Form 990, Part VI, Line 11B: Form 990 Review Process
“Form 990 is presented to board of trustees prior to filing. The form is submitted after all questions are answered.”
990 • Fiscal year 2016 • EIN 43-6127748
Scores are not available for this record yet.
Assets
Up$578,003
Up $63,794 (+12%) from 2015
Net Assets
Up$560,420
Up $57,858 (+12%) from 2015
Liabilities
Up$17,583
Up $5,936 (+51%) from 2015
Revenue
Up$173,101
Up $1,206 (+0.7%) from 2015
Expenses
Up$132,173
Up $21,404 (+19%) from 2015
Net Income
Down$40,928
Down $20,198 (-33%) from 2015
Provide medical benefits (prescription drugs) to members.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $86,851 | $521,762 | ▲ $434,911 |
| Cash and Non-Interest-Bearing Accounts | $369,552 | $45,308 | ▼ $324,244 |
| Accounts Receivable | $2,967 | $4,880 | ▲ $1,913 |
| Savings and Temporary Cash Investments | $54,082 | $4,206 | ▼ $49,876 |
| Land, Buildings, and Equipment, Net | - | $1,051 | - |
| Prepaid Expenses and Deferred Charges | $757 | $796 | ▲ $39 |
| 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 | - |
| Intangible Assets | - | $0 | - |
| Inventories for Sale or Use | - | $0 | - |
| Total Assets | $514,209 | $578,003 | ▲ $63,794 |
| Other Assets Total | - | $0 | - |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $7,647 | $13,583 | ▲ $5,936 |
| Other Liabilities | $4,000 | $4,000 | → $0 |
| Total Liabilities | $11,647 | $17,583 | ▲ $5,936 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $502,562 | $560,420 | ▲ $57,858 |
| Total Net Assets Fund Balance | $502,562 | $560,420 | ▲ $57,858 |
| Total Liabilities and Net Assets / Fund Balance | $514,209 | $578,003 | ▲ $63,794 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $1,051 | - | $1,051 |
| Name | Title |
|---|---|
| Don Schaper | Trustee |
| Michael Lieser | Trustee |
| Line Item | Amount |
|---|---|
| Other Expenses | $34,412 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Benefits to Members | - | - | - | $97,761 |
| Fees for Services Other | - | - | - | $14,988 |
| Fees for Services Accounting | - | - | - | $12,255 |
| Insurance | - | - | - | $2,300 |
| Fees for Service Investment Mgmnt Fees | - | - | - | $2,241 |
| Office Expenses | - | - | - | $1,261 |
| Fees for Services Legal | - | - | - | $1,020 |
| Travel | - | - | - | $347 |
| Total Functional Expenses | $0 | $0 | $0 | $132,173 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $132,173 |
| Total Expenses per Audited Statements | $132,173 |
| Total Expenses per Form 990 | $132,173 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
| Liability | Amount |
|---|---|
| Claims Incurred But Not Reported | $4,000 |
“Form 990 is presented to board of trustees prior to filing. The form is submitted after all questions are answered.”
“Trustees monitor activities of fund's bookkeeper on monthly basis.”
“No documents available to the public.”
“The plan administrator believes the plan is no longer subject to income tax examination for years prior to 2014”
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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| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
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| IRS990/MissionDesc | 0 | Provide medical benefits (prescription drugs) to members. |
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| IRS990/OtherRevenueMiscGrp/Desc | 0 | WRITE OF OF OLD O/S CKS |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | THE PLAN ADMINISTRATOR BELIEVES THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR YEARS PRIOR TO 2014 |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part X : FIN48 Footnote |
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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | FORM 990 IS PRESENTED TO BOARD OF TRUSTEES PRIOR TO FILING. THE FORM IS SUBMITTED AFTER ALL QUESTIONS ARE ANSWERED. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | TRUSTEES MONITOR ACTIVITIES OF FUND'S BOOKKEEPER ON MONTHLY BASIS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | No documents available to the public. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Form 990, Part VI, Line 11b: Form 990 Review Process |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available |
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| IRS990/TotalLiabilitiesGrp/EOYAmt | 0 | 17583 |
| IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt | 0 | 502562 |
| IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt | 0 | 560420 |
| IRS990/TotalProgramServiceRevenueAmt | 0 | 171495 |
| IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 173101 |
| IRS990/TotalRevenueGrp/TotalRevenueColumnAmt | 0 | 173101 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt | 0 | 514209 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt | 0 | 578003 |
| IRS990/TransactionWithControlEntInd | 0 | false |
| IRS990/TravelGrp/TotalAmt | 0 | 347 |
| IRS990/TrnsfrExmptNonChrtblRltdOrgInd | 0 | false |
| IRS990/UnrelatedBusIncmOverLimitInd | 0 | false |
| IRS990/UnrestrictedNetAssetsGrp/BOYAmt | 0 | 502562 |
| IRS990/UnrestrictedNetAssetsGrp/EOYAmt | 0 | 560420 |
| IRS990/UponRequestInd | 0 | X |
| IRS990/VotingMembersGoverningBodyCnt | 0 | 2 |
| IRS990/VotingMembersIndependentCnt | 0 | 0 |
| IRS990/WebsiteAddressTxt | 0 | N/A |
| IRS990/WhistleblowerPolicyInd | 0 | true |
| ReturnHeader/BuildTS | 0 | 2017-02-10 21:41:12Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | true |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | Michael Lieser |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | Trustee |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2016-12-14 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | TEAMSTERS LOCAL 610 PRESCRIPTICARE |
| ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt | 0 | TRUST FUND |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | TEAM |
| ReturnHeader/Filer/EIN | 0 | 436127748 |
| ReturnHeader/Filer/PhoneNum | 0 | 3142090018 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 11472 SCHENK DRIVE |
| ReturnHeader/Filer/USAddress/CityNm | 0 | MARYLAND HEIGHTS |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | MO |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 63043 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | Dwyer Costello and Knox PC |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 8 The Pines Ct Suite A |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | St Louis |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | MO |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 631416076 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 3142050575 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | Terrance D Knox |
| ReturnHeader/ReturnTs | 0 | 2016-12-14T15:48:35-08:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990 |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2015-09-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2016-08-31 |
| ReturnHeader/TaxYr | 0 | 2015 |
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Displayed year
2016 • Form 990Detailed filing. Detailed filing data is available for this year.