ALEX LEE INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- ALEX LEE INC (EIN 57-0742607)
- Tax period
- 2009-10-04 to 2010-10-02
- Filed
- 2011-02-14
- IRS object ID
- 201130459349300408
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-02-14T08:43:12-06:00 | Timestamp |
| Tax Period End Date | 2010-10-02 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-04 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570742607 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alex Lee Inc Voluntary Employees | BusinessNameLine1 |
| Business Name Line2 | Beneficiary Association | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ALEX | NameControl |
| Phone | 8287254424 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 800 | AddressLine1 |
| City | Hickory | City |
| State | NC | State |
| ZIP Code | 28603 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RONALD W KNEDLIK | Name |
| Title | TREASURER | Title |
| Phone | 8287254424 | Phone |
| Date Signed | 2011-02-14 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RONALD W KNEDLIK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 800 | AddressLine1 |
| City | HICKORY | City |
| State | NC | State |
| ZIP Code | 28603 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 36924413 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | n/a | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | Provide medical and dental benefits to participating employees, ex-employees and dependents. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 0 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 46127 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 15506 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 38496699 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 36878286 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 169622 | InvestmentIncomePriorYear |
| Investment Income Current Year | 46127 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 38666321 | TotalRevenuePriorYear |
| Total Revenue Current Year | 36924413 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 35589423 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 35451479 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 30019 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 29621 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3134033 | OtherExpensePriorYear |
| Other Expenses Current Year | 2782941 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 38753475 | TotalExpensesPriorYear |
| Total Expenses Current Year | 38264041 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -87154 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1339628 | RevenuesLessExpensesCY |
| Total Assets BOY | 14443918 | TotalAssetsBOY |
| Total Assets EOY | 13104290 | TotalAssetsEOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 14443918 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 13104290 | NetAssetsOrFundBalancesEOY |
| Mission Description | Providing medical and dental benefits to participating employees, ex-employees and dependents. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 38264041 | Expense |
| Revenue | 36878286 | Revenue |
| Description | Providing medical and dental benefits to participating employees, ex-employees and dependents. | Description |
| Total Program Service Expense | 38264041 | TotalProgramServiceExpense |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 0 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Nbr Voting Governing Body Members | 0 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 0 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 1 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicy |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wells Fargo | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7043744042 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 S Tryon Street | AddressLine1 |
| City | Charlotte | City |
| State | NC | State |
| ZIP Code | 28202 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Wells Fargo | NamePerson |
| Title | Trustee | Title |
| Average Hours Per Week | 1.00 | AverageHoursPerWeek |
| Institutional Trustee | X | InstitutionalTrustee |
| Reportable Comp From Organization | 29621 | ReportableCompFromOrganization |
| Reportable Comp From Related Orgs | 0 | ReportableCompFromRelatedOrgs |
| Other Compensation | 0 | OtherCompensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 29621 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CIGNA | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5089 COLLECTION CENTER DR | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606930050 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Claims Processing Fee | DescriptionOfServices |
| Compensation | 2533552 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Payments from Particip | Description |
| Total Revenue Column | 36878286 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36878286 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 36878286 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 46127 | TotalRevenueColumn |
| Unrelated Business Revenue | 46127 | UnrelatedBusinessRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36924413 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36878286 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 46127 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35451479 | Total |
| Program Services | 35451479 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29621 | Total |
| Program Services | 29621 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18757 | Total |
| Program Services | 18757 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2693105 | Total |
| Program Services | 2693105 | ProgramServices |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Taxes | 57325 | 57325 |
| Miscellaneous | 13754 | 13754 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38264041 | Total |
| Program Services | 38264041 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208824 | BOY |
| EOY | 320328 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14235094 | BOY |
| EOY | 12783962 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14443918 | BOY |
| EOY | 13104290 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14443918 | BOY |
| EOY | 13104290 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14443918 | BOY |
| EOY | 13104290 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14443918 | BOY |
| EOY | 13104290 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Included On FS | 0 | IncludedOnFS |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Total Revenue | 36924413 | TotalRevenue |
| Total Expenses | 38264041 | TotalExpenses |
| Excess Or Deficit For Year | -1339628 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -1339628 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 36924219 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 1438 | OtherRevenues |
| Revenue Not Rptd F990 | 1438 | RevenueNotRptdF990 |
| Revenue Subtotal | 36922781 | RevenueSubtotal |
| Other Revenues Not Included | 1632 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1632 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 36924413 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 38394100 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 181855 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 181855 | ExpensesNotRptdF990 |
| Expenses Subtotal | 38212245 | ExpensesSubtotal |
| Other Expenses Not Included | 51796 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 51796 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 38264041 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Part XII, Line 2d - Accrued interest receivable not included on cash basis form 990 Part XII, Line 4b - Interest received after calendar month cut off for audited financial statements Part XIII, Line 2d - Benefit payments included in prior year form 990; Difference is due to calendar cut off for audited financial statements and fiscal cut off for form 990 Part XIII, Line 4b - Reduction of accrued income tax receivable on audited financial statements; included in cash basis form 990 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 8a | The entity is a Voluntary Employees Beneficiary Association (VEBA), therefore much of the information in this section is not applicable. For instance, there is no governing body or related policies and procedures. |
| Form 990, Part VI, Section A, line 8b | The entity is a Voluntary Employees Beneficiary Association (VEBA), therefore much of the information in this section is not applicable. For instance, there is no governing body or related policies and procedures. |
| Form 990, Part VI, Section B, line 11 | Form 990 is prepared by the Corporate Accountant of Alex Lee, Inc. The form is completed using data received from the Trustee for the fiscal period indicated on the form. Subsequent to completion, the form and all the 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 | No documents available to the public. |