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MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 401k Plan overview

Plan NameMARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN
Plan identification number 001

MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • 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.
  • 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).
  • The employer maintaining this ESOP is an S Corporation

401k Sponsoring company profile

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

Company Name:MARION COUNTY STATE BANK
Employer identification number (EIN):420395450
NAIC Classification:522110
NAIC Description:Commercial Banking

Additional information about MARION COUNTY STATE BANK

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1933-04-23
Company Identification Number: 084983
Legal Registered Office Address: 800 MAIN ST

PELLA
United States of America (USA)
50219

More information about MARION COUNTY STATE BANK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01RONALD ZANTINGH2023-07-06
0012021-01-01RONALD ZANTINGH2022-10-13
0012020-01-01
0012019-01-01
0012018-01-01RONALD ZANTINGH RONALD ZANTINGH2019-04-10
0012017-01-01RONALD ZANTINGH RONALD ZANTINGH2018-03-16
0012016-01-01RONALD ZANTINGH RONALD ZANTINGH2017-03-16
0012015-01-01RONALD ZANTINGH RONALD ZANTINGH2016-04-15
0012014-01-01RONALD ZANTINGH RONALD ZANTINGH2015-05-19
0012013-01-01RONALD ZANTINGH RONALD ZANTINGH2014-04-04
0012012-01-01RONALD ZANTINGH RONALD ZANTINGH2013-04-08
0012011-01-01RONALD ZANTINGH RONALD ZANTINGH2012-03-28
0012009-01-01RONALD ZANTINGH RONALD ZANTINGH2010-07-12

Plan Statistics for MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN

401k plan membership statisitcs for MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN

Measure Date Value
2022: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0183
Total number of active participants reported on line 7a of the Form 55002022-01-0160
Number of retired or separated participants receiving benefits2022-01-0116
Number of other retired or separated participants entitled to future benefits2022-01-019
Total of all active and inactive participants2022-01-0185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0185
Number of participants with account balances2022-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0176
Total number of active participants reported on line 7a of the Form 55002021-01-0162
Number of retired or separated participants receiving benefits2021-01-0112
Number of other retired or separated participants entitled to future benefits2021-01-018
Total of all active and inactive participants2021-01-0182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0182
Number of participants with account balances2021-01-0181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0180
Total number of active participants reported on line 7a of the Form 55002020-01-0161
Number of retired or separated participants receiving benefits2020-01-016
Number of other retired or separated participants entitled to future benefits2020-01-018
Total of all active and inactive participants2020-01-0175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0175
Number of participants with account balances2020-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0148
Total number of active participants reported on line 7a of the Form 55002019-01-0138
Number of retired or separated participants receiving benefits2019-01-0110
Number of other retired or separated participants entitled to future benefits2019-01-012
Total of all active and inactive participants2019-01-0150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0150
Number of participants with account balances2019-01-0150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0148
Total number of active participants reported on line 7a of the Form 55002018-01-0137
Number of retired or separated participants receiving benefits2018-01-017
Number of other retired or separated participants entitled to future benefits2018-01-014
Total of all active and inactive participants2018-01-0148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0148
Number of participants with account balances2018-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0149
Total number of active participants reported on line 7a of the Form 55002017-01-0138
Number of retired or separated participants receiving benefits2017-01-016
Number of other retired or separated participants entitled to future benefits2017-01-014
Total of all active and inactive participants2017-01-0148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0148
Number of participants with account balances2017-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0147
Total number of active participants reported on line 7a of the Form 55002016-01-0139
Number of retired or separated participants receiving benefits2016-01-016
Number of other retired or separated participants entitled to future benefits2016-01-014
Total of all active and inactive participants2016-01-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0149
Number of participants with account balances2016-01-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0141
Total number of active participants reported on line 7a of the Form 55002015-01-0140
Number of retired or separated participants receiving benefits2015-01-013
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-0145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0145
Number of participants with account balances2015-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0141
Total number of active participants reported on line 7a of the Form 55002014-01-0140
Number of retired or separated participants receiving benefits2014-01-013
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-0145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0145
Number of participants with account balances2014-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0138
Total number of active participants reported on line 7a of the Form 55002013-01-0133
Number of retired or separated participants receiving benefits2013-01-013
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-0138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0138
Number of participants with account balances2013-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0138
Total number of active participants reported on line 7a of the Form 55002012-01-0130
Number of retired or separated participants receiving benefits2012-01-012
Number of other retired or separated participants entitled to future benefits2012-01-015
Total of all active and inactive participants2012-01-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0137
Number of participants with account balances2012-01-0137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0137
Total number of active participants reported on line 7a of the Form 55002011-01-0133
Number of retired or separated participants receiving benefits2011-01-012
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0137
Number of participants with account balances2011-01-0137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0133
Total number of active participants reported on line 7a of the Form 55002009-01-0131
Number of retired or separated participants receiving benefits2009-01-011
Number of other retired or separated participants entitled to future benefits2009-01-013
Total of all active and inactive participants2009-01-0135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0135
Number of participants with account balances2009-01-0135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN

Measure Date Value
2022 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2022 401k financial data
Total income from all sources2022-12-31$510,941
Expenses. Total of all expenses incurred2022-12-31$1,364,358
Benefits paid (including direct rollovers)2022-12-31$1,364,358
Total plan assets at end of year2022-12-31$18,579,222
Total plan assets at beginning of year2022-12-31$19,432,639
Value of fidelity bond covering the plan2022-12-31$5,000,000
Total contributions received or receivable from participants2022-12-31$525,801
Contributions received from other sources (not participants or employers)2022-12-31$92,348
Other income received2022-12-31$-388,977
Net income (gross income less expenses)2022-12-31$-853,417
Net plan assets at end of year (total assets less liabilities)2022-12-31$18,579,222
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$19,432,639
Assets. Value of employer securities2022-12-31$10,936,970
Total contributions received or receivable from employer(s)2022-12-31$281,769
2021 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2021 401k financial data
Total income from all sources2021-12-31$3,368,938
Expenses. Total of all expenses incurred2021-12-31$1,427,443
Benefits paid (including direct rollovers)2021-12-31$1,409,658
Total plan assets at end of year2021-12-31$19,432,639
Total plan assets at beginning of year2021-12-31$17,491,144
Value of fidelity bond covering the plan2021-12-31$4,000,000
Total contributions received or receivable from participants2021-12-31$551,837
Expenses. Other expenses not covered elsewhere2021-12-31$17,785
Contributions received from other sources (not participants or employers)2021-12-31$160,823
Other income received2021-12-31$2,372,034
Net income (gross income less expenses)2021-12-31$1,941,495
Net plan assets at end of year (total assets less liabilities)2021-12-31$19,432,639
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$17,491,144
Assets. Value of employer securities2021-12-31$10,161,580
Total contributions received or receivable from employer(s)2021-12-31$284,244
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2020 401k financial data
Total income from all sources2020-12-31$3,075,933
Expenses. Total of all expenses incurred2020-12-31$974,035
Benefits paid (including direct rollovers)2020-12-31$974,035
Total plan assets at end of year2020-12-31$17,491,144
Total plan assets at beginning of year2020-12-31$15,389,246
Value of fidelity bond covering the plan2020-12-31$4,000,000
Total contributions received or receivable from participants2020-12-31$554,849
Contributions received from other sources (not participants or employers)2020-12-31$272,356
Other income received2020-12-31$1,960,628
Net income (gross income less expenses)2020-12-31$2,101,898
Net plan assets at end of year (total assets less liabilities)2020-12-31$17,491,144
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$15,389,246
Assets. Value of employer securities2020-12-31$9,235,710
Total contributions received or receivable from employer(s)2020-12-31$288,100
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2019 401k financial data
Total income from all sources2019-12-31$2,629,653
Expenses. Total of all expenses incurred2019-12-31$1,108,755
Benefits paid (including direct rollovers)2019-12-31$1,096,683
Total plan assets at end of year2019-12-31$15,389,246
Total plan assets at beginning of year2019-12-31$13,868,348
Value of fidelity bond covering the plan2019-12-31$4,000,000
Total contributions received or receivable from participants2019-12-31$320,138
Expenses. Other expenses not covered elsewhere2019-12-31$12,072
Other income received2019-12-31$2,116,982
Net income (gross income less expenses)2019-12-31$1,520,898
Net plan assets at end of year (total assets less liabilities)2019-12-31$15,389,246
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$13,868,348
Assets. Value of employer securities2019-12-31$8,832,340
Total contributions received or receivable from employer(s)2019-12-31$192,533
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2018 401k financial data
Total income from all sources2018-12-31$1,216,698
Expenses. Total of all expenses incurred2018-12-31$1,142,128
Benefits paid (including direct rollovers)2018-12-31$1,142,128
Total plan assets at end of year2018-12-31$13,868,348
Total plan assets at beginning of year2018-12-31$13,793,778
Value of fidelity bond covering the plan2018-12-31$4,000,000
Total contributions received or receivable from participants2018-12-31$263,198
Other income received2018-12-31$770,501
Net income (gross income less expenses)2018-12-31$74,570
Net plan assets at end of year (total assets less liabilities)2018-12-31$13,868,348
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$13,793,778
Assets. Value of employer securities2018-12-31$8,441,510
Total contributions received or receivable from employer(s)2018-12-31$182,999
2017 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2017 401k financial data
Total income from all sources2017-12-31$2,461,249
Expenses. Total of all expenses incurred2017-12-31$1,091,033
Benefits paid (including direct rollovers)2017-12-31$1,091,033
Total plan assets at end of year2017-12-31$13,793,778
Total plan assets at beginning of year2017-12-31$12,423,562
Value of fidelity bond covering the plan2017-12-31$4,000,000
Total contributions received or receivable from participants2017-12-31$291,364
Other income received2017-12-31$1,987,654
Net income (gross income less expenses)2017-12-31$1,370,216
Net plan assets at end of year (total assets less liabilities)2017-12-31$13,793,778
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$12,423,562
Assets. Value of employer securities2017-12-31$7,949,524
Total contributions received or receivable from employer(s)2017-12-31$182,231
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2016 401k financial data
Total income from all sources2016-12-31$1,829,286
Expenses. Total of all expenses incurred2016-12-31$1,485,139
Benefits paid (including direct rollovers)2016-12-31$1,485,139
Total plan assets at end of year2016-12-31$12,423,562
Total plan assets at beginning of year2016-12-31$12,079,415
Value of fidelity bond covering the plan2016-12-31$4,000,000
Total contributions received or receivable from participants2016-12-31$260,220
Other income received2016-12-31$1,403,727
Net income (gross income less expenses)2016-12-31$344,147
Net plan assets at end of year (total assets less liabilities)2016-12-31$12,423,562
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$12,079,415
Assets. Value of employer securities2016-12-31$7,437,474
Total contributions received or receivable from employer(s)2016-12-31$165,339
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2015 401k financial data
Total income from all sources2015-12-31$1,289,095
Expenses. Total of all expenses incurred2015-12-31$1,542,511
Benefits paid (including direct rollovers)2015-12-31$1,542,511
Total plan assets at end of year2015-12-31$12,079,415
Total plan assets at beginning of year2015-12-31$12,332,831
Value of fidelity bond covering the plan2015-12-31$4,000,000
Total contributions received or receivable from participants2015-12-31$266,877
Other income received2015-12-31$868,848
Net income (gross income less expenses)2015-12-31$-253,416
Net plan assets at end of year (total assets less liabilities)2015-12-31$12,079,415
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$12,332,831
Assets. Value of employer securities2015-12-31$7,156,578
Total contributions received or receivable from employer(s)2015-12-31$153,370
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2014 401k financial data
Total income from all sources2014-12-31$1,850,489
Expenses. Total of all expenses incurred2014-12-31$219,232
Benefits paid (including direct rollovers)2014-12-31$219,232
Total plan assets at end of year2014-12-31$12,332,831
Total plan assets at beginning of year2014-12-31$10,701,574
Value of fidelity bond covering the plan2014-12-31$4,000,000
Total contributions received or receivable from participants2014-12-31$250,680
Contributions received from other sources (not participants or employers)2014-12-31$20,362
Other income received2014-12-31$1,426,706
Net income (gross income less expenses)2014-12-31$1,631,257
Net plan assets at end of year (total assets less liabilities)2014-12-31$12,332,831
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$10,701,574
Assets. Value of employer securities2014-12-31$6,993,976
Total contributions received or receivable from employer(s)2014-12-31$152,741
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2013 401k financial data
Total income from all sources2013-12-31$1,914,698
Expenses. Total of all expenses incurred2013-12-31$558,676
Benefits paid (including direct rollovers)2013-12-31$558,676
Total plan assets at end of year2013-12-31$10,701,574
Total plan assets at beginning of year2013-12-31$9,345,552
Value of fidelity bond covering the plan2013-12-31$3,500,000
Total contributions received or receivable from participants2013-12-31$207,359
Contributions received from other sources (not participants or employers)2013-12-31$12,538
Other income received2013-12-31$1,570,098
Net income (gross income less expenses)2013-12-31$1,356,022
Net plan assets at end of year (total assets less liabilities)2013-12-31$10,701,574
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$9,345,552
Assets. Value of employer securities2013-12-31$6,434,274
Total contributions received or receivable from employer(s)2013-12-31$124,703
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2012 401k financial data
Total income from all sources2012-12-31$1,829,396
Expenses. Total of all expenses incurred2012-12-31$84,731
Benefits paid (including direct rollovers)2012-12-31$84,731
Total plan assets at end of year2012-12-31$9,345,552
Total plan assets at beginning of year2012-12-31$7,600,887
Value of fidelity bond covering the plan2012-12-31$3,500,000
Total contributions received or receivable from participants2012-12-31$243,381
Other income received2012-12-31$1,468,676
Net income (gross income less expenses)2012-12-31$1,744,665
Net plan assets at end of year (total assets less liabilities)2012-12-31$9,345,552
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$7,600,887
Assets. Value of employer securities2012-12-31$6,061,418
Total contributions received or receivable from employer(s)2012-12-31$117,339
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2011 401k financial data
Total income from all sources2011-12-31$1,594,105
Expenses. Total of all expenses incurred2011-12-31$405,090
Benefits paid (including direct rollovers)2011-12-31$405,090
Total plan assets at end of year2011-12-31$7,600,887
Total plan assets at beginning of year2011-12-31$6,411,872
Value of fidelity bond covering the plan2011-12-31$3,500,000
Total contributions received or receivable from participants2011-12-31$195,469
Other income received2011-12-31$1,278,840
Net income (gross income less expenses)2011-12-31$1,189,015
Net plan assets at end of year (total assets less liabilities)2011-12-31$7,600,887
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$6,411,872
Assets. Value of employer securities2011-12-31$5,463,260
Total contributions received or receivable from employer(s)2011-12-31$119,796
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2010 401k financial data
Total income from all sources2010-12-31$1,015,180
Expenses. Total of all expenses incurred2010-12-31$50,546
Benefits paid (including direct rollovers)2010-12-31$50,546
Total plan assets at end of year2010-12-31$6,411,872
Total plan assets at beginning of year2010-12-31$5,447,238
Value of fidelity bond covering the plan2010-12-31$3,500,000
Total contributions received or receivable from participants2010-12-31$169,992
Other income received2010-12-31$725,073
Net income (gross income less expenses)2010-12-31$964,634
Net plan assets at end of year (total assets less liabilities)2010-12-31$6,411,872
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$5,447,238
Assets. Value of employer securities2010-12-31$4,756,422
Total contributions received or receivable from employer(s)2010-12-31$120,115
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN

2022: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: MARION COUNTY STATE BANK EMPLOYEE STOCK OWNERSHIP AND SAVINGS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FQ4Q
Policy instance 1
Insurance contract or identification numberGAP-CP-FQ4Q
Number of Individuals Covered83
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FQ4Q
Policy instance 1
Insurance contract or identification numberGAP-CP-FQ4Q
Number of Individuals Covered76
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FQ4Q
Policy instance 1
Insurance contract or identification numberGAP-CP-FQ4Q
Number of Individuals Covered80
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FQ4Q
Policy instance 1
Insurance contract or identification numberGAP-CP-FQ4Q
Number of Individuals Covered48
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FQ4Q
Policy instance 1
Insurance contract or identification numberGAP-CP-FQ4Q
Number of Individuals Covered48
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FQ4Q
Policy instance 1
Insurance contract or identification numberGAP-CP-FQ4Q
Number of Individuals Covered49
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?4
Insurance broker nameLPL FINANCIAL, LLC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FQ4Q
Policy instance 1
Insurance contract or identification numberGAP-CP-FQ4Q
Number of Individuals Covered49
Insurance policy start date2016-01-01
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?4
Insurance broker nameLPL FINANCIAL, LLC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-FQ4Q
Policy instance 1
Insurance contract or identification numberGAP-CP-FQ4Q
Number of Individuals Covered45
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Insurance broker organization code?4
Insurance broker nameLPL FINANCIAL, LLC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-CM6Q
Policy instance 1
Insurance contract or identification numberGAP-B2-CM6Q
Number of Individuals Covered45
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Insurance broker organization code?4
Insurance broker nameLPL FINANCIAL CORPORATION
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-CM6Q
Policy instance 1
Insurance contract or identification numberGAP-B2-CM6Q
Number of Individuals Covered38
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $198
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $198
Insurance broker organization code?4
Insurance broker nameLPL FINANCIAL CORPORATION
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-CM6Q
Policy instance 1
Insurance contract or identification numberGAP-B2-CM6Q
Number of Individuals Covered37
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $193
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $193
Insurance broker organization code?4
Insurance broker nameLPL FINANCIAL CORPORATION
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-CM6Q
Policy instance 1
Insurance contract or identification numberGAP-B2-CM6Q
Number of Individuals Covered37
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $162
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-CM6Q
Policy instance 1
Insurance contract or identification numberGAP-B2-CM6Q
Number of Individuals Covered37
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $642
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $617
Insurance broker organization code?4
Insurance broker nameLPL FINANCIAL CORPORATION

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