401k Plan data: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST plan

NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 401k Plan overview

Plan Name	NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST
Plan identification number	003

NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Stock bonus
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.
Leveraged ESOP - An ESOP that acquires employer securities with borrowed money or other debt-financing techniques. A completed Schedule E must be attached to a Form 5500 filed for an 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.
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

NORTHERN STATES SUPPLY, INC. has sponsored the creation of one or more 401k plans.

Company Name: NORTHERN STATES SUPPLY, INC.

Employer identification number (EIN): 410838087

NAIC Classification: 423800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01
003 2021-01-01
003 2020-01-01
003 2019-01-01
003 2018-01-01 JACKIE CUNNINGHAM JACKIE CUNNINGHAM 2019-05-13
003 2017-01-01 JACKIE CUNNINGHAM JACKIE CUNNINGHAM 2018-06-21
003 2016-01-01 ROBERT J DOLS ROBERT J DOLS 2017-10-12
003 2015-01-01 ROBERT J DOLS ROBERT J DOLS 2016-07-27
003 2014-01-01 ROBERT J DOLS ROBERT J DOLS 2015-07-22
003 2013-01-01 ROBERT J DOLS ROBERT J DOLS 2014-07-08
003 2012-01-01 ROBERT J DOLS ROBERT J DOLS 2013-07-17
003 2011-01-01 ROBERT J DOLS ROBERT J DOLS 2012-06-26
003 2009-01-01 ROBERT J DOLS ROBERT J DOLS 2010-07-09

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2022-01-01
003	2021-01-01
003	2020-01-01
003	2019-01-01
003	2018-01-01	JACKIE CUNNINGHAM	JACKIE CUNNINGHAM	2019-05-13
003	2017-01-01	JACKIE CUNNINGHAM	JACKIE CUNNINGHAM	2018-06-21
003	2016-01-01	ROBERT J DOLS	ROBERT J DOLS	2017-10-12
003	2015-01-01	ROBERT J DOLS	ROBERT J DOLS	2016-07-27
003	2014-01-01	ROBERT J DOLS	ROBERT J DOLS	2015-07-22
003	2013-01-01	ROBERT J DOLS	ROBERT J DOLS	2014-07-08
003	2012-01-01	ROBERT J DOLS	ROBERT J DOLS	2013-07-17
003	2011-01-01	ROBERT J DOLS	ROBERT J DOLS	2012-06-26
003	2009-01-01	ROBERT J DOLS	ROBERT J DOLS	2010-07-09

Plan Statistics for NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST

401k plan membership statisitcs for NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST

Measure Date Value
2022: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2022 401k membership
Total participants, beginning-of-year 2022-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 74
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 37
Total of all active and inactive participants 2022-01-01 111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 111
Number of participants with account balances 2022-01-01 110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2021 401k membership
Total participants, beginning-of-year 2021-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 60
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 43
Total of all active and inactive participants 2021-01-01 103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 103
Number of participants with account balances 2021-01-01 102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 67
Number of retired or separated participants receiving benefits 2020-01-01 11
Number of other retired or separated participants entitled to future benefits 2020-01-01 28
Total of all active and inactive participants 2020-01-01 106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 106
Number of participants with account balances 2020-01-01 105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 2
2019: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 72
Number of retired or separated participants receiving benefits 2019-01-01 14
Number of other retired or separated participants entitled to future benefits 2019-01-01 17
Total of all active and inactive participants 2019-01-01 103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 103
Number of participants with account balances 2019-01-01 102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 2
2018: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 69
Number of retired or separated participants receiving benefits 2018-01-01 13
Number of other retired or separated participants entitled to future benefits 2018-01-01 17
Total of all active and inactive participants 2018-01-01 99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 100
Number of participants with account balances 2018-01-01 99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 2
2017: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 104
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 68
Number of retired or separated participants receiving benefits 2017-01-01 19
Number of other retired or separated participants entitled to future benefits 2017-01-01 19
Total of all active and inactive participants 2017-01-01 106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 106
Number of participants with account balances 2017-01-01 106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 97
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 75
Number of retired or separated participants receiving benefits 2016-01-01 16
Number of other retired or separated participants entitled to future benefits 2016-01-01 8
Total of all active and inactive participants 2016-01-01 99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 100
Number of participants with account balances 2016-01-01 100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 96
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 63
Number of retired or separated participants receiving benefits 2015-01-01 17
Number of other retired or separated participants entitled to future benefits 2015-01-01 16
Total of all active and inactive participants 2015-01-01 96
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 97
Number of participants with account balances 2015-01-01 97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 3
2014: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 93
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 74
Number of retired or separated participants receiving benefits 2014-01-01 11
Number of other retired or separated participants entitled to future benefits 2014-01-01 10
Total of all active and inactive participants 2014-01-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 1
Total participants 2014-01-01 96
Number of participants with account balances 2014-01-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 3
2013: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 91
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 72
Number of retired or separated participants receiving benefits 2013-01-01 7
Number of other retired or separated participants entitled to future benefits 2013-01-01 13
Total of all active and inactive participants 2013-01-01 92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 93
Number of participants with account balances 2013-01-01 92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 94
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 74
Number of retired or separated participants receiving benefits 2012-01-01 12
Number of other retired or separated participants entitled to future benefits 2012-01-01 5
Total of all active and inactive participants 2012-01-01 91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 91
Number of participants with account balances 2012-01-01 90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 91
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 74
Number of retired or separated participants receiving benefits 2011-01-01 12
Number of other retired or separated participants entitled to future benefits 2011-01-01 8
Total of all active and inactive participants 2011-01-01 94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 94
Number of participants with account balances 2011-01-01 92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 85
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 72
Number of retired or separated participants receiving benefits 2009-01-01 13
Number of other retired or separated participants entitled to future benefits 2009-01-01 8
Total of all active and inactive participants 2009-01-01 93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 93
Number of participants with account balances 2009-01-01 91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2022: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2022 401k membership
Total participants, beginning-of-year	2022-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	74
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	37
Total of all active and inactive participants	2022-01-01	111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	111
Number of participants with account balances	2022-01-01	110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2021 401k membership
Total participants, beginning-of-year	2021-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	60
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	43
Total of all active and inactive participants	2021-01-01	103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	103
Number of participants with account balances	2021-01-01	102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	67
Number of retired or separated participants receiving benefits	2020-01-01	11
Number of other retired or separated participants entitled to future benefits	2020-01-01	28
Total of all active and inactive participants	2020-01-01	106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	106
Number of participants with account balances	2020-01-01	105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	2
2019: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	72
Number of retired or separated participants receiving benefits	2019-01-01	14
Number of other retired or separated participants entitled to future benefits	2019-01-01	17
Total of all active and inactive participants	2019-01-01	103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	103
Number of participants with account balances	2019-01-01	102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	2
2018: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	69
Number of retired or separated participants receiving benefits	2018-01-01	13
Number of other retired or separated participants entitled to future benefits	2018-01-01	17
Total of all active and inactive participants	2018-01-01	99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	100
Number of participants with account balances	2018-01-01	99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	2
2017: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	104
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	68
Number of retired or separated participants receiving benefits	2017-01-01	19
Number of other retired or separated participants entitled to future benefits	2017-01-01	19
Total of all active and inactive participants	2017-01-01	106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	106
Number of participants with account balances	2017-01-01	106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	97
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	75
Number of retired or separated participants receiving benefits	2016-01-01	16
Number of other retired or separated participants entitled to future benefits	2016-01-01	8
Total of all active and inactive participants	2016-01-01	99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	100
Number of participants with account balances	2016-01-01	100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	96
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	63
Number of retired or separated participants receiving benefits	2015-01-01	17
Number of other retired or separated participants entitled to future benefits	2015-01-01	16
Total of all active and inactive participants	2015-01-01	96
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	97
Number of participants with account balances	2015-01-01	97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	3
2014: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	93
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	74
Number of retired or separated participants receiving benefits	2014-01-01	11
Number of other retired or separated participants entitled to future benefits	2014-01-01	10
Total of all active and inactive participants	2014-01-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	96
Number of participants with account balances	2014-01-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	3
2013: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	91
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	72
Number of retired or separated participants receiving benefits	2013-01-01	7
Number of other retired or separated participants entitled to future benefits	2013-01-01	13
Total of all active and inactive participants	2013-01-01	92
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	93
Number of participants with account balances	2013-01-01	92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	94
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	74
Number of retired or separated participants receiving benefits	2012-01-01	12
Number of other retired or separated participants entitled to future benefits	2012-01-01	5
Total of all active and inactive participants	2012-01-01	91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	91
Number of participants with account balances	2012-01-01	90
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	91
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	74
Number of retired or separated participants receiving benefits	2011-01-01	12
Number of other retired or separated participants entitled to future benefits	2011-01-01	8
Total of all active and inactive participants	2011-01-01	94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	94
Number of participants with account balances	2011-01-01	92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	85
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	72
Number of retired or separated participants receiving benefits	2009-01-01	13
Number of other retired or separated participants entitled to future benefits	2009-01-01	8
Total of all active and inactive participants	2009-01-01	93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	93
Number of participants with account balances	2009-01-01	91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST

Measure	Date	Value
2022 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2022 401k financial data
Total income from all sources	2022-12-31	$2,112,468
Expenses. Total of all expenses incurred	2022-12-31	$651,911
Benefits paid (including direct rollovers)	2022-12-31	$623,899
Total plan assets at end of year	2022-12-31	$11,128,375
Total plan assets at beginning of year	2022-12-31	$9,667,818
Value of fidelity bond covering the plan	2022-12-31	$2,000,000
Total contributions received or receivable from participants	2022-12-31	$93,224
Expenses. Other expenses not covered elsewhere	2022-12-31	$8,964
Contributions received from other sources (not participants or employers)	2022-12-31	$3,245
Other income received	2022-12-31	$1,504,649
Net income (gross income less expenses)	2022-12-31	$1,460,557
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$11,128,375
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$9,667,818
Assets. Value of participant loans	2022-12-31	$63,551
Assets. Value of employer securities	2022-12-31	$9,000,000
Total contributions received or receivable from employer(s)	2022-12-31	$511,350
Value of certain deemed distributions of participant loans	2022-12-31	$19,048
2021 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2021 401k financial data
Total plan liabilities at beginning of year	2021-12-31	$163,304
Total income from all sources	2021-12-31	$1,277,753
Expenses. Total of all expenses incurred	2021-12-31	$319,162
Benefits paid (including direct rollovers)	2021-12-31	$309,582
Total plan assets at end of year	2021-12-31	$9,667,818
Total plan assets at beginning of year	2021-12-31	$8,872,531
Value of fidelity bond covering the plan	2021-12-31	$2,000,000
Total contributions received or receivable from participants	2021-12-31	$81,070
Expenses. Other expenses not covered elsewhere	2021-12-31	$9,580
Other income received	2021-12-31	$686,849
Net income (gross income less expenses)	2021-12-31	$958,591
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$9,667,818
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$8,709,227
Assets. Value of participant loans	2021-12-31	$56,563
Assets. Value of employer securities	2021-12-31	$7,050,000
Total contributions received or receivable from employer(s)	2021-12-31	$509,834
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2020 401k financial data
Total plan liabilities at end of year	2020-12-31	$163,304
Total plan liabilities at beginning of year	2020-12-31	$319,435
Total income from all sources	2020-12-31	$1,137,051
Expenses. Total of all expenses incurred	2020-12-31	$484,650
Benefits paid (including direct rollovers)	2020-12-31	$462,505
Total plan assets at end of year	2020-12-31	$8,872,531
Total plan assets at beginning of year	2020-12-31	$8,376,261
Value of fidelity bond covering the plan	2020-12-31	$2,000,000
Total contributions received or receivable from participants	2020-12-31	$68,577
Expenses. Other expenses not covered elsewhere	2020-12-31	$11,180
Contributions received from other sources (not participants or employers)	2020-12-31	$2,832
Other income received	2020-12-31	$587,659
Net income (gross income less expenses)	2020-12-31	$652,401
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$8,709,227
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$8,056,826
Assets. Value of participant loans	2020-12-31	$47,462
Assets. Value of employer securities	2020-12-31	$6,675,000
Total contributions received or receivable from employer(s)	2020-12-31	$477,983
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$10,965
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$319,435
Total plan liabilities at beginning of year	2019-12-31	$468,708
Total income from all sources	2019-12-31	$639,977
Expenses. Total of all expenses incurred	2019-12-31	$724,649
Benefits paid (including direct rollovers)	2019-12-31	$693,547
Total plan assets at end of year	2019-12-31	$8,376,261
Total plan assets at beginning of year	2019-12-31	$8,610,206
Value of fidelity bond covering the plan	2019-12-31	$2,000,000
Total contributions received or receivable from participants	2019-12-31	$69,711
Expenses. Other expenses not covered elsewhere	2019-12-31	$18,038
Contributions received from other sources (not participants or employers)	2019-12-31	$2,777
Other income received	2019-12-31	$-167,511
Net income (gross income less expenses)	2019-12-31	$-84,672
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$8,056,826
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$8,141,498
Assets. Value of participant loans	2019-12-31	$58,198
Assets. Value of employer securities	2019-12-31	$6,450,000
Total contributions received or receivable from employer(s)	2019-12-31	$735,000
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$13,064
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$468,708
Total plan liabilities at beginning of year	2018-12-31	$611,426
Total income from all sources	2018-12-31	$786,366
Expenses. Total of all expenses incurred	2018-12-31	$951,726
Benefits paid (including direct rollovers)	2018-12-31	$890,392
Total plan assets at end of year	2018-12-31	$8,610,206
Total plan assets at beginning of year	2018-12-31	$8,918,284
Value of fidelity bond covering the plan	2018-12-31	$2,000,000
Total contributions received or receivable from participants	2018-12-31	$65,988
Expenses. Other expenses not covered elsewhere	2018-12-31	$24,594
Contributions received from other sources (not participants or employers)	2018-12-31	$16,508
Other income received	2018-12-31	$-10,630
Net income (gross income less expenses)	2018-12-31	$-165,360
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$8,141,498
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$8,306,858
Assets. Value of participant loans	2018-12-31	$49,649
Assets. Value of employer securities	2018-12-31	$6,975,000
Total contributions received or receivable from employer(s)	2018-12-31	$714,500
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$36,740
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2017 401k financial data
Total plan liabilities at end of year	2017-12-31	$611,426
Total plan liabilities at beginning of year	2017-12-31	$1,022,874
Total income from all sources	2017-12-31	$959,417
Expenses. Total of all expenses incurred	2017-12-31	$1,575,937
Benefits paid (including direct rollovers)	2017-12-31	$1,521,504
Total plan assets at end of year	2017-12-31	$8,918,284
Total plan assets at beginning of year	2017-12-31	$9,946,252
Value of fidelity bond covering the plan	2017-12-31	$2,000,000
Total contributions received or receivable from participants	2017-12-31	$66,801
Expenses. Other expenses not covered elsewhere	2017-12-31	$30,862
Other income received	2017-12-31	$182,616
Net income (gross income less expenses)	2017-12-31	$-616,520
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$8,306,858
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$8,923,378
Assets. Value of participant loans	2017-12-31	$37,641
Assets. Value of employer securities	2017-12-31	$6,900,000
Total contributions received or receivable from employer(s)	2017-12-31	$710,000
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$23,571
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2016 401k financial data
Total plan liabilities at end of year	2016-12-31	$1,022,874
Total plan liabilities at beginning of year	2016-12-31	$874,914
Total income from all sources	2016-12-31	$876,317
Expenses. Total of all expenses incurred	2016-12-31	$510,695
Benefits paid (including direct rollovers)	2016-12-31	$453,436
Total plan assets at end of year	2016-12-31	$9,946,252
Total plan assets at beginning of year	2016-12-31	$9,432,670
Value of fidelity bond covering the plan	2016-12-31	$2,000,000
Total contributions received or receivable from participants	2016-12-31	$65,043
Expenses. Other expenses not covered elsewhere	2016-12-31	$36,817
Other income received	2016-12-31	$391,274
Net income (gross income less expenses)	2016-12-31	$365,622
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$8,923,378
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$8,557,756
Assets. Value of participant loans	2016-12-31	$44,634
Assets. Value of employer securities	2016-12-31	$7,100,250
Total contributions received or receivable from employer(s)	2016-12-31	$420,000
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$20,442
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$874,914
Total plan liabilities at beginning of year	2015-12-31	$991,698
Total income from all sources	2015-12-31	$274,118
Expenses. Total of all expenses incurred	2015-12-31	$840,942
Benefits paid (including direct rollovers)	2015-12-31	$778,448
Total plan assets at end of year	2015-12-31	$9,432,670
Total plan assets at beginning of year	2015-12-31	$10,116,278
Value of fidelity bond covering the plan	2015-12-31	$2,000,000
Total contributions received or receivable from participants	2015-12-31	$73,468
Expenses. Other expenses not covered elsewhere	2015-12-31	$42,247
Other income received	2015-12-31	$-159,350
Net income (gross income less expenses)	2015-12-31	$-566,824
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$8,557,756
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$9,124,580
Assets. Value of participant loans	2015-12-31	$84,128
Assets. Value of employer securities	2015-12-31	$6,924,750
Total contributions received or receivable from employer(s)	2015-12-31	$360,000
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$20,247
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$991,698
Total plan liabilities at beginning of year	2014-12-31	$1,103,352
Total income from all sources	2014-12-31	$1,140,406
Expenses. Total of all expenses incurred	2014-12-31	$361,558
Benefits paid (including direct rollovers)	2014-12-31	$291,673
Total plan assets at end of year	2014-12-31	$10,116,278
Total plan assets at beginning of year	2014-12-31	$9,449,084
Value of fidelity bond covering the plan	2014-12-31	$2,000,000
Total contributions received or receivable from participants	2014-12-31	$70,958
Expenses. Other expenses not covered elsewhere	2014-12-31	$47,367
Contributions received from other sources (not participants or employers)	2014-12-31	$1,344
Other income received	2014-12-31	$723,104
Net income (gross income less expenses)	2014-12-31	$778,848
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$9,124,580
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$8,345,732
Assets. Value of participant loans	2014-12-31	$129,794
Assets. Value of employer securities	2014-12-31	$7,141,500
Total contributions received or receivable from employer(s)	2014-12-31	$345,000
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$22,518
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$1,103,352
Total plan liabilities at beginning of year	2013-12-31	$1,558,038
Total income from all sources	2013-12-31	$911,849
Expenses. Total of all expenses incurred	2013-12-31	$876,336
Benefits paid (including direct rollovers)	2013-12-31	$808,116
Total plan assets at end of year	2013-12-31	$9,449,084
Total plan assets at beginning of year	2013-12-31	$9,868,257
Value of fidelity bond covering the plan	2013-12-31	$1,000,000
Total contributions received or receivable from participants	2013-12-31	$77,059
Expenses. Other expenses not covered elsewhere	2013-12-31	$37,507
Other income received	2013-12-31	$293,312
Net income (gross income less expenses)	2013-12-31	$35,513
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$8,345,732
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$8,310,219
Assets. Value of participant loans	2013-12-31	$142,242
Assets. Value of employer securities	2013-12-31	$6,683,250
Total contributions received or receivable from employer(s)	2013-12-31	$541,478
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$30,713
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$1,558,038
Total plan liabilities at beginning of year	2012-12-31	$513,379
Total income from all sources	2012-12-31	$1,376,884
Expenses. Total of all expenses incurred	2012-12-31	$231,428
Benefits paid (including direct rollovers)	2012-12-31	$183,926
Total plan assets at end of year	2012-12-31	$9,868,257
Total plan assets at beginning of year	2012-12-31	$7,678,142
Value of fidelity bond covering the plan	2012-12-31	$1,000,000
Total contributions received or receivable from participants	2012-12-31	$84,317
Expenses. Other expenses not covered elsewhere	2012-12-31	$20,464
Other income received	2012-12-31	$941,712
Net income (gross income less expenses)	2012-12-31	$1,145,456
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$8,310,219
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$7,164,763
Assets. Value of participant loans	2012-12-31	$130,298
Assets. Value of employer securities	2012-12-31	$6,875,250
Total contributions received or receivable from employer(s)	2012-12-31	$350,855
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$27,038
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$513,379
Total plan liabilities at beginning of year	2011-12-31	$825,724
Total income from all sources	2011-12-31	$1,029,250
Expenses. Total of all expenses incurred	2011-12-31	$181,950
Benefits paid (including direct rollovers)	2011-12-31	$122,262
Total plan assets at end of year	2011-12-31	$7,678,142
Total plan assets at beginning of year	2011-12-31	$7,143,187
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$96,562
Expenses. Other expenses not covered elsewhere	2011-12-31	$38,510
Other income received	2011-12-31	$581,833
Net income (gross income less expenses)	2011-12-31	$847,300
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$7,164,763
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$6,317,463
Assets. Value of participant loans	2011-12-31	$147,713
Assets. Value of employer securities	2011-12-31	$4,986,600
Total contributions received or receivable from employer(s)	2011-12-31	$350,855
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$21,178
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$825,724
Total plan liabilities at beginning of year	2010-12-31	$1,121,008
Total income from all sources	2010-12-31	$1,060,840
Expenses. Total of all expenses incurred	2010-12-31	$374,651
Benefits paid (including direct rollovers)	2010-12-31	$300,220
Total plan assets at end of year	2010-12-31	$7,143,187
Total plan assets at beginning of year	2010-12-31	$6,752,282
Value of fidelity bond covering the plan	2010-12-31	$500,000
Total contributions received or receivable from participants	2010-12-31	$70,710
Expenses. Other expenses not covered elsewhere	2010-12-31	$55,571
Other income received	2010-12-31	$639,275
Net income (gross income less expenses)	2010-12-31	$686,189
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$6,317,463
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$5,631,274
Assets. Value of participant loans	2010-12-31	$113,528
Assets. Value of employer securities	2010-12-31	$4,440,000
Total contributions received or receivable from employer(s)	2010-12-31	$350,855
Value of certain deemed distributions of participant loans	2010-12-31	$2,292
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$16,568
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST

2022: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTHERN STATES SUPPLY, INC. EMPLOYEE STOCK OWNERSHIP PLAN & TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

65808

Policy instance

Insurance contract or identification number	65808
Number of Individuals Covered	59
Insurance policy start date	2017-01-01
Insurance policy end date	2017-11-30
Total amount of commissions paid to insurance broker	USD $1,850
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $1,850
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	RAYMOND JAMES INSURANCE GROUP INC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

65808

Policy instance

Insurance contract or identification number	65808
Number of Individuals Covered	58
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $6,147
Total amount of fees paid to insurance company	USD $118
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $6,147
Insurance broker organization code?	3
Amount paid for insurance broker fees	118
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	BOULAY, HEUTMAKER, ZIBELL & CO PLLP

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

65808

Policy instance

Insurance contract or identification number	65808
Number of Individuals Covered	58
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $6,575
Total amount of fees paid to insurance company	USD $1,272
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $6,575
Insurance broker organization code?	3
Amount paid for insurance broker fees	1272
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	BOULAY, HEUTMAKER, ZIBELL & CO PLLP

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

65808

Policy instance

Insurance contract or identification number	65808
Number of Individuals Covered	60
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $6,077
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $6,077
Insurance broker organization code?	3
Insurance broker name	PLANNING CORP OF AMERICA, INC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

65808

Policy instance

Insurance contract or identification number	65808
Number of Individuals Covered	61
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $6,102
Total amount of fees paid to insurance company	USD $287
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $6,102
Insurance broker organization code?	3
Amount paid for insurance broker fees	287
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	BOULAY, HEUTMAKER, ZIBELL & CO PLLP

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

65808

Policy instance

Insurance contract or identification number	65808
Number of Individuals Covered	62
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $5,898
Total amount of fees paid to insurance company	USD $1,163
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 number

65808

Policy instance

Insurance contract or identification number	65808
Number of Individuals Covered	62
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $7,725
Total amount of fees paid to insurance company	USD $768
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $6,860
Insurance broker organization code?	3
Amount paid for insurance broker fees	768
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	BOULAY, HEUTMAKER, ZIBELL & CO PLLP

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Company Name:	NORTHERN STATES SUPPLY, INC.
Employer identification number (EIN):	410838087
NAIC Classification:	423800