Civic Intelligence

Smith Dairy Medical Plan Trust

EIN 23-7358097 • 501(c)9 • Orrville, OH

Profile

To provide health benefits to eligible individuals and their families.

PO Box 87Orrville, OH 44667

www.smithfoods.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

45th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)9 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

50th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)9 • $1M-$5M nonprofits • Source year 2016

Net Margin

7th percentile

-119%

Higher net margin than 7% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

12th percentile

-94%

Faster asset growth than 12% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

6th percentile

-55%

Faster revenue growth than 6% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Assets

Down

$101,406

Down $1,690,529 (-94%) from 2015

Liabilities

Flat

$0

Flat from 2015

Net Assets

Down

$101,406

Down $1,690,529 (-94%) from 2015

Revenue

Down

$1,424,196

Down $1,760,732 (-55%) from 2015

Expenses

Up

$3,114,725

Up $4,535 (+0.1%) from 2015

Net Income

Down

-$1,690,529

Down $1,765,267 (-2362%) from 2015

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$2.0M$1.5M$1.0M$500K$0Assets 2010: $1,164,279Liabilities 2010: $0Net Assets 2010: $1,164,2792010Assets 2011: $1,336,436Liabilities 2011: $0Net Assets 2011: $1,336,4362011Assets 2012: $1,361,311Liabilities 2012: $0Net Assets 2012: $1,361,3112012Assets 2013: $1,498,542Liabilities 2013: $0Net Assets 2013: $1,498,5422013Assets 2014: $1,717,197Liabilities 2014: $0Net Assets 2014: $1,717,1972014Assets 2015: $1,791,935Liabilities 2015: $0Net Assets 2015: $1,791,9352015Assets 2016: $101,406Liabilities 2016: $0Net Assets 2016: $101,4062016

Highlighted filing

2016

Assets$101,406
Liabilities$0
Net Assets$101,406

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$4.0M$2.0M$0-$2.0MExpenses 2010: $2,545,4212010Expenses 2011: $2,917,7512011Expenses 2012: $2,720,9492012Expenses 2013: $2,782,1572013Revenue 2014: $3,578,572Expenses 2014: $3,359,917Net Income 2014: $218,6552014Revenue 2015: $3,184,928Expenses 2015: $3,110,190Net Income 2015: $74,7382015Revenue 2016: $1,424,196Expenses 2016: $3,114,725Net Income 2016: -$1,690,5292016

Highlighted filing

2016

Revenue$1,424,196
Expenses$3,114,725
Net Income-$1,690,529

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 6, 2017
Return Version
2015v3.0
Gross Receipts
$3,037,151
Mission and Program Overview

Mission

To provide health benefits to eligible individuals and their families.

To provide health benefits to eligible individuals.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$101,680--
Rtn Earn Endowment Incm Other Fnds$1,791,935$101,406▼ $1,690,529
Investments in Publicly Traded Securities$1,603,480$99,875▼ $1,503,605
Savings and Temporary Cash Investments$86,704$1,531▼ $85,173
Cash and Non-Interest-Bearing Accounts$71--
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$1,791,935$101,406▼ $1,690,529
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,791,935$101,406▼ $1,690,529
Total Liabilities and Net Assets / Fund Balance$1,791,935$101,406▼ $1,690,529
Compensation and Service Providers

Board Members and Trustees

NameTitle
Heather ZimmerlyTrustee
Karl KelblyTrustee
Nathan SchmidTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,046,803
Investment Income
$380,964
Other Revenue
$-3,571
Change in Net Assets
$-1,690,529

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,424,196
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$1,424,196
Total Revenue per Form 990
$1,424,196
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$280,007
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---$2,834,718
Other Expenses---$280,007
Total Functional Expenses$0$0$0$3,114,725

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$3,114,725
Total Expenses per Audited Statements$3,114,725
Total Expenses per Form 990$3,114,725
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

A trustee of the smith dairy medical plan trust, nathan schmid is also a shareholder of the plan sponsor, smithfoods orrville inc., employer identification number 34-0536210 (fka the smith dairy products company). Smith dairy medical plan trust is the health and welfare plan for smithfoods orrville inc.

Form 990, Part VI, Section A, Line 8B

The organization does not have committees.

Form 990, Part VI, Section B, Line 11

The trustees are provided with a copy of the form 990 for review and approval prior to filing.

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

Conflicts of interest are detailed in prohibited transaction regulations under erisa. In addition to the written policy and annual distribution, the plan's erisa attorney continually monitors the plan and its trustees for possible conflicts of interest.

Form 990, Part VI, Section C, Line 18

The plan's form 990 is available through various websites, such as guidestar, and the form 5500 is available to the public through freeerisa.com. The governing documents are not provided to the public.

Form 990, Part VI, Section C, Line 19

The organization generally does not make its governing documents and financial statements available to the public.

Filing and Contact Details

Filer

Filer Name
Smith Dairy Medical Plan Trust
EIN
23-7358097
Phone
3306838710
Address
PO BOX 87, ORRVILLE, OH 44667

Signing Officer

Name
Nathan Schmid
Title
President
Phone
3306838710
Signed
2017-05-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Nathan Schmid
Formed
1974
Legal Domicile
Oh
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Cliftonlarsonallen Llp
Address
4505 STEPHEN CIRCLE NW STE 200, CANTON, OH 44718
Preparer
Steven O Pittman
Phone
3304972000
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

There has been no change in the organization's process of oversight of the audit of the financial statements or in the selection process of an independent accountant.

Raw XML AppendixShowing 400 of 425 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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IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt32016-06-30
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IRS990ScheduleN/EmployeeOfSuccessor2Ind00
IRS990ScheduleN/OwnerOfSuccessor2Ind00
IRS990ScheduleN/ReceiveCompensation2Ind00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A TRUSTEE OF THE SMITH DAIRY MEDICAL PLAN TRUST, NATHAN SCHMID IS ALSO A SHAREHOLDER OF THE PLAN SPONSOR, SMITHFOODS ORRVILLE INC., EMPLOYER IDENTIFICATION NUMBER 34-0536210 (FKA THE SMITH DAIRY PRODUCTS COMPANY). SMITH DAIRY MEDICAL PLAN TRUST IS THE HEALTH AND WELFARE PLAN FOR SMITHFOODS ORRVILLE INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION DOES NOT HAVE COMMITTEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE TRUSTEES ARE PROVIDED WITH A COPY OF THE FORM 990 FOR REVIEW AND APPROVAL PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3CONFLICTS OF INTEREST ARE DETAILED IN PROHIBITED TRANSACTION REGULATIONS UNDER ERISA. IN ADDITION TO THE WRITTEN POLICY AND ANNUAL DISTRIBUTION, THE PLAN'S ERISA ATTORNEY CONTINUALLY MONITORS THE PLAN AND ITS TRUSTEES FOR POSSIBLE CONFLICTS OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE PLAN'S FORM 990 IS AVAILABLE THROUGH VARIOUS WEBSITES, SUCH AS GUIDESTAR, AND THE FORM 5500 IS AVAILABLE TO THE PUBLIC THROUGH FREEERISA.COM. THE GOVERNING DOCUMENTS ARE NOT PROVIDED TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION GENERALLY DOES NOT MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THERE HAS BEEN NO CHANGE IN THE ORGANIZATION'S PROCESS OF OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS OR IN THE SELECTION PROCESS OF AN INDEPENDENT ACCOUNTANT.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XII, LINE 2C:
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IRS990/SignificantChangeInd00
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IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
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IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 87
IRS990/USAddress/CityNm0ORRVILLE
IRS990/USAddress/StateAbbreviationCd0OH
IRS990/USAddress/ZIPCd044667
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IRS990/WebsiteAddressTxt0WWW.SMITHFOODS.COM
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01

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