Civic Intelligence

Unknown Organization

EIN 84-6030969 • 501(c)9

View Organization Page

Profile

To provide eligible participants and their dependents medical insurance, life insurance and other benefits.

5511 West 56th Avenue Suite 250 No25080002

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 2013

Liabilities / Revenue

80th percentile

0.00x

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

501(c)9 • <$500k nonprofits • Source year 2013

Net Margin

1st percentile

-5468730%

Higher net margin than 1% of similar nonprofits.

501(c)9 • <$500k nonprofits • Source year 2013

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

501(c)9 • <$500k nonprofits • Source year 2013

Asset Growth

46th percentile

-100%

Faster asset growth than 46% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2012 to 2013

Revenue Growth

16th percentile

-100%

Faster revenue growth than 16% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2011 to 2013

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $1,075,174 (-100%) from 2012

Liabilities

Down

$0

Down $528,301 (-100%) from 2012

Net Assets

Down

$0

Down $546,873 (-100%) from 2012

Operations
Liabilities / Revenue80th percentileNet Margin1st percentile

Revenue

$10

No earlier filing loaded for comparison.

Expenses

Down

$546,883

Down $6,662,630 (-92%) from 2012

Net Income

-$546,873

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Asset Growth46th percentile

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

$4.0M$3.0M$2.0M$1.0M$0Assets 2010: $3,364,558Liabilities 2010: $756,338Net Assets 2010: $2,608,2202010Assets 2011: $2,976,283Liabilities 2011: $788,983Net Assets 2011: $2,187,3002011Assets 2012: $1,075,174Liabilities 2012: $528,301Net Assets 2012: $546,8732012Assets 2013: $0Liabilities 2013: $0Net Assets 2013: $02013

Highlighted filing

2013

Assets$0
Liabilities$0
Net Assets$0
Open 2013 Filing

Operations Trend

Revenue Growth16th percentile

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

$8.0M$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $6,552,5562010Revenue 2011: $6,628,049Expenses 2011: $7,062,335Net Income 2011: -$434,2862011Expenses 2012: $7,209,5132012Revenue 2013: $10Expenses 2013: $546,883Net Income 2013: -$546,8732013

Highlighted filing

2013

Revenue$10
Expenses$546,883
Net Income-$546,873
Open 2013 Filing

Filings

Most recent year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$10
Expenses
$546,883
Net income
-$546,873
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2013Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.55$0.55
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.08$0.53$0.55$7.21
2011Summary only. Only limited summary data is available for this year.$2.98$0.79$2.19$6.63$7.06$0.43
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.36$0.76$2.61$6.55
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
May 13, 2014
Return Version
2013v3.0
Gross Receipts
$10
Mission and Program Overview

Mission

To provide eligible participants and their dependents medical insurance, life insurance and other benefits.

To provide eligible participants and their dependents medical insurance, life insurance, and other benefits.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,069,750$0▼ $1,069,750
Accounts Receivable$5,424$0▼ $5,424
Savings and Temporary Cash Investments-$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-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$1,075,174$0▼ $1,075,174
Other Assets Total-$0-
Liabilities
Other Liabilities$522,646$0▼ $522,646
Accounts Payable and Accrued Expenses$5,655$0▼ $5,655
Total Liabilities$528,301$0▼ $528,301
Net Assets / Fund Balance
Unrestricted Net Assets$546,873$0▼ $546,873
Total Net Assets Fund Balance$546,873$0▼ $546,873
Total Liabilities and Net Assets / Fund Balance$1,075,174$0▼ $1,075,174
Compensation and Service Providers
Top Officer Pay75th percentile

Board Members and Trustees

NameTitle
James AdamsChairman
Doug RuygroTrustee
Steve VairmaTrustee
Bryan SmithSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$10
Other Revenue
$0
Change in Net Assets
$-546,873

Audited Revenue Reconciliation

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

Major Expense Lines

Line ItemAmount
Other Expenses$402,954
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---$143,929
Fees for Services Management---$37,149
Fees for Services Accounting---$25,000
Insurance---$21,776
Fees for Services Legal---$15,114
Other Expenses---$13,502
Fees for Services Other---$11,984
Office Expenses---$1,556
Conferences and Meetings---$1,016
Total Functional Expenses$0$0$0$546,883

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$793,672
Total Expenses per Audited Statements$793,672
Total Expenses per Form 990$546,883
Expenses Not Reported on Form 990$0
Expenses Not Reported on Financial Statements$-246,789
Other Expense Adjustments$-246,789
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
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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 A, line 4

“A termination resolution was adopted to terminate the Plan. On December 13, 2013, all run out claims were paid and the remaining fund balance of $275,857 was transferred to the Western Teamsters Welfare Trust.”

Form 990, Part VI, Section B, line 11

“A copy of Form 990 provided to Board of Trustees before filing.”

Form 990, Part VI, Section B, line 12C

“A conflict of interest policy is given to each board member and reviewed periodically at Board meetings”

Form 990, Part VI, Section C, line 19

“Governing Documents Disclosure Explanation Financials, Conflict of Interest and other governing documents are available to participants upon request.”

Filing and Contact Details

Filer

EIN
84-6030969
Phone
3034123510

Signing Officer

Name
James Adams
Title
Trustee
Phone
3034123510
Signed
2014-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steve Vairma
Formed
1959
Legal Domicile
Co
Voting Board Members
4
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Preparer
Kurt D Needles
Phone
3034304225
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

“The Trust, established under the Plan to hold the Plan's assets, is qualified under Section 501(c)(9) of the Internal Revenue Code, and, accordingly, the Trust's net investment income is exempt from income taxes. The Plan has obtained a favorable tax determination letter. The Plan has been amended since receiving the determination letter. Management has evaluated the Plan's tax positions and concluded that the Plan had maintained its tax exempt status and had taken no uncertain tax positions that required adjustments to the financial statements. With few exceptions, the Plan is no longer subject to income tax examinations by tax authorities for years preceding December 31, 2009.”

Part XII, Line 4B - Other Adjustments:

“Change in Premium Obligation & IBNR Fund balance transfer to Western Teamsters Welfare Trust”

Raw XML Appendix317 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/EOYAmt00
IRS990/AccountsReceivableGrp/BOYAmt05424
IRS990/AccountsReceivableGrp/EOYAmt00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0To provide eligible participants and their dependents medical insurance, life insurance, and other benefits.
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd01
IRS990/BenefitsToMembersGrp/TotalAmt0143929
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine10Board of Trustees
IRS990/BooksInCareOfDetail/PhoneNum03034123510
IRS990/BooksInCareOfDetail/USAddress/AddressLine105511 W 56th Ave STE 250
IRS990/BooksInCareOfDetail/USAddress/City0Arvada
IRS990/BooksInCareOfDetail/USAddress/State0CO
IRS990/BooksInCareOfDetail/USAddress/ZIPCode080002
IRS990/BusinessRlnWithFamMemInd00
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IRS990/ChangeToOrgDocumentsInd01
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
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IRS990/ConservationEasementsInd00
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IRS990/CreditCounselingInd00
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IRS990/CYGrantsAndSimilarPaidAmt00
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IRS990/CYOtherExpensesAmt0402954
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-546873
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IRS990/CYTotalRevenueAmt010
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IRS990/Desc0Benefit paid to the eligible participant and dependents.
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IRS990/FeesForServicesOtherGrp/TotalAmt011984
IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/PersonNm0Doug Ruygro
IRS990/Form990PartVIISectionAGrp/PersonNm1James Adams
IRS990/Form990PartVIISectionAGrp/PersonNm2Bryan Smith
IRS990/Form990PartVIISectionAGrp/PersonNm3Steve Vairma
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/TitleTxt0Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt1Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt3Trustee
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01959
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt04
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt010
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/TotalAmt021776
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/ExclusionAmt010
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt010
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LegalDomicileStateCd0CO
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0To provide eligible participants and their dependents medical insurance, life insurance and other benefits.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0546873
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/TotalAmt01556
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0Net Assets Transfer to
IRS990/OtherExpensesGrp/Desc1Misc. Expense
IRS990/OtherExpensesGrp/TotalAmt0275857
IRS990/OtherExpensesGrp/TotalAmt113502
IRS990/OtherLiabilitiesGrp/BOYAmt0522646
IRS990/OtherLiabilitiesGrp/EOYAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
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IRS990/ProfessionalFundraisingInd00
IRS990/ProgSrvcAccomActy2Grp/Desc0Insurance Premium Paid
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt0368869
IRS990/ProgSrvcAccomActy3Grp/Desc0Change in benefit obligation.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt0-522646
IRS990/ProhibitedTaxShelterTransInd00
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IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt017218
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IRS990/PYOtherRevenueAmt0142033
IRS990/PYProgramServiceRevenueAmt05407499
IRS990/PYRevenuesLessExpensesAmt0-1642763
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt07209513
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt05566750
IRS990/QuidProQuoContributionsInd00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-546873
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
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IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt0-246789
IRS990ScheduleD/ExpensesSubtotalAmt0793672
IRS990ScheduleD/FootnoteTextInd0X
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IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt010
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The Trust, established under the Plan to hold the Plan's assets, is qualified under Section 501(c)(9) of the Internal Revenue Code, and, accordingly, the Trust's net investment income is exempt from income taxes. The Plan has obtained a favorable tax determination letter. The Plan has been amended since receiving the determination letter. Management has evaluated the Plan's tax positions and concluded that the Plan had maintained its tax exempt status and had taken no uncertain tax positions that required adjustments to the financial statements. With few exceptions, the Plan is no longer subject to income tax examinations by tax authorities for years preceding December 31, 2009.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1Change in Premium Obligation & IBNR Fund balance transfer to Western Teamsters Welfare Trust
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Part XII, Line 4b - Other Adjustments:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt0546883
IRS990ScheduleD/TotalRevenuePerForm990Amt010
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IRS990ScheduleN/EmployeeOfSuccessorInd00
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02013-12-13
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0916033601
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0275857
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(c)9
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0Cost, which equates to fair value.
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine102323 Eastlake Ave E
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/City0Seattle
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/State0WA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCode098102
IRS990ScheduleN/OwnerOfSuccessorInd00
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A termination resolution was adopted to terminate the Plan. On December 13, 2013, all run out claims were paid and the remaining fund balance of $275,857 was transferred to the Western Teamsters Welfare Trust.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1A copy of Form 990 provided to Board of Trustees before filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2A conflict of interest policy is given to each board member and reviewed periodically at Board meetings
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Governing Documents Disclosure Explanation Financials, Conflict of Interest and other governing documents are available to participants upon request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section C, line 19
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IRS990/TotalAssetsEOYAmt00
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IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
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IRS990/TotalLiabilitiesEOYAmt00
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IRS990/TotalVolunteersCnt00
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IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0546873
IRS990/UnrestrictedNetAssetsGrp/EOYAmt00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine105511 West 56th Avenue Suite 250 No
IRS990/USAddress/AddressLine20250
IRS990/USAddress/City0Arvada
IRS990/USAddress/State0CO
IRS990/USAddress/ZIPCode080002
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0James Adams
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Trustee
ReturnHeader/BusinessOfficerGrp/PhoneNum03034123510
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-05-13
ReturnHeader/Filer/BusinessName/BusinessNameLine10Denver Grocers Health Benefit Plan
ReturnHeader/Filer/BusinessNameControlTxt0DENV
ReturnHeader/Filer/EIN0846030969
ReturnHeader/Filer/PhoneNum03034123510
ReturnHeader/Filer/USAddress/AddressLine105511 West 56th Avenue Suite 250 No
ReturnHeader/Filer/USAddress/AddressLine20250
ReturnHeader/Filer/USAddress/City0Arvada
ReturnHeader/Filer/USAddress/State0CO
ReturnHeader/Filer/USAddress/ZIPCode080002
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0510435869
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10Needles & Associates LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine10350 Interlocken Blvd Suite 220
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0Broomfield
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode080021
ReturnHeader/PreparerPersonGrp/PhoneNum03034304225
ReturnHeader/PreparerPersonGrp/PreparationDt02014-05-02
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Kurt D Needles
ReturnHeader/ReturnTs02014-05-13T18:16:27-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-01-01
ReturnHeader/TaxPeriodEndDt02013-12-31
ReturnHeader/TaxYr02013

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