2024-07-15T09:14:41-05:00 2023-08-31 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2022-09-01 426365229 HARBOR GROUP INSURANCE TRUST HARB 7127221660 PO BOX 260 SIOUX CENTER IA 51250 JOEL VAN EGDOM CFO 7127221660 2024-07-12 1 JOEL VAN EGDOM 999009999 1 LAURIE HANSON CPA P00851848 6053391999 2024-07-12 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOEL VAN EGDOM PO BOX 260 SIOUX CENTER IA 51250 12778981 0 X N/A X 1984 IA HEALTH, DENTAL, VISION, LT & ST DISABILITY & DEATH BENEFITS FOR EMPLOYEES AND ELIGIBLE DEPENDENTS. 3 3 0 3 10978 9978 0 0 10656186 12768003 2662 10978 0 0 10658848 12778981 0 0 8499192 9849228 0 0 0 0 0 2186305 2457974 10685497 12307202 -26649 471779 2228974 2431283 347907 78437 1881067 2352846 NONE 0 0 THE PLAN PROVIDES HEALTH, PRESCRIPTION DRUG, DENTAL, VISION, LONG-TERM AND SHORT-TERM DISABILITY, DEPENDENT CARE AND MEDICAL EXPENSE REIMBURSEMENT, IDENTITY PROTECTION MONITORING, AND LIFE, CANCER, ACCIDENT, AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE BENEFITS COVERING ELIGIBLE EMPLOYEES OF HARBOR GROUP, INC. AND ITS SUBSIDIARIES. THERE WERE 1025 ACTIVE PARTICIPANTS IN THE PLAN AND 6 RETIRED OR SEPARATED PARTICIPANTS RECEIVING BENEFITS AT YEAR END. 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 1 1 0 0 0 0 0 0 0 X 3 3 1 0 0 0 1 1 1 1 0 0 0 1 0 0 0 0 0 0 X SHARON AMMONS-FIEKEMA 7128906219 1400 7TH AVE NE SIOUX CENTER IA 51250 JOEL VAN EGDOM CFO 0.20 45.00 X X 0 0 0 SHARON AMMONS-FIEKEMA ACCOUNTING MANAGER 0.50 45.00 X 0 0 0 ERIC JENSEN HR DIRECTOR 0.20 45.00 X 0 0 0 0 0 0 0 0 0 0 WELLMARK BLUE CROSS AND BLUE SHIELD OF I PO BOX 9124 DES MOINES IA 503069124 ADMINISTRATIVE FEES 571973 1 EMPLOYER CONTRIBUTIONS 525100 9357844 9357844 EMPLOYEE CONTRIBUTIONS 525100 3410159 3410159 12768003 10978 10978 12778981 12768003 10978 0 9849228 733286 INSURANCE PREMIUMS 1724162 TAX EXPENSE 526 12307202 2024468 2121556 204506 309727 2228974 2431283 347907 78437 347907 78437 X 0 0 0 0 1881067 2352846 1881067 2352846 2228974 2431283 471779 0 X 0 1 X 1 0 0 PHARMACY REBATES RECEIVABLE 309727 309727 X 12778981 0 12778981 0 12778981 12307202 0 12307202 0 12307202 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 (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION A, LINE 2 JOEL VAN EGDOM HAS A BUSINESS RELATIONSHIP WTIH RONALD HEEMSTRA AND ERIC JENSEN. FORM 990, PART VI, SECTION A, LINE 6 THIS IS A TRUST ESTABLISHED BY HARBOR GROUP, INC. AND INTERSTATES CONSTRUCTION SERVICES, INC. AND ITS AFFILIATES. FORM 990, PART VI, SECTION A, LINE 7A THE COMPANY MAY REMOVE AND APPOINT TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B TERMINATION OF THE TRUST, OR REMOVAL OF A TRUSTEE MUST BE APPROVED BY THE COMPANY. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE TRUSTEES REVIEW THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15 THE TRUST DOES NOT COMPENSATE ANY OF THE TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE FOR PUBLIC INSPECTION. INTERSTATES INC PO BOX 260 1400 7TH AVE NE SIOUX CENTER IA 51250 420932098 ELECTRICAL CONTRACTING IA N/A C 0 HARBOR GROUP INC PO BOX 260 1400 7TH AVE NE SIOUX CENTER IA 51250 421492435 PARENT COMPANY IA N/A C 0 INTERSTATE ENGINEERING INC PO BOX 260 1400 7TH AVE NE SIOUX CENTER IA 51250 421480811 ELECTRICAL ENGINEERING IA N/A C 0 INTERSTATES CONTROL SYSTEMS INC PO BOX 260 1400 7TH AVE NE SIOUX CENTER IA 51250 421460178 INACTIVE IA N/A C 0 IEEC TRANSPORTATION & LEASING CO PO BOX 260 1400 7TH AVE NE SIOUX CENTER IA 51250 421278091 AUTO AND AIRPLANE LEASING IA N/A C 0 INTERFAB LLC PO BOX 260 1400 7TH AVE NE SIOUX CENTER IA 51250 262960994 INACTIVE IA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 SCHEDULE R, PART IV THE FOLLOWING CORPORATIONS BECAME INACTIVE EFFECTIVE JANUARY 1, 2020: INTERSTATES CONTROL SYSTEM, INC. INTERFAB, LLC