Civic Intelligence

Unknown Organization

990 • Fiscal year 2014 • EIN 56-1393284

Nov 01, 2013 to Oct 31, 2014 • Filed on Aug 11, 2015

PO Box 74028645

(828) 758-9811

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2014

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2014

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2014

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2014

Asset Growth

6th percentile

-100%

Faster asset growth than 6% of similar nonprofits.

2014 filings • 501(c)9 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Down

$0

Down $412,303 (-100%) from 2013

Net Assets

Down

$0

Down $390,758 (-100%) from 2013

Liabilities

Down

$0

Down $21,545 (-100%) from 2013

Revenue

Down

$0

Down $7,510,962 (-100%) from 2013

Expenses

Down

$239,006

Down $8,571,423 (-97%) from 2013

Net Income

Up

-$239,006

Up $1,060,461 (+82%) from 2013

Historical Trend

Balance Sheet Trend

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

$2.0M$1.5M$1.0M$500K$0Assets 2010: $1,334,929Liabilities 2010: $32,449Net Assets 2010: $1,302,4802010Assets 2011: $1,271,784Liabilities 2011: $81,888Net Assets 2011: $1,189,8962011Assets 2012: $1,690,225Liabilities 2012: $0Net Assets 2012: $1,690,2252012Assets 2013: $412,303Liabilities 2013: $21,545Net Assets 2013: $390,7582013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$10M$5.0M$0-$5.0MExpenses 2010: $7,728,9702010Expenses 2011: $7,763,0862011Expenses 2012: $8,525,6512012Revenue 2013: $7,510,962Expenses 2013: $8,810,429Net Income 2013: -$1,299,4672013Revenue 2014: $0Expenses 2014: $239,006Net Income 2014: -$239,0062014

Highlighted filing

2014

Revenue$0
Expenses$239,006
Net Income-$239,006
Jump To
Filing Snapshot
Filing Period
Nov 1, 2013 to Oct 31, 2014
Signed
Aug 11, 2015
Return Version
2013v4.0
Gross Receipts
$0
Mission and Program Overview

Mission

Provision of health benefits to the employees of bernhardt furniture company

Provide insurance benefits to plan participants.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$239,006$0▼ $239,006
Rtn Earn Endowment Incm Other Fnds$239,006$0▼ $239,006
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-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$239,006$0▼ $239,006
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$239,006$0▼ $239,006
Total Liabilities and Net Assets / Fund Balance$239,006$0▼ $239,006
Compensation and Service Providers

Board Members and Trustees

NameTitle
Cathy BowmanTrustee
Pete CraymerTrustee
William HowardTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-239,006

Audited Revenue Reconciliation

Revenue per Audited Statements
$0
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$10,910,574
Total Revenue per Audited Statements
$10,910,574
Total Revenue per Form 990
$0
Expenses and Functional Allocation

Major Expense Lines

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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$239,006
Total Functional Expenses$0$0$0$239,006

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$11,215,026
Expenses Not Reported on Form 990$10,976,020
Expenses per Audited Statements$239,006
Total Expenses per Form 990$239,006
Expenses Not Reported on Financial Statements$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
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
Annual disclosure for covered persons
No
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 B, Line 11

A copy of the tax return is sent to the organization prior to filing for review. After the organization reviews, they send any changes to the accountant to make and return is then finalized.

Form 990, Part VI, Section C, Line 19

Since the organization is a 501(c)9, it adheres to the dol regulations of making the documents related to the plan available to plan participants upon request.

Filing and Contact Details

Filer

EIN
56-1393284
Phone
8287589811

Signing Officer

Name
Pete Craymer
Title
CFO
Phone
8287596538
Signed
2015-08-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Pete Craymer
Formed
1982
Legal Domicile
Nc
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Preparer
Melissa P Shronce
Phone
8283222070
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 2C

Board of trustees assumes responsibility for oversight of the audit of its financial sttaements and the selection of an independent accountant.

Financial Statement Notes

PART X, LINE 2:

The trust established under the plan to hold the plan's assets is intended to qualify pursuant to section 501(c)(9) of the internal revenue code, and, accordingly, the trust's net investment income is exempt from income taxes. The trust has obtained an ememption letter dated november 14, 1988, from the internal revenue service, and the company believes that the trust, as amended, continues to qualify and to operate in accordance with applicable requirements of the internal revenue code. Therefore, no provision for income taxes has been included in the plan's financial statements. Accounting principles generally accepted in the united states of america require plan management to evaluate tax positions by the plan and recognize a tax liability (or asset) if the plan has taken an uncertain postion that more likely than not would not be sustained upon examination by the department of labor or internal revenue service. The plan administrator has analyzed the tax postions taken by the plan, and has concluded that as of october 31, 2012, there are no uncertain postions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The plan is subject to reoutine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The plan administrator believes it is no longer subject to income tax examinations for years prior to 2010.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Plan additions to net assets paid from general assets of plan sponsor and not to employee benefit trust (veba)

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Plan expenses paid from general assets of plan sponsor and not from employee benefit trust (veba)

Raw XML Appendix289 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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IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt00
IRS990/GroupReturnForAffiliatesInd00
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IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
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IRS990/IRPDocumentCnt00
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IRS990/ReconcilationRevenueExpnssAmt0-239006
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE, AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED AN EMEMPTION LETTER DATED NOVEMBER 14, 1988, FROM THE INTERNAL REVENUE SERVICE, AND THE COMPANY BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE PLAN'S FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSTION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE DEPARTMENT OF LABOR OR INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSTIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF OCTOBER 31, 2012, THERE ARE NO UNCERTAIN POSTIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO REOUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1PLAN ADDITIONS TO NET ASSETS PAID FROM GENERAL ASSETS OF PLAN SPONSOR AND NOT TO EMPLOYEE BENEFIT TRUST (VEBA)
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2PLAN EXPENSES PAID FROM GENERAL ASSETS OF PLAN SPONSOR AND NOT FROM EMPLOYEE BENEFIT TRUST (VEBA)
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 2D - OTHER ADJUSTMENTS:
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine10BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02014-09-26
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0560894904
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0CASH- ACTUAL AMOUNT PAID TO BLUE CROSS BLUE SHIELD
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A COPY OF THE TAX RETURN IS SENT TO THE ORGANIZATION PRIOR TO FILING FOR REVIEW. AFTER THE ORGANIZATION REVIEWS, THEY SEND ANY CHANGES TO THE ACCOUNTANT TO MAKE AND RETURN IS THEN FINALIZED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1SINCE THE ORGANIZATION IS A 501(C)9, IT ADHERES TO THE DOL REGULATIONS OF MAKING THE DOCUMENTS RELATED TO THE PLAN AVAILABLE TO PLAN PARTICIPANTS UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STTAEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART XII, LINE 2C
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ReturnHeader/Filer/USAddress/ZIPCode028645
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0561706742
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10DAVIDSON HOLLAND WHITESELL & CO PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine10209 13TH AVE PLACE NW SUITE 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0HICKORY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0NC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode028601
ReturnHeader/PreparerPersonGrp/PhoneNum08283222070
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MELISSA P SHRONCE
ReturnHeader/ReturnTs02015-08-12T15:32:09-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-11-01
ReturnHeader/TaxPeriodEndDt02014-10-31
ReturnHeader/TaxYr02013

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