Civic Intelligence

Bommer Industries Inc Medical Benefit Plan

EIN 57-0741999 • 501(c)9 • Landrum, SC

Profile

To provide health benefits covering substantially all employees of bommer industries, inc.

Post Office Box 187Landrum, SC 29356

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 2022

Liabilities / Revenue

52nd percentile

0.00x

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

501(c)9 • $1M-$5M nonprofits • Source year 2022

Net Margin

21st percentile

-12%

Higher net margin than 21% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2022

Top Officer Pay

53rd percentile

$0

Higher top officer pay than 53% of similar nonprofits.

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

501(c)9 • $1M-$5M nonprofits • Source year 2022

Asset Growth

14th percentile

-100%

Faster asset growth than 14% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2021 to 2022

Revenue Growth

21st percentile

-13%

Faster revenue growth than 21% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $122,764 (-100%) from 2021

Liabilities

Flat

$0

Flat from 2021

Net Assets

Down

$0

Down $122,764 (-100%) from 2021

Operations
Liabilities / Revenue52nd percentileNet Margin21st percentile

Revenue

Down

$1,061,278

Down $158,370 (-13%) from 2021

Expenses

Down

$1,184,042

Down $62,407 (-5.0%) from 2021

Net Income

Down

-$122,764

Down $95,963 (-358%) from 2021

Trend Graphs

Balance Sheet Trend

Asset Growth14th percentile

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

$400K$300K$200K$100K$0Assets 2010: $337,079Liabilities 2010: $0Net Assets 2010: $337,0792010Assets 2011: $270,069Liabilities 2011: $0Net Assets 2011: $270,0692011Assets 2012: $368,301Liabilities 2012: $0Net Assets 2012: $368,3012012Assets 2013: $146,294Liabilities 2013: $0Net Assets 2013: $146,2942013Assets 2014: $297,651Liabilities 2014: $0Net Assets 2014: $297,6512014Assets 2015: $256,102Liabilities 2015: $0Net Assets 2015: $256,1022015Assets 2016: $100,748Liabilities 2016: $0Net Assets 2016: $100,7482016Assets 2017: $133,481Liabilities 2017: $0Net Assets 2017: $133,4812017Assets 2018: $90,954Liabilities 2018: $0Net Assets 2018: $90,9542018Assets 2019: $94,551Liabilities 2019: $0Net Assets 2019: $94,5512019Assets 2020: $149,565Liabilities 2020: $0Net Assets 2020: $149,5652020Assets 2021: $122,764Liabilities 2021: $0Net Assets 2021: $122,7642021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2022

Assets$0
Liabilities$0
Net Assets$0
Open 2022 Filing

Operations Trend

Revenue Growth21st percentile

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

$1.5M$1.0M$500K$0-$500KExpenses 2010: $848,3222010Expenses 2011: $1,084,6602011Expenses 2012: $1,008,3482012Expenses 2013: $898,5752013Revenue 2014: $1,224,882Expenses 2014: $1,073,525Net Income 2014: $151,3572014Revenue 2015: $1,318,851Expenses 2015: $1,360,400Net Income 2015: -$41,5492015Revenue 2016: $770,863Expenses 2016: $926,217Net Income 2016: -$155,3542016Revenue 2017: $1,309,379Expenses 2017: $1,276,646Net Income 2017: $32,7332017Revenue 2018: $1,449,259Expenses 2018: $1,491,786Net Income 2018: -$42,5272018Revenue 2019: $1,074,751Expenses 2019: $1,071,154Net Income 2019: $3,5972019Revenue 2020: $1,261,006Expenses 2020: $1,225,485Net Income 2020: $35,5212020Revenue 2021: $1,219,648Expenses 2021: $1,246,449Net Income 2021: -$26,8012021Revenue 2022: $1,061,278Expenses 2022: $1,184,042Net Income 2022: -$122,7642022

Highlighted filing

2022

Revenue$1,061,278
Expenses$1,184,042
Net Income-$122,764
Open 2022 Filing

Filings

Most recent year

2022 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$1,061,278
Expenses
$1,184,042
Net income
-$122,764
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$1.06$1.18$0.12
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.12$0.00$0.12$1.22$1.25$0.03
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.15$0.00$0.15$1.26$1.23$0.04
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.09$0.00$0.09$1.07$1.07$0.00
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.09$0.00$0.09$1.45$1.49$0.04
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.13$0.00$0.13$1.31$1.28$0.03
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.10$0.00$0.10$0.77$0.93$0.16
2015Detailed filing. Detailed filing data is available for this year.$0.26$0.00$0.26$1.32$1.36$0.04
2014Detailed filing. Detailed filing data is available for this year.$0.30$0.00$0.30$1.22$1.07$0.15
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.15$0.00$0.15$0.90
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.37$0.00$0.37$1.01
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.27$0.00$0.27$1.08
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.34$0.00$0.34$0.85
Latest Detailed Filing

The latest 2022 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2021 below.

Jump To
Filing Snapshot
Filing Period
Sep 1, 2020 to Aug 31, 2021
Signed
Jan 10, 2022
Return Version
2020v4.1
Gross Receipts
$1,219,648
Mission and Program Overview

Mission

To provide health benefits covering substantially all employees of bommer industries, inc.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$149,565$122,764▼ $26,801
Rtn Earn Endowment Incm Other Fnds$149,565$122,764▼ $26,801
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$149,565$122,764▼ $26,801
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$149,565$122,764▼ $26,801
Total Liabilities and Net Assets / Fund Balance$149,565$122,764▼ $26,801
Compensation and Service Providers
Top Officer Pay53rd percentile

Board Members and Trustees

NameTitle
Charles a MartinPlan Administrator
Peter E FrohlichPlan Administrator

Highest Paid Contractors

ContractorServicesLocationCompensation
Blue Cross Blue Shield Of ScAdministrative CostsI-20 AT ALPINE ROAD, Columbia, SC 29219$318,079
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,219,620
Investment Income
$28
Other Revenue
$0
Change in Net Assets
$-26,801

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,219,648
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$1,219,648
Total Revenue per Form 990
$1,219,648
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$324,221
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
Benefits to Members$922,228--$922,228
Other Expenses$6,142--$6,142
Total Functional Expenses$1,246,449$0$0$1,246,449

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,246,449
Total Expenses per Audited Statements$1,246,449
Total Expenses per Form 990$1,246,449
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
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, Part VI, Section A, Line 8A

“The governing body does not meet regularly, so no minutes are recorded.”

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

“The governing body does not meet regularly, so no minutes are recorded.”

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

“The plan sponsor is provided a draft of the 990 for review and approval prior to the final version that is filed.”

Form 990, Part VI, Section C, Line 19

“The governing body does not make the governing documents and financial statements available to the public because the plan's sponsor is a privately held for-profit entity. However, the information is made available to participants within the plan. The information is maintained at the plan sponsor's headquarters. Participants are informed of the plan's activity annually when a summary report is mailed to each participant. The summary annual report contains an address from which plan information can be requested.”

Filing and Contact Details

Filer

Filer Name
Bommer Industries Inc Medical
EIN
57-0741999
Phone
8644573301
Address
POST OFFICE BOX 187, LANDRUM, SC 29356

Signing Officer

Name
Charles a Martin
Title
Plan Administrator
Phone
8644573301
Signed
2022-01-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Charles a Martin
Formed
1982
Legal Domicile
Sc
Voting Board Members
0
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Halliday Schwartz & Co
Address
824 EAST MAIN STREET, SPARTANBURG, SC 29302
Preparer
Q Stanford Halliday Iii
Phone
8645830886
Raw XML Appendix309 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/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO PROVIDE HEALTH BENEFITS COVERING SUBSTANTIALLY ALL EMPLOYEES OF BOMMER INDUSTRIES, INC.
IRS990/AuditCommitteeInd01
IRS990/BenefitsToMembersGrp/ProgramServicesAmt0922228
IRS990/BenefitsToMembersGrp/TotalAmt0922228
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0BOMMER INDUSTRIES INC
IRS990/BooksInCareOfDetail/PhoneNum08644573301
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO BOX 187
IRS990/BooksInCareOfDetail/USAddress/CityNm0LANDRUM
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0SC
IRS990/BooksInCareOfDetail/USAddress/ZIPCd029356
IRS990/BusinessRlnWith35CtrlEntInd00
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt00
IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt01
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd00
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContractorCompensationGrp/CompensationAmt0318079
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt0I-20 AT ALPINE ROAD
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0COLUMBIA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0SC
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd029219
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0BLUE CROSS BLUE SHIELD OF SC
IRS990/ContractorCompensationGrp/ServicesDesc0ADMINISTRATIVE COSTS
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt0922228
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt028
IRS990/CYOtherExpensesAmt0324221
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt01219620
IRS990/CYRevenuesLessExpensesAmt0-26801
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt01246449
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt01219648
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0THE PLAN PROVIDES HEALTH BENEFITS COVERING SUBSTANTIALLY ALL EMPLOYEES OF BOMMER INDUSTRIES, INC.
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd00
IRS990/DonorAdvisedFundInd00
IRS990/DonorRstrOrQuasiEndowmentsInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/ExpenseAmt01246449
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt10.00
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/PersonNm0PETER E FROHLICH
IRS990/Form990PartVIISectionAGrp/PersonNm1CHARLES A MARTIN
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/TitleTxt0PLAN ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1PLAN ADMINISTRATOR
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01982
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt00
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt01219648
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt028
IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt028
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0SC
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingOtherInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd00
IRS990/MissionDesc0TO PROVIDE HEALTH BENEFITS COVERING SUBSTANTIALLY ALL EMPLOYEES OF BOMMER INDUSTRIES, INC.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0149565
IRS990/NetAssetsOrFundBalancesEOYAmt0122764
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0BC/BS ADMINISTRATIVE FE
IRS990/OtherExpensesGrp/Desc1FIRST CITIZENS MANAGEME
IRS990/OtherExpensesGrp/ProgramServicesAmt0318079
IRS990/OtherExpensesGrp/ProgramServicesAmt16142
IRS990/OtherExpensesGrp/TotalAmt0318079
IRS990/OtherExpensesGrp/TotalAmt16142
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0CHARLES A MARTIN
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/Desc0EMPLOYER CONTRIB.
IRS990/ProgramServiceRevenueGrp/Desc1EMPLOYEE CONTRIB,
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt01195000
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt124620
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt01195000
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt124620
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt0964546
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0656
IRS990/PYOtherExpensesAmt0260939
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt01260350
IRS990/PYRevenuesLessExpensesAmt035521
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt01225485
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt01261006
IRS990/ReconcilationRevenueExpnssAmt0-26801
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt01219620
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0149565
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0122764
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0149565
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0122764
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt01246449
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt01219648
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt01246449
IRS990ScheduleD/TotalRevenuePerForm990Amt01219648
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt01219648
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt01246449
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE GOVERNING BODY DOES NOT MEET REGULARLY, SO NO MINUTES ARE RECORDED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE GOVERNING BODY DOES NOT MEET REGULARLY, SO NO MINUTES ARE RECORDED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE PLAN SPONSOR IS PROVIDED A DRAFT OF THE 990 FOR REVIEW AND APPROVAL PRIOR TO THE FINAL VERSION THAT IS FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE GOVERNING BODY DOES NOT MAKE THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BECAUSE THE PLAN'S SPONSOR IS A PRIVATELY HELD FOR-PROFIT ENTITY. HOWEVER, THE INFORMATION IS MADE AVAILABLE TO PARTICIPANTS WITHIN THE PLAN. THE INFORMATION IS MAINTAINED AT THE PLAN SPONSOR'S HEADQUARTERS. PARTICIPANTS ARE INFORMED OF THE PLAN'S ACTIVITY ANNUALLY WHEN A SUMMARY REPORT IS MAILED TO EACH PARTICIPANT. THE SUMMARY ANNUAL REPORT CONTAINS AN ADDRESS FROM WHICH PLAN INFORMATION CAN BE REQUESTED.
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
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0570342157
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0SC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0MANUFACTURING
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0BOMMER INDUSTRIES INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt0POST OFFICE BOX 187
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0LANDRUM
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0SC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd029356
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt01195000
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0CASH
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0BOMMER INDUSTRIES INC
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0S
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0149565
IRS990/TotalAssetsEOYAmt0122764
IRS990/TotalAssetsGrp/BOYAmt0149565
IRS990/TotalAssetsGrp/EOYAmt0122764
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01246449
IRS990/TotalFunctionalExpensesGrp/TotalAmt01246449
IRS990/TotalGrossUBIAmt028
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0149565
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0122764
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt01246449
IRS990/TotalProgramServiceRevenueAmt01219620
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt01219620
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01219648
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt028
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0149565
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0122764
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0POST OFFICE BOX 187
IRS990/USAddress/CityNm0LANDRUM
IRS990/USAddress/StateAbbreviationCd0SC
IRS990/USAddress/ZIPCd029356
IRS990/VotingMembersGoverningBodyCnt00
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0CHARLES A MARTIN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PLAN ADMINISTRATOR
ReturnHeader/BusinessOfficerGrp/PhoneNum08644573301
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-01-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0BOMMER INDUSTRIES INC MEDICAL
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0BENEFIT PLAN
ReturnHeader/Filer/BusinessNameControlTxt0BOMM
ReturnHeader/Filer/EIN0570741999
ReturnHeader/Filer/PhoneNum08644573301
ReturnHeader/Filer/USAddress/AddressLine1Txt0POST OFFICE BOX 187
ReturnHeader/Filer/USAddress/CityNm0LANDRUM
ReturnHeader/Filer/USAddress/StateAbbreviationCd0SC
ReturnHeader/Filer/USAddress/ZIPCd029356
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0570925346
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HALLIDAY SCHWARTZ & CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0824 EAST MAIN STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SPARTANBURG
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0SC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd029302
ReturnHeader/PreparerPersonGrp/PhoneNum08645830886
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Q STANFORD HALLIDAY III
ReturnHeader/ReturnTs02022-01-10T14:50:02-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0CHARLES
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0MARTIN
ReturnHeader/TaxPeriodBeginDt02020-09-01
ReturnHeader/TaxPeriodEndDt02021-08-31
ReturnHeader/TaxYr02020

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