401k Plan data: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST plan

STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 401k Plan overview

Plan Name	STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST
Plan identification number	502

STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

STATE BANKSHARES, INC. has sponsored the creation of one or more 401k plans.

Company Name: STATE BANKSHARES, INC.

Employer identification number (EIN): 450412162

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-01-01 BLAKE NELSON BLAKE NELSON 2018-06-29
502 2016-01-01 BLAKE NELSON BLAKE NELSON 2017-07-28
502 2016-01-01 BLAKE NELSON BLAKE NELSON 2018-04-08
502 2015-01-01 BLAKE NELSON BLAKE NELSON 2017-12-18
502 2014-01-01 BLAKE NELSON BLAKE NELSON 2017-12-18
502 2013-01-01 BLAKE NELSON BLAKE NELSON 2017-12-18
502 2011-01-01 BLAKE NELSON
502 2009-01-01 BLAKE NELSON 2010-10-08

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2017-01-01	BLAKE NELSON	BLAKE NELSON	2018-06-29
502	2016-01-01	BLAKE NELSON	BLAKE NELSON	2017-07-28
502	2016-01-01	BLAKE NELSON	BLAKE NELSON	2018-04-08
502	2015-01-01	BLAKE NELSON	BLAKE NELSON	2017-12-18
502	2014-01-01	BLAKE NELSON	BLAKE NELSON	2017-12-18
502	2013-01-01	BLAKE NELSON	BLAKE NELSON	2017-12-18
502	2011-01-01	BLAKE NELSON
502	2009-01-01		BLAKE NELSON	2010-10-08

Plan Statistics for STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST

401k plan membership statisitcs for STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST

Measure Date Value
2017: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 937
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
2016: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 941
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
2015: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 861
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 890
Number of retired or separated participants receiving benefits 2015-01-01 17
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 907
2014: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 914
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 838
Number of retired or separated participants receiving benefits 2014-01-01 23
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 861
2013: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 610
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 888
Number of retired or separated participants receiving benefits 2013-01-01 26
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 914
2011: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 602
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 610
Total of all active and inactive participants 2011-01-01 610
Total participants 2011-01-01 610
2009: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 448
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 439
Total of all active and inactive participants 2009-01-01 439
Total participants 2009-01-01 439

Measure	Date	Value
2017: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	937
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
2016: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	941
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
2015: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	861
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	890
Number of retired or separated participants receiving benefits	2015-01-01	17
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	907
2014: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	914
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	838
Number of retired or separated participants receiving benefits	2014-01-01	23
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	861
2013: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	610
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	888
Number of retired or separated participants receiving benefits	2013-01-01	26
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	914
2011: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	602
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	610
Total of all active and inactive participants	2011-01-01	610
Total participants	2011-01-01	610
2009: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	448
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	439
Total of all active and inactive participants	2009-01-01	439
Total participants	2009-01-01	439

Form 5500 Responses for STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST

2017: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2011: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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 – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: STATE BANKSHARES, INC. DBA BELL STATE BANK & TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	098815
Policy instance	1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	098814
Policy instance	2

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Company Name:	STATE BANKSHARES, INC.
Employer identification number (EIN):	450412162
NAIC Classification:	522110
NAIC Description:	Commercial Banking