2024-11-07T12:49:35-07:00 2023-12-31 990 2023-01-01 336162757 CANON MEDICAL SYSTEMS USA INC SHORT-TERM DISABILITY BENEFIT PLAN CANO 7147305000 2441 Michelle Drive Tustin CA 92780 Yuji Hamada Trustee 7147305000 2024-11-12 1 2023 2024-10-15 13:58:12Z Yuji Hamada 2441 MICHELLE DRIVE TUSTIN CA 92780 597924 0 X X 1994 CA Provide benefit to eligible employee of Canon Medical Systems USA, Inc. in the event of a short term disability 1 1 0 0 0 0 0 0 690964 597924 0 0 0 0 690964 597924 0 0 465679 618595 0 0 0 0 0 9166 13125 474845 631720 216119 -33796 2368420 2577246 92240 334862 2276180 2242384 The principle purpose of Canon Medical Systems USA, Inc. Self-Funded Short-Term Disability Benefit Plan is to help eligible participants with financial aid in the event of a medical disability. 0 0 631720 597924 The Canon Medical Systems USA, Inc. Self-Funded Short Term Disability Benefit Plan Trust provides employees with replacement income in the event an employee becomes disabled and is unable to work for a period of time. The trust is funded solely with employee contributions at a rate of 1.1% of gross wages, less Section 125 deductions, subject to annual maximum contribution of $1,378.48. Benefit, under the plan are 65% to 70% of gross weekly pay, depending on employee classifications, with a minimum weekly benefit of $50 and a maximum weekly benefit of $4,312.50. As of the end of current plan year December 31, 2023, 531 employees actively participated in the plan, compared to 549 in the year ending December 31, 2022. 0 0 0 631720 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 1 1 0 0 0 0 0 1 0 1 1 0 0 0 1 1 0 1 1 0 0 0 X Yuji Hamada 7147305000 2441 Michelle Drive Tustin CA 92780 Yuji Hamada Trustee 0 40.00 X X 0 267660 0 0 267660 0 0 0 1 0 0 0 597924 597924 0 0 597924 0 0 0 0 0 597924 597924 0 0 618595 618595 13125 13125 631720 631720 0 0 2368420 2577246 2368420 2577246 92240 334862 92240 334862 X 2276180 2242384 0 0 0 0 2276180 2242384 2368420 2577246 -33796 0 0 0 0 0 X 0 1 X 1 0 Benefit payable, including claims incurred but not reported 334862 334862 X 597924 0 0 0 0 0 597924 0 0 0 597924 631720 0 0 0 0 0 631720 0 0 0 631720 Schedule D, Part X, Line 2 Audited Financial Statements: Canon Medical Systems USA, Inc. Self-funded Short-Term Disability Benefit Plan Trust - Footnote D Tax Status "The plan has adopted guidance on accounting for uncertainty in income taxes issued by the Financial Accounting Standard Board. Management believes that the plan has taken no uncertain tax positions that requires adjustment to the financial statements to comply with the provisions of the guidance." 0 1 0 Yuji Hamada Trustee 0 267660 0 0 0 0 0 0 0 0 0 267660 0 0 Schedule J, Part I, Line 4 NONE Form 990, Part VI, Section A, Line 7a The organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body. Form 990, Part VI, Section B, Line 11b Form 990 is prepared by a Senior Tax Accountant, employed by Canon Medical Systems USA, Inc. (CMSU), a related organization. The return is prepared from information contained in the audited financial statements and related federal form 5500. As part of the preparation process, a review of the current year instruction, is undertaken to determine the impact of new reporting requirements and the information needed to file a complete and accurate return. Additionally, the financial statements are reviewed to identify significant, year to year, changes in revenue, expenses, and the fund balance. If questions arise, the CMSUs Senior Manager of Benefits is contacted for an explanation and additional documentation if necessary. The Tax Director reviews the support workpapers, the return, and related schedules to ensure that they are complete and accurate. Form 990, Part VI, Section C, Line 19 The organization has self-reporting conflict of interest policy. The policy is available online to all participants in the plan who are employees of the related organization reported in Schedule R, Part IV. Employees are required to avoid situations which give rise to a conflict of interest and report all potential conflicts to the Human Resources or Legal Department. Governing documents and financial statements are made available, upon request, by contacting the Director of Benefits at Canon Medical Systems USA, Inc. Canon Medical System USA 2441 Michelle Drive Tustin CA 92780 680178440 Sales & Servicing Medical Imaging Equipment CA Canon Medical Systems Corporation C 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 n/a