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← HAWAII GLAZIERS RETIREE HEALTH REIMBURSEMENT FUND

Form 990 for tax year 2022

Filed by HAWAII GLAZIERS RETIREE HEALTH REIMBURSEMENT FUND.

Totals

Total revenue
$582,353
Total expenses
$66,176
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$521,002
Investment income
$61,351
Other revenue
$0
Total assets, end of year
$3,622,561
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$3,622,561
Program services expenses (Part IX)
$60,276
Management and general expenses
$5,900
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Program services were 91.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: EMPLOYER CONTRIBUTIONS

    total $520,484 · related or exempt $520,484

  • 2b · Program service revenue: LIQUIDATED DAMAGES

    total $518 · related or exempt $518

  • 3 · Investment income

    total $54,790 · excluded $54,790

  • 7a · Gross sales of assets other than inventory

    securities $6,561

  • 7c · Gain or loss

    securities $6,561

  • 7d · Net gain or loss

    total $6,561 · related or exempt $6,561

Functional expenses

Part IX, the statement of functional expenses.

  • 11b · Fees: legal

    total $702 · program services $702

  • 11c · Fees: accounting

    total $4,727 · management and general $4,727

  • 11f · Fees: investment management

    total $13,375 · program services $13,375

  • 13 · Office expenses

    total $1,123 · management and general $1,123

  • 19 · Conferences, conventions and meetings

    total $390 · program services $390

  • 23 · Insurance

    total $1,200 · program services $1,200

  • 24a · Other expenses: ADMINISTRATIVE FEE

    total $31,414 · program services $31,414

  • 24b · Other expenses: REIMBURSEMENT CLAIMS

    total $12,299 · program services $12,299

  • 24c · Other expenses: FEDERAL EXCISE TAX

    total $896 · program services $896

  • 24d · Other expenses: IF MEMBERSHIP FEES

    total $50 · management and general $50

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $665,551 · end of year $1,133,681

  • 2 · Savings and temporary cash investments

    beginning of year $364,472 · end of year $414,064

  • 11 · Investments: publicly traded securities

    beginning of year $2,374,859 · end of year $2,027,024

  • 15 · Other assets

    beginning of year $49,338 · end of year $47,792

  • 31 · Retained earnings, endowment or other funds

    beginning of year $3,454,220 · end of year $3,622,561

Mission and programs · 2022

Mission

THE PURPOSE OF THIS PLAN IS TO CREATE A RESERVE FOR REIMBURSEMENT OF HOSPITAL, MEDICAL, DENTAL AND SIMILAR BENEFITS FOR ELIGIBLE PARTICIPANTS FOLLOWING RETIREMENT.

  • CREATE A RESERVE FOR REIMBURSEMENT.

As filed on the 2022 return.

Listed in Part VII

  • John Mathias

    EMPLOYER TRU

    Total calculated
    $0
    Hours/week
    1

  • Kayvan Amin

    EMPLOYER TRU

    Total calculated
    $0
    Hours/week
    1

  • Anthony Tony Borge

    EMPLOYER TRU

    Total calculated
    $0
    Hours/week
    1

  • Dwayne Arelliano

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Sean Cordero

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Tyden Valmoja

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
23 October 2023
IRS schema version
2022v5.0
Source object
202332969349301858

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