401k Plan data: CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN plan

CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN
Plan identification number	002

CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

CITIZENS STATE BANK, SEALY has sponsored the creation of one or more 401k plans.

Company Name: CITIZENS STATE BANK, SEALY

Employer identification number (EIN): 740557920

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 RYAN SVOBODA 2023-04-26
002 2021-01-01 RYAN SVOBODA 2022-05-24
002 2020-01-01 RYAN SVOBODA 2021-05-26
002 2018-01-01 RYAN SVOBODA 2019-05-29
002 2017-01-01 RYAN SVOBODA 2018-09-10
002 2016-01-01 RYAN SVOBODA 2017-10-04
002 2015-01-01 RYAN SVOBODA 2016-07-07
002 2014-01-01 RYAN SVOBODA 2015-07-29
002 2013-01-01 RYAN SVOBODA
002 2012-01-01 RYAN SVOBODA
002 2011-01-01 MARVIN SVEC
002 2009-01-01 MARVIN SVEC
002 2009-01-01 MARVIN SVEC

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2022-01-01	RYAN SVOBODA	2023-04-26
002	2021-01-01	RYAN SVOBODA	2022-05-24
002	2020-01-01	RYAN SVOBODA	2021-05-26
002	2018-01-01	RYAN SVOBODA	2019-05-29
002	2017-01-01	RYAN SVOBODA	2018-09-10
002	2016-01-01	RYAN SVOBODA	2017-10-04
002	2015-01-01	RYAN SVOBODA	2016-07-07
002	2014-01-01	RYAN SVOBODA	2015-07-29
002	2013-01-01	RYAN SVOBODA
002	2012-01-01	RYAN SVOBODA
002	2011-01-01	MARVIN SVEC
002	2009-01-01	MARVIN SVEC
002	2009-01-01	MARVIN SVEC

Plan Statistics for CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN

Measure Date Value
2013: CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 39
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 34
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 3
Total of all active and inactive participants 2013-01-01 38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 38
Number of participants with account balances 2013-01-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 39
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 36
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 2
Total of all active and inactive participants 2012-01-01 38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 39
Number of participants with account balances 2012-01-01 39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 40
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 36
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 2
Total of all active and inactive participants 2011-01-01 38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 39
Number of participants with account balances 2011-01-01 39
2009: CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 50
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 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 6
Total of all active and inactive participants 2009-01-01 43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 43
Number of participants with account balances 2009-01-01 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2013: CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	39
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	34
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	38
Number of participants with account balances	2013-01-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	39
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	36
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	2
Total of all active and inactive participants	2012-01-01	38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	39
Number of participants with account balances	2012-01-01	39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	40
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	36
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	2
Total of all active and inactive participants	2011-01-01	38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	39
Number of participants with account balances	2011-01-01	39
2009: CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	50
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	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	6
Total of all active and inactive participants	2009-01-01	43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	43
Number of participants with account balances	2009-01-01	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN

Measure	Date	Value
2013 : CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$1,125,198
Expenses. Total of all expenses incurred	2013-12-31	$1,678,030
Benefits paid (including direct rollovers)	2013-12-31	$1,677,780
Total plan assets at end of year	2013-12-31	$5,744,474
Total plan assets at beginning of year	2013-12-31	$6,297,306
Value of fidelity bond covering the plan	2013-12-31	$4,000,000
Total contributions received or receivable from participants	2013-12-31	$133,164
Contributions received from other sources (not participants or employers)	2013-12-31	$22,543
Other income received	2013-12-31	$805,510
Net income (gross income less expenses)	2013-12-31	$-552,832
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$5,744,474
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$6,297,306
Assets. Value of participant loans	2013-12-31	$89,686
Total contributions received or receivable from employer(s)	2013-12-31	$163,981
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$250
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$932,117
Expenses. Total of all expenses incurred	2012-12-31	$219,005
Benefits paid (including direct rollovers)	2012-12-31	$218,755
Total plan assets at end of year	2012-12-31	$6,297,306
Total plan assets at beginning of year	2012-12-31	$5,584,194
Value of fidelity bond covering the plan	2012-12-31	$4,000,000
Total contributions received or receivable from participants	2012-12-31	$188,337
Other income received	2012-12-31	$564,607
Net income (gross income less expenses)	2012-12-31	$713,112
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$6,297,306
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$5,584,194
Assets. Value of participant loans	2012-12-31	$102,793
Total contributions received or receivable from employer(s)	2012-12-31	$179,173
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$250
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$338,989
Expenses. Total of all expenses incurred	2011-12-31	$11,586
Benefits paid (including direct rollovers)	2011-12-31	$11,211
Total plan assets at end of year	2011-12-31	$5,584,194
Total plan assets at beginning of year	2011-12-31	$5,256,791
Value of fidelity bond covering the plan	2011-12-31	$4,000,000
Total contributions received or receivable from participants	2011-12-31	$186,661
Other income received	2011-12-31	$-21,533
Net income (gross income less expenses)	2011-12-31	$327,403
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$5,584,194
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$5,256,791
Assets. Value of participant loans	2011-12-31	$115,846
Total contributions received or receivable from employer(s)	2011-12-31	$173,861
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$375
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$773,825
Expenses. Total of all expenses incurred	2010-12-31	$106,465
Benefits paid (including direct rollovers)	2010-12-31	$106,090
Total plan assets at end of year	2010-12-31	$5,256,791
Total plan assets at beginning of year	2010-12-31	$4,589,431
Value of fidelity bond covering the plan	2010-12-31	$4,000,000
Total contributions received or receivable from participants	2010-12-31	$181,017
Other income received	2010-12-31	$418,679
Net income (gross income less expenses)	2010-12-31	$667,360
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$5,256,791
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$4,589,431
Assets. Value of participant loans	2010-12-31	$124,519
Total contributions received or receivable from employer(s)	2010-12-31	$174,129
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$375
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 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 STATE BANK, SEALY RETIREMENT SAVINGS PLAN

2013: CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 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	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: CITIZENS STATE BANK, SEALY RETIREMENT SAVINGS PLAN 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CITIZENS STATE BANK, SEALY
Employer identification number (EIN):	740557920
NAIC Classification:	522110
NAIC Description:	Commercial Banking