Evergreen Insurance LLC

Form 5500

EVERGREEN INSURANCE LLC

922 Philadelphia St, Indiana, Pa 15701 (814) 472-7961 EIN:82-3218459 Plan Admin:Dale Snyder

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameEVERGREEN INSURANCE, LLC 401(K) PLAN Plan #001 Participants BOY/EOY31 / 32 Assets BOY/EOY$1,854,344 / $2,465,491	2023	EVERGREEN INSURANCE, LLC 401(K) PLAN - Plan #001	31 / 32	$1,854,344 / $2,465,491
2022	Plan NameEVERGREEN INSURANCE, LLC 401(K) PLAN Plan #001 Participants BOY/EOY31 / 29 Assets BOY/EOY$2,022,541 / $1,854,344	2022	EVERGREEN INSURANCE, LLC 401(K) PLAN - Plan #001	31 / 29	$2,022,541 / $1,854,344
2021	Plan NameEVERGREEN INSURANCE, LLC 401(K) PLAN Plan #001 Participants BOY/EOY34 / 31 Assets BOY/EOY$1,700,830 / $2,022,541	2021	EVERGREEN INSURANCE, LLC 401(K) PLAN - Plan #001	34 / 31	$1,700,830 / $2,022,541
2020	Plan NameEVERGREEN INSURANCE, LLC 401(K) PLAN Plan #001 Participants BOY/EOY33 / 34 Assets BOY/EOY$1,272,989 / $1,700,830	2020	EVERGREEN INSURANCE, LLC 401(K) PLAN - Plan #001	33 / 34	$1,272,989 / $1,700,830
2019	Plan NameEVERGREEN INSURANCE, LLC 401(K) PLAN Plan #001 Participants BOY/EOY30 / 31 Assets BOY/EOY$853,852 / $1,272,989	2019	EVERGREEN INSURANCE, LLC 401(K) PLAN - Plan #001	30 / 31	$853,852 / $1,272,989