STRATEGY STUDIO / PUBLIC DATA EXPLORER

UNIFIED FIRE AUTHORITY HEALTH AND WELFARE TRUST: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
UNIFIED FIRE AUTHORITY HEALTH AND WELFARE TRUST (EIN 46-1919035)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-04
IRS object ID
202031259349300808
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-05-04T10:19:14-04:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN454218077PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JEFF HILL CPA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1415 Medical Dr Ste C102AddressLine1Txt
CityBountifulCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84010ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461919035EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIFIED FIRE AUTHORITY HEALTH AND WELFARE TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNIFBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13380 S 900 WAddressLine1Txt
CityWEST VALLEY CITYCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84119ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANTHONY HILLPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone8017437200PhoneNum
Signature2019-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeffrey B HillPreparerPersonNm
PTINP00113015PTIN
Phone8012985555PhoneNum
Preparation2020-05-04PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.11.3.177IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-04IPDt
IP Tm10:20:29IPTm
Federal Original Submission Id8738062020125e4kq1mgFederalOriginalSubmissionId
Federal Original Submission Id2020-05-04FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1A200B02B307FDD2199C1AD36F18C87056FEEECDAtSubmissionCreationDeviceId
At Submission Filing Device Id1A200B02B307FDD2199C1AD36F18C87056FEEECDAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-06 18:47:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$267,722GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation2012FormationYr
Legal Domicile StateUTLegalDomicileStateCd
Activity Or MissionTHE PLAN WAS ESTABLISHED TO PROVIDE FOR THE REIMBURSEMENT OF POST-RETIREMENT AND POST-TERMINATION OUT-OF-POCKET MEDICAL EXPENSES, INCLUDING HEALTH INSURANCE PREMIUMS FOR ALL ELIGIBLE EMPLOYEES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,000PYContributionsGrantsAmt
CY Contributions Grants$4,000CYContributionsGrantsAmt
PY Program Service Revenue$263,700PYProgramServiceRevenueAmt
CY Program Service Revenue$155,672CYProgramServiceRevenueAmt
PY Investment Income$98,133PYInvestmentIncomeAmt
CY Investment Income$108,050CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$365,833PYTotalRevenueAmt
CY Total Revenue$267,722CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$201,998PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$185,212CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$35,051PYOtherExpensesAmt
CY Other Expenses$38,483CYOtherExpensesAmt
PY Total Expenses$237,049PYTotalExpensesAmt
CY Total Expenses$223,695CYTotalExpensesAmt
PY Revenues Less Expenses$128,784PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$44,027CYRevenuesLessExpensesAmt
Total Assets BOY$4,277,291TotalAssetsBOYAmt
Total Assets EOY$4,486,675TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,277,291NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,486,675NetAssetsOrFundBalancesEOYAmt
MissionTHE PLAN WAS ESTABLISHED TO PROVIDE FOR THE REIMBURSEMENT OF POST-RETIREMENT AND POST-TERMINATION OUT-OF-POCKET MEDICAL EXPENSES, INCLUDING HEALTH INSURANCE PREMIUMS FOR ALL ELIGIBLE EMPLOYEES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$223,695ExpenseAmt
DescTHE PLAN WAS ESTABLISHED TO PROVIDE FOR THE REIMBURSEMENT OF POST-RETIREMENT AND POST-TERMINATION OUT-OF-POCKET MEDICAL EXPENSES, INCLUDING HEALTH INSURANCE PREMIUMS FOR ALL ELIGIBLE EMPLOYEES.Desc
Total Program Service Expenses$223,695TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAWNETTE BUTTERWORTH-COMPUSYSPersonNm
Phone8019731001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12156 W 2200 SAddressLine1Txt
CityWEST VALLEY CITYCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84119ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ANTHONY HILL
TRUSTEE1.0040.00Yes (X)$0$140,235$40,878
BRIAN ROBERTS
TRUSTEE1.0040.00Yes (X)$0$167,306$48,640
JEREMY ROBERTSON
TRUSTEE1.0040.00Yes (X)$0$118,170$40,863
MICHAEL WATSON
TRUSTEE1.0040.00Yes (X)$0$136,837$49,914
ARRIANN WOOLF
TRUSTEE1.0040.00Yes (X)$0$141,135$45,567
JAY ZIOLKOWSKI
CHAIR1.0040.00Yes (X)$0$129,371$53,522
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$833,054TotReportableCompRltdOrgAmt
Total Other Compensation$279,384TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd
All Other Contributions$4,000AllOtherContributionsAmt
Total Contributions$4,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescEMPLOYER CONTRIBUTIONSDesc
Business525100BusinessCd
Total Revenue Column$155,672TotalRevenueColumnAmt
Related Or Exempt Func Income$155,672RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$155,672TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$108,050TotalRevenueColumnAmt
Exclusion$108,050ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$267,722TotalRevenueColumnAmt
Related Or Exempt Func Income$155,672RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$108,050ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$185,212TotalAmt
Program Services$185,212ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$38,483TotalAmt
Program Services$38,483ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$223,695TotalAmt
Program Services$223,695ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$73,300BOYAmt
EOY$36,445EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,203,991BOYAmt
EOY$4,450,230EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,277,291BOYAmt
EOY$4,486,675EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,277,291BOYAmt
EOY$4,486,675EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,277,291BOYAmt
EOY$4,486,675EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,277,291BOYAmt
EOY$4,486,675EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$44,027ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$165,357NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
EXCHANGE TRADED FUNDS$1,276,512
FIXED INCOME SECURITIES$1,073,259
MUTUAL FUNDS$1,692,869
PREFERRED SECURITIES$407,590
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,450,230TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$267,722TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$267,722RevenueSubtotalAmt
Total Revenue Per Form990$267,722TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$223,695TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$223,695ExpensesSubtotalAmt
Total Expenses Per Form990$223,695TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
ANTHONY HILL
TRUSTEE$140,235$26,001$14,877$181,113
BRIAN ROBERTS
TRUSTEE$167,306$30,897$17,743$215,946
JEREMY ROBERTSON
TRUSTEE$118,170$19,305$21,558$159,033
MICHAEL WATSON
TRUSTEE$136,837$33,347$16,567$186,751
ARRIANN WOOLF
TRUSTEE$141,135$25,137$20,430$186,702
JAY ZIOLKOWSKI
CHAIR$129,371$32,099$21,423$182,893

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Committee meeting documentation Part VI line 8bTHERE ARE NO SEPARATE COMMITTEES AUTHORIZED TO ACT FOR THE BOARD.
Form 990 governing body review Part VI line 11THE TRUSTEES WILL REVIEW THE FORM 990 PRIOR TO THE FILING OF THE RETURN.
Governing documents etc available to public Part VI line 19GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1UNIFIED FIRE AUTHORITYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13380 S 900 WAddressLine1Txt
CityWEST VALLEY CITYCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84119ZIPCd
FieldValueIRS element (for citing)
EIN753134967EIN
Primary ActivitiesFIRE PROTECTIONPrimaryActivitiesTxt
Legal Domicile StateUTLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceExplanation of information on Schedule RFormAndLineReferenceDesc
ExplanationSCHEDULE 4, LINE 1Q - REIMBURSEMENT PAID BY RELATED ORGANIZATION - UNIFIED FIRE AUTHORITY - FOR ADMINISTRATION FEES OF 4,000.ExplanationTxt