FIRST STATE BANK HEALTH REIMBURSEMENT ARRANGEMENT 401k Plan overview

FIRST STATE BANK HEALTH REIMBURSEMENT ARRANGEMENT Benefits

401k Sponsoring company profile

Company Name:	FIRST STATE BANK
Employer identification number (EIN):	620401160
NAIC Classification:	522110
NAIC Description:	Commercial Banking

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
525	2015-01-01	KATHY BARBER
525	2014-01-01	KATHY BARBER
525	2013-01-01	KATHY BARBER
525	2012-01-01	KATHY BARBER
525	2011-01-01	KATHY BARBER
525	2009-01-01	KATHY BARBER

Form 5500 Responses for FIRST STATE BANK HEALTH REIMBURSEMENT ARRANGEMENT

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• FIRST STATE BANK OF NORTHWEST ARKANSAS SAVINGS INCENTIVE PLAN [EIN = 710707611]
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• FIRST STATE BANK OF LOUISE EMPLOYEE SAVINGS PLAN [EIN = 741258875]
• FIRST STATE BANK - LIFE ADD LTD [EIN = 750270410]
• FIRST STATE FINANCIAL CORP EMPLOYEES SAVINGS & RETIREMENT PLAN [EIN = 382387765]
• FIRST STATE BANK OF FORSYTH RETIREMENT SAVINGS PLAN AND TRUST [EIN = 810136360]
• FIRST STATE BANK OF CROSSETT 401(K) PS PLAN & TRUST [EIN = 710356003]
• FIRST STATE BANK OF THE FLORIDA KEYS PROFIT SHARING RETIREMENT PLAN [EIN = 650790413]
• FIRST STATE BANK - MEDICAL AND DENTAL PLAN [EIN = 750270410]
• FIRST STATE BANK 401(K) PROFIT SHARING PLAN [EIN = 361465165]
• FIRST STATE BANK OF ST. CHARLES MEDICAL PLAN [EIN = 431532397]
• FIRST STATE BANK 401(K) PLAN [EIN = 850090395]
• FIRST STATE BANK AND TRUST PROFIT SHARING PLAN [EIN = 410257270]
• FIRST STATE BANK 401(K) PROFIT SHARING AND EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 750270410]
• FIRST STATE BANK AND TRUST EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST [EIN = 480451049]
• FIRST STATE BANK SOUTHWEST KSOP PLAN AND TRUST [EIN = 410514195]
• FIRST STATE BANK OF UVALDE RETIREMENT PLAN [EIN = 740625760]
• FIRST STATE BANK PROFIT SHARING 401(K) PLAN [EIN = 640659655]
• FIRST STATE BANCORP OF MONTICELLO, INC. RETIREMENT PLAN & TRUST [EIN = 371142968]
• FIRST STATE BANK AND TRUST EMPLOYEE BENEFICIARY ASSOCIATION HEALTH & WELFARE PLAN [EIN = 410257270]
• FIRST STATE MORTGAGE SERVICES, LLC EMPLOYEE BENEFITS PLAN [EIN = 412181683]
• FIRST STATE BANK 401(K) PLAN [EIN = 750989466]
• FIRST STATE BANK 401(K) EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 450134685]
• FIRST STATE HOLDING CO. 401(K) RETIREMENT PLAN [EIN = 470593732]
• FIRST STATE MEDICAL ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST [EIN = 208580437]
• FIRST STATE FINANCIAL 401(K) PROFIT SHARING PLAN [EIN = 610192880]
• FIRST STATE BANCORP OF MONTICELLO, INC. EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 371142968]
• FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 640156720]
• FIRST STATE ORTHOPAEDICS, PA GROUP HEALTH BENEFIT [EIN = 510297303]
• FIRST STATE BANK OF ST. CHARLES MISSOURI 401(K) PLAN [EIN = 430492450]
• FIRST STATE BANK WELFARE BENEFIT PLAN [EIN = 640659655]
• FIRST STATE ORTHOPAEDICS P.A.401K PROFIT SHARING PLAN [EIN = 510297303]
• FIRST STATE ORTHOPAEDICS [EIN = 510297303]
• FIRST STATE FINANCIAL, INC. [EIN = 610192880]
• FIRST STATE BANK OF MIDDLEBURY 401(K) PROFIT SHARING PLAN [EIN = 350310540]
• FIRST STATE BANK OF SIOUX RAPIDS PROFIT SHARING PLAN AND TRUST [EIN = 420253630]
• FIRST STATE BANK 401K PROFIT SHARING PLAN [EIN = 460106450]
• FIRST STATE BANK OF RANSOM 401(K) PROFIT SHARING PLAN & TRUST [EIN = 480221560]
• FIRST STATE BANK OF MALTA PENSION PLAN [EIN = 810135460]
• FIRST STATE BANK OF SAN DIEGO, TEXAS 401K PROFIT SHARING PLAN [EIN = 741209338]
• FIRST STATE BANK WELFARE BENEFIT PLAN [EIN = 361465165]
• FIRST STATE BANK EMPLOYEE BENEFIT PLAN [EIN = 750270410]
• FIRST STATE BANK OF DEKALB COUNTY 401(K) PS PLAN [EIN = 630817863]
• FIRST STATE BANK OF MIDDLEBURY GROUP LIFE PLAN [EIN = 350310540]
• FIRST STATE BANK SAVINGS INCENTIVE PLAN [EIN = 730242080]
• FIRST STATE BANCORP, INC. COMBINED RETIREMENT BENEFIT PLAN [EIN = 431281074]
• FIRST STATE BANK OF ST. CHARLES EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 430492450]
• FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN [EIN = 640156725]
• FIRST STATE BANK HEALTH AND WELFARE PLAN [EIN = 741258875]
• FIRST STATE INVESTMENTS GROUP TRUST [EIN = 206720059]
• FIRST STATE BANK WEST 401(K) P/S PLAN [EIN = 470162740]
• FIRST STATE PACKAGING, INC., 401(K) & PROFIT SHARING PLAN [EIN = 521290945]
• FIRST STATE BANK OF SWANVILLE PROFIT SHARING PLAN [EIN = 410257220]
• FIRST STATE BANK EMPLOYEES' PENSION PLAN [EIN = 380541390]
• FIRST STATE BANK OF THREE RIVERS PROFIT SHARING PLAN [EIN = 740625590]
• FIRST STATE BANK OF CLAREMONT 401K PROFIT SHARING PLAN [EIN = 460135540]
• FIRST STATE BANK OF JOPLIN PROFIT SHARING PLAN [EIN = 440247230]
• FIRST STATE BANK OF PURDY PROFIT SHARING 401(K) PLAN [EIN = 440502490]
• FIRST STATE FAMILY PRACTICE 401 K PROFIT SHARING PLAN TRUST [EIN = 470892742]
• FIRST STATE BANK OF DIX EMPLOYEES SAVINGS TRUST [EIN = 370275010]
• FIRST STATE BANK OF VAN [EIN = 750762671]
• FIRST STATE BANK SHANNON - POLO 401K PLAN [EIN = 361079260]
• FIRST STATE BANK OF SHELTON, NE PENSION PLAN [EIN = 611577206]
• FIRST STATE FEDERAL CREDIT UNION 401(K) PLAN & TRUST [EIN = 237176220]
• FIRST STATE BANCSHARES OF BLAKELY INC. 401K PLAN [EIN = 581669021]
• FIRST STATE BANK - STUART 401(K) PLAN [EIN = 420620579]
• FIRST STATE BANK 401(K) AND PROFIT SHARING PLAN [EIN = 750751493]
• FIRST STATE DENTAL, P.A. 401(K) PROFIT SHARING PLAN [EIN = 204711056]
• FIRST STATE BANK OF LE CENTER 401(K) PLAN & TRUST [EIN = 410257460]
• FIRST STATE BANK, WRENS, GEORGIA SECTION 401(K) PROFIT SHARING PLAN [EIN = 580916969]
• FIRST STATE WAREHOUSING & DISTRIBUTING 401(K) PROFIT SHARI [EIN = 201945173]
• FIRST STATE BANK OF SHELBY 401(K) PLAN [EIN = 810135470]
• FIRST STATE BANK IN TUSCOLA 401(K) PLAN [EIN = 751234486]
• FIRST STATE BANK OF NORTH DAKOTA 401K PROFIT SHARING PLAN [EIN = 450134800]
• FIRST STATE BANK OF COLORADO 401(K) PLAN [EIN = 840203240]
• FIRST STATE BANK OF BOISE CITY EMPLOYEES DEFINED BENEFIT PLAN [EIN = 730241999]
• FIRST STATE BANK OF VAN ORIN PENSION TRUST [EIN = 361079280]
• FIRST STATE BANK OF LYNNVILLE 401 (K) PLAN [EIN = 420253590]
• FIRST STATE BANK OF RANDOLPH 401K PROFIT SHARING PLAN [EIN = 470162790]
• FIRST STATE SHEET METAL, INC. EMPLOYEES' PROFIT SHARING PLAN & TRUST [EIN = 800122031]
• FIRST STATE BANK OF UVALDE RETIREMENT PLAN, AS ADOPTED BY ZAVALA COUNTY BANK (ZAVALA COUNTY BANK RETIREMENT PLAN) [EIN = 740998930]
• FIRST STATE BANK MINNESOTA 401K PLAN - ICBM [EIN = 410257470]
• FIRST STATE BANK OF MURDOCK 401(K) PLAN [EIN = 410257130]
• FIRST STATE BANK, CLUTE TARGET BENEFIT PENSION PLAN [EIN = 741131733]
• FIRST STATE BANK 401(K) PROFIT SHARING PLAN [EIN = 740625605]
• FIRST STATE BANK OF HARVEY 401(K) SALARY REDUCTION PLAN [EIN = 450134850]
• FIRST STATE BANK OF BOISE CITY EMPLOYEES PROFIT SHARING PLAN [EIN = 730241999]
• FIRST STATE BANK OF NESS CITY PROFIT SHARING 401(K) PLAN [EIN = 480350335]
• FIRST STATE BANK OF KIESTER [EIN = 410256770]
• FIRST STATE BANK 401(K) PROFIT SHARING PLAN [EIN = 751880332]
• FIRST STATE FABRICATION 401(K) PLAN [EIN = 050619863]
• FIRST STATE BANK 401(K) PLAN [EIN = 420253040]
• FIRST STATE BANK OF ODEM 401(K) PROFIT SHARING PLAN [EIN = 741023977]
• FIRST STATE COMMUNITY LOAN 401K PROFIT SHARING PLAN AND TRUST [EIN = 510345258]
• FIRST STATE BANK OF HALLSVILLE 401K PLAN [EIN = 750270460]
• FIRST STATE MECHANICAL, INC. 401(K) RETIREMENT SAVINGS PLAN [EIN = 201179328]
• FIRST STATE BANK PROFIT SHARING PLAN [EIN = 710057080]
• FIRST STATE TRUST CO 401(K) PLAN [EIN = 133124172]
• FIRST STATE BANK OF PORTER 401(K) PROFIT SHARING PLAN [EIN = 350310570]
• FIRST STATE BANK OF MIAMI 401(K) PLAN [EIN = 750270840]
• FIRST STATE ASSOCIATES 401(K) PLAN [EIN = 421452950]
• FIRST STATE BANK OF OKABENA PROFIT SHARING PLAN [EIN = 410257160]
• FIRST STATE GASTROENTEROLOGY ASSOCIATION 401(K) & PROFIT SHARING PLAN [EIN = 472069652]
• FIRST STATE BANK OF FERTILE PROFIT SHARING TRUST [EIN = 410257360]
• FIRST STATE ORAL & MAXILLOFACIAL SURGERY CORP. 401(K) PROFIT SHARING PLAN [EIN = 208643759]
• FIRST STATE BANK OF NEWCASTLE 401(K) PROFIT SHARING PLAN & TRUST [EIN = 830117960]
• FIRST STATE GYMNASTICS INC 401 K PROFIT SHARING PLAN TRUST [EIN = 204904304]
• FIRST STATE BANK OF CAMPBELL HILL 401(K) PROFIT SHARING PLAN [EIN = 370275005]
• FIRST STATE BANK 401(K) PLAN [EIN = 540186370]
• FIRST STATE BANK 401(K) SAVINGS PLAN [EIN = 390281110]
• FIRST STATE BANK, CLUTE EMPLOYEE SAVINGS PLAN [EIN = 741131733]
• FIRST STATE BANK 401(K) PLAN [EIN = 203360460]
• FIRST STATE BANK OF SAUK CENTRE EMPLOYEE'S 401(K) PROFIT SHARING PLAN & TRUST [EIN = 410257200]
• FIRST STATE BANK OF ANADARKO PROFIT SHARING PLAN AND TRUST [EIN = 730241990]
• FIRST STATE BANK OF BROWNSBORO 401(K) PLAN [EIN = 750270340]
• FIRST STATE MEDICAL ASSOCIATES CASH BALANCE PLAN [EIN = 208580437]
• FIRST STATE INSPECTION AGENCY 401 K PROFIT SHARING PLAN TRUST [EIN = 510282455]
• FIRST STATE RETIREMENT PLAN [EIN = 510104704]
• FIRST STATE BANK OF SHELTON 401(K) PLAN [EIN = 470162810]
• FIRST STATE BANK 401(K) PLAN [EIN = 201808984]
• FIRST STATE SHEET METAL, INC. EMPLOYEES' PENSION PLAN & TRUST [EIN = 800122031]
• FIRST STATE BANK 401(K) PLAN [EIN = 380541390]
• FIRST STATE BANK 401(K) PLAN [EIN = 750577545]
• FIRST STATE BANK OF MUNICH 401(K) PLAN [EIN = 450134889]
• FIRST STATE BANK AND TRUST OF TONGANOXIE 401K PROFIT SHARING PLAN AND TRUST [EIN = 480451049]
• FIRST STATE BANK OF YOAKUM CAFETERIA PLAN [EIN = 740625605]
• FIRST STATE BANK OF THE SOUTH, INC. 401(K) PROFIT [EIN = 630903224]
• FIRST STATE MOTORS INC. 401(K) P/S PLAN [EIN = 510006420]
• FIRST STATE BANK 401(K) RETIREMENT PLAN [EIN = 420253500]
• FIRST STATE BANK OF BEECHER CITY 401(K) PROFIT SHARING PLAN [EIN = 370274995]
• FIRST STATE BANK & TRUST COMPANY PROFIT SHARING PLAN AND TRUST [EIN = 751804850]
• FIRST STATE BANK OF BURNET 401K PLAN [EIN = 740625630]
• FIRST STATE BANK DEFINED BENEFIT PENSION [EIN = 751093264]
• FIRST STATE BANK 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 470162800]
• FIRST STATE BANK 401(K) PROFIT SHARING PLAN [EIN = 741061641]
• FIRST STATE PLASTICS, INC. 401K SUPPLEMENTAL RETIREMENT PLAN [EIN = 201092735]
• FIRST STATE BANK & TRUST CO. PROFIT SHARING PLAN & TRUST [EIN = 750270360]
• FIRST STATE COIN CO., INC. 401(K) PLAN [EIN = 510124393]
• FIRST STATE BANK OF RANDOLPH COUNTY PROFIT SHARING PLAN [EIN = 580423685]
• FIRST STATEWIDE REALTY 401K PLAN [EIN = 450576616]
• FIRST STATE BANK OF NOBLE PROFIT SHARING PLAN [EIN = 730242220]
• FIRST STATE BANK OF SHARON 401(K) PROFIT SHARING PLAN [EIN = 450193468]
• FIRST STATE BANK OF DE QUEEN 401(K) PLAN [EIN = 710452594]
• FIRST STATE BANK OF ILLINOIS PROFIT SHARING PLAN [EIN = 371232652]
• FIRST STATE BANK OF PAINT ROCK 401K RETIREMENT PLAN [EIN = 750270580]
• FIRST STATE BANK OF OVERTON EMPLOYEES' PROFIT SHARING PLAN [EIN = 750270560]
• FIRST STATE BANK OF WYOMING EMPLOYEE SAVINGS PLAN [EIN = 410257650]
• FIRST STATE BANK OF WABASHA 401(K) SALARY REDUCTION PLAN AND TRUST [EIN = 410257625]
• FIRST STATE PODIATRY LLC 401 K PROFIT SHARING PLAN TRUST [EIN = 205919606]
• FIRST STATE BANK RETIREMENT SAVINGS PLAN & TRUST [EIN = 830250650]
• FIRST STATE MECHANICAL 401 K PROFIT SHARING PLAN TRUST [EIN = 201179328]
• FIRST STATE ENDOCRINOLOGY P.A. 401(K) PLAN [EIN = 454410480]
• FIRST STATE BANK 401K PROFIT SHARING PLAN [EIN = 314344400]
• FIRST STATE BANK OF MESQUITE 401(K) PLAN [EIN = 751093264]
• FIRST STATE PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN [EIN = 270848567]
• FIRST STATE MANUFACTURING 401(K) PLAN [EIN = 510380639]
• FIRST STATE BANK OF CAMARGO 401(K) PLAN AND TRUST [EIN = 730242030]
• FIRST STATE BANCSHARES OF BLAKELY, INC. RETIREMENT PLAN [EIN = 581669021]
• FIRST STATE BANK OF KIESTER EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 410256770]
• FIRST STATE BANK EMPLOYEE' 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 420622077]
• FIRST STATE BANK OF RED BUD EMPLOYEE SAVINGS PLAN [EIN = 370275130]
• FIRST STATE BANK RETIREMENT [EIN = 480221572]
• FIRST STATE BANK RETIREMENT PLAN [EIN = 620201630]
• FIRST STATE BANK EMPLOYEES PROFIT SHARING PLAN [EIN = 730237190]
• FIRST STATE BANK OF THORNTON, IOWA EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 420253637]
• FIRST STATE BANCSHARES, INC. EMPLOYEES FLEXIBLE BENEFIT PLAN [EIN = 431345560]
• FIRST STATE BANCORPORATION EMPLOYEE SAVINGS PLAN [EIN = 850366665]
• FIRST STATE BANK OF UVALDE EMPLOYEE BENEFIT PLAN [EIN = 740625760]
• FIRST STATE BANK GROUP TERM LIFE INSURANCE PLAN [EIN = 420253640]
• FIRST STATE BANK HEALTH AND WELFARE PLAN [EIN = 380541400]
• FIRST STATE BANK OF CARTHAGE EMPLOYEE MONEY PURCHASE PLAN & TRUST [EIN = 750270360]
• FIRST STATE BANCSHARES, INC. EMPLOYEE BENEFITS PLAN [EIN = 431345560]
• FIRST STATE BANK OF ST. CHARLES LIFE AND DISABILITY PLAN [EIN = 431532397]
• FIRST STATE BANCSHARES, INC. 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 431345560]
• FIRST STATE BATH LLC 401K AND PROFIT SHARING PLAN [EIN = 272415353]
• FIRST STATE BANK 401(K) PLAN [EIN = 480221530]
• FIRST STATE ENT 401(K) AND PROFIT SHARING PLAN [EIN = 474302497]
• FIRST STATE BANK OF UVALDE RETIREMENT PLAN MASTER TRUST [EIN = 824099261]
• FIRST STATE BANCORP, INC. PROFIT SHARING AND THRIFT PLAN [EIN = 431281074]
• FIRST STATE BANK HEALTH AND WELFARE PLAN [EIN = 382387765]
• FIRST STATE FINANCIAL CORPORATION EMPLOYEES' SAVINGS & PROFIT SHARING PLAN AND TRUST [EIN = 650114339]
• FIRST STATE BANCSHARES, INC. EMPLOYEE VISION BENEFIT PLAN [EIN = 431345560]
• FIRST STATE BANCSHARES, INC. EMPLOYEE LIFE AND LTD BENEFIT PLAN [EIN = 431345560]
• FIRST STATE BANCSHARES, INC. EMPLOYEE DENTAL BENEFIT PLAN [EIN = 431345560]
• FIRST STATE BANK OF WINCHESTER 401(K) PROFIT SHARING PLAN [EIN = 370275150]
• FIRST STATE ORAL & MAXILLOFACIAL SURGERY CORP. CASH BALANCE PLAN [EIN = 208643759]
• FIRST STATE DENTAL, P.A. CASH BALANCE PLAN [EIN = 204711056]
• FIRST STATE BANK EMPLOYEE BENEFITS PLAN [EIN = 650741232]
• FIRST STATE WOMEN S CARE, P.A. 401(K) PROFIT SHARING PLAN [EIN = 510273348]
• FIRST STATE CORPORATION 401(K) PLAN [EIN = 510266307]
• FIRST STATE BANK 401(K) PLAN [EIN = 540188370]
• FIRST STATE BANK 401(K) PLAN [EIN = 740730847]
• FIRST STATE BANK OF ALEXANDRIA 401K PLAN [EIN = 410257340]
• FIRST STATE BANK OF HALLSVILLE EMPLOYEE PENSION PLAN [EIN = 750270460]
• FIRST STATE BANK OF SHELTON, NE PENSION PLAN [EIN = 470162810]
• FIRST STATEWIDE REALTY INVES 401 K PROFIT SHARING PLAN TRUST [EIN = 824420446]
• FIRST STATE FLEET SERVICE, INC. 401(K) PLAN [EIN = 271371997]
• FIRST STATE BANK OF FORREST 401(K) PLAN [EIN = 370275030]
• FIRST STATE ROOF & EXTERIOR CL 401(K) PROFIT SHARING PLAN & TRUST [EIN = 831742021]
• FIRST STATE AUTO GROUP 401(K) PLAN [EIN = 465562783]
• FIRST STATE INVESTMENTS 401(K) SAVINGS PLAN [EIN = 464637910]
• FIRST STATE BANK OF UVALDE LIFE AND AD&D PLAN [EIN = 740625760]
• FIRST STATE BANK OF UVALDE LTD PLAN [EIN = 740625760]
• FIRST STATE BANK OF BLAKELY DEFINED CONTRIBUTION PLAN [EIN = 580243255]
• FIRST STATE BANK OF ST. CHARLES HEALTH AND WELFARE BENEFITS PLAN [EIN = 430492450]
• FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN [EIN = 710332672]
• FIRST STATE BANK OF WARREN PROFIT SHARING PLAN [EIN = 710332672]
• FIRST STATE BANK OF UVALDE 401(K) PLAN [EIN = 740625760]
• FIRST STATE BANK OMAHA 401(K) P/S PLAN [EIN = 470162740]
• FIRST STATE ACTION FUND INC. 401(K) PLAN [EIN = 842574164]
• FIRST STATE BANCORP INC MEDOVA LIFESTYLE HEALTH PLAN [EIN = 431281074]
• FIRST STATE BANK, CLUTE EMPLOYEE SAVINGS PLAN [EIN = 741311733]
• FIRST STATE HOSPITALITY, LLC CASH BALANCE PLAN [EIN = 472582921]
• FIRST STATE BREWING COMPANY 401(K) PLAN [EIN = 472051133]
• FIRST STATE BANK OF SHALLOWATER 401K [EIN = 751051510]
• FIRST STATE BANK HEALTH AND WELFARE BENEFIT PLAN [EIN = 314344400]
• FIRST STATE HOME HEALTH CARE AND HOSPICE 401(K) PLAN [EIN = 264831920]
• FIRST STATE BANK OF TEXAS PROFIT SHARING PLAN [EIN = 740625590]
• FIRST STATE BANK OF TEXAS PROFIT SHARING PLAN [EIN = 740625590]

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