,205
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
Value of interest in pooled separate accounts at end of year	2013-12-31	$4,362,524
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$3,746,505
Interest on participant loans	2013-12-31	$5,001
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$732
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$649
Net investment gain/loss from pooled separate accounts	2013-12-31	$743,329
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	$51,524
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$401,178
Contract administrator fees	2013-12-31	$1,502
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
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	CARON & BLETZER, PLLC
Accountancy firm EIN	2013-12-31	043499945
2012 : FOSTA TEK OPTICS, INC. 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$773,876
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$202,803
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$187,978
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$291,270
Value of total assets at end of year	2012-12-31	$3,869,205
Value of total assets at beginning of year	2012-12-31	$3,298,132
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$14,825
Total interest from all sources	2012-12-31	$6,452
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
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$250,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$229,305
Participant contributions at end of year	2012-12-31	$118,890
Participant contributions at beginning of year	2012-12-31	$114,911
Total non interest bearing cash at end of year	2012-12-31	$3,161
Total non interest bearing cash at beginning of year	2012-12-31	$2,665
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
Value of net income/loss	2012-12-31	$571,073
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,869,205
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,298,132
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
Value of interest in pooled separate accounts at end of year	2012-12-31	$3,746,505
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$3,171,874
Interest on participant loans	2012-12-31	$6,452
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$649
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$8,682
Net investment gain/loss from pooled separate accounts	2012-12-31	$476,154
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	$61,965
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$187,978
Contract administrator fees	2012-12-31	$14,825
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
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	AUERR, ZAJAC & ASSOCIATES, LLP
Accountancy firm EIN	2012-12-31	043125991
2011 : FOSTA TEK OPTICS, INC. 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$237,586
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$125,103
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$107,364
Value of total corrective distributions	2011-12-31	$3,015
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$351,210
Value of total assets at end of year	2011-12-31	$3,298,132
Value of total assets at beginning of year	2011-12-31	$3,185,649
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$14,724
Total interest from all sources	2011-12-31	$5,927
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
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$250,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
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	$244,943
Participant contributions at end of year	2011-12-31	$114,911
Participant contributions at beginning of year	2011-12-31	$111,574
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$44,112
Total non interest bearing cash at end of year	2011-12-31	$2,665
Total non interest bearing cash at beginning of year	2011-12-31	$2,004
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
Value of net income/loss	2011-12-31	$112,483
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,298,132
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,185,649
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
Value of interest in pooled separate accounts at end of year	2011-12-31	$3,171,874
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$3,064,001
Interest on participant loans	2011-12-31	$5,850
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$77
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$8,682
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$8,070
Net investment gain/loss from pooled separate accounts	2011-12-31	$-119,551
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	$62,155
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$107,364
Contract administrator fees	2011-12-31	$14,724
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
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	AUERR, ZAJAC & ASSOCIATES, LLP
Accountancy firm EIN	2011-12-31	043125991
2010 : FOSTA TEK OPTICS, INC. 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	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	$681,803
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$221,673
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$201,830
Value of total corrective distributions	2010-12-31	$4,293
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$301,711
Value of total assets at end of year	2010-12-31	$3,185,649
Value of total assets at beginning of year	2010-12-31	$2,725,519
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$15,550
Total interest from all sources	2010-12-31	$6,151
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	$250,000
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	$241,242
Participant contributions at end of year	2010-12-31	$111,574
Participant contributions at beginning of year	2010-12-31	$95,613
Total non interest bearing cash at end of year	2010-12-31	$2,004
Total non interest bearing cash at beginning of year	2010-12-31	$1,829
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
Value of net income/loss	2010-12-31	$460,130
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,185,649
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,725,519
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	$3,064,001
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$2,620,118
Interest on participant loans	2010-12-31	$6,038
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$113
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$8,070
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$7,959
Net investment gain/loss from pooled separate accounts	2010-12-31	$373,941
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	$60,469
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$201,830
Contract administrator fees	2010-12-31	$15,550
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	AUERR, ZAJAC & ASSOCIATES, LLP
Accountancy firm EIN	2010-12-31	043125991
2009 : FOSTA TEK OPTICS, INC. 401(K) 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 FOSTA TEK OPTICS, INC. 401(K) PLAN

2015: FOSTA TEK OPTICS, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: FOSTA TEK OPTICS, INC. 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: FOSTA TEK OPTICS, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single 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	No
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: FOSTA TEK OPTICS, INC. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single 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: FOSTA TEK OPTICS, INC. 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single 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
2009: FOSTA TEK OPTICS, INC. 401(K) 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

16844

Policy instance

Insurance contract or identification number	16844
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-30
Total amount of commissions paid to insurance broker	USD $10,438
Total amount of fees paid to insurance company	USD $3,852
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?	Yes
Commission paid to Insurance Broker	USD $8,031
Insurance broker organization code?	3
Amount paid for insurance broker fees	2152
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	SWERDLIN NORTHEAST, LLC

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

Policy contract number

16844

Policy instance

Insurance contract or identification number	16844
Number of Individuals Covered	78
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $10,967
Total amount of fees paid to insurance company	USD $3,557
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?	Yes
Commission paid to Insurance Broker	USD $10,967
Insurance broker organization code?	3
Amount paid for insurance broker fees	2257
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	PENRET SERVICES, INC.

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

Policy contract number

16844

Policy instance

Insurance contract or identification number	16844
Number of Individuals Covered	86
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $10,092
Total amount of fees paid to insurance company	USD $3,074
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?	Yes
Commission paid to Insurance Broker	USD $10,092
Insurance broker organization code?	3
Amount paid for insurance broker fees	2074
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	PENRET SERVICES, INC.

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

Policy contract number

16844

Policy instance

Insurance contract or identification number	16844
Number of Individuals Covered	92
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $9,017
Total amount of fees paid to insurance company	USD $3,807
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?	Yes
Commission paid to Insurance Broker	USD $9,017
Insurance broker organization code?	3
Amount paid for insurance broker fees	2000
Additional information about fees paid to insurance broker	TPA LOAN FEES
Insurance broker name	PENRET SERVICES, INC.

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

Policy contract number

16844

Policy instance

Insurance contract or identification number	16844
Number of Individuals Covered	98
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $8,291
Total amount of fees paid to insurance company	USD $2,958
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?	Yes

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

Policy contract number

16844

Policy instance

Insurance contract or identification number	16844
Number of Individuals Covered	94
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $6,876
Total amount of fees paid to insurance company	USD $2,568
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?	Yes
Commission paid to Insurance Broker	USD $6,876
Insurance broker organization code?	3
Amount paid for insurance broker fees	1368
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	PENRET SERVICES, INC.

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Company Name:	FOSTA TEK OPTICS, INC.
Employer identification number (EIN):	043128044
NAIC Classification:	339900