2025-02-28T15:49:28-06:00 2024-06-30 141567370 NUGENT & HAEUSSLER PC 101 BRACKEN ROAD MONTGOMERY NY 12549 990 2023-07-01 223012801 PORT JERVIS TEACHERS' ASSOCIATION BENEFIT FUND PORT 8458583100 HBE SCHOOL 929 ROUTE 209 CUDDEBACKVILLE NY 12729 MEREDITH BURNS TREASURER 8458583100 2025-02-20 1 0 MARK M LEVY CPA P01061802 8454571100 2025-02-20 2023 2025-03-06 01:10:19Z CAROL BROWN ROUTE 209 PORT JERVIS NY 12771 412886 0 X N/A X NY DENTAL AND VISION BENEFITS PAID TO REIMBURSE EMPLOYEES OF THE PORT JERVIS SCHOOL DISTRICT 5 5 0 0 0 0 0 0 409816 412873 13 13 0 0 409829 412886 0 0 390619 347144 0 0 0 0 0 47721 49282 438340 396426 -28511 16460 172586 163295 55897 30146 116689 133149 THE PLAN PROVIDES DENTAL AND VISION BENEFITS COVERING EMPLOYEES OF THE PORT JERVIS SCHOOL DISTRICT. 0 0 361544 412873 DENTAL AND VISION BENEFITS PAID TO REIMBURSE EMPLOYEES OF THE PORT JERVIS SCHOOL DISTRICT 361544 0 0 0 0 0 0 0 0 0 1 0 0 0 1 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 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 0 0 0 X X MEREDITH BURNS 8458583100 HAMILTON BICENTENNIAL ELEMENTARY PORT JERVIS NY 12771 CAROL BROWN CHAIRPERSON 1.00 X X 12000 0 0 MEREDITH BURNS SEC'TY/TREASURER 1.00 X X 7400 0 0 JOSEPH BECKER TRUSTEE 1.00 X 0 0 0 JENNY MCELROY TRUSTEE 1.00 X 0 0 0 KATHRYN HELMS TRUSTEE 1.00 X 0 0 0 19400 0 0 0 0 0 0 0 PORT JERVIS SCHOOL DIS 525100 373215 373215 MEMBER CO-PAYMENTS 525100 37320 37320 COBRA PARTICIPANT 525100 2338 2338 412873 13 13 412886 412873 0 13 347144 347144 5000 5000 5850 5850 STIPENDS 19400 19400 ADMINISTRATOR'S FEE 14400 14400 SUPPLIES 1723 1723 STORAGE RENTAL 1545 1545 1364 1364 396426 361544 34882 0 59582 43285 110921 117927 2083 2083 2699 2699 0 0 172586 163295 11165 11515 44732 18631 55897 30146 X 0 0 0 0 116689 133149 116689 133149 172586 163295 16460 0 X 0 1 X 1 0 2699 2699 0 0 CLAIMS PAYABLE 11128 ESTIMATED CLAIMS INCURRED BUT NOT REPORTED 7503 18631 412886 0 412886 0 412886 396426 0 396426 0 396426 FORM 990, PART VI, SECTION A, LINE 8B THE PORT JERVIS TEACHERS' ASSOCIATION BENEFIT FUND ONLY HAS A BOARD OF TRUSTEES. THE TRUSTEES ARE NOT DIVIDED INTO SPECIAL COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN ACCOUNTANT WITH THE USE OF THE PORT JERVIS TEACHERS' ASSOCIATION BENEFIT FUND FINANCIAL RECORDS. ONCE THE FORM 990 IS COMPLETE, THE RETURN IS GIVEN TO THE PORT JERVIS TEACHERS' ASSOCIATION BENEFIT FUND BOARD OF TRUSTEES. THE TRUSTEES THEN VERIFY THAT THE FORM IS FILLED OUT CORRECTLY. ONCE THE TRUSTEES HAVE GIVEN THEIR APPROVAL FOR THE FORM 990, THE RETURN IS THEN GIVEN TO THE TREASURER TO SIGN AND RETURN TO THE ACCOUNTANT. AFTER THE RETURN HAS BEEN SIGNED BY THE TREASURER AND RETURNED TO THE ACCOUNTANT'S OFFICE, THE ACCOUNTANT WILL SUBMIT THE FORM 990 TO THE GOVERNMENT ELECTRONICALLY. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE BOARD OF TRUSTEES WILL DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON ANOTHER WEBSITE AND UPON REQUEST.