401k Plan data: FIRST STATE BANK 401(K) PLAN plan

FIRST STATE BANK 401(K) PLAN 401k Plan overview

Plan Name	FIRST STATE BANK 401(K) PLAN
Plan identification number	001

FIRST STATE BANK 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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 STATE BANK has sponsored the creation of one or more 401k plans.

Company Name: FIRST STATE BANK

Employer identification number (EIN): 750989466

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIRST STATE BANK 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01 JUDI CONGER
001 2017-01-01 JUDI CONGER
001 2016-01-01 JUDI CONGER
001 2016-01-01
001 2015-01-01 JAMIE COOK
001 2014-01-01 JUDI CONGER
001 2013-01-01 JAMIE COOK 2014-10-14
001 2012-01-01 JAMIE COOK 2013-08-27
001 2011-01-01 JAMIE COOK 2012-07-30
001 2010-01-01 JAMIE COOK 2011-10-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2020-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01	JUDI CONGER
001	2017-01-01	JUDI CONGER
001	2016-01-01	JUDI CONGER
001	2016-01-01
001	2015-01-01	JAMIE COOK
001	2014-01-01	JUDI CONGER
001	2013-01-01	JAMIE COOK	2014-10-14
001	2012-01-01	JAMIE COOK	2013-08-27
001	2011-01-01	JAMIE COOK	2012-07-30
001	2010-01-01	JAMIE COOK	2011-10-06

Plan Statistics for FIRST STATE BANK 401(K) PLAN

401k plan membership statisitcs for FIRST STATE BANK 401(K) PLAN

Measure Date Value
2020: FIRST STATE BANK 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 49
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 0
Number of participants with account balances 2020-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: FIRST STATE BANK 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 52
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 37
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 12
Total of all active and inactive participants 2019-01-01 49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 49
Number of participants with account balances 2019-01-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 4
2018: FIRST STATE BANK 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 49
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 43
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 9
Total of all active and inactive participants 2018-01-01 52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 52
Number of participants with account balances 2018-01-01 40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 1
2017: FIRST STATE BANK 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 54
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 41
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 8
Total of all active and inactive participants 2017-01-01 49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 49
Number of participants with account balances 2017-01-01 42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 3
2016: FIRST STATE BANK 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 56
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 46
Number of retired or separated participants receiving benefits 2016-01-01 1
Number of other retired or separated participants entitled to future benefits 2016-01-01 7
Total of all active and inactive participants 2016-01-01 54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 54
Number of participants with account balances 2016-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 3
2015: FIRST STATE BANK 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 63
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 51
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 5
Total of all active and inactive participants 2015-01-01 56
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 56
Number of participants with account balances 2015-01-01 48
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 5
2014: FIRST STATE BANK 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 46
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 56
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 7
Total of all active and inactive participants 2014-01-01 63
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 63
Number of participants with account balances 2014-01-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 2

Measure	Date	Value
2020: FIRST STATE BANK 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	49
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	0
Number of participants with account balances	2020-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: FIRST STATE BANK 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	52
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	37
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	12
Total of all active and inactive participants	2019-01-01	49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	49
Number of participants with account balances	2019-01-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	4
2018: FIRST STATE BANK 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	49
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	43
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	9
Total of all active and inactive participants	2018-01-01	52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	52
Number of participants with account balances	2018-01-01	40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	1
2017: FIRST STATE BANK 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	54
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	41
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	8
Total of all active and inactive participants	2017-01-01	49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	49
Number of participants with account balances	2017-01-01	42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	3
2016: FIRST STATE BANK 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	56
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	46
Number of retired or separated participants receiving benefits	2016-01-01	1
Number of other retired or separated participants entitled to future benefits	2016-01-01	7
Total of all active and inactive participants	2016-01-01	54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	54
Number of participants with account balances	2016-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	3
2015: FIRST STATE BANK 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	63
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	51
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	5
Total of all active and inactive participants	2015-01-01	56
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	56
Number of participants with account balances	2015-01-01	48
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	5
2014: FIRST STATE BANK 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	46
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	56
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	7
Total of all active and inactive participants	2014-01-01	63
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	63
Number of participants with account balances	2014-01-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	2

Financial Data on FIRST STATE BANK 401(K) PLAN

Measure	Date	Value
2020 : FIRST STATE BANK 401(K) PLAN 2020 401k financial data
Transfers to/from the plan	2020-06-19	$0
Total plan liabilities at end of year	2020-06-19	$0
Total plan liabilities at beginning of year	2020-06-19	$0
Total income from all sources	2020-06-19	$-52,058
Expenses. Total of all expenses incurred	2020-06-19	$1,675,840
Benefits paid (including direct rollovers)	2020-06-19	$1,672,035
Total plan assets at end of year	2020-06-19	$0
Total plan assets at beginning of year	2020-06-19	$1,727,898
Value of fidelity bond covering the plan	2020-06-19	$3,000,000
Assets. Value of tangible personal property	2020-06-19	$0
Total contributions received or receivable from participants	2020-06-19	$34,250
Assets. Value of loans (other than to participants)	2020-06-19	$0
Expenses. Other expenses not covered elsewhere	2020-06-19	$0
Contributions received from other sources (not participants or employers)	2020-06-19	$0
Other income received	2020-06-19	$-104,241
Noncash contributions received	2020-06-19	$0
Net income (gross income less expenses)	2020-06-19	$-1,727,898
Net plan assets at end of year (total assets less liabilities)	2020-06-19	$0
Net plan assets at beginning of year (total assets less liabilities)	2020-06-19	$1,727,898
Assets. Value of participant loans	2020-06-19	$0
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year	2020-06-19	$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year	2020-06-19	$0
Assets. Value of assets in partnership/joint-venture interests	2020-06-19	$0
Assets. Value of real-estate (other than employer real property)	2020-06-19	$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2020-06-19	$0
Assets. Value of employer securities	2020-06-19	$0
Assets. Value of employer real property	2020-06-19	$0
Total contributions received or receivable from employer(s)	2020-06-19	$17,933
Value of certain deemed distributions of participant loans	2020-06-19	$0
Value of corrective distributions	2020-06-19	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-06-19	$3,805
2019 : FIRST STATE BANK 401(K) PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$527,562
Expenses. Total of all expenses incurred	2019-12-31	$264,293
Benefits paid (including direct rollovers)	2019-12-31	$255,853
Total plan assets at end of year	2019-12-31	$1,727,898
Total plan assets at beginning of year	2019-12-31	$1,464,629
Value of fidelity bond covering the plan	2019-12-31	$3,000,000
Total contributions received or receivable from participants	2019-12-31	$170,273
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$290,423
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$263,269
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,727,898
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,464,629
Assets. Value of participant loans	2019-12-31	$58,776
Total contributions received or receivable from employer(s)	2019-12-31	$66,866
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$3,415
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$5,025
2018 : FIRST STATE BANK 401(K) PLAN 2018 401k financial data
Transfers to/from the plan	2018-12-31	$0
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$147,198
Expenses. Total of all expenses incurred	2018-12-31	$90,745
Benefits paid (including direct rollovers)	2018-12-31	$85,798
Total plan assets at end of year	2018-12-31	$1,464,629
Total plan assets at beginning of year	2018-12-31	$1,408,176
Value of fidelity bond covering the plan	2018-12-31	$3,000,000
Total contributions received or receivable from participants	2018-12-31	$172,382
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-97,476
Noncash contributions received	2018-12-31	$0
Net income (gross income less expenses)	2018-12-31	$56,453
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,464,629
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,408,176
Assets. Value of participant loans	2018-12-31	$7,227
Total contributions received or receivable from employer(s)	2018-12-31	$72,292
Value of certain deemed distributions of participant loans	2018-12-31	$0
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$4,947
2017 : FIRST STATE BANK 401(K) PLAN 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$422,426
Expenses. Total of all expenses incurred	2017-12-31	$198,118
Benefits paid (including direct rollovers)	2017-12-31	$192,756
Total plan assets at end of year	2017-12-31	$1,408,176
Total plan assets at beginning of year	2017-12-31	$1,183,868
Value of fidelity bond covering the plan	2017-12-31	$3,000,000
Assets. Value of tangible personal property	2017-12-31	$0
Total contributions received or receivable from participants	2017-12-31	$152,777
Assets. Value of loans (other than to participants)	2017-12-31	$0
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$0
Other income received	2017-12-31	$201,955
Noncash contributions received	2017-12-31	$0
Net income (gross income less expenses)	2017-12-31	$224,308
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,408,176
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$1,183,868
Assets. Value of participant loans	2017-12-31	$32,079
Assets. Value of assets in partnership/joint-venture interests	2017-12-31	$0
Assets. Value of real-estate (other than employer real property)	2017-12-31	$0
Assets. Value of employer securities	2017-12-31	$0
Assets. Value of employer real property	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$67,694
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$5,362
2016 : FIRST STATE BANK 401(K) PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$336,395
Expenses. Total of all expenses incurred	2016-12-31	$230,742
Benefits paid (including direct rollovers)	2016-12-31	$226,374
Total plan assets at end of year	2016-12-31	$1,183,868
Total plan assets at beginning of year	2016-12-31	$1,078,215
Value of fidelity bond covering the plan	2016-12-31	$3,000,000
Total contributions received or receivable from participants	2016-12-31	$174,130
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$83,768
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$105,653
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,183,868
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,078,215
Assets. Value of participant loans	2016-12-31	$23,672
Total contributions received or receivable from employer(s)	2016-12-31	$78,497
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$4,368
2015 : FIRST STATE BANK 401(K) PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$259,883
Expenses. Total of all expenses incurred	2015-12-31	$202,522
Benefits paid (including direct rollovers)	2015-12-31	$202,197
Total plan assets at end of year	2015-12-31	$1,078,215
Total plan assets at beginning of year	2015-12-31	$1,020,854
Total contributions received or receivable from participants	2015-12-31	$177,488
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$5,952
Other income received	2015-12-31	$-3,258
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$57,361
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,078,215
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,020,854
Assets. Value of participant loans	2015-12-31	$41,573
Total contributions received or receivable from employer(s)	2015-12-31	$79,701
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$325
2014 : FIRST STATE BANK 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$723
Total income from all sources	2014-12-31	$246,874
Expenses. Total of all expenses incurred	2014-12-31	$592,732
Benefits paid (including direct rollovers)	2014-12-31	$592,345
Total plan assets at end of year	2014-12-31	$1,020,854
Total plan assets at beginning of year	2014-12-31	$1,367,435
Total contributions received or receivable from participants	2014-12-31	$151,771
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$33,651
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$-345,858
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,020,854
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,366,712
Assets. Value of participant loans	2014-12-31	$43,774
Total contributions received or receivable from employer(s)	2014-12-31	$61,452
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$387
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0

Form 5500 Responses for FIRST STATE BANK 401(K) PLAN

2020: FIRST STATE BANK 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	This submission is the final filing	Yes
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: FIRST STATE BANK 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: FIRST STATE BANK 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: FIRST STATE BANK 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: FIRST STATE BANK 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: FIRST STATE BANK 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: FIRST STATE BANK 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

A009965159, ETC

Policy instance

Insurance contract or identification number	A009965159, ETC
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	MUIRHEAD BENJAMIN MICHAEL

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

A009965159, ETC

Policy instance

Insurance contract or identification number	A009965159, ETC
Number of Individuals Covered	8
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $5
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	Yes
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	MUIRHEAD BENJAMIN MICHAEL

Potentially related plans

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	FIRST STATE BANK
Employer identification number (EIN):	750989466
NAIC Classification:	522110
NAIC Description:	Commercial Banking