2022-11-14T07:30:08-06:00 2021-12-31 202122306 GBQ PARTNERS LLC 230 WEST STREET COLUMBUS OH 43215 990 2021-01-01 311040732 BURGESS & NIPLE EMPLOYEE BENEFIT TRUST BURG 6144597272 330 RUSH ALLEY 700 COLUMBUS OH 432153932 BENJAMIN NYE TRUSTEE 6144597272 2022-11-11 1 BENJAMIN NYE 999009999 JANE RUMORA P00074247 6142211120 2022-11-11 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X BENJAMIN NYE 330 RUSH ALLEY 700 COLUMBUS OH 432153932 5024010 0 X WWW.BURGESSNIPLE.COM X 1982 OH TO PROVIDE MEDICAL, DENTAL, PRESCRIPTION DRUGS, DISABILITY AND LIFE INSURANCE TO EMPLOYEES OF BURGESS & NIPLE, INC. 3 0 0 0 45191 43091 0 0 4513931 4978819 60045 45191 0 0 4573976 5024010 0 0 3943821 4891690 0 0 0 0 0 18005 23397 3961826 4915087 612150 108923 2490585 2728301 0 0 2490585 2728301 TO PROVIDE MEDICAL, DENTAL, PRESCRIPTION DRUGS, DISABILITY AND LIFEINSURANCE TO EMPLOYEES OF BURGESS & NIPLE, INC. 0 0 TO PROVIDE MEDICAL, DENTAL, PRESCRIPTION DRUGS, DISABILITY AND LIFEINSURANCE TO PARTICIPATING EMPLOYEES AND DEPENDENTS, SERVINGAPPROXIMATELY 400 INDIVIDUALS AND FAMILIES. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 1 0 0 0 0 0 0 0 0 0 X 3 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 X BENJAMIN NYE 6144597272 330 RUSH ALLEY SUITE 700 COLUMBUS OH 43215 X BENJAMIN NYE DIRECTOR, ACCOUNTING 1.00 X 0 0 0 MICHELLE JENKS DIRECTOR, HUMAN RESOURCES 1.00 X 0 0 0 KEN SPONAUGLE EXECUTIVE VICE PRESIDENT 1.00 X X 0 0 0 0 0 0 0 0 0 0 AETNA LIFE INSURANCE CO 7400 WEST CAMPUS BLVD NEW ALBANY OH 43054 3RD PARTY ADMINISTRATOR 199061 1 EMPLOYER CONTRIBUTIONS 525100 3855457 3855457 EMPLOYEE CONTRIBUTIONS 525100 1076192 1076192 COBRA CONTRIBUTIONS 525100 47170 47170 4978819 45191 45191 5024010 4978819 45191 0 4891690 12266 TAXES 10599 BANK FEES 532 4915087 460503 440134 1962052 2220137 68030 68030 2490585 2728301 0 0 X 2490585 2728301 0 0 0 0 2490585 2728301 2490585 2728301 108923 128793 0 X X 0 1 X 1 0 0 X 5152803 128793 128793 5024010 0 5024010 4915087 0 4915087 0 4915087 PART X, LINE 2: GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN UNCERTAIN TAX POSITIONS THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY APPLICABLE TAXING AUTHORITIES. THE PLAN ADMINISTRATOR HAS ANALYZED TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2021, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN, OR EXPECTED TO BE TAKEN, THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR THAT WOULD REQUIRE DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, CURRENTLY NO AUDITS FOR ANY TAX PERIODS ARE IN PROGRESS. FORM 990, PART VI, SECTION A, LINE 2 OFFICERS OF THIS ORGANIZATION HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER AS THEY ARE ALL OFFICERS OF THE PLAN SPONSOR. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE DIRECTOR OF THE ACCOUNTING DIVISION OF BURGESS AND NIPLE, INC., A RELATED PARTY. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. PARTICIPANTS OF THE PLAN MAY REQUEST DOCUMENTS FROM THE DIRECTOR OF HUMAN RESOURCES. FORM 990, PART XII, LINE 2C NO CHANGES FROM PRIOR YEAR. BURGESS & NIPLE INC 330 RUSH ALY STE 700 COLUMBUS OH 43215 ENGINEERING OH C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 BURGESS & NIPLE INC S 3855457 CASH