401k Plan data: FIDELITY SOUTHERN CORPORATION plan

FIDELITY SOUTHERN CORPORATION 401k Plan overview

Plan Name	FIDELITY SOUTHERN CORPORATION
Plan identification number	503

FIDELITY SOUTHERN CORPORATION Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Supplemental unemployment Dental Vision Temporary disability (accident and sickness) Long-term disability cover Apprenticeship and training Scholarship (funded) Other welfare benefit cover

401k Sponsoring company profile

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

Company Name: FIDELITY BANK

Employer identification number (EIN): 581174938

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIDELITY SOUTHERN CORPORATION

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2019-01-01
503 2017-01-01 KATHY BENNETT
503 2016-01-01 KATHY BENNETT KATHY BENNETT 2017-07-25
503 2015-01-01 KATHY BENNETT KATHY BENNETT 2016-10-21
503 2014-01-01 KATHY BENNETT KATHY BENNETT 2015-10-15
503 2013-01-01 KATHY BENNETT KATHY BENNETT 2014-07-30
503 2012-01-01 KATHY BENNETT KATHY BENNETT 2013-10-15
503 2010-01-01 KATHY BENNETT
503 2009-01-01 KATHY BENNETT

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2019-01-01
503	2017-01-01	KATHY BENNETT
503	2016-01-01	KATHY BENNETT	KATHY BENNETT	2017-07-25
503	2015-01-01	KATHY BENNETT	KATHY BENNETT	2016-10-21
503	2014-01-01	KATHY BENNETT	KATHY BENNETT	2015-10-15
503	2013-01-01	KATHY BENNETT	KATHY BENNETT	2014-07-30
503	2012-01-01	KATHY BENNETT	KATHY BENNETT	2013-10-15
503	2010-01-01	KATHY BENNETT
503	2009-01-01	KATHY BENNETT

Plan Statistics for FIDELITY SOUTHERN CORPORATION

401k plan membership statisitcs for FIDELITY SOUTHERN CORPORATION

Measure Date Value
2019: FIDELITY SOUTHERN CORPORATION 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,621
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,621
Total of all active and inactive participants 2019-01-01 1,621
Total participants 2019-01-01 1,621
2017: FIDELITY SOUTHERN CORPORATION 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2,140
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2,227
Total of all active and inactive participants 2017-01-01 2,227
Total participants 2017-01-01 2,227
2016: FIDELITY SOUTHERN CORPORATION 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,860
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2,140
Total of all active and inactive participants 2016-01-01 2,140
Total participants 2016-01-01 2,140
2015: FIDELITY SOUTHERN CORPORATION 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,667
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,860
Total of all active and inactive participants 2015-01-01 1,860
Total participants 2015-01-01 1,860
2014: FIDELITY SOUTHERN CORPORATION 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,408
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,667
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 1,667
Total participants 2014-01-01 1,667
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
Number of employers contributing to the scheme 2014-01-01 0
2013: FIDELITY SOUTHERN CORPORATION 2013 401k membership
Total participants, beginning-of-year 2013-01-01 969
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,408
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 1,408
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,408
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
Number of employers contributing to the scheme 2013-01-01 0
2012: FIDELITY SOUTHERN CORPORATION 2012 401k membership
Total participants, beginning-of-year 2012-01-01 961
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 969
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 969
Total participants 2012-01-01 969
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
Number of employers contributing to the scheme 2012-01-01 0
2010: FIDELITY SOUTHERN CORPORATION 2010 401k membership
Total participants, beginning-of-year 2010-01-01 631
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 721
Total of all active and inactive participants 2010-01-01 721
Total participants 2010-01-01 721
2009: FIDELITY SOUTHERN CORPORATION 2009 401k membership
Total participants, beginning-of-year 2009-01-01 412
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 631
Total of all active and inactive participants 2009-01-01 631
Total participants 2009-01-01 631

Measure	Date	Value
2019: FIDELITY SOUTHERN CORPORATION 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,621
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,621
Total of all active and inactive participants	2019-01-01	1,621
Total participants	2019-01-01	1,621
2017: FIDELITY SOUTHERN CORPORATION 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2,140
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2,227
Total of all active and inactive participants	2017-01-01	2,227
Total participants	2017-01-01	2,227
2016: FIDELITY SOUTHERN CORPORATION 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,860
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2,140
Total of all active and inactive participants	2016-01-01	2,140
Total participants	2016-01-01	2,140
2015: FIDELITY SOUTHERN CORPORATION 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,667
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,860
Total of all active and inactive participants	2015-01-01	1,860
Total participants	2015-01-01	1,860
2014: FIDELITY SOUTHERN CORPORATION 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,408
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,667
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	1,667
Total participants	2014-01-01	1,667
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
Number of employers contributing to the scheme	2014-01-01	0
2013: FIDELITY SOUTHERN CORPORATION 2013 401k membership
Total participants, beginning-of-year	2013-01-01	969
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,408
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	1,408
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,408
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
Number of employers contributing to the scheme	2013-01-01	0
2012: FIDELITY SOUTHERN CORPORATION 2012 401k membership
Total participants, beginning-of-year	2012-01-01	961
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	969
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	969
Total participants	2012-01-01	969
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
Number of employers contributing to the scheme	2012-01-01	0
2010: FIDELITY SOUTHERN CORPORATION 2010 401k membership
Total participants, beginning-of-year	2010-01-01	631
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	721
Total of all active and inactive participants	2010-01-01	721
Total participants	2010-01-01	721
2009: FIDELITY SOUTHERN CORPORATION 2009 401k membership
Total participants, beginning-of-year	2009-01-01	412
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	631
Total of all active and inactive participants	2009-01-01	631
Total participants	2009-01-01	631

Form 5500 Responses for FIDELITY SOUTHERN CORPORATION

2019: FIDELITY SOUTHERN CORPORATION 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2017: FIDELITY SOUTHERN CORPORATION 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: FIDELITY SOUTHERN CORPORATION 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	First time form 5500 has been submitted	Yes
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: FIDELITY SOUTHERN CORPORATION 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: FIDELITY SOUTHERN CORPORATION 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	First time form 5500 has been submitted	Yes
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: FIDELITY SOUTHERN CORPORATION 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	First time form 5500 has been submitted	Yes
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: FIDELITY SOUTHERN CORPORATION 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2010: FIDELITY SOUTHERN CORPORATION 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	First time form 5500 has been submitted	Yes
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: FIDELITY SOUTHERN CORPORATION 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	47-0322111
Policy instance	5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0ANE1
Policy instance	4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0ANE1
Policy instance	3
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-035962
Policy instance	2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	814498
Policy instance	1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	814498
Policy instance	1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-035962
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0ANE1
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GVTL0ANE1
Policy instance	4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0ANE1
Policy instance	5
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-035962
Policy instance	5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GVTL0ANE1
Policy instance	4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0ANE1
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0ANE1
Policy instance	2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	814498
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GVTL0ANE1
Policy instance	5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLUG0ANE1
Policy instance	4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0ANE1
Policy instance	3
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-035962
Policy instance	2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	814498
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000ANE1
Policy instance	5
COVENTRY HEALTH CARE OF GEORGIA (National Association of Insurance Commissioners NAIC id number: 95282 )
Policy contract number	6531360000
Policy instance	4
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	6531360000
Policy instance	3
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract number	GA5308
Policy instance	2
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-035962
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000ANE1
Policy instance	6
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000ANE1
Policy instance	7
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	6531363000
Policy instance	4
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-035962
Policy instance	2
COVENTRY HEALTH CARE OF GEORGIA (National Association of Insurance Commissioners NAIC id number: 95282 )
Policy contract number	6531360000
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 117467
Policy instance	1
WELLS FARGO (National Association of Insurance Commissioners NAIC id number: )
Policy contract number	FSC
Policy instance	8
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number	01-015131-00
Policy instance	6
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD 117467
Policy instance	5
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number	9742198
Policy instance	4
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract number	G0385
Policy instance	3
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract number	G0386
Policy instance	2
BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 )
Policy contract number	GA5308
Policy instance	1
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract number	CD0855
Policy instance	7

Potentially related plans

FIDELITY SOUTHERN CORPORATION TAX DEFERRED 401 (K) SAVINGS PLAN [EIN = 581416811]

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Company Name:	FIDELITY BANK
Employer identification number (EIN):	581174938
NAIC Classification:	522110
NAIC Description:	Commercial Banking