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← PRINCIPAL TR FOR MEDICARE-ELIGIBLE POST-RETIREMENT MEDICAL BENEFITS

Form 990 for tax year 2023

Filed by PRINCIPAL TR FOR MEDICARE-ELIGIBLE POST-RETIREMENT MEDICAL BENEFITS.

Totals

Total revenue
$1,063,280
Total expenses
$1,606,536
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$91,508
Investment income
$971,772
Other revenue
$0
Total assets, end of year
$25,670,959
Total liabilities, end of year
$47
Net assets or fund balances, end of year
$25,670,912
Program services expenses (Part IX)
$1,606,536
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$1,606,536

Program services were 100.0% 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: Principal Life Contributions

    total $88,197 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: Retiree Contributions

    total $3,311 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $732,365 · unrelated business $732,365 · excluded $0

  • 7a · Gross sales of assets other than inventory

    securities $239,407

  • 7c · Gain or loss

    securities $239,407

  • 7d · Net gain or loss

    total $239,407 · related or exempt $0 · unrelated business $239,407 · excluded $0

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $1,407,326 · program services $1,407,326

  • 24a · Other expenses: Federal Income Tax

    total $198,441 · program services $198,441 · management and general $0 · fundraising $0

  • 24b · Other expenses: Foreign Taxes Paid

    total $769 · program services $769 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $115,452 · end of year $119,406

  • 4 · Accounts receivable

    beginning of year -$17,661 · end of year -$17,661

  • 11 · Investments: publicly traded securities

    beginning of year $26,071,902 · end of year $25,566,204

  • 15 · Other assets

    beginning of year $44,475 · end of year $3,010

  • 25 · Other liabilities

    end of year $47

  • 31 · Retained earnings, endowment or other funds

    beginning of year $26,214,168 · end of year $25,670,912

Mission and programs · 2023

Mission

Provide Health Benefits to Members

  • Benefits Paid to or for Members

    Expenses $1,407,326

  • Taxes Paid on Investment Income of the Trust

    Expenses $199,210

As filed on the 2023 return.

Listed in Part VII

  • Dennis Menken

    Investment Committee

    Total calculated
    $0
    Hours/week
    1
  • Jack Bishop

    Investment Committee

    Total calculated
    $0
    Hours/week
    1
  • Staci Cunningham

    Investment Committee

    Total calculated
    $0
    Hours/week
    1
  • Kara Hoogensen

    Investment Committee

    Total calculated
    $0
    Hours/week
    1
  • Kenneth McCullum

    Investment Committee

    Total calculated
    $0
    Hours/week
    1
  • Joel Pitz

    Investment Committee

    Total calculated
    $0
    Hours/week
    1
  • Dwight Soethout

    Investment Committee

    Total calculated
    $0
    Hours/week
    1
  • Deanna Strable

    Investment Committee

    Total calculated
    $0
    Hours/week
    1
  • Janis Winterhof

    Investment Committee

    Total calculated
    $0
    Hours/week
    1
  • Lisa Coulson

    Administration Committee

    Total calculated
    $0
    Hours/week
    1
  • Joseph McCarty

    Administration Committee

    Total calculated
    $0
    Hours/week
    1
  • Shea Treadway

    Administration Committee

    Total calculated
    $0
    Hours/week
    1
  • Jon Couture

    Administration Committee

    Total calculated
    $0
    Hours/week
    1
  • Brian Ness

    Administration Committee

    Total calculated
    $0
    Hours/week
    1
  • Kevin Farley

    Administration Committee

    Total calculated
    $0
    Hours/week
    1
  • Gina Graham

    Administration Committee

    Total calculated
    $0
    Hours/week
    1
  • Lisa Coulson

    Investment Committee

    Total calculated
    $0
    Hours/week
    1
  • Nathan Schelhaas

    Administration Committee

    Total calculated
    $0
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0
  • Andrew Dion

    Administration Committee

    Total calculated
    $0
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0

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

Itemized on Schedule J with no Part VII listing of the same name on this return:

  • Lisa Coulson

    Schedule J breakdown

    Base
    $0
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement

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.

  • Principal Life Insurance Company

    C · Life/Health insurance annuities, investments · IA · 0% owned

    Directly controlled by NA

  • The Principal Trust for Certain Nonqualified Pension Benefits

    T · Provide Pension benefits · IA · 0% owned

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2023
Filed
5 September 2024
IRS schema version
2023v5.1
Source object
202432719349301608

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