Form 990, Page 6, Part VI, Line 2
“Scott williams john sullivan officer officer trustees for this plan”
990 • Fiscal year 2021 • EIN 93-1258715
Scores are not available for this record yet.
Assets
Up$2,657,300
Up $784,159 (+42%) from 2020
Net Assets
Up$27,800
Up $108,714 (+134%) from 2020
Liabilities
Up$2,629,500
Up $675,445 (+35%) from 2020
Revenue
Up$2,142,716
Up $474,458 (+28%) from 2020
Expenses
Up$2,034,002
Up $310,440 (+18%) from 2020
Net Income
Up$108,714
Up $164,018 (+297%) from 2020
The trust provides health insurance benefits and reimbursement of eligible health-related expenses to eligible participants.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $1,780,966 | $2,609,354 | ▲ $828,388 |
| Accounts Receivable | $74,165 | $28,947 | ▼ $45,218 |
| Rtn Earn Endowment Incm Other Fnds | $-80,914 | $27,800 | ▲ $108,714 |
| Prepaid Expenses and Deferred Charges | $18,010 | $18,999 | ▲ $989 |
| Total Assets | $1,873,141 | $2,657,300 | ▲ $784,159 |
| Liabilities | |||
| Other Liabilities | $1,953,047 | $2,624,600 | ▲ $671,553 |
| Accounts Payable and Accrued Expenses | $1,008 | $4,900 | ▲ $3,892 |
| Total Liabilities | $1,954,055 | $2,629,500 | ▲ $675,445 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $-80,914 | $27,800 | ▲ $108,714 |
| Total Liabilities and Net Assets / Fund Balance | $1,873,141 | $2,657,300 | ▲ $784,159 |
| Name | Title |
|---|---|
| Jeffrey Firth | Trustee |
| Neal Spoon | Trustee |
| Line Item | Amount |
|---|---|
| Other Expenses | $36,893 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Benefits to Members | $1,997,109 | - | - | $1,997,109 |
| Other Expenses | $24,146 | - | - | $24,146 |
| Fees for Services Accounting | $7,426 | - | - | $7,426 |
| Fees for Services Legal | $5,297 | - | - | $5,297 |
| Fees for Services Other | $24 | - | - | $24 |
| Total Functional Expenses | $2,034,002 | $0 | $0 | $2,034,002 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $2,034,002 |
| Expenses per Audited Statements | $1,362,449 |
| Total Expenses per Audited Statements | $1,362,449 |
| Expenses Not Reported on Financial Statements | $671,553 |
| Other Expense Adjustments | $671,553 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Dollar Bank Liability | $2,624,600 |
“Scott williams john sullivan officer officer trustees for this plan”
“The organization checks the accuracy of the amounts on form 990 against the annual form 5500 and audited financial statements.”
“The organization does not pay compensation to anyone.”
“Officers and key employees are not compensated.”
“The summary plan document and other pertinent documents are mailed to all newly-eligible participants, and are available upon request. Form 990 is available on guidestar.org”
“The trust provides health insurance benefits and reimbursement of eligible medical expenses of participants.”
“Increase in benefit obligations 671,553”
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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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | SCOTT WILLIAMS JOHN SULLIVAN OFFICER OFFICER TRUSTEES FOR THIS PLAN |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE ORGANIZATION CHECKS THE ACCURACY OF THE AMOUNTS ON FORM 990 AGAINST THE ANNUAL FORM 5500 AND AUDITED FINANCIAL STATEMENTS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | THE ORGANIZATION DOES NOT PAY COMPENSATION TO ANYONE. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | OFFICERS AND KEY EMPLOYEES ARE NOT COMPENSATED. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | THE SUMMARY PLAN DOCUMENT AND OTHER PERTINENT DOCUMENTS ARE MAILED TO ALL NEWLY-ELIGIBLE PARTICIPANTS, AND ARE AVAILABLE UPON REQUEST. FORM 990 IS AVAILABLE ON GUIDESTAR.ORG |
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| ReturnHeader/PreparerPersonGrp/PreparationDt | 0 | 2022-11-15 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | RICHARD A LAYNE |
| ReturnHeader/ReturnTs | 0 | 2022-11-15T14:33:28-05:00 |
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No mirrored PDF or thumbnail assets are attached yet.
Displayed year
2021 • Form 990Detailed filing. Detailed filing data is available for this year.