FIRST UNITED SECURITY BANK LIFE AND LTD PLAN
|
2012
|
630318800
|
2013-07-15
|
FIRST UNITED SECURITY BANK
|
271
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2008-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3346365424
|
Plan sponsor’s mailing address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Plan sponsor’s
address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Plan administrator’s name and address
Administrator’s EIN |
630318800 |
Plan administrator’s name |
FIRST UNITED SECURITY BANK |
Plan administrator’s
address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784 |
Administrator’s telephone number |
3346365424 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
DAVID SAYLORS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST UNITED SECURITY BANK DENTAL PLAN
|
2012
|
630318800
|
2013-07-15
|
FIRST UNITED SECURITY BANK
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1996-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3346365424
|
Plan sponsor’s mailing address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Plan sponsor’s
address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Number of participants as of the end of the plan year
Active participants |
100 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
DAVID SAYLORS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST UNITED SECURITY BANK DENTAL PLAN
|
2012
|
630318800
|
2013-07-15
|
FIRST UNITED SECURITY BANK
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1996-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3346365424
|
Plan sponsor’s mailing address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Plan sponsor’s
address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Number of participants as of the end of the plan year
Active participants |
100 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
DAVID SAYLORS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST UNITED SECURITY BANK DENTAL PLAN
|
2012
|
630318800
|
2013-07-15
|
FIRST UNITED SECURITY BANK
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1996-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3346365424
|
Plan sponsor’s mailing address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Plan sponsor’s
address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Number of participants as of the end of the plan year
Active participants |
146 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
DAVID SAYLORS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST UNITED SECURITY BANK DENTAL PLAN
|
2012
|
630318800
|
2013-07-15
|
FIRST UNITED SECURITY BANK
|
146
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1996-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3346365424
|
Plan sponsor’s mailing address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Plan sponsor’s
address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Number of participants as of the end of the plan year
Active participants |
144 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
DAVID SAYLORS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST UNITED SECURITY BANK DENTAL PLAN
|
2012
|
630318800
|
2013-07-15
|
FIRST UNITED SECURITY BANK
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1996-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3346365424
|
Plan sponsor’s mailing address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Plan sponsor’s
address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Number of participants as of the end of the plan year
Active participants |
159 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
DAVID SAYLORS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST UNITED SECURITY BANK HEALTH PLAN
|
2012
|
630318800
|
2013-07-15
|
FIRST UNITED SECURITY BANK
|
169
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1996-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3346365424
|
Plan sponsor’s mailing address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Plan sponsor’s
address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Number of participants as of the end of the plan year
Active participants |
178 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
DAVID SAYLORS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST UNITED SECURITY BANK HEALTH PLAN
|
2012
|
630318800
|
2013-07-15
|
FIRST UNITED SECURITY BANK
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1996-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3346365424
|
Plan sponsor’s mailing address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Plan sponsor’s
address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Number of participants as of the end of the plan year
Active participants |
172 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
DAVID SAYLORS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST UNITED SECURITY BANK DENTAL PLAN
|
2012
|
630318800
|
2013-07-15
|
FIRST UNITED SECURITY BANK
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1996-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3346365424
|
Plan sponsor’s mailing address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Plan sponsor’s
address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Number of participants as of the end of the plan year
Active participants |
100 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
DAVID SAYLORS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST UNITED SECURITY BANK DENTAL PLAN
|
2012
|
630318800
|
2013-07-15
|
FIRST UNITED SECURITY BANK
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1996-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3346365424
|
Plan sponsor’s mailing address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Plan sponsor’s
address |
131 WEST FRONT STREET, THOMASVILLE, AL, 36784
|
Number of participants as of the end of the plan year
Active participants |
100 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
DAVID SAYLORS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|