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NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 401k Plan overview

Plan NameNORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST
Plan identification number 505

NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

NORTH STATE ENVIRONMENTAL, INC has sponsored the creation of one or more 401k plans.

Company Name:NORTH STATE ENVIRONMENTAL, INC
Employer identification number (EIN):561890266
NAIC Classification:238900

Additional information about NORTH STATE ENVIRONMENTAL, INC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 1253274

More information about NORTH STATE ENVIRONMENTAL, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052022-02-01
5052020-08-01
5052019-08-01

Plan Statistics for NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST

401k plan membership statisitcs for NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST

Measure Date Value
2022: NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2022 401k membership
Total participants, beginning-of-year2022-02-0178
Total number of active participants reported on line 7a of the Form 55002022-02-0197
Total of all active and inactive participants2022-02-0197
Total participants2022-02-0197
2020: NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2020 401k membership
Total participants, beginning-of-year2020-08-010
Total number of active participants reported on line 7a of the Form 55002020-08-010
Number of retired or separated participants receiving benefits2020-08-010
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-010
2019: NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2019 401k membership
Total participants, beginning-of-year2019-08-0171
Total number of active participants reported on line 7a of the Form 55002019-08-0159
Number of retired or separated participants receiving benefits2019-08-010
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-0159

Financial Data on NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST

Measure Date Value
2021 : NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2021 401k financial data
Total income from all sources2021-05-31$94,741
Expenses. Total of all expenses incurred2021-05-31$94,741
Benefits paid (including direct rollovers)2021-05-31$79,935
Total plan assets at end of year2021-05-31$0
Total plan assets at beginning of year2021-05-31$0
Expenses. Other expenses not covered elsewhere2021-05-31$14,806
Net plan assets at end of year (total assets less liabilities)2021-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2021-05-31$0
Total contributions received or receivable from employer(s)2021-05-31$94,741
2020 : NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2020 401k financial data
Total income from all sources2020-07-31$501,893
Expenses. Total of all expenses incurred2020-07-31$501,893
Benefits paid (including direct rollovers)2020-07-31$434,129
Total plan assets at end of year2020-07-31$0
Total plan assets at beginning of year2020-07-31$0
Value of fidelity bond covering the plan2020-07-31$100,000
Expenses. Other expenses not covered elsewhere2020-07-31$67,764
Net plan assets at end of year (total assets less liabilities)2020-07-31$0
Net plan assets at beginning of year (total assets less liabilities)2020-07-31$0
Total contributions received or receivable from employer(s)2020-07-31$501,893

Form 5500 Responses for NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST

2022: NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Submission has been amendedNo
2022-02-01This submission is the final filingNo
2022-02-01This return/report is a short plan year return/report (less than 12 months)No
2022-02-01Plan is a collectively bargained planNo
2022-02-01Plan funding arrangement – TrustYes
2022-02-01Plan benefit arrangement - TrustYes
2020: NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01This submission is the final filingYes
2020-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-08-01Plan funding arrangement – TrustYes
2020-08-01Plan benefit arrangement - TrustYes
2019: NORTH STATE ENVIRONMENTAL EMPLOYEE BENEFIT PLAN TRUST 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01First time form 5500 has been submittedYes
2019-08-01Plan funding arrangement – TrustYes
2019-08-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract number
Policy instance 1
Number of Individuals Covered97
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of fees paid to insurance companyUSD $160,157
Are there contracts with allocated funds for individual policies?1
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?No
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
Amount paid for insurance broker fees160157
Additional information about fees paid to insurance brokerSTOP LOSS-PREMIUMS

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