COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST
|
2018
|
590201970
|
2019-07-25
|
COLUMBIA BANK
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-05-05
|
Business code |
522110
|
Sponsor’s telephone number |
3867525646
|
Plan sponsor’s
address |
173 N.W. HILLSBORO, LAKE CITY, FL, 32056
|
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
LISA POTTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
590201970
|
2018-04-10
|
COLUMBIA BANK
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-05-05
|
Business code |
522110
|
Sponsor’s telephone number |
3867525646
|
Plan sponsor’s
address |
173 N.W. HILLSBORO, LAKE CITY, FL, 32056
|
Signature of
Role |
Plan administrator |
Date |
2018-04-10 |
Name of individual signing |
LISA POTTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
590201970
|
2017-06-27
|
COLUMBIA BANK
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-05-05
|
Business code |
522110
|
Sponsor’s telephone number |
3867525646
|
Plan sponsor’s
address |
173 N.W. HILLSBORO, LAKE CITY, FL, 32056
|
Signature of
Role |
Plan administrator |
Date |
2017-06-27 |
Name of individual signing |
ALISA S. EPPERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
590201970
|
2016-05-04
|
COLUMBIA BANK
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-05-05
|
Business code |
522110
|
Sponsor’s telephone number |
3867525646
|
Plan sponsor’s
address |
173 N.W. HILLSBORO, LAKE CITY, FL, 32056
|
Signature of
Role |
Plan administrator |
Date |
2016-05-04 |
Name of individual signing |
ALISA S. EPPERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
590201970
|
2015-04-09
|
COLUMBIA BANK
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-05-05
|
Business code |
522110
|
Sponsor’s telephone number |
3867525646
|
Plan sponsor’s
address |
173 N.W. HILLSBORO, LAKE CITY, FL, 32056
|
Signature of
Role |
Plan administrator |
Date |
2015-04-09 |
Name of individual signing |
ALISA S. EPPERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
590201970
|
2014-07-16
|
COLUMBIA BANK
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-05-05
|
Business code |
522110
|
Sponsor’s telephone number |
3867525646
|
Plan sponsor’s
address |
173 N.W. HILLSBORO, LAKE CITY, FL, 32056
|
Signature of
Role |
Plan administrator |
Date |
2014-07-16 |
Name of individual signing |
ALISA S. EPPERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
590201970
|
2013-10-15
|
COLUMBIA BANK
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-05-05
|
Business code |
522110
|
Sponsor’s telephone number |
3867525646
|
Plan sponsor’s
address |
173 N.W. HILLSBORO, LAKE CITY, FL, 32056
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
ALISA S. EPPERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
590201970
|
2012-05-31
|
COLUMBIA BANK
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-05-05
|
Business code |
522110
|
Sponsor’s telephone number |
3867525646
|
Plan sponsor’s
address |
173 N.W. HILLSBORO, LAKE CITY, FL, 32056
|
Plan administrator’s name and address
Administrator’s EIN |
590201970 |
Plan administrator’s name |
COLUMBIA BANK |
Plan administrator’s
address |
173 N.W. HILLSBORO, LAKE CITY, FL, 32056 |
Administrator’s telephone number |
3867525646 |
Signature of
Role |
Plan administrator |
Date |
2012-05-31 |
Name of individual signing |
ALISA S. EPPERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-31 |
Name of individual signing |
ALISA S. EPPERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
590201970
|
2011-07-18
|
COLUMBIA BANK
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-05-05
|
Business code |
522110
|
Sponsor’s telephone number |
3867525646
|
Plan sponsor’s
address |
173 N.W. HILLSBORO, LAKE CITY, FL, 32056
|
Plan administrator’s name and address
Administrator’s EIN |
590201970 |
Plan administrator’s name |
COLUMBIA BANK |
Plan administrator’s
address |
173 N.W. HILLSBORO, LAKE CITY, FL, 32056 |
Administrator’s telephone number |
3867525646 |
Signature of
Role |
Plan administrator |
Date |
2011-07-18 |
Name of individual signing |
BRUCE A NAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBIA BANK 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
590201970
|
2010-06-08
|
COLUMBIA BANK
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-05-05
|
Business code |
522110
|
Sponsor’s telephone number |
3867525646
|
Plan sponsor’s
address |
173 N.W. HILLSBORO, LAKE CITY, FL, 32056
|
Plan administrator’s name and address
Administrator’s EIN |
590201970 |
Plan administrator’s name |
COLUMBIA BANK |
Plan administrator’s
address |
173 N.W. HILLSBORO, LAKE CITY, FL, 32056 |
Administrator’s telephone number |
3867525646 |
Signature of
Role |
Plan administrator |
Date |
2010-06-08 |
Name of individual signing |
BRUCE A. NAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-08 |
Name of individual signing |
BRUCE A NAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|