2024-11-14T12:24:36-06:00 2023-12-31 390758449 WIPFLI LLP 43 CONSTITUTION DRIVE SUITE 100 BEDFORD NH 03110 990 2023-01-01 811493488 NEW HAMPSHIRE AUTOMOBILE DEALERS HEALTH INSURANCE TRUST NEWH 6032242369 507 SOUTH STREET BOW NH 03304 DANIEL BENNETT PRESIDENT 6032242369 2024-11-13 1 1 LANCE R TURGEON P00627708 6036273838 2024-11-13 2023 2024-10-15 13:58:12Z DANIEL BENNETT 507 SOUTH STREET BOW NH 03304 11976697 0 X HTTP://WWW.NHADA.COM/WEB/INSURANCE_SOLUTIONS/INSU X 2016 NH TO PROVIDE GROUP HEALTH INSURANCE BENEFITS TO EMPLOYEES OF THE NEW HAMPSHIRE AUTO DEALERS ASSOCIATION MEMBER EMPLOYERS WHO ELECT TO PARTICIPATE IN THE TRUST. 2 2 0 2 0 0 0 0 11716789 11976697 0 0 0 0 11716789 11976697 0 0 11344716 11640249 214523 205784 0 0 0 106200 95468 11665439 11941501 51350 35196 208311 254243 8472 19208 199839 235035 TO PROVIDE GROUP HEALTH INSURANCE BENEFITS TO EMPLOYEES OF THE NEW HAMPSHIRE AUTO DEALERS ASSOCIATION MEMBER EMPLOYERS WHO ELECT TO PARTICIPATE IN THE TRUST. 0 0 11941501 0 11976697 THE INSURANCE TRUST OFFERS MEDICAL INSURANCE TO MEMBERS. THE TRUST OFFERS INSURANCE BENEFITS TO 129 EMPLOYER MEMBER GROUPS, COVERING APPROXIMATELY 906 PARTICIPANTS (COUNT INCLUDES ONLY EMPLOYEE SUBSCRIBED, NOT THEIR DEPENDENTS IF APPLICABLE) AT DECEMBER 31, 2023. 11941501 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 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 2 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JANICE PULOMENA 6032242369 507 SOUTH STREET CONCORD NH 03302 JEFF PLATEK TRUSTEE 1.00 X 0 0 0 BARRY EISENBERG TRUSTEE 1.00 X 0 0 0 DANIEL BENNETT OFFICER 4.00 36.00 X 18628 167651 22500 JANICE PULOMENA OFFICER 4.00 36.00 X 9828 88454 0 PETER SHEFFER DIRECTOR OF WORKERS COMPENSATION 4.00 36.00 X 16550 148948 23896 LORI PREVE LICENSED INSURANCE PRODUCE 20.00 20.00 X 65798 65798 15322 110804 470851 61718 0 0 1 0 0 GROSS PREMIUM INCOME 525100 11643046 11643046 SERVICE INCOME 900099 333651 333651 11976697 11976697 11976697 0 0 11640249 45006 160778 1125 313 14000 4211 7959 34713 13572 1143 1400 14141 TELEPHONE 1560 REPAIRS AND MAINTENANCE 890 MISCELLANEOUS 289 POSTAGE 112 40 11941501 157581 216577 38920 22805 11810 14861 208311 254243 8472 19208 8472 19208 X 0 0 0 0 199839 235035 199839 235035 208311 254243 35196 0 X 0 1 X 1 0 0 X 11976697 0 11976697 0 11976697 11941501 0 11941501 0 11941501 PART X, LINE 2: THE TRUST HAS QUALIFIED AS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(9). THE TRUST INTENDS TO CONTINUE TO COMPLY WITH ALL REQUIREMENTS NECESSARY TO MAINTAIN ITS TAX-EXEMPT STATUS. THE TRUST IS ALSO EXEMPT FROM STATE INCOME TAXES BY VIRTUE OF ITS ONGOING EXEMTION FROM FEDERAL INCOME TAXES. THE TRUST'S MANAGEMENT EVALUATED TAX POSITIONS TAKEN BY THE TRUST AND RECOGNIZES A TAX LIABILITY IF THE TRUST HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY APPLICABLE TAX AUTHORITIES. THE TRUST'S MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE TRUST AND HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY. 1 X X X X X X 0 1 0 DANIEL BENNETT OFFICER 18628 167651 0 0 0 0 2250 20250 0 0 20878 187901 0 0 PETER SHEFFER DIRECTOR OF WORKERS COMPENSATION 16550 148948 0 0 0 0 2390 21506 0 0 18940 170454 0 0 NATIONAL POWERSPORTS DISTRIBUTORS TRUSTEE SERVES AS AN OFFICER OF THE ORGANIZATION 280670 AMOUNT PAID TO NEW HAMPSHIRE AUTO DEALERS HEALTH INSURANCE TRUST FOR INSURANCE COVERAGE 0 BETLEY CHEVROLET TRUSTEE SERVES AS AN OFFICER OF THE ORGANIZATION 326887 AMOUNT PAID TO NEW HAMPSHIRE AUTO DEALERS HEALTH INSURANCE TRUST FOR INSURANCE COVERAGE 0 PART IV A TRUSTEE OF THE NEW HAMPSHIRE AUTOMOBILE DEALERS HEALTH INSURANCE TRUST IS AN OFFICER OF A MEMBER WHO PARTICIPATES IN THE INSURANCE PROGRAM THAT THE TRUST OFFERS. THE TRANSACTION REPORTED ARE PAYMENTS OF INSURANCE PREMIUMS TO THE TRUST FOR THE MEMBERS EMPLOYEES INSURANCE COVERAGE. FORM 990, PART VI, SECTION A, LINE 6 PARTICIPATING EMPLOYERS MEET ANNUALLY AND HAVE THE ABILITY TO VOTE ON TRUSTEES AND MAY AT A 50% OR GREATER VOTE DIRECT TRUSTEES ON ANY ACTION TAKEN. FORM 990, PART VI, SECTION A, LINE 7A TRUSTEES ARE ELECTED BY THE MAJORITY OF THE PARTICIPATING EMPLOYERS. FORM 990, PART VI, SECTION A, LINE 7B PARTICIPATING EMPLOYERS HAVE THE ABILITY TO VOTE ON ANY DECISIONS MADE BY THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B EACH OF THE TRUSTEES ARE GIVEN A COPY OF THE FORM 990 TO REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. TRUSTEES REVIEW AND VOTE ON THE FORM 990 AND ON THE COMPILATION REPORT. FORM 990, PART VI, SECTION B, LINE 12C THE TRUST HAS A FORMAL "CONFLICT OF INTEREST POLICY AND "DIRECTOR INDEPENDENCE POLICY" WHICH ARE GIVEN TO EACH TRUSTEE ALONG WITH A "TRUSTEE INDEPENDENCE QUESTIONNAIRE" EACH YEAR. THE QUESTIONNAIRE MUST BE SIGNED AND RETURNED TO THE OFFICE OF THE TRUST. FORM 990, PART VI, SECTION C, LINE 19 THE TRUST DOES NOT MAKE DOCUMENTS AVAILABLE TO THE PUBLIC. DOCUMENTS ARE AVAILABLE UPON REQUEST TO MEMBERS. PART V LINE 2 THE TRUST DOES NOT HAVE ANY EMPLOYEES, HOWEVER, AN AFFILIATED ORGANIZATION, NH AUTOMOBILE DEALERS SERVICES, INC. EMPLOYS STAFF THAT PERFORMS SERVICES TO THE TRUST. THEIR SALARY AND BENEFITS ARE TRACKED BY TIME STUDIES AND ALLOCATED TO THE TRUST FOR REIMBURSEMENT. AMOUNTS REPORTED ON PART VII AS PAID BY FROM THE ORGANIZATION REPRESENT THE ALLOCATED SALARY AND BENEFITS. NH AUTOMOBILE DEALERS SERVICES, INC. FILES ALL REQUIRED PAYROLL RETURNS FOR ITS EMPLOYEES. NEW HAMPSHIRE AUTO DEALERS ASSOCIATION 507 SOUTH STREET BOW NH 03304 020243354 AUTO DEALERS MEMBERSHIP ORGANIZATION 501(C)(6) 0 NEW HAMPSHIRE AUTOMOBILE DEALERS SERVICES INC 507 SOUTH STREET BOW NH 03304 020328805 ADMINISTRATOR, PARTICIPATING EMPLOYER NEW HAMPSHIRE AUTOMOBILE DEALERS ASSOCIATION C 0 5 STAR TOWING LLC PARTICIPATING EMPLOYER 0 ACCOMPLISHED AUTO PARTICIPATING EMPLOYER 0 ALEKSA AUTO INC PARTICIPATING EMPLOYER 0 ALTON MOTORSPORTS COMPANY PARTICIPATING EMPLOYER 0 ARGO CYCLES INC PARTICIPATING EMPLOYER 0 AUTO CARE PLUS PARTICIPATING EMPLOYER 0 AUTOMOTIVE EXCESS LLC PARTICIPATING EMPLOYER 0 AUTOSOUNDS OF NH PARTICIPATING EMPLOYER 0 AUTOWORLD PARTICIPATING EMPLOYER 0 B & L TRANSMISSIONS LLC PARTICIPATING EMPLOYER 0 BELKNAP SUBARU INC PARTICIPATING EMPLOYER 0 BEN'S AUTO BODY INC PARTICIPATING EMPLOYER 0 BOB LEAVITT AUTO & TRUCK PARTICIPATING EMPLOYER 0 BOW AUTO SALVAGE INC PARTICIPATING EMPLOYER 0 BRADLEY MOTORS INC PARTICIPATING EMPLOYER 0 BRANDY BROW AUTO PARTS INC 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