2023-11-14T11:49:24-06:00 2022-12-31 480567703 KCOE ISOM LLP 1821 SOUTH AVENUE WEST 5TH FLOOR MISSOULA MT 59801 990 2022-01-01 856783886 DICK ANDERSON CONSTRUCTION INC HEALTH AN DICK 4064433225 3424 E US HWY 12 HELENA MT 596019708 COREY MCGREEVEY CFO 4064433225 2023-11-09 1 COREY MCGREEVEY XXX-XX-XXXX 0 JILL GALLE P01330243 4067217800 2023-11-06 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z COREY MCGREEVEY 3424 HIGHWAY 12 EAST HELENA MT 59601 7323448 0 X DACONSTRUCTION.COM X 2020 MT GROUP HEALTH PLAN TRUST TO PROVIDE HEALTH AND MEDICAL REIMBURSEMENT TO EMPLOYEES 4 4 0 4 142 0 0 0 5780670 7323306 149 142 0 0 5780819 7323448 0 0 4758770 5413071 0 0 0 0 0 1162830 1201247 5921600 6614318 -140781 709130 1064570 1771541 535411 690252 529159 1081289 TO PROVIDE MEDICAL AND HEALTH REIMBURSEMENT TO EMPLOYEES. 0 0 PAYMENT OF HEALTH & WELFARE BENEFIT CLAIMS FOR PARTICIPANTS COVERED UNDER THE GROUP BENEFITS PLAN AND GROUP RETIREMENT HEALTH PLAN. 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 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X DICK ANDERSON CONSTRUCTION 4064433225 3424 HIGHWAY 12 EAST HELENA MT 59601 X MARTIN SCHUMA TRUSTEE 1.00 X X 0 0 0 ALLAN FRANKL TRUSTEE 1.00 X X 0 0 0 COREY MCGREEVEY TRUSTEE 1.00 X X 0 0 0 ANNIE RASMUSSEN TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD 3645 ALICE STREET HELENA MT 59604 ADMINISTRATIVE 279173 1 EMPLOYER CONTRIBUTIONS 525100 7113861 7113861 EMPLOYEE HSA CONTRIBUT 525100 144692 144692 COBRA CONTRIBUTIONS 525100 64753 64753 7323306 142 142 7323448 7323306 142 0 5413071 357737 PREMIUM EXPENSES 840477 BUSINESS LICENSE AND PE 3033 6614318 536301 615797 528269 1155744 1064570 1771541 160294 158135 375117 532117 535411 690252 X 0 0 0 0 529159 1081289 529159 1081289 1064570 1771541 X 709130 -157000 X X 0 1 X 1 0 0 CLAIMS INCURRED AND PAYABLE BUT NOT PAID 532117 532117 X 7323448 0 7323448 0 7323448 6614318 0 6614318 0 6614318 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS OF ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED FOR ACCURACY BY THE CFO PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: BENEFIT OBLIGATION: CLAIMS INCURRED BUT NOT REPORTED -157,000. 990, PART XII LINE 2C CONSISTENT WITH PRIOR YEAR, THE COMMITTEE PROVIDES OVERSIGHT FOR HEALTH AND WELFARE PLAN ADMINISTRATION AND SELECTS EXTERNAL AUDITOR. DICK ANDERSON CONSTRUCTION INC 3424 HIGHWAY 12 EAST HELENA MT 59601 810380463 MT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 DICK ANDERSON CONSTRUCTION INC S 7113861 COST