2018-10-31T12:45:16-05:00 2017-12-31 731413977 HOGANTAYLOR LLP 688 EAST MILLSAP ROAD SUITE 203 FAYETTEVILLE AR 72703 990 2017-01-01 710569421 WAL-MART STORES INC ASSOCIATES' HEALTH & WELFARE TRUST WAL- 4796212058 508 SW 8TH ST BENTONVILLE AR 727163500 ADAM STAVISKY ADMINISTRATIVE COMMITTEE 4796212058 2018-10-30 1 TONY UTH P00446737 4795219191 2018-10-30 98.184.84.130 2018-10-30 09:04:07 CD P 14408212A635E8F42A904D17529EDD5146E6480F 6B30F6B9E150450864279ED1C30BC06B3860F028 2017 2019-02-21 02:37:17Z ADAM STAVISKY 508 SW 8TH STREET BENTONVILLE AR 727163500 4359651104 0 X N/A X 1983 AR TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE ASSOCIATES OF WAL-MART STORES, INC. IN THE UNITED STATES AND PUERTO RICO. THE ASSOCIATES' HEALTH AND WELFARE PLAN PRIMARILY PROVIDES MEDICAL, DENTAL AND OTHER BENEFITS TO ENROLLED PARTICIPANTS WITH CONTRIBUTIONS PROVIDED BY THE PLAN SPONSOR AND ENROLLED PARTICIPANTS. 1 1 0 0 117953 0 0 0 4236688257 4359533151 132964 117953 0 0 4236821221 4359651104 0 0 3907413241 4045256915 0 0 0 0 0 310040727 308579776 4217453968 4353836691 19367253 5814413 665896227 630808161 592346721 553525083 73549506 77283078 TO RECEIVE CONTRIBUTIONS FROM WAL-MART STORES, INC. AND ITS ASSOCIATES (CURRENT AND FORMER EMPLOYEES) IN ORDER TO FUND AND ADMINISTER THE WAL-MART ASSOCIATES' HEALTH AND WELFARE PLAN. 0 0 4353836691 4359533151 PROVIDES HEALTH AND WELFARE BENEFITS TO ENROLLED ASSOCIATES AND DEPENDENTS INCLUDING MEDICAL, DENTAL, LIFE INSURANCE, AD&D INSURANCE, AND OTHER BENEFITS FOR OVER 1,300,000 ASSOCIATES DURING THE 2017 PLAN YEAR. 4353836691 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 0 0 0 1 0 0 1 0 0 0 1 1 1 UK 0 0 0 0 0 0 0 0 X 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X WAL-MART STORES CO BENEFITS ACCOUNTING DEPT 4796212375 508 SW 8TH STREET BENTONVILLE AR 727163500 X JACQUELIN TELFAIR ADMIN. COMMITTEE 20.00 X 0 0 0 JP MORGAN CHASE BANK TRUSTEE 40.00 X 0 0 0 0 0 0 0 0 0 0 US ABLE CORPORATION (BCBS OF AR) PO BOX 1460 LITTLE ROCK AR 72203 ADMINISTRATIVE SERVICES 180170090 UNITED HEALTHCARE 9900 BREN ROAD EAST MN008-T390 MINNETONKA MN 55343 ADMINISTRATIVE SERVICES 58642634 AETNA 151 FARMINGTON AVENUE RT21 HARTFORD CT 06156 ADMINISTRATIVE SERVICES 52494466 DELTA DENTAL OF ARKANSAS 1513 COUNTRY CLUB ROAD SHERWOOD AR 721205076 ADMINISTRATIVE SERVICES 10635165 HEALTH DESIGNS PLUS 1755 GEORGETOWN ROAD HUDSON OH 44236 ADMINISTRATIVE SERVICES 2904044 12 EMPLOYER CONTRIBUTIONS 525100 2944588322 2944588322 EMPLOYEE CONTRIBUTIONS 525100 1414944829 1414944829 4359533151 117953 117953 4359651104 4359533151 117953 0 4045256915 4045256915 308579776 308579776 4353836691 4353836691 0 0 40724984 56950412 507178349 449110139 117992894 124747610 665896227 630808161 592346721 553525083 592346721 553525083 X 0 0 0 0 73549506 77283078 73549506 77283078 665896227 630808161 X 5814413 -2080841 X 0 0 0 0 INSURANCE CLAIM AND REBATE RECEIVABLES 124747610 124747610 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED ADMINISTRATIVE AUTHORITY TO WAL-MART STORES, INC. GENERAL ACCOUNTING DEPARTMENT TO MAINTAIN ACCOUNTING RECORDS FOR THE TRUST. FORM 990, PART VI, SECTION B, LINE 11B THE BENEFITS ACCOUNTING DEPARTMENT OVERSEES PREPARATION OF THE TAX RETURN AND PROVIDES IT TO THE CHAIRMAN OF THE ADMINISTRATIVE COMMITTEE FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION C, LINE 19 TRUST GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE HELD AT WAL-MART STORES, INC. HOME OFFICE AND WILL BE MADE AVAILABLE UPON REQUEST TO THE ADMINISTRATIVE COMMITTEE. FORM 990, PART XI, LINE 9: PAYMENTS MADE OUTSIDE OF TRUST -2,080,841. WAL-MART STORES INC 702 SW 8TH ST BENTONVILLE AR 72716 710415188 RETAIL DE N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0