401k Plan data: FUTURITY FIRST INSURANCE GROUP 401(K) PLAN plan

FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 401k Plan overview

Plan Name	FUTURITY FIRST INSURANCE GROUP 401(K) PLAN
Plan identification number	001

FUTURITY FIRST INSURANCE GROUP 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

FUTURITY FIRST INSURANCE GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: FUTURITY FIRST INSURANCE GROUP, INC.

Employer identification number (EIN): 261553785

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Additional information about FUTURITY FIRST INSURANCE GROUP, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 4475198

More information about FUTURITY FIRST INSURANCE GROUP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FUTURITY FIRST INSURANCE GROUP 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 JAMES GOODBOUT JAMES GOODBOUT 2016-10-17
001 2014-01-01
001 2013-01-01 ALICIA NOYES ALICIA NOYES 2014-10-07
001 2012-01-01 JULIE DECKER JULIE DECKER 2013-10-15
001 2011-01-01 JULIE TOMAZIC JULIE TOMAZIC 2012-10-15
001 2009-01-01 APRIL DUSZA
001 2009-01-01 APRIL DUSZA

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	JAMES GOODBOUT	JAMES GOODBOUT	2016-10-17
001	2014-01-01
001	2013-01-01	ALICIA NOYES	ALICIA NOYES	2014-10-07
001	2012-01-01	JULIE DECKER	JULIE DECKER	2013-10-15
001	2011-01-01	JULIE TOMAZIC	JULIE TOMAZIC	2012-10-15
001	2009-01-01	APRIL DUSZA
001	2009-01-01	APRIL DUSZA

Plan Statistics for FUTURITY FIRST INSURANCE GROUP 401(K) PLAN

401k plan membership statisitcs for FUTURITY FIRST INSURANCE GROUP 401(K) PLAN

Measure Date Value
2015: FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 241
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 88
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 56
Total of all active and inactive participants 2015-01-01 144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 144
Number of participants with account balances 2015-01-01 112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 16
2014: FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 289
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 174
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 69
Total of all active and inactive participants 2014-01-01 243
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 243
Number of participants with account balances 2014-01-01 179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 12
2013: FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 326
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 172
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 110
Total of all active and inactive participants 2013-01-01 282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 282
Number of participants with account balances 2013-01-01 219
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 33
2012: FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 327
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 240
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 102
Total of all active and inactive participants 2012-01-01 342
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 342
Number of participants with account balances 2012-01-01 239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 27
2011: FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 300
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 222
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 81
Total of all active and inactive participants 2011-01-01 303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 303
Number of participants with account balances 2011-01-01 230
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 32
2009: FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 185
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 74
Total of all active and inactive participants 2009-01-01 219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 219
Number of participants with account balances 2009-01-01 158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 74

Measure	Date	Value
2015: FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	241
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	88
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	56
Total of all active and inactive participants	2015-01-01	144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	144
Number of participants with account balances	2015-01-01	112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	16
2014: FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	289
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	174
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	69
Total of all active and inactive participants	2014-01-01	243
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	243
Number of participants with account balances	2014-01-01	179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	12
2013: FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	326
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	172
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	110
Total of all active and inactive participants	2013-01-01	282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	282
Number of participants with account balances	2013-01-01	219
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	33
2012: FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	327
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	240
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	102
Total of all active and inactive participants	2012-01-01	342
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	342
Number of participants with account balances	2012-01-01	239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	27
2011: FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	300
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	222
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	81
Total of all active and inactive participants	2011-01-01	303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	303
Number of participants with account balances	2011-01-01	230
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	32
2009: FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	185
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	74
Total of all active and inactive participants	2009-01-01	219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	219
Number of participants with account balances	2009-01-01	158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	74

Financial Data on FUTURITY FIRST INSURANCE GROUP 401(K) PLAN

Measure	Date	Value
2015 : FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2015 401k financial data
Total transfer of assets from this plan	2015-12-31	$3,534,500
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$251
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$17,323
Total income from all sources (including contributions)	2015-12-31	$781,978
Total of all expenses incurred	2015-12-31	$265,407
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$262,593
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$702,985
Value of total assets at end of year	2015-12-31	$2,808,712
Value of total assets at beginning of year	2015-12-31	$5,843,713
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$2,814
Total interest from all sources	2015-12-31	$2,221
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$2,700
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$471,497
Participant contributions at end of year	2015-12-31	$36,746
Participant contributions at beginning of year	2015-12-31	$66,468
Participant contributions at end of year	2015-12-31	$164
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$2,834
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$251
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$17,323
Other income not declared elsewhere	2015-12-31	$10,368
Administrative expenses (other) incurred	2015-12-31	$114
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Income. Non cash contributions	2015-12-31	$0
Value of net income/loss	2015-12-31	$516,571
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$2,808,461
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$5,826,390
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$2,754,855
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$5,761,763
Interest on participant loans	2015-12-31	$2,221
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$16,834
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$15,482
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$2,705
Net investment gain/loss from pooled separate accounts	2015-12-31	$66,404
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$228,654
Employer contributions (assets) at end of year	2015-12-31	$113
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$259,888
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BLACKMAN & ASSOCIATES PC
Accountancy firm EIN	2015-12-31	470813847
2014 : FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$17,323
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$11,815
Total income from all sources (including contributions)	2014-12-31	$1,208,498
Total of all expenses incurred	2014-12-31	$1,257,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,198,534
Value of total corrective distributions	2014-12-31	$7,408
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$933,028
Value of total assets at end of year	2014-12-31	$5,843,713
Value of total assets at beginning of year	2014-12-31	$5,887,417
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$51,768
Total interest from all sources	2014-12-31	$3,634
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$51,522
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
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$627,153
Participant contributions at end of year	2014-12-31	$66,468
Participant contributions at beginning of year	2014-12-31	$79,306
Participant contributions at beginning of year	2014-12-31	$169
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$34,317
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$17,323
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$11,815
Other income not declared elsewhere	2014-12-31	$-47
Administrative expenses (other) incurred	2014-12-31	$246
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	$-49,212
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$5,826,390
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$5,875,602
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 registered invesment companies (eg mutual funds) at end of year	2014-12-31	$5,761,763
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$5,778,593
Interest on participant loans	2014-12-31	$3,634
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$15,482
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$29,315
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$2,705
Net investment gain/loss from pooled separate accounts	2014-12-31	$271,883
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	Yes
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	$271,558
Employer contributions (assets) at beginning of year	2014-12-31	$34
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,195,829
Contract administrator fees	2014-12-31	$0
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	MCGLADREY LLP
Accountancy firm EIN	2014-12-31	420714325
2013 : FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$11,815
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$2,283
Total income from all sources (including contributions)	2013-12-31	$1,845,283
Total of all expenses incurred	2013-12-31	$814,185
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$770,821
Value of total corrective distributions	2013-12-31	$38,761
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$989,034
Value of total assets at end of year	2013-12-31	$5,887,417
Value of total assets at beginning of year	2013-12-31	$4,846,787
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$4,603
Total interest from all sources	2013-12-31	$2,515
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$4,385
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
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$624,624
Participant contributions at end of year	2013-12-31	$79,306
Participant contributions at beginning of year	2013-12-31	$30,886
Participant contributions at end of year	2013-12-31	$169
Participant contributions at beginning of year	2013-12-31	$700
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$121,612
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$11,815
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$2,283
Administrative expenses (other) incurred	2013-12-31	$218
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	$1,031,098
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$5,875,602
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,844,504
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 registered invesment companies (eg mutual funds) at end of year	2013-12-31	$5,778,593
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$4,747,818
Interest on participant loans	2013-12-31	$2,515
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$29,315
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$28,364
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$2,705
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$0
Net investment gain/loss from pooled separate accounts	2013-12-31	$853,734
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	Yes
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	$242,798
Employer contributions (assets) at end of year	2013-12-31	$34
Employer contributions (assets) at beginning of year	2013-12-31	$39,019
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$768,116
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	MCGLADREY LLP
Accountancy firm EIN	2013-12-31	420714325
2012 : FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$2,283
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$26,096
Total income from all sources (including contributions)	2012-12-31	$1,967,109
Total of all expenses incurred	2012-12-31	$708,408
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$702,276
Value of total corrective distributions	2012-12-31	$1,945
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,465,245
Value of total assets at end of year	2012-12-31	$4,846,787
Value of total assets at beginning of year	2012-12-31	$3,611,899
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$4,187
Total interest from all sources	2012-12-31	$975
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$4,075
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$814,675
Participant contributions at end of year	2012-12-31	$30,886
Participant contributions at beginning of year	2012-12-31	$18,428
Participant contributions at end of year	2012-12-31	$700
Participant contributions at beginning of year	2012-12-31	$578
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$263,971
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$2,283
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$26,096
Other income not declared elsewhere	2012-12-31	$0
Administrative expenses (other) incurred	2012-12-31	$112
Total non interest bearing cash at beginning of year	2012-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$1,258,701
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,844,504
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,585,803
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 registered invesment companies (eg mutual funds) at end of year	2012-12-31	$4,747,818
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$3,328,599
Interest on participant loans	2012-12-31	$975
Value of interest in common/collective trusts at beginning of year	2012-12-31	$172,096
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$28,364
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$15,185
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$2,705
Net investment gain/loss from pooled separate accounts	2012-12-31	$500,889
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	Yes
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	$386,599
Employer contributions (assets) at end of year	2012-12-31	$39,019
Employer contributions (assets) at beginning of year	2012-12-31	$77,013
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$699,571
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	MCGLADREY LLP
Accountancy firm EIN	2012-12-31	420714325
2011 : FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2011 401k financial data
Total transfer of assets to this plan	2011-12-31	$1,840,289
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$26,096
Total income from all sources (including contributions)	2011-12-31	$631,341
Total of all expenses incurred	2011-12-31	$922,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$921,789
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$741,334
Value of total assets at end of year	2011-12-31	$3,611,899
Value of total assets at beginning of year	2011-12-31	$2,036,979
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$1,017
Total interest from all sources	2011-12-31	$28
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	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$470,680
Participant contributions at end of year	2011-12-31	$18,428
Participant contributions at beginning of year	2011-12-31	$0
Participant contributions at end of year	2011-12-31	$578
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$38,975
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$26,096
Administrative expenses (other) incurred	2011-12-31	$375
Total non interest bearing cash at end of year	2011-12-31	$15,185
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	$-291,465
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,585,803
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,036,979
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 registered invesment companies (eg mutual funds) at end of year	2011-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$0
Value of interest in pooled separate accounts at end of year	2011-12-31	$3,328,599
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$2,036,979
Interest on participant loans	2011-12-31	$28
Value of interest in common/collective trusts at end of year	2011-12-31	$172,096
Value of interest in common/collective trusts at beginning of year	2011-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$0
Net investment gain/loss from pooled separate accounts	2011-12-31	$-110,021
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
Assets. Invements in employer securities at beginning of year	2011-12-31	$0
Contributions received in cash from employer	2011-12-31	$231,679
Employer contributions (assets) at end of year	2011-12-31	$77,013
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$921,789
Asset. Corporate debt instrument debt (other) at beginning of year	2011-12-31	$0
Contract administrator fees	2011-12-31	$642
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	Yes
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$0
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	MCGLADREY LLP
Accountancy firm EIN	2011-12-31	420714325
2010 : FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$0
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,018,975
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$452,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$452,882
Expenses. Certain deemed distributions of participant loans	2010-12-31	$0
Value of total corrective distributions	2010-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$823,496
Value of total assets at end of year	2010-12-31	$2,036,979
Value of total assets at beginning of year	2010-12-31	$1,470,886
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$0
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	$200,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	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	$445,880
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$133,993
Other income not declared elsewhere	2010-12-31	$0
Administrative expenses (other) incurred	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$566,093
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,036,979
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,470,886
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 registered invesment companies (eg mutual funds) at end of year	2010-12-31	$2,036,979
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,470,886
Value of interest in pooled separate accounts at end of year	2010-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$0
Interest on participant loans	2010-12-31	$0
Interest earned on other investments	2010-12-31	$0
Value of interest in common/collective trusts at end of year	2010-12-31	$0
Value of interest in common/collective trusts at beginning of year	2010-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$0
Net investment gain/loss from pooled separate accounts	2010-12-31	$195,479
Net investment gain or loss from common/collective trusts	2010-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Assets. Invements in employer securities at end of year	2010-12-31	$0
Assets. Invements in employer securities at beginning of year	2010-12-31	$0
Contributions received in cash from employer	2010-12-31	$243,623
Income. Dividends from common stock	2010-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$452,882
Asset. Corporate debt instrument debt (other) at end of year	2010-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$0
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$0
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	MCGLADREY & PULLEN, LLP
Accountancy firm EIN	2010-12-31	420714325
2009 : FUTURITY FIRST INSURANCE GROUP 401(K) PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0

Form 5500 Responses for FUTURITY FIRST INSURANCE GROUP 401(K) PLAN

2015: FUTURITY FIRST INSURANCE GROUP 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: FUTURITY FIRST INSURANCE GROUP 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: FUTURITY FIRST INSURANCE GROUP 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: FUTURITY FIRST INSURANCE GROUP 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: FUTURITY FIRST INSURANCE GROUP 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: FUTURITY FIRST INSURANCE GROUP 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

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

103340

Policy instance

Insurance contract or identification number	103340
Number of Individuals Covered	144
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $10,558
Total amount of fees paid to insurance company	USD $4,622
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $10,558
Insurance broker organization code?	3
Amount paid for insurance broker fees	4622
Insurance broker name	TAX SHELTERED COMPENSATION

PROTECTIVE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

PL0921207

Policy instance

Insurance contract or identification number	PL0921207
Number of Individuals Covered	1
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes

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

Policy contract number

103340

Policy instance

Insurance contract or identification number	103340
Number of Individuals Covered	209
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $16,261
Total amount of fees paid to insurance company	USD $2,958
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,261
Insurance broker organization code?	3
Amount paid for insurance broker fees	2958
Additional information about fees paid to insurance broker	TPA COMPENSATION AND OTHER ALLOWANCES
Insurance broker name	TAX SHELTERED COMPENSATION

PROTECTIVE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

PL0921207

Policy instance

Insurance contract or identification number	PL0921207
Number of Individuals Covered	1
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PROTECTIVE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

PL0921207

Policy instance

Insurance contract or identification number	PL0921207
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes

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

Policy contract number

103340

Policy instance

Insurance contract or identification number	103340
Number of Individuals Covered	239
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $22,256
Total amount of fees paid to insurance company	USD $2,566
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $22,256
Insurance broker organization code?	3
Amount paid for insurance broker fees	2566
Additional information about fees paid to insurance broker	TPA COMPENSATION AND OTHER ALLOWANCES
Insurance broker name	TAX SHELTERED COMPENSATION

PROTECTIVE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

PL0921207

Policy instance

Insurance contract or identification number	PL0921207
Number of Individuals Covered	1
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Life Insurance Welfare Benefit	Yes

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

Policy contract number

103340

Policy instance

Insurance contract or identification number	103340
Number of Individuals Covered	251
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $21,119
Total amount of fees paid to insurance company	USD $16,987
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $21,119
Insurance broker organization code?	3
Amount paid for insurance broker fees	16987
Additional information about fees paid to insurance broker	TPA COMPENSATION-OTHER ALLOWANES
Insurance broker name	TAX SHELTERED COMPENSATION

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

Policy contract number

103340

Policy instance

Insurance contract or identification number	103340
Number of Individuals Covered	262
Insurance policy start date	2011-11-30
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $138
Total amount of fees paid to insurance company	USD $375

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-810193

Policy instance

Insurance contract or identification number	GA-810193
Number of Individuals Covered	0
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $10,662
Total amount of fees paid to insurance company	USD $0

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-810193

Policy instance

Insurance contract or identification number	GA-810193
Number of Individuals Covered	147
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $11,143
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	FUTURITY FIRST INSURANCE GROUP, INC.
Employer identification number (EIN):	261553785
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	4475198