2024-04-26T18:09:54-05:00 2023-08-31 481292483 HENJES CONNER & WILLIAMS PC PO BOX 1937 DAKOTA DUNES SD 57049 990 2022-09-01 900218218 WILSON TRAILER COMPANY HEALTH CARE PLAN FOR S EMPLOYEES WILS 7122526500 4400 S LEWIS BLVD SIOUX CITY IA 51106 BRENT OLSON TRUSTEE 7122526500 2024-04-26 1 BRENT OLSON 999009999 0 MELISSA J WILLER P00121904 6052423900 2024-04-26 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BRENT OLSON 4400 SO LEWIS BLVD SIOUX CITY IA 51106 3310341 0 X N/A X 1981 IA PROVIDE HEALTH CARE BENEFITS FOR EMPLOYEES 3 3 0 0 0 0 0 0 2794790 3307775 421 2566 0 0 2795211 3310341 0 0 2036847 2554328 0 0 0 0 0 440770 460135 2477617 3014463 317594 295878 739909 1410258 139572 514043 600337 896215 PROVIDE HEALTH CARE BENEFITS FOR EMPLOYEES 0 0 2795460 PROVISION FOR CERTAIN HEALTH CARE BENEFITS FOR APPROXIMATELY 300 PARTICIPANTS. 2795460 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 X WELLMARK 7122798500 PO BOX 1677 SIOUX CITY IA 511021677 X JOHN KREBER TRUSTEE 1.00 X 0 0 0 BRENT OLSON TRUSTEE 1.00 X 0 0 0 TIFFANY PERSINGER TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER & EMPLOYEES 900099 3096076 3096076 PHARMACY REBATES 900099 211699 211699 3307775 2566 2566 3310341 3307775 0 2566 2554328 2554328 10300 10300 17462 17462 REINSURANCE PREMIUMS 213018 213018 ADMINISTRATIVE FEES 191241 191241 DISABILITY CLAIMS 28114 28114 3014463 2795460 219003 0 393263 1051380 346646 358878 739909 1410258 139572 514043 139572 514043 X 0 0 0 0 600337 896215 600337 896215 739909 1410258 295878 0 X X 0 1 X 1 0 0 PREMIUMS RECEIVABLE 271458 COBRA RECEIVABLE 618 DUE FROM OTHER PLAN 29404 REBATES RECEIVABLE 57398 358878 X 3310341 0 3310341 0 3310341 3014463 0 3014463 0 3014463 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)9 OF THE INTERNAL REVENUE CODE, AND ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE, AND THE PLAN SPONSOR BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE INTERNAL REVENUE CODE. AS SUCH, INCOME EARNED IN THE PERFORMANCE OF ITS EXEMPT PURPOSE IS NOT SUBJECT TO INCOME TAX AND ACCORDINGLY, THE FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION FOR INCOME TAXES. MANAGEMENT HAS CONCLUDED THAT ANY UNCERTAIN TAX POSITIONS WOULD BE IMMATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT INCLUDE ANY PROVISION FOR UNCERTAIN TAX POSITIONS, AND NO RELATED INTEREST OR PENALTIES HAVE BEEN RECORDED. FORM 990, PART VI, SECTION A, LINE 8B N/A FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION REVIEWED AND SUBMITTED RETURN UPON COMPLETION BY PREPARER FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATION'S DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C NO CHANGES WILSON TRAILER COMPANY 4400 SOUTH LEWIS BLVD SIOUX CITY IA 51106 420603090 OTHER TRANSPORTATION EQUIPMENT MANUFACTURING IA S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0