2021-11-05T20:29:11-05:00 2020-12-31 562552172 INEICH & COMPANY LLP 950 TOWER LANE SUITE 780 FOSTER CITY CA 94404 990 2020-01-01 473000476 VEBA TRUST FOR RETIREES OF FOOTHILL-DE ANZA COMMUNITY COLLEGE VEBA 4082884400 12345 EL MONTE ROAD LOS ALTOS HILLS CA 94022 DORENE NOVOTNY TRUSTEE 4082884400 2021-11-04 1 DORENE NOVOTNY 999009999 MICHAEL T SAVASTA P01259186 6505738007 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z LISA MARKUS 12345 EL MONTE ROAD LOS ALTOS HILLS CA 94022 79246 0 X N/A X 2015 CA THE PURPOSE OF THE PLAN IS TO REIMBURSE QUALIFIED FORMER EMPLOYEES OF THE DISTRICT ("ELIGIBLE PERSONS") FOR MONTHLY BASIC MEDICARE INSURANCE PREMIUMS UP TO THE AMOUNT OF THE MAXIMUM MONTHLY BASIC MEDICARE INSURANCE PREMIUM REIMBURSEMENT AMOUNT ESTABLISHED BY THE BOARD OF TRUSTEES. 9 9 0 0 0 0 0 0 77658 73110 39250 6136 0 0 116908 79246 0 0 0 0 0 0 0 0 0 54131 49081 54131 49081 62777 30165 2113322 2146187 5100 7800 2108222 2138387 X THE PURPOSE OF THE PLAN IS TO REIMBURSE QUALIFIED FORMER EMPLOYEES OF THE DISTRICT ("ELIGIBLE PERSONS") FOR MONTHLY BASIC MEDICARE INSURANCE PREMIUMS UP TO THE AMOUNT OF THE MAXIMUM MONTHLY BASIC MEDICARE INSURANCE PREMIUM REIMBURSEMENT AMOUNT ESTABLISHED BY THE BOARD OF TRUSTEES. 0 0 25800 73110 THE PURPOSE TO THE PLAN IS TO REIMBURSE QUALIFIED FORMER EMPLOYEES OF THE DISTRICT ("ELIGIBLE PERSONS") FOR MONTHLY BASIC MEDICARE INSURANCE PREMIUMS UP TO THE AMOUNT OF THE MAXIMUM MONTHLY BASIC MEDICARE INSURANCE PREMIUM REIMBURSEMENT AMOUNT ESTABLISHED BY THE BOARD OF TRUSTEES. 25800 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 CA X UNITED ADMINISTRATIVE SERVICES 4082884400 6800 SANTA TERESA BOULEVARD SUITE SAN JOSE CA 95119 X DORENE NOVOTNY TRUSTEE, CHAIRPERSON 0.00 0.00 X 0 0 0 MYISHA WASHINGTON TRUSTEE 0.00 0.00 X 0 0 0 RAQUEL PUENTES-GRIFFITH TRUSTEE 0.00 0.00 X 0 0 0 SUSAN CHEU TRUSTEE 0.00 0.00 X 0 0 0 PAM GREY TRUSTEE 0.00 0.00 X 0 0 0 LISA MARKUS TRUSTEE, SECRETARY 0.00 0.00 X 0 0 0 CHRISTINE MANGIAMELI TRUSTEE 0.00 0.00 X 0 0 0 GRACIAN LECUE TRUSTEE 0.00 0.00 X 0 0 0 KELLY PETTIT TRUSTEE 0.00 0.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYEE CONTRIBUTIONS 525920 73110 73110 73110 6136 6136 79246 73110 0 6136 954 954 1000 1000 4770 4770 PREMIUM REIMBURSEMENT 25800 25800 ADMINISTRATIVE FEES 9900 9900 CUSTODIAL FEES 3524 3524 BANK SERVICE FEES 2723 2723 410 410 49081 25800 23281 0 4573 61388 2101583 2079691 2396 11 4770 5097 2113322 2146187 5100 7800 5100 7800 X 0 0 0 0 2108222 2138387 2108222 2138387 2113322 2146187 30165 0 X 0 1 X 1 0 0 75722 0 75722 3524 3524 79246 45557 0 45557 3524 3524 49081 FORM 990, PART VI, SECTION B, LINE 11B A FINAL DRAFT OF THE FULL FORM 990, INCLUDING ALL APPLICABLE SCHEDULES, IS REVIEWED BY FOOTHILL-DE ANZA COMMUNITY COLLEGE DISTRICT, WHO ESTABLISHED THE PLAN FOR ITS EMPLOYEES, RETIRED EMPLOYEES, AND THEIR DEPENDENTS. ONCE THEY HAVE REVIEWED THE TAX RETURN, IT IS THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. FOOTHILL-DE ANZA COMMUNITY COLLEGE DISTRICT 12345 EL MONTE ROAD LOS ALTOS HILLS CA 94022 SCHOOL DISTRICT CA 501(C)(1) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0