Civic Intelligence

Forfeiture Support Associates LLC Welfare Benefit Trust

EIN 90-0900781 • 501(c)9 • Ashburn, VA

Profile

To provide benefits under the plan to participants and their beneficiaries and for defraying reasonable expenses of administering the plan.

20110 Ashbrook Place No 220Ashburn, VA 20147

n/A

Siviq Scores

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

Liabilities / Assets

27th percentile

0.00x

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

501(c)9 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

31st percentile

0.00x

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

501(c)9 • $10M-$25M nonprofits • Source year 2024

Net Margin

39th percentile

0.7%

Higher net margin than 39% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

58th percentile

$8,930

Higher top officer pay than 58% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

501(c)9 • $10M-$25M nonprofits • Source year 2024

Asset Growth

99th percentile

118%

Faster asset growth than 99% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

55th percentile

8.3%

Faster revenue growth than 55% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets27th percentile

Assets

Up

$59,752

Up $24,187 (+68%) from 2022

Liabilities

Flat

$0

Flat from 2022

Net Assets

Up

$59,752

Up $24,187 (+68%) from 2022

Operations
Liabilities / Revenue31st percentileNet Margin39th percentile

Revenue

Up

$9,875,430

Up $55,856 (+0.6%) from 2022

Expenses

Up

$9,851,037

Up $7,623 (+0.1%) from 2022

Net Income

Up

$24,393

Up $48,233 (+202%) from 2022

Trend Graphs

Balance Sheet Trend

Asset Growth99th percentile

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

$3.0M$2.0M$1.0M$0-$1.0MAssets 2011: $1,798,203Liabilities 2011: $1,798,203Net Assets 2011: $02011Assets 2012: $1,684,972Liabilities 2012: $1,684,972Net Assets 2012: $02012Assets 2013: $2,273,535Liabilities 2013: $2,273,535Net Assets 2013: $02013Assets 2014: $1,441,847Liabilities 2014: $1,441,847Net Assets 2014: $02014Assets 2015: $1,698,792Liabilities 2015: $1,698,792Net Assets 2015: $02015Assets 2016: $1,709,185Liabilities 2016: $1,709,185Net Assets 2016: $02016Assets 2017: $1,546,974Liabilities 2017: $1,546,974Net Assets 2017: $02017Assets 2018: $681,189Liabilities 2018: $791,127Net Assets 2018: -$109,9382018Assets 2019: $2,147,128Liabilities 2019: $2,218,807Net Assets 2019: -$71,6792019Assets 2020: $329,467Liabilities 2020: $0Net Assets 2020: $329,4672020Assets 2021: $59,802Liabilities 2021: $0Net Assets 2021: $59,8022021Assets 2022: $35,565Liabilities 2022: $0Net Assets 2022: $35,5652022Assets 2023: $59,752Liabilities 2023: $0Net Assets 2023: $59,7522023

Highlighted filing

2023

Assets$59,752
Liabilities$0
Net Assets$59,752
Open 2023 Filing

Operations Trend

Revenue Growth55th percentile

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

$20M$15M$10M$5.0M$0-$5.0MRevenue 2011: $11,959,915Expenses 2011: $12,153,530Net Income 2011: -$193,6152011Revenue 2012: $12,619,933Expenses 2012: $12,619,933Net Income 2012: $02012Revenue 2013: $12,593,616Expenses 2013: $12,593,616Net Income 2013: $02013Revenue 2014: $12,995,643Expenses 2014: $12,995,643Net Income 2014: $02014Revenue 2015: $14,068,415Expenses 2015: $14,068,415Net Income 2015: $02015Revenue 2016: $15,584,454Expenses 2016: $15,584,454Net Income 2016: $02016Revenue 2017: $12,520,583Expenses 2017: $12,520,583Net Income 2017: $02017Revenue 2018: $13,222,483Expenses 2018: $13,332,421Net Income 2018: -$109,9382018Revenue 2019: $13,698,378Expenses 2019: $13,660,119Net Income 2019: $38,2592019Revenue 2020: $16,308,188Expenses 2020: $17,936,090Net Income 2020: -$1,627,9022020Revenue 2021: $13,723,885Expenses 2021: $13,995,450Net Income 2021: -$271,5652021Revenue 2022: $9,819,574Expenses 2022: $9,843,414Net Income 2022: -$23,8402022Revenue 2023: $9,875,430Expenses 2023: $9,851,037Net Income 2023: $24,3932023

Highlighted filing

2023

Revenue$9,875,430
Expenses$9,851,037
Net Income$24,393
Open 2023 Filing

Filings

Most recent year

2023 • Form 990Summary only. Only limited summary data is available for this year.

Open filing
Assets
$59,752
Liabilities
$0
Net assets
$59,752
Revenue
$9,875,430
Expenses
$9,851,037
Net income
$24,393
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$0.06$0.00$0.06$9.88$9.85$0.02
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.04$0.00$0.04$9.82$9.84$0.02
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.06$0.00$0.06$13.7$14.0$0.27
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.33$0.00$0.33$16.3$17.9$1.63
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.15$2.22$0.07$13.7$13.7$0.04
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.68$0.79$0.11$13.2$13.3$0.11
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.55$1.55$0.00$12.5$12.5$0.00
2016Summary only. Only limited summary data is available for this year.$1.71$1.71$0.00$15.6$15.6$0.00
2015Summary only. Only limited summary data is available for this year.$1.70$1.70$0.00$14.1$14.1$0.00
2014Summary only. Only limited summary data is available for this year.$1.44$1.44$0.00$13.0$13.0$0.00
2013Summary only. Only limited summary data is available for this year.$2.27$2.27$0.00$12.6$12.6$0.00
2012Summary only. Only limited summary data is available for this year.$1.68$1.68$0.00$12.6$12.6$0.00
2011Summary only. Only limited summary data is available for this year.$1.80$1.80$0.00$12.0$12.2$0.19
Latest Detailed Filing

The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2019 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 9, 2020
Return Version
2019v5.1
Gross Receipts
$13,698,378
Mission and Program Overview

Mission

To provide sickness, accident, life, disability and other welfare benefits for those employees of the company and their eligible dependents covered by the plan

To provide benefits under the plan to participants and their beneficiaries and for defraying reasonable expenses of administering the plan.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$13,048$1,957,479▲ $1,944,431
Accounts Receivable$440,494$135,700▼ $304,794
Prepaid Expenses and Deferred Charges$227,647$53,949▼ $173,698
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-109,938$-71,679▲ $38,259
Total Assets$681,189$2,147,128▲ $1,465,939
Liabilities
Other Liabilities$791,000$1,959,157▲ $1,168,157
Accounts Payable and Accrued Expenses$127$259,650▲ $259,523
Total Liabilities$791,127$2,218,807▲ $1,427,680
Net Assets / Fund Balance
Total Net Assets Fund Balance$-109,938$-71,679▲ $38,259
Total Liabilities and Net Assets / Fund Balance$681,189$2,147,128▲ $1,465,939
Compensation and Service Providers
Top Officer Pay58th percentile

Board Members and Trustees

NameTitle
-Trustee
-Plan Administrator
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$13,686,835
Investment Income
$11,543
Other Revenue
$0
Change in Net Assets
$38,259

Audited Revenue Reconciliation

Revenue per Audited Statements
$13,698,378
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$13,698,378
Total Revenue per Form 990
$13,698,378
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$465,283
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---$13,194,836
Fees for Services Accounting---$298,722
Fees for Services Other---$153,170
Fees for Service Investment Mgmnt Fees---$9,915
Fees for Services Legal---$3,476
Total Functional Expenses$0$0$0$13,660,119

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$13,660,119
Total Expenses per Audited Statements$13,660,119
Total Expenses per Form 990$13,660,119
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Advance (unused Wire From Fsa)$1,131,423
Terminal Claims Liability$801,000
Other Accrued Expenses$26,734
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
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 8A

“The filing organization is a welfare benefit trust, as such, all actions are executed by the trustee at the direction of the plan administrator, forfeiture support associates, llc.”

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

“See response to 8a, above.”

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

“The form 990 is reviewed by forfeiture support associates, llc, the plan administrator, before the return is filed.”

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

“The conflict of interest policy covers directors and officers and is monitored by the cfo which are reviewed and maintained by the managing director. The cfo reviews each transaction to for potential or actual conflicts of interest. If potential or actual conflicts (past, present or future) are identified, the person determined to have a conflict is recused from deliberations, voting or both. The identified conflicts of interest and appropriate recusals are documented in the minutes of each board or committee meeting.”

Form 990, Part VI, Section C, Line 19

“None of these documents are available to the public.”

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

“First national bank & trust - 130 e. Macarthur street, shawnee, ok 74804.”

Filing and Contact Details

Filer

Filer Name
Forfeiture Support Associates LLC
EIN
90-0900781
Phone
5712918900
Address
20110 ASHBROOK PLACE NO 220, ASHBURN, VA 20147

Signing Officer

Name
First National Bank Trust
Title
Trustee
Phone
5712918900
Signed
2020-11-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
George Mendiola Jr
Formed
2005
Legal Domicile
Va
Voting Board Members
1
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Thompson Greenspon
Address
4035 RIDGE TOP RD SUITE 700, FAIRFAX, VA 22030
Preparer
Carolyn C Quill CPA
Phone
7033858888
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 4, Column A

“Statement of death, sickness, and hospitalization expenses: medical benefit payments 11,104,749 dental benefit payments 731,629 death and disability benefits 1,358,458 transitional reinsurance fees 0 total 13,194,836”

Raw XML Appendix316 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
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0127
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0259650
IRS990/AccountsReceivableGrp/BOYAmt0440494
IRS990/AccountsReceivableGrp/EOYAmt0135700
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO PROVIDE BENEFITS UNDER THE PLAN TO PARTICIPANTS AND THEIR BENEFICIARIES AND FOR DEFRAYING REASONABLE EXPENSES OF ADMINISTERING THE PLAN.
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd00
IRS990/BenefitsToMembersGrp/TotalAmt013194836
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0FORFEITURE SUPPORT ASSOCIATES LLC
IRS990/BooksInCareOfDetail/PhoneNum05712918900
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt020110 ASHBROOK PLACE NO 220
IRS990/BooksInCareOfDetail/USAddress/CityNm0ASHBURN
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0VA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd020147
IRS990/BusinessRlnWith35CtrlEntInd00
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt00
IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt013194836
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt011543
IRS990/CYOtherExpensesAmt0465283
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt013686835
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IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt013660119
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt013698378
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0TO PROVIDE MEDICAL, LIFE AND OTHER WELFARE BENEFITS TO CERTAIN EMPLOYEES AND THEIR DEPENDENTS AND BENEFICIARIES AND FOR DEFRAYING REASONABLE EXPENSES OF ADMINISTERING THE PLAN.
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/DonorRstrOrQuasiEndowmentsInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/TotalAmt0298722
IRS990/FeesForServicesLegalGrp/TotalAmt03476
IRS990/FeesForServicesOtherGrp/TotalAmt0153170
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt09915
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt02.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt12.00
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt0FORFEITURE SUPPORT ASSOCIATES LLC
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt1FIRST NATIONAL BANK & TRUST
IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd0X
IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd1X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/TitleTxt0PLAN ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990ProvidedToGvrnBodyInd00
IRS990/Form990TFiledInd01
IRS990/FormationYr02005
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt01
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt013698378
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt011543
IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt011543
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0VA
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd00
IRS990/MissionDesc0TO PROVIDE BENEFITS UNDER THE PLAN TO PARTICIPANTS AND THEIR BENEFICIARIES AND FOR DEFRAYING REASONABLE EXPENSES OF ADMINISTERING THE PLAN.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0-109938
IRS990/NetAssetsOrFundBalancesEOYAmt0-71679
IRS990/NetUnrelatedBusTxblIncmAmt010543
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd01
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherLiabilitiesGrp/BOYAmt0791000
IRS990/OtherLiabilitiesGrp/EOYAmt01959157
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0227647
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt053949
IRS990/PrincipalOfficerNm0GEORGE MENDIOLA JR
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0525100
IRS990/ProgramServiceRevenueGrp/Desc0PARTICIPANT/EMPLOYER CONTRIBUTION
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt013686835
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt013686835
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt012966637
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
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IRS990/PYOtherExpensesAmt0365784
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IRS990/PYRevenuesLessExpensesAmt0-109938
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IRS990/PYTotalExpensesAmt013332421
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt013222483
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IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
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IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0-109938
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0-71679
IRS990/SavingsAndTempCashInvstGrp/BOYAmt013048
IRS990/SavingsAndTempCashInvstGrp/EOYAmt01957479
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt013660119
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0801000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt11131423
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt226734
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0TERMINAL CLAIMS LIABILITY
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1ADVANCE (UNUSED WIRE FROM FSA)
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2OTHER ACCRUED EXPENSES
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IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
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IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt013660119
IRS990ScheduleD/TotalLiabilityAmt01959157
IRS990ScheduleD/TotalRevenuePerForm990Amt013698378
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt013698378
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt013660119
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FILING ORGANIZATION IS A WELFARE BENEFIT TRUST, AS SUCH, ALL ACTIONS ARE EXECUTED BY THE TRUSTEE AT THE DIRECTION OF THE PLAN ADMINISTRATOR, FORFEITURE SUPPORT ASSOCIATES, LLC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1SEE RESPONSE TO 8A, ABOVE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE FORM 990 IS REVIEWED BY FORFEITURE SUPPORT ASSOCIATES, LLC, THE PLAN ADMINISTRATOR, BEFORE THE RETURN IS FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE CONFLICT OF INTEREST POLICY COVERS DIRECTORS AND OFFICERS AND IS MONITORED BY THE CFO WHICH ARE REVIEWED AND MAINTAINED BY THE MANAGING DIRECTOR. THE CFO REVIEWS EACH TRANSACTION TO FOR POTENTIAL OR ACTUAL CONFLICTS OF INTEREST. IF POTENTIAL OR ACTUAL CONFLICTS (PAST, PRESENT OR FUTURE) ARE IDENTIFIED, THE PERSON DETERMINED TO HAVE A CONFLICT IS RECUSED FROM DELIBERATIONS, VOTING OR BOTH. THE IDENTIFIED CONFLICTS OF INTEREST AND APPROPRIATE RECUSALS ARE DOCUMENTED IN THE MINUTES OF EACH BOARD OR COMMITTEE MEETING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4NONE OF THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5FIRST NATIONAL BANK & TRUST - 130 E. MACARTHUR STREET, SHAWNEE, OK 74804.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6STATEMENT OF DEATH, SICKNESS, AND HOSPITALIZATION EXPENSES: MEDICAL BENEFIT PAYMENTS 11,104,749 DENTAL BENEFIT PAYMENTS 731,629 DEATH AND DISABILITY BENEFITS 1,358,458 TRANSITIONAL REINSURANCE FEES 0 TOTAL 13,194,836
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 8A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART IX, LINE 4, COLUMN A
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/EIN0510476024
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/LegalDomicileStateCd0VA
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/PrimaryActivitiesTxt0GOVERNMENT CONTRACTOR - FILING ENTITY IS WELFARE BENEFIT TRUST FOR FSA, LLC
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt0FORFEITURE SUPPORT ASSOCIATES LLC (FSA LLC)
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/AddressLine1Txt020110 ASHBROOK PL 220
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/CityNm0ASHBURN
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/StateAbbreviationCd0VA
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/ZIPCd020147
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd01
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt013698378
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt11131423
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0CASH RECEIVED
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt1ADVANCE
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0FORFEITURE SUPPORT ASSOCIATES LLC
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt1FORFEITURE SUPPORT ASSOCIATES LLC
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0S
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt1D
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0681189
IRS990/TotalAssetsEOYAmt02147128
IRS990/TotalAssetsGrp/BOYAmt0681189
IRS990/TotalAssetsGrp/EOYAmt02147128
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt013660119
IRS990/TotalGrossUBIAmt011543
IRS990/TotalLiabilitiesBOYAmt0791127
IRS990/TotalLiabilitiesEOYAmt02218807
IRS990/TotalLiabilitiesGrp/BOYAmt0791127
IRS990/TotalLiabilitiesGrp/EOYAmt02218807
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-109938
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-71679
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt013686835
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt013686835
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt013698378
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt011543
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0681189
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt02147128
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd01
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt020110 ASHBROOK PLACE NO 220
IRS990/USAddress/CityNm0ASHBURN
IRS990/USAddress/StateAbbreviationCd0VA
IRS990/USAddress/ZIPCd020147
IRS990/VotingMembersGoverningBodyCnt01
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02022-01-07 14:23:13Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0FIRST NATIONAL BANK TRUST
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum05712918900
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-11-09
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FORFEITURE SUPPORT ASSOCIATES LLC
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0WELFARE BENEFIT TRUST
ReturnHeader/Filer/BusinessNameControlTxt0FORF
ReturnHeader/Filer/EIN0900900781
ReturnHeader/Filer/PhoneNum05712918900
ReturnHeader/Filer/USAddress/AddressLine1Txt020110 ASHBROOK PLACE NO 220
ReturnHeader/Filer/USAddress/CityNm0ASHBURN
ReturnHeader/Filer/USAddress/StateAbbreviationCd0VA
ReturnHeader/Filer/USAddress/ZIPCd020147
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0D1DEBEF34B05872E44DC3374B4329CE0262CB407
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0D6195BBDC549D2AA65328FC4971D8D97F08FE1FE
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt098.172.28.234
ReturnHeader/FilingSecurityInformation/IPDt02020-11-09
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ES
ReturnHeader/FilingSecurityInformation/IPTm013:16:56
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0541029635
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0THOMPSON GREENSPON
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt04035 RIDGE TOP RD SUITE 700
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0FAIRFAX
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0VA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd022030
ReturnHeader/PreparerPersonGrp/PhoneNum07033858888
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0CAROLYN C QUILL CPA
ReturnHeader/ReturnTs02020-11-12T14:35:54-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02019-01-01
ReturnHeader/TaxPeriodEndDt02019-12-31
ReturnHeader/TaxYr02019

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