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FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 401k Plan overview

Plan NameFIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS
Plan identification number 001

FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Stock bonus
  • 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.
  • 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).
  • Plan requiring that all or part of employer contributions be invested and held, at least for a limited period, in employer securities.

401k Sponsoring company profile

PREMIER BANK OF ARKANSAS has sponsored the creation of one or more 401k plans.

Company Name:PREMIER BANK OF ARKANSAS
Employer identification number (EIN):710810705
NAIC Classification:522110
NAIC Description:Commercial Banking

Additional information about PREMIER BANK OF ARKANSAS

Jurisdiction of Incorporation: Arkansas Secretary of State
Incorporation Date:
Company Identification Number: 200000804

More information about PREMIER BANK OF ARKANSAS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01BRENDA H. ELDRIDGE
0012016-01-01BRENDA H. ELDRIDGE
0012015-01-01BRENDA H. ELDRIDGE
0012014-01-01BRENDA H. ELDRIDGE BRENDA H. ELDRIDGE2015-06-22
0012013-01-01BRENDA H. ELDRIDGE
0012012-01-01BRENDA H. ELDRIDGE
0012011-01-01BRENDA H. ELDRIDGE
0012009-01-01BRENDA H. ELDRIDGE

Plan Statistics for FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS

401k plan membership statisitcs for FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS

Measure Date Value
2022: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2022 401k membership
Total participants, beginning-of-year2022-01-0149
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-010
Number of participants with account balances2022-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2021 401k membership
Total participants, beginning-of-year2021-01-0150
Total number of active participants reported on line 7a of the Form 55002021-01-0127
Number of retired or separated participants receiving benefits2021-01-018
Number of other retired or separated participants entitled to future benefits2021-01-0113
Total of all active and inactive participants2021-01-0148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0148
Number of participants with account balances2021-01-0137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2020 401k membership
Total participants, beginning-of-year2020-01-0147
Total number of active participants reported on line 7a of the Form 55002020-01-0132
Number of retired or separated participants receiving benefits2020-01-017
Number of other retired or separated participants entitled to future benefits2020-01-0110
Total of all active and inactive participants2020-01-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0149
Number of participants with account balances2020-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2019 401k membership
Total participants, beginning-of-year2019-01-0141
Total number of active participants reported on line 7a of the Form 55002019-01-0125
Number of retired or separated participants receiving benefits2019-01-017
Number of other retired or separated participants entitled to future benefits2019-01-0112
Total of all active and inactive participants2019-01-0144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0144
Number of participants with account balances2019-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2018 401k membership
Total participants, beginning-of-year2018-01-0136
Total number of active participants reported on line 7a of the Form 55002018-01-0121
Number of retired or separated participants receiving benefits2018-01-016
Number of other retired or separated participants entitled to future benefits2018-01-019
Total of all active and inactive participants2018-01-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0136
Number of participants with account balances2018-01-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2017 401k membership
Total participants, beginning-of-year2017-01-0136
Total number of active participants reported on line 7a of the Form 55002017-01-0127
Number of retired or separated participants receiving benefits2017-01-014
Number of other retired or separated participants entitled to future benefits2017-01-015
Total of all active and inactive participants2017-01-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0136
Number of participants with account balances2017-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2016 401k membership
Total participants, beginning-of-year2016-01-0140
Total number of active participants reported on line 7a of the Form 55002016-01-0127
Number of retired or separated participants receiving benefits2016-01-014
Number of other retired or separated participants entitled to future benefits2016-01-015
Total of all active and inactive participants2016-01-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0136
Number of participants with account balances2016-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2015 401k membership
Total participants, beginning-of-year2015-01-0139
Total number of active participants reported on line 7a of the Form 55002015-01-0131
Number of retired or separated participants receiving benefits2015-01-012
Number of other retired or separated participants entitled to future benefits2015-01-016
Total of all active and inactive participants2015-01-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0139
Number of participants with account balances2015-01-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2014 401k membership
Total participants, beginning-of-year2014-01-0140
Total number of active participants reported on line 7a of the Form 55002014-01-0133
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-016
Total of all active and inactive participants2014-01-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0139
Number of participants with account balances2014-01-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2013 401k membership
Total participants, beginning-of-year2013-01-0141
Total number of active participants reported on line 7a of the Form 55002013-01-0135
Number of retired or separated participants receiving benefits2013-01-011
Number of other retired or separated participants entitled to future benefits2013-01-013
Total of all active and inactive participants2013-01-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0139
Number of participants with account balances2013-01-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2012 401k membership
Total participants, beginning-of-year2012-01-0141
Total number of active participants reported on line 7a of the Form 55002012-01-0138
Number of retired or separated participants receiving benefits2012-01-011
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-0141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0141
Number of participants with account balances2012-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2011 401k membership
Total participants, beginning-of-year2011-01-0135
Total number of active participants reported on line 7a of the Form 55002011-01-0138
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-013
Total of all active and inactive participants2011-01-0141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0141
Number of participants with account balances2011-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2009 401k membership
Total participants, beginning-of-year2009-01-0130
Total number of active participants reported on line 7a of the Form 55002009-01-0131
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-013
Total of all active and inactive participants2009-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0134
Number of participants with account balances2009-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS

Measure Date Value
2022 : FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2022 401k financial data
Total plan liabilities at end of year2022-05-31$0
Total plan liabilities at beginning of year2022-05-31$1,127
Total income from all sources2022-05-31$686,388
Expenses. Total of all expenses incurred2022-05-31$3,622,724
Benefits paid (including direct rollovers)2022-05-31$3,622,724
Total plan assets at end of year2022-05-31$0
Total plan assets at beginning of year2022-05-31$2,937,463
Value of fidelity bond covering the plan2022-05-31$2,000,000
Total contributions received or receivable from participants2022-05-31$64,749
Other income received2022-05-31$580,841
Net income (gross income less expenses)2022-05-31$-2,936,336
Net plan assets at end of year (total assets less liabilities)2022-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2022-05-31$2,936,336
Assets. Value of employer securities2022-05-31$0
Total contributions received or receivable from employer(s)2022-05-31$40,798
2021 : FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2021 401k financial data
Total plan liabilities at end of year2021-12-31$1,127
Total plan liabilities at beginning of year2021-12-31$3,009
Total income from all sources2021-12-31$488,712
Expenses. Total of all expenses incurred2021-12-31$92,597
Benefits paid (including direct rollovers)2021-12-31$92,597
Total plan assets at end of year2021-12-31$2,937,463
Total plan assets at beginning of year2021-12-31$2,543,230
Value of fidelity bond covering the plan2021-12-31$2,000,000
Total contributions received or receivable from participants2021-12-31$109,727
Other income received2021-12-31$314,197
Net income (gross income less expenses)2021-12-31$396,115
Net plan assets at end of year (total assets less liabilities)2021-12-31$2,936,336
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$2,540,221
Assets. Value of employer securities2021-12-31$2,819,243
Total contributions received or receivable from employer(s)2021-12-31$64,788
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$51,884
2020 : FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2020 401k financial data
Total plan liabilities at end of year2020-12-31$3,009
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$337,850
Expenses. Total of all expenses incurred2020-12-31$426,355
Benefits paid (including direct rollovers)2020-12-31$426,355
Total plan assets at end of year2020-12-31$2,619,530
Total plan assets at beginning of year2020-12-31$2,705,026
Value of fidelity bond covering the plan2020-12-31$2,000,000
Total contributions received or receivable from participants2020-12-31$100,682
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$175,584
Net income (gross income less expenses)2020-12-31$-88,505
Net plan assets at end of year (total assets less liabilities)2020-12-31$2,616,521
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$2,705,026
Assets. Value of employer securities2020-12-31$2,503,948
Total contributions received or receivable from employer(s)2020-12-31$61,584
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$69,768
2019 : FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2019 401k financial data
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$10,000
Total income from all sources2019-12-31$452,305
Expenses. Total of all expenses incurred2019-12-31$54,081
Benefits paid (including direct rollovers)2019-12-31$54,081
Total plan assets at end of year2019-12-31$2,705,026
Total plan assets at beginning of year2019-12-31$2,316,802
Value of fidelity bond covering the plan2019-12-31$2,000,000
Total contributions received or receivable from participants2019-12-31$61,969
Other income received2019-12-31$353,358
Net income (gross income less expenses)2019-12-31$398,224
Net plan assets at end of year (total assets less liabilities)2019-12-31$2,705,026
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$2,306,802
Assets. Value of employer securities2019-12-31$2,557,752
Total contributions received or receivable from employer(s)2019-12-31$36,978
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$48,416
2018 : FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2018 401k financial data
Total plan liabilities at end of year2018-12-31$10,000
Total plan liabilities at beginning of year2018-12-31$13,974
Total income from all sources2018-12-31$169,456
Expenses. Total of all expenses incurred2018-12-31$223,791
Benefits paid (including direct rollovers)2018-12-31$223,791
Total plan assets at end of year2018-12-31$2,316,802
Total plan assets at beginning of year2018-12-31$2,375,111
Value of fidelity bond covering the plan2018-12-31$2,000,000
Total contributions received or receivable from participants2018-12-31$70,775
Other income received2018-12-31$62,789
Net income (gross income less expenses)2018-12-31$-54,335
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,306,802
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,361,137
Assets. Value of employer securities2018-12-31$2,192,604
Total contributions received or receivable from employer(s)2018-12-31$35,892
2017 : FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2017 401k financial data
Total plan liabilities at end of year2017-12-31$13,974
Total plan liabilities at beginning of year2017-12-31$5,747
Total income from all sources2017-12-31$279,724
Expenses. Total of all expenses incurred2017-12-31$54,414
Benefits paid (including direct rollovers)2017-12-31$54,414
Total plan assets at end of year2017-12-31$2,375,111
Total plan assets at beginning of year2017-12-31$2,141,574
Value of fidelity bond covering the plan2017-12-31$2,000,000
Total contributions received or receivable from participants2017-12-31$67,104
Other income received2017-12-31$173,238
Net income (gross income less expenses)2017-12-31$225,310
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,361,137
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,135,827
Assets. Value of employer securities2017-12-31$2,202,288
Total contributions received or receivable from employer(s)2017-12-31$39,382
2016 : FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2016 401k financial data
Total plan liabilities at end of year2016-12-31$5,747
Total plan liabilities at beginning of year2016-12-31$4,391
Total income from all sources2016-12-31$251,863
Expenses. Total of all expenses incurred2016-12-31$123,210
Benefits paid (including direct rollovers)2016-12-31$123,210
Total plan assets at end of year2016-12-31$2,141,574
Total plan assets at beginning of year2016-12-31$2,011,565
Value of fidelity bond covering the plan2016-12-31$2,000,000
Total contributions received or receivable from participants2016-12-31$57,871
Other income received2016-12-31$156,604
Net income (gross income less expenses)2016-12-31$128,653
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,135,827
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,007,174
Assets. Value of employer securities2016-12-31$2,007,040
Total contributions received or receivable from employer(s)2016-12-31$37,388
2015 : FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2015 401k financial data
Total plan liabilities at end of year2015-12-31$4,391
Total plan liabilities at beginning of year2015-12-31$1,643
Total income from all sources2015-12-31$203,152
Expenses. Total of all expenses incurred2015-12-31$33,693
Benefits paid (including direct rollovers)2015-12-31$33,693
Total plan assets at end of year2015-12-31$2,011,565
Total plan assets at beginning of year2015-12-31$1,839,358
Value of fidelity bond covering the plan2015-12-31$2,000,000
Total contributions received or receivable from participants2015-12-31$71,096
Other income received2015-12-31$85,467
Net income (gross income less expenses)2015-12-31$169,459
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,007,174
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,837,715
Assets. Value of employer securities2015-12-31$1,889,514
Total contributions received or receivable from employer(s)2015-12-31$46,589
2014 : FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2014 401k financial data
Total plan liabilities at end of year2014-12-31$1,643
Total plan liabilities at beginning of year2014-12-31$1,137
Total income from all sources2014-12-31$297,501
Expenses. Total of all expenses incurred2014-12-31$20,433
Benefits paid (including direct rollovers)2014-12-31$20,433
Total plan assets at end of year2014-12-31$1,839,358
Total plan assets at beginning of year2014-12-31$1,561,784
Value of fidelity bond covering the plan2014-12-31$3,000,000
Total contributions received or receivable from participants2014-12-31$73,953
Other income received2014-12-31$175,857
Net income (gross income less expenses)2014-12-31$277,068
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,837,715
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,560,647
Assets. Value of employer securities2014-12-31$1,722,621
Total contributions received or receivable from employer(s)2014-12-31$47,691
2013 : FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2013 401k financial data
Total plan liabilities at end of year2013-12-31$1,137
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$229,458
Expenses. Total of all expenses incurred2013-12-31$0
Total plan assets at end of year2013-12-31$1,561,784
Total plan assets at beginning of year2013-12-31$1,331,189
Value of fidelity bond covering the plan2013-12-31$3,000,000
Total contributions received or receivable from participants2013-12-31$72,960
Contributions received from other sources (not participants or employers)2013-12-31$25,000
Other income received2013-12-31$84,779
Net income (gross income less expenses)2013-12-31$229,458
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,560,647
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,331,189
Assets. Value of employer securities2013-12-31$1,464,210
Total contributions received or receivable from employer(s)2013-12-31$46,719
2012 : FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2012 401k financial data
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$268,186
Expenses. Total of all expenses incurred2012-12-31$2,628
Benefits paid (including direct rollovers)2012-12-31$2,628
Total plan assets at end of year2012-12-31$1,331,189
Total plan assets at beginning of year2012-12-31$1,065,631
Value of fidelity bond covering the plan2012-12-31$3,000,000
Total contributions received or receivable from participants2012-12-31$73,350
Contributions received from other sources (not participants or employers)2012-12-31$10,000
Other income received2012-12-31$140,315
Net income (gross income less expenses)2012-12-31$265,558
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,331,189
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,065,631
Assets. Value of employer securities2012-12-31$1,276,965
Total contributions received or receivable from employer(s)2012-12-31$44,521
2011 : FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2011 401k financial data
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$204
Total income from all sources2011-12-31$257,570
Expenses. Total of all expenses incurred2011-12-31$0
Total plan assets at end of year2011-12-31$1,065,631
Total plan assets at beginning of year2011-12-31$808,265
Value of fidelity bond covering the plan2011-12-31$3,000,000
Total contributions received or receivable from participants2011-12-31$71,407
Other income received2011-12-31$143,652
Net income (gross income less expenses)2011-12-31$257,570
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,065,631
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$808,061
Assets. Value of employer securities2011-12-31$1,039,647
Total contributions received or receivable from employer(s)2011-12-31$42,511
2010 : FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2010 401k financial data
Total plan liabilities at end of year2010-12-31$204
Total plan liabilities at beginning of year2010-12-31$236
Total income from all sources2010-12-31$75,587
Expenses. Total of all expenses incurred2010-12-31$54,103
Benefits paid (including direct rollovers)2010-12-31$54,103
Total plan assets at end of year2010-12-31$808,265
Total plan assets at beginning of year2010-12-31$786,813
Value of fidelity bond covering the plan2010-12-31$3,000,000
Total contributions received or receivable from participants2010-12-31$64,835
Other income received2010-12-31$-25,526
Net income (gross income less expenses)2010-12-31$21,484
Net plan assets at end of year (total assets less liabilities)2010-12-31$808,061
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$786,577
Assets. Value of employer securities2010-12-31$795,872
Total contributions received or receivable from employer(s)2010-12-31$36,278

Form 5500 Responses for FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS

2022: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: FIRST COMMUNITY BANK OF EASTERN ARKANSAS EMPLOYEE STOCK OWNERSHIP PLAN WITH 401K PROVISIONS 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-52-DC25
Policy instance 1
Insurance contract or identification numberGAP-52-DC25
Number of Individuals Covered11
Insurance policy start date2022-01-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $392
Total amount of fees paid to insurance companyUSD $98
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $392
Insurance broker organization code?7
Amount paid for insurance broker fees98
Additional information about fees paid to insurance brokerADMIN FEES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-52-DC25
Policy instance 1
Insurance contract or identification numberGAP-52-DC25
Number of Individuals Covered11
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $735
Total amount of fees paid to insurance companyUSD $184
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $735
Insurance broker organization code?7
Amount paid for insurance broker fees184
Additional information about fees paid to insurance brokerADMIN FEES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-52-DC25
Policy instance 1
Insurance contract or identification numberGAP-52-DC25
Number of Individuals Covered13
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $854
Total amount of fees paid to insurance companyUSD $213
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $854
Insurance broker organization code?7
Amount paid for insurance broker fees213
Additional information about fees paid to insurance brokerADMIN FEES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-52-DC25
Policy instance 1
Insurance contract or identification numberGAP-52-DC25
Number of Individuals Covered12
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $871
Total amount of fees paid to insurance companyUSD $218
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $871
Insurance broker organization code?7
Amount paid for insurance broker fees218
Additional information about fees paid to insurance brokerADMIN FEES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-52-DC25
Policy instance 1
Insurance contract or identification numberGAP-52-DC25
Number of Individuals Covered9
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $926
Total amount of fees paid to insurance companyUSD $232
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $926
Insurance broker organization code?7
Amount paid for insurance broker fees232
Additional information about fees paid to insurance brokerADMIN FEES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-52-DC25
Policy instance 1
Insurance contract or identification numberGAP-52-DC25
Number of Individuals Covered9
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $958
Total amount of fees paid to insurance companyUSD $240
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $958
Insurance broker organization code?7
Amount paid for insurance broker fees240
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker nameBENEFIT RESOURCES, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-52-DC25
Policy instance 1
Insurance contract or identification numberGAP-52-DC25
Number of Individuals Covered8
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $792
Total amount of fees paid to insurance companyUSD $198
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $792
Insurance broker organization code?7
Amount paid for insurance broker fees198
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker nameBENEFIT RESOURCES, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-52-DC25
Policy instance 1
Insurance contract or identification numberGAP-52-DC25
Number of Individuals Covered10
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $708
Total amount of fees paid to insurance companyUSD $177
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $708
Insurance broker organization code?7
Amount paid for insurance broker fees177
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker nameBENEFIT RESOURCES, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-52-DC25
Policy instance 1
Insurance contract or identification numberGAP-52-DC25
Number of Individuals Covered8
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $471
Total amount of fees paid to insurance companyUSD $118
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $471
Insurance broker organization code?7
Amount paid for insurance broker fees118
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker nameBENEFIT RESOURCES, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-52-DC25
Policy instance 1
Insurance contract or identification numberGAP-52-DC25
Number of Individuals Covered8
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $226
Total amount of fees paid to insurance companyUSD $57
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $226
Insurance broker organization code?7
Amount paid for insurance broker fees57
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker nameBENEFIT RESOURCES, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP52DC26
Policy instance 1
Insurance contract or identification numberGAP52DC26
Number of Individuals Covered9
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $114
Total amount of fees paid to insurance companyUSD $28
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP52DC26
Policy instance 1
Insurance contract or identification numberGAP52DC26
Number of Individuals Covered7
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $90
Total amount of fees paid to insurance companyUSD $22
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $90
Insurance broker organization code?7
Amount paid for insurance broker fees22
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker nameBENEFIT RESOURCES, INC.

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