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CAMBRIDGE PUBLIC EMPLOYEES DENTAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CAMBRIDGE PUBLIC EMPLOYEES DENTAL (EIN 04-2762048)
Tax period
2016-07-01 to 2017-06-30
Filed
2017-12-22
IRS object ID
201743569349300314
Schema version
2016v3.0
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)
Return2017-12-22T10:54:46-06:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN043508036PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MANZI & ASSOCIATES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1855 TURNPIKE STREETAddressLine1Txt
CityNORTH ANDOVERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01845ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042762048EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAMBRIDGE PUBLIC EMPLOYEESBusinessNameLine1Txt
Business Name Line2DENTAL AND VISION FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCAMBBusinessNameControlTxt
Phone6173541110PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 CAMBRIDGE PARK DR NO 101AddressLine1Txt
CityCAMBRIDGECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02140ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA PETERSONPersonNm
Person TitleCHAIRPERSONPersonTitleTxt
Phone6173541110PhoneNum
Signature2017-12-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEDWARD MANZIPreparerPersonNm
PTINP01058633PTIN
Phone9789751099PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address173.162.188.213IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-12-11IPDt
IP Tm15:06:58IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9ECC2F65142E0959BE1BCC18EEA2C002A84BE3AEAtSubmissionCreationDeviceId
At Submission Filing Device IdBA421257995882DF3AFBED8F1E0BEA6E86423FF9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJILL HEROLDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 CAMBRIDGE PARK DR SUITE 101AddressLine1Txt
CityCAMBRIDGECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02140ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,767,039GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1984FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO PROVIDE DENTAL & VISION BENEFITSActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$4,427,339PYProgramServiceRevenueAmt
CY Program Service Revenue$4,452,801CYProgramServiceRevenueAmt
PY Investment Income$119,205PYInvestmentIncomeAmt
CY Investment Income$314,238CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,546,544PYTotalRevenueAmt
CY Total Revenue$4,767,039CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$4,255,393PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$4,734,672CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$161,041PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$118,825CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$365,791PYOtherExpensesAmt
CY Other Expenses$159,119CYOtherExpensesAmt
PY Total Expenses$4,782,225PYTotalExpensesAmt
CY Total Expenses$5,012,616CYTotalExpensesAmt
PY Revenues Less Expenses-$235,681PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$245,577CYRevenuesLessExpensesAmt
Total Assets BOY$6,183,111TotalAssetsBOYAmt
Total Assets EOY$6,090,796TotalAssetsEOYAmt
Total Liabilities BOY$604,000TotalLiabilitiesBOYAmt
Total Liabilities EOY$628,016TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,579,111NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,462,780NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE DENTAL & VISION BENEFITSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,793,916ExpenseAmt
Revenue$4,452,801RevenueAmt
DescTO PROVIDE DENTAL & VISION BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS PURSUANT TO THE FUND'S PLAN OF BENEFITSDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$218,606ExpenseAmt
DescADMINISTRATIVE EXPENSES RELATED TO PROVIDING DENTAL & VISION BENEFITSDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$5,012,522TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JILL HEROLDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6173541110PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 CAMBRIDGE PARK DRIVE SUITE 101AddressLine1Txt
CityCAMBRIDGECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02140ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
GERALDINE HEROLD
TRUSTEE1.00Yes (X)$0$0$0
RAY CLARK
TRUSTEE1.00Yes (X)$2,000$0$0
JAMES CASSIDY SR
TRUSTEE1.00Yes (X)$2,000$0$0
LEONARD SILVA
TRUSTEE1.00Yes (X)$2,400$0$0
PETER MILI
TRUSTEE1.00Yes (X)$2,400$0$0
MARY ELLEN CAMPBELL
TRUSTEE1.00Yes (X)$2,000$0$0
GERALDINE HEROLD
TREASURER2.00Yes (X)$8,700$0$0
LISA PETERSON
CHAIRPERSON1.00Yes (X)$2,200$0$0
LOUIS DEPASQUALE
TRUSTEE1.00Yes (X)$1,800$0$0
CHRISTINA GIACOBBE
TRUSTEE1.00Yes (X)$400$0$0
KAREN PREVAL
TRUSTEE1.00Yes (X)$200$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$24,100TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTALBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02129ZIPCd
FieldValueIRS element (for citing)
ServicesBENEFIT ADMINISTRATIONServicesDesc
Compensation$218,606CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$3,631,775$3,631,775
EMPLOYEE CONTRIBUTIONS900099$821,026$821,026
FieldValueIRS element (for citing)
Total Program Service Revenue$4,452,801TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$124,968TotalRevenueColumnAmt
Exclusion$124,968ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$189,270SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$189,270SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$189,270TotalRevenueColumnAmt
Exclusion$189,270ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,767,039TotalRevenueColumnAmt
Related Or Exempt Func Income$4,452,801RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$314,238ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$4,734,672TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$21,475TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$85,780TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,375TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,195TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$22,500TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,235TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$17,340TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$31,790TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$24,402TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$23,445TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,466TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,355TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
PAYROLL FEES$4,780
TELEPHONE$2,627
STORAGE$1,957
BANK CHARGES$1,183

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,039TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,012,616TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$42,333BOYAmt
EOY$103,040EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$751,345BOYAmt
EOY$652,973EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$71,868BOYAmt
EOY$78,162EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,254BOYAmt
EOY$46,867EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$92,800LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$86,241LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,207BOYAmt
EOY$6,559EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,291,104BOYAmt
EOY$5,203,195EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,183,111BOYAmt
EOY$6,090,796EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$604,000BOYAmt
EOY$628,016EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$604,000BOYAmt
EOY$628,016EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$5,579,111BOYAmt
EOY$5,462,780EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,579,111BOYAmt
EOY$5,462,780EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,183,111BOYAmt
EOY$6,090,796EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$245,577ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$129,246NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$80,175OtherCostOrOtherBasisAmt
Depreciation$76,772DepreciationAmt
Book Value$3,403BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,625OtherCostOrOtherBasisAmt
Depreciation$9,469DepreciationAmt
Book Value$3,156BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,559TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
TOTAL INTERNATIONAL STOCK INDEX ADMIRAL$467,405F
TOTAL STOCK MARKET INDEX ADMIRAL$1,896,643F
IMMEDIATE-TERM INVESTMENT GROUP$673,761F
TOTAL BOND MARKET INDEX ADMIRAL$1,142,004F
TOTAL INTERNATIONAL BOND INDEX ADMIRA$568,590F
SHORT-TERM INVESTMENT GRADE$454,792F
FieldValueIRS element (for citing)
Total Book Value Securities$5,203,195TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
BENEFITS PAYABLE$358,016
IBNR$270,000
FieldValueIRS element (for citing)
Total Liability$628,016TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,878,945TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$129,246NetUnrealizedGainsInvstAmt
Revenue Not Reported$129,246RevenueNotReportedAmt
Revenue Subtotal$4,749,699RevenueSubtotalAmt
Investment Expenses Not Incld$17,340InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$17,340RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,767,039TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,971,260TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$4,971,260ExpensesSubtotalAmt
Investment Expenses Not Incld2$17,340InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$24,016OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$41,356ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,012,616TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE DEPARTMENT OF LABOR AND INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF JUNE 30, 2017 , THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN BENEFIT PAYABLE 35,931. CHANGE IN IBNR -11,915.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6ORGANIZED WITH MEMBERS WHO ARE QUALIFYING PUBLIC EMPLOYEES.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS ELECT THE TRUSTEES
FORM 990, PART VI, SECTION B, LINE 11BTRUSTEES REVIEW AND APPROVE THE FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 15BCOMPENSATION DETERMINED BY COMPARABILITY DATA.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST
FORM 990, PART XII, LINE 2:NO CHANGE IN OVERSIGHT PROCESS OR SELECTION OF INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Legal Domicile StateLegalDomicileStateCd
CITY OF CAMBRIDGE
MA
CAMBRIDGE RETIREMENT BOARD
MA
CAMBRIDGE HEALTH ALLIANCE
MA
CAMBRIDGE SCHOOL DEPARTMENT
MA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd