Actify, Inc.

Form 5500

ACTIFY, INC.

2751 4th Street Suite 159, Santa Rosa, Ca 95405 (313) 831-6755 EIN:94-3257799 Plan Admin:Jacob Burwell

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameACTIFY, INC. 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY17 / 19 Assets BOY/EOY$1,634,519 / $1,532,298	2022	ACTIFY, INC. 401(K) PROFIT SHARING PLAN - Plan #001	17 / 19	$1,634,519 / $1,532,298
2021	Plan NameACTIFY, INC. 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY16 / 17 Assets BOY/EOY$1,316,610 / $1,634,519	2021	ACTIFY, INC. 401(K) PROFIT SHARING PLAN - Plan #001	16 / 17	$1,316,610 / $1,634,519
2020	Plan NameACTIFY, INC. 401-K PROFIT SHARING PLAN Plan #001 Participants BOY/EOY16 / 16 Assets BOY/EOY$1,030,278 / $1,316,610	2020	ACTIFY, INC. 401-K PROFIT SHARING PLAN - Plan #001	16 / 16	$1,030,278 / $1,316,610
2019	Plan NameACTIFY, INC. 401-K PROFIT SHARING PLAN Plan #001 Participants BOY/EOY14 / 16 Assets BOY/EOY$782,458 / $1,030,278	2019	ACTIFY, INC. 401-K PROFIT SHARING PLAN - Plan #001	14 / 16	$782,458 / $1,030,278