401k Plan data: DCS 401(K) MEP SOLUTION plan

DCS 401(K) MEP SOLUTION 401k Plan overview

Plan Name	DCS 401(K) MEP SOLUTION
Plan identification number	001

DCS 401(K) MEP SOLUTION 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

MEP SPONSOR, INC. has sponsored the creation of one or more 401k plans.

Company Name: MEP SPONSOR, INC.

Employer identification number (EIN): 452628185

NAIC Classification: 611000

Additional information about MEP SPONSOR, INC.

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 2011-09-07

Company Identification Number: 20111576706

Legal Registered Office Address: 5516 BOULDER HIGHWAY SUITE 2-F

LAS VEGAS
United States of America (USA)
89122

More information about MEP SPONSOR, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DCS 401(K) MEP SOLUTION

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 JOHN MCCRARY
001 2014-01-01 JOHN MCCRARY
001 2013-01-01 JOHN MCCRARY
001 2012-01-01 JOHN MCCRARY 2013-10-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2015-01-01	JOHN MCCRARY
001	2014-01-01	JOHN MCCRARY
001	2013-01-01	JOHN MCCRARY
001	2012-01-01	JOHN MCCRARY	2013-10-10

Plan Statistics for DCS 401(K) MEP SOLUTION

401k plan membership statisitcs for DCS 401(K) MEP SOLUTION

Measure Date Value
2015: DCS 401(K) MEP SOLUTION 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,672
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 915
Number of retired or separated participants receiving benefits 2015-01-01 58
Number of other retired or separated participants entitled to future benefits 2015-01-01 432
Total of all active and inactive participants 2015-01-01 1,405
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1,405
Number of participants with account balances 2015-01-01 1,052
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 94
2014: DCS 401(K) MEP SOLUTION 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,980
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,288
Number of retired or separated participants receiving benefits 2014-01-01 2
Number of other retired or separated participants entitled to future benefits 2014-01-01 400
Total of all active and inactive participants 2014-01-01 1,690
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1,690
Number of participants with account balances 2014-01-01 1,043
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 91
2013: DCS 401(K) MEP SOLUTION 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,820
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,175
Number of retired or separated participants receiving benefits 2013-01-01 8
Number of other retired or separated participants entitled to future benefits 2013-01-01 154
Total of all active and inactive participants 2013-01-01 1,337
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,337
Number of participants with account balances 2013-01-01 755
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 18

Measure	Date	Value
2015: DCS 401(K) MEP SOLUTION 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,672
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	915
Number of retired or separated participants receiving benefits	2015-01-01	58
Number of other retired or separated participants entitled to future benefits	2015-01-01	432
Total of all active and inactive participants	2015-01-01	1,405
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1,405
Number of participants with account balances	2015-01-01	1,052
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	94
2014: DCS 401(K) MEP SOLUTION 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,980
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,288
Number of retired or separated participants receiving benefits	2014-01-01	2
Number of other retired or separated participants entitled to future benefits	2014-01-01	400
Total of all active and inactive participants	2014-01-01	1,690
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1,690
Number of participants with account balances	2014-01-01	1,043
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	91
2013: DCS 401(K) MEP SOLUTION 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,820
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,175
Number of retired or separated participants receiving benefits	2013-01-01	8
Number of other retired or separated participants entitled to future benefits	2013-01-01	154
Total of all active and inactive participants	2013-01-01	1,337
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,337
Number of participants with account balances	2013-01-01	755
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	18

Financial Data on DCS 401(K) MEP SOLUTION

Measure	Date	Value
2015 : DCS 401(K) MEP SOLUTION 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$35,162
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$18,704
Total income from all sources (including contributions)	2015-12-31	$1,269,609
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$2,332,136
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,252,094
Expenses. Certain deemed distributions of participant loans	2015-12-31	$49,470
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,521,812
Value of total assets at end of year	2015-12-31	$20,710,482
Value of total assets at beginning of year	2015-12-31	$21,756,551
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$30,572
Total interest from all sources	2015-12-31	$17,753
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	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	$1,202,717
Participant contributions at end of year	2015-12-31	$348,789
Participant contributions at beginning of year	2015-12-31	$422,799
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$57,444
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$35,162
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$18,704
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	$-1,062,527
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$20,675,320
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$21,737,847
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$18,488,157
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$19,464,316
Interest on participant loans	2015-12-31	$17,753
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,873,536
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$1,869,436
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-269,956
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	$261,651
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,252,094
Contract administrator fees	2015-12-31	$30,572
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	ALFRED J. LUTFY, CPA
Accountancy firm EIN	2015-12-31	463859555
2014 : DCS 401(K) MEP SOLUTION 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets from this plan	2014-12-31	$5,956,244
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$18,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$3,399,455
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,755,945
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,688,959
Expenses. Certain deemed distributions of participant loans	2014-12-31	$35,033
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,966,924
Value of total assets at end of year	2014-12-31	$21,756,551
Value of total assets at beginning of year	2014-12-31	$26,050,581
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$31,953
Total interest from all sources	2014-12-31	$23,272
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
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	$1,499,672
Participant contributions at end of year	2014-12-31	$422,799
Participant contributions at beginning of year	2014-12-31	$612,681
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$129,435
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$18,704
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,643,510
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$21,737,847
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$26,050,581
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	$31,953
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$0
Value of interest in pooled separate accounts at end of year	2014-12-31	$19,464,316
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$23,285,907
Interest on participant loans	2014-12-31	$23,272
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,869,436
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$2,151,993
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$1,409,259
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
Contributions received in cash from employer	2014-12-31	$337,817
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,688,959
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	ALFRED J. LUTFY, CPA
Accountancy firm EIN	2014-12-31	463859555
2013 : DCS 401(K) MEP SOLUTION 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$4,023,937
Total transfer of assets from this plan	2013-12-31	$4,075,658
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$8,211,030
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$4,576,253
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$4,387,761
Expenses. Certain deemed distributions of participant loans	2013-12-31	$79,762
Value of total corrective distributions	2013-12-31	$73,736
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,821,789
Value of total assets at end of year	2013-12-31	$26,050,581
Value of total assets at beginning of year	2013-12-31	$22,467,525
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$34,994
Total interest from all sources	2013-12-31	$25,953
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$90,340
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$90,340
Administrative expenses professional fees incurred	2013-12-31	$6,000
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$350,000
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	$2,754,915
Participant contributions at end of year	2013-12-31	$612,681
Participant contributions at beginning of year	2013-12-31	$528,495
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$417,961
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	$3,634,777
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$26,050,581
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$22,467,525
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$0
Value of interest in pooled separate accounts at end of year	2013-12-31	$23,285,907
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$19,447,227
Interest on participant loans	2013-12-31	$25,953
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$2,151,993
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$2,491,803
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$4,272,948
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
Contributions received in cash from employer	2013-12-31	$648,913
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$4,387,761
Contract administrator fees	2013-12-31	$28,994
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	ALFRED J. LUTFY, CPA
Accountancy firm EIN	2013-12-31	463859555

Form 5500 Responses for DCS 401(K) MEP SOLUTION

2015: DCS 401(K) MEP SOLUTION 2015 form 5500 responses
2015-01-01	Type of plan entity	Mulitple employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: DCS 401(K) MEP SOLUTION 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DCS 401(K) MEP SOLUTION 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

MEP

Policy instance

Insurance contract or identification number	MEP
Number of Individuals Covered	1048
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $70,030
Total amount of fees paid to insurance company	USD $10,450
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,438
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALES/MARKETING
Insurance broker organization code?	3
Insurance broker name	KUYKENDALL GARDNER, LLC

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

Policy contract number

MEP

Policy instance

Insurance contract or identification number	MEP
Number of Individuals Covered	1043
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $77,114
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	25500
Additional information about fees paid to insurance broker	SALES/MARKETING
Insurance broker organization code?	3
Insurance broker name	KUYKENDALL GARDNER & LARUE LLC

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

Policy contract number

MEP

Policy instance

Insurance contract or identification number	MEP
Number of Individuals Covered	1043
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $935
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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
Amount paid for insurance broker fees	935
Additional information about fees paid to insurance broker	SALES/MARKETING
Insurance broker organization code?	3
Insurance broker name	UBS FINANCIAL SERVICES

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

Policy contract number

MEP

Policy instance

Insurance contract or identification number	MEP
Number of Individuals Covered	1208
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $127,042
Total amount of fees paid to insurance company	USD $1,160
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $47,217
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALES/MARKETING
Insurance broker organization code?	3
Insurance broker name	DEE VANSCHOICK JR.

Potentially related plans

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Company Name:	MEP SPONSOR, INC.
Employer identification number (EIN):	452628185
NAIC Classification:	611000

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	2011-09-07
Company Identification Number:	20111576706
Legal Registered Office Address:	5516 BOULDER HIGHWAY SUITE 2-F LAS VEGAS United States of America (USA) 89122