401k Plan data: HOME STATE BANK PROFIT SHARING 401(K) PLAN plan

HOME STATE BANK PROFIT SHARING 401(K) PLAN 401k Plan overview

Plan Name	HOME STATE BANK PROFIT SHARING 401(K) PLAN
Plan identification number	001

HOME STATE BANK PROFIT SHARING 401(K) 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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
ESOP other than a leveraged ESOP - A completed Schedule E must be attached to a Form 5500 filed for an Employee Stock Ownership Plan (ESOP).
Leveraged ESOP - An ESOP that acquires employer securities with borrowed money or other debt-financing techniques. A completed Schedule E must be attached to a Form 5500 filed for an ESOP.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

HOME STATE BANK has sponsored the creation of one or more 401k plans.

Company Name: HOME STATE BANK

Employer identification number (EIN): 840397193

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOME STATE BANK PROFIT SHARING 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 REBECCA HARREN
001 2016-01-01
001 2015-01-01
001 2015-01-01
001 2014-01-01 LINDSAY GREENO LINDSAY GREENO 2015-10-06
001 2013-01-01 LINDSAY GREENO LINDSAY GREENO 2014-09-18
001 2012-01-01 KERRIE DREHER
001 2011-01-01 KERRIE DREHER
001 2010-01-01 KERRIE DREHER
001 2009-01-01 KERRIE DREHER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	REBECCA HARREN
001	2016-01-01
001	2015-01-01
001	2015-01-01
001	2014-01-01	LINDSAY GREENO	LINDSAY GREENO	2015-10-06
001	2013-01-01	LINDSAY GREENO	LINDSAY GREENO	2014-09-18
001	2012-01-01	KERRIE DREHER
001	2011-01-01	KERRIE DREHER
001	2010-01-01	KERRIE DREHER
001	2009-01-01	KERRIE DREHER

Plan Statistics for HOME STATE BANK PROFIT SHARING 401(K) PLAN

401k plan membership statisitcs for HOME STATE BANK PROFIT SHARING 401(K) PLAN

Measure Date Value
2017: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 228
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
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 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 282
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 155
Number of retired or separated participants receiving benefits 2016-01-01 24
Number of other retired or separated participants entitled to future benefits 2016-01-01 49
Total of all active and inactive participants 2016-01-01 228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 228
Number of participants with account balances 2016-01-01 99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 257
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 189
Number of retired or separated participants receiving benefits 2015-01-01 15
Number of other retired or separated participants entitled to future benefits 2015-01-01 78
Total of all active and inactive participants 2015-01-01 282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 282
Number of participants with account balances 2015-01-01 282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 251
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 187
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 41
Total of all active and inactive participants 2014-01-01 228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 228
Number of participants with account balances 2014-01-01 228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 224
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 201
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 38
Total of all active and inactive participants 2013-01-01 239
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 239
Number of participants with account balances 2013-01-01 239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 195
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 177
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 25
Total of all active and inactive participants 2012-01-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 202
Number of participants with account balances 2012-01-01 202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 208
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 156
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 30
Total of all active and inactive participants 2011-01-01 186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 187
Number of participants with account balances 2011-01-01 187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 210
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 169
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 35
Total of all active and inactive participants 2010-01-01 204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 1
Total participants 2010-01-01 205
Number of participants with account balances 2010-01-01 203
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 198
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 176
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 29
Total of all active and inactive participants 2009-01-01 205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 206
Number of participants with account balances 2009-01-01 204
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2017: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	228
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
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	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	282
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	155
Number of retired or separated participants receiving benefits	2016-01-01	24
Number of other retired or separated participants entitled to future benefits	2016-01-01	49
Total of all active and inactive participants	2016-01-01	228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	228
Number of participants with account balances	2016-01-01	99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	257
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	189
Number of retired or separated participants receiving benefits	2015-01-01	15
Number of other retired or separated participants entitled to future benefits	2015-01-01	78
Total of all active and inactive participants	2015-01-01	282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	282
Number of participants with account balances	2015-01-01	282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	251
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	187
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	41
Total of all active and inactive participants	2014-01-01	228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	228
Number of participants with account balances	2014-01-01	228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	224
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	201
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	38
Total of all active and inactive participants	2013-01-01	239
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	239
Number of participants with account balances	2013-01-01	239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	195
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	177
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	25
Total of all active and inactive participants	2012-01-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	202
Number of participants with account balances	2012-01-01	202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	208
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	156
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	30
Total of all active and inactive participants	2011-01-01	186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	187
Number of participants with account balances	2011-01-01	187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	210
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	169
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	35
Total of all active and inactive participants	2010-01-01	204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	1
Total participants	2010-01-01	205
Number of participants with account balances	2010-01-01	203
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	198
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	176
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	29
Total of all active and inactive participants	2009-01-01	205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	206
Number of participants with account balances	2009-01-01	204
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on HOME STATE BANK PROFIT SHARING 401(K) PLAN

Measure	Date	Value
2017 : HOME STATE BANK PROFIT SHARING 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-07-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-07-31	$95,005
Total income from all sources (including contributions)	2017-07-31	$15,115
Total loss/gain on sale of assets	2017-07-31	$0
Total of all expenses incurred	2017-07-31	$1,559,838
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-07-31	$1,534,228
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-07-31	$0
Value of total assets at end of year	2017-07-31	$0
Value of total assets at beginning of year	2017-07-31	$1,639,728
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-07-31	$25,610
Total interest from all sources	2017-07-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-07-31	$62
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-07-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-07-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-07-31	$62
Was this plan covered by a fidelity bond	2017-07-31	Yes
Value of fidelity bond cover	2017-07-31	$3,000,000
If this is an individual account plan, was there a blackout period	2017-07-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-07-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-07-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-07-31	$489,800
Other income not declared elsewhere	2017-07-31	$53
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-07-31	No
Value of net income/loss	2017-07-31	$-1,544,723
Value of net assets at end of year (total assets less liabilities)	2017-07-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-07-31	$1,544,723
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-07-31	No
Were any leases to which the plan was party in default or uncollectible	2017-07-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-07-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-07-31	$541,871
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-07-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-07-31	$596,339
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-07-31	$596,339
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-07-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-07-31	$11,718
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-07-31	$15,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-07-31	No
Was there a failure to transmit to the plan any participant contributions	2017-07-31	No
Has the plan failed to provide any benefit when due under the plan	2017-07-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-07-31	$1,534,228
Contract administrator fees	2017-07-31	$25,610
Liabilities. Value of benefit claims payable at end of year	2017-07-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-07-31	$95,005
Did the plan have assets held for investment	2017-07-31	No
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	2017-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-07-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-07-31	Disclaimer
Accountancy firm name	2017-07-31	FORTNER BAYENS LEVKULICH & GARRISON
Accountancy firm EIN	2017-07-31	840741890
2016 : HOME STATE BANK PROFIT SHARING 401(K) PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$0
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$95,005
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$1,350,943
Expenses. Interest paid	2016-12-31	$37,308
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2016-12-31	$37,308
Total income from all sources (including contributions)	2016-12-31	$2,994,603
Total loss/gain on sale of assets	2016-12-31	$1,246,185
Total of all expenses incurred	2016-12-31	$13,641,668
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$13,547,265
Expenses. Certain deemed distributions of participant loans	2016-12-31	$21,760
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$873,699
Value of total assets at end of year	2016-12-31	$1,639,728
Value of total assets at beginning of year	2016-12-31	$13,542,731
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$35,335
Total interest from all sources	2016-12-31	$7,213
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$451,810
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$119,248
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$626,806
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$172,421
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$489,800
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$67,434
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-10,647,065
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,544,723
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$12,191,788
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$541,871
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$7,905,067
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$0
Interest on participant loans	2016-12-31	$5,988
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$596,339
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$151,668
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$151,668
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$1,225
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$11,718
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$655,009
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$415,696
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Assets. Invements in employer securities at beginning of year	2016-12-31	$4,591,132
Contributions received in cash from employer	2016-12-31	$246,893
Income. Dividends from common stock	2016-12-31	$332,562
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$13,547,265
Contract administrator fees	2016-12-31	$35,335
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$95,005
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Aggregate proceeds on sale of assets	2016-12-31	$1,246,185
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2016-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2016-12-31	$1,350,943
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	FORTNER BAYENS LEVKULICH & GARRISON
Accountancy firm EIN	2016-12-31	840741890
2015 : HOME STATE BANK PROFIT SHARING 401(K) PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$545,092
Total unrealized appreciation/depreciation of assets	2015-12-31	$545,092
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$1,350,943
Expenses. Interest paid	2015-12-31	$61,547
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2015-12-31	$61,547
Total income from all sources (including contributions)	2015-12-31	$2,037,842
Total of all expenses incurred	2015-12-31	$446,854
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$378,972
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,185,351
Value of total assets at end of year	2015-12-31	$13,542,731
Value of total assets at beginning of year	2015-12-31	$10,600,800
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$6,335
Total interest from all sources	2015-12-31	$7,190
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$669,418
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$427,780
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$816,703
Participant contributions at end of year	2015-12-31	$172,421
Participant contributions at beginning of year	2015-12-31	$207,610
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$19,042
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$67,434
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$1,590,988
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$12,191,788
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$10,600,800
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$7,905,067
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$9,645,275
Value of interest in pooled separate accounts at end of year	2015-12-31	$0
Interest on participant loans	2015-12-31	$7,133
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$806,677
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$747,915
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$747,915
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$57
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$655,009
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-369,209
Net investment gain or loss from common/collective trusts	2015-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Assets. Invements in employer securities at end of year	2015-12-31	$4,591,132
Contributions received in cash from employer	2015-12-31	$349,606
Income. Dividends from common stock	2015-12-31	$241,638
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$378,972
Contract administrator fees	2015-12-31	$6,335
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Liabilities. Value of acquisition indebtedness at end of year	2015-12-31	$1,350,943
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	FORTNER BAYENS LEVKULICH & GARRISON
Accountancy firm EIN	2015-12-31	840741890
2014 : HOME STATE BANK PROFIT SHARING 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$1,783,797
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,733,529
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,729,104
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,182,061
Value of total assets at end of year	2014-12-31	$10,600,800
Value of total assets at beginning of year	2014-12-31	$10,550,532
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$4,425
Total interest from all sources	2014-12-31	$9,080
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$108,833
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$108,833
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$4,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$755,533
Participant contributions at end of year	2014-12-31	$207,610
Participant contributions at beginning of year	2014-12-31	$182,702
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$178,333
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$100,534
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$50,268
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$10,600,800
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$10,550,532
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$9,645,275
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$9,916,962
Interest on participant loans	2014-12-31	$9,080
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$747,915
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$272,535
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$272,535
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$483,823
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$325,994
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,729,104
Contract administrator fees	2014-12-31	$4,425
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	FORTNER, BAYENS, LEVKULICH AND CO.,
Accountancy firm EIN	2014-12-31	840741890
2013 : HOME STATE BANK PROFIT SHARING 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$3,122,152
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$558,757
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$553,667
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,004,800
Value of total assets at end of year	2013-12-31	$10,550,532
Value of total assets at beginning of year	2013-12-31	$7,987,137
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$5,090
Total interest from all sources	2013-12-31	$4,783
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$84,646
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$84,646
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$4,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$690,073
Participant contributions at end of year	2013-12-31	$182,702
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$178,333
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$174,135
Other income not declared elsewhere	2013-12-31	$-224
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$2,563,395
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$10,550,532
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$7,987,137
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$9,916,962
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$7,443,761
Interest on participant loans	2013-12-31	$4,783
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$272,535
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$369,241
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$369,241
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,028,147
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$314,727
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$553,667
Contract administrator fees	2013-12-31	$5,090
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	FORTNER, BAYENS, LEVKULICH AND CO
Accountancy firm EIN	2013-12-31	840741890
2012 : HOME STATE BANK PROFIT SHARING 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,943,667
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,521,339
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,519,224
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$826,395
Value of total assets at end of year	2012-12-31	$7,987,137
Value of total assets at beginning of year	2012-12-31	$7,564,809
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$2,115
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$94,939
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$94,939
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$558,101
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$174,135
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$767
Other income not declared elsewhere	2012-12-31	$-21
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$422,328
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$7,987,137
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$7,564,809
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$7,443,761
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$7,215,523
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$369,241
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$349,286
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$349,286
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,022,354
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$267,527
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,519,224
Contract administrator fees	2012-12-31	$2,115
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	FORTNER, BAYENS, LEVKULICH AND CO.,
Accountancy firm EIN	2012-12-31	840741890
2011 : HOME STATE BANK PROFIT SHARING 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$408,669
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$711,782
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$709,247
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$742,928
Value of total assets at end of year	2011-12-31	$7,564,809
Value of total assets at beginning of year	2011-12-31	$7,867,922
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$2,535
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$91,020
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$91,020
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$496,744
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-303,113
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$7,564,809
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$7,867,922
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$7,215,523
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$7,515,193
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$349,286
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$352,729
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$352,729
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-425,279
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$246,184
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$709,247
Contract administrator fees	2011-12-31	$2,535
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	FORTNER,BAYENS,LEVKULICH AND CO.,PC
Accountancy firm EIN	2011-12-31	840741890
2010 : HOME STATE BANK PROFIT SHARING 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,680,093
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$568,931
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$564,518
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$684,094
Value of total assets at end of year	2010-12-31	$7,867,922
Value of total assets at beginning of year	2010-12-31	$6,756,760
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$4,413
Total interest from all sources	2010-12-31	$4
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$94,907
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$94,907
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$436,436
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,111,162
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$7,867,922
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$6,756,760
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$7,515,193
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$6,269,520
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$352,729
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$487,240
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$487,240
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$4
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$901,088
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$247,658
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$564,518
Contract administrator fees	2010-12-31	$4,413
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	FORTNER,BAYENS,LEVKULICH AND CO. PC
Accountancy firm EIN	2010-12-31	840741890
2009 : HOME STATE BANK PROFIT SHARING 401(K) 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 HOME STATE BANK PROFIT SHARING 401(K) PLAN

2017: HOME STATE BANK PROFIT SHARING 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	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
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 – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HOME STATE BANK PROFIT SHARING 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 - Trust	Yes
2014: HOME STATE BANK PROFIT SHARING 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
2013: HOME STATE BANK PROFIT SHARING 401(K) 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: HOME STATE BANK PROFIT SHARING 401(K) 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: HOME STATE BANK PROFIT SHARING 401(K) 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
2010: HOME STATE BANK PROFIT SHARING 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: HOME STATE BANK PROFIT SHARING 401(K) 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

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

809621

Policy instance

Insurance contract or identification number	809621
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-07-31
Are there contracts with allocated funds for individual policies?	0
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	1
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

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Company Name:	HOME STATE BANK
Employer identification number (EIN):	840397193
NAIC Classification:	522110
NAIC Description:	Commercial Banking