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Balance Sheet
Assets
Flat$186,528
Flat from 2012
Net Assets
Flat$0
Flat from 2012
Liabilities
Flat$186,528
Flat from 2012
Revenue And Expenses
Revenue
-
No earlier filing loaded for comparison.
Expenses
Flat$2,579,439
Flat from 2012
Net Income
-
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2012 to Dec 31, 2012
- Signed
- Aug 21, 2013
- Return Version
- 2012v2.1
- Gross Receipts
- $2,579,439
Mission and Program Overview
Mission
To provide medical, life, and dental benefits to plan participants.
Filing and Contact Details
Filer
- EIN
- 76-0507295
Raw XML Appendix270 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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|---|---|---|
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| IRS990/ActivitiesConductedPartnership | 0 | 0 |
| IRS990/ActivityOrMissionDescription | 0 | TO PROVIDE HEALTH, LIFE, AND DENTAL BENEFITS TO PLAN PARTICIPANTS. |
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| IRS990/BenefitsPaidToMembersPriorYear | 0 | 2023500 |
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| IRS990/BenefitsToMembers/Total | 0 | 2033064 |
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| IRS990/NameOfPrincipalOfficerPerson | 0 | HOWARD HOUSTON |
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| IRS990/ProgramServiceRevenue/Description | 1 | SPECIFIC INSURANCE REI |
| IRS990/ProgramServiceRevenue/Description | 2 | EMPLOYEE CONTRIBUTIONS |
| IRS990/ProgramServiceRevenue/Description | 3 | COBRA CONTRIBUTIONS |
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| IRS990/ProgramServiceRevenue/TotalRevenueColumn | 3 | 2515 |
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| IRS990ScheduleD/OtherAssets/BookValue | 1 | 93547 |
| IRS990ScheduleD/OtherAssets/BookValue | 2 | 87364 |
| IRS990ScheduleD/OtherAssets/Description | 0 | REFUNDS RECEIVABLE |
| IRS990ScheduleD/OtherAssets/Description | 1 | EMPLOYER CONTRIBUTIONS RECEIVABLE |
| IRS990ScheduleD/OtherAssets/Description | 2 | SPECIFIC INSURANCE REIMBURSEMENTS RECEIVABLE |
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| IRS990ScheduleD/OtherLiabilities/Description | 0 | BENEFIT CLAIMS PAYABLE |
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| IRS990ScheduleD/TotalOfBookValueLandBuildings | 0 | 0 |
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| IRS990ScheduleO/GeneralExplanation/Explanation | 0 | FORM 990 IS REVIEWED BY THE GOVERNING BODY BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 1 | FORM 990 IS AVAILABLE BY CALLING OR WRITING TO THE OFFICE OF THE PLAN SPONSOR. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 2 | GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, ETC ARE ALL AVAILABLE UPON REQUEST BY CALLING OR WRITING TO THE OFFICE OF THE PLAN SPONSOR |
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| IRS990ScheduleO/GeneralExplanation/ReturnReference | 2 | FORM 990, PART VI, SECTION C, LINE 19 |
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| IRS990/School | 0 | 0 |
| IRS990/SignificantChange | 0 | 0 |
| IRS990/SignificantNewProgramServices | 0 | 0 |
| IRS990/StateLegalDomicile | 0 | TX |
| IRS990/SubjectToProxyTax | 0 | 0 |
| IRS990/TaxablePartyNotification | 0 | 0 |
| IRS990/TaxExemptBonds | 0 | 0 |
| IRS990/Terminated | 0 | 0 |
| IRS990/TermOrPermanentEndowments | 0 | 0 |
| IRS990/TheBooksAreInCareOf/AddressUS/AddressLine1 | 0 | 1111 LOCKWOOD DRIVE |
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| IRS990/TheBooksAreInCareOf/AddressUS/ZIPCode | 0 | 77020 |
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| IRS990/TotalFunctionalExpenses/Total | 0 | 2579439 |
| IRS990/TotalFundrsngExpCurrentYear | 0 | 0 |
| IRS990/TotalGrossUBI | 0 | 0 |
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| IRS990/TotalNbrEmployees | 0 | 0 |
| IRS990/TotalNbrVolunteers | 0 | 0 |
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| IRS990/TotalOtherCompensation | 0 | 0 |
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| IRS990/TotalProgramServiceRevenue | 0 | 2579439 |
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| IRS990/TotalReportableCompFromOrg | 0 | 0 |
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| IRS990/TypeOfOrganizationTrust | 0 | X |
| IRS990/UnrelatedBusinessIncome | 0 | 0 |
| IRS990/UponRequest | 0 | X |
| IRS990/WebSite | 0 | N/A |
| IRS990/WhistleblowerPolicy | 0 | 0 |
| IRS990/YearFormation | 0 | 1996 |
| ReturnHeader/BuildTS | 0 | 2016-02-24 21:20:13Z |
| ReturnHeader/Filer/EIN | 0 | 760507295 |
| ReturnHeader/Filer/Name/BusinessNameLine1 | 0 | WESTBROOK EMPLOYEE BENEFIT PLAN |
| ReturnHeader/Filer/NameControl | 0 | WEST |
| ReturnHeader/Filer/Phone | 0 | 7136756438 |
| ReturnHeader/Filer/USAddress/AddressLine1 | 0 | PO BOX 15614 |
| ReturnHeader/Filer/USAddress/City | 0 | HOUSTON |
| ReturnHeader/Filer/USAddress/State | 0 | TX |
| ReturnHeader/Filer/USAddress/ZIPCode | 0 | 77220 |
| ReturnHeader/Officer/AuthorizeThirdParty | 0 | 1 |
| ReturnHeader/Officer/DateSigned | 0 | 2013-08-21 |
| ReturnHeader/Officer/Name | 0 | PETE CRONQUIST |
| ReturnHeader/Officer/Phone | 0 | 7136781435 |
| ReturnHeader/Officer/Title | 0 | VP - ACCOUNTING & ADMIN |
| ReturnHeader/PreparerFirm/EIN | 0 | 721447490 |
| ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine1 | 0 | BROUSSARD & COMPANY CPAS LLC |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine1 | 0 | 127 WEST BROAD STREET SUITE 800 |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City | 0 | LAKE CHARLES |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State | 0 | LA |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode | 0 | 70601 |
| ReturnHeader/Preparer/Name | 0 | RICK ROBERT |
| ReturnHeader/Preparer/Phone | 0 | 3374396600 |
| ReturnHeader/ReturnType | 0 | 990 |
| ReturnHeader/TaxPeriodBeginDate | 0 | 2012-01-01 |
| ReturnHeader/TaxPeriodEndDate | 0 | 2012-12-31 |
| ReturnHeader/TaxYear | 0 | 2012 |
| ReturnHeader/Timestamp | 0 | 2013-09-03T15:59:21-05:00 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $186,528
- Liabilities
- $186,528
- Net assets
- $0
- Revenue
- -
- Expenses
- $2,579,439
- Net income
- -