401k Plan data: MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT plan

MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT 401k Plan overview

Plan Name	MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT
Plan identification number	503

MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

MOUNTAINONE FINANCIAL PARTNERS, INC. has sponsored the creation of one or more 401k plans.

Company Name: MOUNTAINONE FINANCIAL PARTNERS, INC.

Employer identification number (EIN): 352166746

NAIC Classification: 522120
NAIC Description: Savings Institutions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2017-01-01 BETH PETROPULOS
503 2016-01-01 BETH PETROPULOS
503 2015-01-01 BETH PETROPULOS

Plan id#	Filing Submission Date	Name of Administrator
503	2017-01-01	BETH PETROPULOS
503	2016-01-01	BETH PETROPULOS
503	2015-01-01	BETH PETROPULOS

Plan Statistics for MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT

401k plan membership statisitcs for MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT

Measure Date Value
2017: MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT 2017 401k membership
Total participants, beginning-of-year 2017-01-01 151
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 139
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 139
Total participants 2017-01-01 139
2016: MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT 2016 401k membership
Total participants, beginning-of-year 2016-01-01 160
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 160
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 160
Total participants 2016-01-01 160
2015: MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT 2015 401k membership
Total participants, beginning-of-year 2015-01-01 139
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 142
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 142
Total participants 2015-01-01 142

Measure	Date	Value
2017: MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT 2017 401k membership
Total participants, beginning-of-year	2017-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	139
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	139
Total participants	2017-01-01	139
2016: MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT 2016 401k membership
Total participants, beginning-of-year	2016-01-01	160
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	160
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	160
Total participants	2016-01-01	160
2015: MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT 2015 401k membership
Total participants, beginning-of-year	2015-01-01	139
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	142
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	142
Total participants	2015-01-01	142

Form 5500 Responses for MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT

2017: MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: MOUNTAINONE FINANCIAL PARTNERS, INC. HEALTH REIMBURSEMENT ACCOUNT 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	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	MOUNTAINONE FINANCIAL PARTNERS, INC.
Employer identification number (EIN):	352166746
NAIC Classification:	522120
NAIC Description:	Savings Institutions