2014-08-20T11:09:24-05:00 2013-09-30 420714325 McGladrey LLP 800 N Magnolia Avenue Suite 1700 Orlando FL 32803 990 2012-10-01 630985271 Alabama Farmers Cooperative Employees' Welfare Benefit Plan ALAB 2563536844 PO Box 2227 Decatur AL 356092227 Janice Moran 2563536844 2014-08-18 1 Robert Carr P00644137 4078982727 2012 2015-11-30 17:44:51Z Janice Moran PO Box 2227 Decatur AL 356092227 9322010 0 X N/A X 1981 AL To provide major medical benefits, life insurance, and accidental death and dismemberment benefits for sponsoring employer's employees. 4 0 0 4 2606 0 0 0 8648888 9319404 3606 2606 0 0 8652494 9322010 0 0 8146775 9754836 0 0 0 0 0 714660 868011 8861435 10622847 -208941 -1300837 3358540 2057703 1287000 1044000 2071540 1013703 None 0 0 To provide major medical benefits, life insurance, and accidental death and dismemberment benefits for sponsoring employer's employees. 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 1 1 0 0 0 0 0 0 0 X 4 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 X Janice Moran 2563536844 PO Box 2227 Decatur AL 356092227 X X Roger Pangle 1.00 40.00 X 0 0 0 Al Cheatham 1.00 40.00 X 0 0 0 Tricia Arnold 1.00 40.00 X 0 0 0 Janice W Moran 1.00 40.00 X X 0 0 0 0 0 0 0 0 0 0 Blue Cross and Blue Shield of Alabama 450 Riverchase Pkwy E Birmingham AL 35244 Administrative Services 848404 1 Employer Contributions 900001 5219223 5219223 Employee Contributions 900001 4100181 4100181 9319404 2606 2606 9322010 9319404 2606 0 9754836 848404 17477 2130 10622847 30738 3358540 2026965 3358540 2057703 1287000 1044000 1287000 1044000 X 0 0 0 0 2071540 1013703 2071540 1013703 3358540 2057703 X -1300837 243000 X 0 1 X 0 0 0 X 9322010 0 9322010 0 9322010 10622847 0 10622847 0 10622847 Part X, Line 2: The trust established under the Plan to hold the Plan's assets is qualified pursuant to Section 501(c)(9) of the Internal Revenue Code, and accordingly, the trust's net investment income is exempt from income taxes. The trust has obtained a favorable tax determination letter from the Internal Revenue Service dated May 17, 1990, and the Sponsor believes that the trust, as amended, continues to qualify and to operate in accordance with applicable provisions of the Internal Revenue Code as designed. Form 990, Part VI, Section A, line 2 The trustees have a business relationship as they are employed by the same company. Form 990, Part VI, Section A, line 8a The organization did not document all meetings or actions taken during the 2012 fiscal year. Informal quarterly meetings are held between the trustees and the benefit provider. Form 990, Part VI, Section A, line 8b The organization did not document all meetings or actions taken during the 2012 fiscal year. Informal quarterly meetings are held between the trustees and the benefit provider. Form 990, Part VI, Section B, line 11 The Form 990 is provided to all trustees for review and approval prior to filing. Form 990, Part VI, Section C, line 19 The information is available upon request. Form 990, Part VII, Section A: The trustees are employees of the related organization. They serve as volunteer trustees for the organization. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Net decrease in benefit obligations 243,000. Alabama Farmers Cooperative Inc PO Box 2227 Decatur AL 35609 630207695 agricultural cooperative AL N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1