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HOUSING BENEFITS PLAN: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOUSING BENEFITS PLAN (EIN 62-1217327)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-17
IRS object ID
201132909349301268
Schema version
2010v3.4
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

FieldValueIRS element (for citing)
Timestamp2011-10-17T16:31:55-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Metcalf Davis CPAsBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13340 Peachtree Road NE Suite 2600AddressLine1
CityAtlantaCity
StateGAState
ZIP Code303261089ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621217327EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Housing Benefits PlanBusinessNameLine1
Business Name Line2c/o John Pope Housing Solution AllianceBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlHOUSNameControl
Phone8002887623Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 541628AddressLine1
CityDallasCity
StateTXState
ZIP Code75354ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMarilyn PhillipsName
TitleExecutive SecretaryTitle
Phone8532634442Phone
Date Signed2011-10-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSusan HillName
Phone4042641700Phone
Date Prepared2011-10-17DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMarilyn PhillipsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 218AddressLine1
CityGracevilleCity
StateFLState
ZIP Code32440ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13374753GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1984YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionProvide health benefits, life insurance coverage, long-term disability benefits, vision care and death benefits to participants, their beneficiaries and covered dependents.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12109680ProgramServiceRevenuePriorYear
Program Service Revenue CY13183771ProgramServiceRevenueCY
Investment Income Prior Year12780InvestmentIncomePriorYear
Investment Income Current Year16477InvestmentIncomeCurrentYear
Other Revenue Prior Year252322OtherRevenuePriorYear
Other Revenue Current Year174505OtherRevenueCurrentYear
Total Revenue Prior Year12374782TotalRevenuePriorYear
Total Revenue Current Year13374753TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12203798OtherExpensePriorYear
Other Expenses Current Year11800756OtherExpensesCurrentYear
Total Expenses Prior Year12203798TotalExpensesPriorYear
Total Expenses Current Year11800756TotalExpensesCurrentYear
Revenues Less Expenses Prior Year170984RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1573997RevenuesLessExpensesCY
Total Assets BOY7144280TotalAssetsBOY
Total Assets EOY8966221TotalAssetsEOY
Total Liabilities BOY3625157TotalLiabilitiesBOY
Total Liabilities EOY3873101TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3519123NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5093120NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe Purpose of the Plan shall be to provide medical and other benefits permissable under Section 501(c)(9) of the Internal Revenue Code of 1986, as amended ("Code") to those employees (and their dependents and beneficiaries) of member local housing authorities, redevelopment agencies and of the Plan ("Employer") which voluntarily elect to participate in the Plan.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionProvision of health benefits (medical, hospital, surgical, major medical and dental), life insurance coverage, long-term disability benefits, vision care and dental benefits to participants, their beneficiaries and covered dependents.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1John Pope Housing Solutions AllianBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2143587551TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1P O Box 541628AddressLine1
CityDallasCity
StateTXState
ZIP Code75220ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Mike Proffitt
Board Member0.00X000
Laura Hinchey
Board Member0.00X000
Jack McCord
Board Member0.00X000
Marilyn Phillips
Board Member0.00X000
Paul Pierce
Board Member0.00X000
Patsy Noland
Board Member0.00X000
Don Alexander
Board Member0.00X000
Carolynn Humphrey
Board Member0.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Blue Cross Blue Shield
225 North Michigan AvenueChicagoIL60601Administration279287
Mercer Administration
2610 Northgate DriveIowa CityIA52245Administration264970
Professional Benefits Administrators
PO Box 4687Oak BrookIL60522Administration251243
Mercer
10 South Walker Drive Suite 1700ChicagoIL60606Consulting155700
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Premium Income5242921249260012492600
Premium Income Dental524292407561407561
Premium Income LTD524292167267167267
Premium Vision Income5242926968169681
Premium Income Life5242924666246662
FieldValueIRS element (for citing)
Total Program Service Revenue13183771TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column16477TotalRevenueColumn
Related Or Exempt Function Income16477RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Stop Loss Reimbursemen524298143615143615
Caremark Rebates5242982730227302
Miscellaneous revenues52429835883588
FieldValueIRS element (for citing)
Total Other Revenue174505TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13374753TotalRevenueColumn
Related Or Exempt Function Income13374753RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total30213Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total44550Total

Travel Travel

FieldValueIRS element (for citing)
Total3160Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22258Total

Insurance Insurance

FieldValueIRS element (for citing)
Total11160Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotal
Direct Claims from Part10163882
Insurance Premuims paid811587
Administrative Fees529284
Professional and Consul155700
Network and Case Manage23084

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5878Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11800756Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY-1EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6112461BOY
EOY7662153EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY988157BOY
EOY1198726EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY43662BOY
EOY105343EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7144280BOY
EOY8966221EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY990817BOY
EOY1238885EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY927345BOY
EOY1170440EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1706995BOY
EOY1463776EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3625157BOY
EOY3873101EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY3519123BOY
EOY5093120EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3519123BOY
EOY5093120EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7144280BOY
EOY8966221EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1573997ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionReserve for claims incurred but not reportedDescription
Amount$1,463,776Amount
FieldValueIRS element (for citing)
Total Of Amounts1463776TotalOfAmounts
Total Revenue13374753TotalRevenue
Total Expenses11800756TotalExpenses
Excess Or Deficit For Year1573997ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS1573997ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13197958TotRevenueEtcAuditedFinclStmt
Other Revenues-5878OtherRevenues
Revenue Not Rptd F990-5878RevenueNotRptdF990
Revenue Subtotal13203836RevenueSubtotal
Other Revenues Not Included170917OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt170917RevenueNotRptdOnFinStmt
Total Revenue Per Form99013374753TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11623961TotExpensesEtcAuditedFinclStmt
Other Expenses Included-170917OtherExpensesIncluded
Expenses Not Rptd F990-170917ExpensesNotRptdF990
Expenses Subtotal11794878ExpensesSubtotal
Other Expenses Not Included5878OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt5878ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011800756TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:Part X:Accounting principles generally accepted in the United States of America require plan management to evaluate tax positions taken by the Plan and to recognize a tax liability (or asset) if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS. The plan administrator has analyzed the tax positions taken by the Plan, and has concluded that as of December 31, 2010, 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, as of the date of this report there are currently 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 2007.
Part XII, Line 2d - Other Adjustments:Bank Charges
Part XII, Line 4b - Other Adjustments:Stop Loss Reimbursements Caremark Rebates
Part XIII, Line 2d - Other Adjustments:Stop Loss Reimbursements Caremark Rebates
Part XIII, Line 4b - Other Adjustments:Bank Charges

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 3The organization delegates 3rd party claims administration duties to: Mercer Administration P.O. Box 4542 Iowa City, IA 52244-4542 Mercer's duties include: billings, premium collections, and claim payments.
Form 990, Part VI, Section A, line 7aBoard members are appointed by the presidents of SERC- NAHRO and SWRC- NAHRO, subject to confirmation by a majority of the members of the Executive Committees of the SERC & SWRC NAHRO organizations.
Form 990, Part VI, Section B, line 11The Form 990 is reviewed by the Board Chair and other members of the Auditing Committee before the final copy is filed.
The Organization makes its documents available upon request.Form 990, Part VI, Section C, line 19

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
Southwest Regional Council of NAHRO
2375 Rodgers RoadOlneyTX76374521610151Training and educational activities for PHA'sTX501 (c)(3)90
Southeast Regional Council of NAHRO
P O Box 220Fort MillSC29716521629630Training and educational activities for PHA'sSC501 (c)(3)90
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg