2012-08-14T08:36:17-05:00 2011-10-01 DIXON HUGHES GOODMAN LLP PO BOX 2646 HIGH POINT NC 27261 990 2010-10-03 570742607 ALEX LEE INC VOLUNTARY EMPLOYEES BENEFICIARY ASSOCIATION ALEX 8287254424 PO BOX 800 HICKORY NC 28603 RONALD W KNEDLIK 8287254424 2012-08-06 1 RENEE CLARK 3368895156 2012-08-03 2010 2016-02-24 21:20:13Z RONALD W KNEDLIK PO BOX 800 HICKORY NC 28603 36305801 0 X N/A X 1982 NC TO PROVIDE MEDICAL & DENTAL BENEFITS TO PARTICIPATING & FORMER EMPLOYEES & DEPENDENTS. 0 0 0 0 19202 16605 0 0 36878286 36286599 46127 19202 0 0 36924413 36305801 0 0 35451479 33851671 29621 27998 0 0 0 2782941 2413183 38264041 36292852 -1339628 12949 13104289 13117238 0 0 13104289 13117238 TO PROVIDE MEDICAL AND DENTAL BENEFITS TO PARTICIPATING EMPLOYEES AND THEIR DEPENDENTS, AND TO RETIRED FORMER EMPLOYEES. 0 0 36292852 36305801 PROVIDED MEDICAL AND DENTAL BENEFITS TO PARTICIPATING EMPLOYEES AND THEIR DEPENDENTS, AND RETIRED FORMER EMPLOYEES. 36292852 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 0 1 0 0 0 1 1 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 27998 0 0 27998 0 0 0 0 0 0 CIGNA ROUTE C3FIN HARTFORD CT 06152 CLAIMS PROCESSING FEE 2582297 1 PAYMENTS FROM PARTICIP 900001 36286599 36286599 36286599 19202 19202 36305801 36286599 19202 0 33851671 33851671 27998 27998 13590 13590 2582297 2582297 POSTAGE 17296 17296 FEDERAL TAX REFUND -200000 -200000 36292852 36292852 0 0 320327 194405 12783962 12922833 13104289 13117238 0 0 X 0 0 0 0 13104289 13117238 13104289 13117238 13104289 13117238 12949 0 X X 0 1 1 X 0 0 36305801 36292852 12949 0 12949 36306373 572 572 36305801 0 36305801 36616017 323165 323165 36292852 0 36292852 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE PLAN SPONSOR HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLICATIONS AS OF SEPTEMBER 30, 2011. PART XII, LINE 2D - ACCRUED INTERST RECEIVABLE NOT INLCUDED ON CASH BASIS FORM 990 - $377; DIFFERENCE DUE TO CALENDAR YEAR CUT OFF FOR AUDITED FINANCIAL STATEMENTS AND FISCAL CUT OFF FOR FORM 990 - $195 . PART XIII, LINE 2D - NET TAX REFUND AND CORRECTION OF AN ERROR NOT INCLUDED ON CASH BASIS FORM 990 - $206,048; BENEFIT PAID ON 10/1/2011 INCLUDED ON PRIOR YEAR 990.- $117,117. 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. SUBSEQUENT TO FILING, FORM 990 AND ALL SUPPORTING SCHEDULES ARE REVIEWED AND APPROVED BY THE CORPORATE CONTROLLER OF ALEX LEE, INC. AS A FINAL APPROVAL PROCESS, FORM 990 IS SIGNED BY THE TREASURER 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 2B NO CHANGE FROM PRIOR YEAR