FIRST STATE BANK EMPLOYEE BENEFITS PLAN
|
2023
|
650741232
|
2025-01-28
|
FIRST STATE BANK OF THE FLORIDA KEYS
|
165
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-07-01
|
Business code |
522110
|
Sponsor’s telephone number |
3052937145
|
Plan sponsor’s mailing address |
3406 N ROOSEVELT BLVD, KEY WEST, FL, 330404266
|
Plan sponsor’s
address |
3406 N ROOSEVELT BLVD, KEY WEST, FL, 330404266
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2025-01-28 |
Name of individual signing |
TARA DENNY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST STATE BANK EMPLOYEE BENEFITS PLAN
|
2022
|
650741232
|
2024-01-26
|
FIRST STATE BANK OF THE FLORIDA KEYS
|
150
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-07-01
|
Business code |
522110
|
Sponsor’s telephone number |
3052937145
|
Plan sponsor’s mailing address |
3406 N ROOSEVELT BLVD, KEY WEST, FL, 330404266
|
Plan sponsor’s
address |
3406 N ROOSEVELT BLVD, KEY WEST, FL, 330404266
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-01-26 |
Name of individual signing |
TARA DENNY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-01-26 |
Name of individual signing |
TARA DENNY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST STATE BANK EMPLOYEE BENEFITS PLAN
|
2021
|
650741232
|
2023-01-26
|
FIRST STATE BANK OF THE FLORIDA KEYS
|
188
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-07-01
|
Business code |
522110
|
Sponsor’s telephone number |
3052937145
|
Plan sponsor’s mailing address |
1201 SIMONTON ST, KEY WEST, FL, 330403111
|
Plan sponsor’s
address |
1201 SIMONTON ST, KEY WEST, FL, 330403111
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-01-26 |
Name of individual signing |
TARA DENNY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-01-26 |
Name of individual signing |
TARA DENNY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST STATE BANK EMPLOYEE BENEFITS PLAN
|
2020
|
650741232
|
2022-01-31
|
FIRST STATE BANK OF THE FLORIDA KEYS
|
180
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-07-01
|
Business code |
522110
|
Sponsor’s telephone number |
3052937145
|
Plan sponsor’s mailing address |
1201 SIMONTON ST, KEY WEST, FL, 330403111
|
Plan sponsor’s
address |
1201 SIMONTON ST, KEY WEST, FL, 330403111
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-01-31 |
Name of individual signing |
TARA DENNY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST STATE BANK EMPLOYEE BENEFITS PLAN
|
2019
|
650741232
|
2021-01-26
|
FIRST STATE BANK OF THE FLORIDA KEYS
|
148
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-07-01
|
Business code |
522110
|
Sponsor’s telephone number |
3052937145
|
Plan sponsor’s mailing address |
1201 SIMONTON ST, KEY WEST, FL, 330403111
|
Plan sponsor’s
address |
1201 SIMONTON ST, KEY WEST, FL, 330403111
|
Number of participants as of the end of the plan year
Active participants |
180 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-01-26 |
Name of individual signing |
TARA DENNY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-01-26 |
Name of individual signing |
TARA DENNY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST STATE BANK EMPLOYEE BENEFITS PLAN
|
2018
|
650741232
|
2020-01-28
|
FIRST STATE BANK OF THE FLORIDA KEYS
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-07-01
|
Business code |
522110
|
Sponsor’s telephone number |
3052937145
|
Plan sponsor’s mailing address |
1201 SIMONTON ST, KEY WEST, FL, 330403111
|
Plan sponsor’s
address |
1201 SIMONTON ST, KEY WEST, FL, 330403111
|
Number of participants as of the end of the plan year
Active participants |
148 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-01-28 |
Name of individual signing |
TARA DENNY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST STATE BANK EMPLOYEE BENEFITS PLAN
|
2017
|
650741232
|
2018-11-09
|
FIRST STATE BANK OF THE FLORIDA KEYS
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-07-01
|
Business code |
522110
|
Sponsor’s telephone number |
3052937145
|
Plan sponsor’s mailing address |
1201 SIMONTON ST, KEY WEST, FL, 330403111
|
Plan sponsor’s
address |
1201 SIMONTON ST, KEY WEST, FL, 330403111
|
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-11-09 |
Name of individual signing |
TARA DENNY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-11-09 |
Name of individual signing |
TARA DENNY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|