Civic Intelligence

Adrian Retiree Health Benefits Trus C/O Glenn Kelly

EIN 33-1196416 • 501(c)9 • Pittsford, MI

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Profile

The organization's mission is to facilitate the payment of premiums for group supplemental health insurance and prescription coverage for the benefit of certain adrian, michigan retirees of fki industries, inc.

4084 S Pittsford RoadPittsford, MI 49271-9818

n/A

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 2024

Liabilities / Revenue

52nd percentile

0.00x

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

501(c)9 • $1M-$5M nonprofits • Source year 2024

Net Margin

2nd percentile

-656%

Higher net margin than 2% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

66th percentile

$7,400

Higher top officer pay than 66% of similar nonprofits.

Top officer pay equals 20.1% of source-year revenue.

501(c)9 • $1M-$5M nonprofits • Source year 2024

Asset Growth

25th percentile

-16%

Faster asset growth than 25% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

98th percentile

386%

Faster revenue growth than 98% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets45th percentile

Assets

Down

$1,232,852

Down $242,678 (-16%) from 2023

Liabilities

Down

$0

Down $1,480 (-100%) from 2023

Net Assets

Down

$1,232,852

Down $241,198 (-16%) from 2023

Operations
Liabilities / Revenue52nd percentileNet Margin2nd percentile

Revenue

Up

$36,755

Up $29,188 (+386%) from 2023

Expenses

Down

$277,953

Down $75,570 (-21%) from 2023

Net Income

Up

-$241,198

Up $104,758 (+30%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth25th percentile

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

$15M$10M$5.0M$0Assets 2010: $10,243,829Liabilities 2010: $1,875Net Assets 2010: $10,241,9542010Assets 2011: $7,643,941Liabilities 2011: $1,875Net Assets 2011: $7,642,0662011Assets 2012: $7,104,354Liabilities 2012: $1,875Net Assets 2012: $7,102,4792012Assets 2013: $6,567,169Liabilities 2013: $9,046Net Assets 2013: $6,558,1232013Assets 2014: $5,901,792Liabilities 2014: $0Net Assets 2014: $5,901,7922014Assets 2015: $5,326,673Liabilities 2015: $2,332Net Assets 2015: $5,324,3412015Assets 2016: $4,648,069Liabilities 2016: $4,496Net Assets 2016: $4,643,5732016Assets 2017: $4,339,686Liabilities 2017: $4,486Net Assets 2017: $4,335,2002017Assets 2018: $3,791,220Liabilities 2018: $45,672Net Assets 2018: $3,745,5482018Assets 2019: $3,337,539Liabilities 2019: $920Net Assets 2019: $3,336,6192019Assets 2020: $2,722,381Liabilities 2020: $5,111Net Assets 2020: $2,717,2702020Assets 2021: $2,289,163Liabilities 2021: $3,224Net Assets 2021: $2,285,9392021Assets 2022: $1,839,966Liabilities 2022: $2,207Net Assets 2022: $1,837,7592022Assets 2023: $1,475,530Liabilities 2023: $1,480Net Assets 2023: $1,474,0502023Assets 2024: $1,232,852Liabilities 2024: $0Net Assets 2024: $1,232,8522024

Highlighted filing

2024

Assets$1,232,852
Liabilities$0
Net Assets$1,232,852
Open 2024 Filing

Operations Trend

Revenue Growth98th percentile

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

$1.5M$1.0M$500K$0-$500K-$1.0MExpenses 2010: $1,204,4442010Expenses 2011: $1,089,5882011Expenses 2012: $974,7132012Revenue 2013: $324,687Expenses 2013: $869,043Net Income 2013: -$544,3562013Revenue 2014: $164,323Expenses 2014: $820,654Net Income 2014: -$656,3312014Revenue 2015: $208,457Expenses 2015: $785,908Net Income 2015: -$577,4512015Revenue 2016: $137,066Expenses 2016: $817,834Net Income 2016: -$680,7682016Revenue 2017: $313,036Expenses 2017: $621,409Net Income 2017: -$308,3732017Revenue 2018: $63,669Expenses 2018: $653,321Net Income 2018: -$589,6522018Revenue 2019: $118,414Expenses 2019: $527,343Net Income 2019: -$408,9292019Revenue 2020: -$97,643Expenses 2020: $521,706Net Income 2020: -$619,3492020Revenue 2021: $386,971Expenses 2021: $418,934Net Income 2021: -$31,9632021Revenue 2022: $314,559Expenses 2022: $349,342Net Income 2022: -$34,7832022Revenue 2023: $7,567Expenses 2023: $353,523Net Income 2023: -$345,9562023Revenue 2024: $36,755Expenses 2024: $277,953Net Income 2024: -$241,1982024

Highlighted filing

2024

Revenue$36,755
Expenses$277,953
Net Income-$241,198
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,232,852
Liabilities
$0
Net assets
$1,232,852
Revenue
$36,755
Expenses
$277,953
Net income
-$241,198
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.23$0.00$1.23$0.04$0.28$0.24
2023Detailed filing. Detailed filing data is available for this year.$1.48$0.00$1.47$0.01$0.35$0.35
2022Detailed filing. Detailed filing data is available for this year.$1.84$0.00$1.84$0.31$0.35$0.03
2021Detailed filing. Detailed filing data is available for this year.$2.29$0.00$2.29$0.39$0.42$0.03
2020Detailed filing. Detailed filing data is available for this year.$2.72$0.01$2.72$0.10$0.52$0.62
2019Detailed filing. Detailed filing data is available for this year.$3.34$0.00$3.34$0.12$0.53$0.41
2018Detailed filing. Detailed filing data is available for this year.$3.79$0.05$3.75$0.06$0.65$0.59
2017Detailed filing. Detailed filing data is available for this year.$4.34$0.00$4.34$0.31$0.62$0.31
2016Detailed filing. Detailed filing data is available for this year.$4.65$0.00$4.64$0.14$0.82$0.68
2015Detailed filing. Detailed filing data is available for this year.$5.33$0.00$5.32$0.21$0.79$0.58
2014Detailed filing. Detailed filing data is available for this year.$5.90$0.00$5.90$0.16$0.82$0.66
2013Detailed filing. Detailed filing data is available for this year.$6.57$0.01$6.56$0.32$0.87$0.54
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.10$0.00$7.10$0.97
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.64$0.00$7.64$1.09
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.2$0.00$10.2$1.20
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
May 20, 2025
Return Version
2024v5.0
Gross Receipts
$36,755
Mission and Program Overview

Mission

The organization's mission is to facilitate the payment of premiums for group supplemental health insurance and prescription coverage for the benefit of certain adrian, michigan retirees of fki industries, inc.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$139,321$78,159▼ $61,162
Prepaid Expenses and Deferred Charges-$15,964-
Total Assets$1,475,530$1,232,852▼ $242,678
Other Assets Total$1,336,209$1,138,729▼ $197,480
Liabilities
Accounts Payable and Accrued Expenses$1,480--
Total Liabilities$1,480$0▼ $1,480
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,474,050$1,232,852▼ $241,198
Total Net Assets Fund Balance$1,474,050$1,232,852▼ $241,198
Total Liabilities and Net Assets / Fund Balance$1,475,530$1,232,852▼ $242,678

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$1,138,729--
Compensation and Service Providers
Top Officer Pay66th percentile

Employees

NameTitleBaseTotal
Walter BerryVeba Committ$7,400$7,400
Diane DonahueVeba Committ$6,100$6,100
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$5,203
Other Revenue
$31,552
Change in Net Assets
$-241,198

Audited Revenue Reconciliation

Revenue per Audited Statements
$36,755
Total Revenue per Audited Statements
$36,755
Total Revenue per Form 990
$36,755
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$262,735
Salaries, Compensation, and Employee Benefits$15,218
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$238,925--$238,925
Other Salaries and Wages$8,370$6,848-$15,218
Fees for Service Investment Mgmnt Fees$11,720--$11,720
Insurance$6,490--$6,490
Fees for Services Accounting$5,600--$5,600
Total Functional Expenses$271,105$6,848$0$277,953

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$277,953
Total Expenses per Audited Statements$277,953
Total Expenses per Form 990$277,953
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
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“Management reviews and authorizes prior to e-filing”

Form 990, Page 6, Part VI, Line 19

“Documents are made availiable upon request”

Filing and Contact Details

Filer

Filer Name
Adrian Retiree Health Benefit
EIN
33-1196416
Phone
5175231074
Address
4084 S PITTSFORD ROAD, PITTSFORD, MI 49271-9818

Signing Officer

Name
Walter Berry
Title
Veba Committee
Phone
5175231074
Signed
2025-05-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Walter Berry
Formed
2007
Voting Board Members
3
Independent Board Members
3
Employees
0

Preparer

Firm
Shea & Assoc Advisory and Accounting
Address
133 W MAIN ST, MORENCI, MI 49256-1418
Preparer
Brent D Shea CPA
Phone
5174582274
Supplemental Narrative

Additional Explanations

Form 990, Part III

“The trust is a voluntary employees beneficiary association (veba) within the meaning of irc section 501 (c) (9) that is established and maintained for the sole purpose of providing supplemental medical and prescription drug benefits to certain adrian, michigan retirees of fki industries, inc., under the terms of the adrian retiree medical and prescription drug plan. The veba trust will be used to find retiree supplemental health benefits under this plan.”

Form 990, Page 2, Part III, Line 4D

“Provide health care benefits to beneficiaries”

Raw XML Appendix238 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
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IRS990/BusinessRlnWith35CtrlEntInd0false
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IRS990/ChangeToOrgDocumentsInd0false
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IRS990/DescribedInSection501c3Ind0false
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IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt05600
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt03.00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
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IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr02007
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt03
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt036755
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0true
IRS990/IndependentVotingMemberCnt03
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/ProgramServicesAmt06490
IRS990/InsuranceGrp/TotalAmt06490
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt05203
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt05203
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt02
IRS990/IRPDocumentW2GCnt00
IRS990/LoanOutstandingInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt01474050
IRS990/NetAssetsOrFundBalancesEOYAmt01232852
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt01474050
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt01232852
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt01336209
IRS990/OtherAssetsTotalGrp/EOYAmt01138729
IRS990/OtherExpensesGrp/Desc0BENEFITS PAID
IRS990/OtherExpensesGrp/ProgramServicesAmt0238925
IRS990/OtherExpensesGrp/TotalAmt0238925
IRS990/OtherRevenueMiscGrp/Desc0RETURN ON INVESTMENT IN ANNUI
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt031552
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IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt06848
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt08370
IRS990/OtherSalariesAndWagesGrp/TotalAmt015218
IRS990/PartialLiquidationInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt015964
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IRS990/ProfessionalFundraisingInd0false
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IRS990/ProhibitedTaxShelterTransInd0false
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IRS990/ReportOtherAssetsInd0true
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE TRUST IS A VOLUNTARY EMPLOYEES BENEFICIARY ASSOCIATION (VEBA) WITHIN THE MEANING OF IRC SECTION 501 (C) (9) THAT IS ESTABLISHED AND MAINTAINED FOR THE SOLE PURPOSE OF PROVIDING SUPPLEMENTAL MEDICAL AND PRESCRIPTION DRUG BENEFITS TO CERTAIN ADRIAN, MICHIGAN RETIREES OF FKI INDUSTRIES, INC., UNDER THE TERMS OF THE ADRIAN RETIREE MEDICAL AND PRESCRIPTION DRUG PLAN. THE VEBA TRUST WILL BE USED TO FIND RETIREE SUPPLEMENTAL HEALTH BENEFITS UNDER THIS PLAN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PROVIDE HEALTH CARE BENEFITS TO BENEFICIARIES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2MANAGEMENT REVIEWS AND AUTHORIZES PRIOR TO E-FILING
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ReturnHeader/BuildTS02025-03-06 01:10:19Z
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ReturnHeader/BusinessOfficerGrp/SignatureDt02025-05-20
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0492561418
ReturnHeader/PreparerPersonGrp/PhoneNum05174582274
ReturnHeader/PreparerPersonGrp/PreparationDt02025-05-28
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0BRENT D SHEA CPA
ReturnHeader/ReturnTs02025-06-02T15:13:52-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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