2020-11-13T18:04:26-06:00 2019-12-31 BKD LLP 110 N Elgin Ave Suite 400 Tulsa OK 741201490 990 2019-01-01 814972795 CN ENTERPRISES HEALTH PLAN TRUST % CASEY MORGAN CNEN 5805590886 1921 CRADDUCK RD Ste 200 ADA OK 74820 JENNIFER KANESHIRO TRUST ADMINISTRATOR 5802352769 2020-11-12 true Shawn M Loader P01251358 9185842900 2020-11-10 167.68.126.162 73023320203185000010 2020-11-13 P 67E7C48775A568A54D7F077FFCF45D6551B39977 8FF8BAC3AECA35F8468D03A515909EC6CDECB83A 2019 2022-01-07 14:23:13Z X JENNIFER KANESHIRO 1921 CRADDUCK RD Ste 200 ADA OK 74820 14944554 false X N/A X 2017 OK TO PROVIDE HEALTH AND WELFARE BENEFITS TO EMPLOYERS OF THE TRUST. 4 4 0 4 0 0 0 16026312 14887043 27427 57511 0 0 16053739 14944554 0 0 14448015 13648480 0 0 0 0 0 966168 225169 15414183 13873649 639556 1070905 2623693 3897285 580653 783340 2043040 3113945 TO ASSIST EMPLOYERS OF THE TRUST IN PROVIDING HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND DEPENDENTS, AND TO SERVE TO HELP MAKE HEALTHCARE SUSTAINABLE FOR MEMBERS OF THE TRUST. false false THE PROGRAM ACCOMPLISHED PROVIDING HEALTH AND WELFARE BENEFITS TO EACH EMPLOYER'S ELIGIBLE EMPLOYEES AND DEPENDENTS. false false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 0 0 0 false false false false false false X 4 4 false false false false false false false true false false true true true true false false false false false OK X CASEY MORGAN 5802727496 1921 CRADDUCK ROAD SUITE 200 ADA OK 74820 X CASEY MORGAN TRUSTEE 0.0 0.0 X 0 0 0 KATHY PETITO TRUSTEE 0.0 0.0 X 0 0 0 KYLE PEWITT TRUSTEE 0.0 0.0 X 0 0 0 TODD KEE TRUSTEE 0.0 0.0 X 0 0 0 0 0 0 0 false false false 0 0 Medical Contributions 14649374 14649374 Dental Contributions 237669 237669 14887043 57511 57511 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14944554 14887043 57511 0 0 0 13648480 0 0 0 0 0 0 0 27181 55700 0 0 0 0 0 2032 0 0 0 0 0 0 0 0 0 4334 Other expense - Program 135922 13873649 2454773 3830899 0 0 0 0 168920 62075 0 0 0 0 0 0 0 0 0 4311 0 0 0 0 0 0 0 0 0 0 0 0 2623693 3897285 580653 783340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 580653 783340 X 2043040 3113945 0 0 2043040 3113945 2623693 3897285 X 1070905 -431349 X false true X true false 14944554 14944554 14944554 13873649 13873649 13873649 SCHEDULE D, PART X, LINE 2 THE TRUST RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE DATED MAY 25, 2018, STATING THAT THE TRUST, AS THEN DESIGNED, WAS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)9 OF THE INTERNAL REVENUE CODE. HOWEVER, AS A RESULT OF THE TRUST'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE TRUST ADMINISTRATOR BELIEVES THE TRUST IS CURRENTLY BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE FORM 990. ONCE PREPARED, A DRAFT OF THE RETURN IS SENT TO TRUSTEES AND EMPLOYER ADVOCATES TO REVIEW BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY REQUIRES (A) EACH TRUSTEE TO ANNUALLY SIGN A STATEMENT ACKNOWLEDGING THE CONFLICT OF INTEREST POLICY, STATING THEY UNDERSTAND AND WILL COMPLY WITH THE POLICY, AND THEY UNDERSTAND THE PLAN/TRUST ARE FOR THE EXCLUSIVE BENEFIT OF PARTICIPANTS AND BENEFICIARIES; AND (B) PERIODIC REVIEWS TO DETERMINE COMPENSATION ARRANGEMENTS WITH SERVICE PROVIDERS, IF ANY, ARE REASONABLE AND ARM LENGTH. IF COMPENSATION ARRANGEMENTS AND/OR CONTRACTS EXIST, THE TRUSTEES WILL ANALYZE AND DOCUMENT THAT THEY COMPLY WITH THE CONFLICT OF INTEREST POLICY, E.G., COMPENSATION IS REASONABLE, ARRANGEMENTS DO NOT CONSTITUTE PROHIBITED TRANSACTIONS, AND ARRANGEMENTS ARE FOR THE EXCLUSIVE BENEFIT OF PARTICIPANTS. THE TRUSTEES WILL REVIEW AND DOCUMENT THIS IN THE TRUSTEE MINUTES ANNUALLY. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE TRUSTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING TRUSTEES SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST EXISTS, IT WILL BE ADDRESSED AT THE TRUSTEE MEETING. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE MEETING AND LEAVE DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST. IF THE TRUSTEES HAVE REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE INTERESTED PARTY WILL HAVE AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. THE TRUSTEES SHALL DETERMINE WHETHER THE MEMBER HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION WILL BE TAKEN. FORM 990, PART VI, SECTION C, LINE 19 ANY DOCUMENTS SUBJECT TO OPEN RECORD REQUIREMENTS ARE MADE AVAILABLE UPON REQUEST. SOLARA SURGICAL PARTNERS 2325 DEAN WAY 100 SOUTHLAKE TX 76092 261444769 CONTR EMPLYR TX CHICKASAW NA false FIRST MED URGENT CARE 1221 N KELLY AVE EDMOND OK 73003 731282086 CONTR EMPLYR OK CHICKASAW NA false GLOBAL GAMING RP LLC ONE REMINGTON PLACE OKLAHOMA CITY OK 73111 270900699 CONTR EMPLYR OK GGS false GLOBAL GAMING SOLUTIONS LLC 1921 CRADDUCK ROAD SUITE 200 ADA OK 74820 321206508 CONTR EMPLYR OK CHICKASAW NA false CHICKASAW NATION INDUSTRIES INC 2600 JOHN SAXON BLVD NORMAN OK 73071 731543162 CONTR EMPLYR OK CHICKASAW NA false SOVEREIGN PROPERTIES HOLDCO LLC 2020 LONNIE ABBOTT BLVD Ada OK 74820 461270693 CONTR EMPLYR OK CHICKASAW NA false TRACE FIBER CONTR EMPLYR OK CHICKASAW NA false CHICKASAW COMMUNITY BANK 909 SOUTH MERIDIAN OKLAHOMA CITY OK 73108 CONTR EMPLYR OK CHICKASAW NA false false false false false false false false false false false false false false false false false false false false