THE BANK OF CARBONDALE SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

THE BANK OF CARBONDALE SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

401k Sponsoring company profile

Company Name:	THE BANK OF CARBONDALE
Employer identification number (EIN):	370564500
NAIC Classification:	522110
NAIC Description:	Commercial Banking

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2013-06-01	ROBERT C. BLEYER
501	2012-06-01	ROBERT C. BLEYER
501	2011-06-01	ROBERT C. BLEYER

Plan Statistics for THE BANK OF CARBONDALE SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure	Date	Value
2013: THE BANK OF CARBONDALE SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	25
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	24
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	0
Total of all active and inactive participants	2013-06-01	24
2012: THE BANK OF CARBONDALE SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	23
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	24
Number of retired or separated participants receiving benefits	2012-06-01	0
Number of other retired or separated participants entitled to future benefits	2012-06-01	0
Total of all active and inactive participants	2012-06-01	24
2011: THE BANK OF CARBONDALE SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-06-01	25
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	22
Number of retired or separated participants receiving benefits	2011-06-01	0
Number of other retired or separated participants entitled to future benefits	2011-06-01	0
Total of all active and inactive participants	2011-06-01	22

Financial Data on THE BANK OF CARBONDALE SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Form 5500 Responses for THE BANK OF CARBONDALE SELF FUNDED MEDICAL REIMBURSEMENT PLAN

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