2020-11-04T15:43:55-06:00 2020-06-30 141761666 COOPER ARIAS LLP 892 RT 17B PO BOX 190 MONGAUP VALLEY NY 12762 990 2019-07-01 100007034 WESTERN SULLIVAN UNITED TEACHERS & SRP BENEFIT TRUST WEST 8459328401 6604 STATE ROUTE 52 LAKE HUNTINGTON NY 12752 JENNA SAYERS TRUST CHAIR 8459328401 2020-10-28 1 SUSAN M PETERS CPA P00631147 8457961800 2020-10-28 172.254.140.186 2020-10-28 12:40:27 ED P 75BE11AFEB902AFB0855343F3C0838880E898C88 C44B1D91434B72F1DE338B9A23696B7A75CF6C04 2019 2021-04-22 16:20:28Z JENNA SAYERS 6604 STATE ROUTE 52 LAKE HUNTINGTON NY 12752 345550 0 X N/A X 2001 NY PROVIDE BENEFITS TO ITS MEMBERS 7 7 0 0 0 0 0 0 355716 344865 528 685 0 0 356244 345550 0 0 306913 308646 1000 1000 0 0 0 3411 1529 311324 311175 44920 34375 369683 404058 0 0 369683 404058 X PROVIDE BENEFITS TO ITS MEMBERS 0 0 181518 DENTAL INSURANCE WAS PROVIDED TO 188 MEMBERS THROUGH A CONTRACT WITH DELTA DENTAL 13314 GROUP LEGAL WAS PROVIDED TO 193 MEMBERS THROUGH A CONTRACT WITH UNUM 37300 LONG TERM DISABILITY WAS PROVIDED TO 193 MEMBERS THROUGH A CONTRACT WITH UNUM 50591 SUPPLEMENTAL FLEX PROVIDED FOR 70 MEMBERS THROUGH PREFERRED GROUP 25923 VISION INSURANCE WAS PROVIDED TO 188 MEMBERS THROUGH A CONTRACT WITH NYSUT MEMBER BENEFITS 76514 308646 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 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X AMY HELLERER 8459328401 6604 STATE ROUTE 52 LAKE HUNTINGTON NY 12752 JENNA SAYERS TRUST CHAIR 2.00 X 0 0 0 MAUREEN COOKINGHAM SECTY/PRIVACY OFFICE 2.00 X 500 0 0 AMY HELLERER TREASURER 2.00 X 500 0 0 1000 0 0 0 0 0 0 0 DISTRICT PAYMENT 525920 223128 223128 SUPPLEMENTAL FLEX 525920 88814 88814 PAYROLL CONTRIBUTIONS 525920 31447 31447 FAMILY BUY UP 525920 1476 1476 344865 685 685 345550 344865 0 685 308646 308646 1000 1000 600 600 783 783 146 146 311175 308646 2529 0 120252 78254 248555 325074 1460 730 876 730 369683 404058 0 0 X 369683 404058 369683 404058 369683 404058 34375 0 X 0 0 0 1460 730 730 730 FORM 990, PART VI, SECTION B, LINE 11B THE BOARD RECEIVES A COPY OF THE RETURN AND THEY REVIEW IT AS A WHOLE. AFTER THIS PROCESS, THE SIGNED E-FILE AUTHORIZATION IS RETURNED TO THE TAX PREPARER FOR FILING OF THE RETURN. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, COPIES OF TAX RETURNS AND OTHER PUBLIC DOCUMENTS ARE PREPARED AND GIVEN TO THE REQUESTOR.