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← DISTRICT XI HUMAN RESOURCE COUNCIL VOLUNTARY EMPLOYEE BENEFIT PLAN

Form 990 for tax year 2022

Filed by DISTRICT XI HUMAN RESOURCE COUNCIL VOLUNTARY EMPLOYEE BENEFIT PLAN.

Totals

Total revenue
$260,195
Total expenses
$204,836
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$247,997
Investment income
$12,198
Other revenue
$0
Total assets, end of year
$1,055,267
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$1,055,267
Program services expenses (Part IX)
$191,054
Management and general expenses
$13,782
Fundraising expenses
$0
Program service expenses (Part III)
$191,054

Program services were 93.3% 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.

  • 2f · All other program service revenue

    total $247,997 · related or exempt $247,997

  • 3 · Investment income

    total $12,198 · excluded $12,198

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $61,762 · program services $61,762

  • 11a · Fees: management

    total $12,898 · management and general $12,898

  • 11c · Fees: accounting

    total $850 · management and general $850

  • 23 · Insurance

    total $129,292 · program services $129,292

  • 24a · Other expenses: BANK FEES

    total $34 · management and general $34

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $81,588 · end of year $94,908

  • 2 · Savings and temporary cash investments

    beginning of year $918,320 · end of year $960,359

  • 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 $999,908 · end of year $1,055,267

Mission and programs · 2022

Mission

EMPLOYEE BENEFIT PLAN PROVIDING HEALTH, VISIONS, DENTAL, AND GROUP LIFE INSURANCE AND OTHER EMPLOYEE BENEFITS TO ELIGIBLE EMPLOYEES OF PLAN SPONSOR.

Activities or mission (Part I)

EMPLOYEE BENEFIT PLAN OF PARENT CORPORATE SPONSOR PROVIDING HEALTH, VISION, DENTAL, AND GROUP LIFE.

  • PROVISION OF HEALTH, DENTAL, VISION, AND GROUP LIFE INSURANCE FOR ELIGIBLE EMPLOYEES.

    Expenses $191,054 · Revenue $247,997

As filed on the 2022 return.

Listed in Part VII

  • Jim Morton

    TRUSTEE (FORMER)

    Total calculated
    $194,200
    From this org
    $0
    From related orgs
    $168,390
    Other
    $25,810
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $168,390 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $14,832 related
    Nontaxable benefits
    $0 + $10,978 related
    Filer's total
    $0 + $194,200 related

  • Joe Loos

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Larry Degarmo

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Billye Ann Bricker

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Ruth Burke

    TRUSTEE

    Total calculated
    $111,203
    From this org
    $0
    From related orgs
    $84,095
    Other
    $27,108
    Hours/week
    0.5 + 40 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

  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement

The filer's explanations (Part III)

PART I, LINE 3
BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION PACKAGE FOR EXECUTIVE DIRECTOR.
PART I, LINE 4A
IN THE CURRENT YEAR, THE BOARD CONVENED AND DETERMINED A TERMINATION BONUS FOR THE FORMER EXECUTIVE DIRECTOR. A TERMINATION BONUS OF $75,000 WAS DETERMINED, TO BE PAID OUT IN TWO EQUAL INSTALLMENTS IN JANUARY OF 2023 AND JANUARY OF 2024. A COMMITTEE WAS USED TO DETERMINE THE TERMINATION BONUS, WITH THE TERMINATION BONUS BASED PARTIALLY ON THE NUMBER OF YEARS THE FORMER EXECUTIVE DIRECTOR WAS COMPENSATED BELOW MARKET AND FOR WHICH COMPENSATION WAS NOT ALIGNED WITH EXPERIENCE. THE TERMINATION BONUS WAS APPROVED BY THE BOARD AND COMMITTEE TASKED WITH DETERMINING THE TERMINATION BONUS.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
11 April 2024
IRS schema version
2022v5.0
Source object
202421089349301022

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