2021-11-12T09:12:01-06:00 2020-12-31 310796034 FLAGEL HUBER FLAGEL 9135 GOVERNORS WAY CINCINNATI OH 45249 990 2020-01-01 208925180 COMMUNICARE HEALTH BENEFIT TRUST COMM 5135301613 4700 ASHWOOD DRIVE NO 200 CINCINNATI OH 45241 CHARLES STOLTZ TRUSTEE 5135301613 2021-11-12 1 CHARLES STOLTZ 999009999 RANDALL S KUVIN P00013093 5137740300 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHARLES STOLTZ 4700 ASHWOOD DRIVE SUITE 200 CINCINNATI OH 45241 32872945 0 X N/A X 2007 OH THE SOLE AND EXCLUSIVE PURPOSE OF THIS TRUST IS TO PROVIDE FOR THE PAYMENT OF LIFE, SICK, ACCIDENT AND/OR OTHER BENEFITS AS DESCRIBED IN CODE SECTION 501(C)(9) TO PLAN PARTICIPANTS, THEIR DEPENDENTS AND/OR BENEFICIARIES. NO EMPLOYEE PENSION BENEFITS WILL BE FUNDED THROUGH THIS TRUST. 3 3 0 0 0 0 0 0 27269214 32872945 0 0 0 0 27269214 32872945 0 0 21486086 26364534 0 0 0 0 0 6112297 4805162 27598383 31169696 -329169 1703249 2864174 4501274 69239 3090 2794935 4498184 X THE SOLE EXCLUSIVE PURPOSE OF THIS TRUST IS TO PROVIDE FOR THE PAYMENT OF LIFE, SICK, ACCIDENT AND/OR OTHER BENEFITS AS DESCRIBED IN CODE SECTION 501(C)(9) TO PLAN PARTICIPANTS, THEIR DEPENDENTS AND/OR BENEFICIARIES. NO EMPLOYEE PENSION BENEFITS WILL BE FUNDED THROUGH THIS TRUST. 0 0 MEDICAL CLAIMS COVERAGE PROVIDED FOR PARTICIPANTS (3,201 PARTICIPANTS). 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 3 3 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X CHARLES STOLTZ 5135301613 4700 ASHWOOD DRIVE SUITE 200 CINCINNATI OH 45241 X RONALD WILHEIM TRUSTEE 10.00 X 0 0 0 CHARLES STOLTZ TRUSTEE 10.00 X 0 0 0 0 0 0 0 0 0 0 LUCENT HEALTHCARE MANAGEMENT LLC 424 CHURCH STREET SUITE 2300 NASHVILLE TN 37219 CLAIMS PROCESSING 1201151 HS TECHNOLOGY 3857 BIRCH STREET SUITE 586 NEWPORT BEACH CA 92660 PRICING SERVICE 262710 NARUS HEALTH INC 424 CHURCH STREET SUITE 2300 NASHVILLE TN 37219 PARTICIPANT CONSULTATIONS 186903 CIGNA PO BOX 645014 CINCINNATI OH 45264 PPO ACCESS 171282 ASSURED PARTNERS 5905 EAST GALBRAITH RD STE 5000 CINCINNATI OH 45236 BROKER 159671 5 PLAN CONTRIBUTIONS 525100 32872945 32872945 32872945 32872945 32872945 0 0 26364534 73019 23565 2285166 2417960 BANK SERVICE FEES 5452 31169696 1828674 4356380 1035500 144894 2864174 4501274 14014 3090 55225 0 69239 3090 X 0 0 0 0 2794935 4498184 2794935 4498184 2864174 4501274 1703249 0 X X 0 1 X 1 0 0 X 32872945 0 32872945 0 32872945 31169696 0 31169696 0 31169696 PART X, LINE 2: THE PLAN IS A TAX-EXEMPT VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION (VEBA) UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(9), INDICATING THAT THE PLAN AND TRUST, AS DESIGNED, ARE QUALIFIED TO TAX-EXEMPT TREATMENT UNDER THE APPLICABLE SECTION OF THE INTERNAL REVENUE CODE. 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 IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER TAXING AUTHORITIES. MANAGEMENT DETERMINED THERE ARE NO UNCERTAIN TAX POSITION AND NO TAX LIABILITY HAS BEEN RECORDED. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE 2017 THROUGH 2019 TAX YEARS REMAIN SUBJECT TO POTENTIAL EXAMINATION BY TAXING AUTHORITIES. FORM 990, PART VI, SECTION A, LINE 2 RONALD WILHEIM AND CHARLES STOLTZ HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS PROVIDED TO AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS AND ORGANIZATIONAL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART XII, LINE 2C THE ORGANIZATION'S GOVERNING BODY IS RESPONSIBLE FOR SELECTION OF THE INDEPENDENT ACCOUNTING FIRM AND OVERSIGHT OF THE AUDIT PROCESS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HEALTH CARE FACILITIES STAFFING LLC 4700 ASHWOOD DRIVE CINCINNATI OH 45241 263322066 HEALTH CARE SERVICES OH N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1