2022-09-15T16:51:36-05:00 2021-12-31 341082617 APPLE GROWTH PARTNERS 1540 WEST MARKET ST AKRON OH 44313 990 2021-01-01 341320838 CLEVELAND AUTOMOBILE DEALERS' ASSOC GROUP HEALTH PLAN CLEV 4407461500 10100 BRECKSVILLE ROAD BRECKSVILLE OH 44141 LOUIS VITANTONIO TRUSTEE 4407461500 2022-09-15 1 LOUIS VITANTONIO XXX-XX-XXXX DANA PATTERSON P01278758 3308677350 2022-09-08 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z LOUIS VITANTONIO 10100 BRECKSVILLE ROAD BRECKSVILLE OH 44141 23609871 0 X N/A X 1983 OH PROVISION OF LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, MEDICAL, DENTAL AND VISION INSURANCE AND WELLNESS PROGRAMS FOR PLAN PARTICIPANTS. 6 5 0 0 0 0 0 0 19539263 23603763 13728 6108 0 0 19552991 23609871 0 0 16796354 18826525 0 0 0 0 0 2833616 3511278 19629970 22337803 -76979 1272068 4881741 6646904 17126 510221 4864615 6136683 PROVISION OF LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, MEDICAL, DENTAL AND VISION INSURANCE AND WELLNESS PROGRAMS FOR PLAN PARTICIPANTS. 0 0 CLAIMS AND PREMIUMS PAID ON BEHALF OF MEMBERS FOR HEALTH BENEFITS INCLUDING THE ASSOCIATED ADMINISTRATIVE EXPENSES. CLAIMS AND PREMIUMS PAID ON BEHALF OF MEMBERS FOR PRESCRIPTION BENEFITS INCLUDING THE ASSOCIATED ADMINISTRATIVE EXPENSES CLAIMS AND PREMIUMS PAID ON BEHALF OF MEMBERS FOR DISABILITY BENEFITS, AD, EA , LIFE AND STOP-LOSS INCLUDING ASSOCIATED ADMINISTRATIVE EXPENSES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OH X LOUIS VITANTONIO 4407461500 10100 BRECKSVILLE ROAD BRECKSVILLE OH 44141 KIRT FRYE TRUSTEE 1.00 X X 0 0 0 ROB KISTLER TRUSTEE 1.00 X X 0 0 0 DOUG CALLAHAN TRUSTEE 1.00 X 0 0 0 BRUCE ABRAHAM TRUSTEE 1.00 X 0 0 0 MIKE ABRAHAM TRUSTEE 1.00 X 0 0 0 LOUIS VITANTONIO EXECUTIVE DIRECTOR 1.00 40.00 X 0 585475 25793 0 585475 25793 0 0 1 0 0 HEALTH & LIFE INSURANCE PREMIUMS 525100 21839306 21839306 STOP LOSS REIMBURSEMENT 525100 1701668 1701668 PARTICIPANT PREMIUMS 525100 54543 54543 TRANSITIONAL REINSURANCE PREMIUMS 525100 8246 8246 23603763 6108 6108 23609871 23603763 0 6108 18826525 26400 28300 73537 13559 29100 559 13332 ADMINISTRATIVE FEES 1666113 STOP LOSS, DISABILITY A 1650886 TRANSITIONAL REINSURANC 8246 DUES & SUBSCRIPTIONS 1246 22337803 4671384 5845004 210357 801900 4881741 6646904 17126 18813 491408 17126 510221 X 0 0 0 0 4864615 6136683 4864615 6136683 4881741 6646904 1272068 0 X 0 1 X 1 0 0 X 23609871 0 23609871 0 23609871 22337803 0 22337803 0 22337803 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE COMPANY HAS TAKEN AN UNCERTAIN POSITION THAT MORE-LIKELY-THAN-NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021 AND 2020, THERE WERE NO UNCERTAIN POSITIONS TAKEN, OR EXPECTED TO BE TAKEN, THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2018. 0 0 0 LOUIS VITANTONIO EXECUTIVE DIRECTOR 0 585475 0 0 0 0 0 0 0 25793 0 611268 0 0 FORM 990, SCHEDULE J, PART II INITIALLY, A WRITTEN AGREEMENT SUBJECT TO APPROVAL BY THE CLEVELAND AUTOMOBILE DEALERS' ASSOCIATION BOARD. SUBSEQUENT INCREASES ARE APPROVED BY THE CLEVELAND AUTOMOBILE DEALERS' ASSOCIATION BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT. THE RETURN IS THEN REVIEWED BY THE CONTROLLER OF A RELATED CORPORATION. THE CONTROLLER WILL THEN MAKE RECOMMENDATIONS TO THE TRUSTEES RELATED TO THE RETURN. A COPY OF THE 990 IS SHARED WITH THE TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ARE REQUIRED TO FILL OUT A DISCLOSURE FORM ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE MADE AVAILABLE TO PUBLIC INSPECTION UPON REQUEST. CLEVELAND AUTOMOBILE DEALERS ASSN INC 10100 BRECKSVILLE ROAD BRECKSVILLE OH 44141 340650839 TRADE ASSN OH 501(C)(6) N/A 0 GS CADILLAC LLC STRONGSVILLE BUICK GMC LLC DAYSTAR FORD OF GARRETTSVILLE LLC GULF COAST AUTOMOTIVE I LLC SUNNYSIDE AUTOMOTIVE I LLC SUNNYSIDE AUTOMOTIVE II LLC SUNNYSIDE AUTOMOTIVE IV LLC SUNNYSIDE AUTOMOTIVE III LLC SUNNYSIDE AUTOMOTIVE IX LLC SUNNYSIDE COLLISION LLC CC2 ENTERPRISES LLC KG NORTON LLC GANLEY CHEVROLET OF AURORA LLC GANLEY VILLAGE LLC GANLEY AUTOMOTIVE OF AURORA LLC KEVSEV AUTO LLC ABRAHAM FORD LLC CJM AUTOMOTIVE I LLC KG AUTOMOTIVE LLC DAN BUCK CHEVROLET LLC KG AUTOMOTIVE LONDON LLC WILLOUGHBY HILLS IMPORTS LLC KG MEDINA LLC AXELROD COLLISION CENTER LLC CRESTMONT BUICK GMC LLC CRESTMONT HYUNDAI LLC DILLON LAKE MOTORS LLC MEDINA MANAGEMENT CO LLC AUTOMOTIVE OF SANDUSKY LLC KG KENT LLC PERFECT AUTO LLC GANLEY SERVICE & COLLISION CO GANLEY MANAGEMENT CO BASS-FINEBERG LEASING INC CLEVELAND AUTOMOBILE DEALERS ASSOC INC PARTNERS AUTOMOTIVE GROUP OF BEDFORD INC VALLEY FORD TRUCK INC AUTOMOTIVE PARTNERS INC JOYCE BUICK GMC INC STRONGSVILLE BODY & PAINT INC SUNNYSIDE AUTOMOTIVE INC MIKE BASS FORD INC GREAT LAKES HYUNDAI INC GANLEY NISSAN INC GANLEY BEDFORD IMPORTS INC TD GANLEY INC GANLEY FORD WEST INC GANLEY CHEVROLET INC GANLEY EAST INC GANLEY AUTOMOTIVE INC GANLEY INC BROADVUE MOTORS INC GANLEY WESTSIDE IMPORTS INC KEN GANLEY NISSAN INC GANLEY AKRON INC WESTERN RESERVE HARLEY-DAVIDSON INC VALLEY HINO TRUCK INC CLEVELAND FREIGHTLINER INC SHAMROCK TRUCK EQUIPMENT INC BUCKEYE TRUCK EQUIPMENT INC GANLEY WESTSIDE IMPORTS INC ABRAHAM BUICK INC TIM LALLY CHEVROLET INC VALLEY FREIGHTLINER OF TOLEDO INC KASSEL AUTOMOTIVE INC VALLEY FORD OF HURON INC MDW MOTORS INC MONROEVILLE FREIGHTLINER INC MANSFIELD FREIGHTLINER INC CHARLES AUTO FAMILY INC AKRON FREIGHTLINER INC STATEWIDE LICENSE SERVICES INC AXELROD AUTOMOTIVE INC MAGNUM AUTO SALES INC BRUNSWICK AUTO MART INC VALLEY CHEVROLET INC CRESTMONT CADILLAC CORP 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 CLEVELAND AUTOMOBILE DEALERS ASSOC INC P 213466 HEALTH PREMIUM COSTS PER AGRMT CLEVELAND AUTOMOBILE DEALERS ASSOC INC O 203639 WRITTEN AGREEMENT CLEVELAND AUTOMOBILE DEALERS ASSOC INC N 29100 WRITTEN AGREEMENT