2020-09-09T16:04:00-05:00 2019-12-31 710817652 FROST PLLC 425 WEST CAPITOL SUITE 3300 LITTLE ROCK AR 72201 990 2019-01-01 710528878 MOUNTAIRE EMPLOYEES MEDICAL BENEFIT TRUST MOUN 5013726524 1901 NAPA VALLEY DRIVE LITTLE ROCK AR 72212 CRAIG LAIR TRUSTEE 5013726524 2020-09-03 1 PHILLIP FRENCH CPA P01312209 5013769241 2020-09-03 174.46.5.106 2020-09-03 11:36:15 CD P 979CC21298EBE05EC9FE09BAD86411EEE7226A56 A99517FD3AEE434CD8414398350CFEF98C24CAAE 2019 2020-11-19 02:30:22Z CRAIG LAIR 1901 NAPA VALLEY DR LITTLE ROCK AR 72112 45934911 0 X N/A X 1978 AR PROVIDE MEDICAL, DENTAL, DISABILITY, DEATH AND VISION BENEFITS TO EMPLOYEES 3 0 0 0 0 0 0 0 38964643 45934911 0 0 0 0 38964643 45934911 0 0 32994626 39044705 0 0 0 0 0 5970017 6890206 38964643 45934911 0 0 3524303 3183292 3524303 3183292 0 0 PROVIDE MEDICAL, DENTAL, DISABILITY, DEATH, AND VISION BENEFITS TO EMPLOYEES OF MOUNTAIRE CORP AND SUBSIDIARIES 0 0 42909400 PROVIDE MEDICAL, DENTAL, DISABILITY, DEATH, AND VISION BENEFITS TO EMPLOYEES OF MOUNTAIRE CORP AND SUBSIDIARIES 42909400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X MOUNTAIRE CORPORATION 5013726524 1901 NAPA VALLEY DRIVE LITTLE ROCK AR 72212 X SHELLY CABLE TRUSTEE 0.50 X 0 0 0 DEE ANN ENGLISH TRUSTEE 0.50 X 0 0 0 CRAIG LAIR TRUSTEE 0.50 X 0 0 0 0 0 0 0 0 0 0 TAKE CARE HEALTH SYSTEMS PO BOX 402142 ATLANTA GA 30384 ONSITE MEDICAL CLINIC 4131305 CORESOURCE 1701 CENTERVIEW DRSUITE 207 LITTLE ROCK AR 72211 THIRD PARTY ADMINISTRATION 2541121 MAXOR PLUS 320 SOUTH POLK ST STE 200 AMARILLO TX 79101 DRUG CARD ADMIN 184526 LEWIS MARKETING GROUP PO BOX 1767 LITTLE ROCK AR 722227267 COUNSULTING SERVICES 127275 4 EMPLOYER CONTRIBUTION 525100 31747744 31747744 PARTICIPANT CONTRIBUTIONS 525100 14187167 14187167 45934911 45934911 45934911 0 0 39044705 39044705 2334979 2334979 18000 18000 10796 10796 ON SITE HEALTH CLINICS 3864695 3864695 CLAIMS REPRICING FEES 586548 586548 PRINTING COST 56461 56461 MISCELLANEOUS EXPENSES 18727 18727 45934911 42909400 3025511 0 327097 237393 3197206 2945899 3524303 3183292 3524303 3183292 3524303 3183292 X 0 0 0 0 0 0 0 0 3524303 3183292 0 0 X X 0 1 X 1 0 0 45934911 0 45934911 0 45934911 45934911 0 45934911 0 45934911 FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES THAT ACT ON BEHALF OF THE GOVERNING BODY FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE ORGANIZATIONS GOVERNING BODY FOR SIGNATURE AND APPROVAL BEFORE FILING FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FROM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHTS OR SELECTION PROCESS DURING THE YEAR. MOUNTAIRE CORP & SUBSIDIARIES 710361768 AR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 MOUNTAIRE CORP & SUBSIDIARIES N 272000 ESTIMATED ANNUAL FMV MOUNTAIRE CORP & SUBSIDIARIES O ESTIMATED ANNUAL FMV