2026-07-16T14:00:18-05:00 2025-12-31 882730877 CHERRY BEKAERT ADVISORY LLC 3800 GLENWOOD AVE SUITE 200 RALEIGH NC 27612 990 2025-01-01 856586606 INDEPENDENT CARE HEALTH BENEFIT TRUST INDE 8554463227 110 DONMOOR COURT GARNER NC 27529 COLIN FELMET CHAIR OF THE BOARD OF TRUSTEES 8554463227 2026-07-15 1 MELANIE MCPEAK P01346034 9197821040 2025 2025-03-06 01:10:19Z COLIN FELMET 110 DONMOOR COURT GARNER NC 27529 14500643 0 X WWW.INDEPENDENTCARETRUST.ORG X 2021 NC THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT (MEWA) WHICH PROVIDES MEDICAL AND PRESCRIPTION DRUG BENEFITS FOR ITS MEMBERS AND THEIR DEPENDENTS. 4 0 0 1 91073 79967 0 0 9254507 9722608 162819 91073 0 4686962 9417326 14500643 0 0 8715641 10275845 0 0 0 0 0 2045590 1142291 10761231 11418136 -1343905 3082507 3900973 1937016 6134280 1087816 -2233307 849200 THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT (MEWA) WHICH PROVIDES MEDICAL AND PRESCRIPTION DRUG BENEFITS FOR ITS MEMBERS AND THEIR DEPENDENTS. 0 0 ALL FUNDS ARE USED FOR THE PURPOSE OF PROVIDING BENEFITS TO MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 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 1 0 1 0 1 1 0 0 0 0 0 0 0 X 4 0 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 NC X COLIN FELMET 9197452442 110 DONMOOR COURT GARNER NC 27529 L ALLEN DOBSON JR TRUSTEE 0.50 8.00 X 0 72000 0 COLIN FELMET TRUSTEE 0.50 39.50 X 0 339284 52336 CONRAD FLICK TRUSTEE 0.50 12.00 X 0 121560 0 JOSEPH MOOSE TRUSTEE 0.50 0.00 X 0 0 0 RONALD SMITH EXECUTIVE BUSINESS ADVISOR 20.00 20.00 X 0 549899 33337 0 1082743 85673 0 0 1 0 BLUE CROSS BLUE SHIELD OF NORTH CAROLINA PO BOX 580017 CHARLOTTE NC 282580017 THIRD PARTY ADMINISTRATOR 251970 VIMLY BENEFIT SOLUTIONS 12121 HARBOUR REACH DR STE 105 MUKILTEO WA 98275 BENEFITS CONSULTING 165000 SCOTT INSURANCE PO BOX 603438 CHARLOTTE NC 28260 BENEFITS CONSULTING 137500 3 MEDICAL PREMIUMS 900099 9722608 9722608 9722608 91073 91073 DEBT FORGIVENESS INCOME 900099 4686962 4686962 4686962 14500643 14409570 91073 0 10275845 6000 272112 822163 INCOME TAXES 35605 EXCISE TAXES 3218 BANK FEES 3193 11418136 509382 626057 3145324 1036382 19767 48077 226500 226500 3900973 1937016 801155 441653 5333125 646163 6134280 1087816 X 0 0 0 0 -2233307 849200 -2233307 849200 3900973 1937016 3082507 0 X X 0 1 X 1 0 0 SECURITY DEPOSIT 226500 226500 RELATED PARTY PROMISSORY NOTES & INTEREST PAYABLE 646163 646163 X 14526742 26099 26099 14500643 0 14500643 11384035 -60200 -60200 11444235 -26099 -26099 11418136 PART X, LINE 2: U.S. GAAP REQUIRES TRUST MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE TRUST AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE TRUST HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE TRUST IS SUBJECT TO AUDIT BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 2D - OTHER ADJUSTMENTS: STOP-LOSS INSURANCE REBATES 26,099. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET CHANGE IN BENEFIT OBLIGATIONS -60,200. PART XII, LINE 4B - OTHER ADJUSTMENTS: STOP-LOSS INSURANCE REBATES -26,099. 0 0 0 RONALD SMITH EXECUTIVE BUSINESS ADVISOR 0 444181 0 103644 0 2074 0 14194 0 19143 0 583236 0 0 COLIN FELMET TRUSTEE 0 260450 0 77600 0 1234 0 17484 0 34852 0 391620 0 0 PART I, LINE 3 INDEPENDENT CARE HEALTH BENEFIT TRUST DOES NOT HAVE ANY EMPLOYEES AND DOES NOT SEPARATELY ESTABLISH COMPENSATION FOR A CEO/EXECUTIVE DIRECTOR. INDIVIDUALS PERFORMING WORK FOR THE ORGANIZATION ARE EMPLOYED BY COMMUNITY CARE OF NORTH CAROLINA, INC. ("CCNC"), A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 3 ALL MANAGEMENT DUTIES ARE PERFORMED BY THE SPONSORING ORGANIZATION, COMMUNITY CARE OF NORTH CAROLINA INC. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO SUCH COMMITTEES REQUIRING MINUTES. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS PROVIDED TO MEMBERS OF THE BOARD FOR APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES RECEIVE ANNUAL TRAINING ON THE CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. ANY POTENTIAL CONFLICTS ARE NOTED IN THE MINUTES OF THE MEETING IN WHICH THE CONFLICT ARISES. THE RECORDS ARE REVIEWED ANNUALLY TO ENSURE COMPLIANCE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS MAY BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. PART XII, LINE 1 THE ORGANIZATION USES THE LIQUIDATION METHOD FOR THE BASIS OF ACCOUNTING. THE ORGANIZATION VOTED TO DISSOLVE THE TRUST JULY 2, 2024. ON DECEMBER 31, 2025, THE TRUST CEASED OPERATIONS. LIQUIDATION OF REMAINING ASSETS IS EXPECTED TO OCCUR DECEMBER 31, 2026. COMMUNITY CARE OF NORTH CAROLINA INC 110 DONMOOR COURT GARNER NC 27529 463355510 FOSTER AND ENHANCE QUALITY, EFFICIENCY AND ACCESS TO HEALTH CARE NC 501(C)(3) LINE 7 0 NORTH CAROLINA COMMUNITY CARE NETWORKS INC 110 DONMOOR COURT GARNER NC 27529 205408367 BUILD AND SUPPORT BETTER COMMUNITY BASED HEALTH CARE SYSTEMS NC 501(C)(3) LINE 7 COMMUNITY CARE OF NORTH CAROLINA 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1