2024-09-27T11:32:37-05:00 2023-12-31 364267431 PEASE BELL CPAS LLC 1111 SUPERIOR AVE E STE 2500 CLEVELAND OH 44114 990 2023-01-01 202366635 EUCLID HEALTH TRUST C/O BENEFITS ADMINISTRATIVE SERVICES EUCL 2162617860 PO BOX 43008 RICHMOND HEIGHTS OH 441430008 TITO ANTONELLI TRUSTEE 2162617860 2024-09-20 1 0 MARK E NOBLE P00743214 2163489600 2023 2024-10-15 13:58:12Z TITO ANTONELLI 26301 CURTISS-WRIGHT PARKWAY SUITE 105 RICHMOND HEIGHTS OH 44143 43682 0 X N/A X 2005 OH EUCLID HEALTH TRUST (THE "TRUST") IS A VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION ESTABLISHED TO PROVIDE HEALTH INSURANCE PREMIUM PAYMENT ASSISTANCE TO CERTAIN FORMER EMPLOYEES, SPOUSES, AND DEPENDENTS WHO PARTICIPATED IN BENEFIT PLANS OF EUCLID-HITACHI HEAVY EQUIPMENT, INC. ("EHHE"), ITS AFFILIATES AND/OR THEIR PREDECESSORS. THE PROVISION OF ASSISTANCE TO MEMBERS TO PAY THEIR HEALTH INSURANCE PREMIUMS, WHICH BEGAN IN MARCH OF 2005 AND WILL CONTINUE BOTH DURING AND AFTER THE LIQUIDATION OF EHHE, IS THE EXCLUSIVE ACTIVITY OF THE TRUST. SUCH ACTIVITY FURTHERS THE EXEMPT PURPOSES OF THE TRUST IN PROVIDING FOR HEALTH BENEFITS THAT SAFEGUARD OR IMPROVE THE HEALTH OF AN INDIVIDUAL. THE ACTIVITY IS CONDUCTED BY THE TRUSTEES OF THE TRUST OR OTHER PERSONS APPOINTED BY THE TRUSTEES. 3 0 0 0 0 0 0 0 0 0 38497 43682 0 0 38497 43682 0 0 514087 484937 35550 36000 0 0 0 31426 30181 581063 551118 -542566 -507436 4745158 4810820 15657 20985 4729501 4789835 X EUCLID HEALTH TRUST (THE "TRUST") IS A VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION ESTABLISHED TO PROVIDE HEALTH INSURANCE PREMIUM PAYMENT ASSISTANCE TO CERTAIN FORMER EMPLOYEES, SPOUSES, SURVIVING SPOUSES, AND DEPENDENTS WHO PARTICIPATED IN BENEFIT PLANS OF EUCLID-HITACHI HEAVY EQUIPMENT, INC. ("EHHE"), ITS AFFILIATES AND/OR THEIR PREDECESSORS. THE PROVISION OF ASSISTANCE TO MEMBERS TO PAY THEIR HEALTH INSURANCE PREMIUMS, WHICH BEGAN IN MARCH OF 2005 AND WILL CONTINUE BOTH DURING AND AFTER THE LIQUIDATION OF EHHE, IS THE EXCLUSIVE ACTIVITY OF THE TRUST. SUCH ACTIVITY FURTHERS THE EXEMPT PURPOSES OF THE TRUST IN PROVIDING FOR HEALTH BENEFITS THAT SAFEGUARD OR IMPROVE THE HEALTH OF AN INDIVIDUAL. THE ACTIVITY IS CONDUCTED BY THE TRUSTEES OF THE TRUST OR OTHER PERSONS APPOINTED BY THE TRUSTEES. 0 0 551118 43682 EUCLID HEALTH TRUST (THE "TRUST") IS A VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION ESTABLISHED TO PROVIDE HEALTH INSURANCE PREMIUM PAYMENT ASSISTANCE TO CERTAIN FORMER EMPLOYEES, SPOUSES, AND DEPENDENTS WHO PARTICIPATED IN BENEFIT PLANS OF EUCLID-HITACHI HEAVY EQUIPMENT, INC. ("EHHE"), ITS AFFILIATES AND/OR THEIR PREDECESSORS. THE PROVISION OF ASSISTANCE TO MEMBERS TO PAY THEIR HEALTH INSURANCE PREMIUMS, WHICH BEGAN IN MARCH OF 2005 AND WILL CONTINUE BOTH DURING AND AFTER THE LIQUIDATION OF EHHE, IS THE EXCLUSIVE ACTIVITY OF THE TRUST. SUCH ACTIVITY FURTHERS THE EXEMPT PURPOSES OF THE TRUST IN PROVIDING FOR HEALTH BENEFITS THAT SAFEGUARD OR IMPROVE THE HEALTH OF AN INDIVIDUAL. THE ACTIVITY IS CONDUCTED BY THE TRUSTEES OF THE TRUST OR OTHER PERSONS APPOINTED BY THE TRUSTEES. 551118 0 0 0 0 0 0 0 0 0 0 1 0 1 0 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 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 1 0 OH X JANIS BAIR 2162617860 26301 CURTISS-WRIGHT PARKWAY 105 RICHMOND HEIGHTS OH 44143 TITO ANTONELLI TRUSTEE 5.00 X 15900 0 0 MARK DELONG TRUSTEE 4.00 X 10050 0 0 ROBERT IZO TRUSTEE 3.00 X 10050 0 0 36000 0 0 0 0 0 0 0 43682 43682 43682 43682 0 0 484937 484937 36000 36000 12250 12250 8108 8108 MISCELLANEOUS 9823 9823 551118 551118 0 0 36690 14176 1485 1351 1796240 2030052 2910743 2765241 4745158 4810820 15657 20985 15657 20985 X 4729501 4789835 0 0 0 0 4729501 4789835 4745158 4810820 -507436 567770 0 X 0 1 X 1 0 0 MUTUAL FUNDS 2030052 F 2030052 GROUP ANNUITY CONTRACT 2765241 2765241 614234 567770 2782 570552 43682 0 43682 553900 2782 2782 551118 0 551118 PART XI, LINE 2D - OTHER ADJUSTMENTS: THE OTHER DEDUCTION FROM REVENUE IS AN ADJUSTMENT FOR MEMBERS' CONTRIBUTIONS NOT RECORDED ON THE TAXPAYER'S BOOKS FOR THE TRUST BUT MADE IN THE AUDITED FINANCIAL STATEMENTS. PART XII, LINE 2D - OTHER ADJUSTMENTS: THE OTHER DEDUCTION FROM EXPENSE IS AN ADJUSTMENT FOR MEMBERS GROUP INSURANCE CO-PAY PAID FROM MEMBERS' CONTRIBUTIONS NOT RECORDED ON THE TAXPAYER'S BOOKS FOR THE TRUST BUT MADE IN THE AUDITED FINANACIAL STATEMENTS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO EACH OF THE MEMBERS OF THE EUCLID HEALTH TRUST BOARD OF TRUSTEES FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 15B THE ALLOWABLE ANNUAL COMPENSATION OF THE TRUSTEES WAS ESTABLISHED AT THE TIME THE TRUST WAS FORMED BASED ON THE ADVICE OF INDEPENDENT LEGAL COUNSEL AND THE ACTUAL ANNUAL COMPENSATION HAS TO DATE NOT EXCEEDED THAT AMOUNT. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS AND ORGANIZATIONAL DOCUMENTS OF THE EUCLID HEALTH TRUST ARE AVAILABLE UPON REQUEST. FORM 990, PART X, LINE 15: TO ASSURE A SOURCE OF FUNDS FOR THE TRUST TO PROVIDE SUBSIDIZED HEALTH BENEFITS TO MEMBERS, CERTAIN ASSETS OF THE TRUST ARE INVESTED IN A GROUP ANNUITY CONTRACT WITH TALCOTT RESOLUTION LIFE INSURANCE COMPANY. AS OF DECEMBER 31, 2023, THE INVESTMENT IS STATED AT THE FAIR MARKET VALUE OF THE GROUP ANNUITY CONTRACT HELD BY THE TRUST AS DETERMINED BY TALCOTT RESOLUTION LIFE INSURANCE COMPANY BY DISCOUNTING FUTURE REMAINING ANNUITY PAYMENTS BASED ON CURRENT YIELDS OF SIMILAR INSTRUMENTS WITH COMPARABLE DURATIONS. INVESTMENT INCOME IS EARNED BASED ON TALCOTT RESOLUTION LIFE INSURANCE COMPANY'S DISCOUNT RATE OVER THE ACCRETION PERIOD OF THE ANNUITY, WHICH IS BASED ON THE LIVES OF THE MEMBERS OF THE TRUST. FORM 990, PART IX, LINE 4 THE PAYMENT OF HEALTH BENEFITS (THROUGH PAYMENT OF INSURANCE PREMIUMS OR REIMBURSEMENT OF MEMBERS), WHICH IS THE ONLY BENEFIT PROVIDED BY THE TRUST: $484,937.