401k Plan data: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE plan

FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 401k Plan overview

Plan Name	FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE
Plan identification number	504

FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Long-term disability cover

401k Sponsoring company profile

FARMERS & MERCHANTS BANK has sponsored the creation of one or more 401k plans.

Company Name: FARMERS & MERCHANTS BANK

Employer identification number (EIN): 560220355

NAIC Classification: 522110
NAIC Description: Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2014-09-01 SUSAN GIESSLER SUSAN GIESSLER 2015-12-22
504 2013-09-01 SUSAN GIESSLER SUSAN GIESSLER 2015-01-21
504 2012-09-01 SUSAN GIESSLER SUSAN GIESSLER 2013-11-29
504 2012-01-01 SUSAN GIESSLER
504 2011-01-01 SUSAN GIESSLER
504 2010-01-01 SUSAN GIESSLER
504 2009-01-01 SUSAN GIESSLER
504 2009-01-01 SUSAN GIESSLER 2010-05-26

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2014-09-01	SUSAN GIESSLER	SUSAN GIESSLER	2015-12-22
504	2013-09-01	SUSAN GIESSLER	SUSAN GIESSLER	2015-01-21
504	2012-09-01	SUSAN GIESSLER	SUSAN GIESSLER	2013-11-29
504	2012-01-01	SUSAN GIESSLER
504	2011-01-01	SUSAN GIESSLER
504	2010-01-01	SUSAN GIESSLER
504	2009-01-01	SUSAN GIESSLER
504	2009-01-01		SUSAN GIESSLER	2010-05-26

Plan Statistics for FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE

401k plan membership statisitcs for FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE

Measure Date Value
2014: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2014 401k membership
Total participants, beginning-of-year 2014-09-01 135
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 128
Number of retired or separated participants receiving benefits 2014-09-01 6
Number of other retired or separated participants entitled to future benefits 2014-09-01 0
Total of all active and inactive participants 2014-09-01 134
Total participants 2014-09-01 134
2013: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2013 401k membership
Total participants, beginning-of-year 2013-09-01 132
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 129
Number of retired or separated participants receiving benefits 2013-09-01 6
Number of other retired or separated participants entitled to future benefits 2013-09-01 0
Total of all active and inactive participants 2013-09-01 135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-09-01 0
Total participants 2013-09-01 135
2012: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2012 401k membership
Total participants, beginning-of-year 2012-09-01 132
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 126
Number of retired or separated participants receiving benefits 2012-09-01 6
Number of other retired or separated participants entitled to future benefits 2012-09-01 0
Total of all active and inactive participants 2012-09-01 132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-09-01 0
Total participants 2012-09-01 132
Total participants, beginning-of-year 2012-01-01 163
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 164
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 2012-01-01 164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 164
2011: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2011 401k membership
Total participants, beginning-of-year 2011-01-01 165
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 163
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 0
Total of all active and inactive participants 2011-01-01 163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 163
2010: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2010 401k membership
Total participants, beginning-of-year 2010-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 165
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 165
2009: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2009 401k membership
Total participants, beginning-of-year 2009-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 171
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 171
Total participants 2009-01-01 171

Measure	Date	Value
2014: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2014 401k membership
Total participants, beginning-of-year	2014-09-01	135
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	128
Number of retired or separated participants receiving benefits	2014-09-01	6
Number of other retired or separated participants entitled to future benefits	2014-09-01	0
Total of all active and inactive participants	2014-09-01	134
Total participants	2014-09-01	134
2013: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2013 401k membership
Total participants, beginning-of-year	2013-09-01	132
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	129
Number of retired or separated participants receiving benefits	2013-09-01	6
Number of other retired or separated participants entitled to future benefits	2013-09-01	0
Total of all active and inactive participants	2013-09-01	135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-09-01	0
Total participants	2013-09-01	135
2012: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2012 401k membership
Total participants, beginning-of-year	2012-09-01	132
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	126
Number of retired or separated participants receiving benefits	2012-09-01	6
Number of other retired or separated participants entitled to future benefits	2012-09-01	0
Total of all active and inactive participants	2012-09-01	132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-09-01	0
Total participants	2012-09-01	132
Total participants, beginning-of-year	2012-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	164
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	164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	164
2011: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2011 401k membership
Total participants, beginning-of-year	2011-01-01	165
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	163
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	0
Total of all active and inactive participants	2011-01-01	163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	163
2010: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2010 401k membership
Total participants, beginning-of-year	2010-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	165
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	165
2009: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2009 401k membership
Total participants, beginning-of-year	2009-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	171
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	171
Total participants	2009-01-01	171

Form 5500 Responses for FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE

2014: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Submission has been amended	No
2014-09-01	This submission is the final filing	No
2014-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-09-01	Plan is a collectively bargained plan	No
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes
2013: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Submission has been amended	No
2013-09-01	This submission is the final filing	No
2013-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-09-01	Plan is a collectively bargained plan	No
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2012: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	First time form 5500 has been submitted	Yes
2012-09-01	Submission has been amended	No
2012-09-01	This submission is the final filing	No
2012-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-09-01	Plan is a collectively bargained plan	No
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
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)	Yes
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
2011: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
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 benefit arrangement – Insurance	Yes
2010: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
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: FARMERS & MERCHANTS BANK GROUP LIFE INSURANCE 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Submission has been amended	Yes
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

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Company Name:	FARMERS & MERCHANTS BANK
Employer identification number (EIN):	560220355
NAIC Classification:	522110
NAIC Description:	Commercial Banking