NORTH STATE WELFARE BENEFITS PLAN 401k Plan overview

NORTH STATE WELFARE BENEFITS PLAN Benefits

401k Sponsoring company profile

Company Name:	NORTH STATE AVIATION HOLDINGS, LLC
Employer identification number (EIN):	821486665
NAIC Classification:	488100
NAIC Description:	Support Activities for Air Transportation

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2021-01-01	CANDICE PARRISH	2022-05-26
501	2021-01-01	MARK ELDRED	2023-03-08
501	2020-01-01	BEVERLY JONES	2021-05-20

Plan Statistics for NORTH STATE WELFARE BENEFITS PLAN

Measure	Date	Value
2021: NORTH STATE WELFARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	178
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	276
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	0
Total of all active and inactive participants	2021-01-01	276
2020: NORTH STATE WELFARE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	122
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	178
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	178

Form 5500 Responses for NORTH STATE WELFARE BENEFITS PLAN

Insurance Providers Used on plan

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• NORTH STATE BANK LONG TERM DISABILITY PLAN [EIN = 562183599]
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• NORTH STATE GROCERY INC DBA HOLIDAY QUALITY FOODS 401(K) PROFIT SHARING PLAN [EIN = 680173691]
• NORTH STATE BUILDING INDUSTRY ASSOCIATION MEMBER BENEFITS PROGRAM [EIN = 941140169]
• NORTH STATE BUILDING INDUSTRY 401(K) PROFIT SHARING PLAN & TRUST [EIN = 941140169]
• NORTH STATE GROCERY EMPLOYEE BENEFITS PLAN [EIN = 680173691]
• NORTH STATE BANK 401K PLAN [EIN = 562183599]
• NORTH STATE COMMUNICATIONS RETIREMENT PLAN [EIN = 560341710]
• NORTH STATE GAS SERVICE, INC. 401(K) RETIREMENT PLAN [EIN = 560510831]
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• NORTH STATES UTILITY/LOCATING [EIN = 412140140]
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• NORTH STATE MEDICAL GROUP, P.A. 401(K) PLAN [EIN = 561986877]
• NORTH STATE SUPPLY CO. OF PENNSYLVANIA 401(K) PSP [EIN = 251518046]
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• NORTH STATE MACHINE INC 401K PLAN [EIN = 561559033]
• NORTH STATE PATHOLOGY ASSOCIATES PA PROFIT SHARING PLAN [EIN = 561003911]
• NORTH STATE AUDIOLOGICAL SERVICES 401(K) PROFIT SHARING PLAN [EIN = 800427567]
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• NORTH STATE TELCO CREDIT UNION 401(K) PLAN AND TRUST [EIN = 566054712]
• NORTH STATE RESOURCES, INC. 401K PROFIT SHARING PLAN [EIN = 680119315]
• NORTH STATE ELECTRICAL CONTRACTORS, INC. 401(K) PROFIT SHARING PLAN [EIN = 208066743]
• NORTH STATES UTILITY CONTRACTORS, INC. 401(K) PLAN AND TRUST [EIN = 391691023]
• NORTH STATE RADIOLOGY MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN [EIN = 680358482]
• NORTH STATE UROLOGY MEDICAL ASSOCIATES INC 401K PROFIT SHARING PLAN [EIN = 431997023]
• NORTH STATE DENTAL PARTNERS 401 (K) PLAN AND TRUST [EIN = 562200189]
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• NORTH STATE CYPRESS RESTAURANT GROUP, LLC 401K PROFIT SHARING PLAN [EIN = 261384498]
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• NORTH STATE RADIOLOGY MEDICAL GROUP, INC. PROFIT SHARING PLAN [EIN = 680358482]
• NORTH STATE COMMUNICATIONS EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN [EIN = 560341710]
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• NORTH STATE CANCER SPECIALTY INC A MEDICAL GROUP 401(K) PROFIT SHARING PLAN [EIN = 680442104]
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• NORTH STATE AVIATION 401(K) PLAN [EIN = 273358255]
• NORTH STATE COMMUNICATIONS EMPLOYEES' SAVINGS PLUS PLAN [EIN = 560341710]
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