SOUTHERN ILLINOIS BANCORP, INC. INSURANCE CO. 401(K) PLAN
|
2011
|
370206222
|
2012-10-10
|
SOUTHERN ILLINOIS BANCORP, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6183824118
|
Plan sponsor’s
address |
201 EAST MAIN STREET, CARMI, IL, 62821
|
Plan administrator’s name and address
Administrator’s EIN |
370206222 |
Plan administrator’s name |
SOUTHERN ILLINOIS BANCORP, INC. |
Plan administrator’s
address |
201 EAST MAIN STREET, CARMI, IL, 62821 |
Administrator’s telephone number |
6183824118 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
NIKKI ROSER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ILLINOIS BANCORP, INC. EMPLOYEES STOCK OWNERSHIP PLAN
|
2011
|
370206222
|
2012-10-10
|
SOUTHERN ILLINOIS BANCORP, INC.
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6183824118
|
Plan sponsor’s mailing address |
P O BOX 376, 201 EAST MAIN STREET, CARMI, IL, 62821
|
Plan sponsor’s
address |
NIKKI ROSER, 201 EAST MAIN STREET, CARMI, IL, 62821
|
Plan administrator’s name and address
Administrator’s EIN |
370206222 |
Plan administrator’s name |
SOUTHERN ILLINOIS BANCORP, INC. |
Plan administrator’s
address |
P O BOX 376, 201 EAST MAIN STREET, CARMI, IL, 62821 |
Administrator’s telephone number |
6183824118 |
Number of participants as of the end of the plan year
Active participants |
91 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
13 |
Number of
participants
with
account balances as of the end of the plan year |
108 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
4 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
NIKKI R OSER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
NIKKI R OSER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ILLINOIS BANCORP, INC. INSURANCE CO. 401K PLAN
|
2010
|
370206222
|
2011-09-20
|
SOUTHERN ILLINOIS BANCORP, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6183824118
|
Plan sponsor’s
address |
201 EAST MAIN STREET, CARMI, IL, 62821
|
Plan administrator’s name and address
Administrator’s EIN |
370206222 |
Plan administrator’s name |
SOUTHERN ILLINOIS BANCORP, INC. |
Plan administrator’s
address |
201 EAST MAIN STREET, CARMI, IL, 62821 |
Administrator’s telephone number |
6183824118 |
Signature of
Role |
Plan administrator |
Date |
2011-09-20 |
Name of individual signing |
ALVIN FRITSCHLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-20 |
Name of individual signing |
ALVIN FRITSCHLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ILLINOIS BANCORP, INC. EMPLOYEES 401K PLAN
|
2009
|
370206222
|
2010-10-07
|
SOUTHERN ILLINOIS BANCORP, INC.
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6183824118
|
Plan sponsor’s
address |
P O BOX 376, 201 EAST MAIN STREET, CARMI, IL, 62821
|
Plan administrator’s name and address
Administrator’s EIN |
370206222 |
Plan administrator’s name |
SOUTHERN ILLINOIS BANCORP, INC. |
Plan administrator’s
address |
P O BOX 376, 201 EAST MAIN STREET, CARMI, IL, 62821 |
Administrator’s telephone number |
6183824118 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
ALVIN FRITSCHLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-07 |
Name of individual signing |
ALVIN FRITSCHLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ILLINOIS BANCORP, INC. INSURANCE CO. 401K PLAN
|
2009
|
370206222
|
2010-10-07
|
SOUTHERN ILLINOIS BANCORP, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6183824118
|
Plan sponsor’s
address |
201 EAST MAIN STREET, CARMI, IL, 62821
|
Plan administrator’s name and address
Administrator’s EIN |
370206222 |
Plan administrator’s name |
SOUTHERN ILLINOIS BANCORP, INC. |
Plan administrator’s
address |
201 EAST MAIN STREET, CARMI, IL, 62821 |
Administrator’s telephone number |
6183824118 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
ALVIN FRITSCHLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-07 |
Name of individual signing |
ALVIN FRITSCHLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|