401k Plan data: COLUMBIA IT, INC. DENTAL PLAN plan

COLUMBIA IT, INC. DENTAL PLAN 401k Plan overview

Plan Name	COLUMBIA IT, INC. DENTAL PLAN
Plan identification number	503

COLUMBIA IT, INC. DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental 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. Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

COLUMBIA IT INC. has sponsored the creation of one or more 401k plans.

Company Name: COLUMBIA IT INC.

Employer identification number (EIN): 741609220

NAIC Classification: 531120
NAIC Description: Lessors of Nonresidential Buildings (except Miniwarehouses)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLUMBIA IT, INC. DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2013-10-01 DAVID S HERRMAN
503 2011-10-01 DAVID S HERRMANN
503 2009-10-01 DAVID S. HERRMANN
503 2009-03-01 DAVID S. HERRMANN DAVID S. HERRMANN 2010-04-27

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2013-10-01	DAVID S HERRMAN
503	2011-10-01	DAVID S HERRMANN
503	2009-10-01	DAVID S. HERRMANN
503	2009-03-01	DAVID S. HERRMANN	DAVID S. HERRMANN	2010-04-27

Plan Statistics for COLUMBIA IT, INC. DENTAL PLAN

401k plan membership statisitcs for COLUMBIA IT, INC. DENTAL PLAN

Measure Date Value
2013: COLUMBIA IT, INC. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 100
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 135
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 2013-10-01 135
2011: COLUMBIA IT, INC. DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 99
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 82
Number of retired or separated participants receiving benefits 2011-10-01 0
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 82
2009: COLUMBIA IT, INC. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 98
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 86
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 0
Total of all active and inactive participants 2009-10-01 86
Total participants, beginning-of-year 2009-03-01 140
Total number of active participants reported on line 7a of the Form 5500 2009-03-01 98
Number of retired or separated participants receiving benefits 2009-03-01 0
Number of other retired or separated participants entitled to future benefits 2009-03-01 0
Total of all active and inactive participants 2009-03-01 98

Measure	Date	Value
2013: COLUMBIA IT, INC. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	100
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	135
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	135
2011: COLUMBIA IT, INC. DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	99
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	82
Number of retired or separated participants receiving benefits	2011-10-01	0
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	82
2009: COLUMBIA IT, INC. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	98
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	86
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	0
Total of all active and inactive participants	2009-10-01	86
Total participants, beginning-of-year	2009-03-01	140
Total number of active participants reported on line 7a of the Form 5500	2009-03-01	98
Number of retired or separated participants receiving benefits	2009-03-01	0
Number of other retired or separated participants entitled to future benefits	2009-03-01	0
Total of all active and inactive participants	2009-03-01	98

Form 5500 Responses for COLUMBIA IT, INC. DENTAL PLAN

2013: COLUMBIA IT, INC. DENTAL 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 – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2011: COLUMBIA IT, INC. DENTAL PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
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 benefit arrangement – Insurance	Yes
2009: COLUMBIA IT, INC. DENTAL PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-03-01	Type of plan entity	Single employer plan
2009-03-01	Submission has been amended	No
2009-03-01	This submission is the final filing	No
2009-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-03-01	Plan is a collectively bargained plan	No
2009-03-01	Plan funding arrangement – Insurance	Yes
2009-03-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	COLUMBIA IT INC.
Employer identification number (EIN):	741609220
NAIC Classification:	531120
NAIC Description:	Lessors of Nonresidential Buildings (except Miniwarehouses)