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← CAHP DISABILITY PLAN AND TRUST

Form 990 for tax year 2022

Filed by CAHP DISABILITY PLAN AND TRUST.

Totals

Total revenue
$449,435
Total expenses
$100,623
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$252,111
Investment income
$197,324
Other revenue
$0
Total assets, end of year
$11,444,098
Total liabilities, end of year
$31,054
Net assets or fund balances, end of year
$11,413,044
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: PARTICIPANT CONTRIBUTI

    total $252,111 · related or exempt $252,111

  • 3 · Investment income

    total $197,324 · excluded $197,324

Functional expenses

Part IX, the statement of functional expenses.

  • 11b · Fees: legal

    total $12,000

  • 11c · Fees: accounting

    total $15,175

  • 11g · Fees: other

    total $4,800

  • 13 · Office expenses

    total $13,230

  • 14 · Information technology

    total $721

  • 16 · Occupancy

    total $7,212

  • 19 · Conferences, conventions and meetings

    total $40

  • 23 · Insurance

    total $9,587

  • 24a · Other expenses: PERSONNEL EXPENSE

    total $37,858

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $5,523,780 · end of year $3,820,659

  • 4 · Accounts receivable

    beginning of year $40,563 · end of year $42,722

  • 9 · Prepaid expenses and deferred charges

    beginning of year $4,809 · end of year $4,681

  • 11 · Investments: publicly traded securities

    beginning of year $4,188,028 · end of year $4,931,008

  • 12 · Investments: other securities

    beginning of year $1,635,120 · end of year $2,645,028

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,000 · end of year $1,000

  • 25 · Other liabilities

    beginning of year $30,130 · end of year $30,054

  • 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 $11,361,170 · end of year $11,413,044

Mission and programs · 2022

Mission

PROVIDE A DISABILITY INSURANCE BENEFIT TO ELIGIBLE PARTICIPANTS

  • THE PLAN PROVIDED SUPPLEMENTAL INCOME BENEFITS TO ELIGIBLE PARTICIPANTS.

As filed on the 2022 return.

Listed in Part VII

  • Carrie Lane

    TRUSTEE

    Total calculated
    $208,724
    From this org
    $0
    From related orgs
    $161,097
    Other
    $47,627
    Hours/week
    0.1 + 41.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $161,097 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $28,500 related
    Nontaxable benefits
    $0 + $19,127 related
    Filer's total
    $0 + $208,724 related
  • Gordon Koolman

    TRUSTEE

    Total calculated
    $7,800
    From this org
    $0
    From related orgs
    $7,800
    Other
    $0
    Hours/week
    0.1 + 11.2 related
  • Richard Labeske

    TRUSTEE

    Total calculated
    $9,600
    From this org
    $0
    From related orgs
    $9,600
    Other
    $0
    Hours/week
    0.1 + 19.2 related
  • Axel Reyes

    TRUSTEE

    Total calculated
    $7,800
    From this org
    $0
    From related orgs
    $7,800
    Other
    $0
    Hours/week
    0.1 + 14.2 related
  • Richard Romanski

    TRUSTEE

    Total calculated
    $2,400
    From this org
    $0
    From related orgs
    $2,400
    Other
    $0
    Hours/week
    0.1 + 0.2 related
  • David Tirapelle

    TRUSTEE

    Total calculated
    $2,400
    From this org
    $0
    From related orgs
    $2,400
    Other
    $0
    Hours/week
    0.1 + 0.2 related
  • Dwight Helmick

    TRUSTEE

    Total calculated
    $1,800
    From this org
    $0
    From related orgs
    $1,800
    Other
    $0
    Hours/week
    0.1 + 0.2 related
  • Terri Tornatore Westbrook

    TRUSTEE

    Total calculated
    $2,400
    From this org
    $0
    From related orgs
    $2,400
    Other
    $0
    Hours/week
    0.1 + 0.2 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

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.

Provenance

Return type
form_990
Tax year
2022
Filed
2 November 2023
IRS schema version
2022v5.0
Source object
202333079349300333

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