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OLD NORTH STATE MASONRY 401k Plan overview

Plan NameOLD NORTH STATE MASONRY
Plan identification number 501

OLD NORTH STATE MASONRY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

OLD NORTH STATE MASONRY LLC ANTHONY GRIFFIN & SCOTT GRIFFIN has sponsored the creation of one or more 401k plans.

Company Name:OLD NORTH STATE MASONRY LLC ANTHONY GRIFFIN & SCOTT GRIFFIN
Employer identification number (EIN):861076529
NAIC Classification:238300

Additional information about OLD NORTH STATE MASONRY LLC ANTHONY GRIFFIN & SCOTT GRIFFIN

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 1460692

More information about OLD NORTH STATE MASONRY LLC ANTHONY GRIFFIN & SCOTT GRIFFIN

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OLD NORTH STATE MASONRY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012014-03-01TONY GRIFFIN
5012013-03-01TONY GRIFFIN
5012012-03-01TONY GRIFFIN
5012011-03-01JOSEPH ANASTASI
5012009-03-01JOSEPH ANASTASI

Plan Statistics for OLD NORTH STATE MASONRY

401k plan membership statisitcs for OLD NORTH STATE MASONRY

Measure Date Value
2022: OLD NORTH STATE MASONRY 2022 401k membership
Total participants, beginning-of-year2022-01-0143
Total number of active participants reported on line 7a of the Form 55002022-01-0178
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0178
2021: OLD NORTH STATE MASONRY 2021 401k membership
Total participants, beginning-of-year2021-01-0153
Total number of active participants reported on line 7a of the Form 55002021-01-0143
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0143
2020: OLD NORTH STATE MASONRY 2020 401k membership
Total participants, beginning-of-year2020-01-0153
Total number of active participants reported on line 7a of the Form 55002020-01-0153
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0153
2019: OLD NORTH STATE MASONRY 2019 401k membership
Total participants, beginning-of-year2019-01-0153
Total number of active participants reported on line 7a of the Form 55002019-01-0153
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0153
2014: OLD NORTH STATE MASONRY 2014 401k membership
Total participants, beginning-of-year2014-03-01117
Total number of active participants reported on line 7a of the Form 55002014-03-01111
Number of retired or separated participants receiving benefits2014-03-010
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-01111
2013: OLD NORTH STATE MASONRY 2013 401k membership
Total participants, beginning-of-year2013-03-01200
Total number of active participants reported on line 7a of the Form 55002013-03-01117
Total of all active and inactive participants2013-03-01117
2012: OLD NORTH STATE MASONRY 2012 401k membership
Total participants, beginning-of-year2012-03-01200
Total number of active participants reported on line 7a of the Form 55002012-03-01200
Total of all active and inactive participants2012-03-01200
2011: OLD NORTH STATE MASONRY 2011 401k membership
Total participants, beginning-of-year2011-03-01317
Total number of active participants reported on line 7a of the Form 55002011-03-01190
Total of all active and inactive participants2011-03-01190
Total participants2011-03-01190
2009: OLD NORTH STATE MASONRY 2009 401k membership
Total participants, beginning-of-year2009-03-0184
Total number of active participants reported on line 7a of the Form 55002009-03-01132
Total of all active and inactive participants2009-03-01132
Total participants2009-03-01132

Financial Data on OLD NORTH STATE MASONRY

Measure Date Value
2022 : OLD NORTH STATE MASONRY 2022 401k financial data
Total income from all sources2022-12-31$0
Total plan assets at end of year2022-12-31$0
Total plan assets at beginning of year2022-12-31$0
Net plan assets at end of year (total assets less liabilities)2022-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$0
2021 : OLD NORTH STATE MASONRY 2021 401k financial data
Total income from all sources2021-12-31$0
Total plan assets at end of year2021-12-31$0
Total plan assets at beginning of year2021-12-31$0
Net plan assets at end of year (total assets less liabilities)2021-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$0
2020 : OLD NORTH STATE MASONRY 2020 401k financial data
Total income from all sources2020-12-31$0
Total plan assets at end of year2020-12-31$0
Total plan assets at beginning of year2020-12-31$0
Net plan assets at end of year (total assets less liabilities)2020-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$0
2019 : OLD NORTH STATE MASONRY 2019 401k financial data
Total income from all sources2019-12-31$0
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$0
Net plan assets at end of year (total assets less liabilities)2019-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$0
2015 : OLD NORTH STATE MASONRY 2015 401k financial data
Total income from all sources2015-02-28$0
Total plan assets at end of year2015-02-28$0
Total plan assets at beginning of year2015-02-28$0
Net plan assets at end of year (total assets less liabilities)2015-02-28$0
Net plan assets at beginning of year (total assets less liabilities)2015-02-28$0
2014 : OLD NORTH STATE MASONRY 2014 401k financial data
Total income from all sources2014-02-28$0
Total plan assets at end of year2014-02-28$0
Total plan assets at beginning of year2014-02-28$0
Net plan assets at end of year (total assets less liabilities)2014-02-28$0
Net plan assets at beginning of year (total assets less liabilities)2014-02-28$0
2013 : OLD NORTH STATE MASONRY 2013 401k financial data
Total income from all sources2013-02-28$0
Total plan assets at end of year2013-02-28$0
Total plan assets at beginning of year2013-02-28$0
Net plan assets at end of year (total assets less liabilities)2013-02-28$0
Net plan assets at beginning of year (total assets less liabilities)2013-02-28$0

Form 5500 Responses for OLD NORTH STATE MASONRY

2022: OLD NORTH STATE MASONRY 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: OLD NORTH STATE MASONRY 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: OLD NORTH STATE MASONRY 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: OLD NORTH STATE MASONRY 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2014: OLD NORTH STATE MASONRY 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan funding arrangement – General assets of the sponsorYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – General assets of the sponsorYes
2013: OLD NORTH STATE MASONRY 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan funding arrangement – General assets of the sponsorYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – General assets of the sponsorYes
2012: OLD NORTH STATE MASONRY 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan funding arrangement – General assets of the sponsorYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – General assets of the sponsorYes
2011: OLD NORTH STATE MASONRY 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan funding arrangement – General assets of the sponsorYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – General assets of the sponsorYes
2009: OLD NORTH STATE MASONRY 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan funding arrangement – General assets of the sponsorYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEMCL21100480005
Policy instance 1
Insurance contract or identification numberEMCL21100480005
Number of Individuals Covered51
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1001291
Policy instance 2
Insurance contract or identification number1001291
Number of Individuals Covered78
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedMANAGED ORGAN TISSUE TRANSPLANT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEMCL18100480004
Policy instance 1
Insurance contract or identification numberEMCL18100480004
Number of Individuals Covered43
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00500525
Policy instance 2
Insurance contract or identification number00500525
Number of Individuals Covered43
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEMCL18100480002
Policy instance 1
Insurance contract or identification numberEMCL18100480002
Number of Individuals Covered53
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00500525
Policy instance 2
Insurance contract or identification number00500525
Number of Individuals Covered53
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,918
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,918
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEMCL18100480002
Policy instance 1
Insurance contract or identification numberEMCL18100480002
Number of Individuals Covered53
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00500525
Policy instance 2
Insurance contract or identification number00500525
Number of Individuals Covered53
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,918
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,918

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