401k Plan data: SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN plan

SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN 401k Plan overview

Plan Name	SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN
Plan identification number	003

SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Stock bonus
ESOP other than a leveraged ESOP - A completed Schedule E must be attached to a Form 5500 filed for an Employee Stock Ownership Plan (ESOP).
The employer maintaining this ESOP is an S Corporation
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).
Plan requiring that all or part of employer contributions be invested and held, at least for a limited period, in employer securities.

401k Sponsoring company profile

SANIBEL CAPTIVA HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name: SANIBEL CAPTIVA HOLDINGS, INC.

Employer identification number (EIN): 451624330

NAIC Classification: 523900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2017-01-01 LORI MOBLEY
003 2016-01-01 LORI MOBLEY
003 2015-01-01 JOSEPH MEEK

Plan id#	Filing Submission Date	Name of Administrator
003	2017-01-01	LORI MOBLEY
003	2016-01-01	LORI MOBLEY
003	2015-01-01	JOSEPH MEEK

Plan Statistics for SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN

401k plan membership statisitcs for SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN

Measure Date Value
2017: SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 29
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 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 29
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 28
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 1
Total of all active and inactive participants 2016-01-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 29
Number of participants with account balances 2016-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 2
2015: SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 24
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 25
Number of participants with account balances 2015-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0

Measure	Date	Value
2017: SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	29
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	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	29
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	28
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	1
Total of all active and inactive participants	2016-01-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	29
Number of participants with account balances	2016-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	2
2015: SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	24
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	25
Number of participants with account balances	2015-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0

Financial Data on SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN

Measure	Date	Value
2017 : SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$474,098
Expenses. Total of all expenses incurred	2017-12-31	$15,125
Benefits paid (including direct rollovers)	2017-12-31	$15,125
Total plan assets at end of year	2017-12-31	$973,565
Total plan assets at beginning of year	2017-12-31	$514,592
Value of fidelity bond covering the plan	2017-12-31	$1,000,000
Other income received	2017-12-31	$174,098
Net income (gross income less expenses)	2017-12-31	$458,973
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$973,565
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$514,592
Assets. Value of employer securities	2017-12-31	$970,406
Total contributions received or receivable from employer(s)	2017-12-31	$300,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$266,887
Expenses. Total of all expenses incurred	2016-12-31	$2,316
Benefits paid (including direct rollovers)	2016-12-31	$2,316
Total plan assets at end of year	2016-12-31	$514,592
Total plan assets at beginning of year	2016-12-31	$250,021
Value of fidelity bond covering the plan	2016-12-31	$1,000,000
Other income received	2016-12-31	$16,887
Net income (gross income less expenses)	2016-12-31	$264,571
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$514,592
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$250,021
Assets. Value of employer securities	2016-12-31	$510,894
Total contributions received or receivable from employer(s)	2016-12-31	$250,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$250,021
Expenses. Total of all expenses incurred	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$250,021
Total plan assets at beginning of year	2015-12-31	$0
Value of fidelity bond covering the plan	2015-12-31	$1,000,000
Net income (gross income less expenses)	2015-12-31	$250,021
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$250,021
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$0
Assets. Value of employer securities	2015-12-31	$250,021
Total contributions received or receivable from employer(s)	2015-12-31	$250,021
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0

Form 5500 Responses for SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN

2017: SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN 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	No
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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN 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	No
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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: SANIBEL CAPTIVA HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SANIBEL CAPTIVA HOLDINGS, INC.
Employer identification number (EIN):	451624330
NAIC Classification:	523900