FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN 401k Plan overview

FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN Benefits

401k Sponsoring company profile

Company Name:	FIRST STATE BANK OF WARREN
Employer identification number (EIN):	710332672
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
001	2022-01-01	DEREK GRICE	2023-05-22
001	2021-01-01	DEREK GRICE	2022-06-07
001	2020-01-01	DEREK GRICE	2021-10-05
001	2019-01-01	DEREK GRICE	2021-08-10
001	2018-01-01	DEREK GRICE	2021-08-10
001	2017-01-01	DEREK GRICE	2021-08-10
001	2016-01-01	DEREK GRICE	2021-08-10
001	2015-01-01	DEREK GRICE	2021-08-10
001	2014-01-01	DEREK GRICE	2021-08-10
001	2013-01-01	DEREK GRICE	2021-08-10
001	2012-01-01	DEREK GRICE	2021-08-10
001	2011-01-01	DEREK GRICE	2021-08-10
001	2010-01-01	DEREK GRICE	2021-08-10
001	2009-01-01
001	2008-01-01
001	2007-01-01
001	2006-01-01
001	2005-01-01
001	2004-01-01
001	2003-01-01
001	2002-01-01

Plan Statistics for FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN

Measure	Date	Value
2009: FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	72
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	37
Number of retired or separated participants receiving benefits	2009-01-01	9
Number of other retired or separated participants entitled to future benefits	2009-01-01	26
Total of all active and inactive participants	2009-01-01	72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	72
Number of participants with account balances	2009-01-01	71
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0
2008: FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	69
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	36
Number of retired or separated participants receiving benefits	2008-01-01	8
Number of other retired or separated participants entitled to future benefits	2008-01-01	28
Total of all active and inactive participants	2008-01-01	72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-01-01	0
Total participants	2008-01-01	72
Number of participants with account balances	2008-01-01	72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	0
2007: FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	64
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	32
Number of retired or separated participants receiving benefits	2007-01-01	8
Number of other retired or separated participants entitled to future benefits	2007-01-01	26
Total of all active and inactive participants	2007-01-01	66
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-01-01	0
Total participants	2007-01-01	66
Number of participants with account balances	2007-01-01	66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-01-01	0
2006: FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	62
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	29
Number of retired or separated participants receiving benefits	2006-01-01	6
Number of other retired or separated participants entitled to future benefits	2006-01-01	26
Total of all active and inactive participants	2006-01-01	61
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2006-01-01	0
Total participants	2006-01-01	61
Number of participants with account balances	2006-01-01	61
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2006-01-01	1
2005: FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN 2005 401k membership
Total participants, beginning-of-year	2005-01-01	59
Total number of active participants reported on line 7a of the Form 5500	2005-01-01	30
Number of retired or separated participants receiving benefits	2005-01-01	5
Number of other retired or separated participants entitled to future benefits	2005-01-01	24
Total of all active and inactive participants	2005-01-01	59
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2005-01-01	0
Total participants	2005-01-01	59
Number of participants with account balances	2005-01-01	59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2005-01-01	0
2004: FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN 2004 401k membership
Total participants, beginning-of-year	2004-01-01	57
Total number of active participants reported on line 7a of the Form 5500	2004-01-01	31
Number of retired or separated participants receiving benefits	2004-01-01	0
Number of other retired or separated participants entitled to future benefits	2004-01-01	25
Total of all active and inactive participants	2004-01-01	56
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2004-01-01	0
Total participants	2004-01-01	56
Number of participants with account balances	2004-01-01	56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2004-01-01	1
2003: FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN 2003 401k membership
Total participants, beginning-of-year	2003-01-01	50
Total number of active participants reported on line 7a of the Form 5500	2003-01-01	37
Number of retired or separated participants receiving benefits	2003-01-01	0
Number of other retired or separated participants entitled to future benefits	2003-01-01	19
Total of all active and inactive participants	2003-01-01	56
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2003-01-01	0
Total participants	2003-01-01	56
Number of participants with account balances	2003-01-01	56
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2003-01-01	0
2002: FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN 2002 401k membership
Total participants, beginning-of-year	2002-01-01	50
Total number of active participants reported on line 7a of the Form 5500	2002-01-01	33
Number of retired or separated participants receiving benefits	2002-01-01	0
Number of other retired or separated participants entitled to future benefits	2002-01-01	19
Total of all active and inactive participants	2002-01-01	52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2002-01-01	0
Total participants	2002-01-01	52
Number of participants with account balances	2002-01-01	52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2002-01-01	1

Financial Data on FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN

Form 5500 Responses for FIRST STATE BANK OF WARREN MONEY PURCHASE PLAN

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• 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 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]

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