2013-10-25T09:05:40-05:00 2013-06-30 421104473 MCGOWEN HURST CLARK SMITH PC PO BOX 312 WINTERSET IA 502730312 990 2012-07-01 426167033 PETROLEUM MARKETERS OF IOWA TRUST PETR 5152247545 10430 NEW YORK AVE SUITE F URBANDALE IA 50322 PRESIDENT 5152247545 2013-10-25 1 THOMAS J PFLANZ CPA P00054885 5152883279 2013-10-25 2012 2016-02-25 16:41:14Z DAWN CARLSON 10430 NEW YORK AVE SUITE F URBANDALE IA 50322 8794886 0 X N/A X 1950 IA PROVIDES HEALTH, DENTAL, VISION AND LIFE INSURANCE PRODUCTS AND SERVICES TO PMCI MEMBERS. 5 5 0 7 0 0 0 0 7124697 7754353 22656 28232 295420 966342 7442773 8748927 0 0 6289076 7174199 0 0 0 0 0 1291499 1433588 7580575 8607787 -137802 141140 1960808 2038876 165322 67826 1795486 1971050 PMCI TRUST PROVIDES HEALTH, DENTAL, VISION AND LIFE INSURANCE PRODUCTS AND SERVICES TO MEMBERS OF PMCI AND OTHER QUALIFIED LIKE-INDUSTRY PARTICIPANTS. 0 0 8607787 8720695 PMCI TRUST PROVIDES VARIOUS TYPES OF GROUP INSURANCE COVERAGE FOR MEMBERS OF THE PETROLEUM MARKETERS AND CONVENIENCE STORES OF IOWA TRADE ASSOCIATION. 8607787 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X DAWN CARLSON 5152247545 10430 NEW YORK AVE SUITE F URBANDALE IA 50322 X TODD MEYER 0.50 X X 0 0 0 RANDY WOODARD 0.50 X 0 0 0 LISA ABENS 0.50 X 0 0 0 JILL REIMER 0.50 X 0 0 0 BRYAN BANDSTRA 0.50 X 0 0 0 ROLLIN TIEFENTHALER 0.50 X 0 0 0 MATT LITWILLER 0.50 X 0 0 0 0 0 0 0 0 0 0 WELLMARK BLUE CROSS BLUE SHIELD OF IOWA PO BOX 9124 DES MOINES IA 503069124 HEALTH INSURANCE ADMINISTRATION 1066246 LA MAIR-MULOCK-CONDON CO 4200 UNIVERSITY AVE SUITE 200 WEST DES MOINES IA 502665945 INSURANCE ADMIN & CONSULTING 181582 MILLIMAN 1120 SOUTH 101ST STREET OMAHA NE 68124 ACTUARIAL CONSULTING 113463 3 INSURANCE PREMIUMS 524298 7754353 7754353 7754353 25121 25121 49070 45959 3111 3111 3111 EXCESS STOP LOSS 900099 914822 914822 PHARMACY REBATES 900099 51401 51401 MISCELLANEOUS 900099 119 119 966342 8748927 8720695 0 28232 7174199 7174199 16026 16026 25745 25745 11283 11283 113463 113463 4620 4620 ADMINISTRATIVE CHARGES 1072509 1072509 CONSULTING EXPENSE 181582 181582 MISCELLANEOUS 8360 8360 8607787 8607787 0 0 62380 366642 15657 11165 1882771 1661069 1960808 2038876 150563 58130 14759 9696 165322 67826 X 0 0 0 0 1795486 1971050 1795486 1971050 1960808 2038876 141140 34424 0 X X 0 1 X 1 0 0 X 8772068 34424 34424 8737644 11283 11283 8748927 8596504 0 8596504 11283 11283 8607787 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF JUNE 30, 2013 AND 2012, 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. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF TRUSTEES OF PMCI TRUST REVIEWS THE FORM 990 PRIOR TO FILING. THE FORM IS PROVIDED TO TRUSTEES AND PRESENTED AT A MEETING OF THE TRUSTEES FOR COMMENTS AND QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND ANY CONFLICTS ARE RECORDED IN THE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, 2C THE FULL BOARD OF TRUSTEES IS RESPONSIBLE FOR THE OVERSIGHT OF THE FINANCIAL AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. PETROLEUM MARKETERS AND CONVENIENCE STORES OF IOWA 10430 NEW YORK AVE SUITE F URBANDALE IA 50322 420332565 TRADE ASSOCIATION IA 501(C)(6) 0 IOWA BENEFIT ADMINISTRATORS 10430 NEW YORK AVE SUITE F URBANDALE IA 50322 273776704 PLAN ADMINISTRATION IA 501(C)(6) PETROLEUM MARKETERS AND CONVENIENCE STORES OF IOWA 0 RIN ALLIANCE INC 10430 NEW YORK AVE SUITE F URBANDALE IA 50322 420947359 ASSISTS SUBSCRIBERS IN COMPLIANCE & MARKETING RINS IA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0