401k Plan data: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN plan

FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 401k Plan overview

Plan Name	FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN
Plan identification number	001

FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	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).

401k Sponsoring company profile

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

Company Name: FIRST STATE BANK

Employer identification number (EIN): 640156725

NAIC Classification: 525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 KRISTY DAVIS
001 2011-01-01 KRISTY DAVIS
001 2009-01-01 KRISTY DAVIS

Plan Statistics for FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN

401k plan membership statisitcs for FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN

Measure Date Value
2015: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 114
Total of all active and inactive participants 2014-01-01 114
Total participants 2014-01-01 114
Number of participants with account balances 2014-01-01 114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 130
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 113
Number of other retired or separated participants entitled to future benefits 2013-01-01 13
Total of all active and inactive participants 2013-01-01 126
Total participants 2013-01-01 126
Number of participants with account balances 2013-01-01 126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 10
2012: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 123
Number of other retired or separated participants entitled to future benefits 2012-01-01 7
Total of all active and inactive participants 2012-01-01 130
Total participants 2012-01-01 130
Number of participants with account balances 2012-01-01 130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 118
Number of other retired or separated participants entitled to future benefits 2011-01-01 6
Total of all active and inactive participants 2011-01-01 124
Total participants 2011-01-01 124
Number of participants with account balances 2011-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 3
2009: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 116
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 110
Number of other retired or separated participants entitled to future benefits 2009-01-01 6
Total of all active and inactive participants 2009-01-01 116
Total participants 2009-01-01 116
Number of participants with account balances 2009-01-01 116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 4

Measure	Date	Value
2015: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	114
Total of all active and inactive participants	2014-01-01	114
Total participants	2014-01-01	114
Number of participants with account balances	2014-01-01	114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	130
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	113
Number of other retired or separated participants entitled to future benefits	2013-01-01	13
Total of all active and inactive participants	2013-01-01	126
Total participants	2013-01-01	126
Number of participants with account balances	2013-01-01	126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	10
2012: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	123
Number of other retired or separated participants entitled to future benefits	2012-01-01	7
Total of all active and inactive participants	2012-01-01	130
Total participants	2012-01-01	130
Number of participants with account balances	2012-01-01	130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	118
Number of other retired or separated participants entitled to future benefits	2011-01-01	6
Total of all active and inactive participants	2011-01-01	124
Total participants	2011-01-01	124
Number of participants with account balances	2011-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	3
2009: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	116
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	110
Number of other retired or separated participants entitled to future benefits	2009-01-01	6
Total of all active and inactive participants	2009-01-01	116
Total participants	2009-01-01	116
Number of participants with account balances	2009-01-01	116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	4

Financial Data on FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN

Measure	Date	Value
2015 : FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-10-22	$117,772
Total unrealized appreciation/depreciation of assets	2015-10-22	$117,772
Total income from all sources (including contributions)	2015-10-22	$180,194
Total loss/gain on sale of assets	2015-10-22	$21,156
Total of all expenses incurred	2015-10-22	$4,036,376
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-10-22	$4,022,976
Value of total assets at end of year	2015-10-22	$0
Value of total assets at beginning of year	2015-10-22	$3,856,182
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-10-22	$13,400
Total interest from all sources	2015-10-22	$15,595
Total dividends received (eg from common stock, registered investment company shares)	2015-10-22	$25,671
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-10-22	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-10-22	$0
Was this plan covered by a fidelity bond	2015-10-22	Yes
Value of fidelity bond cover	2015-10-22	$5,000,000
If this is an individual account plan, was there a blackout period	2015-10-22	No
Were there any nonexempt tranactions with any party-in-interest	2015-10-22	No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-10-22	$68,940
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-10-22	No
Value of net income/loss	2015-10-22	$-3,856,182
Value of net assets at end of year (total assets less liabilities)	2015-10-22	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-10-22	$3,856,182
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-10-22	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-10-22	No
Were any leases to which the plan was party in default or uncollectible	2015-10-22	No
Investment advisory and management fees	2015-10-22	$13,400
Income. Interest from US Government securities	2015-10-22	$15,324
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-10-22	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-10-22	$129,511
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-10-22	$129,511
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-10-22	$271
Asset value of US Government securities at end of year	2015-10-22	$0
Asset value of US Government securities at beginning of year	2015-10-22	$410,430
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-10-22	No
Was there a failure to transmit to the plan any participant contributions	2015-10-22	No
Has the plan failed to provide any benefit when due under the plan	2015-10-22	No
Assets. Invements in employer securities at end of year	2015-10-22	$0
Assets. Invements in employer securities at beginning of year	2015-10-22	$1,696,690
Income. Dividends from common stock	2015-10-22	$25,671
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-10-22	$4,022,976
Asset. Corporate debt instrument debt (other) at end of year	2015-10-22	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2015-10-22	$345,101
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-10-22	No
Assets. Corporate common stocks other than exployer securities at end of year	2015-10-22	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-10-22	$1,205,510
Did the plan have assets held for investment	2015-10-22	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-10-22	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-10-22	Yes
Aggregate proceeds on sale of assets	2015-10-22	$2,410,966
Aggregate carrying amount (costs) on sale of assets	2015-10-22	$2,389,810
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-10-22	No
Opinion of an independent qualified public accountant for this plan	2015-10-22	Unqualified
Accountancy firm name	2015-10-22	SILAS SIMMONS, LLP
Accountancy firm EIN	2015-10-22	640319291
2014 : FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$74,202
Total unrealized appreciation/depreciation of assets	2014-12-31	$74,202
Total income from all sources (including contributions)	2014-12-31	$474,482
Total loss/gain on sale of assets	2014-12-31	$272,351
Total of all expenses incurred	2014-12-31	$544,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$521,633
Value of total assets at end of year	2014-12-31	$3,856,182
Value of total assets at beginning of year	2014-12-31	$3,926,506
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$23,173
Total interest from all sources	2014-12-31	$25,378
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$102,551
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-12-31	$0
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$68,940
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$72,576
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-70,324
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,856,182
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,926,506
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$23,173
Income. Interest from US Government securities	2014-12-31	$10,637
Income. Interest from corporate debt instruments	2014-12-31	$14,590
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$129,511
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$255,760
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$255,760
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$151
Asset value of US Government securities at end of year	2014-12-31	$410,430
Asset value of US Government securities at beginning of year	2014-12-31	$394,112
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Assets. Invements in employer securities at end of year	2014-12-31	$1,696,690
Assets. Invements in employer securities at beginning of year	2014-12-31	$1,608,768
Income. Dividends from common stock	2014-12-31	$102,551
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$521,633
Asset. Corporate debt instrument debt (other) at end of year	2014-12-31	$345,101
Asset. Corporate debt instrument debt (other) at beginning of year	2014-12-31	$334,963
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$1,205,510
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-12-31	$1,260,327
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Aggregate proceeds on sale of assets	2014-12-31	$1,213,185
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$940,834
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	SILAS SIMMONS, LLP
Accountancy firm EIN	2014-12-31	640319291
2013 : FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$-110,052
Total unrealized appreciation/depreciation of assets	2013-12-31	$-110,052
Total income from all sources (including contributions)	2013-12-31	$703,072
Total loss/gain on sale of assets	2013-12-31	$540,898
Total of all expenses incurred	2013-12-31	$1,056,093
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,033,346
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$140,000
Value of total assets at end of year	2013-12-31	$3,926,506
Value of total assets at beginning of year	2013-12-31	$4,279,527
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$22,747
Total interest from all sources	2013-12-31	$24,836
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$107,390
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$72,576
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-353,021
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,926,506
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,279,527
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$22,747
Income. Interest from US Government securities	2013-12-31	$10,809
Income. Interest from corporate debt instruments	2013-12-31	$13,834
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$255,760
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$182,433
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$182,433
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$193
Asset value of US Government securities at end of year	2013-12-31	$394,112
Asset value of US Government securities at beginning of year	2013-12-31	$455,215
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Assets. Invements in employer securities at end of year	2013-12-31	$1,608,768
Assets. Invements in employer securities at beginning of year	2013-12-31	$1,898,365
Contributions received in cash from employer	2013-12-31	$140,000
Employer contributions (assets) at beginning of year	2013-12-31	$135,000
Income. Dividends from common stock	2013-12-31	$107,390
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,033,346
Asset. Corporate debt instrument debt (other) at end of year	2013-12-31	$334,963
Asset. Corporate debt instrument debt (other) at beginning of year	2013-12-31	$367,734
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2013-12-31	$1,260,327
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$1,240,780
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Aggregate proceeds on sale of assets	2013-12-31	$1,237,647
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$696,749
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	SILAS SIMMONS, LLP
Accountancy firm EIN	2013-12-31	640319291
2012 : FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$86,206
Total unrealized appreciation/depreciation of assets	2012-12-31	$86,206
Total income from all sources (including contributions)	2012-12-31	$497,641
Total loss/gain on sale of assets	2012-12-31	$113,708
Total of all expenses incurred	2012-12-31	$210,079
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$187,239
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$135,000
Value of total assets at end of year	2012-12-31	$4,279,527
Value of total assets at beginning of year	2012-12-31	$3,991,965
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$22,840
Total interest from all sources	2012-12-31	$26,349
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$136,378
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$94,944
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$287,562
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,279,527
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,991,965
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$22,840
Income. Interest from US Government securities	2012-12-31	$13,430
Income. Interest from corporate debt instruments	2012-12-31	$12,756
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$182,433
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$178,327
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$178,327
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$163
Asset value of US Government securities at end of year	2012-12-31	$455,215
Asset value of US Government securities at beginning of year	2012-12-31	$460,516
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Assets. Invements in employer securities at end of year	2012-12-31	$1,898,365
Assets. Invements in employer securities at beginning of year	2012-12-31	$1,917,355
Contributions received in cash from employer	2012-12-31	$135,000
Employer contributions (assets) at end of year	2012-12-31	$135,000
Income. Dividends from common stock	2012-12-31	$136,378
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$187,239
Asset. Corporate debt instrument debt (other) at end of year	2012-12-31	$367,734
Asset. Corporate debt instrument debt (other) at beginning of year	2012-12-31	$299,507
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$1,240,780
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$1,041,316
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$991,235
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$877,527
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	SILAS SIMMONS, LLP
Accountancy firm EIN	2012-12-31	640319291
2011 : FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$97,364
Total unrealized appreciation/depreciation of assets	2011-12-31	$97,364
Total income from all sources (including contributions)	2011-12-31	$460,333
Total loss/gain on sale of assets	2011-12-31	$69,021
Total of all expenses incurred	2011-12-31	$284,836
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$263,788
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$130,000
Value of total assets at end of year	2011-12-31	$3,991,965
Value of total assets at beginning of year	2011-12-31	$3,816,468
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$21,048
Total interest from all sources	2011-12-31	$26,115
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$137,833
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$94,944
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$94,518
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$175,497
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,991,965
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,816,468
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$21,048
Income. Interest from US Government securities	2011-12-31	$13,889
Income. Interest from corporate debt instruments	2011-12-31	$11,662
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$178,327
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$193,617
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$193,617
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$564
Asset value of US Government securities at end of year	2011-12-31	$460,516
Asset value of US Government securities at beginning of year	2011-12-31	$377,297
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Assets. Invements in employer securities at end of year	2011-12-31	$1,917,355
Assets. Invements in employer securities at beginning of year	2011-12-31	$1,809,335
Contributions received in cash from employer	2011-12-31	$130,000
Income. Dividends from common stock	2011-12-31	$137,833
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$263,788
Asset. Corporate debt instrument debt (other) at end of year	2011-12-31	$299,507
Asset. Corporate debt instrument debt (other) at beginning of year	2011-12-31	$253,414
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$1,041,316
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$1,088,287
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$540,487
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$471,466
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	SILAS SIMMONS, LLP
Accountancy firm EIN	2011-12-31	640319291
2010 : FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$57,685
Total unrealized appreciation/depreciation of assets	2010-12-31	$57,685
Total income from all sources (including contributions)	2010-12-31	$392,163
Total loss/gain on sale of assets	2010-12-31	$53,261
Total of all expenses incurred	2010-12-31	$126,597
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$108,074
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$125,000
Value of total assets at end of year	2010-12-31	$3,816,468
Value of total assets at beginning of year	2010-12-31	$3,550,902
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$18,523
Total interest from all sources	2010-12-31	$23,883
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$132,334
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$94,518
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$97,142
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$265,566
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,816,468
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,550,902
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$18,523
Income. Interest from US Government securities	2010-12-31	$13,116
Income. Interest from corporate debt instruments	2010-12-31	$9,835
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$193,617
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$180,841
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$180,841
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$932
Asset value of US Government securities at end of year	2010-12-31	$377,297
Asset value of US Government securities at beginning of year	2010-12-31	$343,256
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Assets. Invements in employer securities at end of year	2010-12-31	$1,809,335
Assets. Invements in employer securities at beginning of year	2010-12-31	$1,859,585
Contributions received in cash from employer	2010-12-31	$125,000
Income. Dividends from common stock	2010-12-31	$132,334
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$108,074
Asset. Corporate debt instrument debt (other) at end of year	2010-12-31	$253,414
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$195,344
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$1,088,287
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$874,734
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$521,585
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$468,324
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	SILAS SIMMONS, LLP
Accountancy firm EIN	2010-12-31	640319291

Form 5500 Responses for FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN

2015: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: FIRST STATE BANK EMPLOYEE STOCK OWNERSHIP STOCK BONUS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	FIRST STATE BANK
Employer identification number (EIN):	640156725
NAIC Classification:	525100
NAIC Description:	Insurance and Employee Benefit Funds