North State Grocery, Inc.

Form 5500

NORTH STATE GROCERY, INC.

PO Box 439, Cottonwood, Ca 96022 (530) 347-4621 EIN:68-0173691 Plan Admin:Michel Leclerc

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameNORTH STATE GROCERY, INC. EMPLOYEE STOCK OWNERSHIP PLAN Plan #002 Participants BOY/EOY916 / 885 Assets BOY/EOY$76,661,663 / $80,339,975	2022	NORTH STATE GROCERY, INC. EMPLOYEE STOCK OWNERSHIP PLAN - Plan #002	916 / 885	$76,661,663 / $80,339,975
2022	Plan NameNORTH STATE GROCERY, INC. 401(K) PLAN Plan #001 Participants BOY/EOY639 / 603 Assets BOY/EOY$16,100,538 / $13,727,594	2022	NORTH STATE GROCERY, INC. 401(K) PLAN - Plan #001	639 / 603	$16,100,538 / $13,727,594
2022	Plan NameNORTH STATE GROCERY EMPLOYEE BENEFIT PLAN Plan #501 Participants BOY/EOY647 / 479 Assets BOY/EOY$0 / $0	2022	NORTH STATE GROCERY EMPLOYEE BENEFIT PLAN - Plan #501	647 / 479	$0 / $0
2021	Plan NameNORTH STATE GROCERY, INC. EMPLOYEE STOCK OWNERSHIP PLAN Plan #002 Participants BOY/EOY827 / 833 Assets BOY/EOY$55,613,650 / $76,661,663	2021	NORTH STATE GROCERY, INC. EMPLOYEE STOCK OWNERSHIP PLAN - Plan #002	827 / 833	$55,613,650 / $76,661,663
2021	Plan NameNORTH STATE GROCERY, INC. 401(K) PLAN Plan #001 Participants BOY/EOY640 / 561 Assets BOY/EOY$14,390,603 / $16,100,538	2021	NORTH STATE GROCERY, INC. 401(K) PLAN - Plan #001	640 / 561	$14,390,603 / $16,100,538
2021	Plan NameNORTH STATE GROCERY EMPLOYEE BENEFIT PLAN Plan #501 Participants BOY/EOY498 / 647 Assets BOY/EOY$0 / $0	2021	NORTH STATE GROCERY EMPLOYEE BENEFIT PLAN - Plan #501	498 / 647	$0 / $0
2020	Plan NameNORTH STATE GROCERY, INC. EMPLOYEE STOCK OWNERSHIP PLAN Plan #002 Participants BOY/EOY769 / 763 Assets BOY/EOY$48,933,731 / $55,613,650	2020	NORTH STATE GROCERY, INC. EMPLOYEE STOCK OWNERSHIP PLAN - Plan #002	769 / 763	$48,933,731 / $55,613,650
2020	Plan NameNORTH STATE GROCERY, INC. 401(K) PLAN Plan #001 Participants BOY/EOY645 / 568 Assets BOY/EOY$12,285,981 / $14,390,603	2020	NORTH STATE GROCERY, INC. 401(K) PLAN - Plan #001	645 / 568	$12,285,981 / $14,390,603
2020	Plan NameNORTH STATE GROCERY EMPLOYEE BENEFIT PLAN Plan #501 Participants BOY/EOY463 / 498 Assets BOY/EOY$0 / $0	2020	NORTH STATE GROCERY EMPLOYEE BENEFIT PLAN - Plan #501	463 / 498	$0 / $0
2019	Plan NameNORTH STATE GROCERY, INC. EMPLOYEE STOCK OWNERSHIP PLAN Plan #002 Participants BOY/EOY622 / 672 Assets BOY/EOY$50,364,414 / $48,933,731	2019	NORTH STATE GROCERY, INC. EMPLOYEE STOCK OWNERSHIP PLAN - Plan #002	622 / 672	$50,364,414 / $48,933,731
2019	Plan NameNORTH STATE GROCERY, INC. 401(K) PLAN Plan #001 Participants BOY/EOY581 / 545 Assets BOY/EOY$10,054,298 / $12,285,981	2019	NORTH STATE GROCERY, INC. 401(K) PLAN - Plan #001	581 / 545	$10,054,298 / $12,285,981