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| Plan Name | BANK INDEPENDENT LIFE/ADD |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BANK INDEPENDENT |
| Employer identification number (EIN): | 630260591 |
| NAIC Classification: | 522110 |
| NAIC Description: | Commercial Banking |
Additional information about BANK INDEPENDENT
| Jurisdiction of Incorporation: | Alabama Secretary of State |
| Incorporation Date: | 1982-12-01 |
| Company Identification Number: | 089-663 |
| Legal Registered Office Address: |
304 EAST DR HICKS BLVD FLORENCE, United States of America (USA) 35630 |
More information about BANK INDEPENDENT
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2012-08-01 | CAROL UNDERWOOD | CAROL UNDERWOOD | 2016-11-09 |
| Measure | Date | Value |
|---|---|---|
| 2012: BANK INDEPENDENT LIFE/ADD 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-08-01 | 388 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-08-01 | 402 |
| Total of all active and inactive participants | 2012-08-01 | 402 |
| Total participants | 2012-08-01 | 402 |
| 2012: BANK INDEPENDENT LIFE/ADD 2012 form 5500 responses | ||
|---|---|---|
| 2012-08-01 | Type of plan entity | Single employer plan |
| 2012-08-01 | Submission has been amended | No |
| 2012-08-01 | This submission is the final filing | No |
| 2012-08-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2012-08-01 | Plan is a collectively bargained plan | No |
| 2012-08-01 | Plan funding arrangement – Insurance | Yes |
| 2012-08-01 | Plan benefit arrangement – Insurance | Yes |
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