DOL Form 5500 · JSON-LD · Markdown

FIRST STATE BANK WELFARE BENEFIT PLAN

Sponsored by FIRST STATE BANK · EIN 361465165 · IL

Participants
212
Active
203
Retired/sep receiving
2

Welfare benefits

4A4B4D4E4H4L4F 4A4B4D4E4H4L4F

Sponsor + Administrator

SponsorFIRST STATE BANK
Sponsor EIN361465165
Address706 WASHINGTON STREET, MENDOTA, IL, 61342
Phone8155382265
Business code (NAICS)522110
Plan number501
Plan effective2011-01-01
Filed for year2024
FundingInsurance contracts

External sources

Source: DOL EBSA Form 5500 disclosure. Public domain.