2013-11-14T08:47:08-06:00 2012-12-31 550526247 BODKIN WILSON & KOZICKI PLLC 32 TWENTIETH STREET SUITE 300 WHEELING WV 26003 990 2012-01-01 300002072 WV-OH SUPPLEMENTAL HEALTH PLAN WV-O 3045250331 3150 US ROUTE 60 ONA WV 25545 JOHN CLARKE 3045250331 2013-11-13 NANCY J GWYNN CPA P01447261 3042322280 2013-11-13 2012 2016-02-25 16:41:14Z X JOHN CLARKE 82 BURKHAM COURT WHEELING WV 26003 910801 0 X NA X 2001 WV PROVIDING SUPPLEMENTAL HEALTH PREMIUMS AND WEEKLY DISABILITY BENEFITS TO ELIGIBLE MEMBERS 12 12 0 12 0 0 0 0 762862 712530 147515 198271 0 0 910377 910801 0 0 565563 630636 0 0 0 0 0 43146 72488 608709 703124 301668 207677 3569234 3993970 0 114147 3569234 3879823 TO PROVIDE SUPPLEMENTAL HEALTH PREMIUMS & WEEKLY DISABILITY BENEFITS TO ELIGIBLE MEMBERS OF PARTICIPATING INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS (IBEW) UNIONS 0 0 535545 THE PROVISION OF SUPPLEMENTAL HEALTH INSURANCE PREMIUMS FOR ELIGIBLE MEMBERS OF THE PARTICIPATING LOCAL IBEW UNIONS 95091 THE PROVISION OF SUPPLEMENTAL DISABILITY BENEFITS TO ELIGIBLE MEMBERS OF PARTICIPATING IBEW LOCAL UNIONS 630636 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 0 0 0 1 6 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 WV X AMERICAN BENEFIT CORPORATION 3045250331 3150 US ROUTE 60 ONA WV 25545 X TROY FERRELL 1.00 X 0 0 0 SHANE FERGUSON 1.00 X 0 0 0 DANA JOE SAMPLES 1.00 X 0 0 0 LYNFORD LOVELL 1.00 X 0 0 0 WILLIAM HAMILTON 1.00 X 0 0 0 ROBERT A KUBOVICZ 1.00 X 0 0 0 STEVEN ALLRED 1.00 X 0 0 0 JEFF WILLIAMSON 1.00 X 0 0 0 JAMES BANE 1.00 X 0 0 0 BRIAN DAMANT 1.00 X 0 0 0 JOHN CLARKE 1.00 X 0 0 0 DAVID K ROGERS 1.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 525100 712530 712530 712530 198271 198271 910801 712530 0 198271 630636 18000 1935 20000 14451 15000 1162 1940 703124 127819 244771 84646 70627 44245 3308121 3612034 12959 48648 9334 3569234 3993970 114147 0 114147 X 0 0 0 0 3569234 3879823 3569234 3879823 3569234 3993970 207677 102912 0 X X 0 1 X 1 0 0 1013713 102912 102912 910801 0 910801 703124 0 703124 0 703124 FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S FORM 990 IS PREPARED ANNUALLY BY AN INDEPENDENT ACCOUNTING FIRM. THE FIRM SENDS A DRAFT TO THE ONE OR MORE MEMBERS OF THE GOVERNING BODY TO BE DISTRIBUTED TO THE REMAINING MEMBERS BEFORE THE FORM IS SIGNED BY AN AUTHORIZED MEMBER AND FILED WITH THE APPROPRIATE TAX AUTHORITIES. FORM 990, PART VI, SECTION C, LINE 19 THIS 990 IS ALWAYS PUBLICALLY AVAILABLE THROUGH GUIDESTAR.COM; HOWEVER, THE PLAN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE ONLY AVAILABLE UPON REQUEST TO INTERESTED PARTIES. PART XII; QUESTION 2C THE ORGANIZATIONS GOVERNANCE COMMITTEE SELECTS THE AUDITOR AND REVIEWS THE AUDITORS REPORTS EACH YEAR.