IPALCO ENTERPRISES INC VEBA TR: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- IPALCO ENTERPRISES INC VEBA TR (EIN 35-1946825)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-07-16
- IRS object ID
- 201311979349300511
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-07-16T08:43:48-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HORIZON CPA SERVICES INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8604 ALLISONVILLE RD STE 190 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 462505542 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351946825 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IPALCO ENTERPRISES INC VOLUNTARY | BusinessNameLine1 |
| Business Name Line2 | EMPLOYEE BENEFICIARY ASSOC TRUST | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | IPAL | NameControl |
| Phone | 8123789960 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4550 MIDDLE ROAD | AddressLine1 |
| Address Line2 | ROOM/SUITE A | AddressLine2 |
| City | COLUMBUS | City |
| State | IN | State |
| ZIP Code | 472022369 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MAX CALIFAR | Name |
| Title | CHAIRMAN | Title |
| Phone | 8123789960 | Phone |
| Date Signed | 2013-07-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | A BRADLEY MARES CPA | Name |
| Phone | 3176441468 | Phone |
| Date Prepared | 2013-07-16 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MAX CALIFAR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4550 MIDDLE ROAD SUITE A | AddressLine1 |
| City | COLUMBUS | City |
| State | IN | State |
| ZIP Code | 47202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5779660 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE POST-RETIREMENT MEDICAL BENEFITS TO ELIGIBLE RETIREES AND THEIR DEPENDENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Gross UBI | 16 | TotalGrossUBI |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4254504 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5408531 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 401240 | InvestmentIncomePriorYear |
| Investment Income Current Year | 332028 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2958 | OtherRevenuePriorYear |
| Other Revenue Current Year | 39101 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4658702 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5779660 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 5771350 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 6887365 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1220021 | OtherExpensePriorYear |
| Other Expenses Current Year | 1287017 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6991371 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8174382 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2332669 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2394722 | RevenuesLessExpensesCY |
| Total Assets BOY | 65037702 | TotalAssetsBOY |
| Total Assets EOY | 66085602 | TotalAssetsEOY |
| Total Liabilities BOY | 619292 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 651048 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 64418410 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 65434554 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE POST-RETIREMENT MEDICAL BENEFITS TO ELIGIBLE RETIREES AND THEIR DEPENDENTS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 8174382 | Expense |
| Description | PROVIDE MEDICAL AND PHARMACY BENEFITS TO ELIGIBLE RETIREES AND THEIR ELIGIBLE DEPENDENTS. | Description |
| Total Program Service Expense | 8174382 | TotalProgramServiceExpense |
| Described In501 C3 | false | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 41 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NATIONAL BANK OF INDIANAPOLIS | NamePerson |
| Telephone Number | 8123789960 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 107 N PENNSYLVANIA ST SUITE 500 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (4 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Institutional TrusteeInstitutionalTrustee |
|---|---|---|---|---|---|---|
| MAX CALIFAR | ||||||
| COMMITTEE CH | 10.00 | X | 40000 | 0 | 0 | |
| STEPHEN J PLUNKETT | ||||||
| COMMITTEE ME | 10.00 | X | 40000 | 0 | 0 | |
| STEPHEN L MEYER | ||||||
| COMMITTEE SE | 10.00 | X | 40000 | 0 | 0 | |
| SUSAN TAYLOR ENGLEDOW | ||||||
| TRUSTEE | 10.00 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 120000 | TotalReportableCompFromOrg |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ANTHEM HEALTH INSURANCE INC | |||||
| 220 VIRGINIA AVENUE | INDIANAPOLIS | IN | 46204 | CLAIMS PROCESS. | 567117 |
| DUNN & ASSOC BENEFIT ADMINISTRATORS | |||||
| 4550 MIDDLE ROAD SUITE A | COLUMBUS | IN | 47202 | ADMINISTRATION | 172836 |
| EVERCORE | |||||
| 601 S FIGUEROA ST 44TH FLOOR | LOS ANGELES | CA | 90017 | INVESTMENT | 105830 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| DEATH BENEFITS | 3736390 | $3,736,390 | |
| PARTICIPANT CONTRIBUTIONS | 1672141 | 1672141 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5408531 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16 | TotalRevenueColumn |
| Unrelated Business Revenue | 16 | UnrelatedBusinessRevenue |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 332012 | TotalRevenueColumn |
| Exclusion | $332,012 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DRUG-REIMBURSE/SETTLEMENT | Description |
| Total Revenue Column | 39101 | TotalRevenueColumn |
| Exclusion | $39,101 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 39101 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5779660 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1672141 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 16 | UnrelatedBusinessRevenue |
| Exclusion | $4,107,503 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6887365 | Total |
| Program Services | 6887365 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120000 | Total |
| Program Services | 120000 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94624 | Total |
| Program Services | 94624 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13750 | Total |
| Program Services | 13750 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105830 | Total |
| Program Services | 105830 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 920549 | Total |
| Program Services | 920549 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| FIDUCIARY INSURANCE | 17425 | 17425 |
| LIFE INSURANCE PREMIUMS | 10488 | 10488 |
| OTHER FEES | 1679 | 1679 |
| LOCKBOX FEES | 1396 | 1396 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1276 | Total |
| Program Services | 1276 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8174382 | Total |
| Program Services | 8174382 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 252052 | BOY |
| EOY | 4881 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 299583 | BOY |
| EOY | 674820 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5022 | BOY |
| EOY | 5562 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64481045 | BOY |
| EOY | 65400339 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65037702 | BOY |
| EOY | 66085602 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73632 | BOY |
| EOY | 57975 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 545660 | BOY |
| EOY | 593073 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 619292 | BOY |
| EOY | 651048 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64418410 | BOY |
| EOY | 65434554 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64418410 | BOY |
| EOY | 65434554 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65037702 | BOY |
| EOY | 66085602 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -2394722 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 3410866 | ReconciliationUnrealizedInvest |
| Method Of Accounting Other | X | MethodOfAccountingOther |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BENEFIT CLAIMS PAYABLE | Description |
| Amount | $593,073 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 593073 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 9190526 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 3410866 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 3410866 | RevenueNotRptdF990 |
| Revenue Subtotal | 5779660 | RevenueSubtotal |
| Total Revenue Per Form990 | 5779660 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 8174382 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 8174382 | ExpensesSubtotal |
| Total Expenses Per Form990 | 8174382 | TotalExpensesPerForm990 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | COPY OF FORM 990 PROVIDED TO ALL MEMBERS OF GOVERNING BODY FOR REVIEW PRIOR TO FILING. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | NO ENFORCEMENT OF CONFLICT OF INTERESTS POLICIES HAVE BEEN REQUIRED. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | BOARD COMPENSATION WAS REVIEWED FOR COMPARABILITY AND REASONABLENESS. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | ANTHEM - CLAIMS PROCESSING 567,117 0 0 MEDCO - CLAIMS PROCESSING 39,341 0 0 ACTUARIAL FEE 18,500 0 0 DUNN - ELIGIBILITY ADMIN. 172,836 0 0 NBI - TRUSTEE FEES 94,081 0 0 VAN EPPS - INSURANCE ADMIN. 28,674 0 0 |
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