| Plan Name | THE FIRST STATE BANK OF BOURBON EMPLOYEES' RETIREMENT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
|
| Company Name: | THE FIRST STATE BANK OF BOURBON |
| Employer identification number (EIN): | 350310470 |
| NAIC Classification: | 522120 |
| NAIC Description: | Savings Institutions |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2013-01-01 | RALPH MASON | 2014-07-23 | RALPH MASON | 2014-07-23 |
| 001 | 2012-01-01 | RALPH MASON | 2013-10-15 | RALPH MASON | 2013-10-15 |
| 001 | 2011-01-01 | RALPH MASON | 2012-10-01 | RALPH MASON | 2012-10-01 |
| 001 | 2010-01-01 | RALPH MASON | 2011-07-25 |