401k Plan data: GREAT PERFORMANCES 401(K) PLAN plan

GREAT PERFORMANCES 401(K) PLAN 401k Plan overview

Plan Name	GREAT PERFORMANCES 401(K) PLAN
Plan identification number	003

GREAT PERFORMANCES 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

GREAT PERFORMANCES ARTISTS AS WAITRESSES INC. has sponsored the creation of one or more 401k plans.

Company Name: GREAT PERFORMANCES ARTISTS AS WAITRESSES INC.

Employer identification number (EIN): 133008895

NAIC Classification: 722300
NAIC Description: Special Food Services

Additional information about GREAT PERFORMANCES ARTISTS AS WAITRESSES INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1979-12-07

Company Identification Number: 539790

Legal Registered Office Address: 2417 Third Avenue
Suite 300
Bronx
United States of America (USA)
10451

More information about GREAT PERFORMANCES ARTISTS AS WAITRESSES INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREAT PERFORMANCES 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01
003 2021-01-01
003 2021-01-01
003 2020-01-01
003 2019-01-01
003 2018-01-01
003 2017-01-01 MINDY BIRNBAUM MINDY BIRNBAUM 2018-10-15
003 2016-03-01 PATTI MITTELMAN PATTI MITTELMAN 2017-11-29

Plan Statistics for GREAT PERFORMANCES 401(K) PLAN

401k plan membership statisitcs for GREAT PERFORMANCES 401(K) PLAN

Measure Date Value
2022: GREAT PERFORMANCES 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 5,611
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 591
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 22
Total of all active and inactive participants 2022-01-01 613
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 613
Number of participants with account balances 2022-01-01 68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: GREAT PERFORMANCES 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,226
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1,410
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 24
Total of all active and inactive participants 2021-01-01 1,434
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 1,434
Number of participants with account balances 2021-01-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: GREAT PERFORMANCES 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 937
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 685
Number of retired or separated participants receiving benefits 2020-01-01 1
Number of other retired or separated participants entitled to future benefits 2020-01-01 13
Total of all active and inactive participants 2020-01-01 699
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 699
Number of participants with account balances 2020-01-01 62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: GREAT PERFORMANCES 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 732
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 738
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 13
Total of all active and inactive participants 2019-01-01 751
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 751
Number of participants with account balances 2019-01-01 61
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: GREAT PERFORMANCES 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 564
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 642
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 12
Total of all active and inactive participants 2018-01-01 655
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 655
Number of participants with account balances 2018-01-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: GREAT PERFORMANCES 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 569
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 576
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 13
Total of all active and inactive participants 2017-01-01 589
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 589
Number of participants with account balances 2017-01-01 52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: GREAT PERFORMANCES 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-03-01 504
Total number of active participants reported on line 7a of the Form 5500 2016-03-01 545
Number of retired or separated participants receiving benefits 2016-03-01 0
Number of other retired or separated participants entitled to future benefits 2016-03-01 3
Total of all active and inactive participants 2016-03-01 548
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-03-01 0
Total participants 2016-03-01 548
Number of participants with account balances 2016-03-01 41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-03-01 0

Measure	Date	Value
2022: GREAT PERFORMANCES 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	5,611
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	591
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	22
Total of all active and inactive participants	2022-01-01	613
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	613
Number of participants with account balances	2022-01-01	68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: GREAT PERFORMANCES 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,226
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1,410
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	24
Total of all active and inactive participants	2021-01-01	1,434
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	1,434
Number of participants with account balances	2021-01-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: GREAT PERFORMANCES 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	937
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	685
Number of retired or separated participants receiving benefits	2020-01-01	1
Number of other retired or separated participants entitled to future benefits	2020-01-01	13
Total of all active and inactive participants	2020-01-01	699
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	699
Number of participants with account balances	2020-01-01	62
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: GREAT PERFORMANCES 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	732
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	738
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	13
Total of all active and inactive participants	2019-01-01	751
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	751
Number of participants with account balances	2019-01-01	61
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: GREAT PERFORMANCES 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	564
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	642
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	12
Total of all active and inactive participants	2018-01-01	655
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	655
Number of participants with account balances	2018-01-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: GREAT PERFORMANCES 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	569
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	576
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	13
Total of all active and inactive participants	2017-01-01	589
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	589
Number of participants with account balances	2017-01-01	52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: GREAT PERFORMANCES 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-03-01	504
Total number of active participants reported on line 7a of the Form 5500	2016-03-01	545
Number of retired or separated participants receiving benefits	2016-03-01	0
Number of other retired or separated participants entitled to future benefits	2016-03-01	3
Total of all active and inactive participants	2016-03-01	548
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-03-01	0
Total participants	2016-03-01	548
Number of participants with account balances	2016-03-01	41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-03-01	0

Financial Data on GREAT PERFORMANCES 401(K) PLAN

Measure	Date	Value
2022 : GREAT PERFORMANCES 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$20,567
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$27,827
Total income from all sources (including contributions)	2022-12-31	$-133,544
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$102,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$58,560
Expenses. Certain deemed distributions of participant loans	2022-12-31	$4,451
Value of total corrective distributions	2022-12-31	$20,567
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$306,094
Value of total assets at end of year	2022-12-31	$2,428,469
Value of total assets at beginning of year	2022-12-31	$2,671,293
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$18,442
Total interest from all sources	2022-12-31	$341
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
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	$306,094
Participant contributions at end of year	2022-12-31	$4,668
Participant contributions at beginning of year	2022-12-31	$34,459
Participant contributions at beginning of year	2022-12-31	$5,635
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$20,567
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$27,827
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	$-235,564
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,407,902
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$2,643,466
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	$2,381,972
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,601,601
Interest on participant loans	2022-12-31	$341
Value of interest in common/collective trusts at end of year	2022-12-31	$41,695
Value of interest in common/collective trusts at beginning of year	2022-12-31	$29,420
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$134
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$178
Net investment gain or loss from common/collective trusts	2022-12-31	$-439,979
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$58,560
Contract administrator fees	2022-12-31	$18,442
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	TEMPLETON & COMPANY, LLP
Accountancy firm EIN	2022-12-31	141918990
2021 : GREAT PERFORMANCES 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$27,827
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$26,424
Total income from all sources (including contributions)	2021-12-31	$475,671
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$90,570
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$41,454
Expenses. Certain deemed distributions of participant loans	2021-12-31	$2,780
Value of total corrective distributions	2021-12-31	$27,827
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$184,204
Value of total assets at end of year	2021-12-31	$2,671,293
Value of total assets at beginning of year	2021-12-31	$2,284,789
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$18,509
Total interest from all sources	2021-12-31	$1,884
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
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
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$184,204
Participant contributions at end of year	2021-12-31	$34,459
Participant contributions at beginning of year	2021-12-31	$57,528
Participant contributions at end of year	2021-12-31	$5,635
Participant contributions at beginning of year	2021-12-31	$3,873
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$27,827
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$26,424
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	$385,101
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$2,643,466
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,258,365
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$2,601,601
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$2,186,629
Income. Interest from loans (other than to participants)	2021-12-31	$1,884
Value of interest in common/collective trusts at end of year	2021-12-31	$29,420
Value of interest in common/collective trusts at beginning of year	2021-12-31	$36,632
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$178
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$127
Net investment gain/loss from pooled separate accounts	2021-12-31	$289,583
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$41,454
Contract administrator fees	2021-12-31	$18,509
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	TEMPLETON & COMPANY
Accountancy firm EIN	2021-12-31	141918990
2020 : GREAT PERFORMANCES 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$26,424
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$71,065
Total income from all sources (including contributions)	2020-12-31	$443,414
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$224,641
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$173,037
Expenses. Certain deemed distributions of participant loans	2020-12-31	$9,701
Value of total corrective distributions	2020-12-31	$26,521
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$183,455
Value of total assets at end of year	2020-12-31	$2,284,789
Value of total assets at beginning of year	2020-12-31	$2,110,657
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$15,382
Total interest from all sources	2020-12-31	$1,328
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	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
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$152,772
Participant contributions at end of year	2020-12-31	$57,528
Participant contributions at beginning of year	2020-12-31	$29,440
Participant contributions at end of year	2020-12-31	$3,873
Participant contributions at beginning of year	2020-12-31	$10,604
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$30,683
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$26,424
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$71,065
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$218,773
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,258,365
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$2,039,592
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$2,186,629
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$2,070,566
Interest on participant loans	2020-12-31	$1,328
Value of interest in common/collective trusts at end of year	2020-12-31	$36,632
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$127
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$47
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$258,631
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$173,037
Contract administrator fees	2020-12-31	$15,382
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	TEMPLETON & COMPANY
Accountancy firm EIN	2020-12-31	141918990
2019 : GREAT PERFORMANCES 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$71,065
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$78,473
Total income from all sources (including contributions)	2019-12-31	$616,315
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$123,497
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$37,740
Expenses. Certain deemed distributions of participant loans	2019-12-31	$1,447
Value of total corrective distributions	2019-12-31	$71,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$267,424
Value of total assets at end of year	2019-12-31	$2,110,657
Value of total assets at beginning of year	2019-12-31	$1,625,247
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$13,245
Total interest from all sources	2019-12-31	$1,912
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
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
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$253,216
Participant contributions at end of year	2019-12-31	$29,440
Participant contributions at beginning of year	2019-12-31	$44,740
Participant contributions at end of year	2019-12-31	$10,604
Participant contributions at beginning of year	2019-12-31	$21
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$14,208
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$71,065
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$78,473
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$492,818
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,039,592
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,546,774
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,070,566
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,580,439
Interest on participant loans	2019-12-31	$1,912
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$47
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$47
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$346,979
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
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$37,740
Contract administrator fees	2019-12-31	$13,245
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
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	TEMPLETON & COMPANY
Accountancy firm EIN	2019-12-31	141918990
2018 : GREAT PERFORMANCES 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$78,473
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$91,104
Total income from all sources (including contributions)	2018-12-31	$123,144
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$153,527
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$49,968
Expenses. Certain deemed distributions of participant loans	2018-12-31	$12,461
Value of total corrective distributions	2018-12-31	$78,473
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$212,238
Value of total assets at end of year	2018-12-31	$1,625,247
Value of total assets at beginning of year	2018-12-31	$1,668,261
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$12,625
Total interest from all sources	2018-12-31	$2,787
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$212,238
Participant contributions at end of year	2018-12-31	$44,740
Participant contributions at beginning of year	2018-12-31	$31,184
Participant contributions at end of year	2018-12-31	$21
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$200
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$78,473
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$91,104
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-30,383
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,546,774
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,577,157
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,580,439
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,637,077
Interest on participant loans	2018-12-31	$2,787
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$47
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-91,881
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$49,768
Contract administrator fees	2018-12-31	$12,625
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	TEMPLETON & COMPANY
Accountancy firm EIN	2018-12-31	141918990
2017 : GREAT PERFORMANCES 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$91,104
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$83,396
Total income from all sources (including contributions)	2017-12-31	$450,347
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$151,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$48,857
Value of total corrective distributions	2017-12-31	$91,105
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$223,080
Value of total assets at end of year	2017-12-31	$1,668,261
Value of total assets at beginning of year	2017-12-31	$1,361,206
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$11,038
Total interest from all sources	2017-12-31	$1,106
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	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	$197,375
Participant contributions at end of year	2017-12-31	$31,184
Participant contributions at beginning of year	2017-12-31	$11,651
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$25,705
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$91,104
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$83,396
Other income not declared elsewhere	2017-12-31	$125
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	$299,347
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,577,157
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,277,810
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$11,038
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,637,077
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,349,555
Income. Interest from loans (other than to participants)	2017-12-31	$1,106
Net investment gain/loss from pooled separate accounts	2017-12-31	$226,036
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$48,857
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	TEMPLETON & COMPANY
Accountancy firm EIN	2017-12-31	141918990
2016 : GREAT PERFORMANCES 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$1,114,881
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$83,396
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$272,250
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$109,321
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$20,847
Value of total corrective distributions	2016-12-31	$83,396
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$164,820
Value of total assets at end of year	2016-12-31	$1,361,206
Value of total assets at beginning of year	2016-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$5,078
Total interest from all sources	2016-12-31	$518
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
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
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$156,323
Participant contributions at end of year	2016-12-31	$11,651
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$8,497
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$83,396
Other income not declared elsewhere	2016-12-31	$10
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$162,929
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,277,810
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$0
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,349,555
Interest on participant loans	2016-12-31	$518
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$106,902
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$20,847
Contract administrator fees	2016-12-31	$5,078
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	TEMPLETON & COMPLANY
Accountancy firm EIN	2016-12-31	141918990

Form 5500 Responses for GREAT PERFORMANCES 401(K) PLAN

2022: GREAT PERFORMANCES 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	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 – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: GREAT PERFORMANCES 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: GREAT PERFORMANCES 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: GREAT PERFORMANCES 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: GREAT PERFORMANCES 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: GREAT PERFORMANCES 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: GREAT PERFORMANCES 401(K) PLAN 2016 form 5500 responses
2016-03-01	Type of plan entity	Single employer plan
2016-03-01	First time form 5500 has been submitted	Yes
2016-03-01	Submission has been amended	No
2016-03-01	This submission is the final filing	No
2016-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-03-01	Plan is a collectively bargained plan	No
2016-03-01	Plan funding arrangement – Insurance	Yes
2016-03-01	Plan funding arrangement – Trust	Yes
2016-03-01	Plan benefit arrangement – Insurance	Yes
2016-03-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )

Policy contract number

386912-01

Policy instance

Insurance contract or identification number	386912-01
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )

Policy contract number

386912-01

Policy instance

Insurance contract or identification number	386912-01
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )

Policy contract number

386912-01

Policy instance

Insurance contract or identification number	386912-01
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )

Policy contract number

386912-01

Policy instance

Insurance contract or identification number	386912-01
Number of Individuals Covered	751
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )

Policy contract number

386912-01

Policy instance

Insurance contract or identification number	386912-01
Number of Individuals Covered	655
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )

Policy contract number

386912-01

Policy instance

Insurance contract or identification number	386912-01
Number of Individuals Covered	576
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $1
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $1
Insurance broker organization code?	3
Insurance broker name	RONALD KAPLAN

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Company Name:	GREAT PERFORMANCES ARTISTS AS WAITRESSES INC.
Employer identification number (EIN):	133008895
NAIC Classification:	722300
NAIC Description:	Special Food Services

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1979-12-07
Company Identification Number:	539790
Legal Registered Office Address:	2417 Third Avenue Suite 300 Bronx United States of America (USA) 10451