2024-11-14T13:48:39-06:00 2023-12-31 340677006 MALONEY NOVOTNY LLC 1111 SUPERIOR AVE SUITE 700 CLEVELAND OH 441142540 990 2023-01-01 825056803 CHAMBER BENEFIT ARRANGEMENT TRUST CHAM 3303765550 388 S MAIN ST STE 205 AKRON OH 44311 STEVE MILLARD PLAN ADMINISTRATOR/TRUSTEE 3303765550 2024-11-14 1 0 CHRISTOPHER B ANDERSON P00226559 2163630100 2023 2024-10-15 13:58:12Z STEVE MILLARD 388 S MAIN ST STE 205 AKRON OH 44311 49427551 0 X N/A X 2018 OH THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT WHICH WAS ESTABLISHED TO PROVIDE SELF-FUNDED MEDICAL AND PRESCRIPTION DRUG BENEFITS FOR ITS MEMBERS. 5 5 0 0 147220 146220 0 0 37527812 49280331 7105 147220 0 0 37534917 49427551 0 0 33284783 44582738 0 0 0 0 0 4226232 4778581 37511015 49361319 23902 66232 11230971 11015093 10526652 10244542 704319 770551 THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT WHICH WAS ESTABLISHED TO PROVIDE SELF-FUNDED MEDICAL AND PRESCRIPTION DRUG BENEFITS FOR ITS MEMBERS. 0 0 THE CHAMBER BENEFIT ARRANGEMENT TRUST PROVIDES SELF-FUNDED HEALTH AND WELFARE BENEFITS TO PARTICIPATING EMPLOYERS AND THEIR ELIGIBLE EMPLOYEES, DEPENDENTS, AND SPOUSES. PARTICIPATING EMPLOYERS ARE REQUIRED TO BE MEMBERS IN GOOD STANDING OF THE GREATER AKRON CHAMBER OF COMMERCE OR AN AFFILIATED CHAMBER OF COMMERCE. EACH PARTICIPATING EMPLOYER SPONSORS ITS OWN BENEFIT PLAN. 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X STEVE MILLARD PLAN ADMIN 3303765550 388 S MAIN ST STE 205 AKRON OH 44311 X STEVE MILLARD PLAN ADMINISTRATOR/TRUSTEE 1.00 X 0 0 0 JOHN KRAJEWSKI SECRETARY/TREASURER/TRUSTEE 1.00 X 0 0 0 MARSHALL LOCHRIDGE TRUSTEE 1.00 X 0 0 0 CAMI LERO TRUSTEE 1.00 X 0 0 0 ZACHARY KOHL TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 SUMMACARE 1200 E MARKET ST STE 400 AKRON OH 44305 ADMINISTRATIVE SERVICES 4061504 CONSOLIPLEX AKRON LLC 9555 ROCKSIDE RD STE 300-C CLEVELAND OH 44125 MANAGEMENT SERVICES 450627 2 EMPLOYERS' CONTRIBUTIONS 525100 49280331 49280331 49280331 147220 147220 49427551 49280331 147220 0 44582738 4611393 34666 818 23762 REGULATORY FEES 55523 INCOME TAX 52419 49361319 773981 2849425 477950 1534298 1596 6862 42430 80267 9935014 6544241 11230971 11015093 28015 72883 10498637 10171659 10526652 10244542 X 704319 770551 704319 770551 11230971 11015093 66232 0 X 0 1 X 1 0 0 REINSURANCE RECEIVABLE 6544241 6544241 NET REINSURANCE PAYABLE 10171659 10171659 X 49427551 0 49427551 0 49427551 49361319 0 49361319 0 49361319 PART X, LINE 2: FIN 48/ASC 740 FOOTNOTE - THE TRUST'S MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE TRUST AND HAS CONCLUDED THAT, AS OF AUGUST 31, 2023 (THE YEAR-END OF THE ERISA WELFARE BENEFIT PLAN), THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE TRUST IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI AND XII - ADDITIONAL INFO.ABOUT FIN.STATEMENTS: AS FURTHER EXPLAINED IN SCHEDULE O, THE TRUST HAS AUDITED FINANCIAL STATEMENTS ISSUED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE WELFARE PLAN'S YEAR ENDED AUGUST 31. THE TRUST ALSO HAS AUDITED FINANCIAL STATEMENTS ISSUED ON THE BASIS OF INSURANCE STATUTORY ACCOUNTING FOR THE CALENDAR YEAR. THE INFORMATION PRESENTED IN PARTS XI AND XII IS AS IF THE TRUST HAD AUDITED GAAP FINANCIAL STATEMENTS FOR THE CALENDAR YEAR. PART IV, LINE 12A - FINANCIAL STATEMENTS: THE TRUST HAS AUDITED FINANCIAL STATEMENTS UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP), BUT THE FINANCIAL STATEMENTS ARE PRESENTED ON THE BASIS OF THE ERISA WELFARE PLAN'S YEAR-END OF AUGUST 31, 2023. AN INSURANCE ENTITY LIKE THIS MULTIPLE EMPLOYER WELFARE ARRANGEMENT IS GENERALLY REQUIRED TO UTILIZE A CALENDAR YEAR FOR STATUTORY ACCOUNTING PURPOSES. THE TRUST HAS BOTH AN ERISA AND A STATUTORY AUDIT CONDUCTED ANNUALLY. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE ORGANIZATION - THE MEMBERS OF THE ORGANIZATION ARE THE PARTICIPATING EMPLOYERS IN THE MULTIPLE EMPLOYER WELFARE ARRANGEMENT. FORM 990, PART VI, SECTION A, LINE 7A POWERS OF THE MEMBERS - THE MEMBERS, WHO ARE PARTICIPATING EMPLOYERS IN THE ARRANGEMENT, ELECT THE TRUSTEES IN ACCORDANCE WITH THE BYLAWS OF THE ARRANGEMENT. THE BOARD OF TRUSTEES GOVERNS THE ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 - THE OUTSIDE PUBLIC ACCOUNTING FIRM REVIEWS THE DRAFT FORM 990 PROVIDED BY THE PLAN MANAGER AND REPORTS TO THE ARRANGEMENT'S TRUSTEES. AFTER REVIEW AND APPROVAL BY THE TRUSTEES, FORM 990 IS SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICT POLICY - EACH TRUSTEE MUST REPORT WHETHER HE/SHE HAS ANY INTEREST IN ANY PARTY DOING BUSINESS WITH THE TRUST. THE TRUSTEE CODE OF CONDUCT IS SIGNED BY EACH TRUSTEE. THE CASH MANAGEMENT SYSTEM DOES NOT ALLOW ACH DISBURSEMENTS OF PLAN ASSETS TO TRUSTEES OR FIDUCIARIES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS - THE TRUST'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO ANY PARTICIPATING EMPLOYER OR INDIVIDUAL PLAN PARTICIPANT. NOTICES ARE SENT TO INTERESTED PARTIES WHEN THE ANNUAL REPORTS ARE COMPLETE. 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