2013-11-21T11:24:05-06:00 2013-01-31 431109768 KPM CPAS PC 2003 EAST SUNSHINE SPRINGFIELD MO 65804 990 2012-02-01 436489905 SRC BENEFITS PROGRAMS TRUST SRCB 4178622337 531 S UNION SPRINGFIELD MO 65802 BEVERLY WILLIS 4178622337 2013-11-14 1 GREGORY RAMSEY CPA P00117459 4178824300 2012 2015-11-30 17:44:51Z BEVERLY WILLIS 531 S UNION SPRINGFIELD MO 65802 3954693 0 X N/A X 1994 MO TO PROVIDE HEALTHCARE BENEFITS FOR ITS MEMBERS 3 0 0 0 0 0 0 0 5097333 3954693 0 0 0 0 5097333 3954693 0 0 4258551 3391266 0 0 0 0 0 626705 842038 4885256 4233304 212077 -278611 962992 472449 215532 3600 747460 468849 TO PROVIDE HEALTHCARE BENEFITS FOR ITS MEMBERS 0 0 HEALTH CARE BENEFITS PAID FOR PARTICIPANTS PREMIUMS FOR HEALTH, DISABILITY & LIFE INSURANCE 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 X 3 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X X BEVERLY WILLIS 4178622337 531 S UNION SPRINGFIELD MO 65802 X BEVERLY WILLIS 5.00 40.00 X X 0 0 0 WILLIAM D SHEPPARD 1.00 40.00 X X 0 0 0 JOHN P STACK 1.00 40.00 X X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 524292 2955071 2955071 EMPLOYEE CONTRIBUTIONS 524292 999622 999622 3954693 3954693 3954693 0 0 3391266 REINSURANCE 479200 LIFE/DISABILITY INSURAN 167375 ADMINISTRATION FEES 103656 OTHER MEMBER BENEFITS 91807 4233304 573016 449538 376491 8404 13485 14507 962992 472449 215532 3600 215532 3600 X 747460 468849 747460 468849 962992 472449 -278611 0 X 0 1 X 1 0 0 X 3954693 0 3954693 0 3954693 4233304 0 4233304 0 4233304 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF JANUARY 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. A TAX LIABILITY WOULD BE RECOGNIZED IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2009. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE COMPLETED FORM 990 IS PROVIDED TO THE GOVERNING BODY PRIOR TO FILING. PLAN ADMINISTRATOR BEVERLY WILLIS REVIEWS AND SIGNS THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C PLAN ADMINISTRATOR INQUIRES AND DOCUMENTS RESPONSE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE ORGNIZATION DOES MAKE THEM AVAILABLE TO PARTICIPANTS IN THE GROUP HEALTH PLAN UPON REQUEST. SRC HOLDINGS CORPORATION AND SUBSIDIARIES 531 S UNION SPRINGFIELD MO 65802 431274934 MACHINERY MANUFACTURING MO N/A S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 SRC HOLDINGS CORPORATION AND SUBSIDIARIES R 2955071 CASH PAID BY SRC HOLDINGS