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FIRST SOUTH BANK 401(K) PLAN 401k Plan overview

Plan NameFIRST SOUTH BANK 401(K) PLAN
Plan identification number 004

FIRST SOUTH BANK 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • 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.
  • 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

FIRST SOUTH BANK has sponsored the creation of one or more 401k plans.

Company Name:FIRST SOUTH BANK
Employer identification number (EIN):620225855
NAIC Classification:522110
NAIC Description:Commercial Banking

Additional information about FIRST SOUTH BANK

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 731760

More information about FIRST SOUTH BANK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIRST SOUTH BANK 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0042017-01-01
0042016-01-01
0042015-01-01DONNA DICKINSON
0042014-01-01DONNA DICKINSON
0042013-01-01DONNA DICKINSON
0042012-01-01DONNA DICKINSON
0042011-01-01DONNA DICKINSON
0042010-01-01DONNA DICKINSON
0042009-01-01DONNA DICKINSON

Plan Statistics for FIRST SOUTH BANK 401(K) PLAN

401k plan membership statisitcs for FIRST SOUTH BANK 401(K) PLAN

Measure Date Value
2017: FIRST SOUTH BANK 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01137
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-010
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: FIRST SOUTH BANK 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01142
Total number of active participants reported on line 7a of the Form 55002016-01-01125
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0112
Total of all active and inactive participants2016-01-01137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01137
Number of participants with account balances2016-01-01109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: FIRST SOUTH BANK 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01133
Total number of active participants reported on line 7a of the Form 55002015-01-01128
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0114
Total of all active and inactive participants2015-01-01142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01142
Number of participants with account balances2015-01-01104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FIRST SOUTH BANK 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01137
Total number of active participants reported on line 7a of the Form 55002014-01-01122
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0111
Total of all active and inactive participants2014-01-01133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01133
Number of participants with account balances2014-01-0197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: FIRST SOUTH BANK 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01130
Total number of active participants reported on line 7a of the Form 55002013-01-01129
Number of other retired or separated participants entitled to future benefits2013-01-018
Total of all active and inactive participants2013-01-01137
Total participants2013-01-01137
Number of participants with account balances2013-01-0196
2012: FIRST SOUTH BANK 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01124
Total number of active participants reported on line 7a of the Form 55002012-01-01126
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-014
Total of all active and inactive participants2012-01-01130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01130
Number of participants with account balances2012-01-0195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: FIRST SOUTH BANK 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01129
Total number of active participants reported on line 7a of the Form 55002011-01-01118
Number of retired or separated participants receiving benefits2011-01-016
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01124
Number of participants with account balances2011-01-0190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: FIRST SOUTH BANK 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01145
Total number of active participants reported on line 7a of the Form 55002010-01-01117
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0112
Total of all active and inactive participants2010-01-01129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01129
Number of participants with account balances2010-01-01100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: FIRST SOUTH BANK 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01144
Total number of active participants reported on line 7a of the Form 55002009-01-01127
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0118
Total of all active and inactive participants2009-01-01145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01145
Number of participants with account balances2009-01-01113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on FIRST SOUTH BANK 401(K) PLAN

Measure Date Value
2017 : FIRST SOUTH BANK 401(K) PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-07-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2017-07-31$0
Total unrealized appreciation/depreciation of assets2017-07-31$0
Total transfer of assets to this plan2017-07-31$0
Total transfer of assets from this plan2017-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-07-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-07-31$0
Expenses. Interest paid2017-07-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022017-07-31$0
Total income from all sources (including contributions)2017-07-31$833,454
Total loss/gain on sale of assets2017-07-31$0
Total of all expenses incurred2017-07-31$8,222,353
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-07-31$8,148,703
Expenses. Certain deemed distributions of participant loans2017-07-31$53,262
Value of total corrective distributions2017-07-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-07-31$224,624
Value of total assets at end of year2017-07-31$0
Value of total assets at beginning of year2017-07-31$7,388,899
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-07-31$20,388
Total income from rents2017-07-31$0
Total interest from all sources2017-07-31$3,112
Total dividends received (eg from common stock, registered investment company shares)2017-07-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-07-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-07-31$0
Total dividends received from registered investment company shares (eg mutual funds)2017-07-31$0
Administrative expenses professional fees incurred2017-07-31$0
Was this plan covered by a fidelity bond2017-07-31Yes
Value of fidelity bond cover2017-07-31$5,000,000
If this is an individual account plan, was there a blackout period2017-07-31No
Were there any nonexempt tranactions with any party-in-interest2017-07-31No
Contributions received from participants2017-07-31$141,510
Participant contributions at end of year2017-07-31$0
Participant contributions at beginning of year2017-07-31$160,996
Income. Received or receivable in cash from other sources (including rollovers)2017-07-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-07-31$0
Other income not declared elsewhere2017-07-31$0
Administrative expenses (other) incurred2017-07-31$0
Total non interest bearing cash at end of year2017-07-31$0
Total non interest bearing cash at beginning of year2017-07-31$8,420
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-07-31No
Income. Non cash contributions2017-07-31$0
Value of net income/loss2017-07-31$-7,388,899
Value of net assets at end of year (total assets less liabilities)2017-07-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-07-31$7,388,899
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-07-31No
Were any leases to which the plan was party in default or uncollectible2017-07-31No
Investment advisory and management fees2017-07-31$0
Value of interest in pooled separate accounts at end of year2017-07-31$0
Value of interest in pooled separate accounts at beginning of year2017-07-31$7,203,244
Interest on participant loans2017-07-31$3,112
Income. Interest from loans (other than to participants)2017-07-31$0
Interest earned on other investments2017-07-31$0
Income. Interest from US Government securities2017-07-31$0
Income. Interest from corporate debt instruments2017-07-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-07-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2017-07-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-07-31$0
Net investment gain/loss from pooled separate accounts2017-07-31$605,718
Net investment gain or loss from common/collective trusts2017-07-31$0
Net gain/loss from 103.12 investment entities2017-07-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-07-31No
Was there a failure to transmit to the plan any participant contributions2017-07-31No
Has the plan failed to provide any benefit when due under the plan2017-07-31No
Contributions received in cash from employer2017-07-31$83,114
Employer contributions (assets) at end of year2017-07-31$0
Employer contributions (assets) at beginning of year2017-07-31$16,239
Income. Dividends from preferred stock2017-07-31$0
Income. Dividends from common stock2017-07-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-07-31$8,148,703
Contract administrator fees2017-07-31$20,388
Did the plan have assets held for investment2017-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-07-31Yes
Aggregate proceeds on sale of assets2017-07-31$0
Aggregate carrying amount (costs) on sale of assets2017-07-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-07-31Yes
Opinion of an independent qualified public accountant for this plan2017-07-31Disclaimer
Accountancy firm name2017-07-31HORNE, LLP
Accountancy firm EIN2017-07-31201941244
2016 : FIRST SOUTH BANK 401(K) PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$0
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$8,928
Expenses. Interest paid2016-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022016-12-31$0
Total income from all sources (including contributions)2016-12-31$1,011,247
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$665,008
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$608,915
Expenses. Certain deemed distributions of participant loans2016-12-31$25,385
Value of total corrective distributions2016-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$610,709
Value of total assets at end of year2016-12-31$7,388,899
Value of total assets at beginning of year2016-12-31$7,051,588
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$30,708
Total income from rents2016-12-31$0
Total interest from all sources2016-12-31$7,928
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$0
Administrative expenses professional fees incurred2016-12-31$30,708
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$5,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$384,661
Participant contributions at end of year2016-12-31$160,996
Participant contributions at beginning of year2016-12-31$230,604
Participant contributions at end of year2016-12-31$16,239
Participant contributions at beginning of year2016-12-31$16,459
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$9,095
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$0
Other income not declared elsewhere2016-12-31$0
Liabilities. Value of operating payables at beginning of year2016-12-31$8,928
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Income. Non cash contributions2016-12-31$0
Value of net income/loss2016-12-31$346,239
Value of net assets at end of year (total assets less liabilities)2016-12-31$7,388,899
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$7,042,660
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$7,203,244
Value of interest in pooled separate accounts at beginning of year2016-12-31$6,795,241
Interest on participant loans2016-12-31$7,928
Income. Interest from loans (other than to participants)2016-12-31$0
Interest earned on other investments2016-12-31$0
Income. Interest from US Government securities2016-12-31$0
Income. Interest from corporate debt instruments2016-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$0
Net investment gain/loss from pooled separate accounts2016-12-31$392,610
Net investment gain or loss from common/collective trusts2016-12-31$0
Net gain/loss from 103.12 investment entities2016-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$216,953
Employer contributions (assets) at end of year2016-12-31$8,420
Employer contributions (assets) at beginning of year2016-12-31$9,284
Income. Dividends from preferred stock2016-12-31$0
Income. Dividends from common stock2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$608,915
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$0
Aggregate carrying amount (costs) on sale of assets2016-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31HORNE, LLP
Accountancy firm EIN2016-12-31201941244
2015 : FIRST SOUTH BANK 401(K) PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$8,928
Total income from all sources (including contributions)2015-12-31$575,949
Total of all expenses incurred2015-12-31$415,059
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$374,831
Expenses. Certain deemed distributions of participant loans2015-12-31$15,247
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$600,382
Value of total assets at end of year2015-12-31$7,051,588
Value of total assets at beginning of year2015-12-31$6,881,770
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$24,981
Total interest from all sources2015-12-31$8,180
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$24,981
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$5,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$390,912
Participant contributions at end of year2015-12-31$230,604
Participant contributions at beginning of year2015-12-31$179,523
Participant contributions at end of year2015-12-31$16,459
Participant contributions at beginning of year2015-12-31$14,734
Liabilities. Value of operating payables at end of year2015-12-31$8,928
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$160,890
Value of net assets at end of year (total assets less liabilities)2015-12-31$7,042,660
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$6,881,770
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in pooled separate accounts at end of year2015-12-31$6,795,241
Value of interest in pooled separate accounts at beginning of year2015-12-31$6,679,508
Income. Interest from loans (other than to participants)2015-12-31$8,180
Net investment gain/loss from pooled separate accounts2015-12-31$-32,613
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$209,470
Employer contributions (assets) at end of year2015-12-31$9,284
Employer contributions (assets) at beginning of year2015-12-31$8,005
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$374,831
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31HORNE, LLP
Accountancy firm EIN2015-12-31201941244
2014 : FIRST SOUTH BANK 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$876,966
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$141,080
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$114,137
Expenses. Certain deemed distributions of participant loans2014-12-31$3,628
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$544,676
Value of total assets at end of year2014-12-31$6,881,770
Value of total assets at beginning of year2014-12-31$6,145,884
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$23,315
Total interest from all sources2014-12-31$9,892
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$23,315
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$5,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$344,160
Participant contributions at end of year2014-12-31$179,523
Participant contributions at beginning of year2014-12-31$135,827
Participant contributions at end of year2014-12-31$14,734
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$735,886
Value of net assets at end of year (total assets less liabilities)2014-12-31$6,881,770
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$6,145,884
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in pooled separate accounts at end of year2014-12-31$6,679,508
Value of interest in pooled separate accounts at beginning of year2014-12-31$6,010,057
Interest on participant loans2014-12-31$6,338
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$3,554
Net investment gain/loss from pooled separate accounts2014-12-31$322,398
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$200,516
Employer contributions (assets) at end of year2014-12-31$8,005
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$114,137
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31HORNE, LLP
Accountancy firm EIN2014-12-31201941244
2013 : FIRST SOUTH BANK 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$1,576,005
Total of all expenses incurred2013-12-31$595,781
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$572,988
Expenses. Certain deemed distributions of participant loans2013-12-31$1,868
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$515,750
Value of total assets at end of year2013-12-31$6,145,884
Value of total assets at beginning of year2013-12-31$5,165,660
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$20,925
Total interest from all sources2013-12-31$8,284
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$20,925
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$5,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$323,721
Participant contributions at end of year2013-12-31$135,827
Participant contributions at beginning of year2013-12-31$138,921
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$980,224
Value of net assets at end of year (total assets less liabilities)2013-12-31$6,145,884
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,165,660
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in pooled separate accounts at end of year2013-12-31$6,010,057
Value of interest in pooled separate accounts at beginning of year2013-12-31$5,026,739
Interest on participant loans2013-12-31$5,572
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$2,712
Net investment gain/loss from pooled separate accounts2013-12-31$1,051,971
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$192,029
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$572,988
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31HORNE, LLP
Accountancy firm EIN2013-12-31201941244
2012 : FIRST SOUTH BANK 401(K) PLAN 2012 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$1,041,275
Total of all expenses incurred2012-12-31$203,036
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$180,221
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$483,780
Value of total assets at end of year2012-12-31$5,165,660
Value of total assets at beginning of year2012-12-31$4,327,421
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$22,815
Total interest from all sources2012-12-31$7,156
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$630
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$5,000,000
If this is an individual account plan, was there a blackout period2012-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$302,320
Participant contributions at end of year2012-12-31$138,921
Participant contributions at beginning of year2012-12-31$94,784
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$838,239
Value of net assets at end of year (total assets less liabilities)2012-12-31$5,165,660
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,327,421
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in pooled separate accounts at end of year2012-12-31$5,026,739
Value of interest in pooled separate accounts at beginning of year2012-12-31$4,128,413
Interest on participant loans2012-12-31$4,911
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$2,245
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$104,224
Net investment gain/loss from pooled separate accounts2012-12-31$550,339
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$181,460
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$180,221
Contract administrator fees2012-12-31$22,185
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31Yes
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31HORNE, LLP
Accountancy firm EIN2012-12-31201941244
2011 : FIRST SOUTH BANK 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$357,583
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$279,016
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$245,756
Expenses. Certain deemed distributions of participant loans2011-12-31$5,516
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$459,892
Value of total assets at end of year2011-12-31$4,327,421
Value of total assets at beginning of year2011-12-31$4,248,854
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$27,744
Total interest from all sources2011-12-31$6,186
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$1,052
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$287,227
Participant contributions at end of year2011-12-31$94,784
Participant contributions at beginning of year2011-12-31$98,668
Participant contributions at beginning of year2011-12-31$26
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$6,999
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$78,567
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,327,421
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,248,854
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$4,128,413
Value of interest in pooled separate accounts at beginning of year2011-12-31$4,058,420
Interest on participant loans2011-12-31$4,512
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$1,674
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$104,224
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$91,740
Net investment gain/loss from pooled separate accounts2011-12-31$-108,495
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$165,666
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$245,756
Contract administrator fees2011-12-31$26,692
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31HORNE, LLP
Accountancy firm EIN2011-12-31201941244
2010 : FIRST SOUTH BANK 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$966,772
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$400,569
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$372,483
Expenses. Certain deemed distributions of participant loans2010-12-31$2,414
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$482,501
Value of total assets at end of year2010-12-31$4,248,854
Value of total assets at beginning of year2010-12-31$3,682,651
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$25,672
Total interest from all sources2010-12-31$2,709
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$1,665
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$5,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$304,442
Participant contributions at end of year2010-12-31$98,668
Participant contributions at beginning of year2010-12-31$35,519
Participant contributions at end of year2010-12-31$26
Administrative expenses (other) incurred2010-12-31$7
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$566,203
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,248,854
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,682,651
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$4,058,420
Value of interest in pooled separate accounts at beginning of year2010-12-31$3,568,201
Interest on participant loans2010-12-31$2,709
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$91,740
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$78,931
Net investment gain/loss from pooled separate accounts2010-12-31$481,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$178,059
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$372,483
Contract administrator fees2010-12-31$24,000
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31HORNE, LLP
Accountancy firm EIN2010-12-31201941244

Form 5500 Responses for FIRST SOUTH BANK 401(K) PLAN

2017: FIRST SOUTH BANK 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FIRST SOUTH BANK 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FIRST SOUTH BANK 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FIRST SOUTH BANK 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: FIRST SOUTH BANK 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: FIRST SOUTH BANK 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: FIRST SOUTH BANK 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: FIRST SOUTH BANK 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: FIRST SOUTH BANK 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number803364-000
Policy instance 1
Insurance contract or identification number803364-000
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $33,779
Total amount of fees paid to insurance companyUSD $3,325
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $33,779
Additional information about fees paid to insurance brokerBROKERAGE
Insurance broker organization code?3
Amount paid for insurance broker fees3325
Insurance broker nameELLIS BENEFITS GROUP
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number803364-000
Policy instance 1
Insurance contract or identification number803364-000
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $31,603
Total amount of fees paid to insurance companyUSD $3,125
Commission paid to Insurance BrokerUSD $23,974
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKERAGE
Insurance broker organization code?3
Insurance broker nameELLIS BENEFITS GROUP, INC.
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number803364-000
Policy instance 1
Insurance contract or identification number803364-000
Number of Individuals Covered96
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $29,748
Total amount of fees paid to insurance companyUSD $3,863
Commission paid to Insurance BrokerUSD $14,874
Additional information about fees paid to insurance brokerBROKERAGE
Insurance broker organization code?3
Amount paid for insurance broker fees3863
Insurance broker nameLPL FINANCIAL CORPORATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number51165
Policy instance 1
Insurance contract or identification number51165
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-07-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $810
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Amount paid for insurance broker fees810
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION
Insurance broker organization code?5
Insurance broker nameELLIS BENEFITS GROUP, INC.
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number803364-000
Policy instance 2
Insurance contract or identification number803364-000
Number of Individuals Covered95
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $33,657
Total amount of fees paid to insurance companyUSD $12,158
Commission paid to Insurance BrokerUSD $33,657
Additional information about fees paid to insurance brokerBROKERAGE
Insurance broker organization code?3
Amount paid for insurance broker fees12158
Insurance broker nameELLIS BENEFITS GROUP, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number51165
Policy instance 1
Insurance contract or identification number51165
Number of Individuals Covered92
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,543
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number51165
Policy instance 1
Insurance contract or identification number51165
Number of Individuals Covered100
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,209
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Amount paid for insurance broker fees3209
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION
Insurance broker organization code?5
Insurance broker nameELLIS BENEFITS GROUP, INC.

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