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NORTH STATE BANK 401K PLAN 401k Plan overview

Plan NameNORTH STATE BANK 401K PLAN
Plan identification number 001

NORTH STATE BANK 401K PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • ESOP other than a leveraged ESOP - A completed Schedule E must be attached to a Form 5500 filed for an Employee Stock Ownership Plan (ESOP).
  • The employer maintaining this ESOP is an S Corporation
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan requiring that all or part of employer contributions be invested and held, at least for a limited period, in employer securities.

401k Sponsoring company profile

NORTH STATE BANK has sponsored the creation of one or more 401k plans.

Company Name:NORTH STATE BANK
Employer identification number (EIN):562183599
NAIC Classification:522110
NAIC Description:Commercial Banking

Additional information about NORTH STATE BANK

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 0551235

More information about NORTH STATE BANK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH STATE BANK 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01AMANDA LLOYD2023-07-25
0012021-01-01STACY REEDY2022-08-03
0012020-01-01STACY REEDY2021-07-27
0012019-01-01AMANDA LLOYD2020-07-07
0012018-01-01
0012017-01-01
0012016-01-01AMANDA LLOYD
0012015-01-01AMANDA LLOYD KIRK WHORF2016-07-29
0012014-01-01AMANDA LLOYD KIRK WHORF2015-07-30
0012013-01-01AMANDA LLOYD KIRK WHORF2014-07-29
0012012-01-01AMANDA LLOYD KIRK WHORF2013-07-31
0012011-01-01AMANDA LLOYD KIRK WHORF2012-07-17
0012009-01-01AMANDA LLOYD SANDRA TEMPLE2010-07-23
0012009-01-01AMANDA LLOYD SANDRA TEMPLE2010-07-23
0012009-01-01AMANDA LLOYD SANDRA TEMPLE2010-07-23

Plan Statistics for NORTH STATE BANK 401K PLAN

401k plan membership statisitcs for NORTH STATE BANK 401K PLAN

Measure Date Value
2022: NORTH STATE BANK 401K PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01338
Total number of active participants reported on line 7a of the Form 55002022-01-01192
Number of retired or separated participants receiving benefits2022-01-0173
Number of other retired or separated participants entitled to future benefits2022-01-0177
Total of all active and inactive participants2022-01-01342
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01342
Number of participants with account balances2022-01-01326
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: NORTH STATE BANK 401K PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01312
Total number of active participants reported on line 7a of the Form 55002021-01-01208
Number of retired or separated participants receiving benefits2021-01-0170
Number of other retired or separated participants entitled to future benefits2021-01-0159
Total of all active and inactive participants2021-01-01337
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01337
Number of participants with account balances2021-01-01317
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: NORTH STATE BANK 401K PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01331
Total number of active participants reported on line 7a of the Form 55002020-01-01197
Number of retired or separated participants receiving benefits2020-01-0154
Number of other retired or separated participants entitled to future benefits2020-01-0159
Total of all active and inactive participants2020-01-01310
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01310
Number of participants with account balances2020-01-01290
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: NORTH STATE BANK 401K PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01318
Total number of active participants reported on line 7a of the Form 55002019-01-01177
Number of retired or separated participants receiving benefits2019-01-0174
Number of other retired or separated participants entitled to future benefits2019-01-0178
Total of all active and inactive participants2019-01-01329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01329
Number of participants with account balances2019-01-01314
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: NORTH STATE BANK 401K PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01306
Total number of active participants reported on line 7a of the Form 55002018-01-01183
Number of retired or separated participants receiving benefits2018-01-0164
Number of other retired or separated participants entitled to future benefits2018-01-0170
Total of all active and inactive participants2018-01-01317
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01317
Number of participants with account balances2018-01-01293
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: NORTH STATE BANK 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01281
Total number of active participants reported on line 7a of the Form 55002017-01-01200
Number of retired or separated participants receiving benefits2017-01-0144
Number of other retired or separated participants entitled to future benefits2017-01-0160
Total of all active and inactive participants2017-01-01304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01305
Number of participants with account balances2017-01-01277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: NORTH STATE BANK 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01232
Total number of active participants reported on line 7a of the Form 55002016-01-01215
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0157
Total of all active and inactive participants2016-01-01272
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01272
Number of participants with account balances2016-01-01235
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: NORTH STATE BANK 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01190
Total number of active participants reported on line 7a of the Form 55002015-01-01197
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-0131
Total of all active and inactive participants2015-01-01229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01229
Number of participants with account balances2015-01-01191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: NORTH STATE BANK 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01144
Total number of active participants reported on line 7a of the Form 55002014-01-01158
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0125
Total of all active and inactive participants2014-01-01183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01183
Number of participants with account balances2014-01-01154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: NORTH STATE BANK 401K PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01187
Total number of active participants reported on line 7a of the Form 55002013-01-01136
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0125
Total of all active and inactive participants2013-01-01161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01161
Number of participants with account balances2013-01-01132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: NORTH STATE BANK 401K PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01132
Total number of active participants reported on line 7a of the Form 55002012-01-01132
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0110
Total of all active and inactive participants2012-01-01142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01142
Number of participants with account balances2012-01-01107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: NORTH STATE BANK 401K PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01130
Total number of active participants reported on line 7a of the Form 55002011-01-01119
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0113
Total of all active and inactive participants2011-01-01132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01132
Number of participants with account balances2011-01-0188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: NORTH STATE BANK 401K PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01123
Total number of active participants reported on line 7a of the Form 55002009-01-0199
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0114
Total of all active and inactive participants2009-01-01113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01113
Number of participants with account balances2009-01-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on NORTH STATE BANK 401K PLAN

Measure Date Value
2022 : NORTH STATE BANK 401K PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-576,176
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$560,435
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$475,750
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,650,486
Value of total assets at end of year2022-12-31$26,896,558
Value of total assets at beginning of year2022-12-31$28,033,169
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$84,685
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$1,207,662
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$516,649
Administrative expenses professional fees incurred2022-12-31$84,685
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,410,284
Participant contributions at end of year2022-12-31$101,226
Participant contributions at beginning of year2022-12-31$110,159
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$210,662
Other income not declared elsewhere2022-12-31$-2,577
Total non interest bearing cash at end of year2022-12-31$515,311
Total non interest bearing cash at beginning of year2022-12-31$491,678
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,136,611
Value of net assets at end of year (total assets less liabilities)2022-12-31$26,896,558
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$28,033,169
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$16,983,115
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$18,806,656
Value of interest in common/collective trusts at end of year2022-12-31$1,401,718
Value of interest in common/collective trusts at beginning of year2022-12-31$1,246,438
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$535,455
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-4,458,394
Net investment gain or loss from common/collective trusts2022-12-31$26,647
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Assets. Invements in employer securities at end of year2022-12-31$7,289,075
Assets. Invements in employer securities at beginning of year2022-12-31$7,378,238
Contributions received in cash from employer2022-12-31$1,029,540
Employer contributions (assets) at end of year2022-12-31$70,658
Income. Dividends from common stock2022-12-31$691,013
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$475,750
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FORVIS LLP
Accountancy firm EIN2022-12-31440160260
2021 : NORTH STATE BANK 401K PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$5,377,875
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$761,300
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$681,047
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,740,088
Value of total assets at end of year2021-12-31$28,033,169
Value of total assets at beginning of year2021-12-31$23,416,594
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$80,253
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$1,829,549
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$1,082,627
Administrative expenses professional fees incurred2021-12-31$80,253
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,410,767
Participant contributions at end of year2021-12-31$110,159
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$297,549
Other income not declared elsewhere2021-12-31$8,157
Total non interest bearing cash at end of year2021-12-31$491,678
Total non interest bearing cash at beginning of year2021-12-31$636,820
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$4,616,575
Value of net assets at end of year (total assets less liabilities)2021-12-31$28,033,169
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$23,416,594
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$18,806,656
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$14,672,324
Value of interest in common/collective trusts at end of year2021-12-31$1,246,438
Value of interest in common/collective trusts at beginning of year2021-12-31$980,808
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$779,760
Net investment gain or loss from common/collective trusts2021-12-31$20,321
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Assets. Invements in employer securities at end of year2021-12-31$7,378,238
Assets. Invements in employer securities at beginning of year2021-12-31$7,126,642
Contributions received in cash from employer2021-12-31$1,031,772
Income. Dividends from common stock2021-12-31$746,922
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$681,047
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : NORTH STATE BANK 401K PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$6,469,219
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,213,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,155,664
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,326,361
Value of total assets at end of year2020-12-31$23,416,594
Value of total assets at beginning of year2020-12-31$18,160,780
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$57,741
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$2,166,196
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$560,765
Administrative expenses professional fees incurred2020-12-31$57,741
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,207,761
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$192,512
Other income not declared elsewhere2020-12-31$8,157
Total non interest bearing cash at end of year2020-12-31$636,820
Total non interest bearing cash at beginning of year2020-12-31$309,549
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$5,255,814
Value of net assets at end of year (total assets less liabilities)2020-12-31$23,416,594
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$18,160,780
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$14,672,324
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$11,954,211
Value of interest in common/collective trusts at end of year2020-12-31$980,808
Value of interest in common/collective trusts at beginning of year2020-12-31$843,125
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,948,184
Net investment gain or loss from common/collective trusts2020-12-31$20,321
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Assets. Invements in employer securities at end of year2020-12-31$7,126,642
Assets. Invements in employer securities at beginning of year2020-12-31$5,053,895
Contributions received in cash from employer2020-12-31$926,088
Income. Dividends from common stock2020-12-31$1,605,431
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,155,664
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2020-12-31560747981
2019 : NORTH STATE BANK 401K PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$5,296,707
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$685,899
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$638,017
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,812,382
Value of total assets at end of year2019-12-31$18,160,780
Value of total assets at beginning of year2019-12-31$13,549,972
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$47,882
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$1,538,602
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$404,887
Administrative expenses professional fees incurred2019-12-31$47,882
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,015,929
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$31,351
Other income not declared elsewhere2019-12-31$8,820
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$4,610,808
Value of net assets at end of year (total assets less liabilities)2019-12-31$18,160,780
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$13,549,972
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$11,954,211
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$9,330,076
Value of interest in common/collective trusts at end of year2019-12-31$843,125
Value of interest in common/collective trusts at beginning of year2019-12-31$635,149
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$309,549
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$69,671
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$69,671
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,915,499
Net investment gain or loss from common/collective trusts2019-12-31$21,404
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Assets. Invements in employer securities at end of year2019-12-31$5,053,895
Assets. Invements in employer securities at beginning of year2019-12-31$3,515,076
Contributions received in cash from employer2019-12-31$765,102
Income. Dividends from common stock2019-12-31$1,133,715
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$638,017
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2019-12-31560747981
2018 : NORTH STATE BANK 401K PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$1,315,197
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$1,359,702
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,301,965
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,871,722
Value of total assets at end of year2018-12-31$13,549,972
Value of total assets at beginning of year2018-12-31$13,594,477
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$57,737
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$765,483
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$515,813
Administrative expenses professional fees incurred2018-12-31$57,737
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,010,060
Participant contributions at beginning of year2018-12-31$94,686
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$95,463
Other income not declared elsewhere2018-12-31$8,750
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-44,505
Value of net assets at end of year (total assets less liabilities)2018-12-31$13,549,972
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$13,594,477
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$9,330,076
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$9,669,308
Value of interest in common/collective trusts at end of year2018-12-31$635,149
Value of interest in common/collective trusts at beginning of year2018-12-31$549,721
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$69,671
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$207,407
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$207,407
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,347,475
Net investment gain or loss from common/collective trusts2018-12-31$16,717
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Assets. Invements in employer securities at end of year2018-12-31$3,515,076
Assets. Invements in employer securities at beginning of year2018-12-31$3,073,355
Contributions received in cash from employer2018-12-31$766,199
Income. Dividends from common stock2018-12-31$249,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,301,965
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2018-12-31560747981
2017 : NORTH STATE BANK 401K PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$5,003,476
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,268,211
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,199,139
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,973,927
Value of total assets at end of year2017-12-31$13,594,477
Value of total assets at beginning of year2017-12-31$9,859,212
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$69,072
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$568,361
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$408,055
Administrative expenses professional fees incurred2017-12-31$69,072
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,160,457
Participant contributions at end of year2017-12-31$94,686
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$964,304
Other income not declared elsewhere2017-12-31$6,347
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$3,735,265
Value of net assets at end of year (total assets less liabilities)2017-12-31$13,594,477
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$9,859,212
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$9,669,308
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$7,509,358
Value of interest in common/collective trusts at end of year2017-12-31$549,721
Value of interest in common/collective trusts at beginning of year2017-12-31$458,772
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$207,407
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$992,275
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$992,275
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,441,401
Net investment gain or loss from common/collective trusts2017-12-31$13,440
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Assets. Invements in employer securities at end of year2017-12-31$3,073,355
Assets. Invements in employer securities at beginning of year2017-12-31$898,807
Contributions received in cash from employer2017-12-31$849,166
Income. Dividends from common stock2017-12-31$160,306
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,199,139
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2017-12-31560747981
2016 : NORTH STATE BANK 401K PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$3,033,848
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,206,842
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,142,549
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,975,254
Value of total assets at end of year2016-12-31$9,859,212
Value of total assets at beginning of year2016-12-31$8,032,206
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$64,293
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$311,596
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$233,800
Administrative expenses professional fees incurred2016-12-31$56,449
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,069,395
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$85,172
Other income not declared elsewhere2016-12-31$4,456
Administrative expenses (other) incurred2016-12-31$7,844
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,827,006
Value of net assets at end of year (total assets less liabilities)2016-12-31$9,859,212
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$8,032,206
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$7,509,358
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$6,957,765
Value of interest in common/collective trusts at end of year2016-12-31$458,772
Value of interest in common/collective trusts at beginning of year2016-12-31$452,780
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$992,275
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$2,315
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$2,315
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$723,963
Net investment gain or loss from common/collective trusts2016-12-31$18,579
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Assets. Invements in employer securities at end of year2016-12-31$898,807
Assets. Invements in employer securities at beginning of year2016-12-31$619,346
Contributions received in cash from employer2016-12-31$820,687
Income. Dividends from common stock2016-12-31$77,796
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,142,549
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2016-12-31560747981
2015 : NORTH STATE BANK 401K PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,331,725
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$322,448
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$299,796
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,402,077
Value of total assets at end of year2015-12-31$8,032,206
Value of total assets at beginning of year2015-12-31$7,022,929
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$22,652
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$334,875
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$334,875
Administrative expenses professional fees incurred2015-12-31$20,313
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$761,721
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$22,274
Other income not declared elsewhere2015-12-31$4,330
Administrative expenses (other) incurred2015-12-31$2,339
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,009,277
Value of net assets at end of year (total assets less liabilities)2015-12-31$8,032,206
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$7,022,929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$6,957,765
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$6,619,603
Value of interest in common/collective trusts at end of year2015-12-31$452,780
Value of interest in common/collective trusts at beginning of year2015-12-31$403,326
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$2,315
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-425,974
Net investment gain or loss from common/collective trusts2015-12-31$16,417
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Assets. Invements in employer securities at end of year2015-12-31$619,346
Contributions received in cash from employer2015-12-31$618,082
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$299,796
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2015-12-31560747981
2014 : NORTH STATE BANK 401K PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$226
Total income from all sources (including contributions)2014-12-31$1,616,477
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$647,808
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$637,223
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,187,737
Value of total assets at end of year2014-12-31$7,022,929
Value of total assets at beginning of year2014-12-31$6,054,486
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$10,585
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$624,032
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$72,992
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$226
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$968,669
Value of net assets at end of year (total assets less liabilities)2014-12-31$7,022,929
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$6,054,260
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$10,585
Value of interest in pooled separate accounts at end of year2014-12-31$6,619,603
Value of interest in pooled separate accounts at beginning of year2014-12-31$6,043,616
Value of interest in common/collective trusts at end of year2014-12-31$403,326
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$215
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$215
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$10,655
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$424,489
Net investment gain or loss from common/collective trusts2014-12-31$4,251
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$490,713
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$637,223
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2014-12-31560747981
2013 : NORTH STATE BANK 401K PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$226
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$2,024,693
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$254,463
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$245,607
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,036,035
Value of total assets at end of year2013-12-31$6,054,486
Value of total assets at beginning of year2013-12-31$4,284,030
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$8,856
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31Yes
Amount of non-exempt transactions with any party-in-interest2013-12-31$70,253
Contributions received from participants2013-12-31$576,343
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$2,442
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$67,345
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$226
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
Administrative expenses (other) incurred2013-12-31$1,638
Total non interest bearing cash at end of year2013-12-31$0
Total non interest bearing cash at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Income. Non cash contributions2013-12-31$0
Value of net income/loss2013-12-31$1,770,230
Value of net assets at end of year (total assets less liabilities)2013-12-31$6,054,260
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,284,030
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in pooled separate accounts at end of year2013-12-31$6,043,616
Value of interest in pooled separate accounts at beginning of year2013-12-31$4,214,966
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$215
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$981
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$981
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$10,655
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$738
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$988,658
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$457,250
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$245,607
Contract administrator fees2013-12-31$7,218
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2013-12-31560747981
2012 : NORTH STATE BANK 401K PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$1,440,500
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$317,776
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$297,948
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$877,711
Value of total assets at end of year2012-12-31$4,284,030
Value of total assets at beginning of year2012-12-31$3,161,306
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$19,828
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$700
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31Yes
Amount of non-exempt transactions with any party-in-interest2012-12-31$70,253
Contributions received from participants2012-12-31$480,614
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$13,373
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$67,345
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$0
Other income not declared elsewhere2012-12-31$67,345
Total non interest bearing cash at end of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,122,724
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,284,030
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,161,306
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in pooled separate accounts at end of year2012-12-31$4,214,966
Value of interest in pooled separate accounts at beginning of year2012-12-31$3,160,565
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$981
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$738
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$741
Net investment gain/loss from pooled separate accounts2012-12-31$495,444
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$383,724
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$297,948
Contract administrator fees2012-12-31$19,128
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2012-12-31560747981
2011 : NORTH STATE BANK 401K PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$229,217
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$73,886
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$50,095
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$316,029
Value of total assets at end of year2011-12-31$3,161,306
Value of total assets at beginning of year2011-12-31$3,005,975
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$23,791
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$5,430
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$315,911
Administrative expenses (other) incurred2011-12-31$2,155
Total non interest bearing cash at end of year2011-12-31$0
Total non interest bearing cash at beginning of year2011-12-31$6,609
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$155,331
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,161,306
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,005,975
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$3,160,565
Value of interest in pooled separate accounts at beginning of year2011-12-31$2,998,571
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$741
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$795
Net investment gain/loss from pooled separate accounts2011-12-31$-86,812
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$118
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$50,095
Contract administrator fees2011-12-31$16,206
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2011-12-31560747981
2010 : NORTH STATE BANK 401K PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$692,792
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$352,890
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$331,903
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$328,946
Value of total assets at end of year2010-12-31$3,005,975
Value of total assets at beginning of year2010-12-31$2,666,073
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$20,987
Total interest from all sources2010-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$2,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$328,238
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$0
Administrative expenses (other) incurred2010-12-31$6,885
Total non interest bearing cash at end of year2010-12-31$6,609
Total non interest bearing cash at beginning of year2010-12-31$12,986
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$339,902
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,005,975
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,666,073
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$2,998,571
Value of interest in pooled separate accounts at beginning of year2010-12-31$2,652,403
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$795
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$684
Net investment gain/loss from pooled separate accounts2010-12-31$363,846
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Assets. Invements in employer securities at beginning of year2010-12-31$0
Contributions received in cash from employer2010-12-31$708
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$331,903
Contract administrator fees2010-12-31$14,102
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$0
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2010-12-31560747981
2009 : NORTH STATE BANK 401K PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for NORTH STATE BANK 401K PLAN

2022: NORTH STATE BANK 401K PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: NORTH STATE BANK 401K PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: NORTH STATE BANK 401K PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: NORTH STATE BANK 401K PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: NORTH STATE BANK 401K PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: NORTH STATE BANK 401K PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: NORTH STATE BANK 401K PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: NORTH STATE BANK 401K PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: NORTH STATE BANK 401K PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: NORTH STATE BANK 401K PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: NORTH STATE BANK 401K PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: NORTH STATE BANK 401K PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: NORTH STATE BANK 401K PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number27329
Policy instance 1
Insurance contract or identification number27329
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-07-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $702
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Amount paid for insurance broker fees450
Additional information about fees paid to insurance brokerTDA FEES AND AND COMPENSATION
Insurance broker organization code?5
Insurance broker nameRETIREMENT PLAN SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number27329
Policy instance 1
Insurance contract or identification number27329
Number of Individuals Covered140
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $12,783
Total amount of fees paid to insurance companyUSD $3,210
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,783
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameRETIREMENT PLAN SERVICES, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number27329
Policy instance 1
Insurance contract or identification number27329
Number of Individuals Covered115
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $32,048
Total amount of fees paid to insurance companyUSD $2,564
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,048
Insurance broker organization code?3
Amount paid for insurance broker fees2564
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION
Insurance broker nameRETIREMENT PLAN SERVICES, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number27329
Policy instance 1
Insurance contract or identification number27329
Number of Individuals Covered97
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $25,099
Total amount of fees paid to insurance companyUSD $4,078
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number27329
Policy instance 1
Insurance contract or identification number27329
Number of Individuals Covered95
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $19,481
Total amount of fees paid to insurance companyUSD $8,986
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $17,577
Insurance broker organization code?3
Amount paid for insurance broker fees8986
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION
Insurance broker nameG F INVESTMENT SERVICES, LLC

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