Civic Intelligence

Denver Grocers Health Benefit Plan

990 • Fiscal year 2011 • EIN 84-6030969

Jan 01, 2011 to Dec 31, 2011 • Filed on Jun 22, 2012

5511 W 56th AveRoom/Suite 25080002
Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$2,976,283

Flat from 2011

Net Assets

Flat

$2,187,300

Flat from 2011

Liabilities

Flat

$788,983

Flat from 2011

Revenue And Expenses

Revenue

-

No earlier filing loaded for comparison.

Expenses

Flat

$7,062,335

Flat from 2011

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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 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

2011

Assets$2,976,283
Liabilities$788,983
Net Assets$2,187,300

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$8.0M$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $6,552,5562010Expenses 2011: $7,062,3352011Revenue 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

2011

Revenue-
Expenses$7,062,335
Net Income-
Jump To
Filing Snapshot
Filing Period
Jan 1, 2011 to Dec 31, 2011
Signed
Jun 22, 2012
Return Version
2011v1.2
Gross Receipts
$8,034,947
Mission and Program Overview

Mission

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

Major Activities

Activity 2
INSURANCE PREMIUM PAID.
Activity 3
Change in benefit obligation.
Filing and Contact Details

Filer

EIN
84-6030969
Raw XML Appendix318 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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IRS990/ActivitiesConductedPartnership0false
IRS990/Activity2/Description0INSURANCE PREMIUM PAID.
IRS990/Activity2/Expense04325951
IRS990/Activity3/Description0CHANGE IN BENEFIT OBLIGATION.
IRS990/Activity3/Expense041548
IRS990/ActivityOrMissionDescription0TO PROVIDE ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS MEDICAL INSURANCE, LIFE INSURANCE AND OTHER BENEFITS.
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IRS990/Form990ProvidedToGoverningBody0true
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IRS990/InvestmentsPubTradedSecurities/BOY01406898
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IRS990/LessCostOthBasisSalesExpenses/Securities01406898
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IRS990/LocalChapters0false
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IRS990/MoreThan5000KToIndividuals0false
IRS990/MoreThan5000KToOrganizations0false
IRS990/NbrIndependentVotingMembers04
IRS990/NbrVotingGoverningBodyMembers04
IRS990/NbrVotingMembersGoverningBody04
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IRS990/NetGainOrLossInvestments/RelatedOrExemptFunctionIncome0-6898
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IRS990/NoListedPersonsCompensated0X
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IRS990/NumberFormsTransmittedWith109600
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IRS990/NumberW2GIncluded00
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IRS990/OtherExpenses/Description0TRUSTEE EXP
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IRS990/OtherExpenses/ManagementAndGeneral06457
IRS990/OtherExpenses/ManagementAndGeneral1167
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IRS990/OtherRevenueMisc/Description0STOP LOSS RECEIPTS
IRS990/OtherRevenueMisc/Description1MISCELLANEOUS INCOME
IRS990/OtherRevenueMisc/RelatedOrExemptFunctionIncome011478
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IRS990/OtherRevenueMisc/TotalRevenueColumn15034
IRS990/OtherRevenuePriorYear0154527
IRS990/PartialLiquidation0false
IRS990/PoliticalActivities0false
IRS990/ProfessionalFundraising0false
IRS990/ProgramServiceRevenueCY06590036
IRS990/ProgramServiceRevenue/Description0EMPLOYER'S CONTRIBUTION
IRS990/ProgramServiceRevenue/Description1SELF-PAY CONTRIBUTIONS
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IRS990/ProhibitedTaxShelterTrans0false
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IRS990ScheduleD/IncludedOnFS0false
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IRS990ScheduleD/OtherLiabilities/Description1LIABILITY FOR PREMIUMS
IRS990ScheduleD/OtherLiabilities/Description2RESERVE FOR LIFE INSURANCE
IRS990ScheduleD/OtherLiabilities/Description3CLAIMS PAYABLES
IRS990ScheduleD/OtherLiabilities/Description4CLAIMS PAYABLE
IRS990ScheduleD/Sect170hRequirementsSatisfied0false
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IRS990ScheduleD/TotalOfAmounts0773940
IRS990ScheduleD/WrittenPolicyMonitoring0false
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IRS990/ScheduleJRequired0true
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IRS990ScheduleO/GeneralExplanation/Explanation0BENEFIT PAID TO ELIGIBLE PARTICIPANT AND DEPENDENTS.
IRS990ScheduleO/GeneralExplanation/Explanation1COPY OF FORM 990 PROVIDED TO BOARD OF TRUSTEES BEFORE FILING.
IRS990ScheduleO/GeneralExplanation/Explanation2A CONFLICTS OF INTEREST POLICY IS GIVEN TO EACH BOARD MEMBER AND REVIEWED PERIODICALLY AT BOARD MEETINGS.
IRS990ScheduleO/GeneralExplanation/Explanation3FINANCIALS, CONFLICT OF INTEREST AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO PARTICIPANTS UPON REQUEST.
IRS990ScheduleO/GeneralExplanation/Identifier0ALL OTHER ACCOMPLISHMENT DESCRIPTION
IRS990ScheduleO/GeneralExplanation/Identifier1ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
IRS990ScheduleO/GeneralExplanation/Identifier2ENFORCEMENT OF CONFLICTS POLICY
IRS990ScheduleO/GeneralExplanation/Identifier3GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
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IRS990/TypeOfOrgOtherDescription0HEALTH PLAN
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IRS990/YearFormation01959
ReturnHeader/BuildTS02016-02-24 21:20:13Z
ReturnHeader/Filer/EIN0846030969
ReturnHeader/Filer/Name/BusinessNameLine10DENVER GROCERS HEALTH BENEFIT PLAN
ReturnHeader/Filer/NameControl0DENV
ReturnHeader/Filer/Phone03034123510
ReturnHeader/Filer/USAddress/AddressLine105511 W 56TH AVE
ReturnHeader/Filer/USAddress/AddressLine20ROOM/SUITE 250
ReturnHeader/Filer/USAddress/City0ARVADA
ReturnHeader/Filer/USAddress/State0CO
ReturnHeader/Filer/USAddress/ZIPCode080002
ReturnHeader/Officer/AuthorizeThirdParty0true
ReturnHeader/Officer/DateSigned02012-06-22
ReturnHeader/Officer/Name0JIM ADMAS
ReturnHeader/Officer/Phone03034123510
ReturnHeader/Officer/Title0CHAIRMAN
ReturnHeader/Preparer/DatePrepared02012-06-27
ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine10NEEDLES & ASSOCIATES INC
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine10350 INTERLOCKEN BLVD STE 220
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City0BROOMFIELD
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State0CO
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode080021
ReturnHeader/Preparer/Name0KURT NEEDLES
ReturnHeader/Preparer/Phone03034304225
ReturnHeader/ReturnType0990
ReturnHeader/TaxPeriodBeginDate02011-01-01
ReturnHeader/TaxPeriodEndDate02011-12-31
ReturnHeader/TaxYear02011
ReturnHeader/Timestamp02012-06-27T16:54:37-05:00

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Filings