Civic Intelligence

Foster Needle Employee Health & Welfare Plan

EIN 39-1736599 • 501(c)9 • Manitowoc, WI

Profile

To fund the health plan of foster needle co. And pay health claims of the participants of the plan.

PO Box 1027Manitowoc, WI 54221-1027

n/A

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2017

Liabilities / Revenue

82nd percentile

0.00x

Higher debt load relative to revenue than 82% of similar nonprofits.

501(c)9 • <$500k nonprofits • Source year 2017

Net Margin

38th percentile

-61%

Higher net margin than 38% of similar nonprofits.

501(c)9 • <$500k nonprofits • Source year 2017

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

501(c)9 • <$500k nonprofits • Source year 2017

Asset Growth

46th percentile

-100%

Faster asset growth than 46% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

66th percentile

-3.2%

Faster revenue growth than 66% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2016 to 2017

Assets

Down

$0

Down $254,895 (-100%) from 2016

Liabilities

Up

$989

Up $296 (+43%) from 2016

Net Assets

Down

-$989

Down $255,191 (-100%) from 2016

Revenue

Down

$415,990

Down $13,762 (-3.2%) from 2016

Expenses

Up

$671,181

Up $264,516 (+65%) from 2016

Net Income

Down

-$255,191

Down $278,278 (-1205%) from 2016

Trend Graphs

Balance Sheet Trend

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

$400K$300K$200K$100K$0-$100KAssets 2010: $132,722Liabilities 2010: $0Net Assets 2010: $132,7222010Assets 2011: $127,768Liabilities 2011: $0Net Assets 2011: $127,7682011Assets 2012: $176,421Liabilities 2012: $0Net Assets 2012: $176,4212012Assets 2013: $340,840Liabilities 2013: $9Net Assets 2013: $340,8312013Assets 2014: $350,332Liabilities 2014: $21Net Assets 2014: $350,3112014Assets 2015: $232,457Liabilities 2015: $1,342Net Assets 2015: $231,1152015Assets 2016: $254,895Liabilities 2016: $693Net Assets 2016: $254,2022016Assets 2017: $0Liabilities 2017: $989Net Assets 2017: -$9892017

Highlighted filing

2017

Assets$0
Liabilities$989
Net Assets-$989

Operations Trend

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

$1.0M$500K$0-$500KExpenses 2010: $882,2532010Revenue 2011: $923,699Expenses 2011: $928,653Net Income 2011: -$4,9542011Expenses 2012: $816,0732012Revenue 2013: $728,945Expenses 2013: $564,535Net Income 2013: $164,4102013Revenue 2014: $641,263Expenses 2014: $631,783Net Income 2014: $9,4802014Revenue 2015: $597,648Expenses 2015: $716,844Net Income 2015: -$119,1962015Revenue 2016: $429,752Expenses 2016: $406,665Net Income 2016: $23,0872016Revenue 2017: $415,990Expenses 2017: $671,181Net Income 2017: -$255,1912017

Highlighted filing

2017

Revenue$415,990
Expenses$671,181
Net Income-$255,191

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Dec 1, 2016 to Mar 31, 2017
Signed
Apr 4, 2017
Return Version
2016v3.0
Gross Receipts
$415,990
Mission and Program Overview

Mission

To fund the health plan of foster needle co. And pay health claims of the participants of the plan.

To fund the health plan of foster needle co., inc., and pay health claims of the participants of the plan.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$254,895$0▼ $254,895
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$254,895$0▼ $254,895
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$693$989▲ $296
Total Liabilities$693$989▲ $296
Net Assets / Fund Balance
Unrestricted Net Assets$254,202$-989▼ $255,191
Total Net Assets Fund Balance$254,202$-989▼ $255,191
Total Liabilities and Net Assets / Fund Balance$254,895$0▼ $254,895
Compensation and Service Providers

Board Members and Trustees

NameTitle
Pat RyanTrustee
Kim NovakKey Employee (of Sponsor)
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$415,990
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-255,191
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$329,497
Salaries, Compensation, and Employee Benefits$255,000
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Insurance---$318,492
Other Salaries and Wages---$255,000
Benefits to Members---$86,684
Fees for Services Accounting---$8,900
Other Expenses---$2,105
Total Functional Expenses$0$0$0$671,181
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
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, Part VI, Section A, Line 8A

Organization is a health and welfare plan; relevant information pertaining to the benefits provided to employees is documented elsewhere.

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

Organization is a health and welfare plan; relevant information pertaining to the benefits provided to employees is documented elsewhere.

Form 990, Part VI, Section B, Line 11B

The form 990 is reviewed by the governing body and trustee before it is signed.

Form 990, Part VI, Section C, Line 19

The organization's governing documents are available upon request.

Filing and Contact Details

Filer

Filer Name
Foster Needle Employee Health
EIN
39-1736599
Phone
9206826314
Address
PO BOX 1027, MANITOWOC, WI 54221-1027

Signing Officer

Name
Kim Novak
Title
Key Employee (of Sponsor)
Phone
9206826314
Signed
2017-04-04
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kim Novak
Formed
1987
Legal Domicile
Wi
Voting Board Members
0
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Schenck Sc
Address
100 MARITIME DRIVE SUITE 2B, MANITOWOC, WI 54220-6805
Preparer
Kelly Block CPA
Phone
9206845500
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Lince 2C

No changes were made to this process.

Raw XML Appendix276 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/BOYAmt0693
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0989
IRS990/AccountsReceivableGrp/EOYAmt00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO FUND THE HEALTH PLAN OF FOSTER NEEDLE CO., INC., AND PAY HEALTH CLAIMS OF THE PARTICIPANTS OF THE PLAN.
IRS990/BenefitsToMembersGrp/TotalAmt086684
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0KIM NOVAK
IRS990/BooksInCareOfDetail/PhoneNum09206826314
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO BOX 1027
IRS990/BooksInCareOfDetail/USAddress/CityNm0MANITOWOC
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0WI
IRS990/BooksInCareOfDetail/USAddress/ZIPCd0542211027
IRS990/BusinessRlnWithFamMemInd00
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IRS990/BusinessRlnWithOrgMemInd00
IRS990/CashNonInterestBearingGrp/BOYAmt0254895
IRS990/CashNonInterestBearingGrp/EOYAmt00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd00
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContractTerminationInd0X
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt086684
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt0329497
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt0415990
IRS990/CYRevenuesLessExpensesAmt0-255191
IRS990/CYSalariesCompEmpBnftPaidAmt0255000
IRS990/CYTotalExpensesAmt0671181
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0415990
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0THE VEBA TRUST HOLDS FUNDS FOR THE SPONSOR'S HEALTH PLAN, AND PAYS MEDICAL CLAIMS FOR PARTICIPANTS OF THE PLAN.
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd00
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/ExpenseAmt0671181
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/TotalAmt08900
IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt10.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/PersonNm0PAT RYAN
IRS990/Form990PartVIISectionAGrp/PersonNm1KIM NOVAK
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt1KEY EMPLOYEE (OF SPONSOR)
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01987
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt00
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0415990
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InsuranceGrp/TotalAmt0318492
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LegalDomicileStateCd0WI
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingOtherInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd00
IRS990/MissionDesc0TO FUND THE HEALTH PLAN OF FOSTER NEEDLE CO. AND PAY HEALTH CLAIMS OF THE PARTICIPANTS OF THE PLAN.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0254202
IRS990/NetAssetsOrFundBalancesEOYAmt0-989
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0ADMINISTRATIVE FEES
IRS990/OtherExpensesGrp/TotalAmt02105
IRS990/OtherSalariesAndWagesGrp/TotalAmt0255000
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0KIM NOVAK
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/Desc0CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0415990
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0415990
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt085773
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt0320892
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt0429752
IRS990/PYRevenuesLessExpensesAmt023087
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0406665
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0429752
IRS990/QuidProQuoContributionsInd00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-255191
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0415990
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd00
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02017-03-31
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0255000
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0COVERED EMPLOYEES
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0CASH
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ORGANIZATION IS A HEALTH AND WELFARE PLAN; RELEVANT INFORMATION PERTAINING TO THE BENEFITS PROVIDED TO EMPLOYEES IS DOCUMENTED ELSEWHERE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ORGANIZATION IS A HEALTH AND WELFARE PLAN; RELEVANT INFORMATION PERTAINING TO THE BENEFITS PROVIDED TO EMPLOYEES IS DOCUMENTED ELSEWHERE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE FORM 990 IS REVIEWED BY THE GOVERNING BODY AND TRUSTEE BEFORE IT IS SIGNED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4NO CHANGES WERE MADE TO THIS PROCESS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 8A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XII, LINCE 2C
IRS990/SchoolOperatingInd00
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IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt0254895
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0254895
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
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IRS990/TotalGrossUBIAmt00
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IRS990/TotalOtherCompensationAmt00
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IRS990/TotalProgramServiceRevenueAmt0415990
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IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0415990
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0415990
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0254895
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0254202
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0-989
IRS990/UponRequestInd0X
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IRS990/USAddress/CityNm0MANITOWOC
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd0542211027
IRS990/VotingMembersGoverningBodyCnt00
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0KIM NOVAK
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0KEY EMPLOYEE (OF SPONSOR)
ReturnHeader/BusinessOfficerGrp/PhoneNum09206826314
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-04-04
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FOSTER NEEDLE EMPLOYEE HEALTH
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0& WELFARE PLAN
ReturnHeader/Filer/BusinessNameControlTxt0FOST
ReturnHeader/Filer/EIN0391736599
ReturnHeader/Filer/PhoneNum09206826314
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 1027
ReturnHeader/Filer/USAddress/CityNm0MANITOWOC
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
ReturnHeader/Filer/USAddress/ZIPCd0542211027
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId06C9B1A35775087DBDB8A6D25ECA509C7F6C27838
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId06C9B1A35775087DBDB8A6D25ECA509C7F6C27838
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt074.142.163.66
ReturnHeader/FilingSecurityInformation/IPDt02017-04-04
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm017:14:02
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0391173131
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0SCHENCK SC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0100 MARITIME DRIVE SUITE 2B
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0MANITOWOC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0542206805
ReturnHeader/PreparerPersonGrp/PhoneNum09206845500
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KELLY BLOCK CPA
ReturnHeader/ReturnTs02017-04-05T14:32:44-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-12-01
ReturnHeader/TaxPeriodEndDt02017-03-31
ReturnHeader/TaxYr02016

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