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| Plan Name | NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NORTH STATE ENVIRONMENTAL, INC |
| Employer identification number (EIN): | 561890266 |
| NAIC Classification: | 238900 |
Additional information about NORTH STATE ENVIRONMENTAL, INC
| Jurisdiction of Incorporation: | Georgia Department of States Corporations Division |
| Incorporation Date: | |
| Company Identification Number: | 1253274 |
More information about NORTH STATE ENVIRONMENTAL, INC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2022-02-01 | ||||
| 505 | 2022-02-01 | STEPHANIE WESTMORELAND | |||
| 505 | 2020-08-01 | ||||
| 505 | 2019-08-01 |
| Measure | Date | Value |
|---|---|---|
| 2022: NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-02-01 | 78 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-02-01 | 97 |
| Total of all active and inactive participants | 2022-02-01 | 97 |
| Total participants | 2022-02-01 | 97 |
| 2020: NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-08-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-08-01 | 0 |
| Number of retired or separated participants receiving benefits | 2020-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-08-01 | 0 |
| Total of all active and inactive participants | 2020-08-01 | 0 |
| 2019: NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-08-01 | 71 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-08-01 | 59 |
| Number of retired or separated participants receiving benefits | 2019-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-08-01 | 0 |
| Total of all active and inactive participants | 2019-08-01 | 59 |
| Measure | Date | Value |
|---|---|---|
| 2021 : NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2021 401k financial data | ||
| Total income from all sources | 2021-05-31 | $94,741 |
| Expenses. Total of all expenses incurred | 2021-05-31 | $94,741 |
| Benefits paid (including direct rollovers) | 2021-05-31 | $79,935 |
| Total plan assets at end of year | 2021-05-31 | $0 |
| Total plan assets at beginning of year | 2021-05-31 | $0 |
| Expenses. Other expenses not covered elsewhere | 2021-05-31 | $14,806 |
| Net plan assets at end of year (total assets less liabilities) | 2021-05-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-05-31 | $0 |
| Total contributions received or receivable from employer(s) | 2021-05-31 | $94,741 |
| 2020 : NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2020 401k financial data | ||
| Total income from all sources | 2020-07-31 | $501,893 |
| Expenses. Total of all expenses incurred | 2020-07-31 | $501,893 |
| Benefits paid (including direct rollovers) | 2020-07-31 | $434,129 |
| Total plan assets at end of year | 2020-07-31 | $0 |
| Total plan assets at beginning of year | 2020-07-31 | $0 |
| Value of fidelity bond covering the plan | 2020-07-31 | $100,000 |
| Expenses. Other expenses not covered elsewhere | 2020-07-31 | $67,764 |
| Net plan assets at end of year (total assets less liabilities) | 2020-07-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-07-31 | $0 |
| Total contributions received or receivable from employer(s) | 2020-07-31 | $501,893 |
| 2022: NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2022 form 5500 responses | ||
|---|---|---|
| 2022-02-01 | Type of plan entity | Single employer plan |
| 2022-02-01 | Submission has been amended | No |
| 2022-02-01 | This submission is the final filing | No |
| 2022-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-02-01 | Plan is a collectively bargained plan | No |
| 2022-02-01 | Plan funding arrangement – Trust | Yes |
| 2022-02-01 | Plan benefit arrangement - Trust | Yes |
| 2020: NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2020 form 5500 responses | ||
| 2020-08-01 | Type of plan entity | Single employer plan |
| 2020-08-01 | This submission is the final filing | Yes |
| 2020-08-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2020-08-01 | Plan funding arrangement – Trust | Yes |
| 2020-08-01 | Plan benefit arrangement - Trust | Yes |
| 2019: NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2019 form 5500 responses | ||
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | First time form 5500 has been submitted | Yes |
| 2019-08-01 | Plan funding arrangement – Trust | Yes |
| 2019-08-01 | Plan benefit arrangement - Trust | Yes |
| BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 ) | |||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | |||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||
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