CF&I RETIREES VOLUNTARY EMPLOYEE BENEFICIARY ASSOCIATION TRUST: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CF&I RETIREES VOLUNTARY EMPLOYEE BENEFICIARY ASSOCIATION TRUST (EIN 84-1232395)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201113199349303936
- Schema version
- 2010v3.4
- 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 | 2011-11-15T12:55:13-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALIBELLO & BRODER LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 633 THIRD AVENUE 13TH FLOOR | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 841232395 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CF&I RETIREES' VOLUNTARY EMPLOYEE | BusinessNameLine1 |
| Business Name Line2 | BENEFICIARY ASSOCIATION TRUST | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CF&I | NameControl |
| Phone | 7197440043 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 304 SOUTH VICTORIA AVENUE NO C | AddressLine1 |
| City | PUEBLO | City |
| State | CO | State |
| ZIP Code | 81003 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOAN VIALPANDO | Name |
| Title | CHAIRMAN | Title |
| Phone | 7197440043 | Phone |
| Date Signed | 2011-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES P WETZOLD | Name |
| Phone | 2123155000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOAN VIALPANDO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 304 S VICTORIA AVENUE SUITE C | AddressLine1 |
| City | PUEBLO | City |
| State | CO | State |
| ZIP Code | 81003 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 28627366 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Other | X | TypeOfOrganizationOther |
| Type Of Org Other Description | 501(C)(9) | TypeOfOrgOtherDescription |
| Year Formation | 1993 | YearFormation |
| State Legal Domicile | CO | StateLegalDomicile |
| Activity Or Mission Description | PROVIDES COMPREHENSIVE MEDICAL COVERAGE AND LIFE INSURANCE BENEFITS FOR ALL ELIGIBLE PARTICIPANTS, AND MEDICAL COVERAGE FOR THEIR DEPENDENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8701396 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8276816 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1267986 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2485217 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 708883 | OtherRevenuePriorYear |
| Other Revenue Current Year | 873990 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8142293 | TotalRevenuePriorYear |
| Total Revenue Current Year | 11636023 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 12882020 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 11207868 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 547171 | OtherExpensePriorYear |
| Other Expenses Current Year | 566995 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 13429191 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11774863 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -5286898 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -138840 | RevenuesLessExpensesCY |
| Total Assets BOY | 44248475 | TotalAssetsBOY |
| Total Assets EOY | 46482588 | TotalAssetsEOY |
| Total Liabilities BOY | 1020108 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 117767 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 43228367 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 46364821 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDES COMPREHENSIVE MEDICAL COVERAGE AND LIFE INSURANCE BENEFITS FOR ALL ELIGIBLE PARTICIPANTS, AND MEDICAL COVERAGE FOR THEIR DEPENDENTS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Description | PROVIDES COMPREHENSIVE MEDICAL COVERAGE AND LIFE INSURANCE BENEFITS FOR ALL ELIGIBLE PARTICIPANTS, AND MEDICAL COVERAGE FOR THEIR DEPENDENTS. | Description |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 0 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DISCIPLINED BENEFIT SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7197440043 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 304 SOUTH VICTORIA AVENUE SUITE C | AddressLine1 |
| City | PUEBLO | City |
| State | CO | State |
| ZIP Code | 81003 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (6 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| JOAN VIALPANDO | |||||
| CHAIRMAN | 3.00 | X | 0 | 0 | 0 |
| TEODOLO T LOPEZ | |||||
| SECRETARY | 3.00 | X | 0 | 0 | 0 |
| DAVID J KINS | |||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 |
| GERALD MARSHALL | |||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 |
| KARL UFFELMAN | |||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 |
| TOM DUZAK | |||||
| TRUSTEE | 3.00 | X | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DISCIPLINED BENEFIT SERVICES INC | |||||
| 304 S VICTORIA STE C PO BOX 319 | PUEBLO | CO | 81005 | CONTRACT ADMINISTRATOR | 213699 |
| CENTRAL DATA SERVICES INC | |||||
| 5 GATEWAY CENTER STE 62060 BLVD OF | PITTSBURG | PA | 15222 | MEDICAL | 211039 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PARTICIPANT CONTRIBUTI | Description |
| Business Code | 525100 | BusinessCode |
| Total Revenue Column | 8276816 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8276816 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8276816 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1737036 | TotalRevenueColumn |
| Exclusion | $1,737,036 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 17739524 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 16991343 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 748181 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 748181 | TotalRevenueColumn |
| Related Or Exempt Function Income | 748181 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICARE SUBSIDY | Description |
| Business Code | 525100 | BusinessCode |
| Total Revenue Column | 873990 | TotalRevenueColumn |
| Related Or Exempt Function Income | 873990 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 873990 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11636023 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9898987 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,737,036 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11207868 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20626 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22777 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 230352 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30215 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1179 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5998 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26409 | Total |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal |
|---|---|
| ADMINISTRATOR FEES | 213699 |
| ACTUARIAL FEES | 15000 |
| MISCELLANEOUS | 740 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11774863 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 387707 | BOY |
| EOY | 391905 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2002361 | BOY |
| EOY | 1033936 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18938 | BOY |
| EOY | 18663 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41592826 | BOY |
| EOY | 44759425 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 246643 | BOY |
| EOY | 278659 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44248475 | BOY |
| EOY | 46482588 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19064 | BOY |
| EOY | 21238 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1001044 | BOY |
| EOY | 96529 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1020108 | BOY |
| EOY | 117767 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43228367 | BOY |
| EOY | 46364821 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43228367 | BOY |
| EOY | 46364821 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44248475 | BOY |
| EOY | 46482588 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -138840 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3275294 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BENEFIT CLAIMS PAYABLE | Description |
| Amount | $96,529 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 96529 | TotalOfAmounts |
| Total Revenue | 11636023 | TotalRevenue |
| Total Expenses | 11774863 | TotalExpenses |
| Excess Or Deficit For Year | -138840 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 3275294 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 3275294 | TotalAdjustments |
| Excess Or Deficit Per FS | 3136454 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 14680965 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 3275294 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 3275294 | RevenueNotRptdF990 |
| Revenue Subtotal | 11405671 | RevenueSubtotal |
| Investment Expenses Not Included | 230352 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 230352 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 11636023 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12449026 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 12449026 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 230352 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | -904515 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -674163 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 11774863 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE PLAN EVALUTATES EACH TAX POSITION INDIVIDUALLY USING THE RECOGNITION AND MEASUREMENT CRITERIA ESTABLISHED IN FASB ASC TOPIC 740-10, "INCOME TAXES." THAT IS, FIRST, THE PLAN RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION IF IT DETERMINES THAT IT IS MORE-LIKELY-THAN-NOT (I.E., A LIKELIHOOD OF MORE THAN 50 PERCENT0, BASED ON TECHNICAL MERITS, THAT THE POSITION WILL BE SUSTAINED ON EXAMINATION. THEN, THE PLAN MEASURES THE AMOUNT OF BENEFIT DERIVED FROM SUCH TAX POSITION AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50 PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. THE DIFFERENCE BETWEEN A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN AND THE TAX BENEFIT RECOGNIZED AND MEASURED ACCORDING TO THE AFOREMENTIONED CRITERIA IS AN UNRECOGNIZED TAX BENEFIT FOR WHICH A LIABILITY IS CREATED (AND AN EXPENSE IS RECORDED). THE PLAN CLASSIFIES INTEREST AND PENALTIES ASSOCIATED WITH THE LIABILITY FOR UNRECOGNIZED TAX BENEFITS AS INCOME TAX EXPENSE. THE PLAN IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE AND LOCAL, OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007. |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | CHANGE IN HEALTH CLAIMS AND DEATH BENEFITS PAYABLE -904,515. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PROVIDED TO AND REVIEWED BY THE BOARD OF TRUSTEES BEFORE IT IS FILED. | |
| THE POLICY COVERS ALL TRUSTEES OF THE PLAN, MEMBERS ON A COMMITTEE TO WHICH THE BOARD OF TRUSTEES DELEGATES POWERS, AND PRINCIPAL OFFICERS (IF ANY). DETERMINATIONS OF WHETHER A CONFLICT EXISTS ARE MADE BY THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION IN THE CASE OF ANY ESTABLISHED CONFLICT OF INTEREST. PERIODIC REVIEWS SHALL BE CONDUCTED. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE FORM 990 IS AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 18 | |
| THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 3,275,294. | FORM 990, PART XI, LINE 5: |
Comments