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← CO SERV ELECTRIC GROUP HEALTH BENEFIT PLAN TR

Form 990 for tax year 2022

Filed by CO SERV ELECTRIC GROUP HEALTH BENEFIT PLAN TR.

Totals

Total revenue
$8,902,572
Total expenses
$8,938,415
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$8,881,565
Investment income
$21,007
Other revenue
$0
Total assets, end of year
$5,923,647
Total liabilities, end of year
$494,666
Net assets or fund balances, end of year
$5,428,981
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
not reported

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: SPONSOR PREMIUMS

    total $6,283,584 · related or exempt $6,283,584

  • 2b · Program service revenue: PARTICIPANT PREMIUMS

    total $1,449,395 · related or exempt $1,449,395

  • 2c · Program service revenue: AFFILIATED COMPANY PRE

    total $1,148,586 · related or exempt $1,148,586

  • 3 · Investment income

    total $21,007 · unrelated business $21,007

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $8,740,035

  • 11g · Fees: other

    total $192,715

  • 24a · Other expenses: UBIT

    total $5,665

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $5,716,146 · end of year $5,815,307

  • 4 · Accounts receivable

    beginning of year $35,252 · end of year $108,340

  • 17 · Accounts payable and accrued expenses

    beginning of year $286,574 · end of year $494,666

  • 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 $5,464,824 · end of year $5,428,981

Mission and programs · 2022

Mission

PROVIDE AN EMPLOYEE BENEFIT PLAN FOR THOSE EMPLOYED WITH DENTON COUNTY ELECTRIC COOPERATIVE (DBA COSERV ELECTRIC) AND AFFILIATED COMPANIES.

Activities or mission (Part I)

PROVIDE AN EMPLOYEE BENEFIT PLAN FOR THOSE EMPLOYED WITH DENTON COUNTY ELECTRIC COOPERATIVE AND AFFILIATED COMPANIES.

  • EMPLOYEE HEALTH BENEFIT PLAN FOR THOSE EMPLOYED AT DENTON COUNTY ELECTRIC COOPERATIVE (THE SPONSOR) AND AFFILIATED COMPANIES. THE PLAN COVERED 472 PARTICIPATING EMPLOYEES, RETIRED EMPLOYEES AND DIRECTORS.

As filed on the 2022 return.

Listed in Part VII

  • DONALD CLARY

    TRUSTEE

    Total calculated
    $1,319,621
    From this org
    $0
    From related orgs
    $926,842
    Other
    $392,779
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $568,887 related
    Bonus
    $0 + $48,000 related
    Other
    $0 + $309,955 related
    Deferred
    $0 + $363,592 related
    Nontaxable benefits
    $0 + $29,187 related
    Filer's total
    $0 + $1,319,621 related

  • DENISE SMITHERS

    TRUSTEE

    Total calculated
    $508,839
    From this org
    $0
    From related orgs
    $351,839
    Other
    $157,000
    Hours/week
    0.5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $313,531 related
    Bonus
    $0 + $22,714 related
    Other
    $0 + $15,594 related
    Deferred
    $0 + $119,594 related
    Nontaxable benefits
    $0 + $37,406 related
    Filer's total
    $0 + $508,839 related

  • BRENT BISHOP

    TRUSTEE

    Total calculated
    $496,986
    From this org
    $0
    From related orgs
    $344,895
    Other
    $152,091
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $307,930 related
    Bonus
    $0 + $22,475 related
    Other
    $0 + $14,490 related
    Deferred
    $0 + $114,685 related
    Nontaxable benefits
    $0 + $37,406 related
    Filer's total
    $0 + $496,986 related

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. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement

The filer's explanations (Part III)

PART I, LINE 4B
THE FOLLOWING INDIVIDUAL PARTICIPATES IN A SECTION 457(F) NON-QUALIFIED DEFERRED COMPENSATION (NQDC) PLAN, AND THE AMOUNT LISTED REPRESENTS THE ACTUARIAL INCREASE OF UNVESTED BENEFITS ASSOCIATED WITH PARTICIPATION IN THE PLAN. DONALD CLARY $220,950
FORM 990, SCHEDULE J, PART II
ALL COMPENSATION REPORTED ON SCHEDULE J PART II IS RELATED TO THE TRUSTEES EMPLOYMENT WITH DENTON COUNTY ELECTRIC COOPERATIVE, INC. (THE SPONSOR OF THE TRUST). PER THE TRUST DOCUMENT NO COMPENSATION WILL BE PAID TO ANY TRUSTEE WHO IS AN EMPLOYEE OF THE COOPERATIVE.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

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.

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 corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
30 October 2023
IRS schema version
2022v5.0
Source object
202333179349301628

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