2026-03-27T08:44:36-05:00 2025-08-31 410746749 CLIFTONLARSONALLEN LLP 14815 BALLANTYNE VILLAGE WAY SUITE 300 CHARLOTTE NC 28277 990 2024-09-01 876426781 KENTUCKY ASSOCIATION OF MANUFACTURERS GROUP INSURANCE TRUST KYAS 5023522485 P O BOX 4029 FRANKFORT KY 406044029 SHELLEY GOODWIN TRUSTEE 5023522485 2026-03-23 1 1 KAREN COLSCH CPA P00106450 7049985200 2026-03-23 2024 2025-03-06 01:10:19Z SHELLEY GOODWIN P O BOX 4029 FRANKFORT KY 406044029 9885909 0 X HTTPS://KAM.US.COM/MEMBER-BENEFITS/ X 2021 KY TO PROVIDE GROUP HEALTH INSURANCE AND OTHER WELFARE BENEFITS 4 4 0 0 0 0 0 0 8835073 9885909 0 0 0 0 8835073 9885909 0 0 8550927 9590039 0 0 0 0 0 286978 283827 8837905 9873866 -2832 12043 703736 1496632 609690 1390543 94046 106089 X TO PROVIDE GROUP HEALTH INSURANCE AND OTHER WELFARE BENEFITS TO THE MEMBERS AND EMPLOYEES OF THE KENTUCKY ASSOCIATION OF MANUFACTURERS (KAM), AS WELL AS QUALIFYING DEPENDENTS OF KAM, BY ISSUANCE OF ONE OR MORE FULLY INSURED INSURANCE POLICIES. 0 0 BEGINNING SEPTEMBER 1, 2021, KAM BEGAN PROVIDING GROUP HEALTH INSURANCE AND OTHER WELFARE BENEFITS TO THE MEMBERS AND EMPLOYEES OF KAM, AS WELL AS QUALIFYING DEPENDENTS OF KAM, BY ISSUANCE OF ONE OR MORE FULLY INSURED INSURANCE POLICIES. THE TRUST PROGRAM IS OVERSEEN BY AN ELECTED BOARD OF TRUSTEES (TRUSTEES). THE TRUSTEES TOGETHER WITH THE KAM PERFORM ALL OF THE ACTIVITIES REQUIRED TO ADMINISTER THE TRUST AND MAKE DECISIONS ON THE ON-GOING OPERATIONS OF THE TRUST IN THE BEST INTEREST OF THE PARTICIPANTS.THE PROGRAM ACTIVITIES INCLUDE THE FOLLOWING:-- THE SELECTION OF INSURANCE CARRIERS, BENEFIT PLANS AND BENEFIT LEVELS IN SOME SITUATIONS;-- THE SELECTION AND APPOINTMENT OF VENDORS INCLUDING BANKING SERVICES, CONTRACT ADMINISTRATOR, INVESTMENT MANAGER IF NEEDED, AUDITOR, AND ATTORNEY;-- THE SALES, AND MARKETING OF THE PROGRAM INCLUDING THE DEVELOPMENT OF COMMUNICATION MATERIALS, AND THE USE OF OUTSIDE SALES AGENTS IF NEEDED; AND-- THE GENERAL MANAGEMENT OF TRUST FUNDS AND ASSETS. 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 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X SHELLEY GOODWIN 5023522485 P O BOX 4029 FRANKFORT KY 406044029 FRANK JEMLEY TRUSTEE 1.00 X 0 0 0 SHELLEY GOODWIN TRUSTEE 1.00 X 0 0 0 CARYN DICKINSON TRUSTEE 0.50 X 0 0 0 MICK HENDERSON TRUSTEE 0.50 X 0 0 0 0 0 0 0 0 0 0 0 MEMBER CONTRIBUTIONS 525100 9861786 9861786 COBRA CONTRIBUTIONS 525100 24123 24123 9885909 9885909 9885909 0 0 9590039 157056 18900 2027 9672 KAM ASSOCIATION FEES 58972 BENEFITS CONSULTING FEE 37200 9873866 696717 1477799 3845 14193 3174 4640 703736 1496632 43620 16308 148502 170066 417568 1204169 609690 1390543 X 0 0 0 0 94046 106089 94046 106089 703736 1496632 12043 0 X X 0 1 X 1 0 0 INSURANCE RESERVE 1204169 1204169 X 9885909 0 9885909 0 9885909 9873866 0 9873866 0 9873866 PART X, LINE 2: THE VEBA TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE IRS DATED NOVEMBER 29, 2022, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)9 OF THE 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 FOR THE CURRENT YEAR ENDED AUGUST 31, FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE TRUST AND THE VEBA TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO OBTAIN TAX-EXEMPT STATUS OF THE TRUST. THE TRUST ADMINISTRATOR BELIEVES THAT THE TRUST IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC, AND THEREFORE, BELIEVES THAT THE TRUST QUALIFIES FOR TAX-EXEMPTION. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE 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 ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 0 0 0 PART I, LINE 3 NO MEMBER IS COMPENSATED FOR BEING ON THE BOARD OF DIRECTORS. ALL COMPENSATION IS THAT WHICH IS RECEIVED FOR OTHER DUTIES PROVIDED TO AND PAID BY A RELATED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, THEN THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990, AND THEN PROVIDES A COPY OF THE FORM 990 TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. 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