401k Plan data: CAROLINA ALLIANCE BANK 401(K) PLAN plan

CAROLINA ALLIANCE BANK 401(K) PLAN 401k Plan overview

Plan Name	CAROLINA ALLIANCE BANK 401(K) PLAN
Plan identification number	001

CAROLINA ALLIANCE BANK 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.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CAROLINA ALLIANCE BANK has sponsored the creation of one or more 401k plans.

Company Name: CAROLINA ALLIANCE BANK

Employer identification number (EIN): 205778608

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAROLINA ALLIANCE BANK 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01
001 2017-01-01 LAMAR SIMPSON
001 2016-01-01
001 2015-01-01
001 2015-01-01
001 2015-01-01
001 2014-01-01 MOREHEAD PLAN ADMINISTRATORS 2015-07-13
001 2014-01-01 LAURENCE WEISS 2015-06-01 LAURENCE WEISS 2015-06-01
001 2013-01-01 MOREHEAD PLAN ADMINISTRATORS 2014-07-30
001 2012-01-01 MOREHEAD PLAN ADMINISTRATORS, LTD. 2013-07-02
001 2011-01-01 MOREHEAD PLAN ADIMINISTRTORS 2012-07-02
001 2010-01-01 R. LAMAR SIMPSON 2011-07-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01
001	2018-01-01
001	2017-01-01	LAMAR SIMPSON
001	2016-01-01
001	2015-01-01
001	2015-01-01
001	2015-01-01
001	2014-01-01	MOREHEAD PLAN ADMINISTRATORS	2015-07-13
001	2014-01-01	LAURENCE WEISS	2015-06-01	LAURENCE WEISS	2015-06-01
001	2013-01-01	MOREHEAD PLAN ADMINISTRATORS	2014-07-30
001	2012-01-01	MOREHEAD PLAN ADMINISTRATORS, LTD.	2013-07-02
001	2011-01-01	MOREHEAD PLAN ADIMINISTRTORS	2012-07-02
001	2010-01-01	R. LAMAR SIMPSON	2011-07-22

Plan Statistics for CAROLINA ALLIANCE BANK 401(K) PLAN

401k plan membership statisitcs for CAROLINA ALLIANCE BANK 401(K) PLAN

Measure Date Value
2019: CAROLINA ALLIANCE BANK 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
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 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CAROLINA ALLIANCE BANK 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 120
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 23
Total of all active and inactive participants 2018-01-01 143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 143
Number of participants with account balances 2018-01-01 130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 1
2017: CAROLINA ALLIANCE BANK 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 131
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 126
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 13
Total of all active and inactive participants 2017-01-01 139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 139
Number of participants with account balances 2017-01-01 125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: CAROLINA ALLIANCE BANK 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 130
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 122
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 10
Total of all active and inactive participants 2016-01-01 132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 132
Number of participants with account balances 2016-01-01 114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0

Measure	Date	Value
2019: CAROLINA ALLIANCE BANK 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
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	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CAROLINA ALLIANCE BANK 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	120
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	23
Total of all active and inactive participants	2018-01-01	143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	143
Number of participants with account balances	2018-01-01	130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	1
2017: CAROLINA ALLIANCE BANK 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	131
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	126
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	13
Total of all active and inactive participants	2017-01-01	139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	139
Number of participants with account balances	2017-01-01	125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: CAROLINA ALLIANCE BANK 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	130
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	122
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	10
Total of all active and inactive participants	2016-01-01	132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	132
Number of participants with account balances	2016-01-01	114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0

Financial Data on CAROLINA ALLIANCE BANK 401(K) PLAN

Measure	Date	Value
2019 : CAROLINA ALLIANCE BANK 401(K) PLAN 2019 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-08-22	$0
2018 : CAROLINA ALLIANCE BANK 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$774,975
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,159,472
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,133,689
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,298,938
Value of total assets at end of year	2018-12-31	$8,126,197
Value of total assets at beginning of year	2018-12-31	$8,510,694
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$25,783
Total interest from all sources	2018-12-31	$15,575
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$380,455
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$380,455
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$7,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$793,753
Participant contributions at end of year	2018-12-31	$258,164
Participant contributions at beginning of year	2018-12-31	$222,779
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$49,488
Administrative expenses (other) incurred	2018-12-31	$17,402
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-384,497
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$8,126,197
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$8,510,694
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$8,381
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$7,728,588
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$7,863,895
Interest on participant loans	2018-12-31	$12,467
Interest earned on other investments	2018-12-31	$3,108
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$139,445
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$424,020
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-919,993
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$455,697
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,133,689
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	ELLIOTT DAVIS DECOSIMO, LLC
Accountancy firm EIN	2018-12-31	570381582
2017 : CAROLINA ALLIANCE BANK 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$2,502,540
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$318,148
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$296,178
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,295,866
Value of total assets at end of year	2017-12-31	$8,510,694
Value of total assets at beginning of year	2017-12-31	$6,326,302
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$21,970
Total interest from all sources	2017-12-31	$13,624
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$291,872
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$291,872
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$693,163
Participant contributions at end of year	2017-12-31	$222,779
Participant contributions at beginning of year	2017-12-31	$204,933
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$179,920
Administrative expenses (other) incurred	2017-12-31	$13,794
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$2,184,392
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$8,510,694
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$6,326,302
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$8,176
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$7,863,895
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$5,725,002
Interest on participant loans	2017-12-31	$9,284
Interest earned on other investments	2017-12-31	$4,340
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$424,020
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$396,367
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$901,178
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$422,783
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$296,178
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	ELLIOTT DAVIS DECOSIMO, LLC
Accountancy firm EIN	2017-12-31	570381582
2016 : CAROLINA ALLIANCE BANK 401(K) PLAN 2016 401k financial data
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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,468,907
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$207,616
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$185,506
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,039,515
Value of total assets at end of year	2016-12-31	$6,326,302
Value of total assets at beginning of year	2016-12-31	$5,065,011
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$22,110
Total interest from all sources	2016-12-31	$9,756
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$130,889
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$130,889
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$640,597
Participant contributions at end of year	2016-12-31	$204,933
Participant contributions at beginning of year	2016-12-31	$139,610
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$13
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$2,049
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$14,008
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	$1,261,291
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$6,326,302
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$5,065,011
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
Investment advisory and management fees	2016-12-31	$8,102
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$5,725,002
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$4,658,252
Interest on participant loans	2016-12-31	$5,881
Interest earned on other investments	2016-12-31	$3,875
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$396,367
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$267,136
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$288,747
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
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
Contributions received in cash from employer	2016-12-31	$396,869
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$185,506
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
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	ELLIOTT DAVIS DECOSIMO, LLC
Accountancy firm EIN	2016-12-31	570381582

Form 5500 Responses for CAROLINA ALLIANCE BANK 401(K) PLAN

2019: CAROLINA ALLIANCE 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	Yes
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CAROLINA ALLIANCE 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 – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CAROLINA ALLIANCE 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	This return/report is a short plan year return/report (less than 12 months)	No
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 – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CAROLINA ALLIANCE 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	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 – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

372858-01

Policy instance

Insurance contract or identification number	372858-01
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-08-22
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	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?	Yes
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

372858-01

Policy instance

Insurance contract or identification number	372858-01
Number of Individuals Covered	125
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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	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?	Yes
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:	CAROLINA ALLIANCE BANK
Employer identification number (EIN):	205778608
NAIC Classification:	522110
NAIC Description:	Commercial Banking