Sponsor Name AckID Sponsor EIN Plan Number Filing Year Sponsor Street Sponsor Street 2 Sponsor City Sponsor State Sponsor Zip Sponsor County Sponsor Phone Sponsor Website Business (NAICS) Code Sponsor Contact 01 Full Name Sponsor Contact 01 Prefix Sponsor Contact 01 First Name Sponsor Contact 01 Last Name Plan Name Plan Renewal Month (1-12) Estimated Filing Date Pension Benefit Code(s) Plan Score: National Plan Score: State Plan Score: Industry Plan Score: Assets Plan Score: Participants Participant Loans as a % of plan assets Participants: Total Participants: 3 Year Growth Rate Participants: Active Total Participation Rate Participants: With Balance at Year End Total Employees Active Plan Resolution to Terminate Plan Adopted Rollover Potential Assets from Terminated Plan that Reverted to Employer Entity Code Number of Participating Employers in Multi-Employer Plan Union Plan Collective Bargaining Agreement Plan-5500 Filing Type Tophat/Nonqualified Plan Indicator Plan Effective Date Benefit Arrangement Code(s) Plan Funding Arrangement(s) Payor of Benefits EIN (#1) (Schd. R) Payor of Benefits EIN (#2) (Schd. R) Filing Type(s) Plan Count for Current Filings Provision 404C Flag # Of Red Flags Red Flag: Recently Changed Providers Red Flag: High Average Account Balance Red Flag: Plan Recently Terminated Red Flag: Reduced Employer Contributions Red Flag: Excessive Uninvested Cash Red Flag: Corrective Distributions Issued Red Flag: History of Corrective Distributions Red Flag: Sponsor is Missing a 5500 Red Flag: High Percentage of Retirees Red Flag: Bottom 10% in Rate of Return Red Flag: Bottom 10% in Participation Rate Red Flag: Bottom 10% Average Participant Account Balance Red Flag: Bottom 10% in Employee Contributions Red Flag: Bottom 10% in Employer Contributions Red Flag: Bottom 10% in High Admin Fees Red Flag: Experienced a Loss Due to Fraud or Dishonesty Red Flag: Plan Failed to Provide Benefits Red Flag: Provider Failed to Provide Compensation Disclosure Red Flag: Plan Reached 100 Participants Red Flag: Insufficient Fidelity Bond Coverage Red Flag: Deposit Timing Failure Red Flag: EBSA Violations EBSA Violation Type EBSA Violation Resolution EBSA Violation Resolution Date EBSA Violation Penalty Plan Recently Updated Total Plan Assets Rate of Return (1 year) Rate of Return Over 3 Years Rate of Return Over 5 Years Rate of Return vs S&P 500 Average Participant Balance Average Account Balance 1 Year Growth Total Contributions Average 401k Contribution Employee Contributions Employee Contributions per Participant Employer Contributions Employer Contributions per Participant Non-Cash Contributions Other Contributions Investment Management Fees Administrative Fees Per Participant Accountant Firm Name Accountant Firm EIN Accountant Opinion Code Liability: Net Assets Liability: Total Plan Liabilities Expenses: Administrative Service Provider Expenses Expenses: Administrative Service Provider Expenses Expenses: Corrective Distributions Expenses: Deemed Distributions Expenses: Net Income Expenses: Other Expenses Expenses: Other Expenses: Total Expenses: Total Payments Expenses: Total Plan Expenses Receivables: Employer Contributions Receivables: Other Contributions Receivables: Participant Contributions Receivables: Total Receivable Assets Income: Other Earnings Income: Total Plan Income Interest in Joint Ventures Investments: Value of Interest in Mutual Funds Investments: Value of Interest in Master Trusts Investments: Value of Other General Investments Investments: Value of Interest in Pooled Accounts Investments: Value of U.S. Government Securities Employer Securities Investments: Non Interest-Bearing Cash on Hand Investments: Interest-Bearing Cash on Hand Investments: Value of Interest in Common/Collective Trusts Investments: Corporate Debt Assets Investments: Preferred Corporate Debt Assets Investments: Corporate Stock Assets - Common Investments: Corporate Stock Assets - Preferred Investments: Unallocated Funds held in Insurance Accounts Investments: Value of Interest in 103-12 Entities Expenses: Contract Administration Expenses Expenses: Investment Advisory and Management Expenses Expenses: Other Admin Expenses Expenses: Professional Expenses/Fees Expenses: Interest Expenses Expenses: Expense Payments to Insurance Carriers Expenses: Other Payments Expenses: Payments to Participant Income: Asset Transfers from Plan Income: Asset Transfers to Plan Income: Investment Gain from 103-12 Entities Income: Investment Gain from Common/Collective Trusts Income: Investment Gain from Common Stock Divideds Income: Investment Gain from Preferred Stock Dividends Income: Investment Gain from Mutual Fund Dividends Income: Investment Gain from Dividends Total Income: Interest from Cash Income: Interest from Corporate Debt Loans to Non-Participants Income: Interest from non-participant Loans Loans to Participants Income: Interest from Participant Loans Income: Total Interest from Loans Income: Other Interest Income: Interest from Securities Income: Total Interest Income: Earnings from Master Trusts Income: Investment Gain from Pooled Accounts Income: Investment Gain from Mutual Funds Income: Income Gain from Rent Income: Net Gain on Sale of Assets - Aggregate Carrying Amount Income: Net Gain on Sale of Assets - Aggregate Proceeds Income: Net Gain on Sale of Assets - Total Income: Unrealized Appreciation of Real Estate Liability: Acquisition Indebtedness Liability: Benefit Claims Payable Liability: Operating Payables Liability: Other Asset Transfers - Total Real Estate Employer Property Buildings Used for Plan Personal Property Fidelity Bond Fidelity Bond Amount % of Total Assets Annuity/GIC: Number of Brokers Annuity/GIC: Number of Schedule A Filings Annuity/GIC 01: Carrier Name Annuity/GIC 01: Carrier EIN Annuity/GIC 01: Carrier NAIC Annuity/GIC 01: Contract ID Annuity/GIC 01: Contract Start Date Annuity/GIC 01: Contract End Date Annuity/GIC 01: Participants Annuity/GIC 01: Broker Total Commissions Annuity/GIC 01: Broker Total Fees Annuity/GIC 01: Value of General Accounts Annuity/GIC 01: Value of Separate Accounts Annuity/GIC 01: Allocated Funds - Basis of Rates Annuity/GIC 01: Premium Paid Annuity/GIC 01: Allocated Funds - Unpaid Premiums Annuity/GIC 01: Allocated Funds - Contract Costs Annuity/GIC 01: Allocated Funds - Contract Type Annuity/GIC 01: Allocated Funds - Contract Text Annuity/GIC 01: Allocated Funds - Purchased To Distrubute Funds From Terminating Plan Annuity/GIC 01: Unallocated Funds - Contract Type Annuity/GIC 01: Unallocated Funds - Contract Text Annuity/GIC 01: Unallocated Funds - Balance from Previous Year Annuity/GIC 01: Unallocated Funds - Contributions Annuity/GIC 01: Unallocated Funds - Dividends Annuity/GIC 01: Unallocated Funds - Interest Annuity/GIC 01: Unallocated Funds - Additions: Transferred Annuity/GIC 01: Unallocated Funds - Additions: Other Annuity/GIC 01: Unallocated Funds - Additions: Total Annuity/GIC 01: Unallocated Funds - Total Balance + Additions Annuity/GIC 01: Unallocated Funds - Deductions: Disbursed Annuity/GIC 01: Unallocated Funds - Deductions: Administrative Annuity/GIC 01: Unallocated Funds - Deductions: Transferred Annuity/GIC 01: Unallocated Funds - Deductions: Other Annuity/GIC 01: Unallocated Funds - Deductions: Other Text Annuity/GIC 01: Unallocated Funds - Deductions: Total Annuity/GIC 01: Unallocated Funds - Funds - at End of Year Annuity/GIC 01: Experience Rated - Premiums Received Annuity/GIC 01: Experience Rated - Change In Amount Due Annuity/GIC 01: Experience Rated - Change In Unearned Premium Reserve Annuity/GIC 01: Experience Rated - Total Earned Annuity/GIC 01: Experience Rated - Claims Paid Annuity/GIC 01: Experience Rated - Change In Claim Reserves Annuity/GIC 01: Experience Rated - Incurred Claims Annuity/GIC 01: Experience Rated - Claims Charged Annuity/GIC 01: Experience Rated - Commissions Charged Annuity/GIC 01: Experience Rated - Administrative Fees Annuity/GIC 01: Experience Rated - Acquisition Costs Annuity/GIC 01: Experience Rated - Other Expenses Annuity/GIC 01: Experience Rated - Taxes Annuity/GIC 01: Experience Rated - Risk Charges Annuity/GIC 01: Experience Rated - Other Retention Charges Annuity/GIC 01: Experience Rated - Total Retention Charges Annuity/GIC 01: Experience Rated - Contract Refund Type Annuity/GIC 01: Experience Rated - Refund Annuity/GIC 01: Experience Rated - Held Amount Annuity/GIC 01: Experience Rated - Claim Reserves Annuity/GIC 01: Experience Rated - Other Reserves Annuity/GIC 01: Experience Rated - Dividends Due Annuity/GIC 01: Experience Rated - Total Premiums Annuity/GIC 01: Experience Rated - Other Acquisiton Costs Annuity/GIC 01: Experience Rated - Other Acquisiton Costs Text Annuity/GIC 01: Carrier Failed to Provide Info Annuity/GIC 01: Broker 01 Name Annuity/GIC 01: Broker 01 Commissions Annuity/GIC 01: Broker 01 Fees Annuity/GIC 01: Broker 01 Fees Text Annuity/GIC 01: Broker 01 Service Code Annuity/GIC 01: Broker 01 Street Address1 Annuity/GIC 01: Broker 01 Street Address2 Annuity/GIC 01: Broker 01 City Annuity/GIC 01: Broker 01 State Annuity/GIC 01: Broker 01 Zip Annuity/GIC 01: Broker 02 Name Annuity/GIC 01: Broker 02 Commissions Annuity/GIC 01: Broker 02 Fees Annuity/GIC 01: Broker 02 Fees Text Annuity/GIC 01: Broker 02 Service Code Annuity/GIC 01: Broker 02 Street Address1 Annuity/GIC 01: Broker 02 Street Address2 Annuity/GIC 01: Broker 02 City Annuity/GIC 01: Broker 02 State Annuity/GIC 01: Broker 02 Zip Annuity/GIC 02: Carrier Name Annuity/GIC 02: Carrier EIN Annuity/GIC 02: Carrier NAIC Annuity/GIC 02: Contract ID Annuity/GIC 02: Contract Start Date Annuity/GIC 02: Contract End Date Annuity/GIC 02: Participants Annuity/GIC 02: Broker Total Commissions Annuity/GIC 02: Broker Total Fees Annuity/GIC 02: Value of General Accounts Annuity/GIC 02: Value of Separate Accounts Annuity/GIC 02: Allocated Funds - Basis of Rates Annuity/GIC 02: Premium Paid Annuity/GIC 02: Allocated Funds - Unpaid Premiums Annuity/GIC 02: Allocated Funds - Contract Costs Annuity/GIC 02: Allocated Funds - Contract Type Annuity/GIC 02: Allocated Funds - Contract Text Annuity/GIC 02: Allocated Funds - Purchased To Distrubute Funds From Terminating Plan Annuity/GIC 02: Unallocated Funds - Contract Type Annuity/GIC 02: Unallocated Funds - Contract Text Annuity/GIC 02: Unallocated Funds - Balance from Previous Year Annuity/GIC 02: Unallocated Funds - Contributions Annuity/GIC 02: Unallocated Funds - Dividends Annuity/GIC 02: Unallocated Funds - Interest Annuity/GIC 02: Unallocated Funds - Additions: Transferred Annuity/GIC 02: Unallocated Funds - Additions: Other Annuity/GIC 02: Unallocated Funds - Additions: Total Annuity/GIC 02: Unallocated Funds - Total Balance + Additions Annuity/GIC 02: Unallocated Funds - Deductions: Disbursed Annuity/GIC 02: Unallocated Funds - Deductions: Administrative Annuity/GIC 02: Unallocated Funds - Deductions: Transferred Annuity/GIC 02: Unallocated Funds - Deductions: Other Annuity/GIC 02: Unallocated Funds - Deductions: Other Text Annuity/GIC 02: Unallocated Funds - Deductions: Total Annuity/GIC 02: Unallocated Funds - Funds - at End of Year Annuity/GIC 02: Experience Rated - Premiums Received Annuity/GIC 02: Experience Rated - Change In Amount Due Annuity/GIC 02: Experience Rated - Change In Unearned Premium Reserve Annuity/GIC 02: Experience Rated - Total Earned Annuity/GIC 02: Experience Rated - Claims Paid Annuity/GIC 02: Experience Rated - Change In Claim Reserves Annuity/GIC 02: Experience Rated - Incurred Claims Annuity/GIC 02: Experience Rated - Claims Charged Annuity/GIC 02: Experience Rated - Commissions Charged Annuity/GIC 02: Experience Rated - Administrative Fees Annuity/GIC 02: Experience Rated - Acquisition Costs Annuity/GIC 02: Experience Rated - Other Expenses Annuity/GIC 02: Experience Rated - Taxes Annuity/GIC 02: Experience Rated - Risk Charges Annuity/GIC 02: Experience Rated - Other Retention Charges Annuity/GIC 02: Experience Rated - Total Retention Charges Annuity/GIC 02: Experience Rated - Contract Refund Type Annuity/GIC 02: Experience Rated - Refund Annuity/GIC 02: Experience Rated - Held Amount Annuity/GIC 02: Experience Rated - Claim Reserves Annuity/GIC 02: Experience Rated - Other Reserves Annuity/GIC 02: Experience Rated - Dividends Due Annuity/GIC 02: Experience Rated - Total Premiums Annuity/GIC 02: Experience Rated - Other Acquisiton Costs Annuity/GIC 02: Experience Rated - Other Acquisiton Costs Text Annuity/GIC 02: Carrier Failed to Provide Info Annuity/GIC 02: Broker 01 Name Annuity/GIC 02: Broker 01 Commissions Annuity/GIC 02: Broker 01 Fees Annuity/GIC 02: Broker 01 Fees Text Annuity/GIC 02: Broker 01 Service Code Annuity/GIC 02: Broker 01 Street Address1 Annuity/GIC 02: Broker 01 Street Address2 Annuity/GIC 02: Broker 01 City Annuity/GIC 02: Broker 01 State Annuity/GIC 02: Broker 01 Zip Annuity/GIC 02: Broker 02 Name Annuity/GIC 02: Broker 02 Commissions Annuity/GIC 02: Broker 02 Fees Annuity/GIC 02: Broker 02 Fees Text Annuity/GIC 02: Broker 02 Service Code Annuity/GIC 02: Broker 02 Street Address1 Annuity/GIC 02: Broker 02 Street Address2 Annuity/GIC 02: Broker 02 City Annuity/GIC 02: Broker 02 State Annuity/GIC 02: Broker 02 Zip Annuity/GIC 03: Carrier Name Annuity/GIC 03: Carrier EIN Annuity/GIC 03: Carrier NAIC Annuity/GIC 03: Contract ID Annuity/GIC 03: Contract Start Date Annuity/GIC 03: Contract End Date Annuity/GIC 03: Participants Annuity/GIC 03: Broker Total Commissions Annuity/GIC 03: Broker Total Fees Annuity/GIC 03: Value of General Accounts Annuity/GIC 03: Value of Separate Accounts Annuity/GIC 03: Allocated Funds - Basis of Rates Annuity/GIC 03: Premium Paid Annuity/GIC 03: Allocated Funds - Unpaid Premiums Annuity/GIC 03: Allocated Funds - Contract Costs Annuity/GIC 03: Allocated Funds - Contract Type Annuity/GIC 03: Allocated Funds - Contract Text Annuity/GIC 03: Allocated Funds - Purchased To Distrubute Funds From Terminating Plan Annuity/GIC 03: Unallocated Funds - Contract Type Annuity/GIC 03: Unallocated Funds - Contract Text Annuity/GIC 03: Unallocated Funds - Balance from Previous Year Annuity/GIC 03: Unallocated Funds - Contributions Annuity/GIC 03: Unallocated Funds - Dividends Annuity/GIC 03: Unallocated Funds - Interest Annuity/GIC 03: Unallocated Funds - Additions: Transferred Annuity/GIC 03: Unallocated Funds - Additions: Other Annuity/GIC 03: Unallocated Funds - Additions: Total Annuity/GIC 03: Unallocated Funds - Total Balance + Additions Annuity/GIC 03: Unallocated Funds - Deductions: Disbursed Annuity/GIC 03: Unallocated Funds - Deductions: Administrative Annuity/GIC 03: Unallocated Funds - Deductions: Transferred Annuity/GIC 03: Unallocated Funds - Deductions: Other Annuity/GIC 03: Unallocated Funds - Deductions: Other Text Annuity/GIC 03: Unallocated Funds - Deductions: Total Annuity/GIC 03: Unallocated Funds - Funds - at End of Year Annuity/GIC 03: Experience Rated - Premiums Received Annuity/GIC 03: Experience Rated - Change In Amount Due Annuity/GIC 03: Experience Rated - Change In Unearned Premium Reserve Annuity/GIC 03: Experience Rated - Total Earned Annuity/GIC 03: Experience Rated - Claims Paid Annuity/GIC 03: Experience Rated - Change In Claim Reserves Annuity/GIC 03: Experience Rated - Incurred Claims Annuity/GIC 03: Experience Rated - Claims Charged Annuity/GIC 03: Experience Rated - Commissions Charged Annuity/GIC 03: Experience Rated - Administrative Fees Annuity/GIC 03: Experience Rated - Acquisition Costs Annuity/GIC 03: Experience Rated - Other Expenses Annuity/GIC 03: Experience Rated - Taxes Annuity/GIC 03: Experience Rated - Risk Charges Annuity/GIC 03: Experience Rated - Other Retention Charges Annuity/GIC 03: Experience Rated - Total Retention Charges Annuity/GIC 03: Experience Rated - Contract Refund Type Annuity/GIC 03: Experience Rated - Refund Annuity/GIC 03: Experience Rated - Held Amount Annuity/GIC 03: Experience Rated - Claim Reserves Annuity/GIC 03: Experience Rated - Other Reserves Annuity/GIC 03: Experience Rated - Dividends Due Annuity/GIC 03: Experience Rated - Total Premiums Annuity/GIC 03: Experience Rated - Other Acquisiton Costs Annuity/GIC 03: Experience Rated - Other Acquisiton Costs Text Annuity/GIC 03: Carrier Failed to Provide Info Annuity/GIC 03: Broker 01 Name Annuity/GIC 03: Broker 01 Commissions Annuity/GIC 03: Broker 01 Fees Annuity/GIC 03: Broker 01 Fees Text Annuity/GIC 03: Broker 01 Service Code Annuity/GIC 03: Broker 01 Street Address1 Annuity/GIC 03: Broker 01 Street Address2 Annuity/GIC 03: Broker 01 City Annuity/GIC 03: Broker 01 State Annuity/GIC 03: Broker 01 Zip Annuity/GIC 03: Broker 02 Name Annuity/GIC 03: Broker 02 Commissions Annuity/GIC 03: Broker 02 Fees Annuity/GIC 03: Broker 02 Fees Text Annuity/GIC 03: Broker 02 Service Code Annuity/GIC 03: Broker 02 Street Address1 Annuity/GIC 03: Broker 02 Street Address2 Annuity/GIC 03: Broker 02 City Annuity/GIC 03: Broker 02 State Annuity/GIC 03: Broker 02 Zip Provider: Number of Providers Provider 01: EIN Provider 01: Provider Name Provider 01: Direct Compensation Amount Provider 01: Provider Indirectly Compensated Provider 01: Indirect Comp. Including Eligible Provider 01: Indirect Excluding Eligible Compensation Amount Provider 01: Indirect Compensation Provider 01: Indirect Compensation Amount Provider 01: Formula for Indirect Compensation Provider 01: Indirect Compensation Source Provider 01: Failed to Provide Required Information Provider 01: Indirect Compensation Formula Provider 01: Service Codes Provider 02: EIN Provider 02: Provider Name Provider 02: Direct Compensation Amount Provider 02: Provider Indirectly Compensated Provider 02: Indirect Comp. Including Eligible Provider 02: Indirect Excluding Eligible Compensation Amount Provider 02: Indirect Compensation Provider 02: Indirect Compensation Amount Provider 02: Formula for Indirect Compensation Provider 02: Indirect Compensation Source Provider 02: Failed to Provide Required Information Provider 02: Indirect Compensation Formula Provider 02: Service Codes Provider 03: EIN Provider 03: Provider Name Provider 03: Direct Compensation Amount Provider 03: Provider Indirectly Compensated Provider 03: Indirect Comp. Including Eligible Provider 03: Indirect Excluding Eligible Compensation Amount Provider 03: Indirect Compensation Provider 03: Indirect Compensation Amount Provider 03: Formula for Indirect Compensation Provider 03: Indirect Compensation Source Provider 03: Failed to Provide Required Information Provider 03: Indirect Compensation Formula Provider 03: Service Codes Schedule MB Filed Schedule SB Filed Actuary Firm Name Actuary Firm Address Actuary Firm City Actuary Firm State Actuary Firm Zip Actuary Phone Number Actuary Signature Date Actuarial: Funding Target - Terminated Vested Participants Actuarial: Funding Target - Total Active Participants Actuarial: Funding Target - Total Particpants Actuarial: Funding Target - Vested Active Participants Actuarial: Valuation Date Actuarial: Accrued Liability Under Unit Cost Actuarial: Adjusted Benefits if Critical Actuarial: Misc-Alternative - Funding Rules code Actuarial: Amortization - Automatic Extension Actuarial: Amortization - Eligibility Actuarial: Amortization - Extension Letter Date (IRS) Actuarial: Amortization - Extension Number of Years (Automatic) Actuarial: Amortization - Extension Number of Years (IRS) Actuarial: Amortization - IRS Approved Extension Actuarial: Amortization - Min. Req. Contr. Difference Actuarial: Amortization - Operating Under Extension Actuarial: Current Value of Assets Actuarial: Value for Funding Standard Account Actuarial: Assumptions - Applicable month code Actuarial: Assumptions - Discount Rate 1st segment Actuarial: Assumptions - Discount Rate 2nd segment Actuarial: Assumptions - Discount Rate 3rd segment Actuarial: Assumptions - Estimated Investment Return: Actuarial Actuarial: Assumptions - Estimated Investment Return: Current Actuarial: Assumptions - Int. rate RPA 94 curr. liab. Actuarial: Assumptions - Mortality Code(s) Actuarial: Assumptions - Post-Ret. Expense Loading Actuarial: Assumptions - Post-Ret. Rates Specified Actuarial: Assumptions - Post-Ret. Valuation Interest Rate Actuarial: Assumptions - Pre-Ret. Expense Loading Actuarial: Assumptions - Pre-Ret. Rates Specified Actuarial: Assumptions - Pre-Ret. Valuation Interest Rate Actuarial: Assumptions - Salary Scale: Male&Female Actuarial: Assumptions - Weighted Aver. Ret. Age Actuarial: Carryover & Prefunding - Current Year Carryover Actuarial: Carryover & Prefunding - Current Year Prefunding Actuarial: Carryover & Prefunding - Prior Year Carryover Actuarial: Carryover & Prefunding - Prior Year Prefunding Actuarial: Carryover & Prefunding - Election Reduction Carryover Actuarial: Carryover & Prefunding - Election Reduction Prefunding Actuarial: Carryover & Prefunding - Last Year Interest Amount Actuarial: Carryover & Prefunding - Last Year Interest Carryover Actuarial: Carryover & Prefunding - Last Year Interest Prefunding Actuarial: Carryover & Prefunding - Offset Carryover Actuarial: Carryover & Prefunding - Offset Prefunding Actuarial: Carryover & Prefunding - Remaining Carryover Actuarial: Carryover & Prefunding - Remaining Prefunding Actuarial: Assumptions - Change in Assumption Actuarial: Contributions - Contributions to Avoid Accumulated Funding Deficiency Actuarial: Contributions - Contributions Made to Avoid Restrictions Actuarial: Contributions Made Toward Unpaid Minimum - Current Year Actuarial: Contributions Made Toward Unpaid Minimum - Prior Year Actuarial: Contributions - Employee Total Actuarial: Contributions - Employer Total Actuarial: Contributions - Funding Shortfall Prior Year Actuarial: Cost Method - Change According to Procedure Actuarial: Cost Method - Change in Funding Method Actuarial: Cost Method (other) Actuarial: Cost Method - Date of Change Approval Actuarial: Cost Method - Period of Use of Shortfall Method Actuarial: Effective Interest Rate Actuary Enrollment Number Actuarial: Excess Contributions - Excess Amt Actuarial: Excess Contributions - Interest Last Year Rate Actuarial: Excess Contributions - Portion of Interest Added Actuarial: Excess Contributions - Prefunding Actuarial: Excess Contributions - Total Avail. Beginning Year Actuarial: Expected Plan Disbursements Actuarial: Charges - Amortization (All Except Funding Waivers) Actuarial: Charges - Amortization (Funding Waivers) Actuarial: Charges - Interest Actuarial: Charges - Normal Cost for plan year Actuarial: Charges - Prior Year Deficiency Actuarial: Charges - Total Actuarial: Credits - All Bases Except Extended Actuarial: Credits - Amortization Actuarial: Credits - Applicable Interest Actuarial: Credits - Balance Actuarial: Credits - Bases Where Period Extended Actuarial: Credits - Employer Contributions Actuarial: Credits - FFL: ERISA Actuarial: Credits - FFL: RPA 94 Actuarial: Credits - Funding Deficiency Actuarial: Credits - Funding Waivers Actuarial: Credits - Other Actuarial: Credits - Prior Year Credit Balance Actuarial: Credits - Total Actuarial: Credits - Waived Funding Deficiency Actuarial: Reconciliation - Current Year: Outstanding Actuarial: Reconciliation - Current Year: Recon Amount Actuarial: Reconciliation - Current Year Total Actuarial: Reconciliation - Waived Prior Years Actuarial: Funding Deficiency Waiver Date Actuarial: Funding % - Adjusted Target Attainment % Actuarial: Funding % - Current value less than 70% Actuarial: Funding % - Prior Year % Actuarial: Funding % - Target Attainment % Actuarial: Funding Target Disregarding Risk Actuarial: Funding Target Reflecting Risk Actuarial: Liability - Accrued Liability using Immediate gains Actuarial: Liability - Amt excluded from current Liability Actuarial: Liability - RPA 94: Current Liability Actuarial: Liability - RPA 94: Expected inc. in current Liability Actuarial: Liability - RPA 94: Expected release Actuarial: Liquidity Shortfall - 1st Quarter Actuarial: Liquidity Shortfall - 2nd Quarter Actuarial: Liquidity Shortfall - 3rd Quarter Actuarial: Liquidity Shortfall - 4th Quarter Actuarial: Liquidity Shortfall Indicator Actuarial: Minimum Required Contributions - Additional Cash Req. Actuarial: Minimum Required Contributions - Allocated Min. Req. Adj. Actuarial: Minimum Required Contributions - Amortization Installments - Net Shortfall Actuarial: Minimum Required Contributions - Amortization Installments - Waiver Actuarial: Minimum Required Contributions - Carryover Balance Actuarial: Minimum Required Contributions - Funding Req. w/out Balances Actuarial: Minimum Required Contributions - Int-Adjusted Excess Contributions Actuarial: Minimum Required Contributions - Prefunding Balance Actuarial: Minimum Required Contributions - Target Normal Cost Actuarial: Minimum Required Contributions - Total Offset Balance Actuarial: Minimum Required Contributions - Unpaid All Years Actuarial: Minimum Required Contributions - Unpaid Current Year Actuarial: Minimum Required Contributions - Waived Amount Actuary Personal Name Actuarial: Non-Vested Active Funding Target Actuarial: Operational - % Funded (70% or less) Actuarial: Operational-Info- Assets: Current Value Actuarial: Operational - RPA 94: Active (Non-vested) Actuarial: Operational - RPA 94: Active Participants Actuarial: Operational - RPA 94: Active (total) Actuarial: Operational - RPA 94: Active (vested) Actuarial: Operational - RPA 94: Retired Participants Actuarial: Operational - RPA 94: Retired (total) Actuarial: Operational - RPA 94: Terminated Participants Actuarial: Operational - RPA 94: Terminated (total) Actuarial: Operational - RPA 94: Total (benefits) Actuarial: Operational - RPA 94: Total Participants Actuarial: Plan at Risk Actuarial: Plan Funding Percentage Actuarial: Plan Progress On Schedule Actuarial: Plan Risk Status Code Actuarial: Prior Year Plan Size Actuarial: Reconciliation - Discounted Contribution on Unpaid Minimums - Prior Year Actuarial: Reconciliation - Remaining Unpaid Minimum Required Contributions Actuarial: Reconciliation - Unpaid Minimum Required Contributions Actuarial: Reduction in Liability Amount Actuarial: Funding Target - Retired Participants Actuarial: Spread Gain Methods - Accrued Liability EAN Actuarial: Spread Gain Methods - Normal cost EAN Actuarial: Spread Gain Methods - Unfunded Liability Actuarial: Target Normal Cost Plan-Schedule R Filed Sample
218 EVENTS 20230516120122NAL0000842496001 84-4454619 1 2022 1624 Ravanusa Dr Henderson NV 89052 Clark 702-477-5533 541990 Mr Edward Rojas Mr Edward Rojas 218 EVENTS LLC 401(K) PROFIT SHARING PLAN & TRUST January 5/16/2024 0:00 DC: Profit sharing, DC: ERISA 404(c), DC: Total part. directed, DC: 401(k), DC: 401(m), Plan provides for automatic enrollment, Total or partial participant-directed - default investment account, Other: Master plan 48 44 33 46 45 0 2 0 2 100 2 2 TRUE FALSE N 0 Single Employer Plan N N SF Plan Filing 1/1/2021 1 FALSE 3 FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE TRUE TRUE TRUE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE $1,594 -17.11 -6.06 -17.11 $797 -14.48 $75 $38 $75 $38 $0 $0 $0 $0 $13 $1,594 $0 $26 $26 $0 $0 ($270) $0 $0 $0 $26 $0 ($319) ($244) $0 $0 $0 $0 $0 $0 $0 $0 $0 0 FALSE $0 0 FALSE FALSE FALSE
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218 EVENTS 20230516120122NAL0000842496001 84-4454619 1 2022 1624 Ravanusa Dr Henderson NV 89052 Clark 702-477-5533 541990 Mr Edward Rojas Mr Edward Rojas 218 EVENTS LLC 401(K) PROFIT SHARING PLAN & TRUST January 5/16/2024 0:00 DC: Profit sharing, DC: ERISA 404(c), DC: Total part. directed, DC: 401(k), DC: 401(m), Plan provides for automatic enrollment, Total or partial participant-directed - default investment account, Other: Master plan 48 44 33 46 45 0 2 0 2 100 2 2 TRUE FALSE N 0 Single Employer Plan N N SF Plan Filing 1/1/2021 1 FALSE 3 FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE TRUE TRUE TRUE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE FALSE $1,594 -17.11 -6.06 -17.11 $797 -14.48 $75 $38 $75 $38 $0 $0 $0 $0 $13 $1,594 $0 $26 $26 $0 $0 ($270) $0 $0 $0 $26 $0 ($319) ($244) $0 $0 $0 $0 $0 $0 $0 $0 $0 0 FALSE $0 0 FALSE FALSE FALSE
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