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PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 401k Plan overview

Plan NamePHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN
Plan identification number 003

PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • ESOP other than a leveraged ESOP - A completed Schedule E must be attached to a Form 5500 filed for an Employee Stock Ownership Plan (ESOP).
  • Leveraged ESOP - An ESOP that acquires employer securities with borrowed money or other debt-financing techniques. A completed Schedule E must be attached to a Form 5500 filed for an ESOP.
  • The employer maintaining this ESOP is an S Corporation
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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

PHELPS COUNTY BANCSHARES, INC. has sponsored the creation of one or more 401k plans.

Company Name:PHELPS COUNTY BANCSHARES, INC.
Employer identification number (EIN):431146028
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01
0032021-01-01
0032020-01-01
0032019-01-01
0032018-01-01
0032017-01-01DOMINIC DELUCA DOMINIC DELUCA2018-10-12
0032016-01-01SHANNON BIRDSONG SHANNON BIRDSONG2017-07-28
0032015-01-01SHANNON BIRDSONG SHANNON BIRDSONG2016-07-26
0032014-01-01SHANNON BIRDSONG SHANNON BIRDSONG2015-07-15
0032013-01-01SHANNON BIRDSONG

Plan Statistics for PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN

401k plan membership statisitcs for PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN

Measure Date Value
2022: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01117
Total number of active participants reported on line 7a of the Form 55002022-01-0191
Number of other retired or separated participants entitled to future benefits2022-01-0122
Total of all active and inactive participants2022-01-01113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-011
Total participants2022-01-01114
Number of participants with account balances2022-01-01108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-017
2021: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01106
Total number of active participants reported on line 7a of the Form 55002021-01-0192
Number of other retired or separated participants entitled to future benefits2021-01-0121
Total of all active and inactive participants2021-01-01113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-011
Total participants2021-01-01114
Number of participants with account balances2021-01-01108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-018
2020: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01118
Total number of active participants reported on line 7a of the Form 55002020-01-0188
Number of other retired or separated participants entitled to future benefits2020-01-0114
Total of all active and inactive participants2020-01-01102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-01103
Number of participants with account balances2020-01-0195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-013
2019: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01116
Total number of active participants reported on line 7a of the Form 55002019-01-0185
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0129
Total of all active and inactive participants2019-01-01114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-011
Total participants2019-01-01115
Number of participants with account balances2019-01-01104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-017
2018: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01119
Total number of active participants reported on line 7a of the Form 55002018-01-0182
Number of other retired or separated participants entitled to future benefits2018-01-0127
Total of all active and inactive participants2018-01-01109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-01110
Number of participants with account balances2018-01-01106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-015
2017: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01120
Total number of active participants reported on line 7a of the Form 55002017-01-0189
Number of retired or separated participants receiving benefits2017-01-018
Number of other retired or separated participants entitled to future benefits2017-01-0116
Total of all active and inactive participants2017-01-01113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01114
Number of participants with account balances2017-01-01107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-013
2016: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01117
Total number of active participants reported on line 7a of the Form 55002016-01-0188
Number of retired or separated participants receiving benefits2016-01-0111
Number of other retired or separated participants entitled to future benefits2016-01-0117
Total of all active and inactive participants2016-01-01116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01116
Number of participants with account balances2016-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01107
Total number of active participants reported on line 7a of the Form 55002015-01-0181
Number of retired or separated participants receiving benefits2015-01-019
Number of other retired or separated participants entitled to future benefits2015-01-0121
Total of all active and inactive participants2015-01-01111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01111
Number of participants with account balances2015-01-01110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01109
Total number of active participants reported on line 7a of the Form 55002014-01-0167
Number of retired or separated participants receiving benefits2014-01-0123
Number of other retired or separated participants entitled to future benefits2014-01-0116
Total of all active and inactive participants2014-01-01106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-01107
Number of participants with account balances2014-01-01107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-013
2013: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01109
Total number of active participants reported on line 7a of the Form 55002013-01-0180
Number of retired or separated participants receiving benefits2013-01-018
Number of other retired or separated participants entitled to future benefits2013-01-0117
Total of all active and inactive participants2013-01-01105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-01106
Number of participants with account balances2013-01-01106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011

Financial Data on PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN

Measure Date Value
2022 : PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$2,327,468
Total unrealized appreciation/depreciation of assets2022-12-31$2,327,468
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$5,951,499
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$6,118,998
Expenses. Interest paid2022-12-31$151,747
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$151,747
Total income from all sources (including contributions)2022-12-31$3,034,446
Total of all expenses incurred2022-12-31$5,078,464
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$4,782,571
Value of total corrective distributions2022-12-31$13,492
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,092,131
Value of total assets at end of year2022-12-31$43,931,127
Value of total assets at beginning of year2022-12-31$46,142,644
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$130,654
Total interest from all sources2022-12-31$591
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$120,998
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$5,250,000
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$150,626
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$41,505
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,044,018
Value of net assets at end of year (total assets less liabilities)2022-12-31$37,979,628
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$40,023,646
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$1,942,482
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$2,188,216
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$94,217
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$82,492
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$82,492
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$591
Net investment gain/loss from pooled separate accounts2022-12-31$-385,744
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$41,894,428
Assets. Invements in employer securities at beginning of year2022-12-31$43,871,936
Contributions received in cash from employer2022-12-31$900,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$4,782,571
Contract administrator fees2022-12-31$9,656
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
Liabilities. Value of acquisition indebtedness at end of year2022-12-31$5,951,499
Liabilities. Value of acquisition indebtedness at beginning of year2022-12-31$6,118,998
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31KPM CPAS PC
Accountancy firm EIN2022-12-31431109768
2021 : PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$7,742,106
Total unrealized appreciation/depreciation of assets2021-12-31$7,742,106
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$6,118,998
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$6,282,470
Expenses. Interest paid2021-12-31$155,773
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$155,773
Total income from all sources (including contributions)2021-12-31$9,266,132
Total of all expenses incurred2021-12-31$4,226,764
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$3,964,306
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,259,045
Value of total assets at end of year2021-12-31$46,142,644
Value of total assets at beginning of year2021-12-31$41,266,748
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$106,685
Total interest from all sources2021-12-31$14
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$106,685
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$4,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$143,708
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$115,337
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$5,039,368
Value of net assets at end of year (total assets less liabilities)2021-12-31$40,023,646
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$34,984,278
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$2,188,216
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$1,879,121
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$82,492
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$328,133
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$328,133
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$14
Net investment gain/loss from pooled separate accounts2021-12-31$264,967
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$43,871,936
Assets. Invements in employer securities at beginning of year2021-12-31$39,059,494
Contributions received in cash from employer2021-12-31$1,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$3,964,306
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$6,118,998
Liabilities. Value of acquisition indebtedness at beginning of year2021-12-31$6,282,470
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31KPM CPAS PC
Accountancy firm EIN2021-12-31431109768
2020 : PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$4,649,940
Total unrealized appreciation/depreciation of assets2020-12-31$4,649,940
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$6,282,470
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$6,442,523
Expenses. Interest paid2020-12-31$159,193
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$159,193
Total income from all sources (including contributions)2020-12-31$6,010,416
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$6,666,261
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$6,413,989
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,117,178
Value of total assets at end of year2020-12-31$41,266,748
Value of total assets at beginning of year2020-12-31$42,082,646
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$93,079
Total interest from all sources2020-12-31$896
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$93,079
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$4,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$117,178
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-655,845
Value of net assets at end of year (total assets less liabilities)2020-12-31$34,984,278
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$35,640,123
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$1,879,121
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,340,666
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$328,133
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$216,551
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$216,551
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$896
Net investment gain/loss from pooled separate accounts2020-12-31$242,402
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$39,059,494
Assets. Invements in employer securities at beginning of year2020-12-31$39,525,429
Contributions received in cash from employer2020-12-31$1,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$6,413,989
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$6,282,470
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$6,442,523
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31KPM CPAS PC
Accountancy firm EIN2020-12-31431109768
2019 : PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$5,554,925
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$5,554,925
Total unrealized appreciation/depreciation of assets2019-12-31$5,554,925
Total unrealized appreciation/depreciation of assets2019-12-31$5,554,925
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$6,442,523
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$6,442,523
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,278,559
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,278,559
Expenses. Interest paid2019-12-31$115,062
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$115,062
Expenses. Interest paid2019-12-31$115,062
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$115,062
Total income from all sources (including contributions)2019-12-31$7,112,387
Total of all expenses incurred2019-12-31$6,111,870
Total of all expenses incurred2019-12-31$6,111,870
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,902,241
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,902,241
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,127,470
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,127,470
Value of total assets at end of year2019-12-31$42,082,646
Value of total assets at end of year2019-12-31$42,082,646
Value of total assets at beginning of year2019-12-31$38,918,165
Value of total assets at beginning of year2019-12-31$38,918,165
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$94,567
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$94,567
Total interest from all sources2019-12-31$176
Total interest from all sources2019-12-31$176
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
Administrative expenses professional fees incurred2019-12-31$82,229
Administrative expenses professional fees incurred2019-12-31$82,229
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$4,000,000
Value of fidelity bond cover2019-12-31$4,000,000
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
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$114,343
Contributions received from participants2019-12-31$114,343
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$13,127
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$13,127
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$1,000,517
Value of net income/loss2019-12-31$1,000,517
Value of net assets at end of year (total assets less liabilities)2019-12-31$35,640,123
Value of net assets at end of year (total assets less liabilities)2019-12-31$35,640,123
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$34,639,606
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$34,639,606
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$2,340,666
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,340,666
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,981,446
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,981,446
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$216,551
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$216,551
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$11,179
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$11,179
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$11,179
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$11,179
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$176
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$176
Net investment gain/loss from pooled separate accounts2019-12-31$429,816
Net investment gain/loss from pooled separate accounts2019-12-31$429,816
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$39,525,429
Assets. Invements in employer securities at end of year2019-12-31$39,525,429
Assets. Invements in employer securities at beginning of year2019-12-31$36,925,540
Assets. Invements in employer securities at beginning of year2019-12-31$36,925,540
Contributions received in cash from employer2019-12-31$1,000,000
Contributions received in cash from employer2019-12-31$1,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$5,902,241
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$5,902,241
Contract administrator fees2019-12-31$12,338
Contract administrator fees2019-12-31$12,338
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$6,442,523
Liabilities. Value of acquisition indebtedness at end of year2019-12-31$6,442,523
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$4,278,559
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$4,278,559
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 name2019-12-31KPM CPAS PC
Accountancy firm name2019-12-31KPM CPAS PC
Accountancy firm EIN2019-12-31431109768
Accountancy firm EIN2019-12-31431109768
2018 : PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$3,251,305
Total unrealized appreciation/depreciation of assets2018-12-31$3,251,305
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$4,278,559
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,003,446
Expenses. Interest paid2018-12-31$81,335
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$81,335
Total income from all sources (including contributions)2018-12-31$4,134,705
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$5,770,252
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$5,600,830
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,013,658
Value of total assets at end of year2018-12-31$38,918,165
Value of total assets at beginning of year2018-12-31$38,278,599
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$88,087
Total interest from all sources2018-12-31$260
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$88,087
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$4,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$113,658
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,635,547
Value of net assets at end of year (total assets less liabilities)2018-12-31$34,639,606
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$36,275,153
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$1,981,446
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$2,086,636
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$11,179
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$10,865
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$10,865
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$260
Net investment gain/loss from pooled separate accounts2018-12-31$-130,518
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$36,925,540
Assets. Invements in employer securities at beginning of year2018-12-31$36,181,098
Contributions received in cash from employer2018-12-31$900,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$5,600,830
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$4,278,559
Liabilities. Value of acquisition indebtedness at beginning of year2018-12-31$2,003,446
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 name2018-12-31KPM CPAS PC
Accountancy firm EIN2018-12-31431109768
2017 : PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$6,238,120
Total unrealized appreciation/depreciation of assets2017-12-31$6,238,120
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,003,446
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,052,000
Expenses. Interest paid2017-12-31$46,375
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$46,375
Total income from all sources (including contributions)2017-12-31$7,593,145
Total of all expenses incurred2017-12-31$7,532,618
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$7,421,226
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,018,700
Value of total assets at end of year2017-12-31$38,278,599
Value of total assets at beginning of year2017-12-31$38,266,626
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$65,017
Total interest from all sources2017-12-31$716
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$65,017
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$4,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$108,700
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$60,527
Value of net assets at end of year (total assets less liabilities)2017-12-31$36,275,153
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$36,214,626
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$2,086,636
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$2,361,729
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$10,865
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$257,744
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$257,744
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$716
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$335,609
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$36,181,098
Assets. Invements in employer securities at beginning of year2017-12-31$35,647,153
Contributions received in cash from employer2017-12-31$910,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$7,421,226
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$2,003,446
Liabilities. Value of acquisition indebtedness at beginning of year2017-12-31$2,052,000
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 name2017-12-31KPM CPAS PC
Accountancy firm EIN2017-12-31431109768
2016 : PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$2,052,000
Total income from all sources2016-12-31$4,799,953
Expenses. Total of all expenses incurred2016-12-31$5,593,781
Benefits paid (including direct rollovers)2016-12-31$5,533,366
Total plan assets at end of year2016-12-31$38,266,625
Total plan assets at beginning of year2016-12-31$37,008,453
Value of fidelity bond covering the plan2016-12-31$3,675,000
Total contributions received or receivable from participants2016-12-31$109,502
Other income received2016-12-31$3,740,451
Net income (gross income less expenses)2016-12-31$-793,828
Net plan assets at end of year (total assets less liabilities)2016-12-31$36,214,625
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$37,008,453
Assets. Value of employer securities2016-12-31$35,647,153
Total contributions received or receivable from employer(s)2016-12-31$950,000
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$60,415
2015 : PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2015 401k financial data
Total income from all sources2015-12-31$7,995,522
Expenses. Total of all expenses incurred2015-12-31$5,783,612
Benefits paid (including direct rollovers)2015-12-31$5,724,973
Total plan assets at end of year2015-12-31$37,008,453
Total plan assets at beginning of year2015-12-31$34,796,543
Value of fidelity bond covering the plan2015-12-31$3,675,000
Total contributions received or receivable from participants2015-12-31$105,708
Other income received2015-12-31$7,361,814
Net income (gross income less expenses)2015-12-31$2,211,910
Net plan assets at end of year (total assets less liabilities)2015-12-31$37,008,453
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$34,796,543
Assets. Value of employer securities2015-12-31$34,788,935
Total contributions received or receivable from employer(s)2015-12-31$528,000
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$58,639
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2014 401k financial data
Total income from all sources2014-12-31$5,312,689
Expenses. Total of all expenses incurred2014-12-31$4,227,578
Benefits paid (including direct rollovers)2014-12-31$4,168,561
Total plan assets at end of year2014-12-31$34,796,543
Total plan assets at beginning of year2014-12-31$33,711,432
Value of fidelity bond covering the plan2014-12-31$3,675,000
Total contributions received or receivable from participants2014-12-31$84,707
Other income received2014-12-31$4,694,123
Net income (gross income less expenses)2014-12-31$1,085,111
Net plan assets at end of year (total assets less liabilities)2014-12-31$34,796,543
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$33,711,432
Assets. Value of employer securities2014-12-31$32,675,599
Total contributions received or receivable from employer(s)2014-12-31$533,859
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$59,017
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN 2013 401k financial data
Total plan liabilities at beginning of year2013-12-31$111,692
Total income from all sources2013-12-31$5,185,558
Expenses. Total of all expenses incurred2013-12-31$4,350,501
Benefits paid (including direct rollovers)2013-12-31$4,285,304
Total plan assets at end of year2013-12-31$33,711,432
Total plan assets at beginning of year2013-12-31$32,988,067
Value of fidelity bond covering the plan2013-12-31$3,675,000
Total contributions received or receivable from participants2013-12-31$69,559
Expenses. Other expenses not covered elsewhere2013-12-31$183
Other income received2013-12-31$4,626,550
Net income (gross income less expenses)2013-12-31$835,057
Net plan assets at end of year (total assets less liabilities)2013-12-31$33,711,432
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$32,876,375
Assets. Value of employer securities2013-12-31$31,616,096
Total contributions received or receivable from employer(s)2013-12-31$489,449
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$65,014
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0

Form 5500 Responses for PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP PLAN

2022: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP 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: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP 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: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP 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: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP 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: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP 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: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP 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: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP 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: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP 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: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP 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: PHELPS COUNTY BANK EMPLOYEE STOCK OWNERSHIP 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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number83467
Policy instance 1
Insurance contract or identification number83467
Number of Individuals Covered60
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $996
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees996
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number83467
Policy instance 1
Insurance contract or identification number83467
Number of Individuals Covered54
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees991
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number83467
Policy instance 1
Insurance contract or identification number83467
Number of Individuals Covered51
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,107
Amount paid for insurance broker fees1107
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number83467
Policy instance 1
Insurance contract or identification number83467
Number of Individuals Covered64
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,088
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1088
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number83467
Policy instance 1
Insurance contract or identification number83467
Number of Individuals Covered62
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,972
Total amount of fees paid to insurance companyUSD $1,128
Commission paid to Insurance BrokerUSD $1,972
Insurance broker organization code?3
Amount paid for insurance broker fees1128
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number83467
Policy instance 1
Insurance contract or identification number83467
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,307
Total amount of fees paid to insurance companyUSD $1,639
Commission paid to Insurance BrokerUSD $5,307
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION
Insurance broker nameBKD, LLP

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