401k Plan data: SGN GAMES, INC. 401(K) PLAN plan

SGN GAMES, INC. 401(K) PLAN 401k Plan overview

Plan Name	SGN GAMES, INC. 401(K) PLAN
Plan identification number	001

SGN GAMES, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

JAM CITY has sponsored the creation of one or more 401k plans.

Company Name: JAM CITY

Employer identification number (EIN): 271995808

NAIC Classification: 551112
NAIC Description: Offices of Other Holding Companies

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SGN GAMES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 JAE YU
001 2016-01-01 JAE YU JAE YU 2017-10-10
001 2015-01-01 JAE YU 2016-07-19 JAE YU 2016-07-19
001 2014-01-01 JAE YU 2015-06-17 JAE YU 2015-06-17
001 2013-01-01 JAE YU 2014-06-12 JAE YU 2014-06-12
001 2012-01-01 JAE YU 2013-07-10
001 2011-01-01 COLIN DIGIARO 2012-07-26 COLIN DIGIARO 2012-07-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	JAE YU
001	2016-01-01	JAE YU		JAE YU	2017-10-10
001	2015-01-01	JAE YU	2016-07-19	JAE YU	2016-07-19
001	2014-01-01	JAE YU	2015-06-17	JAE YU	2015-06-17
001	2013-01-01	JAE YU	2014-06-12	JAE YU	2014-06-12
001	2012-01-01	JAE YU	2013-07-10
001	2011-01-01	COLIN DIGIARO	2012-07-26	COLIN DIGIARO	2012-07-26

Plan Statistics for SGN GAMES, INC. 401(K) PLAN

401k plan membership statisitcs for SGN GAMES, INC. 401(K) PLAN

Measure Date Value
2022: SGN GAMES, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 718
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 363
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 275
Total of all active and inactive participants 2022-01-01 638
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 638
Number of participants with account balances 2022-01-01 524
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: SGN GAMES, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 640
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 551
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 179
Total of all active and inactive participants 2021-01-01 730
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 730
Number of participants with account balances 2021-01-01 540
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: SGN GAMES, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 617
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 499
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 148
Total of all active and inactive participants 2020-01-01 647
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 647
Number of participants with account balances 2020-01-01 459
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: SGN GAMES, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 547
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 461
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 155
Total of all active and inactive participants 2019-01-01 616
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 616
Number of participants with account balances 2019-01-01 424
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: SGN GAMES, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 555
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 392
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 157
Total of all active and inactive participants 2018-01-01 549
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 549
Number of participants with account balances 2018-01-01 358
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: SGN GAMES, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 452
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 486
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 69
Total of all active and inactive participants 2017-01-01 555
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 555
Number of participants with account balances 2017-01-01 294
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: SGN GAMES, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 227
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 422
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 38
Total of all active and inactive participants 2016-01-01 460
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 460
Number of participants with account balances 2016-01-01 224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2022: SGN GAMES, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	718
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	363
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	275
Total of all active and inactive participants	2022-01-01	638
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	638
Number of participants with account balances	2022-01-01	524
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: SGN GAMES, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	640
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	551
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	179
Total of all active and inactive participants	2021-01-01	730
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	730
Number of participants with account balances	2021-01-01	540
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: SGN GAMES, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	617
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	499
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	148
Total of all active and inactive participants	2020-01-01	647
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	647
Number of participants with account balances	2020-01-01	459
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: SGN GAMES, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	547
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	461
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	155
Total of all active and inactive participants	2019-01-01	616
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	616
Number of participants with account balances	2019-01-01	424
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: SGN GAMES, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	555
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	392
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	157
Total of all active and inactive participants	2018-01-01	549
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	549
Number of participants with account balances	2018-01-01	358
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: SGN GAMES, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	452
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	486
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	69
Total of all active and inactive participants	2017-01-01	555
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	555
Number of participants with account balances	2017-01-01	294
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: SGN GAMES, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	227
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	422
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	38
Total of all active and inactive participants	2016-01-01	460
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	460
Number of participants with account balances	2016-01-01	224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on SGN GAMES, INC. 401(K) PLAN

Measure	Date	Value
2022 : SGN GAMES, INC. 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$70,953
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$2,199,521
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$2,186,021
Value of total corrective distributions	2022-12-31	$6,010
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$4,436,333
Value of total assets at end of year	2022-12-31	$21,797,551
Value of total assets at beginning of year	2022-12-31	$23,926,119
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$7,490
Total interest from all sources	2022-12-31	$18,577
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	$4,351,999
Participant contributions at end of year	2022-12-31	$214,081
Participant contributions at beginning of year	2022-12-31	$72,072
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$84,334
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	$-2,128,568
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$21,797,551
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$23,926,119
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 pooled separate accounts at end of year	2022-12-31	$20,754,599
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$23,049,513
Interest on participant loans	2022-12-31	$5,763
Interest earned on other investments	2022-12-31	$12,814
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$828,871
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$804,534
Net investment gain/loss from pooled separate accounts	2022-12-31	$-4,383,957
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	Yes
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	$2,186,021
Contract administrator fees	2022-12-31	$7,490
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	SINGERLEWAK
Accountancy firm EIN	2022-12-31	952302617
2021 : SGN GAMES, INC. 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$7,973,894
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$1,538,232
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,533,402
Value of total corrective distributions	2021-12-31	$55
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$5,009,735
Value of total assets at end of year	2021-12-31	$23,926,119
Value of total assets at beginning of year	2021-12-31	$17,490,457
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$4,775
Total interest from all sources	2021-12-31	$16,663
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
Administrative expenses professional fees incurred	2021-12-31	$4,775
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$4,303,602
Participant contributions at end of year	2021-12-31	$72,072
Participant contributions at beginning of year	2021-12-31	$64,106
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$706,133
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	$6,435,662
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$23,926,119
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$17,490,457
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 pooled separate accounts at end of year	2021-12-31	$23,049,513
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$16,553,852
Interest on participant loans	2021-12-31	$3,926
Interest earned on other investments	2021-12-31	$12,737
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$804,534
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$872,499
Net investment gain/loss from pooled separate accounts	2021-12-31	$2,947,496
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	$1,533,402
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	Unqualified
Accountancy firm name	2021-12-31	SINGERLEWAK ACCOUNTANTS AND CONSUL
Accountancy firm EIN	2021-12-31	952302617
2020 : SGN GAMES, INC. 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$6,241,868
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,225,692
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,217,741
Value of total corrective distributions	2020-12-31	$361
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$3,802,569
Value of total assets at end of year	2020-12-31	$17,490,457
Value of total assets at beginning of year	2020-12-31	$12,474,281
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$7,590
Total interest from all sources	2020-12-31	$15,021
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$3,713,367
Participant contributions at end of year	2020-12-31	$64,106
Participant contributions at beginning of year	2020-12-31	$100,900
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$89,202
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	$5,016,176
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$17,490,457
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$12,474,281
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in pooled separate accounts at end of year	2020-12-31	$16,553,852
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$11,850,130
Interest on participant loans	2020-12-31	$3,844
Interest earned on other investments	2020-12-31	$11,177
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$872,499
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$523,251
Net investment gain/loss from pooled separate accounts	2020-12-31	$2,424,278
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	Yes
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	$1,217,741
Contract administrator fees	2020-12-31	$7,590
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	Unqualified
Accountancy firm name	2020-12-31	SINGER LEWAK ACCOUNTANTS AND CONSUL
Accountancy firm EIN	2020-12-31	952302617
2019 : SGN GAMES, INC. 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$5,044,426
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$1,416,048
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,408,556
Value of total corrective distributions	2019-12-31	$2,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,056,594
Value of total assets at end of year	2019-12-31	$12,474,281
Value of total assets at beginning of year	2019-12-31	$8,845,903
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$5,308
Total interest from all sources	2019-12-31	$16,433
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$2,837,376
Participant contributions at end of year	2019-12-31	$100,900
Participant contributions at beginning of year	2019-12-31	$95,215
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$219,218
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$3,628,378
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$12,474,281
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$8,845,903
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 pooled separate accounts at end of year	2019-12-31	$11,850,130
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$8,131,544
Interest on participant loans	2019-12-31	$4,141
Interest earned on other investments	2019-12-31	$12,292
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$523,251
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$619,144
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$0
Net investment gain/loss from pooled separate accounts	2019-12-31	$1,971,399
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	$1,408,556
Contract administrator fees	2019-12-31	$5,308
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	SINGER LEWAK ACCOUNTANTS AND CONSUL
Accountancy firm EIN	2019-12-31	952302617
2018 : SGN GAMES, INC. 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$2,391,572
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$575,460
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$567,852
Value of total corrective distributions	2018-12-31	$4,722
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$2,927,782
Value of total assets at end of year	2018-12-31	$8,845,903
Value of total assets at beginning of year	2018-12-31	$7,029,791
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$2,886
Total interest from all sources	2018-12-31	$12,077
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$2,505,335
Participant contributions at end of year	2018-12-31	$95,215
Participant contributions at beginning of year	2018-12-31	$29,778
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$422,447
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	$1,816,112
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$8,845,903
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$7,029,791
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 pooled separate accounts at end of year	2018-12-31	$8,131,544
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$6,431,543
Interest on participant loans	2018-12-31	$3,264
Interest earned on other investments	2018-12-31	$8,813
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$619,144
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$568,470
Net investment gain/loss from pooled separate accounts	2018-12-31	$-548,287
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	$567,852
Contract administrator fees	2018-12-31	$2,886
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	SINGER LEWAK ACCOUNTANTS AND CONSUL
Accountancy firm EIN	2018-12-31	952302617
2017 : SGN GAMES, INC. 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$3,573,811
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$278,552
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$277,012
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$2,698,050
Value of total assets at end of year	2017-12-31	$7,029,792
Value of total assets at beginning of year	2017-12-31	$3,734,533
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$1,540
Total interest from all sources	2017-12-31	$7,646
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	$2,146,268
Participant contributions at end of year	2017-12-31	$29,779
Participant contributions at beginning of year	2017-12-31	$40,177
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$551,782
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	$3,295,259
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$7,029,792
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$3,734,533
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 pooled separate accounts at end of year	2017-12-31	$6,431,543
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$3,535,295
Interest on participant loans	2017-12-31	$1,415
Interest earned on other investments	2017-12-31	$6,231
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$568,470
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$159,061
Net investment gain/loss from pooled separate accounts	2017-12-31	$868,115
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$277,012
Contract administrator fees	2017-12-31	$1,540
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	SINGERLEWAK LLP
Accountancy firm EIN	2017-12-31	952302617
2016 : SGN GAMES, INC. 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	$0
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	$2,554,509
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$333,815
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$332,408
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$2,328,034
Value of total assets at end of year	2016-12-31	$3,734,533
Value of total assets at beginning of year	2016-12-31	$1,513,839
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$1,407
Total interest from all sources	2016-12-31	$842
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	$151,384
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,333,283
Participant contributions at end of year	2016-12-31	$40,177
Participant contributions at beginning of year	2016-12-31	$6,121
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$994,751
Other income not declared elsewhere	2016-12-31	$1,016
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	$2,220,694
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$3,734,533
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,513,839
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 pooled separate accounts at end of year	2016-12-31	$3,535,295
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,485,206
Interest on participant loans	2016-12-31	$842
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$159,061
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$22,512
Net investment gain/loss from pooled separate accounts	2016-12-31	$224,617
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	Yes
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	$332,408
Contract administrator fees	2016-12-31	$1,407
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	SINGERLEWAK LLP
Accountancy firm EIN	2016-12-31	952302617

Form 5500 Responses for SGN GAMES, INC. 401(K) PLAN

2022: SGN GAMES, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	Yes
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: SGN GAMES, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
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: SGN GAMES, INC. 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: SGN GAMES, INC. 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: SGN GAMES, INC. 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: SGN GAMES, INC. 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: SGN GAMES, INC. 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

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

067618

Policy instance

Insurance contract or identification number	067618
Number of Individuals Covered	638
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $55,200
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
Commission paid to Insurance Broker	USD $55,200
Insurance broker organization code?	3

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

067618

Policy instance

Insurance contract or identification number	067618
Number of Individuals Covered	730
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $53,917
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
Commission paid to Insurance Broker	USD $53,917
Insurance broker organization code?	3

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

067618

Policy instance

Insurance contract or identification number	067618
Number of Individuals Covered	647
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $34,844
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
Commission paid to Insurance Broker	USD $34,844
Insurance broker organization code?	3

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

067618

Policy instance

Insurance contract or identification number	067618
Number of Individuals Covered	616
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $26,972
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
Commission paid to Insurance Broker	USD $26,972
Insurance broker organization code?	3

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

067618

Policy instance

Insurance contract or identification number	067618
Number of Individuals Covered	549
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $21,364
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
Commission paid to Insurance Broker	USD $21,364
Insurance broker organization code?	3

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )

Policy contract number

067618

Policy instance

Insurance contract or identification number	067618
Number of Individuals Covered	555
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $14,382
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
Commission paid to Insurance Broker	USD $14,382
Insurance broker organization code?	3
Insurance broker name	INDEPENDENT FINANCIAL GROUP

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Company Name:	JAM CITY
Employer identification number (EIN):	271995808
NAIC Classification:	551112
NAIC Description:	Offices of Other Holding Companies