401k Plan data: COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST plan

COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST 401k Plan overview

Plan Name	COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST
Plan identification number	002

COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name: COLUMBIA BANK

Employer identification number (EIN): 590201970

NAIC Classification: 522110
NAIC Description: Commercial Banking

Additional information about COLUMBIA BANK

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1912-01-12

Company Identification Number: 005448

Legal Registered Office Address: 173 NW HILLSBORO ST

LAKE CITY

32055

More information about COLUMBIA BANK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2020-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01 LISA POTTS 2019-07-25
002 2017-01-01 LISA POTTS 2018-04-10
002 2016-01-01 ALISA S. EPPERSON 2017-06-27
002 2015-01-01 ALISA S. EPPERSON 2016-05-04
002 2014-01-01 ALISA S. EPPERSON 2015-04-09
002 2013-01-01 ALISA S. EPPERSON 2014-07-16
002 2012-01-01 ALISA S. EPPERSON 2013-10-15
002 2011-01-01 ALISA S. EPPERSON 2012-05-31 ALISA S. EPPERSON 2012-05-31
002 2010-01-01 BRUCE A NAYLOR 2011-07-18

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2020-01-01
002	2020-01-01
002	2019-01-01
002	2018-01-01	LISA POTTS	2019-07-25
002	2017-01-01	LISA POTTS	2018-04-10
002	2016-01-01	ALISA S. EPPERSON	2017-06-27
002	2015-01-01	ALISA S. EPPERSON	2016-05-04
002	2014-01-01	ALISA S. EPPERSON	2015-04-09
002	2013-01-01	ALISA S. EPPERSON	2014-07-16
002	2012-01-01	ALISA S. EPPERSON	2013-10-15
002	2011-01-01	ALISA S. EPPERSON	2012-05-31	ALISA S. EPPERSON	2012-05-31
002	2010-01-01	BRUCE A NAYLOR	2011-07-18

Plan Statistics for COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST

401k plan membership statisitcs for COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST

Measure Date Value
2020: COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 59
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 0
Number of participants with account balances 2020-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 3
2019: COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 64
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 50
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 9
Total of all active and inactive participants 2019-01-01 59
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 59
Number of participants with account balances 2019-01-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0

Measure	Date	Value
2020: COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	59
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	0
Number of participants with account balances	2020-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	3
2019: COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	64
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	50
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	9
Total of all active and inactive participants	2019-01-01	59
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	59
Number of participants with account balances	2019-01-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0

Financial Data on COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST

Measure	Date	Value
2020 : COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST 2020 401k financial data
Transfers to/from the plan	2020-08-14	$-1,671,169
Total plan liabilities at end of year	2020-08-14	$0
Total plan liabilities at beginning of year	2020-08-14	$0
Total income from all sources	2020-08-14	$270,096
Expenses. Total of all expenses incurred	2020-08-14	$204,710
Benefits paid (including direct rollovers)	2020-08-14	$200,387
Total plan assets at end of year	2020-08-14	$0
Total plan assets at beginning of year	2020-08-14	$1,605,783
Value of fidelity bond covering the plan	2020-08-14	$2,000,000
Assets. Value of tangible personal property	2020-08-14	$0
Total contributions received or receivable from participants	2020-08-14	$115,568
Assets. Value of loans (other than to participants)	2020-08-14	$0
Expenses. Other expenses not covered elsewhere	2020-08-14	$0
Contributions received from other sources (not participants or employers)	2020-08-14	$50,000
Other income received	2020-08-14	$64,541
Noncash contributions received	2020-08-14	$0
Net income (gross income less expenses)	2020-08-14	$65,386
Net plan assets at end of year (total assets less liabilities)	2020-08-14	$0
Net plan assets at beginning of year (total assets less liabilities)	2020-08-14	$1,605,783
Assets. Value of participant loans	2020-08-14	$0
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year	2020-08-14	$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year	2020-08-14	$0
Assets. Value of assets in partnership/joint-venture interests	2020-08-14	$0
Assets. Value of real-estate (other than employer real property)	2020-08-14	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2020-08-14	$0
Assets. Value of employer securities	2020-08-14	$0
Assets. Value of employer real property	2020-08-14	$0
Total contributions received or receivable from employer(s)	2020-08-14	$39,987
Value of certain deemed distributions of participant loans	2020-08-14	$0
Value of corrective distributions	2020-08-14	$4,104
Expenses. Administrative service providers (salaries,fees and commissions)	2020-08-14	$219
2019 : COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$523,616
Expenses. Total of all expenses incurred	2019-12-31	$197,443
Benefits paid (including direct rollovers)	2019-12-31	$169,325
Total plan assets at end of year	2019-12-31	$1,605,783
Total plan assets at beginning of year	2019-12-31	$1,279,610
Value of fidelity bond covering the plan	2019-12-31	$2,000,000
Total contributions received or receivable from participants	2019-12-31	$190,502
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$262,517
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$326,173
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,605,783
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,279,610
Assets. Value of participant loans	2019-12-31	$68,528
Total contributions received or receivable from employer(s)	2019-12-31	$70,597
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$10,513
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$17,605

Form 5500 Responses for COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST

2020: COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	This submission is the final filing	Yes
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

56615

Policy instance

Insurance contract or identification number	56615
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-01
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,890
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	1890

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Company Name:	COLUMBIA BANK
Employer identification number (EIN):	590201970
NAIC Classification:	522110
NAIC Description:	Commercial Banking

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1912-01-12
Company Identification Number:	005448
Legal Registered Office Address:	173 NW HILLSBORO ST LAKE CITY 32055