Civic Intelligence

Blue Lake Rancheria Employee Benefi

EIN 80-0928592 • 501(c)9 • Ferndale, CA

Profile

Establish a trust to fund welfare benefit plans for eligible employees of the blue lake rancheria and its affiliates, including the blue lake rancheria self-insurance health plan.

PO Box 637Ferndale, CA 95536
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

70th percentile

0.05x

Higher debt load relative to assets than 70% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

70th percentile

0.04x

Higher debt load relative to revenue than 70% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2024

Net Margin

52nd percentile

3.3%

Higher net margin than 52% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2024

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 2024

Asset Growth

85th percentile

20%

Faster asset growth than 85% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

36th percentile

-0.6%

Faster revenue growth than 36% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets70th percentile

Assets

Up

$1,880,932

Up $312,465 (+20%) from 2023

Liabilities

Up

$97,581

Up $97,581 from 2023

Net Assets

Up

$1,783,351

Up $214,884 (+14%) from 2023

Operations
Liabilities / Revenue70th percentileNet Margin52nd percentile

Revenue

Down

$2,370,391

Down $15,083 (-0.6%) from 2023

Expenses

Down

$2,292,384

Down $112,744 (-4.7%) from 2023

Net Income

Up

$78,007

Up $97,661 (+497%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth85th percentile

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

$2.0M$1.5M$1.0M$500K$0Assets 2013: $1,479,813Liabilities 2013: $0Net Assets 2013: $1,479,8132013Assets 2014: $1,307,320Liabilities 2014: $94,675Net Assets 2014: $1,212,6452014Assets 2015: $1,377,642Liabilities 2015: $0Net Assets 2015: $1,377,6422015Assets 2016: $1,444,819Liabilities 2016: $0Net Assets 2016: $1,444,8192016Assets 2017: $1,564,206Liabilities 2017: $1,565Net Assets 2017: $1,562,6412017Assets 2018: $1,237,253Liabilities 2018: $0Net Assets 2018: $1,237,2532018Assets 2019: $1,204,328Liabilities 2019: $0Net Assets 2019: $1,204,3282019Assets 2020: $1,080,562Liabilities 2020: $0Net Assets 2020: $1,080,5622020Assets 2021: $1,347,767Liabilities 2021: $308Net Assets 2021: $1,347,4592021Assets 2022: $1,440,287Liabilities 2022: $0Net Assets 2022: $1,440,2872022Assets 2023: $1,568,467Liabilities 2023: $0Net Assets 2023: $1,568,4672023Assets 2024: $1,880,932Liabilities 2024: $97,581Net Assets 2024: $1,783,3512024

Highlighted filing

2024

Assets$1,880,932
Liabilities$97,581
Net Assets$1,783,351
Open 2024 Filing

Operations Trend

Revenue Growth36th percentile

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

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2013: $2,275,231Expenses 2013: $825,819Net Income 2013: $1,449,4122013Revenue 2014: $1,433,801Expenses 2014: $1,697,738Net Income 2014: -$263,9372014Revenue 2015: $1,504,785Expenses 2015: $1,306,772Net Income 2015: $198,0132015Revenue 2016: $1,465,556Expenses 2016: $1,400,090Net Income 2016: $65,4662016Revenue 2017: $1,617,123Expenses 2017: $1,569,298Net Income 2017: $47,8252017Revenue 2018: $1,841,760Expenses 2018: $2,056,510Net Income 2018: -$214,7502018Revenue 2019: $1,669,814Expenses 2019: $1,818,956Net Income 2019: -$149,1422019Revenue 2020: $1,815,496Expenses 2020: $1,913,720Net Income 2020: -$98,2242020Revenue 2021: $1,827,430Expenses 2021: $1,631,748Net Income 2021: $195,6822021Revenue 2022: $1,936,889Expenses 2022: $1,626,107Net Income 2022: $310,7822022Revenue 2023: $2,385,474Expenses 2023: $2,405,128Net Income 2023: -$19,6542023Revenue 2024: $2,370,391Expenses 2024: $2,292,384Net Income 2024: $78,0072024

Highlighted filing

2024

Revenue$2,370,391
Expenses$2,292,384
Net Income$78,007
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$1,880,932
Liabilities
$97,581
Net assets
$1,783,351
Revenue
$2,370,391
Expenses
$2,292,384
Net income
$78,007
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.88$0.10$1.78$2.37$2.29$0.08
2023Summary only. Only limited summary data is available for this year.$1.57$0.00$1.57$2.39$2.41$0.02
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.44$0.00$1.44$1.94$1.63$0.31
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.35$0.00$1.35$1.83$1.63$0.20
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.08$0.00$1.08$1.82$1.91$0.10
2019Summary only. Only limited summary data is available for this year.$1.20$0.00$1.20$1.67$1.82$0.15
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.24$0.00$1.24$1.84$2.06$0.21
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.56$0.00$1.56$1.62$1.57$0.05
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.44$0.00$1.44$1.47$1.40$0.07
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.38$0.00$1.38$1.50$1.31$0.20
2014Detailed filing. Detailed filing data is available for this year.$1.31$0.09$1.21$1.43$1.70$0.26
2013Summary only. Only limited summary data is available for this year.$1.48$0.00$1.48$2.28$0.83$1.45
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 3, 2025
Return Version
2024v5.0
Gross Receipts
$2,668,803
Mission and Program Overview

Mission

Establish a trust to fund welfare benefit plans for eligible employees of the blue lake rancheria and its affiliates, including the blue lake rancheria self-insurance health plan.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$1,568,467$1,783,351▲ $214,884
Investments in Publicly Traded Securities$1,128,779$1,388,784▲ $260,005
Savings and Temporary Cash Investments$439,686$491,383▲ $51,697
Accounts Receivable-$765-
Cash and Non-Interest-Bearing Accounts$2--
Total Assets$1,568,467$1,880,932▲ $312,465
Liabilities
Accounts Payable and Accrued Expenses-$97,581-
Total Liabilities$0$97,581▲ $97,581
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,568,467$1,783,351▲ $214,884
Total Liabilities and Net Assets / Fund Balance$1,568,467$1,880,932▲ $312,465
Compensation and Service Providers
Top Officer Pay53rd percentile

Board Members and Trustees

NameTitle
Jason RamosChair
Arla RamseyVice Chairpe
Stacey EdgmonTrustee
Michael ShackelfordSecretary/tr
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,339,649
Investment Income
$30,742
Other Revenue
$0
Change in Net Assets
$78,007
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$435,668
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$1,856,716--$1,856,716
Insurance$251,267--$251,267
Fees for Services Management-$155,436-$155,436
Fees for Services Other$15,355--$15,355
Fees for Service Investment Mgmnt Fees-$12,810-$12,810
Other Expenses-$250-$250
Total Functional Expenses$2,123,338$169,046$0$2,292,384
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
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, Page 6, Part VI, Line 11B

“No review was or will be conducted.”

Form 990, Page 6, Part VI, Line 19

“No documents available to the public”

Filing and Contact Details

Filer

Filer Name
Blue Lake Rancheria Employee Benefi
EIN
80-0928592
Phone
7077869798
Address
PO BOX 637, FERNDALE, CA 95536

Signing Officer

Name
Stacey Edgmon
Title
Trustee
Phone
7077869798
Signed
2025-11-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Arla Ramsey
Formed
2013
Legal Domicile
CA
Voting Board Members
5
Independent Board Members
5
Employees
0

Preparer

Firm
Aycock and Edgmon CPA
Address
PO BOX 637, FERNDALE, CA 95536-0637
Preparer
Stacey R Edgmon
Phone
7077869798
Raw XML Appendix260 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
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IRS990/AccountsPayableAccrExpnssGrp/EOYAmt097581
IRS990/AccountsReceivableGrp/EOYAmt0765
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0ESTABLISH A TRUST TO FUND WELFARE BENEFIT PLANS FOR ELIGIBLE EMPLOYEES OF THE BLUE LAKE RANCHERIA AND ITS AFFILIATES, INCLUDING THE BLUE LAKE RANCHERIA SELF-INSURANCE HEALTH PLAN.
IRS990/BenefitsToMembersGrp/ProgramServicesAmt01856716
IRS990/BenefitsToMembersGrp/TotalAmt01856716
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0AYCOCK & EDGMON CPAS
IRS990/BooksInCareOfDetail/PhoneNum07077869798
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0523 MAIN STREET
IRS990/BooksInCareOfDetail/USAddress/AddressLine2Txt0PO BOX 637
IRS990/BooksInCareOfDetail/USAddress/CityNm0FERNDALE
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd095536
IRS990/BusinessRlnWith35CtrlEntInd0false
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt02
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt01856716
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt030742
IRS990/CYOtherExpensesAmt0435668
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt02339649
IRS990/CYRevenuesLessExpensesAmt078007
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt02292384
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt02370391
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0PROVIDE HEALTH BENEFITS TO PARTICIPANTS THROUGH THE BLUE LAKE RANCHERIA HEALTH PLAN
IRS990/DescribedInSection501c3Ind0false
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt0155436
IRS990/FeesForServicesManagementGrp/TotalAmt0155436
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt015355
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IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt012810
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt012810
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt02.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/PersonNm0JASON RAMOS
IRS990/Form990PartVIISectionAGrp/PersonNm1STACEY EDGMON
IRS990/Form990PartVIISectionAGrp/PersonNm2ARLA RAMSEY
IRS990/Form990PartVIISectionAGrp/PersonNm3MICHAEL SHACKELFORD
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE CHAIRPE
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY/TR
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr02013
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GainOrLossGrp/OtherAmt099
IRS990/GainOrLossGrp/SecuritiesAmt0-4981
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt05
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossAmountSalesAssetsGrp/OtherAmt099
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt0293431
IRS990/GrossReceiptsAmt02668803
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt05
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/ProgramServicesAmt0251267
IRS990/InsuranceGrp/TotalAmt0251267
IRS990/InvestmentIncomeGrp/ExclusionAmt035624
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt035624
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsPubTradedSecGrp/BOYAmt01128779
IRS990/InvestmentsPubTradedSecGrp/EOYAmt01388784
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0CA
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt0298412
IRS990/LoanOutstandingInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0ESTABLISH A TRUST TO FUND WELFARE BENEFIT PLANS FOR ELIGIBLE EMPLOYEES OF THE BLUE LAKE RANCHERIA AND ITS AFFILIATES, INCLUDING THE BLUE LAKE RANCHERIA SELF-INSURANCE HEALTH PLAN.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt01568467
IRS990/NetAssetsOrFundBalancesEOYAmt01783351
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt099
IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt0-4981
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0-4882
IRS990/NetUnrlzdGainsLossesInvstAmt0136877
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherExpensesGrp/Desc0BANK CHARGES
IRS990/OtherExpensesGrp/Desc1MISCELLANEOUS
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1250
IRS990/OtherExpensesGrp/TotalAmt0550
IRS990/OtherExpensesGrp/TotalAmt1250
IRS990/PartialLiquidationInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0ARLA RAMSEY
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/Desc0PREMIUM INCOME
IRS990/ProgramServiceRevenueGrp/Desc1INSURANCE PROCEEDS
IRS990/ProgramServiceRevenueGrp/Desc2REFUNDS
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IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt02216739
IRS990/PYInvestmentIncomeAmt021563
IRS990/PYOtherExpensesAmt0188389
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IRS990/PYRevenuesLessExpensesAmt0-19654
IRS990/PYTotalExpensesAmt02405128
IRS990/PYTotalRevenueAmt02385474
IRS990/ReconcilationRevenueExpnssAmt078007
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt01568467
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt01783351
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0439686
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IRS990/ScheduleBRequiredInd0false
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0NO REVIEW WAS OR WILL BE CONDUCTED.
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IRS990/SchoolOperatingInd0false
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IRS990/SignificantNewProgramSrvcInd0false
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IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt01568467
IRS990/TotalAssetsEOYAmt01880932
IRS990/TotalAssetsGrp/BOYAmt01568467
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IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0169046
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02123338
IRS990/TotalFunctionalExpensesGrp/TotalAmt02292384
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt097581
IRS990/TotalLiabilitiesGrp/BOYAmt00
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IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01568467
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IRS990/TotalRevenueGrp/TotalRevenueColumnAmt02370391
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01568467
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01880932
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0428 CHARTIN ROAD
IRS990/USAddress/AddressLine2Txt01 ALYEKWEE LOOP
IRS990/USAddress/CityNm0BLUE LAKE
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd095525
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt05
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0STACEY EDGMON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum07077869798
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-03
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0BLUE LAKE RANCHERIA EMPLOYEE BENEFI
ReturnHeader/Filer/BusinessNameControlTxt0BLUE
ReturnHeader/Filer/EIN0800928592
ReturnHeader/Filer/PhoneNum07077869798
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 637
ReturnHeader/Filer/USAddress/CityNm0FERNDALE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd095536
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0680402428
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0AYCOCK AND EDGMON CPA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 637
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0FERNDALE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0955360637
ReturnHeader/PreparerPersonGrp/PhoneNum07077869798
ReturnHeader/PreparerPersonGrp/PreparationDt02025-11-17
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0STACEY R EDGMON
ReturnHeader/ReturnTs02025-11-17T18:45:50-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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