2013-11-06T15:13:43-06:00 2012-12-31 560747981 DIXON HUGHES GOODMAN LLP 999 S SHADY GROVE RD STE 400 MEMPHIS TN 38120 990 2012-01-01 626176418 DAVIDSON HOTEL COMPANY EMPLOYEE HEALTH CARE TRUST DAVI 6783490909 ONE RAVINA DRIVE NO 1600 ATLANTA GA 30346 LARRY M MILLS 6783490909 2013-11-05 1 JOHN A MAY JR P00210965 9017613000 2013-11-04 2012 2016-02-24 21:20:13Z X LARRY M MILLS ONE RAVINA DRIVE NO 1600 ATLANTA GA 30346 23381392 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 23352926 23381392 0 0 0 0 23352926 23381392 0 0 2299427 2633322 0 0 0 0 0 18947492 20006619 21246919 22639941 2106007 741451 9538960 10376246 185635 281470 9353325 10094776 VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION - A PROGRAM TO PROVIDE COMPREHENSIVE HEALTH CARE. 0 0 VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION - A PROGRAM TO PROVIDE COMPREHENSIVE HEALTH CARE AND SHORT TERM DISABILITY, LONG-TERM DISABILITY, AND LIFE BENEFITS TO QUALIFIED EMPLOYEES AND DEPENDENTS 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 1 0 0 0 0 0 1 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 0 0 1 0 0 0 0 0 0 TN X BRENDA DAVIS-SMITH 6783490909 ONE RAVINA DRIVE SUITE 1600 ATLANTA GA 30346 MARK FRENCH 5.00 X 0 329795 0 LARRY MILLS 5.00 X 0 291228 0 0 621023 0 0 0 1 0 AETNA 151 FARMINGTON AVE HARTFORD CT 06156 ADMINISTRATIVE FEES 1263467 MC & H LIFE AGENCY INC 8144 WALNUT HILL LANESTE 1600 DALLAS TX 75231 CONSULTING FEES 250000 MATRIX ABSENCE MANAGEMENT INC 181 METRO DRIVE SUITE 300 SAN JOSE CA 95110 ADMINISTRATIVE FEES 149540 3 EMPLOYER/EMPLOYEE CONTRIBUTIONS 525100 23381392 23381392 23381392 23381392 23381392 0 0 2633322 CLAIMS PAID FOR PARTICI 18117234 ADMINISTRATIVE EXPENSES 1889385 22639941 8203880 8748475 1335080 1627771 9538960 10376246 185635 281470 185635 281470 X 0 0 0 0 9353325 10094776 9353325 10094776 9538960 10376246 741451 0 X X 0 1 X 1 0 0 23381392 0 23381392 0 23381392 22639941 0 22639941 0 22639941 0 0 0 MARK FRENCH 0 329795 0 0 0 0 0 0 0 0 0 329795 0 0 LARRY MILLS 0 291228 0 0 0 0 0 0 0 0 0 291228 0 0 LARRY MILLS TRUSTEE MR. MILLS IS EMPLOYED BY THE PLAN SPONSOR AND HE SERVES AS A TRUSTEE OF THE PLAN. 0 MARK FRENCH TRUSTEE MR. FRENCH IS EMPLOYED BY THE PLAN SPONSOR AND HE SERVES AS A TRUSTEE OF THE PLAN. 0 FORM 990, PART VI, SECTION A, LINE 2 THE TWO BOARD MEMBERS ALSO SERVE AS OFFICERS 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 TRUSTEES PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. COMMITTEE THAT OVERSEES AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT: FORM 990,L PART XI, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. DAVIDSON HOTEL CO LLC 3340 PLAYERS CLUB PARKWAY SUITE 200 MEMPHIS TN 38125 626176418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O