Original filing (PDF)20230902170251NAL0010215857001

FIRST STATE BANCORP INC

Name: FIRST STATE BANCORP INC — FIRST STATE BANCORP INC MEDOVA LIFESTYLE HEALTH PLAN, Form 5500 (2022)
Creator: FIRST STATE BANCORP INC

Form 5500-SF

FILING_RECEIVED

FIRST STATE BANCORP INC MEDOVA LIFESTYLE HEALTH PLAN

Health & welfare plan

Active participants

Accounts w/ balance

—

Plan assets (EOY)

Net assets (EOY)

Plan health score (directional)

—

/ 100

Limited data

Limited public data — directional only

Directional indicator from public Form 5500 data — compliance & integrity, total plan cost, participant health and vendor stack, benchmarked against same-size peers. Not a fiduciary tool. Based on 35% of scoring inputs for this filing.

Compliance & integrity

100

Total plan cost

n/a

Plan health

n/a

Vendor & structure

n/a

Decision-maker contacts

CFO / Head of HR / Benefits Manager — verified email + LinkedIn for FIRST STATE BANCORP INC.

Plan sponsor

Name

FIRST STATE BANCORP INC

EIN

43-1281074

Address

100 W 3RD ST · CARUTHERSVILLE, MO · 638301356

Phone

(573) 333-1700

Industry

Commercial Banking· Finance & Insurancesee all

Plan administrator

Name

RECEIVERSHIP MANAGEMENT INC

EIN

20-0200514

City

MADISON, TN

Phone

(615) 370-0051

Plan characteristics

Plan number

501

Plan year

2022

Plan year begin

2022-01-01

Tax period

2022-12-31

Filed

2023-09-02

Welfare benefit codes

4A · Health (other than dental or vision)

Audit & trust (Schedule H)

Auditor

—

Trustee / custodian

—

Trustee phone

—

Small plan (5500-SF) — Schedule H data not available.

Service providers (Schedule C)

Small plans don't disclose service providers

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