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| Plan Name | COLUMBIA RIVER BATTERIES, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COLUMBIA RIVER BATTERIES, INC. |
| Employer identification number (EIN): | 911886458 |
| NAIC Classification: | 423100 |
Additional information about COLUMBIA RIVER BATTERIES, INC.
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 1998-01-09 |
| Company Identification Number: | 601844136 |
| Legal Registered Office Address: |
3421 NE 109TH AVE VANCOUVER United States of America (USA) 986820000 |
More information about COLUMBIA RIVER BATTERIES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2020-02-01 |
| Measure | Date | Value |
|---|---|---|
| 2020: COLUMBIA RIVER BATTERIES, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-02-01 | 11 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-02-01 | 14 |
| Number of retired or separated participants receiving benefits | 2020-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-02-01 | 0 |
| Total of all active and inactive participants | 2020-02-01 | 14 |
| Measure | Date | Value |
|---|---|---|
| 2021 : COLUMBIA RIVER BATTERIES, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 401k financial data | ||
| Total income from all sources | 2021-01-31 | $33,247 |
| Expenses. Total of all expenses incurred | 2021-01-31 | $10,929 |
| Benefits paid (including direct rollovers) | 2021-01-31 | $2,539 |
| Total plan assets at end of year | 2021-01-31 | $22,318 |
| Total plan assets at beginning of year | 2021-01-31 | $0 |
| Total contributions received or receivable from participants | 2021-01-31 | $98 |
| Other income received | 2021-01-31 | $7 |
| Net income (gross income less expenses) | 2021-01-31 | $22,318 |
| Net plan assets at end of year (total assets less liabilities) | 2021-01-31 | $22,318 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-01-31 | $0 |
| Total contributions received or receivable from employer(s) | 2021-01-31 | $33,142 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-01-31 | $8,390 |
| 2020: COLUMBIA RIVER BATTERIES, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 form 5500 responses | ||
|---|---|---|
| 2020-02-01 | Type of plan entity | Single employer plan |
| 2020-02-01 | First time form 5500 has been submitted | Yes |
| 2020-02-01 | Plan funding arrangement – Trust | Yes |
| 2020-02-01 | Plan benefit arrangement - Trust | Yes |
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