2024-01-18T13:35:21-06:00 2023-06-30 141761666 COOPER ARIAS LLP 892 RT 17B PO BOX 190 MONGAUP VALLEY NY 12762 990 2022-07-01 100007034 WESTERN SULLIVAN UNITED TEACHERS & SRP BENEFIT TRUST WEST 8459328401 6604 STATE ROUTE 52 LAKE HUNTINGTON NY 12752 JENNA SAYERS TRUST CHAIR 8459328401 2023-12-12 1 JENNA SAYERS 999009999 1 SUSAN M PETERS CPA P00631147 8457961800 2023-12-11 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PADRAIC MCCARTHY 6604 STATE ROUTE 52 LAKE HUNTINGTON NY 12752 343820 0 X N/A X 2001 NY PROVIDE BENEFITS TO ITS MEMBERS 3 3 0 0 0 0 0 0 325452 343653 155 167 0 0 325607 343820 0 0 312059 305024 1000 1000 0 0 0 1846 4925 314905 310949 10702 32871 416379 449250 0 0 416379 449250 X PROVIDE BENEFITS TO ITS MEMBERS 0 0 189306 DENTAL INSURANCE WAS PROVIDED TO 191 MEMBERS THROUGH A CONTRACT WITH DELTA DENTAL 13248 GROUP LEGAL WAS PROVIDED TO 179 MEMBERS THROUGH A CONTRACT WITH UNUM 33786 LONG TERM DISABILITY WAS PROVIDED TO 180 MEMBERS THROUGH A CONTRACT WITH UNUM 44137 SUPPLEMENTAL FLEX PROVIDED FOR 74 MEMBERS THROUGH PREFERRED GROUP 24547 VISION INSURANCE WAS PROVIDED TO 174 MEMBERS THROUGH A CONTRACT WITH NYSUT MEMBER BENEFITS 68684 305024 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X JASON CLARK 8459328401 6604 STATE ROUTE 52 LAKE HUNTINGTON NY 12752 PADRAIC MCCARTHY TRUST CHAIR 2.00 X 0 0 0 JASON CLARK TREASURER 2.00 X 0 1000 0 0 1000 0 0 0 0 0 0 DISTRICT PAYMENT 525920 302587 302587 PAYROLL CONTRIBUTIONS 525920 21344 21344 SUPPLEMENTAL FLEX 525920 18009 18009 FAMILY BUY UP 525920 1713 1713 343653 167 167 343820 343653 0 167 305024 305024 1000 1000 3729 3729 146 146 1050 1050 310949 305024 5925 0 90385 123247 325556 325711 1460 1168 438 292 416379 449250 0 0 X 416379 449250 416379 449250 416379 449250 32871 0 X 0 0 0 1460 1168 292 292 FORM 990, PART VI, SECTION B, LINE 11B THE BOARD RECEIVES A COPY OF THE RETURN AND THEY REVIEW IT AS A WHOLE. AFTER THIS PROCESS, THE SIGNED E-FILE AUTHORIZATION IS RETURNED TO THE TAX PREPARER FOR FILING OF THE RETURN. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, COPIES OF TAX RETURNS AND OTHER PUBLIC DOCUMENTS ARE PREPARED AND GIVEN TO THE REQUESTOR.