2025-11-10T16:48:01-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN 1 CAPITAL WAY CRANSTON RI 02910 990 2024-01-01 203970900 OBI RETIREE MEDICAL VOLUNTARY EMPLOYEE BENEFITS ASSOCIATION OBIR 9784576021 PO BOX 133 LONDONDERRY NH 03053 LAURIE KIRICOPLES TRUSTEE 9784576021 2025-11-05 1 1 DAVID FONTES P01300684 4012725600 2025-11-05 2024 2025-03-06 01:10:19Z LAURIE KIRICOPLES PO BOX 133 LONDONDERRY NH 03053 2298871 0 X N/A X 2006 MA THE ORGANIZATION WAS ESTABLISHED FOR THE PURPOSE OF SPONSORING AND ADMINISTERING THE OBI RETIREE BENEFIT PLAN AND SUCH OTHER PLAN OR PLANS WHICH MAY BE ADOPTED AND SPONSORED PURSUANT TO THE TERMS OF THIS CHARTER. 3 0 0 0 116195 0 0 0 0 0 88342 116195 115126 105733 203468 221928 0 0 92092 75594 102549 102670 0 0 0 7862 34190 202503 212454 965 9474 2859569 2903513 0 0 2859569 2903513 THE ORGANIZATION WAS ESTABLISHED FOR THE PURPOSE OF SPONSORING AND ADMINISTERING THE OBI RETIREE BENEFIT PLAN AND SUCH OTHER PLAN OR PLANS WHICH MAY BE ADOPTED AND SPONSORED PURSUANT TO THE TERMS OF THIS CHARTER. 0 0 PAYMENT OF BENEFITS TO MEMBERS OR THEIR DEPENDENTS, OR DESIGNATED BENEFICIARIES. 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 X 3 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 1 1 0 X THE ORGANIZATION 9784576021 PO BOX 133 LONDONDERRY NH 03053 ROBERT GOWDY TRUSTEE 2.00 X X 30000 0 0 LAURIE KIRICOPLES TRUSTEE 8.00 X X 32000 0 0 THOMAS FORD TRUSTEE 4.00 X X 32000 0 0 PNC BANK CUSTODIAL TRUSTEE 5.00 X 8670 0 0 102670 0 0 0 0 0 0 0 93138 93138 2100000 2076943 23057 23057 23057 ANNUITY INCOME 524113 78273 78273 ADMINISTRATIVE FEE INCOME 524292 27460 27460 105733 221928 0 116195 105733 75594 102670 28139 4570 236 BANK FEES 997 IRS PCORI FEES 248 212454 400 378 730927 761330 2076943 2090506 51299 51299 2859569 2903513 0 0 X 2859569 2903513 2859569 2903513 2859569 2903513 9474 34470 0 X X 0 1 X 0 0 0 X 256398 34470 34470 221928 0 221928 212454 0 212454 0 212454 PART X, LINE 2: THE VEBA TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED SEPTEMBER 18, 2006, STATING THAT THE TRUST IS TAX EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)9 OF THE INTERNAL REVENUE CODE (IRC). HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2024 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. MODIFIED CASH BASIS REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. SCHEDULE D PART XIII: THE PLAN'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES GENERALLY FOR THE YEARS ENDED AFTER DECEMBER 31, 2021. INTEREST AND PENALTIES RELATED TO INCOME TAX DEFICIENCIES OR ASSESSMENTS ARE REPORTED AS TAXES. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES REVIEWS AND APPROVES A DRAFT OF FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES HOLDS MEETINGS THROUGHOUT THE YEAR AND REVIEWS ANY POTENTIAL CONFLICT OF INTEREST PRIOR TO ENGAGING IN ANY TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS ABIDES BY THE ORGINAL PLAN DOCUMENT REGARDING SET FEES TO BE PAID OUT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION ISSUES A SUMMARY ANNUAL REPORT TO MEMBERS ANNUALLY INFORMING THEM THAT THE FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW UPON REQUEST. THE FINANCIAL STATEMENTS ARE ALSO MADE AVAILABLE THROUGH THE U.S. DEPARTMENT OF LABOR EFAST WEBSITE. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.