2017-11-15T00:00:00-06:00 2016-12-31 454084437 Warren Averett LLC Six Concourse Parkway Suite 600 Atlanta GA 30328 990 2016-01-01 626176418 DAVIDSON HOTEL COMPANY EMPLOYEE HEALTH CARE TRUST DAVI 6783490909 One Ravina Drive No 1600 Atlanta GA 30346 BARRY WABLER CFO 6783490909 2017-11-14 1 Rachel M Skypek P00966186 7703961100 2017-11-14 73.82.192.199 2017-11-14 17:58:26 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 4426F4BC73F1ED0FB234B578EE4ACBC2F07C229E 2016 2017-02-10 21:41:12Z BARRY WABLER ONE RAVINA DRIVE NO 1600 ATLANTA GA 30346 23644311 0 X N/A X 1983 TN VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION - A PROGRAM TO PROVIDE COMPREHENSIVE HEALTH CARE 0 0 0 1 0 0 0 0 21273970 23644311 0 0 0 0 21273970 23644311 0 0 18352778 21076571 0 0 0 0 0 4745751 4953943 23098529 26030514 -1824559 -2386203 7124682 4569529 723943 554993 6400739 4014536 VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION - A PROGRAM TO PROVIDE COMPREHENSIVE HEALTH CARE 0 0 26030514 23644311 VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION - A PROGRAM TO PROVIDE COMPREHENSIVE HEALTH CARE 26030514 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 3 0 1 0 0 0 0 0 0 0 0 0 X 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 TN GA X BARRY WABLER 6783490909 ONE RAVINA DRIVE NO 1600 ATLANTA GA 30346 X Barry Wabler Trustee 5.00 X 0 0 0 0 0 0 0 0 0 0 AETNA PO Box 88863 Chicago IL 60695 ADMINISTRATIVE FEES 2932618 Unum Life Insurance of America PO Box 406955 Atlanta GA 30384 AdMINISTRATIVE FEES 1011096 MC & H LIFE AGENCY INC 8144 WALNUT HILL LANE 16th Floor DALLAS TX 75231 CONSULTING FEES 292303 OPTIONS EAP & CORP CONSULTANTS INC 5100 POPLAR AVENUE 27TH FLOOR MEMPHIS TN 38137 ADMINISTRATIVE FEES 107522 4 EMPLOYER/EMPLOYEE CONTRIBUTIONS 525100 23644311 23644311 23644311 23644311 23644311 0 0 X 21076571 51908 2020736 PREMIUMS PAID 2881299 26030514 6517853 3974349 606829 595180 7124682 4569529 723943 554993 723943 554993 X 0 0 0 0 6400739 4014536 6400739 4014536 7124682 4569529 -2386203 0 X 0 1 X 1 0 0 X 23644311 0 23644311 0 23644311 26030514 0 26030514 0 26030514 Part X, Line 2: GAAP requires plan management to evaluate tax positions taken by the Plan and recognize a tax liability if the Plan has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS. The Plan is subject to routine audits by taxing jurisdictions, including the IRS. The Plan is not currently under IRS examination for any Plan years. The Trust has filed Form 990 and the Plan has filed Form 5500, which are the annual returns for the Trust and the health care benefit plan, respectively, for all years through December 31, 2015. Years December 31, 2013, and subsequent remain subject to audit by taxing authorities. Form 990, Part VI, Section A, line 2 THE ONE BOARD MEMBER ALSO SERVES AS AN OFFICER OF ANOTHER BUSINESS Form 990, Part VI, Section A, line 8a DAVIDSON HOTEL COMPANY EMPLOYEE HEALTH CARE TRUST IS A TRUST, ALL MEETINGS ARE HELD AT CORPORATE LEVEL Form 990, Part VI, Section A, line 8b DAVIDSON HOTEL COMPANY EMPLOYEE HEALTH CARE TRUST IS A TRUST, ALL MEETINGS ARE HELD AT CORPORATE LEVEL Form 990, Part VI, Section B, line 11b A COPY OF THE 990 DRAFT WAS PROVIDED TO THE TRUSTEE PRIOR TO FILING WITH THE IRS Form 990, Part VI, Section C, line 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST Form 990 Part IX, Line 11g Administrative Fees= $1,571,351 Consulting Fees=$337,420 Miscellaneous Fees= $1,535 ACA Reinsurance Fee= $110,430 DAVIDSON HOTEL CO LLC ONE RAVINA DRIVE NO 1600 atlanta GA 30346 475394301 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0