401k Plan data: FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN plan

FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN 401k Plan overview

Plan Name	FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN
Plan identification number	001

FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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 AMERICAN NATIONAL BANK has sponsored the creation of one or more 401k plans.

Company Name: FIRST AMERICAN NATIONAL BANK

Employer identification number (EIN): 640429115

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 DEBORAH BOWLING 2023-05-11 DEBORAH BOWLING 2023-05-11
001 2021-01-01 DEBORAH BOWLING 2022-10-14 DEBORAH BOWLING 2022-10-14
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01 LISA PHELPS 2016-09-30
001 2014-01-01 LISA PHELPS 2015-10-08
001 2013-01-01 MICHAEL WEBB 2014-09-11 MICHAEL WEBB 2014-09-11
001 2012-01-01 MICHAEL WEBB 2013-10-10
001 2011-01-01 MICHAEL WEBB 2012-08-06
001 2010-01-01 MICHAEL WEBB 2011-06-27

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	DEBORAH BOWLING	2023-05-11	DEBORAH BOWLING	2023-05-11
001	2021-01-01	DEBORAH BOWLING	2022-10-14	DEBORAH BOWLING	2022-10-14
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01	LISA PHELPS	2016-09-30
001	2014-01-01	LISA PHELPS	2015-10-08
001	2013-01-01	MICHAEL WEBB	2014-09-11	MICHAEL WEBB	2014-09-11
001	2012-01-01	MICHAEL WEBB	2013-10-10
001	2011-01-01	MICHAEL WEBB	2012-08-06
001	2010-01-01	MICHAEL WEBB	2011-06-27

Plan Statistics for FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN

401k plan membership statisitcs for FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN

Measure Date Value
2022: FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 125
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 94
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 23
Total of all active and inactive participants 2022-01-01 117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 117
Number of participants with account balances 2022-01-01 99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 4
2021: FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 131
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 92
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 27
Total of all active and inactive participants 2021-01-01 119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 119
Number of participants with account balances 2021-01-01 109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 5

Measure	Date	Value
2022: FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	125
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	94
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	23
Total of all active and inactive participants	2022-01-01	117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	117
Number of participants with account balances	2022-01-01	99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	4
2021: FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	131
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	92
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	27
Total of all active and inactive participants	2021-01-01	119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	119
Number of participants with account balances	2021-01-01	109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	5

Financial Data on FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN

Measure	Date	Value
2022 : FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-195,494
Total of all expenses incurred	2022-12-31	$1,195,399
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,185,816
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$572,591
Value of total assets at end of year	2022-12-31	$6,225,429
Value of total assets at beginning of year	2022-12-31	$7,616,322
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$9,583
Total interest from all sources	2022-12-31	$55,654
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Administrative expenses professional fees incurred	2022-12-31	$6,083
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$307,044
Participant contributions at end of year	2022-12-31	$266,755
Participant contributions at beginning of year	2022-12-31	$245,933
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$83,702
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-1,390,893
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$6,225,429
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$7,616,322
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in pooled separate accounts at end of year	2022-12-31	$4,001,894
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$5,177,245
Interest on participant loans	2022-12-31	$8,678
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$46,976
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$1,956,780
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$2,193,144
Net investment gain/loss from pooled separate accounts	2022-12-31	$-823,739
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$181,845
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,185,816
Contract administrator fees	2022-12-31	$3,500
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	HENDERSON HUTCHERSON & MCCULLOUGH
Accountancy firm EIN	2022-12-31	621114363
2021 : FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$1,097,346
Total of all expenses incurred	2021-12-31	$830,795
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$821,945
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$500,107
Value of total assets at end of year	2021-12-31	$7,616,322
Value of total assets at beginning of year	2021-12-31	$7,349,771
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$8,850
Total interest from all sources	2021-12-31	$55,591
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Administrative expenses professional fees incurred	2021-12-31	$6,100
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$311,321
Participant contributions at end of year	2021-12-31	$245,933
Participant contributions at beginning of year	2021-12-31	$288,156
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$2,868
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$266,551
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$7,616,322
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$7,349,771
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in pooled separate accounts at end of year	2021-12-31	$5,177,245
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$5,179,989
Interest on participant loans	2021-12-31	$10,210
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$45,381
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$2,193,144
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$1,881,626
Net investment gain/loss from pooled separate accounts	2021-12-31	$541,648
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$185,918
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$821,945
Contract administrator fees	2021-12-31	$2,750
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	HENDERSON HUTCHERSON & MCCULLOUGH
Accountancy firm EIN	2021-12-31	621114363

Form 5500 Responses for FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN

2022: FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: FIRST AMERICAN NATIONAL BANK 401(K) SAVINGS PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

878703

Policy instance

Insurance contract or identification number	878703
Number of Individuals Covered	99
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $27,204
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $27,204
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

878703

Policy instance

Insurance contract or identification number	878703
Number of Individuals Covered	109
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $28,568
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,568
Insurance broker organization code?	3

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Company Name:	FIRST AMERICAN NATIONAL BANK
Employer identification number (EIN):	640429115
NAIC Classification:	522110
NAIC Description:	Commercial Banking