2024-05-13T12:23:16-05:00 2023-06-30 141567370 NUGENT & HAEUSSLER PC 101 BRACKEN ROAD MONTGOMERY NY 12549 990 2022-07-01 141708264 CORNWALL CENTRAL TEACHERS' ASSOCIATION BENEFIT TRUST FUND CORN 8455617990 PO BOX 719 CORNWALL NY 125180719 MICAH MEDVEDEV CHAIRPERSON 8455617990 2024-05-10 1 MICAH MEDVEDEV 999009999 0 MARK M LEVY CPA P01061802 8454571100 2024-05-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICAH MEDVEDEV 368221 0 X N/A X NY PROVIDE DENTAL AND OPTICAL BENEFITS FOR SCHOOL DISTRICT EMPLOYEES 5 5 0 0 0 0 0 0 300325 364562 965 3659 0 0 301290 368221 0 0 369579 362394 0 0 0 0 0 30122 35098 399701 397492 -98411 -29271 579524 551337 28390 29474 551134 521863 THE PLAN PROVIDES DENTAL AND VISION BENFITS FOR THE EMPLOYEES OF THE DISTRICT. 0 0 381409 364562 DENTAL AND VISION BENEFITS PAID TO OR ON BEHALF OF THE EMPLOYEES OF THE CORNWALL CENTRAL SCHOOL DISTRICT. 381409 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X X MICAH MEDVEDEV 8454306814 PO BOX 719 CORNWALL NY 12518 MICAH MEDVEDEV CHAIRPERSON 1.00 X 0 0 0 MICHAEL FLANNERY TREASURER 0.50 X 3700 0 0 MICHELE POWELL SECRETARY 0.50 X 740 0 0 LAUREN CRILL TRUSTEE 0.50 X 0 0 0 BRENDA WRIGHT TRUSTEE 0.50 X 0 0 0 4440 0 0 0 0 0 0 0 SCHOOL CONTRIBUTION 525100 289648 289648 COBRA 525100 74914 74914 364562 3659 3659 368221 364562 0 3659 362394 362394 910 910 5665 5665 1568 1568 ADMINISTRATIVE FEES 19937 11997 7940 DUES 7018 7018 397492 381409 16083 0 367964 336144 211560 215193 579524 551337 10850 11165 17540 18309 28390 29474 X 551134 521863 551134 521863 579524 551337 -29271 0 X 0 1 X 1 0 0 CLAIMS PAYABLE 12000 ESTIMATED CLAIMS INCURRED BUT NOT REPORTED 6309 18309 368221 0 368221 0 368221 397492 0 397492 0 397492 FORM 990, PART VI, SECTION A, LINE 8B THE CORNWALL CENTRAL TEACHERS' ASSOCIATION BENEFIT TRUST FUND ONLY HAS A BOARD OF TRUSTEES. THE TRUSTEES ARE NOT DIVIDED INTO SPECIAL COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN ACCOUNTANT WITH THE USE OF THE CORNWALL CENTRAL TEACHERS' ASSOCIATION BENEFIT TRUST FUND FINANCIAL RECORDS. ONCE THE FORM 990 IS COMPLETE, THE RETURN IS GIVEN TO THE CORNWALL CENTRAL TEACHERS' ASSOCIATION BENEFIT TRUST FUND BOARD OF TRUSTEES. THE TRUSTEES THEN VERIFY THAT THE FORM IS FILLED OUT CORRECTLY. ONCE THE TRUSTEES HAVE GIVEN THEIR APPROVAL FOR THE FORM 990, THE RETURN IS THEN GIVEN TO THE BOARD OF TRUSTEES CHAIRMAN TO SIGN AND RETURN TO THE ACCOUNTANT. AFTER THE RETURN HAS BEEN SIGNED BY THE CHAIRMAN AND RETURNED TO THE ACCOUNTANT'S OFFICE, THE ACCOUNTANT WILL SUBMIT THE FORM 990 TO THE GOVERNMENT ELECTRONICALLY. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE BOARD OF TRUSTEES WILL DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON ANOTHER WEBSITE AND UPON REQUEST.