401k Plan data: SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE plan

SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE 401k Plan overview

Plan Name	SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE
Plan identification number	502

SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Long-term disability cover

401k Sponsoring company profile

SCICOM DATA SERVICES, LTD. has sponsored the creation of one or more 401k plans.

Company Name: SCICOM DATA SERVICES, LTD.

Employer identification number (EIN): 410828479

NAIC Classification: 541519
NAIC Description: Other Computer Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2013-01-01 TIMOTHY JOHNSON TIMOTHY JOHNSON 2014-07-28
502 2012-01-01 TIMOTHY JOHNSON TIMOTHY JOHNSON 2013-07-02
502 2011-01-01 TIMOTHY JOHNSON
502 2009-01-01 TIMOTHY JOHNSON 2010-07-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2013-01-01	TIMOTHY JOHNSON	TIMOTHY JOHNSON	2014-07-28
502	2012-01-01	TIMOTHY JOHNSON	TIMOTHY JOHNSON	2013-07-02
502	2011-01-01	TIMOTHY JOHNSON
502	2009-01-01		TIMOTHY JOHNSON	2010-07-15

Plan Statistics for SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE

401k plan membership statisitcs for SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE

Measure Date Value
2013: SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE 2013 401k membership
Total participants, beginning-of-year 2013-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Total participants 2013-01-01 0
2012: SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE 2012 401k membership
Total participants, beginning-of-year 2012-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 121
Total of all active and inactive participants 2012-01-01 121
Total participants 2012-01-01 121
2011: SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE 2011 401k membership
Total participants, beginning-of-year 2011-01-01 122
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 124
Total of all active and inactive participants 2011-01-01 124
Total participants 2011-01-01 124
2009: SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE 2009 401k membership
Total participants, beginning-of-year 2009-01-01 144
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 147
Total of all active and inactive participants 2009-01-01 147
Total participants 2009-01-01 147

Measure	Date	Value
2013: SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE 2013 401k membership
Total participants, beginning-of-year	2013-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Total participants	2013-01-01	0
2012: SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE 2012 401k membership
Total participants, beginning-of-year	2012-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	121
Total of all active and inactive participants	2012-01-01	121
Total participants	2012-01-01	121
2011: SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE 2011 401k membership
Total participants, beginning-of-year	2011-01-01	122
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	124
Total of all active and inactive participants	2011-01-01	124
Total participants	2011-01-01	124
2009: SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE 2009 401k membership
Total participants, beginning-of-year	2009-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	147
Total of all active and inactive participants	2009-01-01	147
Total participants	2009-01-01	147

Form 5500 Responses for SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE

2013: SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: SCICOM DATA SERVICES LTD LIFE DEATHE AND DISMEMBERMENT ACCIDENT AND SICKNESS DISABILITY INSURANCE 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	SCICOM DATA SERVICES, LTD.
Employer identification number (EIN):	410828479
NAIC Classification:	541519
NAIC Description:	Other Computer Related Services