2015-11-16T12:53:06-06:00 2014-12-31 454084437 WARREN AVERETT LLC SIX CONCOURSE PARKWAY STE 600 ATLANTA GA 30328 990 2014-01-01 626176418 DAVIDSON HOTEL COMPANY EMPLOYEE HEALTH CARE TRUST DAVI 6783490909 ONE RAVINA DRIVE NO 1600 ATLANTA GA 30346 BARRY WABLER CFO 6783490909 2015-11-13 1 RACHEL M SKYPEK P00966186 7703961100 2015-11-13 2014 2016-04-25 22:37:26Z X BARRY WABLER ONE RAVINA DRIVE NO 1600 ATLANTA GA 30346 23150946 0 X N/A X 1983 TN VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION - A PROGRAM TO PROVIDE COMPREHENSIVE HEALTH CARE 0 0 0 0 0 0 0 0 23915198 23064946 0 86000 0 0 23915198 23150946 0 0 19793809 20129095 0 0 0 0 0 4632834 4379884 24426643 24508979 -511445 -1358033 10415743 9033601 832412 808303 9583331 8225298 VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION - A PROGRAM TO PROVIDE COMPREHENSIVE HEALTH CARE 0 0 24508979 23064946 VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION - A PROGRAM TO PROVIDE COMPREHENSIVE HEALTH CARE 24508979 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 0 0 0 0 0 0 0 0 0 0 0 X 0 0 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 TN GA X BARRY WABLER 6783490909 ONE RAVINA DRIVE NO 1600 ATLANTA GA 30346 X RALPH TIPTON TRUSTEE 5.00 X 0 0 0 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 1338478 RELIANCE STANDARD LIFE INSURANCE PO BOX 3124 SOUTHEASTERN PA 19398 ADMINISTRATIVE FEES 376945 MC & H LIFE AGENCY INC 8144 WALNUT HILL LANESTE 1600 DALLAS TX 75231 CONSULTING FEES 292916 MATRIX ADSENCE MANAGEMENT INC PO BOX 953217 ST LOUIS MO 63195 ADMINISTRATIVE FEES 167241 4 EMPLOYER/EMPLOYEE CONTRIBUTIONS 525100 23064946 23064946 23064946 86000 86000 23150946 23064946 0 86000 20129095 42180 1864112 PREMIUMS PAID 2473592 24508979 10254828 8997103 160915 36498 10415743 9033601 832412 808303 832412 808303 X 0 0 0 0 9583331 8225298 9583331 8225298 10415743 9033601 -1358033 0 X 0 1 X 1 0 0 X 23150946 0 23150946 0 23150946 24508979 0 24508979 0 24508979 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE TRUST AND THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE TRUST OR PLAN HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE TRUST AND PLAN ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 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, 2013. YEARS DECEMBER 31, 2011, 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 11 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 VI QUESTION 9 RALPH TIPTON CAN NO LONGER BE REACHED AT THE ORGANIZATION'S ADDRESS. THE ADDRESS HE CAN BE REACHED AT: 8294 BLAIR LANE GERMANTOWN, TN 38139 DAVIDSON HOTEL CO LLC ONE RAVINA DRIVE NO 1600 ATLANTA GA 30346 626176418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0