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FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 401k Plan overview

Plan NameFIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN
Plan identification number 001

FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN Benefits

401k Plan TypeDefined 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.
  • 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.
  • Stock bonus
  • 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.
  • 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.
  • The employer maintaining this ESOP is an S Corporation
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).
  • Plan requiring that all or part of employer contributions be invested and held, at least for a limited period, in employer securities.

401k Sponsoring company profile

FIDELITY BAN CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:FIDELITY BAN CORPORATION
Employer identification number (EIN):421147211
NAIC Classification:522110
NAIC Description:Commercial Banking

Additional information about FIDELITY BAN CORPORATION

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1979-10-31
Company Identification Number: 014253
Legal Registered Office Address: 230 1 ST E

INDEPENDENCE
United States of America (USA)
50644

More information about FIDELITY BAN CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01KRISTI VANDENBURG2023-10-16
0012021-01-01KRISTI VANDENBURG2022-10-17
0012020-01-01KRISTI VANDENBURG2021-10-14
0012019-01-01KRISTI VANDENBURG2020-10-15
0012018-01-01KRISTI VANDENBURG2019-10-10
0012017-01-01
0012016-01-01TERRANCE TOALE

Plan Statistics for FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN

401k plan membership statisitcs for FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN

Measure Date Value
2022: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01144
Total number of active participants reported on line 7a of the Form 55002022-01-01115
Number of retired or separated participants receiving benefits2022-01-013
Number of other retired or separated participants entitled to future benefits2022-01-0117
Total of all active and inactive participants2022-01-01135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01135
Number of participants with account balances2022-01-01133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-018
2021: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01157
Total number of active participants reported on line 7a of the Form 55002021-01-01131
Number of retired or separated participants receiving benefits2021-01-0111
Number of other retired or separated participants entitled to future benefits2021-01-0118
Total of all active and inactive participants2021-01-01160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-011
Total participants2021-01-01161
Number of participants with account balances2021-01-01155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-017
2020: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01152
Total number of active participants reported on line 7a of the Form 55002020-01-01140
Number of retired or separated participants receiving benefits2020-01-014
Number of other retired or separated participants entitled to future benefits2020-01-0111
Total of all active and inactive participants2020-01-01155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01155
Number of participants with account balances2020-01-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-014
2019: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01140
Total number of active participants reported on line 7a of the Form 55002019-01-01138
Number of retired or separated participants receiving benefits2019-01-019
Number of other retired or separated participants entitled to future benefits2019-01-015
Total of all active and inactive participants2019-01-01152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01152
Number of participants with account balances2019-01-01141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-014
2018: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01153
Total number of active participants reported on line 7a of the Form 55002018-01-01128
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-015
Total of all active and inactive participants2018-01-01134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01134
Number of participants with account balances2018-01-01132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-012
2017: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01143
Total number of active participants reported on line 7a of the Form 55002017-01-01130
Number of retired or separated participants receiving benefits2017-01-0111
Number of other retired or separated participants entitled to future benefits2017-01-016
Total of all active and inactive participants2017-01-01147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01147
Number of participants with account balances2017-01-01143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-015
2016: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01124
Total number of active participants reported on line 7a of the Form 55002016-01-01119
Number of retired or separated participants receiving benefits2016-01-012
Number of other retired or separated participants entitled to future benefits2016-01-017
Total of all active and inactive participants2016-01-01128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01128
Number of participants with account balances2016-01-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-014

Financial Data on FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN

Measure Date Value
2022 : FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$292,423
Total unrealized appreciation/depreciation of assets2022-12-31$292,423
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Expenses. Interest paid2022-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022022-12-31$0
Total income from all sources (including contributions)2022-12-31$-1,230,127
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$2,042,981
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,966,047
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,124,971
Value of total assets at end of year2022-12-31$24,617,669
Value of total assets at beginning of year2022-12-31$27,890,777
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$76,934
Total interest from all sources2022-12-31$4,728
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$336,095
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$744,940
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$70,261
Administrative expenses (other) incurred2022-12-31$76,934
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-3,273,108
Value of net assets at end of year (total assets less liabilities)2022-12-31$24,617,669
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$27,890,777
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$384,093
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$516,314
Value of interest in pooled separate accounts at end of year2022-12-31$13,609,660
Value of interest in pooled separate accounts at beginning of year2022-12-31$17,415,919
Interest earned on other investments2022-12-31$4,728
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$939,811
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$566,861
Net investment gain/loss from pooled separate accounts2022-12-31$-2,988,344
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Assets. Invements in employer securities at end of year2022-12-31$9,684,105
Assets. Invements in employer securities at beginning of year2022-12-31$9,391,683
Contributions received in cash from employer2022-12-31$309,770
Employer contributions (assets) at end of year2022-12-31$0
Employer contributions (assets) at beginning of year2022-12-31$0
Income. Dividends from common stock2022-12-31$336,095
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,966,047
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-12-31410746749
2021 : FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$131,020
Total unrealized appreciation/depreciation of assets2021-12-31$131,020
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$35,127
Expenses. Interest paid2021-12-31$1,413
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022021-12-31$1,413
Total income from all sources (including contributions)2021-12-31$4,095,713
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$2,036,372
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,944,440
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,416,873
Value of total assets at end of year2021-12-31$27,890,777
Value of total assets at beginning of year2021-12-31$25,866,563
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$90,519
Total interest from all sources2021-12-31$24
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$360,780
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$744,280
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$358,894
Administrative expenses (other) incurred2021-12-31$1,150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$2,059,341
Value of net assets at end of year (total assets less liabilities)2021-12-31$27,890,777
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$25,831,436
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$516,314
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$303,008
Value of interest in pooled separate accounts at end of year2021-12-31$17,415,919
Value of interest in pooled separate accounts at beginning of year2021-12-31$15,029,680
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$18,241
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$18,241
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$24
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$566,861
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$1,254,971
Net investment gain/loss from pooled separate accounts2021-12-31$2,187,016
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Assets. Invements in employer securities at end of year2021-12-31$9,391,683
Assets. Invements in employer securities at beginning of year2021-12-31$9,260,663
Contributions received in cash from employer2021-12-31$313,699
Income. Dividends from common stock2021-12-31$360,780
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,944,440
Contract administrator fees2021-12-31$89,369
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Liabilities. Value of acquisition indebtedness at end of year2021-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2021-12-31$35,127
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2021-12-31410746749
2020 : FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$311,410
Total unrealized appreciation/depreciation of assets2020-12-31$311,410
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$35,127
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$221,240
Expenses. Interest paid2020-12-31$9,610
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-12-31$9,610
Total income from all sources (including contributions)2020-12-31$3,709,671
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$2,376,147
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,332,160
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,030,085
Value of total assets at end of year2020-12-31$25,866,563
Value of total assets at beginning of year2020-12-31$24,719,152
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$34,377
Total interest from all sources2020-12-31$4,865
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$334,197
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$688,140
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$38,419
Other income not declared elsewhere2020-12-31$-9,794
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,333,524
Value of net assets at end of year (total assets less liabilities)2020-12-31$25,831,436
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$24,497,912
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$28,478
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$303,008
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$469,912
Value of interest in pooled separate accounts at end of year2020-12-31$15,029,680
Value of interest in pooled separate accounts at beginning of year2020-12-31$14,799,211
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$18,241
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$500,460
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$500,460
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$4,865
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$1,254,971
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$0
Net investment gain/loss from pooled separate accounts2020-12-31$2,038,908
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Assets. Invements in employer securities at end of year2020-12-31$9,260,663
Assets. Invements in employer securities at beginning of year2020-12-31$8,949,252
Contributions received in cash from employer2020-12-31$303,526
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$317
Income. Dividends from common stock2020-12-31$334,197
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,332,160
Contract administrator fees2020-12-31$5,899
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Liabilities. Value of acquisition indebtedness at end of year2020-12-31$35,127
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$221,240
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2020-12-31410746749
2019 : FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$417,746
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$417,746
Total unrealized appreciation/depreciation of assets2019-12-31$417,746
Total unrealized appreciation/depreciation of assets2019-12-31$417,746
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$221,240
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$221,240
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$403,030
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$403,030
Expenses. Interest paid2019-12-31$17,630
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$17,630
Expenses. Interest paid2019-12-31$17,630
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$17,630
Total income from all sources (including contributions)2019-12-31$4,306,295
Total income from all sources (including contributions)2019-12-31$4,306,295
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$2,373,362
Total of all expenses incurred2019-12-31$2,373,362
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,353,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,353,698
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$935,805
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$935,805
Value of total assets at end of year2019-12-31$24,719,152
Value of total assets at end of year2019-12-31$24,719,152
Value of total assets at beginning of year2019-12-31$22,968,009
Value of total assets at beginning of year2019-12-31$22,968,009
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,034
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,034
Total interest from all sources2019-12-31$0
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$386,206
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$386,206
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$25,426
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$25,426
Administrative expenses professional fees incurred2019-12-31$2,034
Administrative expenses professional fees incurred2019-12-31$2,034
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$645,094
Contributions received from participants2019-12-31$645,094
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,932,933
Value of net income/loss2019-12-31$1,932,933
Value of net assets at end of year (total assets less liabilities)2019-12-31$24,497,912
Value of net assets at end of year (total assets less liabilities)2019-12-31$24,497,912
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$22,564,979
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$22,564,979
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$469,912
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$469,912
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$324,423
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$324,423
Value of interest in pooled separate accounts at end of year2019-12-31$14,799,211
Value of interest in pooled separate accounts at end of year2019-12-31$14,799,211
Value of interest in pooled separate accounts at beginning of year2019-12-31$13,352,225
Value of interest in pooled separate accounts at beginning of year2019-12-31$13,352,225
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$500,460
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$500,460
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$750,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$750,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$750,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$750,000
Net investment gain/loss from pooled separate accounts2019-12-31$2,566,538
Net investment gain/loss from pooled separate accounts2019-12-31$2,566,538
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Assets. Invements in employer securities at end of year2019-12-31$8,949,252
Assets. Invements in employer securities at end of year2019-12-31$8,949,252
Assets. Invements in employer securities at beginning of year2019-12-31$8,531,507
Assets. Invements in employer securities at beginning of year2019-12-31$8,531,507
Contributions received in cash from employer2019-12-31$290,711
Contributions received in cash from employer2019-12-31$290,711
Employer contributions (assets) at end of year2019-12-31$317
Employer contributions (assets) at end of year2019-12-31$317
Employer contributions (assets) at beginning of year2019-12-31$9,854
Employer contributions (assets) at beginning of year2019-12-31$9,854
Income. Dividends from common stock2019-12-31$360,780
Income. Dividends from common stock2019-12-31$360,780
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,353,698
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,353,698
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Liabilities. Value of acquisition indebtedness at end of year2019-12-31$221,240
Liabilities. Value of acquisition indebtedness at end of year2019-12-31$221,240
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$403,030
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$403,030
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31CLIFTONLARSONALLEN LLP
Accountancy firm name2019-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2019-12-31410746749
Accountancy firm EIN2019-12-31410746749
2018 : FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$451,925
Total unrealized appreciation/depreciation of assets2018-12-31$451,925
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$403,030
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$577,142
Expenses. Interest paid2018-12-31$25,308
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022018-12-31$25,308
Total income from all sources (including contributions)2018-12-31$712,775
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$642,424
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$616,890
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$947,658
Value of total assets at end of year2018-12-31$22,968,009
Value of total assets at beginning of year2018-12-31$23,071,770
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$226
Total interest from all sources2018-12-31$2,490
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$369,363
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$19,976
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$648,312
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$4,188
Administrative expenses (other) incurred2018-12-31$226
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$70,351
Value of net assets at end of year (total assets less liabilities)2018-12-31$22,564,979
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$22,494,628
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$324,423
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$449,983
Value of interest in pooled separate accounts at end of year2018-12-31$13,352,225
Value of interest in pooled separate accounts at beginning of year2018-12-31$13,784,706
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$750,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$750,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$750,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$2,490
Net investment gain/loss from pooled separate accounts2018-12-31$-1,058,661
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Assets. Invements in employer securities at end of year2018-12-31$8,531,507
Assets. Invements in employer securities at beginning of year2018-12-31$8,079,582
Contributions received in cash from employer2018-12-31$295,158
Employer contributions (assets) at end of year2018-12-31$9,854
Employer contributions (assets) at beginning of year2018-12-31$7,499
Income. Dividends from common stock2018-12-31$349,387
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$616,890
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Liabilities. Value of acquisition indebtedness at end of year2018-12-31$403,030
Liabilities. Value of acquisition indebtedness at beginning of year2018-12-31$577,142
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2018-12-31410746749
2017 : FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$772,830
Total unrealized appreciation/depreciation of assets2017-12-31$772,830
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$577,142
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$743,900
Expenses. Interest paid2017-12-31$32,661
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022017-12-31$32,661
Total income from all sources (including contributions)2017-12-31$3,967,369
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,401,035
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,366,904
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$979,279
Value of total assets at end of year2017-12-31$23,071,770
Value of total assets at beginning of year2017-12-31$20,672,194
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,470
Total interest from all sources2017-12-31$13,819
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$301,237
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$3,118
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$5,750,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$619,846
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$72,441
Administrative expenses (other) incurred2017-12-31$1,470
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$2,566,334
Value of net assets at end of year (total assets less liabilities)2017-12-31$22,494,628
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$19,928,294
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$449,983
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$483,832
Value of interest in pooled separate accounts at end of year2017-12-31$13,784,706
Value of interest in pooled separate accounts at beginning of year2017-12-31$12,380,182
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$750,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$501,245
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$501,245
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$13,819
Net investment gain/loss from pooled separate accounts2017-12-31$1,900,204
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Assets. Invements in employer securities at end of year2017-12-31$8,079,582
Assets. Invements in employer securities at beginning of year2017-12-31$7,306,750
Contributions received in cash from employer2017-12-31$286,992
Employer contributions (assets) at end of year2017-12-31$7,499
Employer contributions (assets) at beginning of year2017-12-31$185
Income. Dividends from common stock2017-12-31$298,119
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,366,904
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Liabilities. Value of acquisition indebtedness at end of year2017-12-31$577,142
Liabilities. Value of acquisition indebtedness at beginning of year2017-12-31$743,900
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CLIFTON LARSON ALLEN LLP
Accountancy firm EIN2017-12-31410746749
2016 : FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$451,924
Total unrealized appreciation/depreciation of assets2016-12-31$451,924
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$743,900
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$903,615
Expenses. Interest paid2016-12-31$39,703
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022016-12-31$39,703
Total income from all sources (including contributions)2016-12-31$2,758,769
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,017,677
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$977,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$953,104
Value of total assets at end of year2016-12-31$20,672,194
Value of total assets at beginning of year2016-12-31$19,090,817
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$778
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$399,223
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$4,682
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$2,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$625,998
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$41,241
Administrative expenses (other) incurred2016-12-31$778
Total non interest bearing cash at end of year2016-12-31$0
Total non interest bearing cash at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,741,092
Value of net assets at end of year (total assets less liabilities)2016-12-31$19,928,294
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$18,187,202
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$483,832
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$368,311
Value of interest in pooled separate accounts at end of year2016-12-31$12,380,182
Value of interest in pooled separate accounts at beginning of year2016-12-31$11,167,678
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$501,245
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$500,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$500,000
Net investment gain/loss from pooled separate accounts2016-12-31$954,518
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Assets. Invements in employer securities at end of year2016-12-31$7,306,750
Assets. Invements in employer securities at beginning of year2016-12-31$6,854,828
Contributions received in cash from employer2016-12-31$285,865
Employer contributions (assets) at end of year2016-12-31$185
Employer contributions (assets) at beginning of year2016-12-31$200,000
Income. Dividends from common stock2016-12-31$394,541
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$977,196
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Liabilities. Value of acquisition indebtedness at end of year2016-12-31$743,900
Liabilities. Value of acquisition indebtedness at beginning of year2016-12-31$903,615
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CLIFTON LARSON ALLEN LLP
Accountancy firm EIN2016-12-31410746749

Form 5500 Responses for FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN

2022: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
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 – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)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 – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)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 – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)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 – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)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 – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)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 – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FIDELITY BAN CORPORATION EMPLOYEE STOCK OWNERSHIP AND 401(K)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 – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number77287
Policy instance 1
Insurance contract or identification number77287
Number of Individuals Covered147
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $40,471
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 $31,385
Insurance broker organization code?7
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number77287
Policy instance 1
Insurance contract or identification number77287
Number of Individuals Covered143
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $34,465
Total amount of fees paid to insurance companyUSD $9,772
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 $34,465
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?7
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number77287
Policy instance 1
Insurance contract or identification number77287
Number of Individuals Covered147
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $28,478
Total amount of fees paid to insurance companyUSD $7,424
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 $28,478
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?7
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number77287
Policy instance 1
Insurance contract or identification number77287
Number of Individuals Covered136
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $27,428
Total amount of fees paid to insurance companyUSD $6,862
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 $27,428
Insurance broker organization code?7
Amount paid for insurance broker fees6862
Additional information about fees paid to insurance brokerTPA COMPENSATION & FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number77287
Policy instance 1
Insurance contract or identification number77287
Number of Individuals Covered139
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $28,354
Total amount of fees paid to insurance companyUSD $7,193
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 $28,354
Insurance broker organization code?7
Amount paid for insurance broker fees7093
Additional information about fees paid to insurance brokerTPA COMPENSATION & FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number77287
Policy instance 1
Insurance contract or identification number77287
Number of Individuals Covered132
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $26,459
Total amount of fees paid to insurance companyUSD $11,186
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 $26,459
Insurance broker organization code?7
Amount paid for insurance broker fees11186
Additional information about fees paid to insurance brokerTPA COMPENSATION & FEES
Insurance broker nameAMERICAN TRUST RETIREMENT

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