2023-09-26T13:41:52-05:00 2022-12-31 872525370 CITRIN COOPERMAN ADVISORS LLC 3998 FAIR RIDGE DR SUITE 360 FAIRFAX VA 22033 990 2022-01-01 276927830 FRINGE BENEFIT PLAN FOR DAVIS-BACON AND RELATED ACTS EMPLOYEES OF SERVICESOURCE FRIN 7034616000 10467 WHITE GRANITE DRIVE OAKTON VA 22124 NATE HOOVER TRUSTEE 7034616000 2023-09-26 1 NATE HOOVER XXX-XX-XXXX 0 ALLISON PARSONS P01519444 7032814880 2023-09-26 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NATE HOOVER 10467 WHITE GRANITE DRIVE OAKTON VA 22124 4746133 0 X WWW.SERVICESOURCE.ORG X 2011 VA THE PLAN PROVIDES MEDICAL INSURANCE COVERAGE AND OTHER QUALIFIED BENEFITS COVERING SUBSTANTIALLY ALL DAVIS-BACON AND RELATED ACTS (DBRA) EMPLOYEES OF SERVICESOURCE, INC. 1 0 0 0 0 0 0 0 4393613 4746133 0 0 0 0 4393613 4746133 0 0 4247591 4604834 0 0 0 0 0 154243 162984 4401834 4767818 -8221 -21685 148158 99099 154505 127131 -6347 -28032 THE PLAN PROVIDES MEDICAL INSURANCE COVERAGE AND OTHER QUALIFIED BENEFITS COVERING SUBSTANTIALLY ALL DAVIS-BACON AND RELATED ACTS (DBRA) EMPLOYEES OF SERVICESOURCE, INC. 0 0 THE PLAN PAYS MEDICAL, DENTAL, VISION, AND PRESCRIPTION DRUG EXPENSES FOR EMPLOYEES OF SERVICESOURCE AND THEIR DEPENDENTS. AT 12/31/22 THE PLAN HAD 599 PARTICIPANTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 0 0 0 X X THE ORGANIZATION 7034616000 10467 WHITE GRANITE DRIVE OAKTON VA 22124 NATE HOOVER TRUSTEE 2.00 X 0 343563 0 0 343563 0 0 0 1 0 0 EMPLOYER CONTRIBUTIONS 525100 3891350 3891350 EMPLOYEE CONTRIBUTIONS 525100 854783 854783 4746133 4746133 4746133 0 0 4604834 162984 4767818 148158 63370 35729 148158 99099 37791 33957 116714 93174 154505 127131 X 0 0 0 0 -6347 -28032 -6347 -28032 148158 99099 -21685 0 X X 0 1 X 1 0 0 ACCRUED PREMIUM RESERVE PAYABLE 93174 93174 X 4746133 0 4746133 0 4746133 4767818 0 4767818 0 4767818 PART X, LINE 2: U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN SPONSOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022 AND 2021, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 0 0 0 NATE HOOVER TRUSTEE 0 280658 0 62500 0 405 0 0 0 0 0 343563 0 0 SCHEDULE J, PART I, LINE 3: THE TRUSTEES ARE COMPENSATED BY A RELATED ORGANIZATION. THEIR COMPENSATION MUST BE APPROVED BY THE BOARD OR COMPENSATION COMMITTEE OF SERVICESOURCE, INC. FORM 990, PART VI, SECTION B, LINE 11B TRUSTEE REVIEWS AND DISCUSSES FORM 990 WITH THE GOVERNING BODY BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: NO CHANGES TO THE PLAN'S OVERSIGHT PROCESS DURING THE YEAR. SERVICESOURCE INC 10467 WHITE GRANITE DRIVE OAKTON VA 22124 540901256 VEBA SPONSOR VA 501(C)(3) 509(A)(2) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 SERVICESOURCE INC S 4746133 PER GENERAL LEDGER