401k Plan data: CAPITAL COMMUNITY BANK 401(K) PLAN plan

CAPITAL COMMUNITY BANK 401(K) PLAN 401k Plan overview

Plan Name	CAPITAL COMMUNITY BANK 401(K) PLAN
Plan identification number	001

CAPITAL COMMUNITY BANK 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

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

Company Name: CAPITAL COMMUNITY BANK

Employer identification number (EIN): 870498008

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAPITAL COMMUNITY BANK 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 SHERYL THOMAS 2023-10-06 SHERYL THOMAS 2023-10-06
001 2021-01-01 SHERYL THOMAS 2022-09-13 SHERYL THOMAS 2022-09-13
001 2020-01-01 SHERYL THOMAS 2021-10-14 SHERYL THOMAS 2021-10-14
001 2019-01-01 SHERYL THOMAS 2020-08-14 SHERYL THOMAS 2020-08-14
001 2018-01-01 SHERYL THOMAS 2019-05-13 SHERYL THOMAS 2019-05-13
001 2017-01-01 SHERYL THOMAS 2018-06-06 SHERYL THOMAS 2018-06-06
001 2016-01-01 SHERYL THOMAS 2017-07-13 SHERYL THOMAS 2017-07-13
001 2015-01-01 SHERYL THOMAS 2016-05-17 SHERYL THOMAS 2016-05-17
001 2014-01-01 SHERYL THOMAS 2015-07-20 SHERYL THOMAS 2015-07-20
001 2013-01-01 CHAD CHRISTENSEN 2014-07-31 SHERYL THOMAS 2014-07-31
001 2012-01-01 HARLEY JACOBS HARLEY JACOBS 2013-03-25
001 2011-01-01 HARLEY W. JACOBS HARLEY W. JACOBS 2012-10-15
001 2009-01-01 HARLEY W. JACOBS HARLEY W. JACOBS 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	SHERYL THOMAS	2023-10-06	SHERYL THOMAS	2023-10-06
001	2021-01-01	SHERYL THOMAS	2022-09-13	SHERYL THOMAS	2022-09-13
001	2020-01-01	SHERYL THOMAS	2021-10-14	SHERYL THOMAS	2021-10-14
001	2019-01-01	SHERYL THOMAS	2020-08-14	SHERYL THOMAS	2020-08-14
001	2018-01-01	SHERYL THOMAS	2019-05-13	SHERYL THOMAS	2019-05-13
001	2017-01-01	SHERYL THOMAS	2018-06-06	SHERYL THOMAS	2018-06-06
001	2016-01-01	SHERYL THOMAS	2017-07-13	SHERYL THOMAS	2017-07-13
001	2015-01-01	SHERYL THOMAS	2016-05-17	SHERYL THOMAS	2016-05-17
001	2014-01-01	SHERYL THOMAS	2015-07-20	SHERYL THOMAS	2015-07-20
001	2013-01-01	CHAD CHRISTENSEN	2014-07-31	SHERYL THOMAS	2014-07-31
001	2012-01-01	HARLEY JACOBS		HARLEY JACOBS	2013-03-25
001	2011-01-01	HARLEY W. JACOBS		HARLEY W. JACOBS	2012-10-15
001	2009-01-01	HARLEY W. JACOBS		HARLEY W. JACOBS	2010-10-15

Plan Statistics for CAPITAL COMMUNITY BANK 401(K) PLAN

401k plan membership statisitcs for CAPITAL COMMUNITY BANK 401(K) PLAN

Measure Date Value
2012: CAPITAL COMMUNITY BANK 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 44
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 38
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 6
Total of all active and inactive participants 2012-01-01 44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 44
Number of participants with account balances 2012-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: CAPITAL COMMUNITY BANK 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 48
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 36
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 7
Total of all active and inactive participants 2011-01-01 43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 43
Number of participants with account balances 2011-01-01 36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: CAPITAL COMMUNITY BANK 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 51
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 40
Number of retired or separated participants receiving benefits 2009-01-01 4
Number of other retired or separated participants entitled to future benefits 2009-01-01 5
Total of all active and inactive participants 2009-01-01 49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 49
Number of participants with account balances 2009-01-01 41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2012: CAPITAL COMMUNITY BANK 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	44
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	38
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	6
Total of all active and inactive participants	2012-01-01	44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	44
Number of participants with account balances	2012-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: CAPITAL COMMUNITY BANK 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	48
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	36
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	7
Total of all active and inactive participants	2011-01-01	43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	43
Number of participants with account balances	2011-01-01	36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: CAPITAL COMMUNITY BANK 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	51
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	40
Number of retired or separated participants receiving benefits	2009-01-01	4
Number of other retired or separated participants entitled to future benefits	2009-01-01	5
Total of all active and inactive participants	2009-01-01	49
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	49
Number of participants with account balances	2009-01-01	41
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on CAPITAL COMMUNITY BANK 401(K) PLAN

Measure	Date	Value
2012 : CAPITAL COMMUNITY BANK 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$241,664
Expenses. Total of all expenses incurred	2012-12-31	$153,809
Benefits paid (including direct rollovers)	2012-12-31	$149,962
Total plan assets at end of year	2012-12-31	$931,450
Total plan assets at beginning of year	2012-12-31	$843,595
Value of fidelity bond covering the plan	2012-12-31	$60,000
Total contributions received or receivable from participants	2012-12-31	$73,919
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$110,781
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$87,855
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$931,450
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$843,595
Total contributions received or receivable from employer(s)	2012-12-31	$56,964
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$3,847
2011 : CAPITAL COMMUNITY BANK 401(K) PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$94,923
Expenses. Total of all expenses incurred	2011-12-31	$79,454
Benefits paid (including direct rollovers)	2011-12-31	$75,600
Total plan assets at end of year	2011-12-31	$843,595
Total plan assets at beginning of year	2011-12-31	$828,126
Value of fidelity bond covering the plan	2011-12-31	$60,000
Total contributions received or receivable from participants	2011-12-31	$58,890
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-20,906
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$15,469
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$843,595
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$828,126
Total contributions received or receivable from employer(s)	2011-12-31	$56,939
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$3,854
2010 : CAPITAL COMMUNITY BANK 401(K) PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$224,784
Expenses. Total of all expenses incurred	2010-12-31	$56,329
Benefits paid (including direct rollovers)	2010-12-31	$50,018
Total plan assets at end of year	2010-12-31	$828,126
Total plan assets at beginning of year	2010-12-31	$659,671
Value of fidelity bond covering the plan	2010-12-31	$60,000
Total contributions received or receivable from participants	2010-12-31	$66,604
Expenses. Other expenses not covered elsewhere	2010-12-31	$2,939
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$94,344
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$168,455
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$828,126
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$659,671
Total contributions received or receivable from employer(s)	2010-12-31	$63,836
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$3,372

Form 5500 Responses for CAPITAL COMMUNITY BANK 401(K) PLAN

2012: CAPITAL COMMUNITY BANK 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CAPITAL COMMUNITY BANK 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: CAPITAL COMMUNITY BANK 401(K) PLAN 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 funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

86122

Policy instance

Insurance contract or identification number	86122
Number of Individuals Covered	35
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $422
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $384
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	NFP SECURITIES, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

86122

Policy instance

Insurance contract or identification number	86122
Number of Individuals Covered	36
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $427
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

86122

Policy instance

Insurance contract or identification number	86122
Number of Individuals Covered	39
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $349
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $349
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	EQUITY SERVICES, INC.

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Company Name:	CAPITAL COMMUNITY BANK
Employer identification number (EIN):	870498008
NAIC Classification:	522110
NAIC Description:	Commercial Banking