2017-11-07T12:13:02-06:00 2016-12-31 271235638 MOUNTJOY CHILTON MEDLEY LLP 462 S FOURTH ST SUITE 2600 LOUISVILLE KY 402023445 990 2016-01-01 202034596 KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY RETIREE HEALTH BENEFITS TRUST KENT 5024955000 9201 BUNSEN PARKWAY LOUISVILLE KY 402203793 NATHAN ANGUIANO TREASURER, KYFB MUTUAL INS CO. 5024955000 2017-10-30 1 REBECCA L PHILLIPS CPA P00024055 5027491900 128.136.148.166 2017-10-30 16:48:50 ED P 6F7E2C382891F6AA6DA82F75AFA9FB2A8616D773 38995E21796FB82003102BFD958CD4D72668D6C6 2016 2021-01-29 14:40:06Z NATHAN ANGUIANO 9201 BUNSEN PARKWAY LOUISVILLE KY 402203793 23775474 0 X N/A X 2004 KY FUND RETIREE MEDICAL BENEFITS. 13 0 0 0 354356 339762 0 0 29519947 18760774 760152 2054352 0 0 30280099 20815126 0 0 2481628 2674295 0 0 0 0 0 328087 419525 2809715 3093820 27470384 17721306 62897678 79823091 14133 369094 62883545 79453997 FUND RETIREE MEDICAL BENEFITS. 0 0 HEALTH CLAIMS PAID FOR RETIREE MEDICAL BENEFITS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 X 13 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 X NATHAN ANGUIANO 5024955000 9201 BUNSEN PARKWAY LOUISVILLE KY 40220 MARK HANEY PRESIDENT, BOARD DIRECTOR 0.10 20.00 X X 0 339271 31824 EDDIE MELTON 1ST VICE PRESIDENT, BOARD 0.10 20.00 X X 0 178515 14655 J FRITZ GIESECKE 2ND VICE PRESIDENT, BOARD 0.10 20.00 X X 0 156099 17981 MARSHALL COYLE RETIRED PRESIDENT, BOARD 0.10 4.00 X 0 99443 0 ALEXANDER BARNETT BOARD DIRECTOR 0.10 4.00 X 0 70600 27282 DAVID CHAPPELL BOARD DIRECTOR 0.10 4.00 X 0 99774 0 DAVID MCGLONE BOARD DIRECTOR 0.10 4.00 X 0 101574 0 RUSSEL POORE BOARD DIRECTOR 0.10 4.00 X 0 78082 19800 KELLY THURMAN BOARD DIRECTOR 0.10 4.00 X 0 96118 10240 SCOTT TRAVIS BOARD DIRECTOR 0.10 4.00 X 0 99082 0 HARRY TRIPP FURCHES III BOARD DIRECTOR 0.10 4.00 X 0 46800 52882 BIGE HENSLEY BOARD DIRECTOR 0.10 4.00 X 0 57659 35200 DAVID L CAMPBELL BOARD DIRECTOR 0.10 4.00 X 0 40282 12600 PNC BANK TRUSTEE 5.00 X 0 66444 0 TERRY R GILBERT BOARD DIRECTOR 0.10 4.00 X 0 39891 0 0 1569634 222464 0 1 1 0 ANTHEM INC 120 MONUMENT CIRCLE INDIANAPOLIS IN 46204 ADMIN SERVICES 190613 1 EMPLOYER CONTRIBUTIONS 525100 18300000 18300000 PARTICIPANT CONTRIBUTIONS 525100 460774 460774 18760774 2035646 335650 1699996 2979054 2960348 18706 18706 18706 20815126 18760774 354356 1699996 2674295 16625 48147 CONTRACT ADMIN FEES 266491 TAXES (UBIT) 86727 MISCELLANEOUS 1535 3093820 62680022 79336651 217656 486440 62897678 79823091 14133 71067 0 298027 14133 369094 X 62883545 79453997 0 0 0 0 62883545 79453997 62897678 79823091 17721306 -1150854 0 X X 0 1 X 1 0 0 PENDING EQUITIES PURCHASE 298027 298027 X 19721447 -1150854 57175 -1093679 20815126 0 20815126 3150995 57175 57175 3093820 0 3093820 PART X, LINE 2: THE TRUST RECEIVED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE ("IRS"), DATED FEBRUARY 2, 2007 AND RETROACTIVELY EFFECTIVE TO DECEMBER 22, 2004, THAT IT IS EXEMPT FROM TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(A) BASED UPON ITS STATUS AS A VOLUNTARY EMPLOYEE BENEFICIARY ASSOCIATION UNDER IRC SECTION 501(C)(9). HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, THE TRUST MAY BE SUBJECT TO INCOME TAXES. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR AND THE PLAN'S LEGAL COUNSEL BELIEVE THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVE THAT THE TRUST IS TAX-EXEMPT. U.S. GAAP REQUIRES 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 IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2016 AND 2015, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 2D - OTHER ADJUSTMENTS: KEY EMPLOYEE CLAIMS 57,175. PART XII, LINE 2D - OTHER ADJUSTMENTS: KEY EMPLOYEE CLAIMS 57,175. 0 1 0 MARK HANEY PRESIDENT, BOARD DIRECTOR 0 198040 0 135200 0 6031 0 18581 0 13243 0 371095 0 0 EDDIE MELTON 1ST VICE PRESIDENT, BOARD 0 78654 0 96200 0 3661 0 7665 0 6990 0 193170 0 0 J FRITZ GIESECKE 2ND VICE PRESIDENT, BOARD 0 58038 0 96200 0 1861 0 4407 0 13574 0 174080 0 0 TERRY R GILBERT BOARD DIRECTOR 0 0 0 0 0 39891 0 0 0 0 0 39891 0 0 PART I, LINE 4B DIRECTORS AND OFFICERS PARTICIPATED IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN OF A RELATED ENTITY. THE FOLLOWING CONTRIBUTIONS WERE MADE TO THE PLAN DURING THE YEAR ON BEHALF OF THE FOLLOWING INDIVIDUALS: MARK HANEY, $63,500 EDDIE MELTON, $5,120 ALEXANDER BARNETT, $27,282 RUSSEL POORE, $19,800 KELLY THURMAN, $10,240 HARRY TRIPP FURCHES, III, $52,882 BIGE HENSLEY, $35,200 DAVID L. CAMPBELL, $12,600 FORM 990, PART VI, SECTION B, LINE 11B THE DIRECTOR OF FINANCIAL REPORTING AND TAXES AT KY FARM BUREAU INSURANCE REVIEWS THE 990, AS WELL AS THE VICE PRESIDENT OF ACCOUNTING. A COPY OF THE 990 IS THEN REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE 990 IS THEN SIGNED BY THE VICE PRESIDENT OF ACCOUNTING/TREASURER. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THE BOARD OF DIRECTORS TO ANNUALLY DISCLOSE IN WRITING THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY AS WELL AS IDENTIFY ANY POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS OF INTEREST WILL BE REVIEWED BY THE AUDIT COMMITTEE OF THE RELATED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS NO OFFICERS, OTHER THAN THE OFFICERS OF THE BOARD OF DIRECTORS, AND NO EMPLOYEES. THE BOARD OF DIRECTORS IS SHARED AND PAID BY THE RELATED ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 990, PAGE 12, QUESTION 2C. THERE HAS BEEN NO CHANGE IN THE PROCESS FROM PRIOR YEAR. THE RELATED ORGANIZATION HAS AN AUDIT COMMITTEE WHO IS RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT AS WELL AS THE OVERSIGHT OF THE AUDIT. FORM 990, PART VI, SECTION B, LINES 13 AND 14 THE ORGANIZATION DOES NOT HAVE A WHISTLEBLOWER OR DOCUMENT RETENTION POLICY. THE RELATED ORGANIZATION HAS BOTH POLICIES. KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY 9201 BUNSEN PKWY PO BOX 20700 LOUISVILLE KY 40220 610392792 PROPERTY AND CASUALTY INSURANCE COMPANY KY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0