2024-05-22T15:49:41-04:00 2022-09-30 WATSON COOKE & JONES PA PO BOX 1749 SMITHFIELD NC 275771749 990 2021-10-01 561670983 GUY C LEE BENEFIT PLAN TR LEE 9199346195 POST OFFICE BOX 150 SMITHFIELD NC 27577 DAWN GLOVER TRUSTEE 9199346195 2024-02-25 true DAWN GLOVER 999009999 ALLISON Y JONES P00153043 9199348452 2024-05-09 2021 2023-04-26 12:10:37Z DAWN GLOVER PO BOX 150 SMITHFIELD NC 27577 3959066 false X X PLEASE SEE ATTACHED INDEPENDENT ACCOUNTANT'S AUDIT REPORT. 2 2 0 0 0 3287673 3959066 0 0 3287673 3959066 0 2680399 3673068 0 0 0 503986 647682 3184385 4320750 103288 -361684 413048 51364 430459 373426 -17411 -322062 PLEASE SEE ATTACHED INDEPENDENT ACCOUNTANT'S AUDIT REPORT. false false 4320750 PROVIDE HEALTH, DENTAL, SHORT-TERM DISABILITY AND ACCIDENTAL DEATH BENEFITS FOR CERTAIN EMPLOYEES. 4320750 false false false false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false true 0 0 false 0 false false false false false false false false X 2 2 false false false false false false false true true false false true false false false false false false X GUY C LEE EMPLOYEE BENEFIT PLAN 9199346195 PO BOX 150 SMITHFIELD NC 27577 X DAWN GLOVER TRUSTEE X 0 0 0 ROSS W LAMPE TRUSTEE X 0 0 0 false false false SPONSOR 3252315 3252315 PARTICIPANTS 648511 648511 STD PREMIUMS 38152 38152 COBRA 12069 12069 FSA 8019 8019 3959066 3959066 3959066 3673068 3673068 REINSURANCE PREMIUMS 468019 468019 ADMINISTRATIVE FEES 133801 133801 LIFE INSURANCE PREMIUMS 44791 44791 PRINTING COSTS 831 831 240 240 4320750 4320750 0 0 15358 -164738 286986 71533 110704 144569 413048 51364 430459 373426 430459 373426 X -17411 -322062 -17411 -322062 413048 51364 X -361684 57033 X false true true ESTIMATED CLAIMS INCURRED 373426 373426 3959066 3959066 3959066 4320750 4320750 4320750 FORM 990, PAGE 6, PART VI, LINE 11B UPON COMPLETION, THE TRUSTEES REVIEW THE ANNUAL FINANCIAL STATEMENTS AND TAX RETURNS WITH CPA. FORM 990, PAGE 6, PART VI, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE IN CLAIMS INCURRED BUT NOT REPORTED 57,033