2024-11-11T16:11:45-06:00 2023-12-31 561333355 LEEPER KEAN AND RUMLEY LLP 3623 N ELM ST STE 100 GREENSBORO NC 27455 990 2023-01-01 753249467 DIAGNOSTIC RADIOLOGY AND IMAGING LLC & AFFILIATES WELFARE BENEFIT PLAN TRUST DIAG 3362749617 1150 REVOLUTION MILL DRIVE SUITE 9 GREENSBORO NC 27405 JOHN A WATTS V MD MEMBER MANAGER 3362744285 2024-11-04 1 0 DEBORAH O ROBINSON P01229912 3362743700 2024-11-04 2023 2024-10-15 13:58:12Z JOHN A WATTS V MD 1150 REVOLUTION MILL DRIVE SUITE 9 GREENSBORO NC 27405 1281734 0 X N/A X 2004 NC TO EFFECT A VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION (VEBA) FOR DIAGNOSTIC RADIOLOGY AND IMAGING, LLC FOR THE PAYMENT OF MEDICAL EXPENSES. 1 1 0 0 0 0 0 0 1127442 1281734 0 0 0 0 1127442 1281734 0 0 1161865 1351022 0 0 0 0 0 0 0 1161865 1351022 -34423 -69288 265369 196081 0 0 265369 196081 X THE PURPOSE OF THE TRUST, AND THE PLAN TO WHICH IT RELATES, IS TO EFFECT A VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION (VEBA) FOR THE ELIGIBLE EMPLOYEES OF DIAGNOSTIC RADIOLOGY & IMAGING, LLC, AS SPECIFIED IN SECTION 501(C)(9) OF THE CODE, AND SECTIONS 4(A) AND 514 OF ERISA, FOR THE PAYMENT OF SPECIFIED MEDICAL EXPENSES. 0 0 1351022 0 1281734 BENEFITS PAID TO MEMBERS 1351022 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 1 1 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 1 1 0 0 0 X CHRISTOPHER W MATTERN 3362744285 1150 REVOLUTION MILL DRIVE SUITE 9 GREENSBORO NC 27405 CHRISTOPHER W MATTERN PRESIDENT 1.00 X 0 0 0 0 0 0 0 0 0 0 0 BENEFIT PLAN CONTRIBUT 900001 1281734 1281734 1281734 1281734 1281734 0 0 1351022 1351022 1351022 1351022 0 0 265369 196081 265369 196081 0 0 X 402022 402022 0 0 -136653 -205941 265369 196081 265369 196081 -69288 0 X 0 1 X 0 0 0 1281734 0 1281734 0 1281734 1351022 0 1351022 0 1351022 FORM 990, PART VI, SECTION A, LINE 7A THE TRUSTEE, WHO ALSO ACTS AS THE PLAN ADMINISTRATOR, IS THE ONLY MEMBER OF THE GOVERNING BODY OF THE TRUST. THE BOARD OF DIRECTORS FOR DIAGNOSTIC RADIOLOGY IMAGING, LLC HAVE THE AUTHORITY TO ELECT AND REMOVE THE TRUSTEE AND PLAN ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 7B THE PLAN ADMINISTRATOR MUST MAKE RECORDS OF HIS ACTS AND DECISIONS AS WELL AS KEEP ALL DATA, RECORDS, BOOKS OF ACCOUNT AND INSTRUMENTS PERTAINING TO PLAN ADMINISTRATION WHICH ARE SUBJECT TO INSPECTION OR AUDIT BY THE BOARD OF DIRECTORS AT ANY TIME. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE REVIEWED BY THE ONLY MEMBER OF THE TRUSTS' CURRENT GOVERNING BODY, CHRISTOPHER W. MATTERN, WHO IS THE CURRENT TRUSTEE AND PLAN ADMINISTRATOR AND HAS BEEN LISTED AS THE PRINCIPAL OFFICER OF THE TRUST ON PAGE 1 OF THIS RETURN. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. DIAGNOSTIC RADIOLOGY & IMAGING LLC 1150 REVOLUTION MILL DRIVE GREENSBORO NC 27405 562048775 RADIOLOGY SERVICES NC MCMS RIP LLC RELATED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0