2020-11-13T12:20:33-06:00 2019-12-31 340677006 MALONEY NOVOTNY LLC 1111 SUPERIOR AVE SUITE 700 CLEVELAND OH 441142540 990 2019-01-01 346817365 ASSOCIATES HEALTH TRUST ASSO 4403495836 6262 COCHRAN ROAD SOLON OH 44139 CHRISTOPHER MIKLICH CFO 4403495836 2020-11-12 1 DAVID O REYES P00165377 2163630100 209.116.109.2 2020-11-12 10:01:57 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 34F15A1E57D14FDCA2271EC8547C559A386063E6 2019 2021-04-22 16:20:28Z I JAMES CAVOLI 6262 COCHRAN ROAD SOLON OH 44139 47568405 0 X N/A X 1983 OH SEC. 501 (C)(9) VEBA TRUST THAT PROVIDES HOSPITALIZATION & DENTAL TO APPROXIMATELY 3,694 EMPLOYEES OF THE SWAGELOK CO. 0 0 0 0 0 0 0 0 46363298 47479225 52608 89180 0 0 46415906 47568405 0 0 39743144 43314142 0 0 0 0 0 5599854 5300532 45342998 48614674 1072908 -1046269 7495882 7503469 3824739 4878595 3671143 2624874 SEC.501 (C)(9) VEBA TRUST THAT PROVIDES HOSPITALIZATION & DENTAL TO APPROXIMATELY 3,694 EMPLOYEES OF THE SWAGELOK COMPANY. 0 0 45972435 THE FOLLOWING BENEFITS ARE PROVIDED TO ALL ELIGIBLE PARTICIPANTSOF THE WELFARE BENEFIT PLAN: MAJOR MEDICAL/HOSPITALIZATION &DENTAL. 45972435 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 0 0 X 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 X CHRISTOPHER MIKLICH 4406492052 6262 COCHRAN RD SOLON OH 44139 ALLEGIANT TRUSTEE 1.00 X 789 0 0 789 0 0 0 0 0 0 UNITED HEALTHCARE INSURANCE COMPANY 22703 NETWORK PLACE CHICAGO IL 60673 ADMINISTRATIVE 2642239 1 CONTRIB.-EMPLOYERS 525100 37244626 37244626 CONTRIB.-EMPLOYEES 525100 9780418 9780418 CONTRIB.-COBRA 525100 454181 454181 47479225 89180 89180 47568405 47479225 0 89180 43314142 43314142 INSURANCE PREMIUMS 2658293 2658293 ADMINISTRATION FEES 2642239 2642239 48614674 45972435 2642239 0 6720954 6761577 774928 741892 7495882 7503469 3824739 4878595 3824739 4878595 X 3671143 2624874 3671143 2624874 7495882 7503469 -1046269 0 X 0 1 X 0 0 0 47568405 0 47568405 0 47568405 47560818 0 47560818 1053856 1053856 48614674 PART XII, LINE 4B - OTHER ADJUSTMENTS: CLAIMS INCURRED BUT NOT REPORTED 1,053,856. FORM 990, PART VI, SECTION A, LINE 8A THE GOVERNING BODY DOESN'T PROVIDE CONTEMPORANEOUSLY DOCUMENTED APPROVED MINUTES. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990- THE FORM 990 IS REVIEWED BY THE CFO OF THE VEBA SPONSORING ORGANIZATION AND THE INDEPENDENT ACCOUNTING FIRM WHO PREPARED THE RETURN. FORM 990, PART VI, SECTION C, LINE 19 THE TRUST MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FORM 990, PART VI, SECTION A, LINE 9 ADDRESS OF TRUSTEE THAT CANNOT BE REACHED AT THE ORGANIZATION'S MAILING ADDRESS: ALLEGIANT 5352 3RD FLOOR, NORTH ANNEX 4100 WEST 150TH STREET CLEVELAND, OHIO 44135. SWAGELOK COMPANY 6262 COCHRAN ROAD SOLON OH 44136 346817365 MANUFACTURING OH N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 SCHEDULE R, PART IV, LINE 1 SWAGELOK COMPANY IS THE SPONSORING ORGANIZATION AND CONTRIBUTING EMPLOYER TO THIS 501 (C) (9) VEBA TRUST FOR ITS EMPLOYEES.