401k Plan data: CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL plan

CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 401k Plan overview

Plan Name	CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL
Plan identification number	001

CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).

401k Sponsoring company profile

CITIZENS BANK OF GENEVA has sponsored the creation of one or more 401k plans.

Company Name: CITIZENS BANK OF GENEVA

Employer identification number (EIN): 630041500

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 ROY G. DOWDY JR.
001 2011-01-01 ROY G. DOWDY JR.
001 2010-01-01 ROY G. DOWDY JR.
001 2009-01-01 ROY G. DOWDY JR.
001 2009-01-01 ROY G. DOWDY JR.
001 2009-01-01 ROY G. DOWDY JR.
001 2009-01-01 ROY G. DOWDY JR.

Plan id#	Filing Submission Date	Name of Administrator
001	2012-01-01	ROY G. DOWDY JR.
001	2011-01-01	ROY G. DOWDY JR.
001	2010-01-01	ROY G. DOWDY JR.
001	2009-01-01	ROY G. DOWDY JR.
001	2009-01-01	ROY G. DOWDY JR.
001	2009-01-01	ROY G. DOWDY JR.
001	2009-01-01	ROY G. DOWDY JR.

Plan Statistics for CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL

401k plan membership statisitcs for CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL

Measure Date Value
2012: CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 2012 401k membership
Total participants, beginning-of-year 2012-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 2011 401k membership
Total participants, beginning-of-year 2011-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 23
Number of retired or separated participants receiving benefits 2011-01-01 0
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 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 2010 401k membership
Total participants, beginning-of-year 2010-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 25
Number of retired or separated participants receiving benefits 2010-01-01 0
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 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 2009 401k membership
Total participants, beginning-of-year 2009-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 24
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 24
Number of participants with account balances 2009-01-01 24
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: CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 2012 401k membership
Total participants, beginning-of-year	2012-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 2011 401k membership
Total participants, beginning-of-year	2011-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	23
Number of retired or separated participants receiving benefits	2011-01-01	0
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	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 2010 401k membership
Total participants, beginning-of-year	2010-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	25
Number of retired or separated participants receiving benefits	2010-01-01	0
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	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 2009 401k membership
Total participants, beginning-of-year	2009-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	24
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	24
Number of participants with account balances	2009-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL

Measure	Date	Value
2012 : CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 2012 401k financial data
Total plan liabilities at end of year	2012-11-15	$0
Total plan liabilities at beginning of year	2012-11-15	$0
Total income from all sources	2012-11-15	$0
Expenses. Total of all expenses incurred	2012-11-15	$1,024,380
Benefits paid (including direct rollovers)	2012-11-15	$1,024,380
Total plan assets at end of year	2012-11-15	$0
Total plan assets at beginning of year	2012-11-15	$1,024,380
Value of fidelity bond covering the plan	2012-11-15	$150,000
Total contributions received or receivable from participants	2012-11-15	$0
Contributions received from other sources (not participants or employers)	2012-11-15	$0
Other income received	2012-11-15	$0
Noncash contributions received	2012-11-15	$0
Net income (gross income less expenses)	2012-11-15	$-1,024,380
Net plan assets at end of year (total assets less liabilities)	2012-11-15	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-11-15	$1,024,380
Total contributions received or receivable from employer(s)	2012-11-15	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-11-15	$0
2011 : CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$119,850
Expenses. Total of all expenses incurred	2011-12-31	$20,138
Benefits paid (including direct rollovers)	2011-12-31	$9,964
Total plan assets at end of year	2011-12-31	$1,060,547
Total plan assets at beginning of year	2011-12-31	$960,835
Value of fidelity bond covering the plan	2011-12-31	$150,000
Total contributions received or receivable from participants	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$37,102
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$99,712
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,060,547
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$960,835
Total contributions received or receivable from employer(s)	2011-12-31	$82,748
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$10,174
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$123,206
Expenses. Total of all expenses incurred	2010-12-31	$252,513
Benefits paid (including direct rollovers)	2010-12-31	$242,339
Total plan assets at end of year	2010-12-31	$960,835
Total plan assets at beginning of year	2010-12-31	$1,090,142
Value of fidelity bond covering the plan	2010-12-31	$1,050,000
Total contributions received or receivable from participants	2010-12-31	$0
Other income received	2010-12-31	$28,547
Net income (gross income less expenses)	2010-12-31	$-129,307
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$960,835
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,090,142
Total contributions received or receivable from employer(s)	2010-12-31	$94,659
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$10,174
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 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 CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL

2012: CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 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	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2012-01-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes
2011: CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 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 – Section 412(e)(3) insurance Contracts	Yes
2011-01-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes
2010: CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 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 – Section 412(e)(3) insurance Contracts	Yes
2010-01-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes
2009: CITIZENS BANK OF GENEVA DEFINED BENEFIT PENSION PL 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Section 412(e)(3) insurance Contracts	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Section 412(e)(3) insurance Contracts	Yes

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Company Name:	CITIZENS BANK OF GENEVA
Employer identification number (EIN):	630041500
NAIC Classification:	522110
NAIC Description:	Commercial Banking