2012-11-14T09:00:15-06:00 2012-06-30 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2011-07-01 391832648 WPPI BENEFIT PLAN TRUST WPPI 6088372653 1425 CORPORATE CENTER DRIVE SUN PRAIRIE WI 53590 JAMES STAWICKI 6088372653 2012-11-13 1 KIMBERLY ANDERSON CPA P00188889 6086628600 2011 2016-02-24 21:20:13Z JAMES STAWICKI 1425 CORPORATE CENTER DRIVE SUN PRAIRIE WI 53590 9528759 0 X N/A X 1995 WI TO SPONSOR AND ADMINISTER PLANS THROUGH WHICH MEMBERS OF WPPI ENERGY CAN PROVIDE HEALTH AND OTHER BENEFITS FOR THEIR EMPLOYEES. 13 13 0 0 0 0 0 0 7463251 9508608 34244 20151 0 0 7497495 9528759 0 0 7711266 9959843 0 0 0 0 0 593299 648224 8304565 10608067 -807070 -1079308 3471771 2801130 798481 1207148 2673290 1593982 TO PROVIDE A LEGAL ENTITY THROUGH WHICH MEMBERS OF WPPI ENERGY, A GOVERNMENTAL ENTITY, CAN SPONSOR AND ADMINISTER ONE OR MORE PLANS CREATED FOR THE BENEFIT OF PARTICIPATING MUNICIPALITIES, PARTICIPATING EMPLOYEES, AND THE BENEFICIARIES OF PARTICIPATING EMPLOYEES. 0 0 TO PROVIDE HEALTH, DENTAL, AND PRESCRIPTION DRUG BENEFITS TO PARTICIPATING GROUPS. 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 1 0 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 X 13 13 0 1 1 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 X MARTY DREISCHMEIER 6088344563 1425 CORPORATE CENTER DRIVE SUN PRAIRIE WI 535909109 JIM STAWICKI 0.50 X X 0 100225 26322 PAULA PETHAN 0.50 X X 0 46186 23999 CHRISTY MERTES 0.50 X X 0 82727 21938 JOE BJELLAND 0.50 X 0 71412 29296 TINA KAY SASS 0.50 X 0 54733 23220 MELANIE KRAUSE 0.50 X 0 91304 29267 CASSANDRA LANGENFELD 0.50 X 0 68464 30402 JUDY OSMAN 0.50 X 0 63966 16074 JUDY RADKE 0.50 X 0 71613 32200 STEPHANIE REINHARDT 0.50 X 0 52478 23461 BECKY STARK 0.50 X 0 37909 23454 JERRY EWERT 0.50 X 0 92184 23352 SCOT SIMPSON 0.50 X 0 110536 36355 BEVERLY L LANGENBACK 0.50 X 0 42980 18107 0 986717 357447 0 0 0 0 UMR 2700 MIDWEST DR ONALASKA WI 54650 THIRD PARTY ADMINISTRATOR 214417 1 EMPLOYER CONTRIBUTIONS 524298 9508608 9508608 9508608 20151 20151 9528759 9508608 0 20151 9959843 89250 34354 339053 1449 5040 1306 69102 MANAGED CARE COSTS 56435 WELLNESS HRA 24002 PRESCRIPTION PREMIUM 15864 BANK FEES 12369 10608067 275150 78615 3186133 2713764 2308 657 5946 6496 510 510 1724 1088 3471771 2801130 797740 1207105 741 43 798481 1207148 X 2673290 1593982 2673290 1593982 3471771 2801130 -1079308 0 X X 0 1 1 X 0 0 9528759 10608067 -1079308 -1079308 9528759 0 9528759 0 9528759 10608067 0 10608067 0 10608067 FORM 990, PART VI, SECTION A, LINE 3 FINANCIAL AND OPERATIONS MANAGEMENT AND CLAIMS ADMINISTRATION AND PAYMENT CONTRACTED TO THIRD PARTIES. FORM 990, PART VI, SECTION A, LINE 4 WPPI MADE CHANGES TO AMENDMENT 1 TO THE FIRST RESTATED AGREEMENT GOVERNING THE WPPI BENEFIT PLAN TRUST. THESE CHANGES TO THE AMENDMENT WERE REPORTED AND SENT TO THE IRS. FORM 990, PART VI, SECTION B, LINE 11 THE BUSINESS MANAGER AND FINANCIAL OVERSIGHT COMMITTEE REVIEW THE FORM 990 PRIOR TO SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL ACKNOWLEDGEMENT, ACCEPTANCE AND FINANCIAL INTENT DISCLOSURE IS REQUIRED FOR ALL BOARD MEMBERS, PRINCIPAL OFFICER OR COMMITTEE MEMBERS, AND CO-BUSINESS MANAGERS. BOARD CONDUCTS ANNUAL REVIEW AND EVALUATES POLICIES AND PROCEDURES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE YEAR. WPPI ENERGY 1425 CORPORATE CENTER DRIVE SUN PRAIRIE WI 53590 391392583 STATE MUNICIPAL ELECTRIC COMPANY WI 115 N/A 0 CITY OF CEDARBURG PO BOX 49 CEDARBURG WI 53012 396005410 STATE MUNICIPALITY WI 115 N/A 0 BLACK RIVER FALLS MUNICIPAL UTILITY 119 N WATER ST BLACK RIVER FALLS WI 54615 020654109 STATE MUNICIPAL UTILITY WI 115 N/A 0 CITY OF NEW RICHMOND 156 E 1ST STREET NEW RICHMOND WI 54017 396005554 STATE MUNICIPALITY WI 115 N/A 0 CITY OF NEW HOLSTEIN 2110 WASHINGTON ST NEW HOLSTEIN WI 53061 396005548 STATE MUNICIPALITY WI 115 N/A 0 MENASHA UTILITIES PO BOX 340 MENASHA WI 54952 396005526 STATE MUNICIPAL UTILITY WI 115 N/A 0 CITY OF WHITEHALL PO BOX 155 WHITEHALL WI 54773 396005657 STATE MUNICIPALITY WI 115 N/A 0 CITY OF NEW LONDON 396005550 STATE MUNICIPALITY WI 115 N/A 0 STURGEON BAY UTILITIES PO BOX 27 STURGEON BAY WI 54235 396005630 STATE MUNICIPAL UTILITY WI 115 N/A 0 CITY OF RIVER FALLS 222 LEWIS ST RIVER FALLS WI 54022 396005590 STATE MUNICIPALITY WI 115 N/A 0 COLUMBUS WATER & LIGHT 950 MAPLE AVE COLUMBUS WI 53925 396005418 STATE MUNICIPAL UTILITY WI 115 N/A 0 CITY OF STURGEON BAY 421 MICHIGAN ST STURGEON BAY WI 54235 396005627 STATE MUNICIPALITY WI 115 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0