| Plan Name | FIRST STATE BANK RETIREMENT |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | FIRST STATE BANK OF BURLINGAME |
| Employer identification number (EIN): | 480221572 |
| NAIC Classification: | 522110 |
| NAIC Description: | Commercial Banking |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2010-01-01 | REBECCA FOWLER | 2011-07-27 |