2024-11-18T13:51:21-06:00 2023-12-31 340677006 MALONEY NOVOTNY LLC 1111 SUPERIOR AVE SUITE 700 CLEVELAND OH 441142540 990 2023-01-01 882122382 MISSION BASED HEALTH BENEFITS INC MISS 5173233687 201 N WASHINGTON SQ STE 920 LANSING MI 48933 DAVID HERBEL EXECUTIVE TRUSTEE 5173233687 2024-11-18 1 0 DAVID O REYES P00165377 2163630100 2023 2024-10-15 13:58:12Z X X DAVID HERBEL 201 N WASHINGTON SQ STE 920 LANSING MI 48933 3571421 0 X X 2023 MI SEE SCHEDULE O 5 5 0 0 15130 14130 0 3556291 15130 0 3571421 0 3110939 0 0 0 568338 3679277 -107856 1246217 218225 1027992 THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT (MEWA) WHICH PROVIDES MEDICAL, DENTAL, AND VISION INSURANCE FOR PLAN PARTICIPANTS AND THEIR DEPENDENTS. 0 0 3679277 MISSION BASED HEALTH BENEFITS PROVIDES SELF FUNDED HEALTH AND WELFARE BENEFITS TO PARTICIPATING EMPLOYERS AND THEIR ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. 3679277 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 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 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 X DAVID HERBEL 5173233687 201 N WASHINGTON SQ STE 920 LANSING MI 48933 RICH ACHO TRUSTEE 1.00 X 0 0 0 JOANNE REYNOLDS TRUSTEE 1.00 X 0 0 0 DAVE BOS TRUSTEE 1.00 X 0 0 0 DAVE GEHM TRUSTEE 1.00 X 0 0 0 DAVID HERBEL EXECUTIVE TRUSTEE 15.00 40.00 X 0 341078 52961 0 341078 52961 0 0 1 0 0 CONTRIB.-EMPLOYERS 525100 3283045 3283045 CONTRIB.-EMPLOYEES 525100 273246 273246 3556291 15130 15130 3571421 3556291 15130 0 3110939 3110939 25000 25000 208616 208616 3780 3780 12139 12139 OTHER ADMINISTRATIVE EX 318803 318803 3679277 3679277 0 0 0 37565 0 771450 0 435554 0 1648 0 1246217 0 145120 0 73105 0 218225 X 0 1027992 0 1027992 0 1246217 X -107856 -4000 1139848 X 0 1 X 1 0 0 3373 ACCRUED EXPENSES AND OTHER LIABILITIES 69732 73105 3567421 -4000 -4000 3571421 0 3571421 3679277 0 3679277 0 3679277 0 0 0 DAVID HERBEL EXECUTIVE TRUSTEE 0 341078 0 0 0 0 0 40282 0 12679 0 394039 0 0 FORM 990, PART 1, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT (MEWA) WHICH PROVIDES MEDICAL, DENTAL, AND VISION INSURANCE FOR PLAN PARTICIPANTS AND THEIR DEPENDENTS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM. THE RETURN IS THEN REVIEWED BY THE EXECUTIVE DIRECTOR WHO THEN MAKES RECOMMENDATIONS TO THE TRUSTEES RELATED TO THE RETURN. AFTER THE TRUSTEES UNDERSTAND THE 990 AND BELIEVE IT TO BE CORRECT, THE EXECUTIVE DIRECTOR RETURNS THE E-FILING AUTHORIZATION AND THE TAX PREPARER FILES THE RETURN ELECTRONICALLY. CONFIRMATION OF THE ACCEPTANCE OF THE FORM 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ARE REQUIRED TO FILL OUT A DISCLOSURE FORM ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE MADE AVAILABLE TO PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFERS FROM OTHER PLANS 1,139,848. LEADING AGE MICHIGAN 201 N WASHINGTON SQUARE 920 LANSING MI 48933 382058975 ADVOCACY AND EDUCATION MI 501(C)(6) N/A 0 LEADING AGE MICHIGAN KALAMAZOO ARE CHRISTIAN RETIREMENT ASSOCIATION INC DBA PARK VILLAGE PINES LUTHERAN HOMES OF MICHIGAN DBA WELLSPRING LUTHERAN SERVICES SILVER MAPLES OF CHELSEA LOURDES INC LIFECARE INC DBA FRIENDSHIP VILLAGE 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 LEADING AGE MICHIGAN O 71240 CONTRACTED RATE