RETIREES OF CTNA HEALTH CARE TRUST: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
RETIREES OF CTNA HEALTH CARE TRUST (EIN 26-3625263)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-13
IRS object ID
201122869349300522
Schema version
2010v3.2
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)
Timestamp2011-10-13T10:13:26-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN263625263EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VEBA COMMITTEE RETIREES OF CTNA HEALTH CARE TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVEBANameControl
Phone4122012242Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 BOULEVARD OF THE ALLIESAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS DUZAKName
TitleTRUSTEETitle
Phone4122012242Phone
Date Signed2011-10-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameFLOYD E MCELHANEY JRName
Phone4128313812Phone
Date Prepared2011-10-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS DUZAKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line160 BOULEVARD OF THE ALLIESAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17567059GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation2008YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH CARE BENEFITSActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24606956ProgramServiceRevenuePriorYear
Program Service Revenue CY16009415ProgramServiceRevenueCY
Investment Income Prior Year352943InvestmentIncomePriorYear
Investment Income Current Year1501985InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year24959899TotalRevenuePriorYear
Total Revenue Current Year17511400TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year14354784BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY13631842BenefitsPaidToMembersCY
Salaries Etc Prior Year48333SalariesEtcPriorYear
Salaries Etc Current Year97700SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year425118OtherExpensePriorYear
Other Expenses Current Year456518OtherExpensesCurrentYear
Total Expenses Prior Year14828235TotalExpensesPriorYear
Total Expenses Current Year14186060TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10131664RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3325340RevenuesLessExpensesCY
Total Assets BOY47627503TotalAssetsBOY
Total Assets EOY51159484TotalAssetsEOY
Total Liabilities BOY101431TotalLiabilitiesBOY
Total Liabilities EOY76646TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY47526072NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY51082838NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH CARE BENEFITSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionHEALTH CARE BENEFITS TO PARTICIPANTSDescription
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 LiabilitiestrueReportOtherLiabilities
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 With10965NumberFormsTransmittedWith1096
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 Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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 BOULEVARD OF THE ALLIES 5TH FLAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
THOMAS DUZAK
TRUSTEE1.00X2495000
CLIFTON SHANNON
TRUSTEE1.00X1695000
HOWARD KLINE
TRUSTEE1.00X1695000
JAMES CARNEY
TRUSTEE1.00X1695000
WAYNE CHAMBERS
TRUSTEE1.00X1695000
FieldValueIRS element (for citing)
Total Reportable Comp From Org92750TotalReportableCompFromOrg
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 SERVICES INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line160 BOULEVARD OF THE ALLIES 5TH FLAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesADMINISTRATORDescriptionOfServices
Compensation132000Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
EMPLOYER CONTRIBUTIONS90009911430614
PARTICIPANT CONTRIBUTIONS9000994578801
FieldValueIRS element (for citing)
Total Program Service Revenue16009415TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1433683TotalRevenueColumn
Exclusion$1,433,683ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities123961Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities55659Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities68302Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column68302TotalRevenueColumn
Exclusion$68,302ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17511400TotalRevenueColumn
Related Or Exempt Function Income16009415RelatedOrExemptFunctionIncome
Exclusion$1,501,985ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total13631842Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total97700Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17867Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5200Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total172793Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total176433Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total26897Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2871Total

Insurance Insurance

FieldValueIRS element (for citing)
Total53607Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionIRS FILING FEEDescription
Total850Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14186060Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY97824BOY
EOY161791EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33343BOY
EOY22148EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY21275143BOY
EOY33970849EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY25959616BOY
EOY16652818EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY261577BOY
EOY351878EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY47627503BOY
EOY51159484EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY73777BOY
EOY50263EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY27654BOY
EOY26383EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY101431BOY
EOY76646EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY47526072BOY
EOY51082838EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY47526072BOY
EOY51082838EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY47627503BOY
EOY51159484EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3325340ReconcilationRevenueExpenses
Reconcilation Other Changes231426ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
US TIPS INDEX MUTUAL FUND8459495F
PIMCO UNCONSTRAINED BOND8193323F
FieldValueIRS element (for citing)
Total Of Book Value Securities16652818TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPARTICIPANT CONTRIBUTIONS IN ADVANCEDescription
Amount$26,383Amount
FieldValueIRS element (for citing)
Total Of Amounts26383TotalOfAmounts
Total Revenue17511400TotalRevenue
Total Expenses14186060TotalExpenses
Excess Or Deficit For Year3325340ExcessOrDeficitForYear
Net Unrealized GL On Investments231426NetUnrealizedGLOnInvestments
Total Adjustments231426TotalAdjustments
Excess Or Deficit Per FS3556766ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17570033TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments231426NetUnrealizedGainsInvestments
Revenue Not Rptd F990231426RevenueNotRptdF990
Revenue Subtotal17338607RevenueSubtotal
Investment Expenses Not Included172793InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt172793RevenueNotRptdOnFinStmt
Total Revenue Per Form99017511400TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14013267TotExpensesEtcAuditedFinclStmt
Expenses Subtotal14013267ExpensesSubtotal
Investment Expenses Not Included2172793InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt172793ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014186060TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Pt VI-B, Line 11aREVIEWED BY PRINCIPAL OFFICERS AND SIGNING TRUSTEE
Pt VI-B, Line 12cAREAS OF POSSIBLE CONFLICT REVIEWED BY TRUSTEES AS NEEDED
Pt VI-B, Line 15DETERMINED BY THE TRUSTEES
Pt VI-C, Line 19AVAILABLE UPON REQUEST
Pt XIUNREALIZED INVESTMENT GAIN

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