2019-11-04T15:41:30-06:00 2018-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 462400857 990 2018-01-01 351766513 GAYLOR ELECTRIC INC EMPLOYEE BENEFIT PLAN GAYL 3178430577 5750 CASTLE CREEK PKWY N DR NO 400 INDIANAPOLIS IN 46250 JAMES CREWS CHIEF FINANCIAL OFFICER 3178430577 2019-10-29 1 RONALD M LENZ P00035256 3175802000 2019-10-24 64.132.79.19 2019-10-29 10:05:33 ED P 9BFCB4F77913ED2B6A94095B6209E8EA504D984B F428415DB86C89D69CF6427FC3106D4267BD1836 2018 2020-03-31 21:24:44Z TAUNYA STRAUSS 5750 CASTLE CREEK PKWY N DR NO 400 INDIANAPOLIS IN 46250 7013903 0 X N/A X 1988 IN TO PAY MEDICAL BENEFITS FOR ELIGIBLE PLAN PARTICIPANTS 3 0 0 0 0 0 0 0 7699513 7013895 11 8 0 0 7699524 7013903 0 0 6962442 6212305 0 0 0 0 0 702222 802538 7664664 7014843 34860 -940 45979 45039 0 0 45979 45039 TO PAY MEDICAL BENEFITS FOR ELIGIBLE PLAN PARTICIPANTS 0 0 THE PLAN PROVIDES FOR CERTAIN HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES OF GAYLOR ELECTRIC, INC. 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 0 0 X 3 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 1 1 0 0 0 IN X TAUNYA STRAUSS 3178430577 5750 CASTLE CREEK PKWY N DR STE 400 INDIANAPOLIS IN 46250 X TAUNYA STRAUSS TRUSTEE 40.00 X 0 0 0 WES ANDERSON TRUSTEE 5.00 X 0 0 0 MICHAEL FORT TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 ANTHEM 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 PLAN ADMINISTRATION 697016 1 EMPLOYER CONTRIBUTIONS 900001 4486624 4486624 EMPLOYEE CONTRIBUTIONS 900001 2527271 2527271 7013895 8 8 7013903 7013895 0 8 6212305 ADMINISTRATIVE EXPENSES 802538 7014843 45979 45039 45979 45039 0 0 X 0 0 0 0 45979 45039 45979 45039 45979 45039 -940 0 X X 0 1 X 1 0 0 X 7013903 0 7013903 0 7013903 7014843 0 7014843 0 7014843 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY AS A TAX EXEMPT TRUST, PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 501(C)(9). ACCORDINGLY, THE TRUST'S INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED FEBRUARY 9, 1990. THE TRUST HAS BEEN AMENDED SINCE RECEIVING THE TAX DETERMINATION LETTER. THE PLAN ADMINISTRATOR BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH THE APPLICABLE PROVISIONS OF THE IRC. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROCESS. THE PLAN ADMINISTRATOR BELIEVES THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2015. FORM 990, PART VI, SECTION A, LINE 2 INDIVIDUALS EMPLOYED BY THE BENEFIT PLAN ARE ALSO EMPLOYEES OF GAYLOR ELECTRIC, INC. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY BECAUSE IT IS AN EMPLOYEE BENEFIT PLAN. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS EMAILED TO THE TRUSTEES TO REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT HAVE A PROCESS FOR DETERMINING COMPENSATION TO THE CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIALS, OR KEY EMPLOYEES BECAUSE THE ORGANIZATION IS AN EMPLOYEE BENEFIT PLAN, AND NO SUCH EMPLOYEES EXIST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FORM 990, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S PROCESS HAS NOT CHANGED REGARDING HAVING A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. GAYLOR ELECTRIC INC 5750 CASTLE CREEK PKWY N DR STE 400 INDIANAPOLIS IN 46250 203727689 CONSTRUCTION IN N/A S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 GAYLOR ELECTRIC INC S 4486624