-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: keymaster@town.hall.org Originator-Key-Asymmetric: MFkwCgYEVQgBAQICAgADSwAwSAJBALeWW4xDV4i7+b6+UyPn5RtObb1cJ7VkACDq pKb9/DClgTKIm08lCfoilvi9Wl4SODbR1+1waHhiGmeZO8OdgLUCAwEAAQ== MIC-Info: RSA-MD5,RSA, p6NSJiwbdS4lH9e1Mjyrfm3EKRsuVFV3oW3tSMRQhQYLPovvMrptOd/3DHSI3l3y A4rWy8Z0FAHVdq1Lzxjm2Q== 0000070538-94-000021.txt : 19940712 0000070538-94-000021.hdr.sgml : 19940712 ACCESSION NUMBER: 0000070538-94-000021 CONFORMED SUBMISSION TYPE: 11-K PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 19931231 FILED AS OF DATE: 19940629 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL SERVICE INDUSTRIES INC CENTRAL INDEX KEY: 0000070538 STANDARD INDUSTRIAL CLASSIFICATION: 3640 IRS NUMBER: 580364900 STATE OF INCORPORATION: DE FISCAL YEAR END: 0831 FILING VALUES: FORM TYPE: 11-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-03208 FILM NUMBER: 94536388 BUSINESS ADDRESS: STREET 1: 1420 PEACHTREE ST NE CITY: ATLANTA STATE: GA ZIP: 30309 BUSINESS PHONE: 4048531000 MAIL ADDRESS: STREET 1: 1420 PEACHTREE ST NE CITY: ATLANTA STATE: GA ZIP: 30309 11-K 1 SELIG CHEMICAL INDUSTRIES RETIREMENT PLAN 1 Page 1 of 11 Exhibit Index on Page 2 FORM 11-K SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 Annual Report Pursuant to Section 15(d) of the Securities Exchange Act of 1934 (Mark One) [X] ANNUAL REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 [FEE REQUIRED]. For the fiscal year ended: December 31, 1993 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 [NO FEE REQUIRED]. For the transition period from to Commission file number 1- 3208 A. Full title of the plan and the address of the plan, if different from that of the issuer named below: Selig Chemical Industries Retirement Plan B. Name of issuer of the securities held pursuant to the plan and the address of the principal executive office: National Service Industries, Inc. 1420 Peachtree Street, NE Atlanta, Georgia 30309 2 Page 2 REQUIRED INFORMATION The following documents are filed as a part of this report: 1. Financial Statements Plan financial statements prepared in accordance with the financial reporting requirements of ERISA include the following: Report of Independent Public Accountants Statements of Net Assets Available for Plan Benefits as of December 31, 1993 and August 31, 1993 Statements of Changes in Net Assets Available for Plan Benefits for the Four-Month Period Ended December 31, 1993 and the Year Ended August 31, 1993 Notes to Financial Statements 2. Exhibits Sequentially Numbered The following exhibit is filed with this report: Page 23 Consent of Arthur Andersen & Co. 11 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the trustees (or other persons who administer the employee benefit plan) have duly caused this annual report to be signed on its behalf by the undersigned hereunto duly authorized. Selig Chemical Industries Retirement Plan Date: June 28, 1994 By: National Service Industries, Inc. Plan Administrator By: /s/ D. Raymond Riddle Name: D. Raymond Riddle Title: President and Chief Executive Officer 3 Page 3 REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS To the Plan Administrator of the Selig Chemical Industries Retirement Plan: We have audited the accompanying statements of net assets available for plan benefits of the SELIG CHEMICAL INDUSTRIES RETIREMENT PLAN as of December 31, 1993 and August 31, 1993 and the related statements of changes in net assets available for plan benefits for the four-month period ended December 31, 1993 and the year ended August 31, 1993. These financial statements are the responsibility of the Plan's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan amd perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the net assets available for plan benefits of the Selig Chemical Industries Retirement Plan as of December 31, 1993 and August 31, 1993 and the changes in net assets available for plan benefits for the four-month period ended December 31, 1993 and the year ended August 31, 1993 in conformity with generally accepted accounting principles. /s/ Arthur Andersen & Co. ARTHUR ANDERSEN & CO. Atlanta, Georgia June 6, 1994 4 Page 4 SELIG CHEMICAL INDUSTRIES RETIREMENT PLAN STATEMENTS OF NET ASSETS AVAILABLE FOR PLAN BENEFITS DECEMBER 31, 1993 AND AUGUST 31, 1993 December 31, 1993 August 31, 1993 RECEIVABLES: Employer Contributions $ 0 $ 44,349 Employee Contributions 25,846 26,455 --------- --------- Total Receivables 25,846 70,804 --------- --------- INVESTMENTS, at market value (Note 1): NSI DC Fixed Income Fund 5,884,022 5,889,404 --------- --------- NET ASSETS AVAILABLE FOR PLAN BENEFITS $ 5,909,868 $ 5,960,208 ========= ========= The accompanying notes are an integral part of these statements. 5 Page 5 SELIG CHEMICAL INDUSTRIES RETIREMENT PLAN STATEMENTS OF CHANGES IN NET ASSETS AVAILABLE FOR PLAN BENEFITS FOR THE FOUR MONTH PERIOD ENDED DECEMBER 31, 1993 AND THE YEAR ENDED AUGUST 31, 1993 Four Month Period Ended Year Ended December 31, 1993 August 31, 1993 CONTRIBUTIONS (Note 3): Employer $ 0 $ 105,182 Employee 113,195 291,900 --------- --------- 113,195 397,082 --------- --------- NET GAIN FROM INVESTMENTS IN: DC Fixed Income Fund (Note 1) 164,849 294,176 FIF Units (Note 1) 0 146,322 --------- --------- 164,849 440,498 --------- --------- AMOUNTS PAID TO PARTICIPANTS <328,384> <416,353> --------- --------- (DECREASE) INCREASE IN NET ASSETS AVAILABLE FOR PLAN BENEFITS <50,340> 421,227 NET ASSETS AVAILABLE FOR PLAN BENEFITS AT BEGINNING OF PERIOD 5,960,208 5,538,981 --------- --------- NET ASSETS AVAILABLE FOR PLAN BENEFITS AT END OF PERIOD $ 5,909,868 $ 5,960,208 ========= ========= The accompanying notes are an integral part of these statements. 6 Page 6 SELIG CHEMICAL INDUSTRIES RETIREMENT PLAN NOTES TO FINANCIAL STATEMENTS DECEMBER 31, 1993 AND AUGUST 31, 1993 1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES: Basis of Accounting - The accounts of the Selig Chemical Industries (the "Company") Retirement Plan (the "Plan"), a division of National Service Industries, Inc. (NSI) are maintained by the trustee on the cash basis of accounting. The accompanying financial statements have been prepared using the accrual method of accounting by application of memorandum entries. Investment in NSI Fixed Income Fund - A portion of the Plan's assets were commingled in a Fixed Income Fund (FIF) together with the assets of pension and profit sharing plans of other NSI divisions. Investments of the FIF were reflected at market values determined by the custodian from publicly stated price information. These investments are subject to certain administrative guidelines and limitations as to type and amount of securities held. The net gain from investments in FIF units in the accompanying Statements of Changes in Net Assets Available for Plan Benefits reflects interest income on guaranteed investment contracts and master notes. On January 1, 1993, investments of this fund were reinvested in the NSI Defined Contribution Fixed Income Fund. Summarized financial information of the FIF for the period September 1, 1992 to December 31, 1992 is presented as follows: 7 Page 7 -2- 1992 Net gain from investments in FIF units during the period $ 1,774,924 ========= Allocation to NSI plans (based on number of units owned): Selig Chemical Industries Retirement Plan $ 146,322 All other NSI plans 1,628,602 --------- Total $ 1,774,924 ========= Investment in NSI Defined Contribution Fixed Income Fund - As of January 1, 1993, the Plan's assets were commingled in a Defined Contribution Fixed Income Fund (DC Fixed Income Fund) together with the assets of certain profit sharing plans of other NSI divisions. Investments of the DC Fixed Income Fund are reflected at market values determined by the custodian from publicly stated price information. These investments are subject to certain administrative guidelines and limitations as to type and amount of securities held. Certain fund assets are allocated to selected independent investment managers to invest under the general DC Fixed Income Fund guidelines. The net gain from investments in the DC Fixed Income Fund in the accompanying Statements of Changes in Net Assets Available for Plan Benefits reflects interest income on guaranteed investment contracts and master notes. Summarized financial information of the DC Fixed Income Fund is presented as follows: 8 Page 8 -3- September 1, 1993 January 1, 1993 to to December 31, 1993 August 31, 1993 Interest and dividend income $ 1,464,731 $ 2,507,338 Investment management fees <6,775> <5,631> --------- --------- Net gain from investments in the DC Fixed Income Fund during the period $ 1,457,956 $ 2,501,707 ========= ========= Allocation to NSI plans: Selig Chemical Industries Retirement Plan $ 164,848 $ 294,176 All other NSI plans 1,293,108 2,207,531 --------- --------- Total $ 1,457,956 $ 2,501,707 ========= ========= December 31, 1993 August 31, 1993 DC FIXED INCOME FUND INVESTMENTS: Guaranteed Investment Contracts $ 36,541,338 $ 50,929,142 Master Notes 16,618,541 1,052,739 Cash 22,953 6,141 Accrued Investment Income 9,817 0 ---------- ---------- Total investments $ 53,192,649 $ 51,988,022 ========== ========== Allocation to NSI Plans (based on participant balances): December 31, 1993 August 31, 1993 Selig Chemical Industries Retirement Plan $ 5,884,022 11.07% $ 5,889,404 11.33% All Other NSI Plans 47,308,627 88.93% 46,098,618 88.67% ----------- ------ ----------- ------ $53,192,649 100.00% $51,988,022 100.00% =========== ====== =========== ====== 9 Page 9 -4- Net Assets Available for Plan Benefits - At August 31, 1993, $8,781 of net assets available for plan benefits were allocated to accounts of participants who have withdrawn from participation in the earnings and operations of the Plan. There were no such amounts allocated at December 31, 1993. Tax Status - The Plan has received a favorable determination letter from the Internal Revenue Service dated September 30, 1986, and is qualified under the Internal Revenue Code (the "Code") as exempt from federal income taxes. The Plan has been amended and restated since receiving the determination letter. However, the plan administrator believes that the Plan is currently designed and is being operated in compliance with the applicable requirements of the Code. Therefore, the plan administrator believes that the Plan was qualified and that the related trust was tax-exempt as of December 31, 1993. 2. TRUST AGREEMENT: Under a trust agreement dated September 1, 1993, as amended, Wachovia Bank of Georgia, N.A. was appointed trustee of the NSI Defined Contribution Plans Master Trust (which includes the DC Fixed Income Fund assets discussed in Note 1). Certain officers of NSI were appointed administrators of the Plan's assets together with the income derived therefrom. Prior to September 1, 1993, the assets of the Plan were included in the NSI General Retirement Trust (GRT). Under a trust agreement dated March 1, 1978, certain officers of NSI were appointed trustee of the GRT and were administrators of the Plan's assets and Wachovia Bank of Georgia was the custodian. 3. PLAN DESCRIPTION: The following brief description of the Plan is provided for informational purposes only. Participants should refer to the Plan agreement for more complete information. The Plan, as amended and restated effective February 1, 1988, incorporates the requirements of Sections 401(a) and 501(a) of the Internal Revenue Code of 1986 and the Employee Retirement Income Security Act of 1974 (ERISA), as amended from time to time. The Plan is a voluntary, defined contribution plan covering all employees of the Company who have attained the age of 21 with six consecutive months of service during which at least 500 hours 10 Page 10 of employment are completed. Contributions are made by the company and participants of the Plan. The company contributes an amount equal to 5% of net profits, as defined. Participants contribute between 2% and 8% of their before tax compensation but not to exceed $7,000 (or such larger amount as may be determined by the Secretary of Treasury) for any participant in any plan year. Vesting of employer contributions occurs on an increasing scale ranging from 20% vesting after three years of service, as defined, to 100% vesting after seven years of service. Participants are always fully vested in their individual contributions. All expenses of the Plan are paid by the Company. During December, 1993, the Plan was amended and restated to allow participant directed investments effective January 1, 1994. In addition, the Plan year end was changed from August 31 to December 31. Thus, the accompanying financial statements are for the year ended August 31, 1993 and the four month period in the short plan year ended December 31, 1993. The Plan, as amended and restated, does not permit employer contributions during the short plan year. Although the Company intends for the Plan to be permanent, the Plan provides that the Company has the right to discontinue contributions or to terminate the Plan at any time. In the event of termination, each participant shall be vested with the balance of his account and his proportionate share of any future adjustments or forfeitures. EX-23 2 1 Page 11 Exhibit 23 CONSENT OF INDEPENDENT PUBLIC ACCOUNTANTS As independent public accountants, we hereby consent to the incorporation of our report included in this Form 11-K into National Service Industries, Inc.'s previously filed Registration Statement covering the Selig Chemical Industries Retirement Plan. /s/ Arthur Andersen & Co. ARTHUR ANDERSEN & CO. Atlanta, Georgia June 28, 1994 -----END PRIVACY-ENHANCED MESSAGE-----