401k Plan data: MACHINIMA, INC. HEALTH AND WELFARE PLAN plan

MACHINIMA, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	MACHINIMA, INC. HEALTH AND WELFARE PLAN
Plan identification number	501

MACHINIMA, INC. HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

MACHINIMA, INC. has sponsored the creation of one or more 401k plans.

Company Name: MACHINIMA, INC.

Employer identification number (EIN): 731721245

NAIC Classification: 519100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MACHINIMA, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-10-01 DARLENE M JONES
501 2013-10-01 DARLENE JONES
501 2011-10-01 DARLENE JONES DARLENE JONES 2013-04-25

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2014-10-01	DARLENE M JONES
501	2013-10-01	DARLENE JONES
501	2011-10-01	DARLENE JONES	DARLENE JONES	2013-04-25

Plan Statistics for MACHINIMA, INC. HEALTH AND WELFARE PLAN

401k plan membership statisitcs for MACHINIMA, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2014: MACHINIMA, INC. HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 117
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 90
Number of retired or separated participants receiving benefits 2014-10-01 6
Number of other retired or separated participants entitled to future benefits 2014-10-01 0
Total of all active and inactive participants 2014-10-01 96
2013: MACHINIMA, INC. HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 212
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 117
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 0
Total of all active and inactive participants 2013-10-01 117
2011: MACHINIMA, INC. HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 124
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 181
Number of retired or separated participants receiving benefits 2011-10-01 5
Number of other retired or separated participants entitled to future benefits 2011-10-01 0
Total of all active and inactive participants 2011-10-01 186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0

Measure	Date	Value
2014: MACHINIMA, INC. HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	117
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	90
Number of retired or separated participants receiving benefits	2014-10-01	6
Number of other retired or separated participants entitled to future benefits	2014-10-01	0
Total of all active and inactive participants	2014-10-01	96
2013: MACHINIMA, INC. HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	212
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	117
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	117
2011: MACHINIMA, INC. HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	124
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	181
Number of retired or separated participants receiving benefits	2011-10-01	5
Number of other retired or separated participants entitled to future benefits	2011-10-01	0
Total of all active and inactive participants	2011-10-01	186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0

Form 5500 Responses for MACHINIMA, INC. HEALTH AND WELFARE PLAN

2014: MACHINIMA, INC. HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: MACHINIMA, INC. HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: MACHINIMA, INC. HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	First time form 5500 has been submitted	Yes
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	MACHINIMA, INC.
Employer identification number (EIN):	731721245
NAIC Classification:	519100