HOME STATE BANK EMPLOYEE BENEFIT PLAN
|
2015
|
840397193
|
2016-11-03
|
HOME STATE BANK
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
9706222370
|
Plan sponsor’s mailing address |
2695 W EISENHOWER BLVD, LOVELAND, CO, 805374337
|
Plan sponsor’s
address |
2695 W EISENHOWER BLVD, LOVELAND, CO, 805374337
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-11-03 |
Name of individual signing |
LINDSAY GREENO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-11-03 |
Name of individual signing |
LINDSAY GREENO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME STATE BANK EMPLOYEE BENEFIT PLAN
|
2014
|
840397193
|
2015-10-30
|
HOME STATE BANK
|
122
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
9706222370
|
Plan sponsor’s mailing address |
2695 WEST EISENHOWER DRIVE, LOVELAND, CO, 80537
|
Plan sponsor’s
address |
2695 WEST EISENHOWER DRIVE, LOVELAND, CO, 80537
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-10-30 |
Name of individual signing |
LINDSAY GREENO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-30 |
Name of individual signing |
LINDSAY GREENO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME STATE BANK EMPLOYEE BENEFIT PLAN
|
2013
|
840397193
|
2014-12-05
|
HOME STATE BANK
|
156
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
9702036100
|
Plan sponsor’s mailing address |
2695 WEST EISENHOWER BLVD, LOVELAND, CO, 80537
|
Plan sponsor’s
address |
2695 WEST EISENHOWER BLVD, LOVELAND, CO, 80537
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-12-05 |
Name of individual signing |
LINDSAY GREENO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME STATE BANK EMPLOYEE BENEFIT PLAN
|
2010
|
840397193
|
2011-10-26
|
HOME STATE BANK
|
154
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
9702036100
|
Plan sponsor’s mailing address |
2695 WEST EISENHOWER BLVD, LOVELAND, CO, 80538
|
Plan sponsor’s
address |
2695 WEST EISENHOWER BLVD, LOVELAND, CO, 80538
|
Plan administrator’s name and address
Administrator’s EIN |
840397193 |
Plan administrator’s name |
HOME STATE BANK |
Plan administrator’s
address |
2695 WEST EISENHOWER BLVD, LOVELAND, CO, 80538 |
Administrator’s telephone number |
9702036100 |
Number of participants as of the end of the plan year
Active participants |
153 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-26 |
Name of individual signing |
KERRIE DREHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME STATE BANK EMPLOYEE BENEFIT PLAN
|
2009
|
840397193
|
2010-11-19
|
HOME STATE BANK
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
9702036100
|
Plan sponsor’s mailing address |
2695 WEST EISENHOWER BLVD, LOVELAND, CO, 80537
|
Plan sponsor’s
address |
2695 WEST EISENHOWER BLVD, LOVELAND, CO, 80537
|
Plan administrator’s name and address
Administrator’s EIN |
840397193 |
Plan administrator’s name |
HOME STATE BANK |
Plan administrator’s
address |
2695 WEST EISENHOWER BLVD, LOVELAND, CO, 80537 |
Administrator’s telephone number |
9702036100 |
Number of participants as of the end of the plan year
Active participants |
157 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-11-19 |
Name of individual signing |
KERRIE DREHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-11-16 |
Name of individual signing |
SHARON MANAGO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|