401k Plan data: VERITIV HEALTH AND WELFARE BENEFITS PLAN plan

VERITIV HEALTH AND WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	VERITIV HEALTH AND WELFARE BENEFITS PLAN
Plan identification number	501

VERITIV HEALTH AND WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Prepaid legal Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

VERITIV CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: VERITIV CORPORATION

Employer identification number (EIN): 463234977

NAIC Classification: 424100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VERITIV HEALTH AND WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-01-01 LYNDA WALKER
501 2014-01-01 LYNDA WALKER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2015-01-01	LYNDA WALKER
501	2014-01-01	LYNDA WALKER

Plan Statistics for VERITIV HEALTH AND WELFARE BENEFITS PLAN

401k plan membership statisitcs for VERITIV HEALTH AND WELFARE BENEFITS PLAN

Measure Date Value
2015: VERITIV HEALTH AND WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 7,479
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 7,110
Number of retired or separated participants receiving benefits 2015-01-01 111
Number of other retired or separated participants entitled to future benefits 2015-01-01 16
Total of all active and inactive participants 2015-01-01 7,237
2014: VERITIV HEALTH AND WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,374
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0

Measure	Date	Value
2015: VERITIV HEALTH AND WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	7,479
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	7,110
Number of retired or separated participants receiving benefits	2015-01-01	111
Number of other retired or separated participants entitled to future benefits	2015-01-01	16
Total of all active and inactive participants	2015-01-01	7,237
2014: VERITIV HEALTH AND WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,374
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0

Form 5500 Responses for VERITIV HEALTH AND WELFARE BENEFITS PLAN

2015: VERITIV HEALTH AND WELFARE BENEFITS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: VERITIV HEALTH AND WELFARE BENEFITS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	VERITIV CORPORATION
Employer identification number (EIN):	463234977
NAIC Classification:	424100