Civic Intelligence

Belk Employees Medical Insurance Plan

EIN 58-1693781 • 501(c)9 • Charlotte, NC

Revoked

Profile

None

Revocation date: May 15, 2022

2801 West Tyvola RdCharlotte, NC 28217
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 2018

Liabilities / Revenue

21st percentile

0.00x

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

501(c)9 • $50M-$100M nonprofits • Source year 2018

Net Margin

36th percentile

0.0%

Higher net margin than 36% of similar nonprofits.

501(c)9 • $50M-$100M nonprofits • Source year 2018

Top Officer Pay

47th percentile

$10,698

Higher top officer pay than 47% of similar nonprofits.

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

501(c)9 • $50M-$100M nonprofits • Source year 2018

Asset Growth

5th percentile

-100%

Faster asset growth than 5% of similar nonprofits.

501(c)9 • $50M-$100M nonprofits • Annualized from 2017 to 2018

Revenue Growth

5th percentile

-30%

Faster revenue growth than 5% of similar nonprofits.

501(c)9 • $50M-$100M nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $4,460,979 (-100%) from 2017

Liabilities

Down

$0

Down $5,841,122 (-100%) from 2017

Net Assets

Up

$0

Up $1,380,143 (+100%) from 2017

Operations
Liabilities / Revenue21st percentileNet Margin36th percentile

Revenue

Down

$57,391,546

Down $24,248,092 (-30%) from 2017

Expenses

Down

$57,391,546

Down $23,506,127 (-29%) from 2017

Net Income

Down

$0

Down $741,965 (-100%) from 2017

Trend Graphs

Balance Sheet Trend

Asset Growth5th percentile

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

$10M$5.0M$0-$5.0MAssets 2011: $3,563,879Liabilities 2011: $6,528,723Net Assets 2011: -$2,964,8442011Assets 2012: $5,005,154Liabilities 2012: $6,869,581Net Assets 2012: -$1,864,4272012Assets 2013: $3,100,288Liabilities 2013: $6,472,157Net Assets 2013: -$3,371,8692013Assets 2014: $3,607,411Liabilities 2014: $7,372,206Net Assets 2014: -$3,764,7952014Assets 2015: $3,419,681Liabilities 2015: $5,885,818Net Assets 2015: -$2,466,1372015Assets 2016: $4,240,905Liabilities 2016: $6,363,013Net Assets 2016: -$2,122,1082016Assets 2017: $4,460,979Liabilities 2017: $5,841,122Net Assets 2017: -$1,380,1432017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2018

Assets$0
Liabilities$0
Net Assets$0
Open 2018 Filing

Operations Trend

Revenue Growth5th percentile

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

$100M$50M$0-$50MRevenue 2011: $73,702,764Expenses 2011: $73,639,855Net Income 2011: $62,9092011Revenue 2012: $77,822,971Expenses 2012: $76,722,554Net Income 2012: $1,100,4172012Revenue 2013: $82,093,105Expenses 2013: $83,549,452Net Income 2013: -$1,456,3472013Revenue 2014: $82,935,392Expenses 2014: $83,328,318Net Income 2014: -$392,9262014Revenue 2015: $79,627,493Expenses 2015: $78,328,835Net Income 2015: $1,298,6582015Revenue 2016: $83,315,830Expenses 2016: $82,971,801Net Income 2016: $344,0292016Revenue 2017: $81,639,638Expenses 2017: $80,897,673Net Income 2017: $741,9652017Revenue 2018: $57,391,546Expenses 2018: $57,391,546Net Income 2018: $02018

Highlighted filing

2018

Revenue$57,391,546
Expenses$57,391,546
Net Income$0
Open 2018 Filing

Filings

Most recent year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$57,391,546
Expenses
$57,391,546
Net income
$0
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2018Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$57.4$57.4$0.00
2017Summary only. Only limited summary data is available for this year.$4.46$5.84$1.38$81.6$80.9$0.74
2016Summary only. Only limited summary data is available for this year.$4.24$6.36$2.12$83.3$83.0$0.34
2015Summary only. Only limited summary data is available for this year.$3.42$5.89$2.47$79.6$78.3$1.30
2014Summary only. Only limited summary data is available for this year.$3.61$7.37$3.76$82.9$83.3$0.39
2013Summary only. Only limited summary data is available for this year.$3.10$6.47$3.37$82.1$83.5$1.46
2012Summary only. Only limited summary data is available for this year.$5.01$6.87$1.86$77.8$76.7$1.10
2011Summary only. Only limited summary data is available for this year.$3.56$6.53$2.96$73.7$73.6$0.06
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 15, 2019
Return Version
2018v3.1
Gross Receipts
$57,391,546
Mission and Program Overview

Mission

None

To provide hospitalization and medical care benefits to all qualifying employees of the company and its affiliates, and their dependents.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$2,647,981$0▼ $2,647,981
Prepaid Expenses and Deferred Charges$1,812,998$0▼ $1,812,998
Cash and Non-Interest-Bearing Accounts-$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
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$4,460,979$0▼ $4,460,979
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$4,460,979--
Total Liabilities$4,460,979$0▼ $4,460,979
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$4,460,979$0▼ $4,460,979
Compensation and Service Providers
Top Officer Pay47th percentile

Employees

NameTitleBaseTotal
-Trustee$10,698$10,698
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$57,367,522
Investment Income
$24,024
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$9,559,276
Salaries, Compensation, and Employee Benefits$10,698
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$47,821,572--$47,821,572
Other Expenses$836,780--$836,780
Current Officers, Directors, Trustees, and Key Employees$10,698--$10,698
Total Functional Expenses$57,391,546$0$0$57,391,546
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
Yes
Audit committee
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

“No governing body in existence”

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

“No governing body in existence”

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

“Form 990 is prepared by a CPA and reviewed by the Plan Sponsor (Belk Stores Services, Inc.)”

Form 990, Part VI, Section C, line 19

“Financial statements relating to the 501(c)(9) trust are available to the public upon request.”

Form 990, Part VII Contact Addresses for Officers, Directors, Etc

“State Street Bank - 801 Pennsylvania Ave, Kansas City, MO 64105.”

Filing and Contact Details

Filer

Filer Name
Belk Employee's Healthcare Plan
EIN
58-1693781
Phone
7043571000
Address
2801 West Tyvola Rd, Charlotte, NC 28217

Signing Officer

Name
Ned H Weavil Jr
Title
Director-Retirement & Benefits
Phone
7043571000
Signed
2019-11-15
Discuss with paid preparer
Yes

Organization Details

Formed
1971
Legal Domicile
Nc
Voting Board Members
0
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Dixon Hughes Goodman LLP
Address
500 Ridgefield Court, Asheville, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Raw XML Appendix284 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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ReturnHeader/BuildTS02020-03-31 21:24:44Z
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ReturnHeader/TaxPeriodBeginDt02018-01-01
ReturnHeader/TaxPeriodEndDt02018-12-31
ReturnHeader/TaxYr02018

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