Group Benefit Plan Agreement And Declaration Of Trust For Orange in Santa Ana, California (CA)

Group Benefit Plan Agreement And Declaration Of Trust For Orange
Employer Identification Number (EIN)	336216448
Name of Organization	Group Benefit Plan Agreement And Declaration Of Trust For Orange
Address	1900 E Warner Ave Ste G, Santa Ana, CA 92705-5549
Subsection	Voluntary Employees' Beneficiary Association (Non-Govt. Emps.)
Ruling Date	11/1999
Deductibility	Contributions are not deductible
Foundation	All organizations except 501(c)(3)
Organization	Trust
Exempt Organization Status	Unconditional Exemption
Tax Period	06/2012
Assets	$10,000,000 to $49,999,999
Income	$10,000,000 to $49,999,999
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$12,039,962
Amount of Income	$26,149,875
Form 990 Revenue Amount	$18,611,806
National Taxonomy of Exempt Entities (NTEE)	Mutual/Membership Benefit Organizations, Other: Voluntary Employees Beneficiary Associations (Non-Government)

Non-representatives - add comments:

Amount of income in 2012: $26,149,875

This organization:	$26,149,875
Other organizations performing similar types of work:	$1,245,981

Assets in 2012: $12,039,962

This organization:	$12,039,962
Other organizations performing similar types of work:	$1,083,450

Expenses in 2012: $18,079,530

This organization:	$18,079,530
Other organizations performing similar types of work:	$729,445

Income to expenses ratio in 2012: 1.4

This organization:	1.4
Other organizations performing similar types of work:	1.1

Financial snapshot ($)

Revenue for 2012

Statements Regarding Other IRS Filings and Tax Compliance (for 2012)
Did the organization have unrelated business gross income of $1,000 or more during the year?	No
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
Gross income from members or shareholders	$0
Gross income from other sources	$0

Statement of Revenue (for 2012)
Total revenue	$18,611,806
Contributions, Gifts, Grants and Other Similar Amounts	$0
Program Service Revenue	$18,454,024
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$171,437
Income from investment of tax-exempt bond proceeds	$0
Royalties	$0
Net rental income	$0
Net loss from sales of assets other than inventory	$-13,655
Gross amount from sales of assets other than inventory (Securities / Other)	$7,524,414 / $0
Less: cost or other basis and sales expenses (Securities / Other)	$7,538,069 / $0
Gain or (loss) (Securities / Other)	$-13,655 / $0
Net income from fundraising events	$0
Net income from gaming activities	$0
Net income from sales of inventory	$0
Miscellaneous Revenue	$0

Statement of Functional Expenses (for 2012)
Total functional expenses	$18,079,530
Compensation of current officers, directors, trustees, and key employees	$0
Other salaries and wages	$0
Payroll taxes	$0
Professional fundraising services	$0
Other	$18,079,530

Balance Sheet (for 2012)
Total assets	$12,039,962
Total liabilities	$2,571,905
Tax-exempt bond liabilities	$0
Secured mortgages and notes payable to unrelated third parties	$0
Unsecured notes and loans payable to unrelated third parties	$0
Other	$2,571,905
Total net assets or fund balances	$9,468,057
Retained earnings, endowment, accumulated income, or other funds	$9,468,057

Reason for Public Charity Status (for 2012)
The organization is not a private foundation because it is:	Not provided

	2000	2001	2002	2005	2006
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$5,708,405	$6,340,030	$7,162,196	$12,156,771	$13,700,772
Contributions, gifts, grants, and similar amounts received	$0	$0	$0	$0	$0
Contributions to donor advised funds					$0
Direct public support	$0	$0	$0	$0	$0
Indirect public support	$0	$0	$0	$0	$0
Government contributions (grants)	$0	$0	$0	$0	$0
Program service revenue including government fees and contracts	$5,658,631	$6,374,723	$7,239,562	$11,801,777	$13,459,565
Membership dues and assessments	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$23,390	$5,473	$3,328	$18,157	$44,887
Dividends and interest from securities	$4,599	$27,332	$28,182	$77,018	$78,932
Net rental income or (loss)	$0	$0	$0	$0	$0
Gross rents	$0	$0	$0	$0	$0
Less: rental expenses	$0	$0	$0	$0	$0
Other investment income	$0	$0	$0	$0	$0
Gain or (loss) from sales of assets other than inventory	$21,785	$-67,498	$-108,876	$259,819	$117,388
Gross amount from sales of assets other than inventory	$209,819	$453,800	$456,858	$3,833,604	$4,965,666
Less: cost or other basis and sales expenses	$188,034	$521,298	$565,734	$3,573,785	$4,848,278
Net income or (loss) from special events and activities	$0	$0	$0	$0	$0
Gross revenue	$0	$0	$0	$0	$0
Less: direct expenses other than fundraising expenses	$0	$0	$0	$0	$0
Gross profit or (loss) from sales of inventory	$0	$0	$0	$0	$0
Gross sales of inventory, less returns and allowances	$0	$0	$0	$0	$0
Less: cost of goods sold	$0	$0	$0	$0	$0
Other revenue	$0	$0	$0	$0	$0
Total expenses	$5,203,681	$6,129,492	$7,231,333	$11,291,591	$13,667,661
Program services	$0	$0	$0	$0	$0
Management and general	$0	$0	$0	$0	$0
Fundraising	$0	$0	$0	$0	$0
Payments to affiliates	$0	$0	$0	$0	$0
Net assets or fund balances at end of year	$1,156,631	$1,279,863	$1,311,036	$3,303,820	$3,505,843
Excess or (deficit) for the year	$504,724	$210,538	$-69,137	$865,180	$33,111
Net assets or fund balances at beginning of year	$712,558	$1,156,631	$1,279,863	$2,548,123	$3,303,820
Other changes in net assets or fund balances	$-60,651	$-87,306	$100,310	$-109,483	$168,912

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2006)
Total functional expenses	$13,667,661	$0	$0	$0
Grants paid from donor advised funds		$0
Other grants and allocations		$0
Specific assistance to individuals		$0
Benefits paid to or for members		$13,563,050
Compensation of current officers, directors, key employees, etc.	$0	$0	$0	$0
Compensation of former officers, directors, key employees, etc.	$0	$0	$0	$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)	$0	$0	$0	$0
Salaries and wages of employees not included above	$0	$0	$0	$0
Pension plan contributions not included above	$0	$0	$0	$0
Employee benefits not included above	$0	$0	$0	$0
Payroll taxes	$0	$0	$0	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$48,805	$0	$0	$0
Legal fees	$0	$0	$0	$0
Supplies	$0	$0	$0	$0
Telephone	$0	$0	$0	$0
Postage and shipping	$0	$0	$0	$0
Occupancy	$0	$0	$0	$0
Equipment rental and maintenance	$0	$0	$0	$0
Printing and publications	$0	$0	$0	$0
Travel	$0	$0	$0	$0
Conferences, conventions, and meetings	$0	$0	$0	$0
Interest	$0	$0	$0	$0
Depreciation, depletion, etc.	$0	$0	$0	$0
Other expenses not covered above	$55,806	$0	$0	$0

	2000	2001	2002	2005	2006
Balance Sheets
Total assets	$1,855,852	$2,056,549	$2,265,185	$4,782,068	$5,143,267
Cash - non-interest-bearing	$315,802	$464,390	$0	$0	$0
Savings and temporary cash investments	$144,600	$372,495	$1,034,382	$952,587	$1,317,114
Accounts receivable less allowance for doubtful accounts	$241,677	$193,156	$217,200	$461,992	$659,383
Pledges receivable less allowance for doubtful accounts	$0	$0	$0	$0	$0
Grants receivable	$0	$0	$0	$0	$0
Receivables from current and former officers, directors, trustees, and key employees	$0	$0	$0	$0	$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)					$0
Other notes and loans receivable less allowance for doubtful accounts	$0	$0	$0	$0	$0
Inventories for sale or use	$0	$0	$0	$0	$0
Prepaid expenses and deferred charges	$1,862	$75	$75	$4,179	$4,624
Investments - publicly-traded securities					$3,162,146
Investments - other securities	$1,151,911	$1,026,433	$1,013,528	$3,363,310	$0
Investments - land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$0
Investments - other	$0	$0	$0	$0	$0
Land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$0
Other assets, including program-related investments	$0	$0	$0	$0	$0
Total liabilities	$699,221	$776,686	$954,149	$1,478,248	$1,637,424
Accounts payable and accrued expenses	$308	$3,528	$923	$8,010	$5,075
Grants payable	$0	$0	$0	$0	$0
Deferred revenue	$0	$0	$0	$0	$0
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$0	$0	$0	$0	$0
Mortgages and other notes payable	$0	$0	$0	$0	$0
Other liabilities	$698,913	$773,158	$953,226	$1,470,238	$1,632,349
Total liabilities and net assets/fund balances	$1,855,852	$2,056,549	$2,265,185	$4,782,068	$5,143,267
Total net assets or fund balances	$1,156,631	$1,279,863	$1,311,036	$3,303,820	$3,505,843

	2000	2001	2002	2005	2006
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$0	$0	$0	$0	$0
Total revenue, gains, and other support per audited financial statements	$0	$0	$0	$0	$0
Other expenses	$0	$0	$0	$0	$0
Net unrealized gains on investments	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0
Other revenue	$0	$0	$0	$0	$0
Investment expenses	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0

	2000	2001	2002	2005	2006
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$0	$0	$0	$0	$0
Total expenses and losses per audited financial statements	$0	$0	$0	$0	$0
Other revenue	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0
Prior year adjustments	$0	$0	$0	$0	$0
Losses	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0
Other expenses	$0	$0	$0	$0	$0
Investment expenses	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0

Current Officers, Directors, Trustees, and Key Employees

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	5
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?	No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?	No
Does the organization have a written conflict of interest policy?	No

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?	Yes
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members	$0
Section 162(e) lobbying and political expenditures	$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices	$0
Taxable amount of lobbying and political expenditures	$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?	No
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?	No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?	No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?	No
Number of employees employed in the pay period that includes March 12, 2006	0

	Unrelated business income		Excluded by section 512, 513, or 514		Related or exempt function income
Analysis of Income-Producing Activities (for 2006)
	Business code	Amount	Exclusion code	Amount	Related or exempt function income
Total		$0		$241,207	$13,459,565
Program service revenue
Program service revenue 1	000000	$0	00	$0	$9,545,426
Program service revenue 2	000000	$0	00	$0	$3,914,139
Program service revenue 3	000000	$0	00	$0	$0
Program service revenue 4	000000	$0	00	$0	$0
Program service revenue 5	000000	$0	00	$0	$0
Medicare/Medicaid payments	000000	$0	00	$0	$0
Fees and contracts from government agencies	000000	$0	00	$0	$0
Membership dues and assessments	000000	$0	00	$0	$0
Interest on savings and temporary cash investments	000000	$0	Section 501(c)(9), or (17) organization - Non-exempt function income set aside for the payment of life, sick, accident, or other benefits (section 512(a)(3)(B)(ii))	$44,887	$0
Dividends and interest from securities	000000	$0	Section 501(c)(9), or (17) organization - Non-exempt function income set aside for the payment of life, sick, accident, or other benefits (section 512(a)(3)(B)(ii))	$78,932	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	00	$0	$0
not debt-financed property	000000	$0	00	$0	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	00	$0	$0
Gain or (loss) from sales of assets other than inventory	000000	$0	Section 501(c)(9), or (17) organization - Non-exempt function income set aside for the payment of life, sick, accident, or other benefits (section 512(a)(3)(B)(ii))	$117,388	$0
Net income or (loss) from special events	000000	$0	00	$0	$0
Gross profit or (loss) from sales of inventory	000000	$0	00	$0	$0
Other revenue	000000	$0	00	$0	$0

EIN of corporation, partnership, or disregarded entity	Percentage of ownership interest	Total income	End-of-year assets
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2006)
	0%	$0	$0
	0%	$0	$0
	0%	$0	$0
	0%	$0	$0

Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2006)
$0	$0	$0
$0	$0	$0
$0	$0	$0
$0	$0	$0
$0	$0	$0

Total number of other employees paid over $50,000	0

Total number of other employees paid over $50,000

Statements About Activities (for 2006)
Expenses paid or incurred in connection with the lobbying activities	$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?
Did the organization maintain any donor advised funds?
Did the organization make any taxable distributions under section 4966?
Did the organization make a distribution to a donor, donor advisor, or related person?
The total number of donor advised funds owned at the end of the tax year	$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year	$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts	$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year	$0

Reason for Non-Private Foundation Status
The organization is not a private foundation because it is

	1999	2000	2001	2004	2005
Support Schedule
Total	$0	$0	$0	$0	$0
Gifts, grants, and contributions received	$0	$0	$0	$0	$0
Membership fees received	$0	$0	$0	$0	$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose	$0	$0	$0	$0	$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975	$0	$0	$0	$0	$0
Net income from unrelated business activities not included above	$0	$0	$0	$0	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$0	$0	$0	$0	$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge	$0	$0	$0	$0	$0
Other income	$0	$0	$0	$0	$0

Lobbying Expenditures by Electing Public Charities (for 2006)
Total exempt purpose expenditures	$0
Total lobbying expenditures	$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$0
Total lobbying expenditures to influence a legislative body (direct lobbying)	$0
Other exempt purpose expenditures	$0
Lobbying nontaxable amount	$0
Grassroots nontaxable amount	$0

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Washington Software Alliance Employee Benefit Trust	PO BOX 6, Mukilteo, WA 98275-0006	WA	2009-03	$25,705,628
2	Titan Tire Corporation Voluntary Retiree Benefit Trust, Emily Newport Ttee	60 Boulevard Of The Allies 5th Fl, Pittsburgh, PA 15222-1209	PA	2009-01	$16,824,317
3	Southern Operators Health Fund, Brassell H Lynn Ttee	PO BOX 1449, Goodlettsvlle, TN 37070-1449	TN	2006-09	$15,264,585
4	San Bernardino County Retirement Medical Tr, Hoover Crystal Ttee	157 W 5th St First Fl, San Bernardino, CA 92415-0225	CA	2002-04	$13,312,822
5	Trinity Health Welfare Benefit Tr, Paul Swanson Ttee	20555 Victor Parkway, Livonia, MI 48152-7031	MI	2007-11	$8,409,345
6	Vng-Nonunion Management Retiree Veba	PO BOX 535007, Pittsburgh, PA 15253-5007	PA	2002-01	$5,196,035
7	Thunderbird Mining Co Retiree Health & Welfare Benefits Pl & Tr	250 Marquette Ave Ste 540, Minneapolis, MN 55401-2387	MN	2008-06	$3,413,882
8	Robbinsdale Area School Health Reimbursement Arrangement Basic Pl	230 Front St N, La Crosse, WI 54601-3219	WI	2004-12	$873,286
9	The Turner Corporation Veba Trust	375 Hudson St, New York, NY 10014-3658	NY	2008-01	$8,540
10	District Council 16 Northern California Health And Welfare Trus	1640 S Loop Rd, Alameda, CA 94502-7089	CA	2011-01	$108,962,984
11	Toyota Motor Sales Usa Inc Post-Retirement Medical Trust	45 Sycamore Ln, Rllng Hls Est, CA 90274-3421	CA	2014-06	$89,832,375
12	Southern Ca Pipe Trades Pensioners & Surviving Spouses Health Trust	501 Shatto Pl Ste 5, Los Angeles, CA 90020-1730	CA	2011-11	$73,060,465
13	Cal Poly Corporation Veba Tr, Ron Weaver Ttee	Corporation Admin Bldg 15, San Luis Obispo, CA 93407	CA	2015-02	$18,794,112
14	California Trucking Association Health And Welfare Tr Fund, Mvi Administrators Inc Ttee	1011 Camino Del Rio S Ste 300, San Diego, CA 92108-3567	CA	2011-11	$17,595,402
15	California Charter Schools Association Employee Welfare Benef	1107 9th St, Sacramento, CA 95814-3607	CA	2010-11	$14,050,219
16	Southern Ca Firefighters Benefit Tr, Lucore Brandon Ttee	8885 Rio San Diego Dr Ste 300, San Diego, CA 92108-1627	CA	2007-02	$13,371,425
17	California Small Manufacturing Health & Welfare Trust Fund	1011 Camino Del Rio South, San Diego, CA 92108-3531	CA	2014-03	$13,315,814
18	United Domestic Workers Benefits Trust, Flora Walker Ttee	4855 Seminole Dr, San Diego, CA 92115-4241	CA	2007-08	$11,645,201
19	Udw Afscme 3930 San Diego Health And Benefits Trust, Laura Reyes Ttee	4855 Seminole Dr, San Diego, CA 92115-4241	CA	2012-01	$10,371,866
20	Amgen Inc Voluntary Employees Beneficiary Association Trust	1 Amgen Center Drive 37-1-C, Thousand Oaks, CA 91320-1730	CA	2009-04	$10,122,847

Number of organizations performing similar types of work

Alaska	7
Alabama	14
Arkansas	7
Arizona	17
California	174
Colorado	25
Connecticut	40
District of Columbia	24
Delaware	11
Florida	55
Georgia	33
Hawaii	17
Iowa	34
Idaho	5
Illinois	101
Indiana	134
Kansas	29
Kentucky	10
Louisiana	15
Massachusetts	50
Maryland	35
Maine	7
Michigan	82
Minnesota	68
Missouri	39
Mississippi	5

Montana	21
North Carolina	85
North Dakota	4
Nebraska	13
New Hampshire	11
New Jersey	54
New Mexico	7
Nevada	13
New York	198
Ohio	115
Oklahoma	20
Oregon	20
Pennsylvania	188
Rhode Island	11
South Carolina	12
South Dakota	5
Tennessee	30
Texas	107
Utah	16
Virginia	67
Vermont	1
Washington	37
Wisconsin	74
West Virginia	15
Wyoming	5
International	7

Total

2,174

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