Civic Intelligence

Retiree Health Security Plan

990 • Fiscal year 2017 • EIN 26-4826549

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 10, 2018

1600 Harbor Bay Pkwy Ste 200Alameda, CA 94502

(510) 671-8800

Siviq Scores

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

Liabilities / Assets

43rd percentile

0.00x

Higher debt load relative to assets than 43% of similar nonprofits.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

45th percentile

0.00x

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

2017 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2017

Net Margin

98th percentile

94%

Higher net margin than 98% of similar nonprofits.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

52nd percentile

$0

Higher top officer pay than 52% of similar nonprofits.

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

2017 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2017

Asset Growth

90th percentile

34%

Faster asset growth than 90% of similar nonprofits.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

56th percentile

5.4%

Faster revenue growth than 56% of similar nonprofits.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Up

$1,182,411

Up $302,027 (+34%) from 2016

Net Assets

Up

$1,180,804

Up $306,801 (+35%) from 2016

Liabilities

Down

$1,607

Down $4,774 (-75%) from 2016

Revenue

Up

$400,447

Up $20,625 (+5.4%) from 2016

Expenses

Up

$23,438

Up $14,898 (+174%) from 2016

Net Income

Up

$377,009

Up $5,727 (+1.5%) from 2016

Historical Trend

Balance Sheet Trend

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

$1.5M$1.0M$500K$0Assets 2015: $502,797Liabilities 2015: $16Net Assets 2015: $502,7812015Assets 2016: $880,384Liabilities 2016: $6,381Net Assets 2016: $874,0032016Assets 2017: $1,182,411Liabilities 2017: $1,607Net Assets 2017: $1,180,8042017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2017

Assets$1,182,411
Liabilities$1,607
Net Assets$1,180,804

Operations Trend

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

$600K$400K$200K$0-$200KRevenue 2015: $267,316Expenses 2015: $8,183Net Income 2015: $259,1332015Revenue 2016: $379,822Expenses 2016: $8,540Net Income 2016: $371,2822016Revenue 2017: $400,447Expenses 2017: $23,438Net Income 2017: $377,0092017Revenue 2018: $563Expenses 2018: $58,353Net Income 2018: -$57,7902018

Highlighted filing

2017

Revenue$400,447
Expenses$23,438
Net Income$377,009
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 10, 2018
Return Version
2017v2.3
Gross Receipts
$675,282
Mission and Program Overview

Mission

A health reimbursement arrangement designed to provide reimbursement of certain health care expenses to eligible participants following retirement.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$262,881$738,941▲ $476,060
Cash and Non-Interest-Bearing Accounts$499,577$260,584▼ $238,993
Accounts Receivable$89,000$182,886▲ $93,886
Savings and Temporary Cash Investments$28,926$0▼ $28,926
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$880,384$1,182,411▲ $302,027
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$6,381$1,607▼ $4,774
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$6,381$1,607▼ $4,774
Net Assets / Fund Balance
Total Net Assets Fund Balance$874,003$1,180,804▲ $306,801
Total Liabilities and Net Assets / Fund Balance$880,384$1,182,411▲ $302,027
Compensation and Service Providers

Board Members and Trustees

NameTitle
Austris RungisCo-chairman
Russell E BurnsCo-chairman
Tim NeepDirector
Jim BackmanTrustee
John GouveiaTrustee
Steve IngersollTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$393,529
Investment Income
$4,287
Other Revenue
$2,631
Change in Net Assets
$377,009

Audited Revenue Reconciliation

Revenue per Audited Statements
$400,447
Revenue Not Reported on Form 990
$16,215
Total Revenue per Audited Statements
$416,662
Total Revenue per Form 990
$400,447
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$23,438
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
Fees for Services Management---$9,624
Fees for Services Accounting---$6,500
Fees for Services Legal---$6,000
Office Expenses---$1,314
Total Functional Expenses$0$0$0$23,438

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$23,438
Total Expenses per Audited Statements$23,438
Total Expenses per Form 990$23,438
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
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
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 8B:

There were no committees with authority to act on behalf of the governing body. Form 990, part vi, section b - line 11b: the plan's 990 is available on the trustee website for review prior to filing. Form 990, part vi, section b - line 12c: the quarterly board meetings provide an official venue for officers, directors and trustees to disclose such interests that could give rise to conflicts. Form 990, part vi, section b - line 19: the plan makes its governing documents and financial statements available upon request. Form 990, part xi, line 9: transfers out of the plan ($86,423).

Filing and Contact Details

Filer

Filer Name
Retiree Health Security Plan
EIN
26-4826549
In Care Of
% ZENITH AMERICAN SOLUTIONS
Phone
5106718800
Address
1600 HARBOR BAY PKWY STE 200, ALAMEDA, CA 94502

Signing Officer

Name
Austris Rungis
Title
Co-chairman
Phone
5104334400
Signed
2018-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Russell Burns
Formed
1976
Legal Domicile
CA
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
0

Preparer

Firm
Miller Kaplan Arase Llp
Address
TWO EMBARCADERO CTR STE 2280, SAN FRANCISCO, CA 94111-3916
Preparer
Catherine Gardner
Phone
4159563600
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Plan and recognize a tax liability if the Plan has taken a tax position that more likely than not would not be sustained upon examination by a tax authority. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Plan and recognize a tax liability if the Plan has taken a tax position that more likely than not would not be sustained upon examination by a tax authority. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleD/TotalLiabilityAmt00
IRS990ScheduleD/TotalRevenuePerForm990Amt0400447
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IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt023438
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THERE WERE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B - LINE 11B: THE PLAN'S 990 IS AVAILABLE ON THE TRUSTEE WEBSITE FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B - LINE 12C: THE QUARTERLY BOARD MEETINGS PROVIDE AN OFFICIAL VENUE FOR OFFICERS, DIRECTORS AND TRUSTEES TO DISCLOSE SUCH INTERESTS THAT COULD GIVE RISE TO CONFLICTS. FORM 990, PART VI, SECTION B - LINE 19: THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFERS OUT OF THE PLAN ($86,423).
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A - LINE 8B:
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IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt2NA
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1Central Marin Sanitation Agency
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2Novato Sanitary District
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IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
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IRS990ScheduleR/TransferToOtherOrgInd0true
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IRS990/TaxExemptBondLiabilitiesGrp/EOYAmt00
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IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsEOYAmt01182411
IRS990/TotalAssetsGrp/BOYAmt0880384
IRS990/TotalAssetsGrp/EOYAmt01182411
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IRS990/TotalGrossUBIAmt00
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IRS990/TotalLiabilitiesEOYAmt01607
IRS990/TotalLiabilitiesGrp/BOYAmt06381
IRS990/TotalLiabilitiesGrp/EOYAmt01607
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0874003
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01180804
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt0393529
IRS990/TotalReportableCompFromOrgAmt00
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IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0393529
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0400447
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0880384
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01182411
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IRS990/TravelGrp/TotalAmt00
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IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01600 HARBOR BAY PKWY STE 200
IRS990/USAddress/CityNm0ALAMEDA
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd094502
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0AUSTRIS RUNGIS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CO-CHAIRMAN
ReturnHeader/BusinessOfficerGrp/PhoneNum05104334400
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-11-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0RETIREE HEALTH SECURITY PLAN
ReturnHeader/Filer/BusinessNameControlTxt0RETI
ReturnHeader/Filer/EIN0264826549
ReturnHeader/Filer/InCareOfNm0% ZENITH AMERICAN SOLUTIONS
ReturnHeader/Filer/PhoneNum05106718800
ReturnHeader/Filer/USAddress/AddressLine1Txt01600 HARBOR BAY PKWY STE 200
ReturnHeader/Filer/USAddress/CityNm0ALAMEDA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd094502
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0895BD3731299A8643050337F2A99E55EAEE1AC5E
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId01D553F0CC161CAB4950D5232994D4871B352D586
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionId095416620183135000046
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02018-11-09
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt012.244.147.122
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MILLER KAPLAN ARASE LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0TWO EMBARCADERO CTR STE 2280
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SAN FRANCISCO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0941113916
ReturnHeader/PreparerPersonGrp/PhoneNum04159563600
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Catherine Gardner
ReturnHeader/ReturnTs02018-11-09T20:15:01-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-01-01

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