Civic Intelligence

Nisource Non-Union Post-65 Retiree

990 • Fiscal year 2016 • EIN 22-3203498

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 10, 2017

Organization ProfileN/A

View Organization Page

801 East 86th AvenueMerrillville, IN 46410

(219) 647-5990

Siviq Scores

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

Liabilities / Assets

51st percentile

0.03x

Higher debt load relative to assets than 51% of similar nonprofits.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2016

Liabilities / Revenue

88th percentile

0.44x

Higher debt load relative to revenue than 88% of similar nonprofits.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2016

Net Margin

77th percentile

14%

Higher net margin than 77% of similar nonprofits.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2016

Top Officer Pay

37th percentile

$0

Higher top officer pay than 37% of similar nonprofits.

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

2016 filings • 501(c)9 • $50M-$100M nonprofits • Source year 2016

Asset Growth

97th percentile

87%

Faster asset growth than 97% of similar nonprofits.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Annualized from 2015 to 2016

Revenue Growth

41st percentile

0.9%

Faster revenue growth than 41% of similar nonprofits.

2016 filings • 501(c)9 • $50M-$100M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets51st percentile

Assets

Up

$76,360,868

Up $35,595,482 (+87%) from 2015

Net Assets

Up

$73,955,715

Up $33,741,718 (+84%) from 2015

Liabilities

Up

$2,405,153

Up $1,853,764 (+336%) from 2015

Revenue And Expenses
Liabilities / Revenue88th percentileNet Margin77th percentile

Revenue

Up

$5,463,336

Up $48,840 (+0.9%) from 2015

Expenses

Down

$4,707,701

Down $3,340,109 (-42%) from 2015

Net Income

Up

$755,635

Up $3,388,949 (+129%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth97th percentile

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

$150M$100M$50M$0Assets 2010: $98,248,363Liabilities 2010: $107,025Net Assets 2010: $98,141,3382010Assets 2011: $101,708,223Liabilities 2011: $102,132Net Assets 2011: $101,606,0912011Assets 2012: $114,475,195Liabilities 2012: $2,576,116Net Assets 2012: $111,899,0792012Assets 2013: $139,255,752Liabilities 2013: $1,328,703Net Assets 2013: $137,927,0492013Assets 2014: $80,469,773Liabilities 2014: $78,419Net Assets 2014: $80,391,3542014Assets 2015: $40,765,386Liabilities 2015: $551,389Net Assets 2015: $40,213,9972015Assets 2016: $76,360,868Liabilities 2016: $2,405,153Net Assets 2016: $73,955,7152016Assets 2017: $87,783,231Liabilities 2017: $903,709Net Assets 2017: $86,879,5222017Assets 2018: $76,242,420Liabilities 2018: $106,442Net Assets 2018: $76,135,9782018Assets 2019: $86,975,680Liabilities 2019: $99,838Net Assets 2019: $86,875,8422019Assets 2020: $96,550,013Liabilities 2020: $1,191,886Net Assets 2020: $95,358,1272020Assets 2021: $98,752,265Liabilities 2021: $1,388,904Net Assets 2021: $97,363,3612021Assets 2022: $85,215,127Liabilities 2022: $11,659,727Net Assets 2022: $73,555,4002022Assets 2023: $77,447,581Liabilities 2023: $97,506Net Assets 2023: $77,350,0752023Assets 2024: $78,157,963Liabilities 2024: $105,531Net Assets 2024: $78,052,4322024

Highlighted filing

2016

Assets$76,360,868
Liabilities$2,405,153
Net Assets$73,955,715
Open 2016 Filing

Operations Trend

Revenue Growth41st percentile

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

$30M$20M$10M$0-$10MExpenses 2010: $17,344,0172010Revenue 2011: $23,232,595Expenses 2011: $18,122,809Net Income 2011: $5,109,7862011Expenses 2012: $15,020,9642012Revenue 2013: $28,914,946Expenses 2013: $16,700,611Net Income 2013: $12,214,3352013Revenue 2014: $5,594,473Expenses 2014: $9,041,673Net Income 2014: -$3,447,2002014Revenue 2015: $5,414,496Expenses 2015: $8,047,810Net Income 2015: -$2,633,3142015Revenue 2016: $5,463,336Expenses 2016: $4,707,701Net Income 2016: $755,6352016Revenue 2017: $10,737,245Expenses 2017: $5,702,129Net Income 2017: $5,035,1162017Revenue 2018: $5,286,438Expenses 2018: $6,124,854Net Income 2018: -$838,4162018Revenue 2019: $5,738,809Expenses 2019: $6,863,600Net Income 2019: -$1,124,7912019Revenue 2020: $7,279,781Expenses 2020: $7,260,736Net Income 2020: $19,0452020Revenue 2021: $7,608,057Expenses 2021: $7,716,580Net Income 2021: -$108,5232021Revenue 2022: $3,705,849Expenses 2022: $6,241,601Net Income 2022: -$2,535,7522022Revenue 2023: $3,327,628Expenses 2023: $6,714,913Net Income 2023: -$3,387,2852023Revenue 2024: $8,777,827Expenses 2024: $7,486,206Net Income 2024: $1,291,6212024

Highlighted filing

2016

Revenue$5,463,336
Expenses$4,707,701
Net Income$755,635
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 10, 2017
Return Version
2016v3.0
Gross Receipts
$6,454,171
Mission and Program Overview

Mission

PROVIDE MEDICAL BENEFITS

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$40,213,997$73,955,715▲ $33,741,718
Investments in Publicly Traded Securities$36,423,480$68,216,705▲ $31,793,225
Savings and Temporary Cash Investments$3,199,061$6,793,332▲ $3,594,271
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$40,765,386$76,360,868▲ $35,595,482
Other Assets Total$1,142,845$1,350,831▲ $207,986
Liabilities
Accounts Payable and Accrued Expenses$551,389$2,405,153▲ $1,853,764
Total Liabilities$551,389$2,405,153▲ $1,853,764
Net Assets / Fund Balance
Total Net Assets Fund Balance$40,213,997$73,955,715▲ $33,741,718
Total Liabilities and Net Assets / Fund Balance$40,765,386$76,360,868▲ $35,595,482
Compensation and Service Providers
Top Officer Pay37th percentile

Board Members and Trustees

NameTitle
Brett RadulovichAgent of Pln Administrator
Carl LevanderAgent of Pln Administrator
Joseph W MulpasAgent of Pln Administrator
Richard L BondAgent of Pln Administrator
Shawn AndersonAgent of Pln Administrator
Teresa M SmithAgent of Pln Administrator
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$4,164,507
Investment Income
$1,297,899
Other Revenue
$930
Change in Net Assets
$755,635
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$298,231
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---$4,409,470
Other Expenses---$214,777
Fees for Services Accounting---$41,478
Fees for Services Legal---$31,389
Fees for Service Investment Mgmnt Fees---$10,587
Total Functional Expenses$0$0$0$4,707,701
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 11B

“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 that 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

Filer Name
Nisource Non-union Post-65 Retiree
EIN
22-3203498
Phone
2196475990
Address
801 EAST 86TH AVENUE, MERRILLVILLE, IN 46410

Signing Officer

Name
Shawn Anderson
Title
Committee Member
Phone
6144605454
Signed
2017-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Shawn Anderson
Formed
1992
Legal Domicile
Il
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
0

Preparer

Firm
Legacy Professionals Llp
Address
222 INDIANAPOLIS BLVD SUITE 103, SCHERERVILLE, IN 46375
Preparer
Louise King
Phone
3123680500
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Transfer of assets from related plan 31,820,468.”

PAGE 12, PART XII - FINANCIAL STATEMENTS:

“The activity of the trust is audited at the plan level and not at 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:

“Gaap requires plan management to evaluate tax positions taken by the plan and recognize a tax liability (or asset) if the plan has taken an uncertain position that more likely than not would not be sustained upon examination by the internal revenue service. 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 that it is no longer subject to income tax examinations for years prior to 2013.”

Raw XML Appendix380 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.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0551389
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt02405153
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0PROVIDE MEDICAL BENEFITS
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd01
IRS990/BackupWthldComplianceInd01
IRS990/BenefitsToMembersGrp/TotalAmt04409470
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0TODD LANICH
IRS990/BooksInCareOfDetail/PhoneNum06144604623
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0290 W NATIONWIDE BLVD
IRS990/BooksInCareOfDetail/USAddress/CityNm0COLUMBUS
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0OH
IRS990/BooksInCareOfDetail/USAddress/ZIPCd043215
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IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd01
IRS990/CreditCounselingInd00
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IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt01297899
IRS990/CYOtherExpensesAmt0298231
IRS990/CYOtherRevenueAmt0930
IRS990/CYProgramServiceRevenueAmt04164507
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IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
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IRS990/Desc0TO PROVIDE MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/TotalAmt041478
IRS990/FeesForServicesLegalGrp/TotalAmt031389
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt010587
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt01.00
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IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd5X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/PersonNm0SHAWN ANDERSON
IRS990/Form990PartVIISectionAGrp/PersonNm1JOSEPH W MULPAS
IRS990/Form990PartVIISectionAGrp/PersonNm2BRETT RADULOVICH
IRS990/Form990PartVIISectionAGrp/PersonNm3TERESA M SMITH
IRS990/Form990PartVIISectionAGrp/PersonNm4RICHARD L BOND
IRS990/Form990PartVIISectionAGrp/PersonNm5CARL LEVANDER
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/TitleTxt0AGENT OF PLN ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1AGENT OF PLN ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2AGENT OF PLN ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3AGENT OF PLN ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4AGENT OF PLN ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5AGENT OF PLN ADMINISTRATOR
IRS990/Form990ProvidedToGvrnBodyInd00
IRS990/Form990TFiledInd01
IRS990/FormationYr01992
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/SecuritiesAmt091898
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt06
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt01082733
IRS990/GrossReceiptsAmt06454171
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt06
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt0343530
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt01206001
IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt0862471
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt036423480
IRS990/InvestmentsPubTradedSecGrp/EOYAmt068216705
IRS990/IRPDocumentCnt03
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0IL
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt0990835
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0PROVIDE MEDICAL BENEFITS
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt040213997
IRS990/NetAssetsOrFundBalancesEOYAmt073955715
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt091898
IRS990/NetGainOrLossInvestmentsGrp/UnrelatedBusinessRevenueAmt091898
IRS990/NetUnrelatedBusTxblIncmAmt0835222
IRS990/NetUnrlzdGainsLossesInvstAmt01165615
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
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IRS990/OtherExpensesGrp/Desc0UBI TAX EXPENSE
IRS990/OtherExpensesGrp/TotalAmt0214777
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0INTEREST ON TAX REFUND
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt0930
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IRS990/OtherRevenueTotalAmt0930
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
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IRS990/ProfessionalFundraisingInd00
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IRS990/ProgramServiceRevenueGrp/Desc0EMPLOYER CONTRIBUTIONS
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IRS990/PYTotalExpensesAmt08047810
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IRS990/PYTotalRevenueAmt05414496
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0755635
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt040213997
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt073955715
IRS990/SavingsAndTempCashInvstGrp/BOYAmt03199061
IRS990/SavingsAndTempCashInvstGrp/EOYAmt06793332
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. 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 THAT IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2013.
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 THAT 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/ExplanationTxt3TRANSFER OF ASSETS FROM RELATED PLAN 31,820,468.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ACTIVITY OF THE TRUST IS AUDITED AT THE PLAN LEVEL AND NOT AT 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 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4PAGE 12, PART XII - FINANCIAL STATEMENTS:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0352108964
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0DE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0CONTRIBUTING EMPLOYER/SPONSOR
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0NISOURCE INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt0801 E 86TH AVENUE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0MERRILLVILLE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0IN
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd046410
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd30
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0NISOURCE UNION POST-65 RETIREE MEDICAL BENEFITS VEBA TRUST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1NISOURCE UNION LIFE AND MEDICAL BENEFITS VEBA TRUST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2NISOURCE NON-UNION LIFE AND MEDICAL BENEFITS VEBA TRUST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt3NORTHERN INDIANA PUBLIC SERVICE CO HEALTH & MEDICAL BEN TRST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0223203500
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1510344224
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2206907686
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN3351883904
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)9
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)9
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt2501(C)9
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt3501(C)9
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd2IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd3IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0PROVIDE MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1PROVIDE LIFE & MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS & DEPENDENTS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2PROVIDE LIFE & MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS & DEPENDENTS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt3PROVIDE MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0801 EAST 86TH AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt1801 EAST 86TH AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt2801 EAST 86TH AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt3801 EAST 86TH AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0MERRILLVILLE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1MERRILLVILLE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm2MERRILLVILLE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm3MERRILLVILLE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd2IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd3IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd046410
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd146410
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd246410
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd346410
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/TransferToOtherOrgInd01
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt040765386
IRS990/TotalAssetsEOYAmt076360868
IRS990/TotalAssetsGrp/BOYAmt040765386
IRS990/TotalAssetsGrp/EOYAmt076360868
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt04707701
IRS990/TotalGrossUBIAmt0954369
IRS990/TotalLiabilitiesBOYAmt0551389
IRS990/TotalLiabilitiesEOYAmt02405153
IRS990/TotalLiabilitiesGrp/BOYAmt0551389
IRS990/TotalLiabilitiesGrp/EOYAmt02405153
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt040213997
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt073955715
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt04164507
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0343530
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt04165437
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt05463336
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt0954369
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt040765386
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt076360868
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd01
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0801 EAST 86TH AVENUE
IRS990/USAddress/CityNm0MERRILLVILLE
IRS990/USAddress/StateAbbreviationCd0IN
IRS990/USAddress/ZIPCd046410
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0SHAWN ANDERSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0COMMITTEE MEMBER
ReturnHeader/BusinessOfficerGrp/PhoneNum06144605454
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-11-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NISOURCE NON-UNION POST-65 RETIREE
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0MEDICAL BENEFITS VEBA TRUST
ReturnHeader/Filer/BusinessNameControlTxt0NISO
ReturnHeader/Filer/EIN0223203498
ReturnHeader/Filer/PhoneNum02196475990
ReturnHeader/Filer/USAddress/AddressLine1Txt0801 EAST 86TH AVENUE
ReturnHeader/Filer/USAddress/CityNm0MERRILLVILLE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IN
ReturnHeader/Filer/USAddress/ZIPCd046410
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0D56625F7C0621E1EB8BA8C5A7372C18F0F4BC985
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0C3168D624729577079CA47B99B0ED2C5793BD89E
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt012.197.118.215
ReturnHeader/FilingSecurityInformation/IPDt02017-11-10
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm010:33:07
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0320043599
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0LEGACY PROFESSIONALS LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0222 INDIANAPOLIS BLVD SUITE 103
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SCHERERVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd046375
ReturnHeader/PreparerPersonGrp/PhoneNum03123680500
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0LOUISE KING
ReturnHeader/ReturnTs02017-11-10T10:33:26-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$76,360,868
Liabilities
$2,405,153
Net assets
$73,955,715
Revenue
$5,463,336
Expenses
$4,707,701
Net income
$755,635
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$78.2$0.11$78.1$8.78$7.49$1.29
2023Detailed filing. Detailed filing data is available for this year.$77.4$0.10$77.4$3.33$6.71$3.39
2022Detailed filing. Detailed filing data is available for this year.$85.2$11.7$73.6$3.71$6.24$2.54
2021Detailed filing. Detailed filing data is available for this year.$98.8$1.39$97.4$7.61$7.72$0.11
2020Detailed filing. Detailed filing data is available for this year.$96.6$1.19$95.4$7.28$7.26$0.02
2019Detailed filing. Detailed filing data is available for this year.$87.0$0.10$86.9$5.74$6.86$1.12
2018Detailed filing. Detailed filing data is available for this year.$76.2$0.11$76.1$5.29$6.12$0.84
2017Detailed filing. Detailed filing data is available for this year.$87.8$0.90$86.9$10.7$5.70$5.04
2016Detailed filing. Detailed filing data is available for this year.$76.4$2.41$74.0$5.46$4.71$0.76
2015Summary only. Only limited summary data is available for this year.$40.8$0.55$40.2$5.41$8.05$2.63
2014Summary only. Only limited summary data is available for this year.$80.5$0.08$80.4$5.59$9.04$3.45
2013Detailed filing. Detailed filing data is available for this year.$139$1.33$138$28.9$16.7$12.2
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$114$2.58$112$15.0
2011Summary only. Only limited summary data is available for this year.$102$0.10$102$23.2$18.1$5.11
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$98.2$0.11$98.1$17.3