2014-05-12T08:33:00-05:00 2013-09-28 560747981 DIXON HUGHES GOODMAN LLP PO BOX 2646 HIGH POINT NC 27261 990 2012-09-30 570742607 ALEX LEE INC VOLUNTARY EMPLOYEES BENEFICIARY ASSOC ALEX 8287254424 PO BOX 800 HICKORY NC 28603 JOYCE RETO 8287254424 2014-04-28 1 RENEE CLARK P00202944 3368895156 2014-04-28 2012 2015-11-30 17:44:51Z JOYCE RETO PO BOX 800 HICKORY NC 28603 30491138 0 X N/A X 1982 NC TO PROVIDE MEDICAL, DENTAL AND VISION BENEFITS TO PARTICIPATING & FORMER EMPLOYEES & DEPENDENTS. 0 0 0 0 13892 11230 0 0 35351962 30477246 11598 13892 0 0 35363560 30491138 0 0 32992426 28763204 20720 25575 0 0 0 2855625 2504487 35868771 31293266 -505211 -802128 12612027 11809899 0 0 12612027 11809899 TO PROVIDE MEDICAL, DENTAL AND VISION BENEFITS TO PARTICIPATING EMPLOYEES AND THEIR DEPENDENTS, AND TO RETIRED FORMER EMPLOYEES. 0 0 31293266 30477246 PROVIDED MEDICAL, DENTAL AND VISION BENEFITS TO PARTICIPATING EMPLOYEES AND THEIR DEPENDENTS, AND RETIRED FORMER EMPLOYEES. 31293266 0 0 0 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 0 1 1 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 NC X WELLS FARGO 7043744042 401 S TRYON ST CHARLOTTE NC 28202 WELLS FARGO 1.00 X 25575 0 0 25575 0 0 0 0 0 0 CIGNA ROUTE C3FIN HARTFORD CT 06152 CLAIMS PROCESSING FEE 2315032 1 PAYMENTS FROM PARTICIPANTS 900001 30477246 30477246 30477246 13892 13892 30491138 30477246 13892 0 28763204 28763204 25575 25575 18300 18300 2315032 2315032 OTHER ADMIN. EXPENSES 146419 146419 ACTUARIAL FEE 16123 16123 12 B-1 FEES 8613 8613 31293266 31293266 0 0 399772 119689 12212255 11690210 12612027 11809899 0 0 X 0 0 0 0 12612027 11809899 12612027 11809899 12612027 11809899 -802128 0 X X 0 1 X 1 0 0 X 30490460 0 30490460 678 678 30491138 32282679 989413 989413 31293266 0 31293266 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE PLAN SPONSOR HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF OCTOBER 1, 2013. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST RECEIVABLE PART XII, LINE 2D - OTHER ADJUSTMENTS: BENEFITS PAID AFTER YEAR END ACCRUED TAXES PART XII, LINE 2D - ACCRUED INTERST RECEIVABLE NOT INLCUDED ON CASH BASIS FORM 990 - $94; PRIOR YEAR ACCRUED INTEREST RECEIVABLE INCLUDED ON CASH BASIS FORM 990 - ($772). PART XIII, LINE 2D - BENEFIT PAYMENTS RECORDED ON FINANCIAL STATEMENTS NOT INCLUDED ON CASH BASIS FORM 990 IN CURRENT YEAR - $985,719. FORM 990, PART VI, SECTION A, LINE 8A THE ORGANIZATION IS A VOLUNTARY EMPLOYEES BENEFICIARY ASSOCIATION (VEBA) AND AS SUCH DOES NOT HAVE A GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION IS A VOLUNTARY EMPLOYEES BENEFICIARY ASSOCIATION (VEBA) AND AS SUCH DOES NOT HAVE A GOVERNING BODY OR COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION IS A VOLUNTARY EMPLOYEES BENEFICIARY ASSOCIATION (VEBA) AND AS SUCH DOES NOT HAVE A GOVERNING BODY. FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM IS COMPLETED USING DATA RECEIVED FROM THE TRUSTEE FOR THE SPECIFIC FISCAL YEAR. FORM 990 AND ALL SUPPORTING SCHEDULES ARE REVIEWED AND APPROVED BY THE CORPORATE CONTROLLER OF ALEX LEE, INC. FORM 990, PART VI, SECTION C, LINE 19 AS A VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION (VEBA) NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII WELLS FARGO - 401 S. TRYON ST., CHARLOTTE, NC 28202. FORM 990 PART XII, LINE 2C THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR.