2024-03-15T07:26:36-05:00 2023-04-30 581763439 WINDHAM BRANNON LLC 3630 PEACHTREE RD NE SUITE 600 ATLANTA GA 30326 990 2022-05-01 311741915 JEWISH FEDERATION OF GREATER ATLANTA HEALTH AND WELFARE JEWI 4048731661 1440 SPRING STREET NW ATLANTA GA 303092837 TIMOTHY HEMPHILL CFO 4048731661 2024-03-13 1 TIMOTHY HEMPHILL 999009999 0 CARLYE W DOOLEY P00292964 4048982000 2024-03-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TIMOTHY HEMPHILL 1440 SPRING STREET NW ATLANTA GA 30309 7434105 0 X N/A X 1999 GA THE TRUST IS CREATED AND WILL BE MAINTAINED TO PROVIDE EMPLOYEE HEALTH AND WELFARE BENEFITS FOR PARTICIPANTS, IN WHOLE OR IN PART, THROUGH ONE OR MORE INSURANCE CONTRACTS, TO PAY SUCH REASONABLE ADMINISTRATIVE EXPENSES AS THE PLAN TRUSTEES DETERMINE TO BE NECESSARY FOR THE ESTABLISHMENT AND OPERATION OF PLAN AND TRUST, AND TO PROTECT AND CONSERVE THE TRUST ASSETS FOR THE BENEFIT OF THE PARTICIPANTS. 6 6 0 6 0 0 0 0 6504061 7281870 97 6205 0 146030 6504158 7434105 0 0 6734491 6760338 0 0 0 0 0 934249 783671 7668740 7544009 -1164582 -109904 778235 560516 729436 621621 48799 -61105 X THE TRUST IS CREATED AND WILL BE MAINTAINED TO PROVIDE EMPLOYEE HEALTH AND WELFARE BENEFITS FOR PARTICIPANTS, IN WHOLE OR IN PART, THROUGH ONE OR MORE INSURANCE CONTRACTS, TO PAY SUCH REASONABLE ADMINISTRATIVE EXPENSES AS THE PLAN TRUSTEES DETERMINE TO BE NECESSARY FOR THE ESTABLISHMENT AND OPERATION OF PLAN AND TRUST, AND TO PROTECT AND CONSERVE THE TRUST ASSETS FOR THE BENEFIT OF THE PARTICIPANTS. 0 0 7521019 7427900 PROVIDE MEDICAL, DENTAL AND VISION BENEFITS TO 608 EMPLOYEES OF PARTICIPATING ORGANIZATION AND 197 OF THEIR DEPENDENTS. 7521019 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 GA X TIMOTHY HEMPHILL 4048731661 1440 SPRING STREET NW ATLANTA GA 30309 X TIM HEMPHILL TRUSTEE 1.00 X 0 0 0 SHANNON MACARTHUR TRUSTEE 1.00 X 0 0 0 ANGELA WILLIAMS-FOUNTAIN TRUSTEE 1.00 X 0 0 0 JANICE WOLF TRUSTEE 1.00 X 0 0 0 DANA KARDON TRUSTEE 1.00 X 0 0 0 MIRIAM CANN TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 0 INSURANCE PREMIUMS 525100 7281870 7281870 7281870 6205 6205 REBATES 524292 146030 146030 146030 7434105 7427900 0 6205 6760338 6760338 22990 22990 453334 453334 RETENTION FEES 113576 113576 NETWORK ACCESS FEES 100336 100336 SUPPORT SERVICES 72535 72535 D&O INSURANCE 20900 20900 7544009 7521019 22990 0 403431 104724 369577 451709 5227 4083 778235 560516 663164 555349 66272 66272 729436 621621 X 48799 -61105 48799 -61105 778235 560516 -109904 0 X 0 1 X 1 0 0 SUBSCRIBING EMPLOYERS DEPOSITS AND PREPAYMENTS 66272 66272 X 7434105 0 7434105 0 7434105 7544009 0 7544009 0 7544009 PART X, LINE 2: FIN 48 FOOTNOTE ON AUDITED FINANCIAL STATEMENTS: THE PLAN HAS OBTAINED AN EXEMPTION LETTER DATED DECEMBER 15, 2000 FROM THE INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE AND THE PLAN HAS NO INCOME SUBJECT TO UNRELATED BUSINESS INCOME TAX. THE PLAN'S INCOME TAX RETURNS FOR THE PAST THREE YEARS ARE SUBJECT TO EXAMINATION BY TAX AUTHORITIES AND MAY CHANGE UPON EXAMINATION. FORM 990, PART VI, SECTION A, LINE 6 PARTICIPATION IN THE TRUST IS OPEN TO ENTITIES THAT ARE TAX EXEMPT UNDER SECTION 501 (C)(3) OF THE CODE AND PROVIDE SERVICES TO THE JEWISH COMMUNITY WITHIN THE STATE OF GEORGIA OR WITHIN ANY POLITICAL JURISDICTION OR METROPOLITAN AREA OF THE STATE AT 4/30/23 THERE WERE 25 PARTICIPATING AGENCIES OF WHICH SIX WERE CONSTITUENT AGENCIES. FORM 990, PART VI, SECTION A, LINE 7A THE SIX CONSTITUENT AGENCIES APPOINT ONE TRUSTEE EACH. FORM 990, PART VI, SECTION B, LINE 11B DESIGNATED MEMBER(S) OF THE GOVERNING BODY REVIEW THE FORM 990. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS FOR THE TRUST ARE AVAILABLE TO THE PUBLIC UPON REQUEST.