401k Plan data: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN plan

ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 401k Plan overview

Plan Name	ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN
Plan identification number	001

ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

ACH OF AMERICA, LLC has sponsored the creation of one or more 401k plans.

Company Name: ACH OF AMERICA, LLC

Employer identification number (EIN): 593385730

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Additional information about ACH OF AMERICA, LLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2002-09-27

Company Identification Number: L02000025498

Legal Registered Office Address: 777 E. ALTAMONTE DRIVE

ALTAMONTE SPRINGS

32701

More information about ACH OF AMERICA, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01
001 2018-01-01
001 2018-01-01
001 2017-01-01 CAROL D SIEGEL
001 2016-01-01 URSZULA LEDKA
001 2016-01-01
001 2015-01-01 URSZULA LEDKA
001 2014-01-01
001 2013-01-01
001 2012-01-01 CAROL SIEGEL SEAN HALL 2013-10-14
001 2011-01-01 CAROL SIEGEL SEAN HALL 2012-10-11
001 2009-01-01 CAROL SIEGEL SEAN HALL 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01
001	2018-01-01
001	2018-01-01
001	2017-01-01	CAROL D SIEGEL
001	2016-01-01	URSZULA LEDKA
001	2016-01-01
001	2015-01-01	URSZULA LEDKA
001	2014-01-01
001	2013-01-01
001	2012-01-01	CAROL SIEGEL	SEAN HALL	2013-10-14
001	2011-01-01	CAROL SIEGEL	SEAN HALL	2012-10-11
001	2009-01-01	CAROL SIEGEL	SEAN HALL	2010-10-15

Plan Statistics for ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN

401k plan membership statisitcs for ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN

Measure Date Value
2018: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 3,093
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 3,067
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 129
Total of all active and inactive participants 2018-01-01 3,196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 3,196
Number of participants with account balances 2018-01-01 820
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 32
2017: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2,740
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2,534
Number of retired or separated participants receiving benefits 2017-01-01 1
Number of other retired or separated participants entitled to future benefits 2017-01-01 105
Total of all active and inactive participants 2017-01-01 2,640
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 2,640
Number of participants with account balances 2017-01-01 750
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 18
2016: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,196
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2,219
Number of retired or separated participants receiving benefits 2016-01-01 3
Number of other retired or separated participants entitled to future benefits 2016-01-01 152
Total of all active and inactive participants 2016-01-01 2,374
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 2,374
Number of participants with account balances 2016-01-01 767
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 43
2015: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,563
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 728
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 143
Total of all active and inactive participants 2015-01-01 871
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 871
Number of participants with account balances 2015-01-01 815
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 16
2014: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3,238
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3,135
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 406
Total of all active and inactive participants 2014-01-01 3,541
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 3,541
Number of participants with account balances 2014-01-01 1,065
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 107
2013: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 2,127
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,625
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 365
Total of all active and inactive participants 2013-01-01 1,990
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,990
Number of participants with account balances 2013-01-01 932
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 75
2012: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,828
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,430
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 296
Total of all active and inactive participants 2012-01-01 1,726
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 1,727
Number of participants with account balances 2012-01-01 728
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 43
2011: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,489
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,118
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 302
Total of all active and inactive participants 2011-01-01 1,420
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 1,421
Number of participants with account balances 2011-01-01 715
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 57
2009: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,544
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,249
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 267
Total of all active and inactive participants 2009-01-01 1,516
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,516
Number of participants with account balances 2009-01-01 606
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 57

Measure	Date	Value
2018: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	3,093
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	3,067
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	129
Total of all active and inactive participants	2018-01-01	3,196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	3,196
Number of participants with account balances	2018-01-01	820
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	32
2017: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2,740
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2,534
Number of retired or separated participants receiving benefits	2017-01-01	1
Number of other retired or separated participants entitled to future benefits	2017-01-01	105
Total of all active and inactive participants	2017-01-01	2,640
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	2,640
Number of participants with account balances	2017-01-01	750
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	18
2016: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,196
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2,219
Number of retired or separated participants receiving benefits	2016-01-01	3
Number of other retired or separated participants entitled to future benefits	2016-01-01	152
Total of all active and inactive participants	2016-01-01	2,374
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	2,374
Number of participants with account balances	2016-01-01	767
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	43
2015: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,563
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	728
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	143
Total of all active and inactive participants	2015-01-01	871
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	871
Number of participants with account balances	2015-01-01	815
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	16
2014: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3,238
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3,135
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	406
Total of all active and inactive participants	2014-01-01	3,541
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	3,541
Number of participants with account balances	2014-01-01	1,065
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	107
2013: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	2,127
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,625
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	365
Total of all active and inactive participants	2013-01-01	1,990
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,990
Number of participants with account balances	2013-01-01	932
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	75
2012: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,828
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,430
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	296
Total of all active and inactive participants	2012-01-01	1,726
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	1,727
Number of participants with account balances	2012-01-01	728
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	43
2011: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,489
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,118
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	302
Total of all active and inactive participants	2011-01-01	1,420
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	1,421
Number of participants with account balances	2011-01-01	715
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	57
2009: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,544
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,249
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	267
Total of all active and inactive participants	2009-01-01	1,516
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,516
Number of participants with account balances	2009-01-01	606
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	57

Financial Data on ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN

Measure	Date	Value
2018 : ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$2,991,278
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,654,513
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,453,444
Expenses. Certain deemed distributions of participant loans	2018-12-31	$16
Value of total corrective distributions	2018-12-31	$28,227
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$3,766,342
Value of total assets at end of year	2018-12-31	$14,040,981
Value of total assets at beginning of year	2018-12-31	$12,704,216
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$172,826
Total interest from all sources	2018-12-31	$27,224
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$1,124,822
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	$1,124,822
Administrative expenses professional fees incurred	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	No
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	$1,942,628
Participant contributions at end of year	2018-12-31	$325,819
Participant contributions at beginning of year	2018-12-31	$251,518
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$1,181,955
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-12-31	$70,295
Other income not declared elsewhere	2018-12-31	$0
Administrative expenses (other) incurred	2018-12-31	$427
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$1,336,765
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$14,040,981
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$12,704,216
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	$150,013
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$12,949,919
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$11,991,946
Value of interest in pooled separate accounts at end of year	2018-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$0
Interest on participant loans	2018-12-31	$16,083
Interest earned on other investments	2018-12-31	$11,141
Value of interest in common/collective trusts at end of year	2018-12-31	$0
Value of interest in common/collective trusts at beginning of year	2018-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$765,243
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$460,752
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-1,927,110
Net investment gain/loss from pooled separate accounts	2018-12-31	$0
Net investment gain or loss from common/collective trusts	2018-12-31	$0
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
Assets. Invements in employer securities at end of year	2018-12-31	$0
Assets. Invements in employer securities at beginning of year	2018-12-31	$0
Contributions received in cash from employer	2018-12-31	$641,759
Income. Dividends from common stock	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,383,149
Contract administrator fees	2018-12-31	$22,386
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	ERIN M PERDUE, CPA, LLC.
Accountancy firm EIN	2018-12-31	823518399
2017 : ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$4,362,120
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,906,720
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,651,212
Expenses. Certain deemed distributions of participant loans	2017-12-31	$0
Value of total corrective distributions	2017-12-31	$43,114
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$2,653,843
Value of total assets at end of year	2017-12-31	$12,704,216
Value of total assets at beginning of year	2017-12-31	$10,248,816
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$212,394
Total interest from all sources	2017-12-31	$17,992
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$641,299
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	$641,299
Administrative expenses professional fees incurred	2017-12-31	$61,777
Was this plan covered by a fidelity bond	2017-12-31	No
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	$1,664,968
Participant contributions at end of year	2017-12-31	$251,518
Participant contributions at beginning of year	2017-12-31	$207,179
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$431,322
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-12-31	$716,530
Other income not declared elsewhere	2017-12-31	$-13
Administrative expenses (other) incurred	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$2,455,400
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$12,704,216
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$10,248,816
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	$133,046
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$11,991,946
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$9,557,246
Value of interest in pooled separate accounts at end of year	2017-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$0
Interest on participant loans	2017-12-31	$11,346
Interest earned on other investments	2017-12-31	$6,646
Value of interest in common/collective trusts at end of year	2017-12-31	$0
Value of interest in common/collective trusts at beginning of year	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$460,752
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$484,391
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,048,999
Net investment gain/loss from pooled separate accounts	2017-12-31	$0
Net investment gain or loss from common/collective trusts	2017-12-31	$0
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
Assets. Invements in employer securities at end of year	2017-12-31	$0
Assets. Invements in employer securities at beginning of year	2017-12-31	$0
Contributions received in cash from employer	2017-12-31	$557,553
Income. Dividends from common stock	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$934,682
Contract administrator fees	2017-12-31	$17,571
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	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	ERIN PERDUE
Accountancy firm EIN	2017-12-31	823518399
2016 : ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$2,999,397
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$1,764,681
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,586,120
Expenses. Certain deemed distributions of participant loans	2016-12-31	$891
Value of total corrective distributions	2016-12-31	$35,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$2,393,259
Value of total assets at end of year	2016-12-31	$10,248,816
Value of total assets at beginning of year	2016-12-31	$9,014,100
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$142,278
Total interest from all sources	2016-12-31	$16,794
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$505,803
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	$505,803
Administrative expenses professional fees incurred	2016-12-31	$9,250
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$600,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,551,428
Participant contributions at end of year	2016-12-31	$207,179
Participant contributions at beginning of year	2016-12-31	$258,692
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$306,342
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$422,104
Other income not declared elsewhere	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$3,549
Total non interest bearing cash at beginning of year	2016-12-31	$201,625
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$1,234,716
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$10,248,816
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$9,014,100
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	$112,569
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$9,557,246
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$8,275,513
Value of interest in pooled separate accounts at end of year	2016-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$0
Interest on participant loans	2016-12-31	$8,755
Interest earned on other investments	2016-12-31	$8,039
Value of interest in common/collective trusts at end of year	2016-12-31	$0
Value of interest in common/collective trusts at beginning of year	2016-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$484,391
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$278,270
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$83,541
Net investment gain/loss from pooled separate accounts	2016-12-31	$0
Net investment gain or loss from common/collective trusts	2016-12-31	$0
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
Assets. Invements in employer securities at end of year	2016-12-31	$0
Assets. Invements in employer securities at beginning of year	2016-12-31	$0
Contributions received in cash from employer	2016-12-31	$535,489
Income. Dividends from common stock	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,164,016
Contract administrator fees	2016-12-31	$16,910
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	DAVIS GROUP, P.A
Accountancy firm EIN	2016-12-31	273509345
2015 : ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$1,544,408
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,858,089
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,726,532
Expenses. Certain deemed distributions of participant loans	2015-12-31	$10,425
Value of total corrective distributions	2015-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,872,297
Value of total assets at end of year	2015-12-31	$9,014,100
Value of total assets at beginning of year	2015-12-31	$9,327,781
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$121,132
Total interest from all sources	2015-12-31	$10,706
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$99,002
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$99,002
Administrative expenses professional fees incurred	2015-12-31	$37,043
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,500,000
If this is an individual account plan, was there a blackout period	2015-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,296,278
Participant contributions at end of year	2015-12-31	$258,692
Participant contributions at beginning of year	2015-12-31	$265,921
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$96,717
Other income not declared elsewhere	2015-12-31	$174,575
Administrative expenses (other) incurred	2015-12-31	$0
Total non interest bearing cash at end of year	2015-12-31	$201,625
Total non interest bearing cash at beginning of year	2015-12-31	$229,451
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	$-313,681
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$9,014,100
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$9,327,781
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	$45,881
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$8,275,513
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$0
Value of interest in pooled separate accounts at end of year	2015-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$7,416,492
Interest on participant loans	2015-12-31	$9,669
Interest earned on other investments	2015-12-31	$1,037
Value of interest in common/collective trusts at end of year	2015-12-31	$0
Value of interest in common/collective trusts at beginning of year	2015-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$1,326,875
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$1,326,875
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$278,270
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$89,042
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-817,832
Net investment gain/loss from pooled separate accounts	2015-12-31	$205,660
Net investment gain or loss from common/collective trusts	2015-12-31	$0
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
Assets. Invements in employer securities at end of year	2015-12-31	$0
Assets. Invements in employer securities at beginning of year	2015-12-31	$0
Assets. Value of employer real property at end of year	2015-12-31	$0
Assets. Value of employer real property at beginning of year	2015-12-31	$0
Contributions received in cash from employer	2015-12-31	$479,302
Income. Dividends from common stock	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,726,532
Contract administrator fees	2015-12-31	$38,208
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	2015-12-31	Yes
Assets. Value of buildings and other operty used in plan operation at end of year	2015-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-12-31	$0
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	DAVIS, GRIM AND COMPANY, P.A.
Accountancy firm EIN	2015-12-31	273509345
2014 : ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$2,449,323
Total of all expenses incurred	2014-12-31	$1,260,270
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,133,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$2,131,455
Value of total assets at end of year	2014-12-31	$9,327,781
Value of total assets at beginning of year	2014-12-31	$8,138,728
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$127,185
Total interest from all sources	2014-12-31	$9,485
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	$54,173
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$600,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,514,764
Participant contributions at end of year	2014-12-31	$265,921
Participant contributions at beginning of year	2014-12-31	$216,868
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$129,890
Total non interest bearing cash at end of year	2014-12-31	$229,451
Total non interest bearing cash at beginning of year	2014-12-31	$250,198
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	$1,189,053
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$9,327,781
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$8,138,728
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	$73,012
Value of interest in pooled separate accounts at end of year	2014-12-31	$7,416,492
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$6,541,888
Income. Interest from loans (other than to participants)	2014-12-31	$9,073
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$1,326,875
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$1,129,774
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$1,129,774
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$412
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$89,042
Net investment gain/loss from pooled separate accounts	2014-12-31	$308,383
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	$486,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,133,085
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	MOSS, KRUSICK AND ASSOCIATES, LLC
Accountancy firm EIN	2014-12-31	593017072
2013 : ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
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	$2,668,723
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$848,611
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$741,540
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,556,370
Value of total assets at end of year	2013-12-31	$8,138,728
Value of total assets at beginning of year	2013-12-31	$6,318,616
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$107,071
Total interest from all sources	2013-12-31	$8,800
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
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	$49,783
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$600,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,062,455
Participant contributions at end of year	2013-12-31	$216,868
Participant contributions at beginning of year	2013-12-31	$195,194
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$155,443
Administrative expenses (other) incurred	2013-12-31	$57,288
Total non interest bearing cash at end of year	2013-12-31	$250,198
Total non interest bearing cash at beginning of year	2013-12-31	$193,209
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	$1,820,112
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$8,138,728
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$6,318,616
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 pooled separate accounts at end of year	2013-12-31	$6,541,888
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$4,892,250
Interest on participant loans	2013-12-31	$8,392
Value of interest in master investment trust accounts at beginning of year	2013-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$1,129,774
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$974,621
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$974,621
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$408
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$63,342
Net investment gain/loss from pooled separate accounts	2013-12-31	$1,103,553
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	$338,472
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$741,540
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	MOSS, KRUSICK AND ASSOCIATES, LLC
Accountancy firm EIN	2013-12-31	593017072
2012 : ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) 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	$1,712,649
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,519,258
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,417,117
Value of total corrective distributions	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,094,602
Value of total assets at end of year	2012-12-31	$6,318,616
Value of total assets at beginning of year	2012-12-31	$6,125,225
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$102,141
Total interest from all sources	2012-12-31	$8,903
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	$49,637
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$600,000
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	$788,822
Participant contributions at end of year	2012-12-31	$195,194
Participant contributions at beginning of year	2012-12-31	$216,302
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$47,668
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-12-31	$2,686
Administrative expenses (other) incurred	2012-12-31	$52,504
Total non interest bearing cash at end of year	2012-12-31	$193,209
Total non interest bearing cash at beginning of year	2012-12-31	$157,437
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	$193,391
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$6,318,616
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$6,125,225
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in pooled separate accounts at end of year	2012-12-31	$4,892,250
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$4,715,513
Interest on participant loans	2012-12-31	$7,936
Interest earned on other investments	2012-12-31	$967
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$974,621
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$970,289
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$970,289
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$63,342
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$65,684
Net investment gain/loss from pooled separate accounts	2012-12-31	$609,144
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
Contributions received in cash from employer	2012-12-31	$258,112
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,414,431
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	MOSS, KRUSICK AND ASSOCIATES, LLC
Accountancy firm EIN	2012-12-31	593017072
2011 : ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$84,878
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	$1,043,721
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,236,555
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,124,012
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,155,399
Value of total assets at end of year	2011-12-31	$6,125,225
Value of total assets at beginning of year	2011-12-31	$6,233,181
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$112,543
Total interest from all sources	2011-12-31	$9,195
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	$48,519
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$350,000
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	$654,359
Participant contributions at end of year	2011-12-31	$216,302
Participant contributions at beginning of year	2011-12-31	$149,473
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$183,974
Administrative expenses (other) incurred	2011-12-31	$64,024
Total non interest bearing cash at end of year	2011-12-31	$157,437
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	$-192,834
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$6,125,225
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$6,233,181
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	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$5,999,641
Value of interest in pooled separate accounts at end of year	2011-12-31	$4,715,513
Interest on participant loans	2011-12-31	$8,193
Interest earned on other investments	2011-12-31	$1,002
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$970,289
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$65,684
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$84,067
Net investment gain/loss from pooled separate accounts	2011-12-31	$-120,873
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
Contributions received in cash from employer	2011-12-31	$317,066
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,124,012
Contract administrator fees	2011-12-31	$0
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MOSS, KRUSICK AND ASSOCIATES, LLC
Accountancy firm EIN	2011-12-31	593017072
2010 : ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) 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	$0
Total income from all sources (including contributions)	2010-12-31	$1,565,140
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,494,054
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,339,394
Expenses. Certain deemed distributions of participant loans	2010-12-31	$46,410
Value of total corrective distributions	2010-12-31	$1,831
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$961,149
Value of total assets at end of year	2010-12-31	$6,233,181
Value of total assets at beginning of year	2010-12-31	$6,162,095
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$106,419
Total interest from all sources	2010-12-31	$12,086
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	$43,162
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$350,000
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	$580,026
Participant contributions at end of year	2010-12-31	$149,473
Participant contributions at beginning of year	2010-12-31	$298,060
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$105,486
Administrative expenses (other) incurred	2010-12-31	$63,257
Total non interest bearing cash at beginning of year	2010-12-31	$21,035
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	$71,086
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$6,233,181
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$6,162,095
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$5,999,641
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$5,793,122
Interest on participant loans	2010-12-31	$10,857
Interest earned on other investments	2010-12-31	$1,229
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$84,067
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$49,878
Net investment gain/loss from pooled separate accounts	2010-12-31	$591,905
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$275,637
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,339,394
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	MOSS, KRUSICK AND ASSOCIATES, LLC
Accountancy firm EIN	2010-12-31	593017072
2009 : ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) 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 ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN

2018: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Mulitple employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Mulitple employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Mulitple employer plan
2016-01-01	Submission has been amended	Yes
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: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 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: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 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: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 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
2012: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple 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: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: ACH OF AMERICA, LLC MULTIPLE EMPLOYER 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Mulitple 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

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 61831

Policy instance

Insurance contract or identification number	MR 61831
Number of Individuals Covered	3196
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 61831

Policy instance

Insurance contract or identification number	MR 61831
Number of Individuals Covered	2640
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

MR 61831

Policy instance

Insurance contract or identification number	MR 61831
Number of Individuals Covered	871
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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

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

Policy contract number

23336

Policy instance

Insurance contract or identification number	23336
Number of Individuals Covered	1329
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $33,619
Total amount of fees paid to insurance company	USD $73,012
Commission paid to Insurance Broker	USD $33,619
Insurance broker organization code?	3
Amount paid for insurance broker fees	73012
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker name	RETIREMENT PLAN SPECIALISTS, INC.

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

Policy contract number

23336

Policy instance

Insurance contract or identification number	23336
Number of Individuals Covered	1241
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $27,663
Total amount of fees paid to insurance company	USD $57,288
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $27,663
Insurance broker organization code?	3
Amount paid for insurance broker fees	57288
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker name	RETIREMENT PLAN SPECIALISTS, INC

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

Policy contract number

23336

Policy instance

Insurance contract or identification number	23336
Number of Individuals Covered	989
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $33,736
Total amount of fees paid to insurance company	USD $49,671
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 $33,736
Insurance broker organization code?	3
Amount paid for insurance broker fees	49637
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker name	VANGUARD GROUP, INC.

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

Policy contract number

23336

Policy instance

Insurance contract or identification number	23336
Number of Individuals Covered	914
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $44,649
Total amount of fees paid to insurance company	USD $48,519
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

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

Policy contract number

23336

Policy instance

Insurance contract or identification number	23336
Number of Individuals Covered	833
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $45,132
Total amount of fees paid to insurance company	USD $43,187
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

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Company Name:	ACH OF AMERICA, LLC
Employer identification number (EIN):	593385730
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2002-09-27
Company Identification Number:	L02000025498
Legal Registered Office Address:	777 E. ALTAMONTE DRIVE ALTAMONTE SPRINGS 32701