401k Plan data: T-STAFF, INC. 401(K) PROFIT SHARING PLAN plan

T-STAFF, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	T-STAFF, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

T-STAFF, INC. 401(K) PROFIT SHARING 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

T-STAFF, INC. has sponsored the creation of one or more 401k plans.

Company Name: T-STAFF, INC.

Employer identification number (EIN): 593528199

NAIC Classification: 561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan T-STAFF, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01
001 2019-01-01
001 2018-01-01 BRUCE ASTROM 2019-10-15 BRUCE ASTROM 2019-10-15
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 LEIGH TURNER LEIGH TURNER 2013-10-11
001 2011-01-01 BRUCE ASTROM 2012-10-15 BRUCE ASTROM 2012-10-15
001 2010-01-01 BRUCE ASTROM 2011-06-20 BRUCE ASTROM 2011-06-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01
001	2019-01-01
001	2018-01-01	BRUCE ASTROM	2019-10-15	BRUCE ASTROM	2019-10-15
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	LEIGH TURNER		LEIGH TURNER	2013-10-11
001	2011-01-01	BRUCE ASTROM	2012-10-15	BRUCE ASTROM	2012-10-15
001	2010-01-01	BRUCE ASTROM	2011-06-20	BRUCE ASTROM	2011-06-20

Plan Statistics for T-STAFF, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for T-STAFF, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2018: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 64
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 53
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 4
Total of all active and inactive participants 2018-01-01 57
Total participants 2018-01-01 57
Number of participants with account balances 2018-01-01 12
2017: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 67
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 57
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 7
Total of all active and inactive participants 2017-01-01 64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 64
Number of participants with account balances 2017-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 86
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 47
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 7
Total of all active and inactive participants 2016-01-01 54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 54
Number of participants with account balances 2016-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 86
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 71
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 6
Total of all active and inactive participants 2015-01-01 77
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 77
Number of participants with account balances 2015-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 93
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 61
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 6
Total of all active and inactive participants 2014-01-01 67
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 67
Number of participants with account balances 2014-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 70
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 9
Total of all active and inactive participants 2013-01-01 79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 79
Number of participants with account balances 2013-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 89
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 73
Number of other retired or separated participants entitled to future benefits 2012-01-01 11
Total of all active and inactive participants 2012-01-01 84
Total participants 2012-01-01 84
Number of participants with account balances 2012-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2018: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	64
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	53
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	4
Total of all active and inactive participants	2018-01-01	57
Total participants	2018-01-01	57
Number of participants with account balances	2018-01-01	12
2017: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	67
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	57
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	7
Total of all active and inactive participants	2017-01-01	64
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	64
Number of participants with account balances	2017-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	86
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	47
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	7
Total of all active and inactive participants	2016-01-01	54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	54
Number of participants with account balances	2016-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	86
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	71
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	6
Total of all active and inactive participants	2015-01-01	77
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	77
Number of participants with account balances	2015-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	93
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	61
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	6
Total of all active and inactive participants	2014-01-01	67
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	67
Number of participants with account balances	2014-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	70
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	9
Total of all active and inactive participants	2013-01-01	79
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	79
Number of participants with account balances	2013-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	89
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	73
Number of other retired or separated participants entitled to future benefits	2012-01-01	11
Total of all active and inactive participants	2012-01-01	84
Total participants	2012-01-01	84
Number of participants with account balances	2012-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on T-STAFF, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2018 : T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$-12,634
Expenses. Total of all expenses incurred	2018-12-31	$25,812
Benefits paid (including direct rollovers)	2018-12-31	$9,250
Total plan assets at end of year	2018-12-31	$2,152,245
Total plan assets at beginning of year	2018-12-31	$2,190,691
Value of fidelity bond covering the plan	2018-12-31	$186,000
Total contributions received or receivable from participants	2018-12-31	$93,619
Other income received	2018-12-31	$-131,249
Net income (gross income less expenses)	2018-12-31	$-38,446
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,152,245
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$2,190,691
Total contributions received or receivable from employer(s)	2018-12-31	$24,996
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$16,562
2017 : T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$436,689
Expenses. Total of all expenses incurred	2017-12-31	$16,054
Benefits paid (including direct rollovers)	2017-12-31	$1,794
Total plan assets at end of year	2017-12-31	$2,190,691
Total plan assets at beginning of year	2017-12-31	$1,770,056
Value of fidelity bond covering the plan	2017-12-31	$186,000
Total contributions received or receivable from participants	2017-12-31	$111,381
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$290,442
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$420,635
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$2,190,691
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,770,056
Total contributions received or receivable from employer(s)	2017-12-31	$34,866
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$14,260
2016 : T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$273,291
Expenses. Total of all expenses incurred	2016-12-31	$349,871
Benefits paid (including direct rollovers)	2016-12-31	$337,329
Total plan assets at end of year	2016-12-31	$1,770,056
Total plan assets at beginning of year	2016-12-31	$1,846,636
Value of fidelity bond covering the plan	2016-12-31	$186,000
Total contributions received or receivable from participants	2016-12-31	$113,676
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$127,724
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$-76,580
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,770,056
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,846,636
Total contributions received or receivable from employer(s)	2016-12-31	$31,891
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$12,542
2015 : T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total income from all sources	2015-12-31	$87,379
Expenses. Total of all expenses incurred	2015-12-31	$12,893
Benefits paid (including direct rollovers)	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$1,846,636
Total plan assets at beginning of year	2015-12-31	$1,772,150
Value of fidelity bond covering the plan	2015-12-31	$152,000
Total contributions received or receivable from participants	2015-12-31	$121,931
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-57,791
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$74,486
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,846,636
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,772,150
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2015-12-31	$7,215
Total contributions received or receivable from employer(s)	2015-12-31	$23,239
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$12,893
2014 : T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$218,241
Expenses. Total of all expenses incurred	2014-12-31	$32,711
Benefits paid (including direct rollovers)	2014-12-31	$20,209
Total plan assets at end of year	2014-12-31	$1,772,150
Total plan assets at beginning of year	2014-12-31	$1,586,620
Value of fidelity bond covering the plan	2014-12-31	$152,000
Total contributions received or receivable from participants	2014-12-31	$114,494
Other income received	2014-12-31	$78,660
Net income (gross income less expenses)	2014-12-31	$185,530
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,772,150
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,586,620
Total contributions received or receivable from employer(s)	2014-12-31	$25,087
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$12,502
2013 : T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$280,250
Expenses. Total of all expenses incurred	2013-12-31	$98,817
Benefits paid (including direct rollovers)	2013-12-31	$88,016
Total plan assets at end of year	2013-12-31	$1,586,620
Total plan assets at beginning of year	2013-12-31	$1,405,187
Value of fidelity bond covering the plan	2013-12-31	$152,000
Total contributions received or receivable from participants	2013-12-31	$119,823
Other income received	2013-12-31	$137,506
Net income (gross income less expenses)	2013-12-31	$181,433
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,586,620
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,405,187
Total contributions received or receivable from employer(s)	2013-12-31	$22,921
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$10,801
2012 : T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$242,005
Expenses. Total of all expenses incurred	2012-12-31	$71,066
Benefits paid (including direct rollovers)	2012-12-31	$65,201
Total plan assets at end of year	2012-12-31	$1,405,187
Total plan assets at beginning of year	2012-12-31	$1,234,248
Value of fidelity bond covering the plan	2012-12-31	$150,000
Total contributions received or receivable from participants	2012-12-31	$85,726
Other income received	2012-12-31	$140,953
Net income (gross income less expenses)	2012-12-31	$170,939
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,405,187
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,234,248
Total contributions received or receivable from employer(s)	2012-12-31	$15,326
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$5,865

Form 5500 Responses for T-STAFF, INC. 401(K) PROFIT SHARING PLAN

2018: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single 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 - Trust	Yes
2014: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single 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 - Trust	Yes
2013: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single 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 - Trust	Yes
2012: T-STAFF, INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

821733

Policy instance

Insurance contract or identification number	821733
Number of Individuals Covered	5
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $31
Total amount of fees paid to insurance company	USD $4
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $31
Insurance broker organization code?	3
Amount paid for insurance broker fees	4

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

Policy contract number

821733

Policy instance

Insurance contract or identification number	821733
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $36
Total amount of fees paid to insurance company	USD $6
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $36
Insurance broker organization code?	3
Amount paid for insurance broker fees	6
Insurance broker name	RETIREMENT PLAN ADMINISTRATORS LLC

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

Policy contract number

821733

Policy instance

Insurance contract or identification number	821733
Number of Individuals Covered	8
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $216
Total amount of fees paid to insurance company	USD $36
Are there contracts with unallocated funds for contracts of type 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 $216
Insurance broker organization code?	3
Amount paid for insurance broker fees	36
Insurance broker name	RETIREMENT PLAN ADMINISTRATORS LLC

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

Policy contract number

821733

Policy instance

Insurance contract or identification number	821733
Number of Individuals Covered	8
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $187
Total amount of fees paid to insurance company	USD $31
Are there contracts with unallocated funds for contracts of type 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 $187
Insurance broker organization code?	3
Amount paid for insurance broker fees	31
Insurance broker name	RETIREMENT PLAN ADMINISTRATORS LLC

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

Policy contract number

821733

Policy instance

Insurance contract or identification number	821733
Number of Individuals Covered	13
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $187
Total amount of fees paid to insurance company	USD $31
Are there contracts with unallocated funds for contracts of type 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 $187
Insurance broker organization code?	3
Amount paid for insurance broker fees	31
Additional information about fees paid to insurance broker	ADMINISTRATIVE ALLOWANCE
Insurance broker name	RETIREMENT PLAN ADMINISTRATORS LLC

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

Policy contract number

821733

Policy instance

Insurance contract or identification number	821733
Number of Individuals Covered	18
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $2,514
Total amount of fees paid to insurance company	USD $526
Are there contracts with unallocated funds for contracts of type 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 $2,514
Insurance broker organization code?	3
Amount paid for insurance broker fees	82
Additional information about fees paid to insurance broker	SALES/MARKETING
Insurance broker name	RETIREMENT PLAN ADMINISTRATORS LLC

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Company Name:	T-STAFF, INC.
Employer identification number (EIN):	593528199
NAIC Classification:	561300