Civic Intelligence
Filing

Advanced Testing Technologies Inc Premium Only Plan

Advanced Testing Technologies Inc • EIN 11-2891861 • Plan year 2002

Company ProfileSource Archive
Filing Insights

Participants

Down

125 → 117

-8 • -6.40%

Assets

No comparison

- → -

No earlier value available.

Investment Management Fee

-

Admin expenses - • Total expenses -

Filing Details

Context

No event flags were generated for this filing.

Status Flags

Fidelity bond in place

Not reported

Limited-scope audit performed

Not reported

Contributions transmitted on time

Not reported

Participant loans in default

Not reported

Leases in default

Not reported

Reportable party-in-interest issues

Not reported

Loss discovered during year

Not reported

Assets with undetermined value

Not reported

Non-cash contributions

Not reported

Assets held for investment

Not reported

5% transactions reported

Not reported

All plan assets distributed

Not reported

Benefits paid when due

Not reported

Plan blackout period

Not reported

Plan termination resolution adopted

Not reported

Counterparties

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / FilingFilingsParticipantsAssetsContributionsContrib./Participant
2024145$10,415,530$267,937$5,954iApproximate average salary by contribution assumption: employee only about $148,854 at 4% or $99,236 at 6%; with 50% employer match about $99,236 at 4% or $66,157 at 6%; with 100% employer match about $74,427 at 4% or $49,618 at 6%.
Advanced Testing Technologies 401K Retirement Plan-45$10,415,530$267,937$5,954iApproximate average salary by contribution assumption: employee only about $148,854 at 4% or $99,236 at 6%; with 50% employer match about $99,236 at 4% or $66,157 at 6%; with 100% employer match about $74,427 at 4% or $49,618 at 6%.
2023149$11,059,083$300,001$6,122iApproximate average salary by contribution assumption: employee only about $153,062 at 4% or $102,041 at 6%; with 50% employer match about $102,041 at 4% or $68,027 at 6%; with 100% employer match about $76,531 at 4% or $51,021 at 6%.
Advanced Testing Technologies 401K Retirement Plan-49$11,059,083$300,001$6,122iApproximate average salary by contribution assumption: employee only about $153,062 at 4% or $102,041 at 6%; with 50% employer match about $102,041 at 4% or $68,027 at 6%; with 100% employer match about $76,531 at 4% or $51,021 at 6%.
2022148$13,018,298$298,121$6,211iApproximate average salary by contribution assumption: employee only about $155,271 at 4% or $103,514 at 6%; with 50% employer match about $103,514 at 4% or $69,009 at 6%; with 100% employer match about $77,636 at 4% or $51,757 at 6%.
Advanced Testing Technologies 401K Retirement Plan-48$13,018,298$298,121$6,211iApproximate average salary by contribution assumption: employee only about $155,271 at 4% or $103,514 at 6%; with 50% employer match about $103,514 at 4% or $69,009 at 6%; with 100% employer match about $77,636 at 4% or $51,757 at 6%.
2021150$17,859,129$319,360$6,387iApproximate average salary by contribution assumption: employee only about $159,680 at 4% or $106,453 at 6%; with 50% employer match about $106,453 at 4% or $70,969 at 6%; with 100% employer match about $79,840 at 4% or $53,227 at 6%.
Advanced Testing Technologies 401K Retirement Plan-50$17,859,129$319,360$6,387iApproximate average salary by contribution assumption: employee only about $159,680 at 4% or $106,453 at 6%; with 50% employer match about $106,453 at 4% or $70,969 at 6%; with 100% employer match about $79,840 at 4% or $53,227 at 6%.
2020152$15,701,265$338,514$6,510iApproximate average salary by contribution assumption: employee only about $162,747 at 4% or $108,498 at 6%; with 50% employer match about $108,498 at 4% or $72,332 at 6%; with 100% employer match about $81,374 at 4% or $54,249 at 6%.
Advanced Testing Technologies 401K Retirement Plan-52$15,701,265$338,514$6,510iApproximate average salary by contribution assumption: employee only about $162,747 at 4% or $108,498 at 6%; with 50% employer match about $108,498 at 4% or $72,332 at 6%; with 100% employer match about $81,374 at 4% or $54,249 at 6%.
2019153$14,116,301$321,343$6,063iApproximate average salary by contribution assumption: employee only about $151,577 at 4% or $101,051 at 6%; with 50% employer match about $101,051 at 4% or $67,368 at 6%; with 100% employer match about $75,788 at 4% or $50,526 at 6%.
Advanced Testing Technologies 401K Retirement Plan-53$14,116,301$321,343$6,063iApproximate average salary by contribution assumption: employee only about $151,577 at 4% or $101,051 at 6%; with 50% employer match about $101,051 at 4% or $67,368 at 6%; with 100% employer match about $75,788 at 4% or $50,526 at 6%.
2018158$12,275,436$336,444$5,801iApproximate average salary by contribution assumption: employee only about $145,019 at 4% or $96,679 at 6%; with 50% employer match about $96,679 at 4% or $64,453 at 6%; with 100% employer match about $72,509 at 4% or $48,340 at 6%.
Advanced Testing Technologies 401K Retirement Plan-58$12,275,436$336,444$5,801iApproximate average salary by contribution assumption: employee only about $145,019 at 4% or $96,679 at 6%; with 50% employer match about $96,679 at 4% or $64,453 at 6%; with 100% employer match about $72,509 at 4% or $48,340 at 6%.
2017161$12,755,258$383,287$6,283iApproximate average salary by contribution assumption: employee only about $157,085 at 4% or $104,723 at 6%; with 50% employer match about $104,723 at 4% or $69,815 at 6%; with 100% employer match about $78,542 at 4% or $52,362 at 6%.
Advanced Testing Technologies 401K Retirement Plan-61$12,755,258$383,287$6,283iApproximate average salary by contribution assumption: employee only about $157,085 at 4% or $104,723 at 6%; with 50% employer match about $104,723 at 4% or $69,815 at 6%; with 100% employer match about $78,542 at 4% or $52,362 at 6%.
2016267$13,606,529$482,240$7,198iApproximate average salary by contribution assumption: employee only about $179,940 at 4% or $119,960 at 6%; with 50% employer match about $119,960 at 4% or $79,973 at 6%; with 100% employer match about $89,970 at 4% or $59,980 at 6%.
Advanced Testing Technologies 401K Retirement Plan-67$13,606,529$482,240$7,198iApproximate average salary by contribution assumption: employee only about $179,940 at 4% or $119,960 at 6%; with 50% employer match about $119,960 at 4% or $79,973 at 6%; with 100% employer match about $89,970 at 4% or $59,980 at 6%.
Advanced Testing Technologies Inc Premium Only Plan-52---
2015259$13,244,447$457,677$7,757iApproximate average salary by contribution assumption: employee only about $193,931 at 4% or $129,287 at 6%; with 50% employer match about $129,287 at 4% or $86,192 at 6%; with 100% employer match about $96,965 at 4% or $64,644 at 6%.
Advanced Testing Technologies 401K Retirement Plan-59$13,244,447$457,677$7,757iApproximate average salary by contribution assumption: employee only about $193,931 at 4% or $129,287 at 6%; with 50% employer match about $129,287 at 4% or $86,192 at 6%; with 100% employer match about $96,965 at 4% or $64,644 at 6%.
Advanced Testing Technologies Inc Premium Only Plan-56---
2014256$13,149,203$448,597$8,011iApproximate average salary by contribution assumption: employee only about $200,267 at 4% or $133,511 at 6%; with 50% employer match about $133,511 at 4% or $89,007 at 6%; with 100% employer match about $100,133 at 4% or $66,756 at 6%.
Advanced Testing Technologies 401K Retirement Plan-56$13,149,203$448,597$8,011iApproximate average salary by contribution assumption: employee only about $200,267 at 4% or $133,511 at 6%; with 50% employer match about $133,511 at 4% or $89,007 at 6%; with 100% employer match about $100,133 at 4% or $66,756 at 6%.
Advanced Testing Technologies Inc Premium Only Plan-56---
2013159$11,792,545$514,901$8,727iApproximate average salary by contribution assumption: employee only about $218,178 at 4% or $145,452 at 6%; with 50% employer match about $145,452 at 4% or $96,968 at 6%; with 100% employer match about $109,089 at 4% or $72,726 at 6%.
Advanced Testing Technologies 401K Retirement Plan-59$11,792,545$514,901$8,727iApproximate average salary by contribution assumption: employee only about $218,178 at 4% or $145,452 at 6%; with 50% employer match about $145,452 at 4% or $96,968 at 6%; with 100% employer match about $109,089 at 4% or $72,726 at 6%.
2012261$9,437,662$477,190$7,823iApproximate average salary by contribution assumption: employee only about $195,570 at 4% or $130,380 at 6%; with 50% employer match about $130,380 at 4% or $86,920 at 6%; with 100% employer match about $97,785 at 4% or $65,190 at 6%.
Advanced Testing Technologies 401K Retirement Plan-61$9,437,662$477,190$7,823iApproximate average salary by contribution assumption: employee only about $195,570 at 4% or $130,380 at 6%; with 50% employer match about $130,380 at 4% or $86,920 at 6%; with 100% employer match about $97,785 at 4% or $65,190 at 6%.
Advanced Testing Technologies Inc Premium Only Plan-57---
2011261$8,779,232$492,923$8,081iApproximate average salary by contribution assumption: employee only about $202,018 at 4% or $134,678 at 6%; with 50% employer match about $134,678 at 4% or $89,786 at 6%; with 100% employer match about $101,009 at 4% or $67,339 at 6%.
Advanced Testing Technologies 401K Retirement Plan-61$8,779,232$492,923$8,081iApproximate average salary by contribution assumption: employee only about $202,018 at 4% or $134,678 at 6%; with 50% employer match about $134,678 at 4% or $89,786 at 6%; with 100% employer match about $101,009 at 4% or $67,339 at 6%.
Advanced Testing Technologies Inc Premium Only Plan-61---
2010269$8,704,856$461,985$6,695iApproximate average salary by contribution assumption: employee only about $167,386 at 4% or $111,591 at 6%; with 50% employer match about $111,591 at 4% or $74,394 at 6%; with 100% employer match about $83,693 at 4% or $55,795 at 6%.
Advanced Testing Technologies 401K Retirement Plan-69$8,704,856$461,985$6,695iApproximate average salary by contribution assumption: employee only about $167,386 at 4% or $111,591 at 6%; with 50% employer match about $111,591 at 4% or $74,394 at 6%; with 100% employer match about $83,693 at 4% or $55,795 at 6%.
Advanced Testing Technologies Inc Premium Only Plan-65---
2009272$7,969,732$496,112$6,890iApproximate average salary by contribution assumption: employee only about $172,261 at 4% or $114,841 at 6%; with 50% employer match about $114,841 at 4% or $76,560 at 6%; with 100% employer match about $86,131 at 4% or $57,420 at 6%.
Advanced Testing Technologies 401K Retirement Plan-72$7,969,732$496,112$6,890iApproximate average salary by contribution assumption: employee only about $172,261 at 4% or $114,841 at 6%; with 50% employer match about $114,841 at 4% or $76,560 at 6%; with 100% employer match about $86,131 at 4% or $57,420 at 6%.
Advanced Testing Technologies Inc Premium Only Plan-71---
2008173$0$0-
Advanced Testing Technologies Inc Premium Only Plan-73---
2007183$0$0-
Advanced Testing Technologies Inc Premium Only Plan-83---
2006289$10,049,818$655,950$7,370iApproximate average salary by contribution assumption: employee only about $184,256 at 4% or $122,837 at 6%; with 50% employer match about $122,837 at 4% or $81,891 at 6%; with 100% employer match about $92,128 at 4% or $61,419 at 6%.
Advanced Testing Technologies 401K Retirement Plan-83$10,049,818$655,950$7,903iApproximate average salary by contribution assumption: employee only about $197,575 at 4% or $131,717 at 6%; with 50% employer match about $131,717 at 4% or $87,811 at 6%; with 100% employer match about $98,788 at 4% or $65,858 at 6%.
Advanced Testing Technologies Inc Premium Only Plan-89---
2005294$8,654,717$647,365$6,887iApproximate average salary by contribution assumption: employee only about $172,172 at 4% or $114,781 at 6%; with 50% employer match about $114,781 at 4% or $76,521 at 6%; with 100% employer match about $86,086 at 4% or $57,391 at 6%.
Advanced Testing Technologies 401K Retirement Plan-85$8,654,717$647,365$7,616iApproximate average salary by contribution assumption: employee only about $190,401 at 4% or $126,934 at 6%; with 50% employer match about $126,934 at 4% or $84,623 at 6%; with 100% employer match about $95,201 at 4% or $63,467 at 6%.
Advanced Testing Technologies Inc Premium Only Plan-94---
20042102$7,869,072$646,253$6,336iApproximate average salary by contribution assumption: employee only about $158,395 at 4% or $105,597 at 6%; with 50% employer match about $105,597 at 4% or $70,398 at 6%; with 100% employer match about $79,198 at 4% or $52,798 at 6%.
Advanced Testing Technologies 401K Retirement Plan-88$7,869,072$646,253$7,344iApproximate average salary by contribution assumption: employee only about $183,595 at 4% or $122,396 at 6%; with 50% employer match about $122,396 at 4% or $81,598 at 6%; with 100% employer match about $91,797 at 4% or $61,198 at 6%.
Advanced Testing Technologies Inc Premium Only Plan-102---
20032110$7,372,683$728,426$6,622iApproximate average salary by contribution assumption: employee only about $165,551 at 4% or $110,368 at 6%; with 50% employer match about $110,368 at 4% or $73,578 at 6%; with 100% employer match about $82,776 at 4% or $55,184 at 6%.
Advanced Testing Technologies 401K Retirement Plan-92$7,372,683$728,426$7,918iApproximate average salary by contribution assumption: employee only about $197,942 at 4% or $131,961 at 6%; with 50% employer match about $131,961 at 4% or $87,974 at 6%; with 100% employer match about $98,971 at 4% or $65,981 at 6%.
Advanced Testing Technologies Inc Premium Only Plan-110---
20022117$6,961,910$761,263$6,507iApproximate average salary by contribution assumption: employee only about $162,663 at 4% or $108,442 at 6%; with 50% employer match about $108,442 at 4% or $72,295 at 6%; with 100% employer match about $81,332 at 4% or $54,221 at 6%.
Advanced Testing Technologies 401K Retirement Plan-99$6,961,910$761,263$7,690iApproximate average salary by contribution assumption: employee only about $192,238 at 4% or $128,159 at 6%; with 50% employer match about $128,159 at 4% or $85,439 at 6%; with 100% employer match about $96,119 at 4% or $64,079 at 6%.
Advanced Testing Technologies Inc Premium Only PlanCurrent117---
2001190$6,143,705$754,443$8,383iApproximate average salary by contribution assumption: employee only about $209,568 at 4% or $139,712 at 6%; with 50% employer match about $139,712 at 4% or $93,141 at 6%; with 100% employer match about $104,784 at 4% or $69,856 at 6%.
Advanced Testing Technologies 401K Retirement Plan-90$6,143,705$754,443$8,383iApproximate average salary by contribution assumption: employee only about $209,568 at 4% or $139,712 at 6%; with 50% employer match about $139,712 at 4% or $93,141 at 6%; with 100% employer match about $104,784 at 4% or $69,856 at 6%.
20001130$0$0-
Advanced Testing Technologies 401K Retirement Plan-130---
19991132$6,084,425$754,757$5,718iApproximate average salary by contribution assumption: employee only about $142,946 at 4% or $95,298 at 6%; with 50% employer match about $95,298 at 4% or $63,532 at 6%; with 100% employer match about $71,473 at 4% or $47,649 at 6%.
Advanced Testing Technologies 401K Retirement Plan-132$6,084,425$754,757$5,718iApproximate average salary by contribution assumption: employee only about $142,946 at 4% or $95,298 at 6%; with 50% employer match about $95,298 at 4% or $63,532 at 6%; with 100% employer match about $71,473 at 4% or $47,649 at 6%.
Schedule Details

Schedule A

Row 1
Filing Id
91037005113654
Form Id
43875239
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
2020373337152060002
Ins Broker 01 Name
EDWARD LEUL
Ins Broker 01 Street Addr
11 IROGUOIS TRAIL
Ins Broker 01 City
MONSEY
Ins Broker 01 State
NY
Ins Broker 01 ZIP Code
109520000
Ins Broker Comm Pd 01 Amount
$4,812
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 2
Filing Id
91037005113654
Form Id
43875240
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
2020373337152060003
Ins Broker 01 Name
EDWARD LEVI
Ins Broker 01 Street Addr
11 IROQUOIS TRAIL
Ins Broker 01 City
MONSEY
Ins Broker 01 State
NY
Ins Broker 01 ZIP Code
109520000
Ins Broker Comm Pd 01 Amount
$3,278
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 3
Filing Id
91037005113654
Form Id
43875241
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
2020373337152060004
Ins Broker 01 Name
FINANCIAL LIBERTY GROUP
Ins Broker 01 Street Addr
555 BROAD HOLLOW ROAD
Ins Broker 01 City
MELVILLE
Ins Broker 01 State
NY
Ins Broker 01 ZIP Code
117470000
Ins Broker Comm Pd 01 Amount
$45,704
Ins Broker Fees Pd 01 Amount
$0
Ins Broker 01 Code
3
Row 4
Ins Carrier Name: FIRST UNUM LIFE INSURANCE COMPANY
Filing Id
91037005113654
Form Id
43875239
Schedule A EIN
11-2891861
Schedule A Plan Num
550
Schedule A Plan Year Begin Date
2002-01-01
Schedule A Tax Period
20021231
Ins Carrier Name
FIRST UNUM LIFE INSURANCE COMPANY
Ins Carrier EIN
01-0278678
Ins Carrier Naic Code
62235
Ins Contract Num
455248
Ins Prsn Covered End of year Count
124
Ins Policy From Date
2002-04-01
Ins Policy To Date
2003-04-01
Ins Broker Comm Total Amount
$4,812
Ins Broker Fees Total Amount
$87,681
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$0
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pension End Prev Bal Amount
$0
Pension Contribution Dep Amount
$0
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$0
Pension Transfer From Amount
$0
Pension Other Amount
$0
Pension Total Additions Amount
$0
Pension Total Bal Addn Amount
$0
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$0
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$0
Pension End of year Bal Amount
$0
Wlfr Type Bnft Indicator
No
Wlfr Premium Rcvd Amount
$0
Wlfr Unpaid Due Amount
$0
Wlfr Reserve Amount
$0
Wlfr Total Earned Prem Amount
$0
Wlfr Claims Paid Amount
$0
Wlfr Incr Reserve Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Claims Chrgd Amount
$0
Wlfr Ret Commissions Amount
$0
Wlfr Ret Admin Amount
$0
Wlfr Ret Oth Cost Amount
$0
Wlfr Ret Oth Expense Amount
$0
Wlfr Ret Taxes Amount
$0
Wlfr Ret Charges Amount
$0
Wlfr Ret Oth Chrgs Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Amount
$0
Wlfr Held Bnfts Amount
$0
Wlfr Claims Reserve Amount
$0
Wlfr Oth Reserve Amount
$0
Wlfr Divnds Due Amount
$0
Wlfr Total Charges Paid Amount
$87,681
Wlfr Acquis Cost Amount
$0
Row 5
Ins Carrier Name: GUARDIAN
Filing Id
91037005113654
Form Id
43875240
Schedule A EIN
11-2891861
Schedule A Plan Num
550
Schedule A Plan Year Begin Date
2002-01-01
Schedule A Tax Period
20021231
Ins Carrier Name
GUARDIAN
Ins Carrier EIN
13-5123390
Ins Carrier Naic Code
64246
Ins Contract Num
26450
Ins Prsn Covered End of year Count
123
Ins Policy From Date
2002-02-01
Ins Policy To Date
2003-01-31
Ins Broker Comm Total Amount
$3,278
Ins Broker Fees Total Amount
$126,985
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$0
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pension End Prev Bal Amount
$0
Pension Contribution Dep Amount
$0
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$0
Pension Transfer From Amount
$0
Pension Other Amount
$0
Pension Total Additions Amount
$0
Pension Total Bal Addn Amount
$0
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$0
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$0
Pension End of year Bal Amount
$0
Wlfr Type Bnft Indicator
BEM
Wlfr Type Bnft Oth Text
ACCIDENTAL DEATH & DISMEMBERMENT
Wlfr Premium Rcvd Amount
$0
Wlfr Unpaid Due Amount
$0
Wlfr Reserve Amount
$0
Wlfr Total Earned Prem Amount
$0
Wlfr Claims Paid Amount
$0
Wlfr Incr Reserve Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Claims Chrgd Amount
$0
Wlfr Ret Commissions Amount
$0
Wlfr Ret Admin Amount
$0
Wlfr Ret Oth Cost Amount
$0
Wlfr Ret Oth Expense Amount
$0
Wlfr Ret Taxes Amount
$0
Wlfr Ret Charges Amount
$0
Wlfr Ret Oth Chrgs Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Amount
$0
Wlfr Held Bnfts Amount
$0
Wlfr Claims Reserve Amount
$0
Wlfr Oth Reserve Amount
$0
Wlfr Divnds Due Amount
$0
Wlfr Total Charges Paid Amount
$126,985
Wlfr Acquis Cost Amount
$0
Row 6
Ins Carrier Name: HORIZON HEALTHCARE
Filing Id
91037005113654
Form Id
43875241
Schedule A EIN
11-2891861
Schedule A Plan Num
550
Schedule A Plan Year Begin Date
2002-01-01
Schedule A Tax Period
20021231
Ins Carrier Name
HORIZON HEALTHCARE
Ins Carrier EIN
13-3989915
Ins Carrier Naic Code
60024
Ins Contract Num
99093
Ins Prsn Covered End of year Count
96
Ins Policy From Date
2002-02-01
Ins Policy To Date
2003-01-31
Ins Broker Comm Total Amount
$45,704
Ins Broker Fees Total Amount
$757,250
Pension End of year Gen Account Amount
$0
Pension End of year Sep Account Amount
$0
Pension Prem Paid Total Amount
$0
Pension Unpaid Premium Amount
$0
Pension Contract Cost Amount
$0
Pension End Prev Bal Amount
$0
Pension Contribution Dep Amount
$0
Pension Divnd Cr Dep Amount
$0
Pension Interest Cr Dur Yr Amount
$0
Pension Transfer From Amount
$0
Pension Other Amount
$0
Pension Total Additions Amount
$0
Pension Total Bal Addn Amount
$0
Pension Bnfts Dsbrsd Amount
$0
Pension Admin Chrg Amount
$0
Pension Transfer To Amount
$0
Pension Oth Ded Amount
$0
Pension Total Ded Amount
$0
Pension End of year Bal Amount
$0
Wlfr Type Bnft Indicator
AH
Wlfr Premium Rcvd Amount
$0
Wlfr Unpaid Due Amount
$0
Wlfr Reserve Amount
$0
Wlfr Total Earned Prem Amount
$0
Wlfr Claims Paid Amount
$0
Wlfr Incr Reserve Amount
$0
Wlfr Incurred Claim Amount
$0
Wlfr Claims Chrgd Amount
$0
Wlfr Ret Commissions Amount
$0
Wlfr Ret Admin Amount
$0
Wlfr Ret Oth Cost Amount
$0
Wlfr Ret Oth Expense Amount
$0
Wlfr Ret Taxes Amount
$0
Wlfr Ret Charges Amount
$0
Wlfr Ret Oth Chrgs Amount
$0
Wlfr Ret Total Amount
$0
Wlfr Refund Amount
$0
Wlfr Held Bnfts Amount
$0
Wlfr Claims Reserve Amount
$0
Wlfr Oth Reserve Amount
$0
Wlfr Divnds Due Amount
$0
Wlfr Total Charges Paid Amount
$757,250
Wlfr Acquis Cost Amount
$0

Schedule C

Schedule C Provider

Provider 1

Provider details

Source fields
Row 1
Filing Id
91037005113654
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
2020373337152060005
Provider 01 Name
ADVANCED TESTING TECHNOLOGIES INC
Provider 01 EIN
11-2891861
Provider 01 Position
CONTRACT ADMINISTRATOR
Provider 01 Relation
EMPLOYER
Provider 01 Salary Amount
$0
Provider 01 Fees Amount
$0
Provider 01 Srvc Code
12

Schedule C Provider

Provider 2

Provider details

Source fields
Row 2
Filing Id
91037005113654
Page Id
1
Page Seq
0
Page Row Num
2
Row Num
1
Image Form Id
2020373337152060005
Provider 01 Name
FIRST UNUM LIFE INSURANCE COMPANY
Provider 01 EIN
01-0278678
Provider 01 Relation
INSURANCE CARRIER
Provider 01 Salary Amount
$87,681
Provider 01 Fees Amount
$4,812
Provider 01 Srvc Code
03

Schedule C Provider

Provider 3

Provider details

Source fields
Row 3
Filing Id
91037005113654
Page Id
2
Page Seq
0
Page Row Num
1
Row Num
2
Image Form Id
2020373337152060005
Provider 01 Name
GUARDIAN
Provider 01 EIN
13-5123390
Provider 01 Relation
INSURANCE CARRIER
Provider 01 Salary Amount
$126,985
Provider 01 Fees Amount
$3,278
Provider 01 Srvc Code
03

Schedule C Provider

Provider 4

Provider details

Source fields
Row 4
Filing Id
91037005113654
Page Id
2
Page Seq
0
Page Row Num
2
Row Num
3
Image Form Id
2020373337152060005
Provider 01 Name
HORIZON HEALTHCARE
Provider 01 EIN
13-3989915
Provider 01 Relation
INSURANCE CARRIER
Provider 01 Salary Amount
$757,250
Provider 01 Fees Amount
$45,704
Provider 01 Srvc Code
03

Schedule C Provider

Provider 5

Provider details

Source fields
Row 5
Filing Id
91037005113654
Schedule C EIN
11-2891861
Schedule C Plan number
550
Schedule C Plan Year Begin Date
2002-01-01
Schedule C Tax Period
20021231
Provider Total Comp Paid Amount
$0

Schedule G

Row 1
Filing Id
91037005113654
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
2020373337152060006
Non Exempt Pur Price 01 Amount
$0
Non Exempt Sell Price 01 Amount
$0
Non Exempt Ls Rntl 01 Amount
$0
Non Exempt Expense Incr 01 Amount
$0
Non Exempt Cost Asset 01 Amount
$0
Non Xmp Curr Value Asset 01 A
0
Non Exempt Gain Loss 01 Amount
$0
Row 2
Filing Id
91037005113654
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
2020373337152060006
Lns Default Original 01 Amount
$0
Lns Default Prncpl Rcvd 01 Amount
$0
Lns Default Interest Rcvd 01 Amount
$0
Lns Default Unpaid Bal 01 Amount
$0
Lns Dft Prcpl Overdue 01 A
0
Lns Default Interest Overdue 01 Amount
$0
Row 3
Filing Id
91037005113654
Page Id
1
Page Seq
0
Page Row Num
1
Row Num
0
Image Form Id
2020373337152060006
Leases Default Cost 01 Amount
$0
Leases Dft Curr Value 01 A
0
Leases Dft Rentl Rcpt 01 A
0
Leases Dft Expense Pd 01 A
0
Leases Default Net Rcpt 01 Amount
$0
Leases Default Arrears 01 Amount
$0
Row 4
Filing Id
91037005113654
Schedule G EIN
11-2891861
Schedule G Plan number
550
Schedule G Plan Year Begin Date
2002-01-01
Schedule G Tax Period
20021231