401k Plan data: RX OPTICAL LABORATORIES, INC. 401K PLAN plan

RX OPTICAL LABORATORIES, INC. 401K PLAN 401k Plan overview

Plan Name	RX OPTICAL LABORATORIES, INC. 401K PLAN
Plan identification number	001

RX OPTICAL LABORATORIES, INC. 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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

401k Sponsoring company profile

RX OPTICAL LABORATORIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: RX OPTICAL LABORATORIES, INC.

Employer identification number (EIN): 381840657

NAIC Classification: 621510
NAIC Description: Medical and Diagnostic Laboratories

Additional information about RX OPTICAL LABORATORIES, INC.

Jurisdiction of Incorporation: Michigan Secretary of State

Incorporation Date: 0000-00-00

Company Identification Number: 098881

Legal Registered Office Address: 1700 SO. PARK STREET KALAMAZOO

United States of America (USA)
49001

More information about RX OPTICAL LABORATORIES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RX OPTICAL LABORATORIES, INC. 401K 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 JONI L LAPOINTE 2022-10-13
001 2020-01-01 JONI L LAPOINTE 2021-10-11
001 2019-01-01 JONI L LAPOINTE 2020-09-24
001 2018-01-01 JONI L LAPOINTE 2019-10-10
001 2017-01-01
001 2016-01-01
001 2015-01-01 JONI L. LAPOINTE
001 2014-01-01 JONIRX
001 2013-01-01 RX OPTICAL
001 2012-01-01 JONI L. LAPOINTE STEVE YONKE 2013-08-14
001 2011-01-01 JONI L. LAPOINTE
001 2010-01-01 JONI L. LAPOINTE
001 2009-01-01 STEVEN YONKE

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	JONI L LAPOINTE	2022-10-13
001	2020-01-01	JONI L LAPOINTE	2021-10-11
001	2019-01-01	JONI L LAPOINTE	2020-09-24
001	2018-01-01	JONI L LAPOINTE	2019-10-10
001	2017-01-01
001	2016-01-01
001	2015-01-01	JONI L. LAPOINTE
001	2014-01-01	JONIRX
001	2013-01-01	RX OPTICAL
001	2012-01-01	JONI L. LAPOINTE		STEVE YONKE	2013-08-14
001	2011-01-01	JONI L. LAPOINTE
001	2010-01-01	JONI L. LAPOINTE
001	2009-01-01	STEVEN YONKE

Plan Statistics for RX OPTICAL LABORATORIES, INC. 401K PLAN

401k plan membership statisitcs for RX OPTICAL LABORATORIES, INC. 401K PLAN

Measure Date Value
2021: RX OPTICAL LABORATORIES, INC. 401K PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 353
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 24
Total of all active and inactive participants 2021-01-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 24
Number of participants with account balances 2021-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: RX OPTICAL LABORATORIES, INC. 401K PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 367
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 320
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 28
Total of all active and inactive participants 2020-01-01 348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 348
Number of participants with account balances 2020-01-01 250
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 12
2019: RX OPTICAL LABORATORIES, INC. 401K PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 360
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 316
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 40
Total of all active and inactive participants 2019-01-01 356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 356
Number of participants with account balances 2019-01-01 221
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 28
2018: RX OPTICAL LABORATORIES, INC. 401K PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 351
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 332
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 22
Total of all active and inactive participants 2018-01-01 354
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 354
Number of participants with account balances 2018-01-01 226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 21
2017: RX OPTICAL LABORATORIES, INC. 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 363
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 317
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 31
Total of all active and inactive participants 2017-01-01 348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 348
Number of participants with account balances 2017-01-01 225
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 17
2016: RX OPTICAL LABORATORIES, INC. 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 296
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 318
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 34
Total of all active and inactive participants 2016-01-01 352
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 352
Number of participants with account balances 2016-01-01 217
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 8
2015: RX OPTICAL LABORATORIES, INC. 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 332
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 300
Number of other retired or separated participants entitled to future benefits 2015-01-01 44
Total of all active and inactive participants 2015-01-01 344
Total participants 2015-01-01 344
Number of participants with account balances 2015-01-01 178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 6
2014: RX OPTICAL LABORATORIES, INC. 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 301
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 281
Number of other retired or separated participants entitled to future benefits 2014-01-01 44
Total of all active and inactive participants 2014-01-01 325
Total participants 2014-01-01 325
Number of participants with account balances 2014-01-01 157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 4
2013: RX OPTICAL LABORATORIES, INC. 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 283
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 259
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 35
Total of all active and inactive participants 2013-01-01 294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 294
Number of participants with account balances 2013-01-01 161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 4
2012: RX OPTICAL LABORATORIES, INC. 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 227
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 28
Total of all active and inactive participants 2012-01-01 268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 268
Number of participants with account balances 2012-01-01 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: RX OPTICAL LABORATORIES, INC. 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 213
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 186
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 24
Total of all active and inactive participants 2011-01-01 210
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 210
Number of participants with account balances 2011-01-01 147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2010: RX OPTICAL LABORATORIES, INC. 401K PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 215
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 201
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 21
Total of all active and inactive participants 2010-01-01 222
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 222
Number of participants with account balances 2010-01-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1
2009: RX OPTICAL LABORATORIES, INC. 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 208
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 181
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 23
Total of all active and inactive participants 2009-01-01 204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 204
Number of participants with account balances 2009-01-01 146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2021: RX OPTICAL LABORATORIES, INC. 401K PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	353
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	24
Total of all active and inactive participants	2021-01-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	24
Number of participants with account balances	2021-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: RX OPTICAL LABORATORIES, INC. 401K PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	367
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	320
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	28
Total of all active and inactive participants	2020-01-01	348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	348
Number of participants with account balances	2020-01-01	250
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	12
2019: RX OPTICAL LABORATORIES, INC. 401K PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	360
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	316
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	40
Total of all active and inactive participants	2019-01-01	356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	356
Number of participants with account balances	2019-01-01	221
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	28
2018: RX OPTICAL LABORATORIES, INC. 401K PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	351
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	332
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	22
Total of all active and inactive participants	2018-01-01	354
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	354
Number of participants with account balances	2018-01-01	226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	21
2017: RX OPTICAL LABORATORIES, INC. 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	363
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	317
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	31
Total of all active and inactive participants	2017-01-01	348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	348
Number of participants with account balances	2017-01-01	225
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	17
2016: RX OPTICAL LABORATORIES, INC. 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	296
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	318
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	34
Total of all active and inactive participants	2016-01-01	352
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	352
Number of participants with account balances	2016-01-01	217
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	8
2015: RX OPTICAL LABORATORIES, INC. 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	332
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	300
Number of other retired or separated participants entitled to future benefits	2015-01-01	44
Total of all active and inactive participants	2015-01-01	344
Total participants	2015-01-01	344
Number of participants with account balances	2015-01-01	178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	6
2014: RX OPTICAL LABORATORIES, INC. 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	301
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	281
Number of other retired or separated participants entitled to future benefits	2014-01-01	44
Total of all active and inactive participants	2014-01-01	325
Total participants	2014-01-01	325
Number of participants with account balances	2014-01-01	157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	4
2013: RX OPTICAL LABORATORIES, INC. 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	283
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	259
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	35
Total of all active and inactive participants	2013-01-01	294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	294
Number of participants with account balances	2013-01-01	161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	4
2012: RX OPTICAL LABORATORIES, INC. 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	227
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	28
Total of all active and inactive participants	2012-01-01	268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	268
Number of participants with account balances	2012-01-01	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: RX OPTICAL LABORATORIES, INC. 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	213
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	186
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	24
Total of all active and inactive participants	2011-01-01	210
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	210
Number of participants with account balances	2011-01-01	147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2010: RX OPTICAL LABORATORIES, INC. 401K PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	215
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	201
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	21
Total of all active and inactive participants	2010-01-01	222
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	222
Number of participants with account balances	2010-01-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1
2009: RX OPTICAL LABORATORIES, INC. 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	208
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	181
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	23
Total of all active and inactive participants	2009-01-01	204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	204
Number of participants with account balances	2009-01-01	146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

Financial Data on RX OPTICAL LABORATORIES, INC. 401K PLAN

Measure	Date	Value
2021 : RX OPTICAL LABORATORIES, INC. 401K 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	$2,054,564
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$14,393,549
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$14,339,273
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$367,535
Value of total assets at end of year	2021-12-31	$1,258,858
Value of total assets at beginning of year	2021-12-31	$13,597,843
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$54,276
Total interest from all sources	2021-12-31	$2,252
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$54,047
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2021-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$54,047
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$354,765
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$123,106
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$12,770
Administrative expenses (other) incurred	2021-12-31	$54,276
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	$-12,338,985
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$1,258,858
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$13,597,843
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$1,223,833
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$13,086,725
Interest on participant loans	2021-12-31	$2,252
Value of interest in common/collective trusts at end of year	2021-12-31	$35,025
Value of interest in common/collective trusts at beginning of year	2021-12-31	$388,012
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,627,312
Net investment gain or loss from common/collective trusts	2021-12-31	$3,418
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	No
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	$14,339,273
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	BDO USA LLP
Accountancy firm EIN	2021-12-31	135381590
2020 : RX OPTICAL LABORATORIES, INC. 401K 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	$3,274,119
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,594,533
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,547,592
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$706,450
Value of total assets at end of year	2020-12-31	$13,597,843
Value of total assets at beginning of year	2020-12-31	$11,918,257
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$46,941
Total interest from all sources	2020-12-31	$2,551
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$139,577
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2020-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$139,577
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	Yes
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$686,146
Participant contributions at end of year	2020-12-31	$123,106
Participant contributions at beginning of year	2020-12-31	$157,962
Other income not declared elsewhere	2020-12-31	$519
Administrative expenses (other) incurred	2020-12-31	$46,941
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	$1,679,586
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$13,597,843
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$11,918,257
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$13,086,725
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$11,356,768
Interest on participant loans	2020-12-31	$2,551
Value of interest in common/collective trusts at end of year	2020-12-31	$388,012
Value of interest in common/collective trusts at beginning of year	2020-12-31	$403,527
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$2,425,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$20,304
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,547,592
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	2020-12-31	Yes
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	BDO USA, LLP
Accountancy firm EIN	2020-12-31	135381590
2019 : RX OPTICAL LABORATORIES, INC. 401K 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	$3,256,878
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$490,963
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$443,866
Value of total corrective distributions	2019-12-31	$3,228
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$878,905
Value of total assets at end of year	2019-12-31	$11,918,257
Value of total assets at beginning of year	2019-12-31	$9,152,342
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$43,869
Total interest from all sources	2019-12-31	$9,613
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$157,473
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$157,473
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$705,136
Participant contributions at end of year	2019-12-31	$157,962
Participant contributions at beginning of year	2019-12-31	$172,575
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$82,503
Other income not declared elsewhere	2019-12-31	$364
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	$2,765,915
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$11,918,257
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$9,152,342
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
Investment advisory and management fees	2019-12-31	$36
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$11,356,768
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$8,676,266
Interest on participant loans	2019-12-31	$9,613
Value of interest in common/collective trusts at end of year	2019-12-31	$403,527
Value of interest in common/collective trusts at beginning of year	2019-12-31	$303,501
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$2,201,593
Net investment gain or loss from common/collective trusts	2019-12-31	$8,930
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
Contributions received in cash from employer	2019-12-31	$91,266
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$443,866
Contract administrator fees	2019-12-31	$43,833
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	BDO USA, LLP
Accountancy firm EIN	2019-12-31	135381590
2018 : RX OPTICAL LABORATORIES, INC. 401K 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	$301,200
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$359,109
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$319,971
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$803,798
Value of total assets at end of year	2018-12-31	$9,152,342
Value of total assets at beginning of year	2018-12-31	$9,210,251
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$39,138
Total interest from all sources	2018-12-31	$8,890
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$132,824
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$132,824
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$678,151
Participant contributions at end of year	2018-12-31	$172,575
Participant contributions at beginning of year	2018-12-31	$180,492
Participant contributions at beginning of year	2018-12-31	$23,092
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$36,656
Other income not declared elsewhere	2018-12-31	$439
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	$-57,909
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$9,152,342
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$9,210,251
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
Investment advisory and management fees	2018-12-31	$44
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$8,676,266
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$8,770,625
Interest on participant loans	2018-12-31	$8,890
Value of interest in common/collective trusts at end of year	2018-12-31	$303,501
Value of interest in common/collective trusts at beginning of year	2018-12-31	$232,947
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-651,087
Net investment gain or loss from common/collective trusts	2018-12-31	$6,336
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
Contributions received in cash from employer	2018-12-31	$88,991
Employer contributions (assets) at beginning of year	2018-12-31	$3,095
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$319,971
Contract administrator fees	2018-12-31	$39,094
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	BDO USA, LLP
Accountancy firm EIN	2018-12-31	135381590
2017 : RX OPTICAL LABORATORIES, INC. 401K 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	$2,232,784
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$440,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$409,335
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$642,230
Value of total assets at end of year	2017-12-31	$9,210,251
Value of total assets at beginning of year	2017-12-31	$7,418,459
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$31,657
Total interest from all sources	2017-12-31	$6,821
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$108,233
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$108,233
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$561,722
Participant contributions at end of year	2017-12-31	$180,492
Participant contributions at beginning of year	2017-12-31	$161,647
Participant contributions at end of year	2017-12-31	$23,092
Participant contributions at beginning of year	2017-12-31	$23,216
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$3,731
Other income not declared elsewhere	2017-12-31	$2,735
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	$1,791,792
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$9,210,251
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$7,418,459
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$273
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$8,770,625
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$7,055,322
Interest on participant loans	2017-12-31	$6,821
Value of interest in common/collective trusts at end of year	2017-12-31	$232,947
Value of interest in common/collective trusts at beginning of year	2017-12-31	$175,532
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,468,153
Net investment gain or loss from common/collective trusts	2017-12-31	$4,612
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$76,777
Employer contributions (assets) at end of year	2017-12-31	$3,095
Employer contributions (assets) at beginning of year	2017-12-31	$2,742
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$409,335
Contract administrator fees	2017-12-31	$31,384
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	BDO USA, LLP
Accountancy firm EIN	2017-12-31	135381590
2016 : RX OPTICAL LABORATORIES, INC. 401K 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	$992,416
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$172,673
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$153,719
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$557,532
Value of total assets at end of year	2016-12-31	$7,418,459
Value of total assets at beginning of year	2016-12-31	$6,598,716
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$18,954
Total interest from all sources	2016-12-31	$7,079
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$59,936
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$59,936
Administrative expenses professional fees incurred	2016-12-31	$375
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$460,229
Participant contributions at end of year	2016-12-31	$161,647
Participant contributions at beginning of year	2016-12-31	$196,346
Participant contributions at end of year	2016-12-31	$23,216
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$35,325
Other income not declared elsewhere	2016-12-31	$342
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	$819,743
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$7,418,459
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$6,598,716
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
Investment advisory and management fees	2016-12-31	$16,572
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$7,055,322
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$6,154,607
Interest on participant loans	2016-12-31	$7,079
Value of interest in common/collective trusts at end of year	2016-12-31	$175,532
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$247,763
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$111,699
Net investment gain/loss from pooled separate accounts	2016-12-31	$254,672
Net investment gain or loss from common/collective trusts	2016-12-31	$1,156
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	$61,978
Employer contributions (assets) at end of year	2016-12-31	$2,742
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$153,719
Contract administrator fees	2016-12-31	$2,007
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	2016-12-31	Yes
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	BDO USA, LLP
Accountancy firm EIN	2016-12-31	135381590
2015 : RX OPTICAL LABORATORIES, INC. 401K PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$345,875
Total of all expenses incurred	2015-12-31	$168,969
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$163,119
Value of total corrective distributions	2015-12-31	$2,350
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$362,390
Value of total assets at end of year	2015-12-31	$6,598,716
Value of total assets at beginning of year	2015-12-31	$6,421,810
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$3,500
Total interest from all sources	2015-12-31	$6,969
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	$3,050
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
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	$345,408
Participant contributions at end of year	2015-12-31	$196,346
Participant contributions at beginning of year	2015-12-31	$162,183
Participant contributions at beginning of year	2015-12-31	$10,585
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$2,772
Other income not declared elsewhere	2015-12-31	$172
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	$176,906
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$6,598,716
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$6,421,810
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
Investment advisory and management fees	2015-12-31	$450
Value of interest in pooled separate accounts at end of year	2015-12-31	$6,154,607
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$6,037,479
Interest on participant loans	2015-12-31	$6,969
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$247,763
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$211,563
Net investment gain/loss from pooled separate accounts	2015-12-31	$-23,656
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	$14,210
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$163,119
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	BDO USA, LLP
Accountancy firm EIN	2015-12-31	135381590
2014 : RX OPTICAL LABORATORIES, INC. 401K PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$902,141
Total of all expenses incurred	2014-12-31	$247,980
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$235,644
Value of total corrective distributions	2014-12-31	$8,561
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$458,135
Value of total assets at end of year	2014-12-31	$6,421,810
Value of total assets at beginning of year	2014-12-31	$5,767,649
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$3,775
Total interest from all sources	2014-12-31	$7,241
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	$3,325
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$345,609
Participant contributions at end of year	2014-12-31	$162,183
Participant contributions at beginning of year	2014-12-31	$184,426
Participant contributions at end of year	2014-12-31	$10,585
Participant contributions at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$112,526
Other income not declared elsewhere	2014-12-31	$351
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	$654,161
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$6,421,810
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$5,767,649
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
Investment advisory and management fees	2014-12-31	$450
Value of interest in pooled separate accounts at end of year	2014-12-31	$6,037,479
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$5,395,558
Interest on participant loans	2014-12-31	$7,241
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$211,563
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$187,665
Net investment gain/loss from pooled separate accounts	2014-12-31	$436,414
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$235,644
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	BDO USA, LLP
Accountancy firm EIN	2014-12-31	135381590
2013 : RX OPTICAL LABORATORIES, INC. 401K PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$1,464,772
Total of all expenses incurred	2013-12-31	$53,267
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$46,944
Value of total corrective distributions	2013-12-31	$2,673
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$327,950
Value of total assets at end of year	2013-12-31	$5,767,649
Value of total assets at beginning of year	2013-12-31	$4,356,144
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$3,650
Total interest from all sources	2013-12-31	$8,245
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	$3,200
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$325,577
Participant contributions at end of year	2013-12-31	$184,426
Participant contributions at beginning of year	2013-12-31	$197,166
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$2,373
Other income not declared elsewhere	2013-12-31	$3,029
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	$1,411,505
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$5,767,649
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,356,144
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
Investment advisory and management fees	2013-12-31	$450
Value of interest in pooled separate accounts at end of year	2013-12-31	$5,395,558
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$3,996,019
Interest on participant loans	2013-12-31	$8,245
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$187,665
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$162,959
Net investment gain/loss from pooled separate accounts	2013-12-31	$1,125,548
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$46,944
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	BDO USA, LLP
Accountancy firm EIN	2013-12-31	135381590
2012 : RX OPTICAL LABORATORIES, INC. 401K PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$768,914
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$143,606
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$138,183
Value of total corrective distributions	2012-12-31	$1,228
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$272,919
Value of total assets at end of year	2012-12-31	$4,356,144
Value of total assets at beginning of year	2012-12-31	$3,730,836
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$4,195
Total interest from all sources	2012-12-31	$8,548
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$3,745
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$450,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$259,919
Participant contributions at end of year	2012-12-31	$197,166
Participant contributions at beginning of year	2012-12-31	$195,738
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$13,000
Other income not declared elsewhere	2012-12-31	$1,009
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	$625,308
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,356,144
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,730,836
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
Investment advisory and management fees	2012-12-31	$450
Value of interest in pooled separate accounts at end of year	2012-12-31	$3,996,019
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$3,359,583
Interest on participant loans	2012-12-31	$8,548
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$162,959
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$175,515
Net investment gain/loss from pooled separate accounts	2012-12-31	$486,438
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$138,183
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	BDO USA, LLP
Accountancy firm EIN	2012-12-31	135381590
2011 : RX OPTICAL LABORATORIES, INC. 401K PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$135,586
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$107,673
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$103,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$242,499
Value of total assets at end of year	2011-12-31	$3,730,836
Value of total assets at beginning of year	2011-12-31	$3,702,923
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$3,680
Total interest from all sources	2011-12-31	$8,249
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$3,230
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$400,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$242,499
Participant contributions at end of year	2011-12-31	$195,738
Participant contributions at beginning of year	2011-12-31	$148,526
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$0
Other income not declared elsewhere	2011-12-31	$2,158
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	$27,913
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,730,836
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,702,923
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
Investment advisory and management fees	2011-12-31	$450
Value of interest in pooled separate accounts at end of year	2011-12-31	$3,359,583
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$3,389,439
Interest on participant loans	2011-12-31	$8,249
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$175,515
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$164,958
Net investment gain/loss from pooled separate accounts	2011-12-31	$-117,320
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$103,993
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	BDO USA, LLP
Accountancy firm EIN	2011-12-31	135381590
2010 : RX OPTICAL LABORATORIES, INC. 401K PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$7,984
Total income from all sources (including contributions)	2010-12-31	$678,207
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$38,036
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$34,421
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$219,421
Value of total assets at end of year	2010-12-31	$3,702,923
Value of total assets at beginning of year	2010-12-31	$3,070,736
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$3,615
Total interest from all sources	2010-12-31	$7,459
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
Administrative expenses professional fees incurred	2010-12-31	$3,165
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$400,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$219,421
Participant contributions at end of year	2010-12-31	$148,526
Participant contributions at beginning of year	2010-12-31	$120,195
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$7,984
Other income not declared elsewhere	2010-12-31	$4,485
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	$640,171
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,702,923
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,062,752
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
Investment advisory and management fees	2010-12-31	$450
Value of interest in pooled separate accounts at end of year	2010-12-31	$3,389,439
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$2,792,861
Interest on participant loans	2010-12-31	$7,459
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$164,958
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$157,680
Net investment gain/loss from pooled separate accounts	2010-12-31	$446,842
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	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$34,421
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	BDO USA, LLP
Accountancy firm EIN	2010-12-31	135381590
2009 : RX OPTICAL LABORATORIES, INC. 401K PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for RX OPTICAL LABORATORIES, INC. 401K PLAN

2021: RX OPTICAL LABORATORIES, INC. 401K 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 – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: RX OPTICAL LABORATORIES, INC. 401K 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 – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: RX OPTICAL LABORATORIES, INC. 401K 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 – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: RX OPTICAL LABORATORIES, INC. 401K 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 – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: RX OPTICAL LABORATORIES, INC. 401K 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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: RX OPTICAL LABORATORIES, INC. 401K 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: RX OPTICAL LABORATORIES, INC. 401K PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
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: RX OPTICAL LABORATORIES, INC. 401K PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
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: RX OPTICAL LABORATORIES, INC. 401K PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
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: RX OPTICAL LABORATORIES, INC. 401K 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: RX OPTICAL LABORATORIES, INC. 401K 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
2010: RX OPTICAL LABORATORIES, INC. 401K PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: RX OPTICAL LABORATORIES, INC. 401K PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

78729-000

Policy instance

Insurance contract or identification number	78729-000
Number of Individuals Covered	178
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $9,606
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or 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 $9,606
Insurance broker organization code?	3
Insurance broker name	INTERSECURITIES INSURANCE AGENCY

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

78729-000

Policy instance

Insurance contract or identification number	78729-000
Number of Individuals Covered	157
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $8,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,221
Insurance broker organization code?	3
Insurance broker name	INTERSECURITIES INSURANCE AGENCY

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

78729-000

Policy instance

Insurance contract or identification number	78729-000
Number of Individuals Covered	161
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $7,165
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or 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 $5,732
Insurance broker organization code?	3
Insurance broker name	INTERSECURITIES INSURANCE AGENCY

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

78729-000

Policy instance

Insurance contract or identification number	78729-000
Number of Individuals Covered	146
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $5,862
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,690
Insurance broker organization code?	3
Insurance broker name	INTERSECURITIES INSURANCE AGENCY

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

78729-000

Policy instance

Insurance contract or identification number	78729-000
Number of Individuals Covered	147
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $5,376
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

78729-000

Policy instance

Insurance contract or identification number	78729-000
Number of Individuals Covered	149
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $5,203
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?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,806
Insurance broker organization code?	3
Insurance broker name	INTERSECURITIES INSURANCE AGENCY

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Company Name:	RX OPTICAL LABORATORIES, INC.
Employer identification number (EIN):	381840657
NAIC Classification:	621510
NAIC Description:	Medical and Diagnostic Laboratories

Jurisdiction of Incorporation:	Michigan Secretary of State
Incorporation Date:	0000-00-00
Company Identification Number:	098881
Legal Registered Office Address:	1700 SO. PARK STREET KALAMAZOO United States of America (USA) 49001