GROUP MEDICAL PLAN 401k Plan overview

GROUP MEDICAL PLAN Benefits

401k Sponsoring company profile

Company Name:	COLUMBIA COUNTRY CLUB
Employer identification number (EIN):	520278100
NAIC Classification:	713900

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-10-01	ADRIANNA SERRANO
501	2022-10-01
501	2022-10-01	ADRIANNA SERRANO
501	2021-10-01
501	2021-10-01	STEVE O'GRADY
501	2020-10-01
501	2019-10-01
501	2016-10-01	DEBRAH ALY		DEBRAH ALY	2018-03-14
501	2015-10-01	WILLIAM DUTHE		WILLIAM DUTHE	2017-04-14
501	2014-10-01	WILLIAM DUTHE		WILLIAM DUTHE	2016-04-29
501	2013-10-01	WILLIAM DUTHE		WILLIAM DUTHE	2015-04-30
501	2012-10-01	WILLIAM DUTHE		WILLIAM DUTHE	2014-04-07
501	2011-10-01	JAMES TROPPMAN		JAMES TROPPMAN	2013-04-26
501	2010-10-01	JAMES T. TROPPMAN		JAMES T. TROPPMAN	2012-04-27
501	2009-10-01	JAMES TROPPMAN		JAMES TROPPMAN	2011-04-15

Plan Statistics for GROUP MEDICAL PLAN

Measure	Date	Value
2022: GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year	2022-10-01	113
Total number of active participants reported on line 7a of the Form 5500	2022-10-01	117
Number of retired or separated participants receiving benefits	2022-10-01	0
Number of other retired or separated participants entitled to future benefits	2022-10-01	0
Total of all active and inactive participants	2022-10-01	117
2021: GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	109
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	113
Number of retired or separated participants receiving benefits	2021-10-01	0
Number of other retired or separated participants entitled to future benefits	2021-10-01	0
Total of all active and inactive participants	2021-10-01	113
2020: GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	135
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	109
Number of retired or separated participants receiving benefits	2020-10-01	0
Number of other retired or separated participants entitled to future benefits	2020-10-01	0
Total of all active and inactive participants	2020-10-01	109
2019: GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	126
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	135
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	0
Total of all active and inactive participants	2019-10-01	135
2016: GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	129
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	126
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	0
Total of all active and inactive participants	2016-10-01	126
2015: GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	130
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	129
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	0
Total of all active and inactive participants	2015-10-01	129
2014: GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	124
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	130
Number of retired or separated participants receiving benefits	2014-10-01	0
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	130
2013: GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	121
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	124
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	124
2012: GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	118
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	121
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	0
Total of all active and inactive participants	2012-10-01	121
2011: GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	120
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	118
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	118
2010: GROUP MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	121
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	120
Number of retired or separated participants receiving benefits	2010-10-01	0
Number of other retired or separated participants entitled to future benefits	2010-10-01	0
Total of all active and inactive participants	2010-10-01	120
2009: GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	193
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	121
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	121

Form 5500 Responses for GROUP MEDICAL PLAN

Insurance Providers Used on plan

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