2024-11-01T13:28:35-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN 1 CAPITAL WAY CRANSTON RI 02910 990 2023-01-01 203970900 OBI RETIREE MEDICAL VOLUNTARY EMPLOYEE BENEFITS ASSOCIATION OBIR 9784576021 PO BOX 4000 PEABODY MA 01961 LAURIE KIRICOPLES TRUSTEE 9784576021 2024-10-31 1 0 DAVID FONTES P01300684 4012725600 2024-10-31 2023 2024-10-15 13:58:12Z LAURIE KIRICOPLES PO BOX 4000 PEABODY MA 01961 3320047 0 X N/A X 2006 MA THE ORGANIZATION WAS ESTABLISHED FOR THE PURPOSE OF SPONSORING AND ADMINISTERING THE OBI RETIREE BENEFIT PLAN AND SUCH OTHER PLAN OR PLANS WHICH MAY BE ADOPTED AND SPONSORED PURSUANT TO THE TERMS OF THIS CHARTER. 3 0 0 0 88342 0 0 0 0 0 18239 88342 130165 115126 148404 203468 0 0 111022 92092 102655 102549 0 0 0 10030 7862 223707 202503 -75303 965 2816417 2859569 0 0 2816417 2859569 THE ORGANIZATION WAS ESTABLISHED FOR THE PURPOSE OF SPONSORING AND ADMINISTERING THE OBI RETIREE BENEFIT PLAN AND SUCH OTHER PLAN OR PLANS WHICH MAY BE ADOPTED AND SPONSORED PURSUANT TO THE TERMS OF THIS CHARTER. 0 0 PAYMENT OF BENEFITS TO MEMBERS OR THEIR DEPENDENTS, OR DESIGNATED BENEFICIARIES. 0 0 0 0 0 0 0 0 0 0 1 0 0 0 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 0 0 0 1 3 0 0 1 1 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 0 1 0 MA X THE ORGANIZATION 9784576021 PO BOX 4000 PEABODY MA 01961 ROBERT GOWDY TRUSTEE 2.00 X 30000 0 0 LAURIE KIRICOPLES TRUSTEE 5.00 X 32000 0 0 THOMAS FORD TRUSTEE 4.00 X 32000 0 0 PNC BANK CUSTODIAL TRUSTEE 5.00 X 8549 0 0 102549 0 0 0 0 0 0 0 78697 78697 3126224 3116579 9645 9645 9645 ANNUITY INCOME 524113 83971 83971 ADMIN FEE INCOME 524292 31155 31155 115126 203468 0 88342 115126 92092 102549 THIRD PARTY ADMINISTRAT 6395 BANK FEES 796 OTHER EXPENSES 671 202503 1772 400 1979840 2076943 783575 730927 51230 51299 2816417 2859569 0 0 X 2816417 2859569 2816417 2859569 2816417 2859569 965 42187 0 X X 0 1 X 0 0 0 FEDERATED HERMES GOVT. OBLIG. PREM. SHS. 730927 F 730927 X 245655 42187 42187 203468 0 203468 202503 0 202503 0 202503 PART X, LINE 2: THE VEBA TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED SEPTEMBER 18, 2006, STATING THAT THE TRUST IS TAX EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)9 OF THE INTERNAL REVENUE CODE (IRC). HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2023 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. MODIFIED CASH BASIS REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. SCHEDULE D PART XIII THE PLANS INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES GENERALLY FOR THE YEARS ENDED AFTER DECEMBER 31, 2017. INTEREST AND PENALTIES RELATED TO INCOME TAX DEFICIENCIES OR ASSESSMENTS ARE REPORTED AS TAXES. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES REVIEWS AND APPROVES A DRAFT OF FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEEES HOLDS MEETINGS THROUGHOUT THE YEAR AND REVIEWS ANY POTENTIAL CONFLICT OF INTEREST PRIOR TO ENGAGING IN ANY TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15B THE BOARD OF DIRECTORS ABIDES BY THE ORGINIAL PLAN DOCUMENT REGARDING SET FEES TO BE PAID OUT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION ISSUES A SUMMARY ANNUAL REPORT TO MEMBERS ANNUALLY INFORMING THEM THAT THE FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW UPON REQUEST.