Civic Intelligence

Nisource Non-Union Life and Medical Benefits Veba Trust

990 • Fiscal year 2013 • EIN 20-6907686

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 10, 2014

Organization ProfileN/A
801 E 86th Avenue46410

(219) 647-6131

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

22nd percentile

0.00x

Higher debt load relative to assets than 22% of similar nonprofits.

2013 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2013

Liabilities / Revenue

45th percentile

0.02x

Higher debt load relative to revenue than 45% of similar nonprofits.

2013 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2013

Net Margin

85th percentile

24%

Higher net margin than 85% of similar nonprofits.

2013 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2013

Top Officer Pay

44th percentile

$0

Higher top officer pay than 44% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2013 filings • 501(c)9 • $25M-$50M nonprofits • Source year 2013

Asset Growth

73rd percentile

14%

Faster asset growth than 73% of similar nonprofits.

2013 filings • 501(c)9 • $25M-$50M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Balance Sheet
Liabilities / Assets22nd percentile

Assets

Up

$44,257,776

Up $5,463,252 (+14%) from 2012

Net Assets

Up

$44,222,198

Up $5,464,926 (+14%) from 2012

Liabilities

Down

$35,578

Down $1,674 (-4.5%) from 2012

Revenue And Expenses
Liabilities / Revenue45th percentileNet Margin85th percentile

Revenue

$1,986,647

No earlier filing loaded for comparison.

Expenses

Up

$1,510,379

Up $18,859 (+1.3%) from 2012

Net Income

$476,268

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth73rd percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$100M$50M$0Assets 2010: $37,122,283Liabilities 2010: $38,395Net Assets 2010: $37,083,8882010Assets 2011: $35,623,359Liabilities 2011: $36,986Net Assets 2011: $35,586,3732011Assets 2012: $38,794,524Liabilities 2012: $37,252Net Assets 2012: $38,757,2722012Assets 2013: $44,257,776Liabilities 2013: $35,578Net Assets 2013: $44,222,1982013Assets 2014: $95,601,055Liabilities 2014: $92,083Net Assets 2014: $95,508,9722014Assets 2015: $46,631,130Liabilities 2015: $702,685Net Assets 2015: $45,928,4452015Assets 2016: $79,518,417Liabilities 2016: $2,554,863Net Assets 2016: $76,963,5542016Assets 2017: $86,105,621Liabilities 2017: $738,365Net Assets 2017: $85,367,2562017Assets 2018: $76,187,479Liabilities 2018: $117,770Net Assets 2018: $76,069,7092018Assets 2019: $80,603,309Liabilities 2019: $107,371Net Assets 2019: $80,495,9382019Assets 2020: $83,417,763Liabilities 2020: $93,656Net Assets 2020: $83,324,1072020Assets 2021: $79,907,894Liabilities 2021: $352,480Net Assets 2021: $79,555,4142021Assets 2022: $63,217,394Liabilities 2022: $81,847Net Assets 2022: $63,135,5472022Assets 2023: $62,001,726Liabilities 2023: $83,474Net Assets 2023: $61,918,2522023Assets 2024: $62,132,749Liabilities 2024: $82,033Net Assets 2024: $62,050,7162024

Highlighted filing

2013

Assets$44,257,776
Liabilities$35,578
Net Assets$44,222,198
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0-$5.0M-$10MExpenses 2010: $1,249,5932010Expenses 2011: $1,848,7812011Expenses 2012: $1,491,5202012Revenue 2013: $1,986,647Expenses 2013: $1,510,379Net Income 2013: $476,2682013Revenue 2014: $5,790,017Expenses 2014: $8,681,935Net Income 2014: -$2,891,9182014Revenue 2015: $6,162,270Expenses 2015: $6,279,547Net Income 2015: -$117,2772015Revenue 2016: $5,978,053Expenses 2016: $6,082,388Net Income 2016: -$104,3352016Revenue 2017: $9,909,721Expenses 2017: $6,306,556Net Income 2017: $3,603,1652017Revenue 2018: $5,395,060Expenses 2018: $7,194,278Net Income 2018: -$1,799,2182018Revenue 2019: $4,875,797Expenses 2019: $6,809,186Net Income 2019: -$1,933,3892019Revenue 2020: $6,522,299Expenses 2020: $7,933,527Net Income 2020: -$1,411,2282020Revenue 2021: $7,826,736Expenses 2021: $10,946,530Net Income 2021: -$3,119,7942021Revenue 2022: $207,535Expenses 2022: $8,507,847Net Income 2022: -$8,300,3122022Revenue 2023: $5,111,999Expenses 2023: $10,417,418Net Income 2023: -$5,305,4192023Revenue 2024: $8,302,871Expenses 2024: $8,486,628Net Income 2024: -$183,7572024

Highlighted filing

2013

Revenue$1,986,647
Expenses$1,510,379
Net Income$476,268
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 10, 2014
Return Version
2013v3.0
Gross Receipts
$3,174,333
Mission and Program Overview

Mission

Provide life and medical insurance benefits

Provide life insurance benefits

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$38,757,272$44,222,198▲ $5,464,926
Investments in Publicly Traded Securities$36,110,991$41,078,940▲ $4,967,949
Savings and Temporary Cash Investments$2,646,233$3,143,237▲ $497,004
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$38,794,524$44,257,776▲ $5,463,252
Other Assets Total$37,300$35,599▼ $1,701
Liabilities
Accounts Payable and Accrued Expenses$37,252$35,578▼ $1,674
Total Liabilities$37,252$35,578▼ $1,674
Net Assets / Fund Balance
Total Net Assets Fund Balance$38,757,272$44,222,198▲ $5,464,926
Total Liabilities and Net Assets / Fund Balance$38,794,524$44,257,776▲ $5,463,252
Compensation and Service Providers
Top Officer Pay44th percentile

Board Members and Trustees

NameTitle
David J VajdaAgent of Pln Administrator
Joel L HoelzerAgent of Pln Administrator
Jon D VeurinkAgent of Pln Administrator
Richard L BondAgent of Pln Administrator
Robert D CampbellAgent of Pln Administrator
Stephen M SmithAgent of Pln Administrator
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$1,882,066
Other Revenue
$104,581
Change in Net Assets
$476,268
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$410,869
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$1,099,510
Other Expenses---$369,900
Fees for Services Accounting---$20,500
Fees for Service Investment Mgmnt Fees---$13,142
Fees for Services Legal---$7,327
Total Functional Expenses$0$0$0$1,510,379
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

“The completed form 990 is provided to certain agents of the plan administrator and the sponsor of the fund. They review the form and discuss any matters about which they are uncertain. Upon fully understanding the completed form 990, the form is approved and submitted electronically to the irs.”

Form 990, Part VI, Section B, Line 12C

“The company conducts, at least annually, a survey of officers and selected employees regarding relationships with vendors, etc. As determined by the vice-president, audit and ethics officer. The purpose of this survey is to disclose any direct or indirect interest or a position held in the entity which might present a conflict of interest, financial or otherwise.”

Form 990, Part VI, Section C, Line 19

“The governing documents, conflict of interest policy and financial statements are available upon request at the office of the plan sponsor.”

Filing and Contact Details

Filer

EIN
20-6907686
Phone
2196476131

Signing Officer

Name
David Vajda
Title
Committee Member
Phone
2196476131
Signed
2014-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David Vajda
Formed
1993
Legal Domicile
Il
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
0

Preparer

Preparer
Louise King
Phone
2198361065
Supplemental Narrative

Additional Explanations

PAGE 12, PART XII - FINANCIAL STATEMENTS:

“The activity of the trust is audited at the plan level and not the trust level. The audit of the plan is prepared in accordance with generally accepted accounting principles and may include more than one trust which participates in the plan.”

Financial Statement Notes

PART X, LINE 2:

“The plan files form 5500, annual return/report of employee benefit plan, form 990, return of organization exempt from income tax, and form 990-t, exempt organization business income tax return which are subject to examination by the internal revenue service until the applicable statute of limitations expires.”

Raw XML Appendix334 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE PLAN FILES FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN, FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, AND FORM 990-T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN WHICH ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATIONS EXPIRES.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE COMPLETED FORM 990 IS PROVIDED TO CERTAIN AGENTS OF THE PLAN ADMINISTRATOR AND THE SPONSOR OF THE FUND. THEY REVIEW THE FORM AND DISCUSS ANY MATTERS ABOUT WHICH THEY ARE UNCERTAIN. UPON FULLY UNDERSTANDING THE COMPLETED FORM 990, THE FORM IS APPROVED AND SUBMITTED ELECTRONICALLY TO THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE COMPANY CONDUCTS, AT LEAST ANNUALLY, A SURVEY OF OFFICERS AND SELECTED EMPLOYEES REGARDING RELATIONSHIPS WITH VENDORS, ETC. AS DETERMINED BY THE VICE-PRESIDENT, AUDIT AND ETHICS OFFICER. THE PURPOSE OF THIS SURVEY IS TO DISCLOSE ANY DIRECT OR INDIRECT INTEREST OR A POSITION HELD IN THE ENTITY WHICH MIGHT PRESENT A CONFLICT OF INTEREST, FINANCIAL OR OTHERWISE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE OFFICE OF THE PLAN SPONSOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ACTIVITY OF THE TRUST IS AUDITED AT THE PLAN LEVEL AND NOT THE TRUST LEVEL. THE AUDIT OF THE PLAN IS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AND MAY INCLUDE MORE THAN ONE TRUST WHICH PARTICIPATES IN THE PLAN.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3PAGE 12, PART XII - FINANCIAL STATEMENTS:
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine10NISOURCE NON-UNION MEDICAL BENEFITS VEBA TRUST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine11NISOURCE UNION MEDICAL BENEFITS VEBA TRUST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine12NISOURCE UNION LIFE INSURANCE BENEFITS VEBA TRUST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine13NORTHERN INDIANA PUBLIC SERVICE COMPANY HEALTH & MEDICAL BENEFIT TRUST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0PROVIDE MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1PROVIDE MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2PROVIDE LIFE INSURANCE TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt3PROVIDE MEDICAL INSURANCE TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt038794524
IRS990/TotalAssetsEOYAmt044257776
IRS990/TotalAssetsGrp/BOYAmt038794524
IRS990/TotalAssetsGrp/EOYAmt044257776
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt01510379
IRS990/TotalGrossUBIAmt01510262
IRS990/TotalLiabilitiesBOYAmt037252
IRS990/TotalLiabilitiesEOYAmt035578
IRS990/TotalLiabilitiesGrp/BOYAmt037252
IRS990/TotalLiabilitiesGrp/EOYAmt035578
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt038757272
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt044222198
IRS990/TotalOtherCompensationAmt00
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0476385
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01986647
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt01510262
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IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt038794524
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IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd01
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine10801 E 86TH AVENUE
IRS990/USAddress/City0MERRILLVILLE
IRS990/USAddress/State0IN
IRS990/USAddress/ZIPCode046410
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DAVID VAJDA
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0COMMITTEE MEMBER
ReturnHeader/BusinessOfficerGrp/PhoneNum02196476131
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-11-10
ReturnHeader/Filer/BusinessName/BusinessNameLine10NISOURCE NON-UNION LIFE INS BENEFITS VEBA TRUST
ReturnHeader/Filer/BusinessNameControlTxt0NISO
ReturnHeader/Filer/EIN0206907686
ReturnHeader/Filer/PhoneNum02196476131
ReturnHeader/Filer/USAddress/AddressLine10801 E 86TH AVENUE
ReturnHeader/Filer/USAddress/City0MERRILLVILLE
ReturnHeader/Filer/USAddress/State0IN
ReturnHeader/Filer/USAddress/ZIPCode046410
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0320043599
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10LEGACY PROFESSIONALS LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine10222 INDIANAPOLIS BLVD SUITE 103
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0SCHERERVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0IN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode046375
ReturnHeader/PreparerPersonGrp/PhoneNum02198361065
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0LOUISE KING
ReturnHeader/ReturnTs02014-11-10T10:57:38-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-01-01
ReturnHeader/TaxPeriodEndDt02013-12-31
ReturnHeader/TaxYr02013

Document Assets

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Filings

Displayed year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$44,257,776
Liabilities
$35,578
Net assets
$44,222,198
Revenue
$1,986,647
Expenses
$1,510,379
Net income
$476,268
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$62.1$0.08$62.1$8.30$8.49$0.18
2023Summary only. Only limited summary data is available for this year.$62.0$0.08$61.9$5.11$10.4$5.31
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$63.2$0.08$63.1$0.21$8.51$8.30
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$79.9$0.35$79.6$7.83$10.9$3.12
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$83.4$0.09$83.3$6.52$7.93$1.41
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$80.6$0.11$80.5$4.88$6.81$1.93
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$76.2$0.12$76.1$5.40$7.19$1.80
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$86.1$0.74$85.4$9.91$6.31$3.60
2016Summary only. Only limited summary data is available for this year.$79.5$2.55$77.0$5.98$6.08$0.10
2015Detailed filing. Detailed filing data is available for this year.$46.6$0.70$45.9$6.16$6.28$0.12
2014Summary only. Only limited summary data is available for this year.$95.6$0.09$95.5$5.79$8.68$2.89
2013Detailed filing. Detailed filing data is available for this year.$44.3$0.04$44.2$1.99$1.51$0.48
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$38.8$0.04$38.8$1.49
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.6$0.04$35.6$1.85
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$37.1$0.04$37.1$1.25