2023 Form 5500 filing — First State Bank Employee Benefit Plan
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20240722110019NAL0022574178001) for First State Bank Employee Benefit Plan, reported by First State Bank under EIN 75-0270410 and plan number 503. It reports 263 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240722110019NAL0022574178001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- First State Bank
- EIN
- 75-0270410
- Plan number
- 503
- Location
- Gainesville, TX
- Participants
- 263
- Schedules available
- Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Umr, Inc. | CLAIMS PROCESSING | $258,204 | $10,657 |
| Acrisure LLC | BROKER | $71,250 | not reported in the loaded dataset |
| Grizzaffi Benefit Management | BROKER | $23,750 | not reported in the loaded dataset |
| Prudential Insurance Company Of Ame | SERVICE PROVIDER | $8,650 | not reported in the loaded dataset |