CIOC FUNDED MEDICAL PLAN TRUST: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CIOC FUNDED MEDICAL PLAN TRUST (EIN 25-1494888)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-04-09
IRS object ID
201410999349300616
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-04-09T11:18:01-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCELHANEY & ASSOCIATES LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11725 WASHINGTON RD STE 602AddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15241ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251494888EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CIOC FUNDED MEDICAL PLAN TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCIOCNameControl
Phone4122012242Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 BOULEVARD OF THE ALLIES 5TH FLAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameS HOWARD KLINEName
TitleCHAIRMANTitle
Phone4122012242Phone
Date Signed2013-10-16DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameF E MCELHANEY JRName
Phone4128313812Phone
Date Prepared2014-03-25DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonS HOWARD KLINENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line160 BLVD OF THE ALLIES 5TH FLAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4296840GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1985YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionHEALTH AND WELFARE BENEFIT PROVIDED TO RETIRED MEMBERS AND SURVIVING SPOUSES OF THE FORMER MIDLAND AND SPRING PLANTS OF COLT INDUSTRIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year222626ProgramServiceRevenuePriorYear
Program Service Revenue CY211295ProgramServiceRevenueCY
Investment Income Prior Year2687InvestmentIncomePriorYear
Investment Income Current Year2061InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year225313TotalRevenuePriorYear
Total Revenue Current Year213356TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year1881517BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY1886492BenefitsPaidToMembersCY
Salaries Etc Prior Year40000SalariesEtcPriorYear
Salaries Etc Current Year40000SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year248831OtherExpensePriorYear
Other Expenses Current Year238431OtherExpensesCurrentYear
Total Expenses Prior Year2170348TotalExpensesPriorYear
Total Expenses Current Year2164923TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1945035RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1951567RevenuesLessExpensesCY
Total Assets BOY28042361TotalAssetsBOY
Total Assets EOY25713500TotalAssetsEOY
Total Liabilities BOY31846TotalLiabilitiesBOY
Total Liabilities EOY41046TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY28010515NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25672454NetAssetsOrFundBalancesEOY
Mission DescriptionHEALTH AND WELFARE BENEFIT PROVIDEDMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionHEALTH AND WELFARE BENEFIT PROVIDED TO RETIRED MEMBERS AND SURVIVING SPOUSES OF THE FORMER MIDLAND AND SPRING PLANTS OF COLT INDUSTRIES.Description
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096152NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CENTRAL DATA SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4122012242TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line160 BLVD OF THE ALLIES 5TH FLAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
S HOWARD KLINE
CHAIRMAN0.25X1400000
BEAUFORT B LONGEST JR
TRUSTEE0.25X1300000
JOHN B MALLON
TRUSTEE0.25X1300000
FieldValueIRS element (for citing)
Total Reportable Comp From Org40000TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CENTRAL DATA SERVICESBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line160 BLVD OF THE ALLIES 5TH FLAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesADMINISTRATIVEDescriptionOfServices
Compensation115308Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPARTICIPANTS' CONTRIBUTIONSDescription
Business Code900099BusinessCode
Total Revenue Column211295TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue211295TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column915TotalRevenueColumn
Exclusion$915ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4084630Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4083484Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1146Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1146TotalRevenueColumn
Exclusion$1,146ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column213356TotalRevenueColumn
Related Or Exempt Function Income211295RelatedOrExemptFunctionIncome
Exclusion$2,061ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total1886492Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total40000Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1162Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12500Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total25000Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total168605Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11352Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total550Total

Insurance Insurance

FieldValueIRS element (for citing)
Total18301Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionDEATH AUDIT FEESDescription
Total961Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2164923Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY63619BOY
EOY40198EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY437704BOY
EOY703613EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11673BOY
EOY25987EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2170BOY
EOY1849EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY19630124BOY
EOY19021826EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY7897000BOY
EOY5919980EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY71BOY
EOY47EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY28042361BOY
EOY25713500EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY31846BOY
EOY41046EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY31846BOY
EOY41046EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY28010515BOY
EOY25672454EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28010515BOY
EOY25672454EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28042361BOY
EOY25713500EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1951567ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-386494ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
US TREAS SEC STRIP 8/15/20131999800F
US TREAS SEC STRIP 11/15/20151976120F
US TREAS SEC STRIP 11/15/20161944060F
FieldValueIRS element (for citing)
Total Of Book Value Securities5919980TotalOfBookValueSecurities
Tot Revenue Etc Audited Fincl Stmt-173138TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-386494NetUnrealizedGainsInvestments
Revenue Not Rptd F990-386494RevenueNotRptdF990
Revenue Subtotal213356RevenueSubtotal
Total Revenue Per Form990213356TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2164923TotExpensesEtcAuditedFinclStmt
Expenses Subtotal2164923ExpensesSubtotal
Total Expenses Per Form9902164923TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11bALL TRUSTEES ARE PROVIDED A COPY OF THE COMPLETED FORM BEFORE IT IS FILED
Pt VI, Line 12cAREAS OF POSSIBLE CONFLICT REVIEWED BY TRUSTEES AS NEEDED
Pt VI, Line 15aDETERMINED BY THE TRUSTEES
Pt VI, Line 15bDETERMINED BY THE TRUSTEES
Pt VI, Line 19AVAILABLE UPON REQUEST
Pt XIUNREALIZED INVESTMENT LOSS ON INVESTMENTS

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