2022-07-14T20:54:22-05:00 2021-09-30 731528194 CCK STRATEGIES PLLC 8811 S YALE AVE SUITE 400 TULSA OK 74137 990 2020-10-01 731219902 FABRICUT INC EMPLOYEE BENEFIT TRUST FABR 9186227700 9303 E 46TH ST TULSA OK 74145 RON GRAHAM TRUSTEE 9186227700 2022-07-12 1 RON GRAHAM 999009999 ERIC M KUNKEL CPAABV CVA P01015874 9184914036 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z RON GRAHAM 9303 E 46TH ST TULSA OK 74145 4840065 0 X N/A X 1984 OK TO PROVIDE FOR LIFE, SICKNESS, ACCIDENT OR OTHER BENEFITS (OF THE TYPE PERMITTED FOR VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION UNDER SECTION 501 (C) (9) OF THE INTERNAL REVENUE CODE. 3 0 0 0 0 0 0 0 4883374 4840053 18174 12 0 0 4901548 4840065 0 0 4627766 4554797 0 0 0 0 0 256260 243313 4884026 4798110 17522 41955 3215034 3256989 0 0 3215034 3256989 TO PROVIDE FOR LIFE, SICKNESS, ACCIDENT OR OTHER BENEFITS (OF THE TYPE PERMITTED FOR VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION UNDER SECTION 501(C) (9) OF THE INTERNAL REVENUE CODE). 0 0 3593629 3593629 BENEFITS PAID TO OR FOR MEMBERS 961168 961168 INSURANCE PREMIUM PAID 243313 243313 ADMINISTRATIVE EXPENSES 4798110 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 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 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 OK X RON GRAHAM 9186227700 9303 E 46TH ST TULSA OK 74145 X DAVID FINER TRUSTEE 1.00 0.00 X 0 0 0 RON GRAHAM TRUSTEE 5.00 0.00 X 0 0 0 MICHAEL GUTERMAN TRUSTEE 1.00 0.00 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH ST CHICAGO IL 60601 THIRD PARTY ADM 178833 1 EMPLOYER CONTRIBUTIONS 525100 3460000 3460000 PARTICIPANT CONTIBUTIO 525100 1380053 1380053 4840053 12 12 4840065 4840053 0 12 4554797 4554797 ADMINISTRATIVE EXPENSES 243313 243313 4798110 4798110 0 0 3215034 3256989 3215034 3256989 0 0 X 0 0 0 0 3215034 3256989 3215034 3256989 3215034 3256989 41955 0 X 0 1 X 0 0 0 4840065 0 4840065 0 4840065 4798110 0 4798110 0 4798110 FORM 990, PART VI, SECTION A, LINE 2 RELATED PARTY INFORMATION AMONG OFFICERS DAVID FINER MICHAEL GUTERMAN TRUSTEE TRUSTEE CO-SHAREHOLDERS OF FABRICUT FORM 990, PART VI, SECTION A, LINE 8A DOCUMENTATION BY GOVERNING BODY EXPLANATION ALL ACTIONS PERFORMED WERE PURSUANT TO THE PLAN DOCUMENT. THE TRUSTEES ACT AS AN INFORMAL GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 8B DOCUMENTATION BY COMMITTEE EXPLANATION THE PLAN HAS NO SEPARATE COMMITTEES OR SUB-COMMITTEES FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990 THERE IS NO FORMAL GOVERNING BODY. THE TRUSTEES REVIEW THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION C, LINE 19 FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, BUT ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C - CHANGE IN FINANCIAL REVIEW PROCESS THE VEBA DOES NOT HAVE A COMMITTEE THAT ASSUMES RESPONSIBILITY OR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. HOWEVER, THE TRUSTEES ARE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND FINANCIAL STATEMENTS. FABRICUT INC 9303 EAST 46TH STREET TULSA OK 74145 WHOLESALE OK N/A S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0