| Plan Name | FIRST NATIONAL BANK OF HEREFORD HEALTH BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | FIRST NATIONAL BANK OF HEREFORD |
| Employer identification number (EIN): | 752833614 |
| NAIC Classification: | 522110 |
| NAIC Description: | Commercial Banking |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-08-01 | WADE EASLEY |
| Measure | Date | Value |
|---|---|---|
| 2018 : FIRST NATIONAL BANK OF HEREFORD HEALTH BENEFIT PLAN 2018 401k financial data | ||
| Total income from all sources | 2018-07-31 | $436,256 |
| Expenses. Total of all expenses incurred | 2018-07-31 | $436,256 |
| Benefits paid (including direct rollovers) | 2018-07-31 | $402,748 |
| Value of fidelity bond covering the plan | 2018-07-31 | $1,000,000 |
| Total contributions received or receivable from participants | 2018-07-31 | $51,712 |
| Expenses. Other expenses not covered elsewhere | 2018-07-31 | $7,972 |
| Contributions received from other sources (not participants or employers) | 2018-07-31 | $134,472 |
| Net income (gross income less expenses) | 2018-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 2018-07-31 | $250,072 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-07-31 | $25,536 |
| 2017: FIRST NATIONAL BANK OF HEREFORD HEALTH BENEFIT PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | Plan funding arrangement – Insurance | Yes |
| 2017-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 ) | |
| Policy contract number | S179000 |
| Policy instance | 1 |