Theisen Supply Inc Health Care Plan Tr, Theisen Leo A Ttee in Dubuque, Iowa (IA)
Table of contents:
| Theisen Supply Inc Health Care Plan Tr, Theisen Leo A Ttee | |
| Employer Identification Number (EIN) | 426499687 |
| Name of Organization | Theisen Supply Inc Health Care Plan Tr |
| Secondary Name | Theisen Leo A Ttee |
| Address | 6201 Chavenelle Rd, Dubuque, IA 52002-9692 |
| Activities | Sick, accident, death, or similar benefits |
| Subsection | Voluntary Employees' Beneficiary Association (Non-Govt. Emps.) |
| Ruling Date | 03/1994 |
| Deductibility | Contributions are not deductible |
| Foundation | All organizations except 501(c)(3) |
| Organization | Trust |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 12/2013 |
| Assets | $25,000 to $99,999 |
| Income | $25,000 to $99,999 |
| Filing Requirement | 990 (all other) or 990EZ return |
| Asset Amount | $55,130 |
| Amount of Income | $98,808 |
| Form 990 Revenue Amount | $98,808 |
Non-representatives - add comments:
Revenue for 2013
| Revenue, Expenses, and Changes in Net Assets or Fund Balances | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total revenue | $92,722 | $92,131 | $98,808 |
| Contributions, gifts, grants, and similar amounts received | $0 | $0 | $0 |
| Program service revenue including government fees and contracts | $92,675 | $92,084 | $98,735 |
| Membership dues and assessments | $0 | $0 | $0 |
| Investment income | $47 | $47 | $73 |
| Gain/Loss from sale of assets other than inventory | $0 | $0 | $0 |
| Net income/loss from gaming and fundraising events | $0 | $0 | $0 |
| Gross profit/loss from sales of inventory | $0 | $0 | $0 |
| Other revenue | $0 | $0 | $0 |
| Total expenses | $83,568 | $80,927 | $81,228 |
| Total net assets | $26,346 | $37,550 | $55,130 |
| Excess/Deficit for the year | $9,154 | $11,204 | $17,580 |
| Net assets or fund balances at beginning of year | $17,192 | $26,346 | $37,550 |
| Other changes in net assets or fund balances | $0 | $0 | $0 |
| Net assets or fund balances at end of year | $37,550 | $55,130 | |
| Balance Sheets | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total assets | $26,346 | $37,550 | $55,130 |
| Total liabilities | $0 | $0 | $0 |
| Net assets or fund balances | $26,346 | $37,550 | $55,130 |
| Other Information | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Did the organization engage in any significant activity not previously reported to the IRS? | No | No | |
| Were any significant changes made to the organizing or governing documents? | No | No | |
| Did the organization have unrelated business gross income of $1,000 or more during the year from business activities | No | No | No |
| Has the organization filed a Form 990-T for the year? | No | No | |
| Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? | No | No | |
| Amount of political expenditures, direct or indirect | $0 | $0 | |
| Did the organization file Form 1120-POL for this year? | No | No | |
| Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? | No | No | |
| Total amount involved | $0 | $0 | |
| Initiation fees and capital contributions | $0 | $0 | $0 |
| Gross receipts for public use of club facilities | $0 | $0 | $0 |
| Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? | No | No | |
| At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? | No | No | |
| Reason for Public Charity Status (for 2013) | |
| The organization is not a private foundation because it is: | Not provided |
| Number of organizations supported | 0 |
| Sum of amounts of support | $0 |
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