401k Plan data: PROVIDENCE BANK RETIREMENT PLAN plan

PROVIDENCE BANK RETIREMENT PLAN 401k Plan overview

Plan Name	PROVIDENCE BANK RETIREMENT PLAN
Plan identification number	001

PROVIDENCE BANK RETIREMENT PLAN 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.
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PROVIDENCE BANK, LLC has sponsored the creation of one or more 401k plans.

Company Name: PROVIDENCE BANK, LLC

Employer identification number (EIN): 273867130

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROVIDENCE BANK RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 CLAIR JOHNSON 2015-07-02
001 2013-01-01 CLAIR JOHNSON 2014-07-31
001 2011-01-01 CLAIR JOHNSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2014-01-01	CLAIR JOHNSON	2015-07-02
001	2013-01-01	CLAIR JOHNSON	2014-07-31
001	2011-01-01	CLAIR JOHNSON

Plan Statistics for PROVIDENCE BANK RETIREMENT PLAN

401k plan membership statisitcs for PROVIDENCE BANK RETIREMENT PLAN

Measure Date Value
2011: PROVIDENCE BANK RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 69
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 1
Total of all active and inactive participants 2011-01-01 70
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 70
Number of participants with account balances 2011-01-01 64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2011: PROVIDENCE BANK RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	69
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	1
Total of all active and inactive participants	2011-01-01	70
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	70
Number of participants with account balances	2011-01-01	64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on PROVIDENCE BANK RETIREMENT PLAN

Measure	Date	Value
2011 : PROVIDENCE BANK RETIREMENT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$1,255,186
Expenses. Total of all expenses incurred	2011-12-31	$5,328
Benefits paid (including direct rollovers)	2011-12-31	$4,154
Total plan assets at end of year	2011-12-31	$1,249,858
Total plan assets at beginning of year	2011-12-31	$0
Value of fidelity bond covering the plan	2011-12-31	$124,986
Total contributions received or receivable from participants	2011-12-31	$294,768
Contributions received from other sources (not participants or employers)	2011-12-31	$894,973
Other income received	2011-12-31	$-31,012
Net income (gross income less expenses)	2011-12-31	$1,249,858
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,249,858
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$0
Assets. Value of participant loans	2011-12-31	$5,347
Total contributions received or receivable from employer(s)	2011-12-31	$96,457
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$1,174
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for PROVIDENCE BANK RETIREMENT PLAN

2011: PROVIDENCE BANK RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PROVIDENCE BANK, LLC
Employer identification number (EIN):	273867130
NAIC Classification:	522110
NAIC Description:	Commercial Banking