2025-11-03T23:42:07-06:00 2024-12-31 560571159 BERNARD ROBINSON & COMPANY LLP 100 E CUMBERLAND STREET DUNN NC 28334 990 2024-01-01 452956798 EMPLOYEE BENEFIT TRUST FOR EMPLOYEES OF LIFE INC EMPL 9197781900 2609 ROYALL AVENUE GOLDSBORO NC 27534 WILSON RAYNOR TRUSTEE 9197781900 2025-10-31 1 0 JEREMY S BASS CPA P00156680 9108921021 2025-10-30 2024 2025-03-06 01:10:19Z WILSON RAYNOR 2609 ROYALL AVENUE GOLDSBORO NC 27534 1769597 0 X N/A X 2011 NC TO PROVIDE LIFE, HEALTH AND ACCIDENT INSURANCE AND OTHER BENEFITS FOR THE EMPLOYEES OF LIFE,INC. 4 0 0 4 0 0 0 0 1874130 1769597 0 0 0 0 1874130 1769597 0 0 1608150 1281389 0 0 0 0 0 291624 305546 1899774 1586935 -25644 182662 772064 954726 0 0 772064 954726 TO PROVIDE LIFE, HEALTH AND ACCIDENT INSURANCE AND OTHER BENEFITS FOR THE EMPLOYEES OF LIFE, INC. 0 0 PAYMENT OF LIFE, HEALTH AND ACCIDENT INSURANCE AND OTHER BENEFITS, RELATED ADMINISTRATIVE EXPENSES, AND CLAIMS FOR ELIGIBLE EMPLOYEES AND DEPENDENTS UNDER THE EMPLOYEE BENEFIT TRUST FOR EMPLOYEES OF LIFE, INC. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X WILSON RAYNOR 9197781900 2609 ROYALL AVENUE GOLDSBORO NC 27534 X WILSON RAYNOR TRUSTEE 1.00 X 0 0 0 SUSAN AYERS TRUSTEE 1.00 X 0 0 0 RICKY SMITH TRUSTEE 1.00 X 0 0 0 TRINETTE BOWSER TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 900099 1449200 1449200 EMPLOYEE CONTRIBUTIONS 900099 320397 320397 1769597 1769597 1769597 0 0 1281389 20800 ADMIN EXP - INS CLAIMS 284746 1586935 772064 954726 772064 954726 0 0 X 0 0 0 0 772064 954726 772064 954726 772064 954726 182662 0 X X 0 1 X 1 0 0 X 1769597 0 1769597 0 1769597 1586935 0 1586935 0 1586935 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE DEPARTMENT OF LABOR OR INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION B, LINE 11B EACH MEMBER OF THE GOVERNING BODY WILL BE GIVEN A COPY OF THE FORM 990 FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION, AS A VEBA TRUST, WILL PROVIDE A COPY OF THE FORM 990 AND ITS GOVERNING DOCUMENTS TO THE PUBLIC UPON REQUEST. THE FORM 5500 FOR THE UNDERLYING EMPLOYEE BENEFIT PLAN, AS WELL AS ANY AUDITED FINANCIAL STATEMENTS, WILL BE PROVIDED TO PLAN PARTICIPANTS UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. LIFE INC 2609 ROYALL AVENUE GOLDSBORO NC 27534 561612948 HEALTH CARE SERVICES NC N/A S 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0