401k Plan data: MOTIVATE INTERNATIONAL 401(K) PLAN plan

MOTIVATE INTERNATIONAL 401(K) PLAN 401k Plan overview

Plan Name	MOTIVATE INTERNATIONAL 401(K) PLAN
Plan identification number	001

MOTIVATE INTERNATIONAL 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)).

401k Sponsoring company profile

MOTIVATE INTERNATIONAL INC. has sponsored the creation of one or more 401k plans.

Company Name: MOTIVATE INTERNATIONAL INC.

Employer identification number (EIN): 271439188

NAIC Classification: 488990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOTIVATE INTERNATIONAL 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 JOHN REYNOLDS
001 2016-01-01 JOHN REYNOLDS
001 2015-07-01 LUIS ALMONTE

Plan id#	Filing Submission Date	Name of Administrator
001	2017-01-01	JOHN REYNOLDS
001	2016-01-01	JOHN REYNOLDS
001	2015-07-01	LUIS ALMONTE

Plan Statistics for MOTIVATE INTERNATIONAL 401(K) PLAN

401k plan membership statisitcs for MOTIVATE INTERNATIONAL 401(K) PLAN

Measure Date Value
2017: MOTIVATE INTERNATIONAL 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 566
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 571
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 113
Total of all active and inactive participants 2017-01-01 684
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 684
Number of participants with account balances 2017-01-01 296
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: MOTIVATE INTERNATIONAL 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 485
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 491
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 75
Total of all active and inactive participants 2016-01-01 566
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 566
Number of participants with account balances 2016-01-01 212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 4
2015: MOTIVATE INTERNATIONAL 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 405
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 417
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 68
Total of all active and inactive participants 2015-07-01 485
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 0
Total participants 2015-07-01 485
Number of participants with account balances 2015-07-01 156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 26

Measure	Date	Value
2017: MOTIVATE INTERNATIONAL 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	566
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	571
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	113
Total of all active and inactive participants	2017-01-01	684
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	684
Number of participants with account balances	2017-01-01	296
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: MOTIVATE INTERNATIONAL 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	485
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	491
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	75
Total of all active and inactive participants	2016-01-01	566
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	566
Number of participants with account balances	2016-01-01	212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	4
2015: MOTIVATE INTERNATIONAL 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	405
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	417
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	68
Total of all active and inactive participants	2015-07-01	485
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	0
Total participants	2015-07-01	485
Number of participants with account balances	2015-07-01	156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	26

Financial Data on MOTIVATE INTERNATIONAL 401(K) PLAN

Measure	Date	Value
2017 : MOTIVATE INTERNATIONAL 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	$9,378
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$5,141
Total income from all sources (including contributions)	2017-12-31	$2,084,232
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$399,746
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$390,321
Expenses. Certain deemed distributions of participant loans	2017-12-31	$2,652
Value of total corrective distributions	2017-12-31	$4,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,554,103
Value of total assets at end of year	2017-12-31	$4,109,689
Value of total assets at beginning of year	2017-12-31	$2,420,966
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$2,589
Total interest from all sources	2017-12-31	$3,833
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$971,262
Participant contributions at end of year	2017-12-31	$93,469
Participant contributions at beginning of year	2017-12-31	$61,789
Participant contributions at end of year	2017-12-31	$46,823
Participant contributions at beginning of year	2017-12-31	$30,553
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$58,591
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$9,378
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$5,141
Total non interest bearing cash at end of year	2017-12-31	$0
Total non interest bearing cash at beginning of year	2017-12-31	$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	2017-12-31	No
Value of net income/loss	2017-12-31	$1,684,486
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$4,100,311
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$2,415,825
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$3,677,667
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$2,154,557
Interest on participant loans	2017-12-31	$2,690
Interest earned on other investments	2017-12-31	$1,143
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$210,029
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$110,721
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$526,296
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	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$524,250
Employer contributions (assets) at end of year	2017-12-31	$81,701
Employer contributions (assets) at beginning of year	2017-12-31	$63,346
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$390,321
Contract administrator fees	2017-12-31	$2,589
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	ALDRICH CPAS AND ADVISORS LLP
Accountancy firm EIN	2017-12-31	930623286
2016 : MOTIVATE INTERNATIONAL 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$5,141
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$3,076
Total income from all sources (including contributions)	2016-12-31	$1,202,826
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$128,073
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$125,809
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,070,980
Value of total assets at end of year	2016-12-31	$2,420,966
Value of total assets at beginning of year	2016-12-31	$1,344,148
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$2,264
Total interest from all sources	2016-12-31	$2,509
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	$3,000,000
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	$610,524
Participant contributions at end of year	2016-12-31	$61,789
Participant contributions at beginning of year	2016-12-31	$72,320
Participant contributions at end of year	2016-12-31	$30,553
Participant contributions at beginning of year	2016-12-31	$70
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$115,844
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$5,141
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$3,076
Total non interest bearing cash at end of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$1,074,753
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$2,415,825
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,341,072
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	$2,154,557
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,185,003
Interest on participant loans	2016-12-31	$1,882
Interest earned on other investments	2016-12-31	$627
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$110,721
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$63,178
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$129,337
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$344,612
Employer contributions (assets) at end of year	2016-12-31	$63,346
Employer contributions (assets) at beginning of year	2016-12-31	$23,577
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$125,809
Contract administrator fees	2016-12-31	$2,264
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	ALDRICH CPAS AND ADVISORS LLP
Accountancy firm EIN	2016-12-31	930623286
2015 : MOTIVATE INTERNATIONAL 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets to this plan	2015-12-31	$1,187,445
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$3,076
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$257,950
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$104,323
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$103,611
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$302,672
Value of total assets at end of year	2015-12-31	$1,344,148
Value of total assets at beginning of year	2015-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$712
Total interest from all sources	2015-12-31	$1,678
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	No
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$191,321
Participant contributions at end of year	2015-12-31	$72,320
Participant contributions at beginning of year	2015-12-31	$0
Participant contributions at end of year	2015-12-31	$23,577
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$1,858
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$3,076
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$0
Total non interest bearing cash at end of year	2015-12-31	$0
Total non interest bearing cash at beginning of year	2015-12-31	$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	2015-12-31	No
Value of net income/loss	2015-12-31	$153,627
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,341,072
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$0
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	$1,185,003
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$0
Interest on participant loans	2015-12-31	$1,462
Interest earned on other investments	2015-12-31	$216
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$63,178
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-46,400
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$109,493
Employer contributions (assets) at end of year	2015-12-31	$70
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$103,611
Contract administrator fees	2015-12-31	$712
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

Form 5500 Responses for MOTIVATE INTERNATIONAL 401(K) PLAN

2017: MOTIVATE INTERNATIONAL 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: MOTIVATE INTERNATIONAL 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MOTIVATE INTERNATIONAL 401(K) PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	First time form 5500 has been submitted	Yes
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

512461-000

Policy instance

Insurance contract or identification number	512461-000
Number of Individuals Covered	296
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,557
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
Amount paid for insurance broker fees	1557
Additional information about fees paid to insurance broker	ADMINISTRATIVE FEES
Insurance broker organization code?	5
Insurance broker name	PENSION PLAN SPECIALISTS, PC

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Company Name:	MOTIVATE INTERNATIONAL INC.
Employer identification number (EIN):	271439188
NAIC Classification:	488990