401k Plan data: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST plan

COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number	001

COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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.

401k Sponsoring company profile

COLUMBIA FOOD SERVICE COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: COLUMBIA FOOD SERVICE COMPANY, INC.

Employer identification number (EIN): 592532997

NAIC Classification: 722511
NAIC Description: Full-Service Restaurants

Additional information about COLUMBIA FOOD SERVICE COMPANY, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1985-04-26

Company Identification Number: H54122

Legal Registered Office Address: 2025 E. 7TH AVE.

TAMPA

33605

More information about COLUMBIA FOOD SERVICE COMPANY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 DENNIS FEDOROVICH 2023-11-01 DENNIS FEDOROVICH 2023-11-01
001 2021-01-01 DENNIS FEDOROVICH 2022-12-13 DENNIS FEDOROVICH 2022-12-13
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 DENNIS FEDOROVICH DENNIS FEDOROVICH 2018-10-14
001 2016-01-01 DENNIS FEDOROVICH DENNIS FEDOROVICH 2017-12-27
001 2015-01-01 DENNIS FEDOROVICH DENNIS FEDOROVICH 2016-10-17
001 2015-01-01 DENNIS FEDOROVICH DENNIS FEDOROVICH 2017-06-23
001 2014-01-01 DENNIS FEDOROVICH DENNIS FEDOROVICH 2015-10-15
001 2014-01-01 DENNIS FEDOROVICH DENNIS FEDOROVICH 2017-06-23
001 2013-01-01 DENNIS FEDOROVICH DENNIS FEDOROVICH 2014-10-15
001 2012-01-01 DENNIS FEDOROVICH DENNIS FEDOROVICH 2013-10-15
001 2011-01-01 DENNIS FEDOROVICH DENNIS FEDOROVICH 2012-10-15
001 2010-01-01 DENNIS FEDOROVICH DENNIS FEDOROVICH 2011-10-17
001 2009-01-01 DENNIS FEODORICH DENNIS FEODORICH 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	DENNIS FEDOROVICH	2023-11-01	DENNIS FEDOROVICH	2023-11-01
001	2021-01-01	DENNIS FEDOROVICH	2022-12-13	DENNIS FEDOROVICH	2022-12-13
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	DENNIS FEDOROVICH		DENNIS FEDOROVICH	2018-10-14
001	2016-01-01	DENNIS FEDOROVICH		DENNIS FEDOROVICH	2017-12-27
001	2015-01-01	DENNIS FEDOROVICH		DENNIS FEDOROVICH	2016-10-17
001	2015-01-01	DENNIS FEDOROVICH		DENNIS FEDOROVICH	2017-06-23
001	2014-01-01	DENNIS FEDOROVICH		DENNIS FEDOROVICH	2015-10-15
001	2014-01-01	DENNIS FEDOROVICH		DENNIS FEDOROVICH	2017-06-23
001	2013-01-01	DENNIS FEDOROVICH		DENNIS FEDOROVICH	2014-10-15
001	2012-01-01	DENNIS FEDOROVICH		DENNIS FEDOROVICH	2013-10-15
001	2011-01-01	DENNIS FEDOROVICH		DENNIS FEDOROVICH	2012-10-15
001	2010-01-01	DENNIS FEDOROVICH		DENNIS FEDOROVICH	2011-10-17
001	2009-01-01	DENNIS FEODORICH		DENNIS FEODORICH	2010-10-15

Plan Statistics for COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2022: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,115
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,175
Number of retired or separated participants receiving benefits 2022-01-01 34
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 1,209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 1,209
Number of participants with account balances 2022-01-01 292
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year 2021-01-01 991
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1,068
Number of retired or separated participants receiving benefits 2021-01-01 47
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 1,115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 1,115
Number of participants with account balances 2021-01-01 223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 763
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 937
Number of retired or separated participants receiving benefits 2020-01-01 54
Total of all active and inactive participants 2020-01-01 991
Total participants 2020-01-01 991
Number of participants with account balances 2020-01-01 190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 747
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 718
Number of retired or separated participants receiving benefits 2019-01-01 45
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 763
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 763
Number of participants with account balances 2019-01-01 201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 6
2018: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 825
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 719
Number of retired or separated participants receiving benefits 2018-01-01 28
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 747
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 747
Number of participants with account balances 2018-01-01 184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 7
2017: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 627
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 795
Number of retired or separated participants receiving benefits 2017-01-01 30
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 825
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 825
Number of participants with account balances 2017-01-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 21
2016: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 590
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 592
Number of retired or separated participants receiving benefits 2016-01-01 35
Total of all active and inactive participants 2016-01-01 627
Total participants 2016-01-01 627
Number of participants with account balances 2016-01-01 133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 14
2015: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,181
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 472
Number of retired or separated participants receiving benefits 2015-01-01 29
Total of all active and inactive participants 2015-01-01 501
Total participants 2015-01-01 501
Number of participants with account balances 2015-01-01 126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 18
2014: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,057
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 386
Number of retired or separated participants receiving benefits 2014-01-01 57
Total of all active and inactive participants 2014-01-01 443
Total participants 2014-01-01 443
Number of participants with account balances 2014-01-01 140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 20
2013: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 419
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 432
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 26
Total of all active and inactive participants 2013-01-01 458
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 458
Number of participants with account balances 2013-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 172
2012: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 421
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 393
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 26
Total of all active and inactive participants 2012-01-01 419
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 419
Number of participants with account balances 2012-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 142
2011: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 404
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 398
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 23
Total of all active and inactive participants 2011-01-01 421
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 421
Number of participants with account balances 2011-01-01 129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 140
2010: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 402
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 376
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 28
Total of all active and inactive participants 2010-01-01 404
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 404
Number of participants with account balances 2010-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 139
2009: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 424
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 377
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 25
Total of all active and inactive participants 2009-01-01 402
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 402
Number of participants with account balances 2009-01-01 101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 124

Measure	Date	Value
2022: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,115
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,175
Number of retired or separated participants receiving benefits	2022-01-01	34
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	1,209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	1,209
Number of participants with account balances	2022-01-01	292
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year	2021-01-01	991
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1,068
Number of retired or separated participants receiving benefits	2021-01-01	47
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	1,115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	1,115
Number of participants with account balances	2021-01-01	223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	763
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	937
Number of retired or separated participants receiving benefits	2020-01-01	54
Total of all active and inactive participants	2020-01-01	991
Total participants	2020-01-01	991
Number of participants with account balances	2020-01-01	190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	747
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	718
Number of retired or separated participants receiving benefits	2019-01-01	45
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	763
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	763
Number of participants with account balances	2019-01-01	201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	6
2018: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	825
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	719
Number of retired or separated participants receiving benefits	2018-01-01	28
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	747
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	747
Number of participants with account balances	2018-01-01	184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	7
2017: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	627
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	795
Number of retired or separated participants receiving benefits	2017-01-01	30
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	825
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	825
Number of participants with account balances	2017-01-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	21
2016: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	590
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	592
Number of retired or separated participants receiving benefits	2016-01-01	35
Total of all active and inactive participants	2016-01-01	627
Total participants	2016-01-01	627
Number of participants with account balances	2016-01-01	133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	14
2015: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,181
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	472
Number of retired or separated participants receiving benefits	2015-01-01	29
Total of all active and inactive participants	2015-01-01	501
Total participants	2015-01-01	501
Number of participants with account balances	2015-01-01	126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	18
2014: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,057
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	386
Number of retired or separated participants receiving benefits	2014-01-01	57
Total of all active and inactive participants	2014-01-01	443
Total participants	2014-01-01	443
Number of participants with account balances	2014-01-01	140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	20
2013: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	419
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	432
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	26
Total of all active and inactive participants	2013-01-01	458
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	458
Number of participants with account balances	2013-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	172
2012: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	421
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	393
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	26
Total of all active and inactive participants	2012-01-01	419
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	419
Number of participants with account balances	2012-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	142
2011: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	404
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	398
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	23
Total of all active and inactive participants	2011-01-01	421
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	421
Number of participants with account balances	2011-01-01	129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	140
2010: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	402
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	376
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	28
Total of all active and inactive participants	2010-01-01	404
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	404
Number of participants with account balances	2010-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	139
2009: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	424
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	377
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	25
Total of all active and inactive participants	2009-01-01	402
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	402
Number of participants with account balances	2009-01-01	101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	124

Financial Data on COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2022 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-96,912
Total of all expenses incurred	2022-12-31	$1,161,624
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,107,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,440,209
Value of total assets at end of year	2022-12-31	$8,109,137
Value of total assets at beginning of year	2022-12-31	$9,367,673
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$54,559
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$205,213
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$205,213
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$933,811
Participant contributions at beginning of year	2022-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$6,865
Administrative expenses (other) incurred	2022-12-31	$54,559
Total non interest bearing cash at beginning of year	2022-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-1,258,536
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$8,109,137
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$9,367,673
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$7,768,851
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$9,234,911
Value of interest in pooled separate accounts at end of year	2022-12-31	$41,469
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$49,405
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$10,366
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$10,366
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$298,817
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$72,991
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,735,200
Net investment gain/loss from pooled separate accounts	2022-12-31	$-7,134
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Assets. Invements in employer securities at beginning of year	2022-12-31	$0
Contributions received in cash from employer	2022-12-31	$499,533
Employer contributions (assets) at beginning of year	2022-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,107,065
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2022-12-31	No
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	FRAZIER & DEETER
Accountancy firm EIN	2022-12-31	581433845
2021 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$1,972,711
Total of all expenses incurred	2021-12-31	$343,316
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$292,958
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,086,223
Value of total assets at end of year	2021-12-31	$9,367,673
Value of total assets at beginning of year	2021-12-31	$7,738,278
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$50,358
Total interest from all sources	2021-12-31	$269,094
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Administrative expenses professional fees incurred	2021-12-31	$50,358
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$698,150
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$10,712
Total non interest bearing cash at end of year	2021-12-31	$0
Total non interest bearing cash at beginning of year	2021-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$1,629,395
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$9,367,673
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$7,738,278
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$9,234,911
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$7,623,853
Value of interest in pooled separate accounts at end of year	2021-12-31	$49,405
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$45,234
Interest earned on other investments	2021-12-31	$269,094
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$10,366
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$10,249
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$10,249
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$72,991
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$58,942
Net investment gain or loss from common/collective trusts	2021-12-31	$617,394
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Assets. Invements in employer securities at end of year	2021-12-31	$0
Assets. Invements in employer securities at beginning of year	2021-12-31	$0
Contributions received in cash from employer	2021-12-31	$377,361
Employer contributions (assets) at end of year	2021-12-31	$0
Employer contributions (assets) at beginning of year	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$292,958
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2021-12-31	No
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	FRAZIER & DEETER
Accountancy firm EIN	2021-12-31	581433845
2020 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$1,092,525
Total of all expenses incurred	2020-12-31	$942,754
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$909,258
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$922,162
Value of total assets at end of year	2020-12-31	$7,738,278
Value of total assets at beginning of year	2020-12-31	$7,588,507
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$33,496
Total interest from all sources	2020-12-31	$154,141
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$33,496
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$588,452
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$101
Total non interest bearing cash at end of year	2020-12-31	$0
Total non interest bearing cash at beginning of year	2020-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$149,771
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$7,738,278
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$7,588,507
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$7,623,853
Value of interest in pooled separate accounts at end of year	2020-12-31	$45,234
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$7,538,156
Interest earned on other investments	2020-12-31	$154,141
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$10,249
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$12,909
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$12,909
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$58,942
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$34,091
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,596,129
Net investment gain/loss from pooled separate accounts	2020-12-31	$-1,579,907
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Assets. Invements in employer securities at end of year	2020-12-31	$0
Contributions received in cash from employer	2020-12-31	$333,710
Employer contributions (assets) at end of year	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$3,250
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$909,258
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	FRAZIER & DEETER
Accountancy firm EIN	2020-12-31	581433845
2019 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$2,285,722
Total of all expenses incurred	2019-12-31	$294,178
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$243,575
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$877,717
Value of total assets at end of year	2019-12-31	$7,588,507
Value of total assets at beginning of year	2019-12-31	$5,596,963
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$50,603
Total interest from all sources	2019-12-31	$669
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Administrative expenses professional fees incurred	2019-12-31	$50,603
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$583,388
Participant contributions at end of year	2019-12-31	$101
Participant contributions at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$22,772
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$0
Liabilities. Value of operating payables at beginning of year	2019-12-31	$0
Total non interest bearing cash at end of year	2019-12-31	$0
Total non interest bearing cash at beginning of year	2019-12-31	$15,385
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$1,991,544
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$7,588,507
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$5,596,963
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in pooled separate accounts at end of year	2019-12-31	$7,538,156
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$5,517,219
Interest earned on other investments	2019-12-31	$669
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$12,909
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$27,888
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$27,888
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$34,091
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$36,471
Net investment gain/loss from pooled separate accounts	2019-12-31	$1,407,336
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Assets. Invements in employer securities at beginning of year	2019-12-31	$0
Assets. Value of employer real property at beginning of year	2019-12-31	$0
Contributions received in cash from employer	2019-12-31	$271,557
Employer contributions (assets) at end of year	2019-12-31	$3,250
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$243,575
Liabilities. Value of benefit claims payable at beginning of year	2019-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-12-31	$0
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Liabilities. Value of acquisition indebtedness at beginning of year	2019-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	FRAZIER & DEETER
Accountancy firm EIN	2019-12-31	581433845
2018 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$380,116
Total of all expenses incurred	2018-12-31	$195,567
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$165,186
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$801,021
Value of total assets at end of year	2018-12-31	$5,596,963
Value of total assets at beginning of year	2018-12-31	$5,412,414
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$30,381
Total interest from all sources	2018-12-31	$204
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$30,381
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$501,701
Participant contributions at end of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$21,422
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$0
Liabilities. Value of operating payables at end of year	2018-12-31	$0
Liabilities. Value of operating payables at beginning of year	2018-12-31	$0
Total non interest bearing cash at end of year	2018-12-31	$15,385
Total non interest bearing cash at beginning of year	2018-12-31	$302
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$184,549
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$5,596,963
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$5,412,414
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in pooled separate accounts at end of year	2018-12-31	$5,517,219
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$5,339,362
Interest earned on other investments	2018-12-31	$204
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$27,888
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$38,587
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$38,587
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$36,471
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$34,163
Net investment gain/loss from pooled separate accounts	2018-12-31	$-421,109
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Assets. Invements in employer securities at end of year	2018-12-31	$0
Assets. Invements in employer securities at beginning of year	2018-12-31	$0
Assets. Value of employer real property at end of year	2018-12-31	$0
Assets. Value of employer real property at beginning of year	2018-12-31	$0
Contributions received in cash from employer	2018-12-31	$277,898
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$165,186
Liabilities. Value of benefit claims payable at end of year	2018-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2018-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2018-12-31	$0
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Liabilities. Value of acquisition indebtedness at end of year	2018-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2018-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	FRAZIER & DEETER
Accountancy firm EIN	2018-12-31	581433845
2017 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$1,473,615
Total of all expenses incurred	2017-12-31	$209,428
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$208,235
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$637,494
Value of total assets at end of year	2017-12-31	$5,412,414
Value of total assets at beginning of year	2017-12-31	$4,148,227
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$1,193
Total interest from all sources	2017-12-31	$178
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$1,193
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$410,072
Participant contributions at beginning of year	2017-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$25,145
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$0
Total non interest bearing cash at end of year	2017-12-31	$302
Total non interest bearing cash at beginning of year	2017-12-31	$37,445
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,264,187
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$5,412,414
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$4,148,227
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in pooled separate accounts at end of year	2017-12-31	$5,339,362
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$4,071,070
Interest earned on other investments	2017-12-31	$178
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$38,587
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$34,163
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$39,712
Net investment gain/loss from pooled separate accounts	2017-12-31	$835,943
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$202,277
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$208,235
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	FRAZIER & DEETER
Accountancy firm EIN	2017-12-31	581433845
2016 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$80,727
Total income from all sources (including contributions)	2016-12-31	$871,052
Total of all expenses incurred	2016-12-31	$144,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$143,827
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$591,668
Value of total assets at end of year	2016-12-31	$4,148,227
Value of total assets at beginning of year	2016-12-31	$3,502,894
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$1,165
Total interest from all sources	2016-12-31	$166
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$1,165
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$334,555
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$1,843
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$38,397
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$80,727
Total non interest bearing cash at end of year	2016-12-31	$37,445
Total non interest bearing cash at beginning of year	2016-12-31	$504
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Income. Non cash contributions	2016-12-31	$0
Value of net income/loss	2016-12-31	$726,060
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$4,148,227
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$3,422,167
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$4,071,070
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$3,461,060
Interest earned on other investments	2016-12-31	$166
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$39,712
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$38,834
Net investment gain/loss from pooled separate accounts	2016-12-31	$279,218
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$218,716
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$653
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$143,827
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	FRAZIER & DEETER
Accountancy firm EIN	2016-12-31	581433845
2015 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$80,727
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$71,000
Total income from all sources (including contributions)	2015-12-31	$298,128
Total of all expenses incurred	2015-12-31	$34,198
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$32,568
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$312,902
Value of total assets at end of year	2015-12-31	$3,502,894
Value of total assets at beginning of year	2015-12-31	$3,229,237
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$1,630
Total interest from all sources	2015-12-31	$20
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$1,630
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$242,184
Participant contributions at end of year	2015-12-31	$1,843
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$17,011
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$80,727
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$71,000
Total non interest bearing cash at end of year	2015-12-31	$504
Total non interest bearing cash at beginning of year	2015-12-31	$14,209
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$263,930
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$3,422,167
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$3,158,237
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$3,461,060
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$3,178,347
Interest earned on other investments	2015-12-31	$20
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$38,834
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$36,681
Net investment gain/loss from pooled separate accounts	2015-12-31	$-14,794
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$53,707
Employer contributions (assets) at end of year	2015-12-31	$653
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$32,568
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	FRAZIER & DEETER
Accountancy firm EIN	2015-12-31	581433845
2014 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$71,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$60,467
Total income from all sources (including contributions)	2014-12-31	$424,060
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$209,897
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$208,633
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$286,600
Value of total assets at end of year	2014-12-31	$3,229,237
Value of total assets at beginning of year	2014-12-31	$3,004,541
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$1,264
Total interest from all sources	2014-12-31	$21
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$1,264
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$224,863
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$71,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$60,467
Total non interest bearing cash at end of year	2014-12-31	$14,209
Total non interest bearing cash at beginning of year	2014-12-31	$1,301
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$214,163
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,158,237
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$2,944,074
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$3,178,347
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$2,960,918
Interest earned on other investments	2014-12-31	$21
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$36,681
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$42,320
Net investment gain/loss from pooled separate accounts	2014-12-31	$137,439
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Assets. Invements in employer securities at beginning of year	2014-12-31	$2
Contributions received in cash from employer	2014-12-31	$61,737
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$208,633
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	FRAZIER & DEETER
Accountancy firm EIN	2014-12-31	581433845
2013 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$60,467
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$46,800
Total income from all sources (including contributions)	2013-12-31	$835,176
Total of all expenses incurred	2013-12-31	$159,011
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$157,762
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$291,420
Value of total assets at end of year	2013-12-31	$3,004,539
Value of total assets at beginning of year	2013-12-31	$2,314,707
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,249
Total interest from all sources	2013-12-31	$23
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$228,097
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$60,467
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$46,800
Total non interest bearing cash at end of year	2013-12-31	$1,301
Total non interest bearing cash at beginning of year	2013-12-31	$17,210
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$676,165
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,944,072
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,267,907
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$2,960,918
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$2,255,590
Interest earned on other investments	2013-12-31	$23
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$42,320
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$41,907
Net investment gain/loss from pooled separate accounts	2013-12-31	$543,733
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$63,323
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$157,762
Contract administrator fees	2013-12-31	$1,249
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	KINGERY & CROUSE, P.A.
Accountancy firm EIN	2013-12-31	593144594
2012 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$46,800
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$101,846
Total income from all sources (including contributions)	2012-12-31	$588,760
Total of all expenses incurred	2012-12-31	$106,575
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$105,615
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$318,401
Value of total assets at end of year	2012-12-31	$2,314,707
Value of total assets at beginning of year	2012-12-31	$1,887,568
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$960
Total interest from all sources	2012-12-31	$97
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$248,568
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$46,800
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$101,846
Total non interest bearing cash at end of year	2012-12-31	$17,210
Total non interest bearing cash at beginning of year	2012-12-31	$83,641
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$482,185
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,267,907
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,785,722
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in pooled separate accounts at end of year	2012-12-31	$2,255,590
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$1,766,029
Interest earned on other investments	2012-12-31	$97
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$41,907
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$37,898
Net investment gain/loss from pooled separate accounts	2012-12-31	$270,262
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$69,833
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$105,615
Contract administrator fees	2012-12-31	$960
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	KINGERY & CROUSE, P.A.
Accountancy firm EIN	2012-12-31	593144594
2011 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$101,846
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$96,440
Total income from all sources (including contributions)	2011-12-31	$235,422
Total of all expenses incurred	2011-12-31	$88,299
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$88,299
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$293,259
Value of total assets at end of year	2011-12-31	$1,887,568
Value of total assets at beginning of year	2011-12-31	$1,735,039
Total interest from all sources	2011-12-31	$87
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$226,794
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$3,263
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2011-12-31	$875
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$101,846
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$96,440
Total non interest bearing cash at end of year	2011-12-31	$83,641
Total non interest bearing cash at beginning of year	2011-12-31	$56,850
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$147,123
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,785,722
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,638,599
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in pooled separate accounts at end of year	2011-12-31	$1,766,029
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,637,958
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$87
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$37,898
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$35,714
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$426
Net investment gain/loss from pooled separate accounts	2011-12-31	$-57,924
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$66,465
Employer contributions (assets) at end of year	2011-12-31	$0
Employer contributions (assets) at beginning of year	2011-12-31	$1,254
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$86,998
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	KINGERY & CROUSE, P.A.
Accountancy firm EIN	2011-12-31	593144594
2010 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$96,440
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$72,385
Total income from all sources (including contributions)	2010-12-31	$447,006
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$78,060
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$78,060
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$239,333
Value of total assets at end of year	2010-12-31	$1,735,039
Value of total assets at beginning of year	2010-12-31	$1,342,038
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$1,138
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$183,557
Participant contributions at end of year	2010-12-31	$3,263
Participant contributions at beginning of year	2010-12-31	$2,188
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$750
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$96,440
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$72,385
Total non interest bearing cash at end of year	2010-12-31	$56,850
Total non interest bearing cash at beginning of year	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$368,946
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,638,599
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,269,653
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at end of year	2010-12-31	$1,637,958
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,281,955
Interest earned on other investments	2010-12-31	$1,138
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$35,714
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$56,956
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$6
Net investment gain/loss from pooled separate accounts	2010-12-31	$206,535
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$55,776
Employer contributions (assets) at end of year	2010-12-31	$1,254
Employer contributions (assets) at beginning of year	2010-12-31	$939
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$77,304
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	KINGERY & CROUSE, P.A.
Accountancy firm EIN	2010-12-31	593144594
2009 : COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST

2022: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND 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
2018: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 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	No
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 funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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 funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: COLUMBIA FOOD SERVICE COMPANY, 401(K) PROFIT SHARING PLAN AND TRUST 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 funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

50945901

Policy instance

Insurance contract or identification number	50945901
Number of Individuals Covered	15
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

509459-01

Policy instance

Insurance contract or identification number	509459-01
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31

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

Policy contract number

98182

Policy instance

Insurance contract or identification number	98182
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-04-13
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Insurance broker organization code?	5

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

509459-01

Policy instance

Insurance contract or identification number	509459-01
Number of Individuals Covered	9
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0

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

Policy contract number

98182

Policy instance

Insurance contract or identification number	98182
Number of Individuals Covered	220
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,300
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,300
Insurance broker organization code?	5

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

Policy contract number

98182

Policy instance

Insurance contract or identification number	98182
Number of Individuals Covered	192
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $1,250
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,250
Insurance broker organization code?	5

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

Policy contract number

98182

Policy instance

Insurance contract or identification number	98182
Number of Individuals Covered	164
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $6,454
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $5,554
Insurance broker organization code?	1
Insurance broker name	PENSION CONSULTANTS & ADMINISTRATOR

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

Policy contract number

98182

Policy instance

Insurance contract or identification number	98182
Number of Individuals Covered	133
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $8,470
Total amount of fees paid to insurance company	USD $1,500
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

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

Policy contract number

98182

Policy instance

Insurance contract or identification number	98182
Number of Individuals Covered	125
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $7,682
Total amount of fees paid to insurance company	USD $1,050
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

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

Policy contract number

98182

Policy instance

Insurance contract or identification number	98182
Number of Individuals Covered	123
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $6,500
Total amount of fees paid to insurance company	USD $1,150
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $6,500
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	PENSION CONSULTANTS AND ADMIN. INC.

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

Policy contract number

98182

Policy instance

Insurance contract or identification number	98182
Number of Individuals Covered	131
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $5,157
Total amount of fees paid to insurance company	USD $890
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $5,157
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	PENSION CONSULTANTS AND ADMIN. INC.

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

Policy contract number

98182

Policy instance

Insurance contract or identification number	98182
Number of Individuals Covered	138
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,921
Total amount of fees paid to insurance company	USD $875
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

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

Policy contract number

98182

Policy instance

Insurance contract or identification number	98182
Number of Individuals Covered	132
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $15,813
Total amount of fees paid to insurance company	USD $50
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHP513

Policy instance

Insurance contract or identification number	PHP513
Number of Individuals Covered	0
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $3,267
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

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Company Name:	COLUMBIA FOOD SERVICE COMPANY, INC.
Employer identification number (EIN):	592532997
NAIC Classification:	722511
NAIC Description:	Full-Service Restaurants

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1985-04-26
Company Identification Number:	H54122
Legal Registered Office Address:	2025 E. 7TH AVE. TAMPA 33605