401k Plan data: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN plan

AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan Name	AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN
Plan identification number	501

AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

AUTOMIC SOFTWARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: AUTOMIC SOFTWARE, INC.

Employer identification number (EIN): 743066347

NAIC Classification: 541519
NAIC Description: Other Computer Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-05-01
501 2015-05-01 ROBERT RON
501 2014-05-01 AUTOMIC SOFTWARE
501 2013-05-01 ROBERT RON
501 2012-05-01 ROBERT RON
501 2011-05-01 ROBERT RON

Plan Statistics for AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN

Measure Date Value
2016: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-05-01 118
Total number of active participants reported on line 7a of the Form 5500 2016-05-01 128
Number of retired or separated participants receiving benefits 2016-05-01 0
Number of other retired or separated participants entitled to future benefits 2016-05-01 0
Total of all active and inactive participants 2016-05-01 128
2015: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-05-01 128
Total number of active participants reported on line 7a of the Form 5500 2015-05-01 118
Number of retired or separated participants receiving benefits 2015-05-01 0
Number of other retired or separated participants entitled to future benefits 2015-05-01 0
Total of all active and inactive participants 2015-05-01 118
2014: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-05-01 129
Total number of active participants reported on line 7a of the Form 5500 2014-05-01 123
Number of retired or separated participants receiving benefits 2014-05-01 5
Number of other retired or separated participants entitled to future benefits 2014-05-01 0
Total of all active and inactive participants 2014-05-01 128
2013: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-05-01 126
Total number of active participants reported on line 7a of the Form 5500 2013-05-01 123
Number of retired or separated participants receiving benefits 2013-05-01 6
Number of other retired or separated participants entitled to future benefits 2013-05-01 0
Total of all active and inactive participants 2013-05-01 129
2012: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-05-01 123
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 117
Number of retired or separated participants receiving benefits 2012-05-01 9
Number of other retired or separated participants entitled to future benefits 2012-05-01 0
Total of all active and inactive participants 2012-05-01 126
2011: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-05-01 107
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 119
Number of retired or separated participants receiving benefits 2011-05-01 4
Number of other retired or separated participants entitled to future benefits 2011-05-01 0
Total of all active and inactive participants 2011-05-01 123

Measure	Date	Value
2016: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-05-01	118
Total number of active participants reported on line 7a of the Form 5500	2016-05-01	128
Number of retired or separated participants receiving benefits	2016-05-01	0
Number of other retired or separated participants entitled to future benefits	2016-05-01	0
Total of all active and inactive participants	2016-05-01	128
2015: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-05-01	128
Total number of active participants reported on line 7a of the Form 5500	2015-05-01	118
Number of retired or separated participants receiving benefits	2015-05-01	0
Number of other retired or separated participants entitled to future benefits	2015-05-01	0
Total of all active and inactive participants	2015-05-01	118
2014: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-05-01	129
Total number of active participants reported on line 7a of the Form 5500	2014-05-01	123
Number of retired or separated participants receiving benefits	2014-05-01	5
Number of other retired or separated participants entitled to future benefits	2014-05-01	0
Total of all active and inactive participants	2014-05-01	128
2013: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-05-01	126
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	123
Number of retired or separated participants receiving benefits	2013-05-01	6
Number of other retired or separated participants entitled to future benefits	2013-05-01	0
Total of all active and inactive participants	2013-05-01	129
2012: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-05-01	123
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	117
Number of retired or separated participants receiving benefits	2012-05-01	9
Number of other retired or separated participants entitled to future benefits	2012-05-01	0
Total of all active and inactive participants	2012-05-01	126
2011: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-05-01	107
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	119
Number of retired or separated participants receiving benefits	2011-05-01	4
Number of other retired or separated participants entitled to future benefits	2011-05-01	0
Total of all active and inactive participants	2011-05-01	123

Form 5500 Responses for AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN

2016: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2016 form 5500 responses
2016-05-01	Type of plan entity	Single employer plan
2016-05-01	Submission has been amended	No
2016-05-01	This submission is the final filing	No
2016-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-05-01	Plan is a collectively bargained plan	No
2016-05-01	Plan funding arrangement – Insurance	Yes
2016-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-05-01	Plan benefit arrangement – Insurance	Yes
2016-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2015 form 5500 responses
2015-05-01	Type of plan entity	Single employer plan
2015-05-01	Submission has been amended	No
2015-05-01	This submission is the final filing	No
2015-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-05-01	Plan is a collectively bargained plan	No
2015-05-01	Plan funding arrangement – Insurance	Yes
2015-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-05-01	Plan benefit arrangement – Insurance	Yes
2015-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2014 form 5500 responses
2014-05-01	Type of plan entity	Single employer plan
2014-05-01	Submission has been amended	No
2014-05-01	This submission is the final filing	No
2014-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-05-01	Plan is a collectively bargained plan	No
2014-05-01	Plan funding arrangement – Insurance	Yes
2014-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-05-01	Plan benefit arrangement – Insurance	Yes
2014-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2013 form 5500 responses
2013-05-01	Type of plan entity	Single employer plan
2013-05-01	Submission has been amended	No
2013-05-01	This submission is the final filing	No
2013-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-05-01	Plan is a collectively bargained plan	No
2013-05-01	Plan funding arrangement – Insurance	Yes
2013-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-05-01	Plan benefit arrangement – Insurance	Yes
2013-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	Submission has been amended	No
2012-05-01	This submission is the final filing	No
2012-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-05-01	Plan is a collectively bargained plan	No
2012-05-01	Plan funding arrangement – Insurance	Yes
2012-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-05-01	Plan benefit arrangement – Insurance	Yes
2012-05-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: AUTOMIC SOFTWARE INC. EMPLOYEE BENEFITS PLAN 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Submission has been amended	No
2011-05-01	This submission is the final filing	No
2011-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-05-01	Plan is a collectively bargained plan	No
2011-05-01	Plan funding arrangement – Insurance	Yes
2011-05-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0AFZF
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1037830
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0AFZF
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1037830
Policy instance	1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1037830
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0AFZF
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1037830
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0AFZF
Policy instance	2
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	1037830
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0AFZF
Policy instance	2

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Company Name:	AUTOMIC SOFTWARE, INC.
Employer identification number (EIN):	743066347
NAIC Classification:	541519
NAIC Description:	Other Computer Related Services

Plan id#	Filing Submission Date	Name of Administrator
501	2016-05-01
501	2015-05-01	ROBERT RON
501	2014-05-01	AUTOMIC SOFTWARE
501	2013-05-01	ROBERT RON
501	2012-05-01	ROBERT RON
501	2011-05-01	ROBERT RON