COMMUNITY FIRST BANCSHARES, INC. MEDICAL AND LIFE INSURANCE PLAN 401k Plan overview

COMMUNITY FIRST BANCSHARES, INC. MEDICAL AND LIFE INSURANCE PLAN Benefits

401k Sponsoring company profile

Company Name:	COMMUNITY FIRST BANCSHARES, INC.
Employer identification number (EIN):	621289514
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
503	2015-01-01	KATHY BARBER
503	2014-01-01	KATHY BARBER
503	2013-01-01	KATHY BARBER
503	2012-01-01	KATHY BARBER
503	2011-01-01	KATHY BARBER		KATHY BARBER	2012-07-11
503	2010-01-01	KATHY BARBER		KATHY BARBER	2011-08-08
503	2009-01-01	KATHY BARBER		KATHY BARBER	2010-07-09

Plan Statistics for COMMUNITY FIRST BANCSHARES, INC. MEDICAL AND LIFE INSURANCE PLAN

Measure	Date	Value
2015: COMMUNITY FIRST BANCSHARES, INC. MEDICAL AND LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	452
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Total of all active and inactive participants	2015-01-01	0
2014: COMMUNITY FIRST BANCSHARES, INC. MEDICAL AND LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	487
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	444
Number of retired or separated participants receiving benefits	2014-01-01	5
Number of other retired or separated participants entitled to future benefits	2014-01-01	3
Total of all active and inactive participants	2014-01-01	452
2013: COMMUNITY FIRST BANCSHARES, INC. MEDICAL AND LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	454
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	474
Number of retired or separated participants receiving benefits	2013-01-01	3
Number of other retired or separated participants entitled to future benefits	2013-01-01	10
Total of all active and inactive participants	2013-01-01	487
2012: COMMUNITY FIRST BANCSHARES, INC. MEDICAL AND LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	417
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	442
Number of retired or separated participants receiving benefits	2012-01-01	4
Number of other retired or separated participants entitled to future benefits	2012-01-01	8
Total of all active and inactive participants	2012-01-01	454
2011: COMMUNITY FIRST BANCSHARES, INC. MEDICAL AND LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	399
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	410
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	6
Total of all active and inactive participants	2011-01-01	417
2010: COMMUNITY FIRST BANCSHARES, INC. MEDICAL AND LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	440
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	383
Number of retired or separated participants receiving benefits	2010-01-01	8
Number of other retired or separated participants entitled to future benefits	2010-01-01	8
Total of all active and inactive participants	2010-01-01	399
2009: COMMUNITY FIRST BANCSHARES, INC. MEDICAL AND LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	461
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	416
Number of retired or separated participants receiving benefits	2009-01-01	16
Number of other retired or separated participants entitled to future benefits	2009-01-01	8
Total of all active and inactive participants	2009-01-01	440

Form 5500 Responses for COMMUNITY FIRST BANCSHARES, INC. MEDICAL AND LIFE INSURANCE PLAN

Insurance Providers Used on plan

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• COMMUNITY FIRST TRUST COMPANY 401 K PLAN [EIN = 710807234]
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• COMMUNITY FIRST GUAM FEDERAL CREDIT UNION 401(K) PROFIT SHARING PLAN [EIN = 900600101]
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• COMMUNITY FIRST FOUNDATION 403(B) PLAN [EIN = 510157964]
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• COMMUNITY FIRST BANK 401 K PROFIT SHARING PLAN TRUST [EIN = 260215292]
• COMMUNITY FIRST CREDIT UNION 401(K) PLAN AND TRUST [EIN = 340813484]
• COMMUNITY FIRST FINANCIAL GROUP, INC. SAVINGS AND RETIREMENT PLAN [EIN = 351602917]
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• COMMUNITY FIRST BANK EMPLOYEES' 401(K) PROFIT SHARING PLAN [EIN = 480221590]
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• COMMUNITY FIRST MANAGEMENT INC [EIN = 900724564]
• COMMUNITY FIRST REAL EST SOCA BENEFIT PLAN [EIN = 320170367]
• COMMUNITY FIRST BANK, INC. LIFE PLAN [EIN = 570899390]
• COMMUNITY FIRST MORTGAGE 401(K) PLAN [EIN = 954102059]
• COMMUNITY FIRST BANK, INC. AD&D PLAN [EIN = 570899390]
• COMMUNITY FIRST BANK, INC. LTD PLAN [EIN = 570899390]
• COMMUNITY FIRST BANK, INC. STD PLAN [EIN = 570899390]
• COMMUNITY FIRST BANK, INC. HEALTH & WELFARE PLAN [EIN = 570899390]
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• COMMUNITY FIRST BANK OF INDIANA SUPPLEMENTAL LIFE PLAN [EIN = 043643394]
• COMMUNITY FIRST FUND EMPLOYEE BENEFIT PLAN [EIN = 232689714]

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