Fidelity bond in place
Yes
Filing
First Capital Bank 401(K) Profit Sharing Plan
FIRST SOURCE BANK • EIN 30-0095698 • Plan year 2006
Filing Insights
Participants
Up16 → 20
4 • 25.00%
Assets
Up$71,596 → $174,442
$102,846 • 143.65%
Investment Management Fee
-
Admin expenses - • Total expenses $6,091
Filing Details
Context- Net investment result
- $102,846
- Pension payor EIN
- 31-0397080
Status Flags
Limited-scope audit performed
Not reported
Contributions transmitted on time
Not reported
Participant loans in default
No
Leases in default
No
Reportable party-in-interest issues
Not reported
Loss discovered during year
No
Assets with undetermined value
No
Non-cash contributions
No
Assets held for investment
Not reported
5% transactions reported
Not reported
All plan assets distributed
No
Benefits paid when due
Not reported
Plan blackout period
Not reported
Plan termination resolution adopted
No
Counterparties
Company Timeline
This filing is highlighted inside the broader sponsor history.
| Year / Filing | Filings | Participants | Assets | Contributions | Contrib./Participant |
|---|---|---|---|---|---|
| 2021 | 1 | 0 | $0 | $0 | - |
| First Capital Bank 401(K) Profit Sharing Plan | - | 0 | $0 | $0 | - |
| 2020 | 1 | 27 | $3,395,900 | $245,181 | $9,081iApproximate average salary by contribution assumption: employee only about $227,019 at 4% or $151,346 at 6%; with 50% employer match about $151,346 at 4% or $100,898 at 6%; with 100% employer match about $113,510 at 4% or $75,673 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 27 | $3,395,900 | $245,181 | $9,081iApproximate average salary by contribution assumption: employee only about $227,019 at 4% or $151,346 at 6%; with 50% employer match about $151,346 at 4% or $100,898 at 6%; with 100% employer match about $113,510 at 4% or $75,673 at 6%. |
| 2019 | 1 | 28 | $2,858,410 | $251,891 | $8,996iApproximate average salary by contribution assumption: employee only about $224,903 at 4% or $149,935 at 6%; with 50% employer match about $149,935 at 4% or $99,957 at 6%; with 100% employer match about $112,451 at 4% or $74,968 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 28 | $2,858,410 | $251,891 | $8,996iApproximate average salary by contribution assumption: employee only about $224,903 at 4% or $149,935 at 6%; with 50% employer match about $149,935 at 4% or $99,957 at 6%; with 100% employer match about $112,451 at 4% or $74,968 at 6%. |
| 2018 | 1 | 25 | $2,026,284 | $215,213 | $8,609iApproximate average salary by contribution assumption: employee only about $215,213 at 4% or $143,475 at 6%; with 50% employer match about $143,475 at 4% or $95,650 at 6%; with 100% employer match about $107,607 at 4% or $71,738 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 25 | $2,026,284 | $215,213 | $8,609iApproximate average salary by contribution assumption: employee only about $215,213 at 4% or $143,475 at 6%; with 50% employer match about $143,475 at 4% or $95,650 at 6%; with 100% employer match about $107,607 at 4% or $71,738 at 6%. |
| 2017 | 1 | 26 | $2,023,470 | $223,059 | $8,579iApproximate average salary by contribution assumption: employee only about $214,480 at 4% or $142,987 at 6%; with 50% employer match about $142,987 at 4% or $95,324 at 6%; with 100% employer match about $107,240 at 4% or $71,493 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 26 | $2,023,470 | $223,059 | $8,579iApproximate average salary by contribution assumption: employee only about $214,480 at 4% or $142,987 at 6%; with 50% employer match about $142,987 at 4% or $95,324 at 6%; with 100% employer match about $107,240 at 4% or $71,493 at 6%. |
| 2016 | 1 | 28 | $1,648,622 | $171,886 | $6,139iApproximate average salary by contribution assumption: employee only about $153,470 at 4% or $102,313 at 6%; with 50% employer match about $102,313 at 4% or $68,209 at 6%; with 100% employer match about $76,735 at 4% or $51,157 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 28 | $1,648,622 | $171,886 | $6,139iApproximate average salary by contribution assumption: employee only about $153,470 at 4% or $102,313 at 6%; with 50% employer match about $102,313 at 4% or $68,209 at 6%; with 100% employer match about $76,735 at 4% or $51,157 at 6%. |
| 2015 | 2 | 26 | $3,643,248 | $347,640 | $13,371iApproximate average salary by contribution assumption: employee only about $334,269 at 4% or $222,846 at 6%; with 50% employer match about $222,846 at 4% or $148,564 at 6%; with 100% employer match about $167,135 at 4% or $111,423 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 26 | $1,821,624 | $173,820 | $6,685iApproximate average salary by contribution assumption: employee only about $167,135 at 4% or $111,423 at 6%; with 50% employer match about $111,423 at 4% or $74,282 at 6%; with 100% employer match about $83,567 at 4% or $55,712 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 26 | $1,821,624 | $173,820 | $6,685iApproximate average salary by contribution assumption: employee only about $167,135 at 4% or $111,423 at 6%; with 50% employer match about $111,423 at 4% or $74,282 at 6%; with 100% employer match about $83,567 at 4% or $55,712 at 6%. |
| 2014 | 1 | 28 | $1,645,294 | $150,815 | $5,386iApproximate average salary by contribution assumption: employee only about $134,656 at 4% or $89,771 at 6%; with 50% employer match about $89,771 at 4% or $59,847 at 6%; with 100% employer match about $67,328 at 4% or $44,885 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 28 | $1,645,294 | $150,815 | $5,386iApproximate average salary by contribution assumption: employee only about $134,656 at 4% or $89,771 at 6%; with 50% employer match about $89,771 at 4% or $59,847 at 6%; with 100% employer match about $67,328 at 4% or $44,885 at 6%. |
| 2013 | 1 | 29 | $1,380,631 | $131,098 | $4,521iApproximate average salary by contribution assumption: employee only about $113,016 at 4% or $75,344 at 6%; with 50% employer match about $75,344 at 4% or $50,229 at 6%; with 100% employer match about $56,508 at 4% or $37,672 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 29 | $1,380,631 | $131,098 | $4,521iApproximate average salary by contribution assumption: employee only about $113,016 at 4% or $75,344 at 6%; with 50% employer match about $75,344 at 4% or $50,229 at 6%; with 100% employer match about $56,508 at 4% or $37,672 at 6%. |
| 2012 | 1 | 28 | $1,044,504 | $426,169 | $15,220iApproximate average salary by contribution assumption: employee only about $380,508 at 4% or $253,672 at 6%; with 50% employer match about $253,672 at 4% or $169,115 at 6%; with 100% employer match about $190,254 at 4% or $126,836 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 28 | $1,044,504 | $426,169 | $15,220iApproximate average salary by contribution assumption: employee only about $380,508 at 4% or $253,672 at 6%; with 50% employer match about $253,672 at 4% or $169,115 at 6%; with 100% employer match about $190,254 at 4% or $126,836 at 6%. |
| 2011 | 1 | 22 | $577,881 | $104,895 | $4,768iApproximate average salary by contribution assumption: employee only about $119,199 at 4% or $79,466 at 6%; with 50% employer match about $79,466 at 4% or $52,977 at 6%; with 100% employer match about $59,599 at 4% or $39,733 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 22 | $577,881 | $104,895 | $4,768iApproximate average salary by contribution assumption: employee only about $119,199 at 4% or $79,466 at 6%; with 50% employer match about $79,466 at 4% or $52,977 at 6%; with 100% employer match about $59,599 at 4% or $39,733 at 6%. |
| 2010 | 1 | 22 | $501,344 | $112,281 | $5,104iApproximate average salary by contribution assumption: employee only about $127,592 at 4% or $85,061 at 6%; with 50% employer match about $85,061 at 4% or $56,708 at 6%; with 100% employer match about $63,796 at 4% or $42,531 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 22 | $501,344 | $112,281 | $5,104iApproximate average salary by contribution assumption: employee only about $127,592 at 4% or $85,061 at 6%; with 50% employer match about $85,061 at 4% or $56,708 at 6%; with 100% employer match about $63,796 at 4% or $42,531 at 6%. |
| 2009 | 1 | 20 | $410,704 | $83,621 | $4,181iApproximate average salary by contribution assumption: employee only about $104,526 at 4% or $69,684 at 6%; with 50% employer match about $69,684 at 4% or $46,456 at 6%; with 100% employer match about $52,263 at 4% or $34,842 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 20 | $410,704 | $83,621 | $4,181iApproximate average salary by contribution assumption: employee only about $104,526 at 4% or $69,684 at 6%; with 50% employer match about $69,684 at 4% or $46,456 at 6%; with 100% employer match about $52,263 at 4% or $34,842 at 6%. |
| 2008 | 1 | 23 | $263,071 | $103,447 | $4,498iApproximate average salary by contribution assumption: employee only about $112,442 at 4% or $74,962 at 6%; with 50% employer match about $74,962 at 4% or $49,974 at 6%; with 100% employer match about $56,221 at 4% or $37,481 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 23 | $263,071 | $103,447 | $4,498iApproximate average salary by contribution assumption: employee only about $112,442 at 4% or $74,962 at 6%; with 50% employer match about $74,962 at 4% or $49,974 at 6%; with 100% employer match about $56,221 at 4% or $37,481 at 6%. |
| 2007 | 1 | 22 | $295,260 | $108,989 | $4,954iApproximate average salary by contribution assumption: employee only about $123,851 at 4% or $82,567 at 6%; with 50% employer match about $82,567 at 4% or $55,045 at 6%; with 100% employer match about $61,926 at 4% or $41,284 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 22 | $295,260 | $108,989 | $4,954iApproximate average salary by contribution assumption: employee only about $123,851 at 4% or $82,567 at 6%; with 50% employer match about $82,567 at 4% or $55,045 at 6%; with 100% employer match about $61,926 at 4% or $41,284 at 6%. |
| 2006 | 1 | 20 | $174,442 | $91,216 | $4,561iApproximate average salary by contribution assumption: employee only about $114,020 at 4% or $76,013 at 6%; with 50% employer match about $76,013 at 4% or $50,676 at 6%; with 100% employer match about $57,010 at 4% or $38,007 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | Current | 20 | $174,442 | $91,216 | $4,561iApproximate average salary by contribution assumption: employee only about $114,020 at 4% or $76,013 at 6%; with 50% employer match about $76,013 at 4% or $50,676 at 6%; with 100% employer match about $57,010 at 4% or $38,007 at 6%. |
| 2005 | 1 | 16 | $71,596 | $42,061 | $2,629iApproximate average salary by contribution assumption: employee only about $65,720 at 4% or $43,814 at 6%; with 50% employer match about $43,814 at 4% or $29,209 at 6%; with 100% employer match about $32,860 at 4% or $21,907 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 16 | $71,596 | $42,061 | $2,629iApproximate average salary by contribution assumption: employee only about $65,720 at 4% or $43,814 at 6%; with 50% employer match about $43,814 at 4% or $29,209 at 6%; with 100% employer match about $32,860 at 4% or $21,907 at 6%. |
| 2004 | 1 | 10 | $34,960 | $26,034 | $2,603iApproximate average salary by contribution assumption: employee only about $65,085 at 4% or $43,390 at 6%; with 50% employer match about $43,390 at 4% or $28,927 at 6%; with 100% employer match about $32,543 at 4% or $21,695 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 10 | $34,960 | $26,034 | $2,603iApproximate average salary by contribution assumption: employee only about $65,085 at 4% or $43,390 at 6%; with 50% employer match about $43,390 at 4% or $28,927 at 6%; with 100% employer match about $32,543 at 4% or $21,695 at 6%. |
| 2003 | 1 | 8 | $6,314 | $6,043 | $755iApproximate average salary by contribution assumption: employee only about $18,884 at 4% or $12,590 at 6%; with 50% employer match about $12,590 at 4% or $8,393 at 6%; with 100% employer match about $9,442 at 4% or $6,295 at 6%. |
| First Capital Bank 401(K) Profit Sharing Plan | - | 8 | $6,314 | $6,043 | $755iApproximate average salary by contribution assumption: employee only about $18,884 at 4% or $12,590 at 6%; with 50% employer match about $12,590 at 4% or $8,393 at 6%; with 100% employer match about $9,442 at 4% or $6,295 at 6%. |
Schedule Details
Schedule A
- Row 1
- Filing Id
- 84037190811037
- Form Id
- 78397418
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 6010377190811030002
- Ins Broker 01 Name
- GEORGE H. MOORE
- Ins Broker 01 Street Addr
- 201 VENTURE CIRCLE SUITE B
- Ins Broker 01 City
- NASHVILLE
- Ins Broker 01 State
- TN
- Ins Broker 01 ZIP Code
- 372281603
- Ins Broker Comm Pd 01 Amount
- $2,701
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 2
- Filing Id
- 84037190811037
- Form Id
- 78397418
- Page Id
- 2
- Page Seq
- 0
- Page Row Num
- 2
- Row Num
- 1
- Image Form Id
- 6010377190811030002
- Ins Broker 01 Name
- FINANCIAL PRODUCT & SERVICE INC.
- Ins Broker 01 Street Addr
- 227 FRENCH LANDING DRIVE, SUITE 190
- Ins Broker 01 City
- NASHVILLE
- Ins Broker 01 State
- TN
- Ins Broker 01 ZIP Code
- 372281603
- Ins Broker Comm Pd 01 Amount
- $450
- Ins Broker Fees Pd 01 Amount
- $0
- Ins Broker 01 Code
- 3
- Row 3
- Ins Carrier Name: OHIO NATIONAL LIFE INSURANCE COMPANY
- Filing Id
- 84037190811037
- Form Id
- 78397418
- Schedule A EIN
- 30-0095698
- Schedule A Plan Num
- 001
- Schedule A Plan Year Begin Date
- 2006-01-01
- Schedule A Tax Period
- 20061231
- Ins Carrier Name
- OHIO NATIONAL LIFE INSURANCE COMPANY
- Ins Carrier EIN
- 31-0397080
- Ins Carrier Naic Code
- 67172
- Ins Contract Num
- GP2425
- Ins Prsn Covered End of year Count
- 22
- Ins Policy From Date
- 2006-01-01
- Ins Policy To Date
- 2006-12-31
- Ins Broker Comm Total Amount
- $3,151
- Ins Broker Fees Total Amount
- $0
- Pension End of year Gen Account Amount
- $10,434
- Pension End of year Sep Account Amount
- $160,011
- Pension Prem Paid Total Amount
- $0
- Pension Unpaid Premium Amount
- $0
- Pension Contract Cost Amount
- $0
- Pension End Prev Bal Amount
- $0
- Pension Contribution Dep Amount
- $0
- Pension Divnd Cr Dep Amount
- $0
- Pension Interest Cr Dur Yr Amount
- $0
- Pension Transfer From Amount
- $0
- Pension Other Amount
- $0
- Pension Total Additions Amount
- $0
- Pension Total Bal Addn Amount
- $0
- Pension Bnfts Dsbrsd Amount
- $0
- Pension Admin Chrg Amount
- $0
- Pension Transfer To Amount
- $0
- Pension Oth Ded Amount
- $0
- Pension Total Ded Amount
- $0
- Pension End of year Bal Amount
- $0
- Wlfr Premium Rcvd Amount
- $0
- Wlfr Unpaid Due Amount
- $0
- Wlfr Reserve Amount
- $0
- Wlfr Total Earned Prem Amount
- $0
- Wlfr Claims Paid Amount
- $0
- Wlfr Incr Reserve Amount
- $0
- Wlfr Incurred Claim Amount
- $0
- Wlfr Claims Chrgd Amount
- $0
- Wlfr Ret Commissions Amount
- $0
- Wlfr Ret Admin Amount
- $0
- Wlfr Ret Oth Cost Amount
- $0
- Wlfr Ret Oth Expense Amount
- $0
- Wlfr Ret Taxes Amount
- $0
- Wlfr Ret Charges Amount
- $0
- Wlfr Ret Oth Chrgs Amount
- $0
- Wlfr Ret Total Amount
- $0
- Wlfr Refund Amount
- $0
- Wlfr Held Bnfts Amount
- $0
- Wlfr Claims Reserve Amount
- $0
- Wlfr Oth Reserve Amount
- $0
- Wlfr Divnds Due Amount
- $0
- Wlfr Total Charges Paid Amount
- $0
- Wlfr Acquis Cost Amount
- $0
Schedule D
- Row 1
- Filing Id
- 84037190811037
- Page Id
- 1
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 6010377190811030003
- DFE P1 Entity 01 Name
- OHIO NATIONAL LIFE INS CO PORT C
- DFE P1 Spons 01 Name
- OHIO NATIONAL LIFE INSURANCE CO
- DFE P1 Plan 01 EIN Plan number
- 310397080001
- DFE P1 Entity 01 Code
- P
- DFE P1 Plan Interest End of year 01 Amount
- $160,011
- Row 2
- Filing Id
- 84037190811037
- Page Id
- 3
- Page Seq
- 0
- Page Row Num
- 1
- Row Num
- 0
- Image Form Id
- 6010377190811030003
- Row 3
- Filing Id
- 84037190811037
- Schedule D EIN
- 30-0095698
- Schedule D Plan number
- 001
- Schedule D Plan Year Begin Date
- 2006-01-01
- Schedule D Tax Period
- 20061231
Schedule I
Schedule I Financial Statement
Small plan result
Balance sheet and activity values reported by the filer for this small-plan annual return.
End-of-year assets$174,442$102,846 change
Balance Sheet
Beginning and end of plan year.
Total assets$71,596$174,442Increase +$102,846 (143.65%)
Total liabilities$0$0No change $0
Net assets$71,596$174,442Increase +$102,846 (143.65%)
Contributions
Employer contributions$26,561
Participant contributions$64,655
Other contributions$0
Income & Expenses
Total income$108,937
Total expenses$6,091
Net income$102,846
Source fields
- Schedule I source fields
- Filing Id
- 84037190811037
- Schedule I EIN
- 30-0095698
- Schedule I Plan Num
- 001
- Schedule I Plan Year Begin Date
- 2006-01-01
- Schedule I Tax Period
- 20061231
- Small plan total assets at beginning of year
- $71,596
- Small plan total liabilities at beginning of year
- $0
- Small plan net assets at beginning of year
- $71,596
- Small plan total assets at end of year
- $174,442
- Small plan total liabilities at end of year
- $0
- Small plan net assets at end of year
- $174,442
- Small plan employer contributions
- $26,561
- Small plan participant contributions
- $64,655
- Small Oth Contribution Rcvd Amount
- $0
- Small Non Cash Contribution Bs Amount
- $0
- Small Other Income Amount
- $17,721
- Small plan total income
- $108,937
- Small plan total benefit distributions
- $5,901
- Small Corrective Distribution Amount
- $0
- Small Dm Dstrb Ptcp Ln A
- 0
- Small Oth Expenses Amount
- $190
- Small plan total expenses
- $6,091
- Small plan net income or loss
- $102,846
- Small Total Plan Transfers Amount
- $0
- Small Joint Venture End of year Indicator
- No
- Small Joint Venture End of year Amount
- $0
- Small Employer Prop End of year Indicator
- No
- Small Employer Prop End of year Amount
- $0
- Small Investment Real Est End of year I
- 2
- Small Investment Real Est End of year A
- 0
- Small Employer Sec End of year Indicator
- No
- Small Employer Sec End of year Amount
- $0
- Small Mortg Participants End of year Indicator
- No
- Small Mortg Participants End of year Amount
- $0
- Small Oth Lns Participants End of year Indicator
- No
- Small Oth Lns Participants End of year Amount
- $0
- Small Personal Prop End of year Indicator
- No
- Small Personal Prop End of year Amount
- $0
- Small Fail Xmt Ctb I
- 2
- Small Fail Xmt Ctb A
- 0
- Small plan participant loans in default
- No
- Small Loans In Default Amount
- $0
- Small plan leases in default
- No
- Small Leases In Default Amount
- $0
- Small Pt In Interest Not Reported I
- 2
- Small Pt In Interest Not Reported A
- 0
- Small plan fidelity bond in place
- Yes
- Small plan fidelity bond amount
- $2,000,000
- Small plan loss discovered during year
- No
- Small Loss Discovered Dur Year Amount
- $0
- Small plan assets with undetermined value
- No
- Small Asset Undeterm Valuation Amount
- $0
- Small plan non-cash contributions reported
- No
- Small Non Cash Contribution Amount
- $0
- Small 20 Percent Sngl Investment Indicator
- No
- Small 20 Percent Sngl Investment Amount
- $0
- Small plan all plan assets distributed
- No
- Waiver Annual Iqpa Report
- 1
- Small plan resolution to terminate plan adopted
- No
- Small Res Terminate Plan Adpt Amount
- $0
Schedule R
Schedule R Pension Information
Retirement plan characteristics
Testing, payor, opinion-letter, and transfer information reported with the filing.
Pension & Payor
Payor EIN31-0397080
Transfers
Distributed property value$0
Schedule R source fields
- Payor 31-0397080
- Filing Id
- 84037190811037
- Schedule R EIN
- 30-0095698
- Schedule R Plan number
- 001
- Schedule R Plan Year Begin Date
- 2006-01-01
- Schedule R Tax Period
- 20061231
- Pension Value Dstrb Pd Property Amount
- $0
- Pension payor EIN
- 31-0397080
- Pension Bnft Distribution Sngl Sum Count
- 0
- Pension Employer Contribution Rqr Amount
- $0
- Pension Employer Contribution Paid Amount
- $0
- Pension Funding Deficiency Amount
- $0
- Pension Satisfy Cover Basis Code
- 1