Form 990 for tax year 2022
Filed by WV - OH SUPPLEMENTAL HEALTH PLAN.
Totals
- Total revenue
- $1,861,103
- Total expenses
- $1,684,950
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $1,860,410
- Investment income
- $693
- Other revenue
- $0
- Total assets, end of year
- $3,837,961
- Total liabilities, end of year
- $10,440
- Net assets or fund balances, end of year
- $3,827,521
- Program services expenses (Part IX)
- not reported
- Management and general expenses
- not reported
- Fundraising expenses
- not reported
- Program service expenses (Part III)
- $1,634,921
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 $1,860,410 · related or exempt $1,860,410
-
3 · Investment income
total $85,891 · excluded $85,891
-
7a · Gross sales of assets other than inventory
securities $2,117,950
-
7b · Less cost or other basis and sales expenses
securities $2,203,148
-
7c · Gain or loss
securities -$85,198
-
7d · Net gain or loss
total -$85,198 · excluded -$85,198
Functional expenses
Part IX, the statement of functional expenses.
-
4 · Benefits paid to or for members
total $1,634,921
-
11a · Fees: management
total $19,835
-
11b · Fees: legal
total $4,433
-
11c · Fees: accounting
total $7,389
-
11f · Fees: investment management
total $1,500
-
11g · Fees: other
total $9,503
-
23 · Insurance
total $7,369
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
end of year $166,182
-
2 · Savings and temporary cash investments
beginning of year $136,143 · end of year $9,586
-
4 · Accounts receivable
beginning of year $162,295 · end of year $197,896
-
9 · Prepaid expenses and deferred charges
beginning of year $117,591 · end of year $141,172
-
11 · Investments: publicly traded securities
beginning of year $3,734,187 · end of year $3,275,326
-
15 · Other assets
beginning of year $25,397 · end of year $47,799
-
17 · Accounts payable and accrued expenses
beginning of year $62,036 · end of year $10,440
-
29 · Capital stock, trust principal or current funds
beginning of year $0 · end of year $0
-
30 · Paid-in or capital surplus, or land, building or equipment fund
beginning of year $0 · end of year $0
-
31 · Retained earnings, endowment or other funds
beginning of year $4,113,577 · end of year $3,827,521
Mission and programs · 2022
Mission
TO PROVIDE SUPPLEMENTAL HEALTH PREMIUMS & WEEKLY DISABILITY BENEFITS TO ELIGIBLE MEMBERS OF PARTICIPATING INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS (IBEW) UNIONS
Activities or mission (Part I)
PROVIDING SUPPLEMENTAL HEALTH PREMIUMS AND WEEKLY DISABILITY BENEFITS TO ELIGIBLE MEMBERS
-
THE PROVISION OF SUPPLEMENTAL HEALTH INSURANCE PREMIUMS FOR ELIGIBLE MEMBERS OF THE PARTICIPATING LOCAL IBEW UNIONS
Expenses $1,577,171
-
THE PROVISION OF SUPPLEMENTAL DISABILITY BENEFITS TO ELIGIBLE MEMBERS OF PARTICIPATING IBEW LOCAL UNIONS
Expenses $57,750
As filed on the 2022 return.
Listed in Part VII
-
Lance OldakerLANCE OLDAKER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Michael E HaughtMICHAEL E HAUGHT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Thomas ConnerTHOMAS CONNER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Chris SamplesCHRIS SAMPLES
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Lorne MillsLORNE MILLS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
William HamiltonWILLIAM HAMILTON
TRUSTEE - SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Bill LemastersBILL LEMASTERS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Bruce LawsonBRUCE LAWSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Jason BlueJASON BLUE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Johnathan MandlJOHNATHAN MANDL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
James BaneJAMES BANE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Cody PalmerCODY PALMER
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.
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
SEE SCHEDULE R PART VII SUPPLEMENTAL INFORMATION
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
SEE SCHEDULE R PART VII SUPPLEMENTAL INFORMATION
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 29 August 2023
- IRS schema version
- 2022v5.0
- Source object
- 202332429349300633
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