401k Plan data: COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN plan

COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	001

COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING 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.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
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

COUNTRY BANK SHARES, INC. has sponsored the creation of one or more 401k plans.

Company Name: COUNTRY BANK SHARES, INC.

Employer identification number (EIN): 470723535

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 STACY RILEY 2023-06-29 STACY RILEY 2023-06-29
001 2021-01-01 MICHAELA NIELSEN 2022-06-15 MICHAELA NIELSEN 2022-06-15
001 2020-01-01 SHYANNE SCHOLL 2021-05-25
001 2018-01-01 SHYANNE SCHOLL 2019-06-05 SHYANNE SCHOLL 2019-06-05
001 2017-01-01 KAYLIE BOMAN 2018-06-07 KAYLIE BOMAN 2018-06-07
001 2016-01-01 JODY KONGSJORD 2017-06-13 JODY KONGSJORD 2017-06-13
001 2015-01-01 JODY KONGSJORD 2016-07-14 JODY KONGSJORD 2016-07-14
001 2014-01-01 JODY KONGSJORD 2016-07-14 JODY KONGSJORD 2016-07-14
001 2014-01-01 JODY KONGSJORD 2015-09-18
001 2012-01-01 LAURA PETERSON
001 2011-01-01 LAURA PETERSON
001 2010-01-01 LAURA PETERSON
001 2009-01-01 LAURA PETERSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	STACY RILEY	2023-06-29	STACY RILEY	2023-06-29
001	2021-01-01	MICHAELA NIELSEN	2022-06-15	MICHAELA NIELSEN	2022-06-15
001	2020-01-01	SHYANNE SCHOLL	2021-05-25
001	2018-01-01	SHYANNE SCHOLL	2019-06-05	SHYANNE SCHOLL	2019-06-05
001	2017-01-01	KAYLIE BOMAN	2018-06-07	KAYLIE BOMAN	2018-06-07
001	2016-01-01	JODY KONGSJORD	2017-06-13	JODY KONGSJORD	2017-06-13
001	2015-01-01	JODY KONGSJORD	2016-07-14	JODY KONGSJORD	2016-07-14
001	2014-01-01	JODY KONGSJORD	2016-07-14	JODY KONGSJORD	2016-07-14
001	2014-01-01	JODY KONGSJORD	2015-09-18
001	2012-01-01	LAURA PETERSON
001	2011-01-01	LAURA PETERSON
001	2010-01-01	LAURA PETERSON
001	2009-01-01	LAURA PETERSON

Plan Statistics for COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2012: COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 91
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 87
Number of retired or separated participants receiving benefits 2012-01-01 10
Total of all active and inactive participants 2012-01-01 97
Total participants 2012-01-01 97
Number of participants with account balances 2012-01-01 97
2011: COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 82
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 84
Number of retired or separated participants receiving benefits 2011-01-01 11
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 95
Number of participants with account balances 2011-01-01 91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 87
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 82
Number of retired or separated participants receiving benefits 2010-01-01 6
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 88
Number of participants with account balances 2010-01-01 85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 82
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 87
Number of retired or separated participants receiving benefits 2009-01-01 7
Total of all active and inactive participants 2009-01-01 94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 95
Number of participants with account balances 2009-01-01 79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	91
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	87
Number of retired or separated participants receiving benefits	2012-01-01	10
Total of all active and inactive participants	2012-01-01	97
Total participants	2012-01-01	97
Number of participants with account balances	2012-01-01	97
2011: COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	82
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	84
Number of retired or separated participants receiving benefits	2011-01-01	11
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	95
Number of participants with account balances	2011-01-01	91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	87
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	82
Number of retired or separated participants receiving benefits	2010-01-01	6
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	88
Number of participants with account balances	2010-01-01	85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	82
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	87
Number of retired or separated participants receiving benefits	2009-01-01	7
Total of all active and inactive participants	2009-01-01	94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	95
Number of participants with account balances	2009-01-01	79
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2013 : COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$7,994,455
Total plan liabilities at beginning of year	2013-12-31	$6,366,863
Total income from all sources	2013-12-31	$1,182,562
Expenses. Total of all expenses incurred	2013-12-31	$125,299
Benefits paid (including direct rollovers)	2013-12-31	$125,299
Total plan assets at end of year	2013-12-31	$7,994,455
Total plan assets at beginning of year	2013-12-31	$6,366,863
Value of fidelity bond covering the plan	2013-12-31	$4,750,000
Total contributions received or receivable from participants	2013-12-31	$294,151
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$647,987
Net income (gross income less expenses)	2013-12-31	$1,057,263
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$0
Total contributions received or receivable from employer(s)	2013-12-31	$240,424
2012 : COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$6,366,863
Total plan liabilities at beginning of year	2012-12-31	$5,250,437
Total income from all sources	2012-12-31	$933,069
Expenses. Total of all expenses incurred	2012-12-31	$129,631
Benefits paid (including direct rollovers)	2012-12-31	$129,631
Total plan assets at end of year	2012-12-31	$6,366,863
Total plan assets at beginning of year	2012-12-31	$5,250,437
Value of fidelity bond covering the plan	2012-12-31	$4,750,000
Total contributions received or receivable from participants	2012-12-31	$292,424
Contributions received from other sources (not participants or employers)	2012-12-31	$22,105
Other income received	2012-12-31	$394,491
Net income (gross income less expenses)	2012-12-31	$803,438
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Total contributions received or receivable from employer(s)	2012-12-31	$224,049
2011 : COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$5,250,437
Total plan liabilities at beginning of year	2011-12-31	$5,085,297
Total income from all sources	2011-12-31	$613,721
Expenses. Total of all expenses incurred	2011-12-31	$186,761
Benefits paid (including direct rollovers)	2011-12-31	$186,761
Total plan assets at end of year	2011-12-31	$5,250,437
Total plan assets at beginning of year	2011-12-31	$5,085,297
Value of fidelity bond covering the plan	2011-12-31	$4,750,000
Total contributions received or receivable from participants	2011-12-31	$285,130
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$65,350
Other income received	2011-12-31	$39,192
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$426,960
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$0
Total contributions received or receivable from employer(s)	2011-12-31	$224,049
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$5,085,297
Total plan liabilities at beginning of year	2010-12-31	$4,225,690
Total income from all sources	2010-12-31	$870,272
Expenses. Total of all expenses incurred	2010-12-31	$207,727
Benefits paid (including direct rollovers)	2010-12-31	$207,727
Total plan assets at end of year	2010-12-31	$5,085,297
Total plan assets at beginning of year	2010-12-31	$4,225,690
Value of fidelity bond covering the plan	2010-12-31	$4,750,000
Total contributions received or receivable from participants	2010-12-31	$281,997
Contributions received from other sources (not participants or employers)	2010-12-31	$41,482
Other income received	2010-12-31	$329,492
Net income (gross income less expenses)	2010-12-31	$662,545
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$217,301
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN

2012: COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: COUNTRY BANK SHARES, INC. 401(K) PROFIT SHARING PLAN 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	COUNTRY BANK SHARES, INC.
Employer identification number (EIN):	470723535
NAIC Classification:	522110
NAIC Description:	Commercial Banking