401k Plan data: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN plan

O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 401k Plan overview

Plan Name	O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN
Plan identification number	001

O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

O.P.E.N. AMERICA, INC. DBA OPENWORKS has sponsored the creation of one or more 401k plans.

Company Name: O.P.E.N. AMERICA, INC. DBA OPENWORKS

Employer identification number (EIN): 860584561

NAIC Classification: 561720
NAIC Description: Janitorial Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01 KELSIE MCCLENDON 2019-08-20 KELSIE MCCLENDON 2019-08-20
001 2017-01-01 KELSIE MCCLENDON 2018-09-20
001 2016-01-01 JODI SLOTNICK 2017-10-10
001 2015-01-01 JODI SLOTNICK 2016-10-17
001 2014-01-01 JODI SLOTNICK 2015-07-16
001 2013-01-01 HOWARD SCKOLNIK
001 2012-01-01 HOWARD SCKOLNIK
001 2011-01-01 HOWARD SCKOLNIK 2012-06-08
001 2010-01-01 HOWARD SCKOLNIK 2011-07-14
001 2009-01-01 KATHY KRUEGER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01	KELSIE MCCLENDON	2019-08-20	KELSIE MCCLENDON	2019-08-20
001	2017-01-01	KELSIE MCCLENDON	2018-09-20
001	2016-01-01	JODI SLOTNICK	2017-10-10
001	2015-01-01	JODI SLOTNICK	2016-10-17
001	2014-01-01	JODI SLOTNICK	2015-07-16
001	2013-01-01	HOWARD SCKOLNIK
001	2012-01-01	HOWARD SCKOLNIK
001	2011-01-01	HOWARD SCKOLNIK	2012-06-08
001	2010-01-01	HOWARD SCKOLNIK	2011-07-14
001	2009-01-01	KATHY KRUEGER

Plan Statistics for O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN

401k plan membership statisitcs for O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN

Measure Date Value
2022: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 138
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 108
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 54
Total of all active and inactive participants 2022-01-01 162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 162
Number of participants with account balances 2022-01-01 137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 24
2021: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 105
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 27
Total of all active and inactive participants 2021-01-01 132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 132
Number of participants with account balances 2021-01-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 12
2020: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 167
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 140
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 27
Total of all active and inactive participants 2020-01-01 167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 167
Number of participants with account balances 2020-01-01 74
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 7
2019: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 159
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 126
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 30
Total of all active and inactive participants 2019-01-01 156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 156
Number of participants with account balances 2019-01-01 70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 12
2013: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 64
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 13
Total of all active and inactive participants 2013-01-01 77
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 77
Number of participants with account balances 2013-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 5
2012: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 174
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 95
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 10
Total of all active and inactive participants 2012-01-01 105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 105
Number of participants with account balances 2012-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 5
2009: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 37
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 66
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 6
Total of all active and inactive participants 2009-01-01 72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 72
Number of participants with account balances 2009-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2022: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	138
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	108
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	54
Total of all active and inactive participants	2022-01-01	162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	162
Number of participants with account balances	2022-01-01	137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	24
2021: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	105
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	27
Total of all active and inactive participants	2021-01-01	132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	132
Number of participants with account balances	2021-01-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	12
2020: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	167
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	140
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	27
Total of all active and inactive participants	2020-01-01	167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	167
Number of participants with account balances	2020-01-01	74
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	7
2019: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	159
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	126
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	30
Total of all active and inactive participants	2019-01-01	156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	156
Number of participants with account balances	2019-01-01	70
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	12
2013: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	64
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	13
Total of all active and inactive participants	2013-01-01	77
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	77
Number of participants with account balances	2013-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	5
2012: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	174
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	95
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	10
Total of all active and inactive participants	2012-01-01	105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	105
Number of participants with account balances	2012-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	5
2009: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	37
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	66
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	6
Total of all active and inactive participants	2009-01-01	72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	72
Number of participants with account balances	2009-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN

Measure	Date	Value
2022 : O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2022 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$438
Total income from all sources (including contributions)	2022-12-31	$59,250
Total of all expenses incurred	2022-12-31	$365,047
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$347,373
Value of total corrective distributions	2022-12-31	$438
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$595,625
Value of total assets at end of year	2022-12-31	$2,600,944
Value of total assets at beginning of year	2022-12-31	$2,907,179
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$17,236
Total interest from all sources	2022-12-31	$1,936
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$418,290
Participant contributions at end of year	2022-12-31	$42,773
Participant contributions at beginning of year	2022-12-31	$34,761
Participant contributions at end of year	2022-12-31	$6,634
Participant contributions at beginning of year	2022-12-31	$96
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$30,219
Other income not declared elsewhere	2022-12-31	$1,031
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-305,797
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,600,944
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$2,906,741
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$10,612
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$2,523,828
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,858,261
Interest on participant loans	2022-12-31	$1,936
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$19,324
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$13,559
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$13,559
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-539,342
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$147,116
Employer contributions (assets) at end of year	2022-12-31	$8,385
Employer contributions (assets) at beginning of year	2022-12-31	$502
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$347,373
Contract administrator fees	2022-12-31	$6,624
Liabilities. Value of benefit claims payable at beginning of year	2022-12-31	$438
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2022-12-31	450250958
2021 : O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$438
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$6,439
Total income from all sources (including contributions)	2021-12-31	$1,037,785
Total of all expenses incurred	2021-12-31	$463,226
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$440,284
Expenses. Certain deemed distributions of participant loans	2021-12-31	$0
Value of total corrective distributions	2021-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$603,771
Value of total assets at end of year	2021-12-31	$2,907,179
Value of total assets at beginning of year	2021-12-31	$2,338,621
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$22,942
Total interest from all sources	2021-12-31	$1,595
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$398,131
Participant contributions at end of year	2021-12-31	$34,761
Participant contributions at beginning of year	2021-12-31	$24,468
Participant contributions at end of year	2021-12-31	$96
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$65,557
Other income not declared elsewhere	2021-12-31	$0
Administrative expenses (other) incurred	2021-12-31	$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	2021-12-31	No
Value of net income/loss	2021-12-31	$574,559
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$2,906,741
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$2,332,182
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$15,574
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$2,858,261
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$2,303,731
Interest on participant loans	2021-12-31	$1,595
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$13,559
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$10,422
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$10,422
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$432,419
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$140,083
Employer contributions (assets) at end of year	2021-12-31	$502
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$440,284
Contract administrator fees	2021-12-31	$7,368
Liabilities. Value of benefit claims payable at end of year	2021-12-31	$438
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$6,439
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2021-12-31	450250958
2020 : O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$6,439
Total income from all sources (including contributions)	2020-12-31	$861,079
Total of all expenses incurred	2020-12-31	$437,648
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$405,611
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$547,439
Value of total assets at end of year	2020-12-31	$2,338,621
Value of total assets at beginning of year	2020-12-31	$1,908,751
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$32,037
Total interest from all sources	2020-12-31	$1,908
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$297,468
Participant contributions at end of year	2020-12-31	$24,468
Participant contributions at beginning of year	2020-12-31	$38,073
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$167,782
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$423,431
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,332,182
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,908,751
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$2,303,731
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,767,687
Interest on participant loans	2020-12-31	$1,908
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$10,422
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$102,991
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$102,991
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$311,732
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$82,189
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$405,611
Contract administrator fees	2020-12-31	$32,037
Liabilities. Value of benefit claims payable at end of year	2020-12-31	$6,439
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2020-12-31	450250958
2019 : O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$888,287
Total income from all sources (including contributions)	2019-12-31	$888,287
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$279,574
Total of all expenses incurred	2019-12-31	$279,574
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$254,502
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$254,502
Value of total corrective distributions	2019-12-31	$11,457
Value of total corrective distributions	2019-12-31	$11,457
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$575,938
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$575,938
Value of total assets at end of year	2019-12-31	$1,908,751
Value of total assets at end of year	2019-12-31	$1,908,751
Value of total assets at beginning of year	2019-12-31	$1,300,038
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$13,615
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$13,615
Total interest from all sources	2019-12-31	$4,521
Total interest from all sources	2019-12-31	$4,521
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$34,606
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$34,606
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$34,606
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$34,606
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$1,000,000
Value of fidelity bond cover	2019-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$333,074
Contributions received from participants	2019-12-31	$333,074
Participant contributions at end of year	2019-12-31	$38,073
Participant contributions at end of year	2019-12-31	$38,073
Participant contributions at beginning of year	2019-12-31	$34,523
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$159,595
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$159,595
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$608,713
Value of net income/loss	2019-12-31	$608,713
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,908,751
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,908,751
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,300,038
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,300,038
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$4,826
Investment advisory and management fees	2019-12-31	$4,826
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,767,687
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,767,687
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,165,134
Interest on participant loans	2019-12-31	$2,271
Interest on participant loans	2019-12-31	$2,271
Income. Interest from loans (other than to participants)	2019-12-31	$0
Income. Interest from loans (other than to participants)	2019-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$102,991
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$102,991
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$100,381
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$100,381
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$2,250
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$2,250
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$273,222
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$273,222
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$83,269
Contributions received in cash from employer	2019-12-31	$83,269
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$254,502
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$254,502
Contract administrator fees	2019-12-31	$8,789
Contract administrator fees	2019-12-31	$8,789
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	EIDE BAILLY LLP
Accountancy firm name	2019-12-31	EIDE BAILLY LLP
Accountancy firm EIN	2019-12-31	450250958
Accountancy firm EIN	2019-12-31	450250958
2013 : O.P.E.N. AMERICA INC DBA OPENWORKS 401K 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	$125,970
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$23,163
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$19,882
Value of total corrective distributions	2013-12-31	$2,881
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$76,899
Value of total assets at end of year	2013-12-31	$423,977
Value of total assets at beginning of year	2013-12-31	$321,170
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$400
Total interest from all sources	2013-12-31	$2,009
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$21,721
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$21,721
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$33,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$60,913
Participant contributions at end of year	2013-12-31	$34,626
Participant contributions at beginning of year	2013-12-31	$43,166
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$4,441
Administrative expenses (other) incurred	2013-12-31	$400
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	$102,807
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$423,977
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$321,170
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$304,198
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$226,414
Interest on participant loans	2013-12-31	$2,009
Value of interest in common/collective trusts at end of year	2013-12-31	$85,153
Value of interest in common/collective trusts at beginning of year	2013-12-31	$51,590
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$18,126
Net investment gain or loss from common/collective trusts	2013-12-31	$7,215
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	Yes
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	$11,545
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$19,882
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	EIDE BAILLY
Accountancy firm EIN	2013-12-31	860584561
2012 : O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$85,079
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$70,470
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$64,179
Value of total corrective distributions	2012-12-31	$5,616
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$52,732
Value of total assets at end of year	2012-12-31	$321,170
Value of total assets at beginning of year	2012-12-31	$306,561
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$675
Total interest from all sources	2012-12-31	$2,947
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$9,710
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$9,710
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$31,000
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	$45,448
Participant contributions at end of year	2012-12-31	$43,166
Participant contributions at beginning of year	2012-12-31	$62,489
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$320
Administrative expenses (other) incurred	2012-12-31	$675
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	$14,609
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$321,170
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$306,561
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 registered invesment companies (eg mutual funds) at end of year	2012-12-31	$226,414
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$205,334
Interest on participant loans	2012-12-31	$2,947
Value of interest in common/collective trusts at end of year	2012-12-31	$51,590
Value of interest in common/collective trusts at beginning of year	2012-12-31	$38,738
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$17,670
Net investment gain or loss from common/collective trusts	2012-12-31	$2,020
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	$6,964
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$64,179
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	EIDE BAILEY
Accountancy firm EIN	2012-12-31	860584561
2009 : O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN

2022: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2013: O.P.E.N. AMERICA INC DBA OPENWORKS 401K 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2009: O.P.E.N. AMERICA INC DBA OPENWORKS 401K PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

146912

Policy instance

Insurance contract or identification number	146912
Number of Individuals Covered	155
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $3,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	3318
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker organization code?	5

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

Policy contract number

146912

Policy instance

Insurance contract or identification number	146912
Number of Individuals Covered	104
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $10,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	10879
Additional information about fees paid to insurance broker	FEES PAID
Insurance broker organization code?	5

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

Policy contract number

146912

Policy instance

Insurance contract or identification number	146912
Number of Individuals Covered	79
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $43
Amount paid for insurance broker fees	43
Additional information about fees paid to insurance broker	TPA FEE
Insurance broker organization code?	5

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Company Name:	O.P.E.N. AMERICA, INC. DBA OPENWORKS
Employer identification number (EIN):	860584561
NAIC Classification:	561720
NAIC Description:	Janitorial Services