D.L. EVANS BANK
|
2021
|
820117415
|
2022-08-11
|
D.L. EVANS BANK
|
399
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
2086789186
|
Plan sponsor’s mailing address |
375 N OVERLAND AVENUE, BURLEY, ID, 83318
|
Plan sponsor’s
address |
375 N OVERLAND AVENUE, BURLEY, ID, 83318
|
Number of participants as of the end of the plan year
Active participants |
409 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-11 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
D.L. EVANS BANK
|
2020
|
820117415
|
2021-09-28
|
D.L. EVANS BANK
|
398
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
2086789186
|
Plan sponsor’s mailing address |
375 N OVERLAND AVE, BURLEY, ID, 83318
|
Plan sponsor’s
address |
375 N OVERLAND AVE, BURLEY, ID, 83318
|
Number of participants as of the end of the plan year
Active participants |
401 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-09-28 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-28 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
D.L. EVANS BANK
|
2019
|
820117415
|
2020-10-05
|
D.L. EVANS BANK
|
368
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
2086789186
|
Plan sponsor’s mailing address |
375 N OVERLAND AVE, BURLEY, ID, 83318
|
Plan sponsor’s
address |
375 N OVERLAND AVE, BURLEY, ID, 83318
|
Number of participants as of the end of the plan year
Active participants |
399 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-10-05 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-05 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
D.L. EVANS BANK
|
2018
|
820117415
|
2020-10-05
|
D.L. EVANS BANK
|
346
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
2086789186
|
Plan sponsor’s mailing address |
375 N OVERLAND AVE, BURLEY, ID, 833183432
|
Plan sponsor’s
address |
375 N OVERLAND AVE, BURLEY, ID, 833183432
|
Number of participants as of the end of the plan year
Active participants |
359 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2020-10-05 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-05 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
D.L. EVANS BANK
|
2018
|
820117415
|
2019-07-31
|
D.L. EVANS BANK
|
346
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
2086789186
|
Plan sponsor’s mailing address |
375 N OVERLAND AVE, BURLEY, ID, 833183432
|
Plan sponsor’s
address |
375 N OVERLAND AVE, BURLEY, ID, 833183432
|
Number of participants as of the end of the plan year
Active participants |
359 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-30 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
D.L. EVANS BANK
|
2017
|
820117415
|
2018-08-13
|
D.L. EVANS BANK
|
313
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
2086789186
|
Plan sponsor’s mailing address |
375 N OVERLAND AVE, BURLEY, ID, 833183432
|
Plan sponsor’s
address |
375 N OVERLAND AVE, BURLEY, ID, 833183432
|
Number of participants as of the end of the plan year
Active participants |
334 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-08-13 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-08-13 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
D.L. EVANS BANK
|
2016
|
820117415
|
2017-07-27
|
D.L. EVANS BANK
|
295
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
2086789186
|
Plan sponsor’s mailing address |
375 N OVERLAND AVENUE, BURLEY, ID, 83318
|
Plan sponsor’s
address |
375 N OVERLAND AVENUE, BURLEY, ID, 83318
|
Number of participants as of the end of the plan year
Active participants |
307 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-27 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
D.L. EVANS BANK
|
2015
|
820117415
|
2016-07-29
|
D.L. EVANS BANK
|
280
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
2086789186
|
Plan sponsor’s mailing address |
375 N OVERLAND AVE, BURLEY, ID, 833183432
|
Plan sponsor’s
address |
375 N OVERLAND AVE, BURLEY, ID, 833183432
|
Number of participants as of the end of the plan year
Active participants |
290 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-29 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
D.L. EVANS BANK FLEXIBLE SPENDING ACCOUNT PLAN
|
2014
|
820117415
|
2015-07-31
|
D.L. EVANS BANK
|
121
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2005-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
2086789186
|
Plan sponsor’s mailing address |
P.O. BOX 1188, BURLEY, ID, 83318
|
Plan sponsor’s
address |
375 N. OVERLAND, BURLEY, ID, 83318
|
Plan administrator’s name and address
Administrator’s EIN |
204653826 |
Plan administrator’s name |
BENEFIT MANAGERS COMPANY |
Plan administrator’s
address |
PO BOX 190840, BOISE, ID, 83719 |
Administrator’s telephone number |
2083226456 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
WARREN HYSELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
D.L. EVANS BANK
|
2014
|
820117415
|
2015-07-30
|
D.L. EVANS BANK
|
244
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-06-01
|
Business code |
522110
|
Sponsor’s telephone number |
2086789186
|
Plan sponsor’s mailing address |
375 NORTH OVERLAND AVENUE, BURLEY, ID, 83318
|
Plan sponsor’s
address |
375 NORTH OVERLAND AVENUE, BURLEY, ID, 83318
|
Number of participants as of the end of the plan year
Active participants |
281 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-30 |
Name of individual signing |
BRENDA SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|