Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
A For the 2020 calendar year, or tax year beginning 01-01-2020 , and ending 07-21-2020
BCheck if applicable:
CName of organization
SEQUENT EMPLOYEE BENEFIT TRUST VEBA
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
8415 PULSAR PLACE SUITE 200 NO 2
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
COLUMBUS, OH43240
D Employer identification number

31-1732659
E Telephone number

G Gross receipts $ 0
F Name and address of principal officer:
DWIGHT SEELEY
8415 PULSAR PLACE SUITE 200 NO 200
COLUMBUS,OH43240
I
Tax-exempt status: ( 9 ) LeftBullet (insert no.) or
J
Website:MediumBullet
N/A
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1999
M State of legal domicile: OH
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: HEALTH AND WELFARE BENEFIT PLAN
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 7
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 7
5 Total number of individuals employed in calendar year 2020 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 0 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 25,469 0
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 25,469 0
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 859,168
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 0 0
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 0 135
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 0 859,303
19 Revenue less expenses. Subtract line 18 from line 12....... 25,469 -859,303
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,806,436 0
21 Total liabilities (Part X, line 26)............. 947,133 0
22 Net assets or fund balances. Subtract line 21 from line 20..... 859,303 0
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2020)
Form 990 (2020)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: ADMINISTERS A MULTI-EMPLOYER EMPLOYEE BENEFIT PLAN
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 0 including grants of $ 0 ) (Revenue $ 0 )
SEQUENT EMPLOYEE BENEFIT TRUST VEBA TERMINATED ON 07/21/2020. ALL PROGRAM OPERATIONS HAVE CEASED.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet  
Form 990 (2020)
Form 990 (2020)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. ...................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2020)
Form 990 (2020)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J.......................
23
 
No
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
 
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
 
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part IClick to see attachment
31
Yes
 
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................Click to see attachment
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
1
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2020)
Form 990 (2020)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2020)
Form 990 (2020)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
7
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
7
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
 
No
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
 
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
 
 
13
Did the organization have a written whistleblower policy? ...............
13
 
No
14
Did the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletDWIGHT SEELEY8415 PULSAR PLACE   COLUMBUS,OH43240 (614) 436-5880
Form 990 (2020)
Form 990 (2020)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JOHN E BOYER......................................................................
MEMBER TRUST OVERSIGHT COM
 1.00
.................
0.00 		X           0 0 0
(2) JAMES CALDWELL......................................................................
MEMBER TRUST OVERSIGHT COM
 1.00
.................
0.00 		X           0 0 0
(3) JONATHAN ALLISON......................................................................
MEMBER TRUST OVERSIGHT COM
 1.00
.................
0.00 		X           0 0 0
(4) MICHAEL STINZIANO......................................................................
MEMBER TRUST OVERSIGHT COM
 1.00
.................
0.00 		X           0 0 0
(5) ISABEL TOTH......................................................................
MEMBER TRUST OVERSIGHT COM
 1.00
.................
0.00 		X           0 0 0
(6) CHAD EDDY......................................................................
MEMBER TRUST OVERSIGHT COM
 1.00
.................
0.00 		X           0 0 0
(7) JEFF SMITH......................................................................
MEMBER TRUST OVERSIGHT COM
 1.00
.................
0.00 		X           0 0 0
(8) DWIGHT SEELEY......................................................................
EXECUTIVE VICE PRESIDENT
 1.00
.................
0.00 		    X       0 0 0


















Form 990 (2020)
Form 990 (2020)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 0 0
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
 
No
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2020)
Form 990 (2020)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet  
Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet  
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet        
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss)     7c
d Net gain or (loss).........MediumBullet        
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See instructions.....MediumBullet 0 0 0 0
Form 990 (2020)
Form 990 (2020)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members ....... 859,168  
5 Compensation of current officers, directors, trustees, and key employees ...........        
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)        
12 Advertising and promotion ....        
13 Office expenses .......        
14 Information technology ......        
15 Royalties ..        
16 Occupancy ...........        
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 135      
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..        
23 Insurance ...        
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a
b
c
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 859,303      
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2020)
Form 990 (2020)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1 0
2 Savings and temporary cash investments ......... 1,633,436 2 0
3 Pledges and grants receivable, net ......   3 0
4 Accounts receivable, net .............   4 0
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6 0
7 Notes and loans receivable, net ...........   7 0
8 Inventories for sale or use ............   8 0
9 Prepaid expenses and deferred charges ......   9 0
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a  
b Less: accumulated depreciation 10b     10c 0
11 Investments—publicly traded securities .   11 0
12 Investments—other securities. See Part IV, line 11 .....   12 0
13 Investments—program-related. See Part IV, line 11 ..   13 0
14 Intangible assets ...............   14 0
15 Other assets. See Part IV, line 11 ........... 173,000 15 0
16 Total assets. Add lines 1 through 15 (must equal line 33)... 1,806,436 16 0
Liabilities 17 Accounts payable and accrued expenses ..... 947,133 17 0
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D   25  
26 Total liabilities. Add lines 17 through 25.. 947,133 26 0
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds ..... 162,435 29 162,435
30 Paid-in or capital surplus, or land, building or equipment fund ... 0 30 0
31 Retained earnings, endowment, accumulated income, or other funds 696,868 31 -162,435
32 Total net assets or fund balances ........... 859,303 32 0
33 Total liabilities and net assets/fund balances ........ 1,806,436 33 0
Form 990 (2020)
Form 990 (2020)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
0
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
859,303
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-859,303
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
859,303
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
0
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
 
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2020)
Form 990 (2020)
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Form 990, Special Condition Description:
Special Condition Description

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

SCHEDULE N
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Liquidation, Termination, Dissolution, or Significant Disposition of Assets
bullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
bullet Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet Attach to Form 990 or 990-EZ.
bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
SEQUENT EMPLOYEE BENEFIT TRUST VEBA
 
Employer identification number
31-1732659
Part I
Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 31, or Form 990-EZ, line 36. Part I can be duplicated if additional space is needed.
1(a) Description of asset(s)
distributed or transaction
expenses paid 		(b) Date of
distribution 		(c) Fair market value of
asset(s) distributed or
amount of transaction
expenses 		(d) Method of
determining FMV for
asset(s) distributed or
transaction expenses 		(e) EIN of recipient (f) Name and address of recipient (g) IRC section
of recipient(s) (if
tax-exempt) or type
of entity
CASH/NET ASSETS 07-21-2020 859,303   VARIOUS - SEE PART III
 
8415 PULSAR PLACE SUITE 200
COLUMBUS,OH43240 		 
Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? ...........................
2a
 
No
b
Become an employee of, or independent contractor for, a successor or transferee organization? .....................
2b
 
No
c
Become a direct or indirect owner of a successor or transferee organization? .....................
2c
 
No
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? ........
2d
 
No
e
If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.
Cat. No. 50087Z
Schedule N (Form 990 or 990-EZ) (2020)

Schedule N (Form 990 or 990-EZ) (2020)
Page 2
Part I
Liquidation, Termination, or Dissolution (continued)
Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.
Yes
No
3
Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III .............
3
 
No
4a
Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? ......
4a
 
No
b
If "Yes," did the organization provide such notice? .....................
4b
 
No
5
Did the organization discharge or pay all of its liabilities in accordance with state laws? .....................
5
 
No
6a
Did the organization have any tax-exempt bonds outstanding during the year? .....................
6a
 
No
b
If "Yes" on line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?
6b
 
 
c
If "Yes" on line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" on line 6b, explain in Part III.

Part II
Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.
1(a) Description of asset(s)
distributed or transaction
expenses paid 		(b) Date of
distribution 		(c) Fair market value of
asset(s) distributed or
amount of transaction
expenses 		(d) Method of
determining FMV for
asset(s) distributed or
transaction expenses 		(e) EIN of recipient (f) Name and address of recipient (g) IRC section
of recipient(s) (if
tax-exempt) or type
of entity
Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? .........................
2a
 
No
b
Become an employee of, or independent contractor for, a successor or transferee organization? .....................
2b
 
No
c
Become a direct or indirect owner of a successor or transferee organization? .....................
2c
 
No
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization's significant disposition of assets? ........
2d
 
No
e
If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.
Cat. No. 50087Z
Schedule N (Form 990 or 990-EZ) (2020)

Schedule N (Form 990 or 990-EZ) (2020)
Page 3
Part III
Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.
Return Reference Explanation
PART 1, LINE 1(F) THE REMAINING CASH/NET ASSETS WERE USED TO SATISFY OUTSTANDING COMPANY DEBT.
Schedule N (Form 990 or 990-EZ) (2020)



Additional Data


Software ID:  
Software Version:  


SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
SEQUENT EMPLOYEE BENEFIT TRUST VEBA
 
Employer identification number

31-1732659
Return Reference Explanation
FORM 990, PART III, LINE 3 SEQUENT EMPLOYEE BENEFIT TRUST VEBA TERMINATED ON 07/21/2020.
FORM 990, PART VI, SECTION B, LINE 11B FINAL RETURN. NO FORMAL REVIEW.
FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS MADE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
SEQUENT EMPLOYEE BENEFIT TRUST VEBA
 
Employer identification number

31-1732659
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)ELUM TECHNOLOGIES LLC
 
 
         
 
 
(2)NIKOLA LABS INC
 
 
         
 
 
(3)PROCURESAFE INC
 
 
         
 
 
(4)IKOVE VENTURE PARTNERS LLC
 
 
         
 
 
(5)THE OHIO WIRE HARNESS INC
 
 
         
 
 
(6)ELEMENTAL RESOURCES LTD
 
 
         
 
 
(7)SEQUENT - MAPVISION USA LLC
 
 
         
 
 
(8)SEQUENT - GREATER COLUMBUS SISTER CITIES
 
 
         
 
 
(9)AIR CONTROL INC
 
 
         
 
 
(10)ACKLEY REALTY
 
 
         
 
 
(11)NEW PATH INTERNATIONAL LLC
 
 
         
 
 
(12)ARCHITECTURE OHIO INC
 
 
         
 
 
(13)MEDIA IMAGES INC
 
 
         
 
 
(14)ACTIVE PHYSICAL THERAPY INC
 
 
         
 
 
(15)CLEANSERV INC
 
 
         
 
 
(16)PRINCE OF PEACE LUTHERAN CHURCH
 
 
         
 
 
(17)SELECT ASSOCIATION MANAGEMENT LLC
 
 
         
 
 
(18)WORKFORCE DEVELOPMENT BOARD OF CENTRAL O
 
 
         
 
 
(19)MICHAEL G SARIBALAS DO PA
 
 
         
 
 
(20)COLUMBUS METROPOLITAN CLUB INC
 
 
         
 
 
(21)LEADERSHIP COLUMBUS
 
 
         
 
 
(22)SPICER WEALTH MANAGEMENT
 
 
         
 
 
(23)SEQUENT - TREIBACHER INDUSTRIE AG
 
 
         
 
 
(24)TUFFY AUTO SERVICE CENTER
 
 
         
 
 
(25)EVANS FARM DELAWARE LLC
 
 
         
 
 
(26)METAMATERIA TECHNOLOGIES LLC
 
 
         
 
 
(27)ON SITE LLC
 
 
         
 
 
(28)ME NULL AUTOMOTIVE LLC
 
 
         
 
 
(29)PRIORAUTHNOW INC
 
 
         
 
 
(30)SAWMILL BAPTIST CHURCH
 
 
         
 
 
(31)GATEWAY FILM FOUNDATION
 
 
         
 
 
(32)GALLAGHER AND DAWSEY CO LPA
 
 
         
 
 
(33)GRIT GUARD INC
 
 
         
 
 
(34)MOBILE-SHOP COMPANY LLC
 
 
         
 
 
(35)OHIO SOCIETY OF ASSOCIATION EXECUTIVES
 
 
         
 
 
(36)THE WOMEN'S FUND OF CENTRAL OHIO INC
 
 
         
 
 
(37)ADAMS FINANCIAL GROUP INC
 
 
         
 
 
(38)SEQUENT -- 1312983 ONTARIO INC
 
 
         
 
 
(39)WILLOW WOOD ANIMAL HOSPITAL INC
 
 
         
 
 
(40)NEUROTECHNOLOGY INNOVATIONS TRANSLATOR L
 
 
         
 
 
(41)THE GATEWAY THEATER LLC
 
 
         
 
 
(42)MATHEWS AND MATHEWS CO LPA
 
 
         
 
 
(43)WEBPRESENTED LLC
 
 
         
 
 
(44)JADETRACK LLC
 
 
         
 
 
(45)ALISHA A GRAY AND CLARE E TANNEHILL MACA
 
 
         
 
 
(46)CRISPIN IRON & METAL COMPANY LLC
 
 
         
 
 
(47)MRD CONSULTING LLC
 
 
         
 
 
(48)POST HOUSE LLC
 
 
         
 
 
(49)KSM INTERNATIONAL LTD
 
 
         
 
 
(50)SAFEWHITE INC
 
 
         
 
 
(51)DOUGLAS R SCHUMACHER MD LLC
 
 
         
 
 
(52)TRADITIONS PAINTING AND PROPERTY RESTORA
 
 
         
 
 
(53)CROPZILLA SOFTWARE INC
 
 
         
 
 
(54)VIVID FRONT LLC
 
 
         
 
 
(55)BEXLEY MOTORCAR COMPANY
 
 
         
 
 
(56)EXCEL HEALTH SOLUTIONS LLC
 
 
         
 
 
(57)EDISON BIOTECHNOLOGY CENTER INC
 
 
         
 
 
(58)MANAGEMENT PERFORMANCE INTL
 
 
         
 
 
(59)CAPTION LABS LLC
 
 
         
 
 
(60)MWFC LLC
 
 
         
 
 
(61)OATS MANAGEMENT COMPANY LLC
 
 
         
 
 
(62)GRAHAM LEGACY ENTERPRISES LLC
 
 
         
 
 
(63)DIGESTIVE ASSOCIATES OF OHIO LLC
 
 
         
 
 
(64)THE ACKLEY ORGANIZATION INC
 
 
         
 
 
(65)THE ENTREPRENEURS CENTER
 
 
         
 
 
(66)PREMIER OFFICE MOVERS LLC
 
 
         
 
 
(67)CLARIVOY
 
 
         
 
 
(68)REGENT HOMES LLC
 
 
         
 
 
(69)BROAD STREET FINANCIAL COMPANY
 
 
         
 
 
(70)SEQUENT --LEGACY LEADERS
 
 
         
 
 
(71)THE CENTER FOR HEALTHY FAMILIES INC
 
 
         
 
 
(72)ROOT INSURANCE COMPANY
 
 
         
 
 
(73)COLUMBUS CHILDREN'S THEATRE
 
 
         
 
 
(74)GRACE CENTRAL INC
 
 
         
 
 
(75)TABLEFORCE LTD
 
 
         
 
 
(76)EDUSOURCED INC
 
 
         
 
 
(77)JASON BRANDON INSURANCE AGENCY INC
 
 
         
 
 
(78)INTEGREATHR TECHNOLOGIES
 
 
         
 
 
(79)C AND F REAL ESTATE LLC
 
 
         
 
 
(80)AURORA EXHIBIT SOLUTIONS INC
 
 
         
 
 
(81)INTEGRATED PAIN SOLUTIONS INC
 
 
         
 
 
(82)GNZZA LLC
 
 
         
 
 
(83)CHEMBAR INC
 
 
         
 
 
(84)DUBLIN SURGERY CENTER
 
 
         
 
 
(85)BEST SERVICE HEATING AND COOLING
 
 
         
 
 
(86)THE JAZZ ARTS GROUP OF COLUMBUS
 
 
         
 
 
(87)PRINCIPLED WEALTH ADVISORS LLC
 
 
         
 
 
(88)ELITE HOME REMODELING INC
 
 
         
 
 
(89)HARRISON FINANCIAL GROUP INC
 
 
         
 
 
(90)CENTRAL OHIO BAG & BURLAP INC
 
 
         
 
 
(91)CENTRAL POINT PARTNERS LLC
 
 
         
 
 
(92)AULD TECHNOLOGIES LLC
 
 
         
 
 
(93)RATTLEBACK INC
 
 
         
 
 
(94)AMPLIFIED SPACES INC
 
 
         
 
 
(95)TRANSMET CORPORATION
 
 
         
 
 
(96)KENNEDY COTTRELL RICHARDS LLC
 
 
         
 
 
(97)BLAUGRUND HERBERT KESSLER MIL
 
 
         
 
 
(98)FOLDEDPAK INC
 
 
         
 
 
(99)INCARE HEALTH SOLUTIONS LLC
 
 
         
 
 
(100)A KID AGAIN INC
 
 
         
 
 
(101)CELMARK DEVELOPMENT GROUP INC
 
 
         
 
 
(102)SEQUENT - FUNDERMAX GMBH
 
 
         
 
 
(103)SEQUENT EMPLOYEE WELFARE BENEFIT TRUST
 
 
         
 
 
(104)AMERICAN ASSOCIATION OF SERVICE COORDINA
 
 
         
 
 
(105)IBOD COMPANY INC
 
 
         
 
 
(106)VANTAGE POINT LOGISTICS INC
 
 
         
 
 
(107)FUTURE POLYTECH
 
 
         
 
 
(108)SAMUEL D KOON AND ASSOCIATES LTD
 
 
         
 
 
(109)WE DAVIS INSURANCE AGENCY INC
 
 
         
 
 
(110)PROSTRATUS LLC
 
 
         
 
 
(111)FURNITURE BANK OF CENTRAL OHIO
 
 
         
 
 
(112)KARIS INC
 
 
         
 
 
(113)CREATIVE JUMP SYSTEMS INC
 
 
         
 
 
(114)DR DIRK LLC
 
 
         
 
 
(115)J P TRANSPORTATION CO INC
 
 
         
 
 
(116)LENNONHEADS SALON AND SPA
 
 
         
 
 
(117)ALPHA AND OMEGA BUILDING SERVICES LTD
 
 
         
 
 
(118)ALNI LTD
 
 
         
 
 
(119)COMPASS HOMES INC
 
 
         
 
 
(120)AFTER-SCHOOL ALL-STARS OHIO
 
 
         
 
 
(121)CENTRAL OHIO SURGICAL INSTITUTE LLC
 
 
         
 
 
(122)IMPEX LOGISTICS INC
 
 
         
 
 
(123)SIMPLE HOLDINGS LLC
 
 
         
 
 
(124)BURT E SCHEAR M D AND ASSOC
 
 
         
 
 
(125)WILMINGTON CHURCH OF CHRIST
 
 
         
 
 
(126)SAWMILL ROAD MANAGEMENT COMPANY LLC
 
 
         
 
 
(127)CAPITOL SOUTH COMMUNITY URBAN REDEVELOPM
 
 
         
 
 
(128)COLS COMM CLINICAL ONC PROGRAM
 
 
         
 
 
(129)VALUE RECOVERY GROUP INC
 
 
         
 
 
(130)MARKETSOURCE AGENCY NETWORK LLC
 
 
         
 
 
(131)BAKER SERVICES INC
 
 
         
 
 
(132)PELOTONIA LLC
 
 
         
 
 
(133)INNOVATIVE HARDWARE INC DBA EPS
 
 
         
 
 
(134)HELLO HEALTH INC
 
 
         
 
 
(135)KNAPE INDUSTRIES INC
 
 
         
 
 
(136)U-CO INDUSTRIES INC
 
 
         
 
 
(137)GREATER COLUMBUS CHAMBER OF COMMERCE
 
 
         
 
 
(138)KNIGHTSBRIDGE SURGERY CENTER LTD
 
 
         
 
 
(139)SANDS DECKER CPS LLC
 
 
         
 
 
(140)TRUEPERFORMANCE INC
 
 
         
 
 
(141)SEQUENT HR CONSULTING
 
 
         
 
 
(142)SUPERIOR PLASTICS INC
 
 
         
 
 
(143)COLUMBUS SIGN COMPANY
 
 
         
 
 
(144)RACK PROCESSING MICHIGAN LLC
 
 
         
 
 
(145)MIDWAY STRUCTURAL PIPE AND SUPPLY INC
 
 
         
 
 
(146)SAVARE SPECIALTY ADHESIVES LLC
 
 
         
 
 
(147)THE OHIO PIA SERVICE CORP
 
 
         
 
 
(148)BUCKEYE WESTERN STAR
 
 
         
 
 
(149)TRACIR FINANCIAL SERVICES I INC
 
 
         
 
 
(150)RICART FINANCIAL SERVICES INC
 
 
         
 
 
(151)EYE CENTER OF COLUMBUS LLC
 
 
         
 
 
(152)BRY-AIR INC
 
 
         
 
 
(153)EVANS ADHESIVE CORP LTD
 
 
         
 
 
(154)REV1VENTURES
 
 
         
 
 
(155)LOGISTICS PARTNERS INC
 
 
         
 
 
(156)INDUSTRIAL CERAMIC PRODUCTS
 
 
         
 
 
(157)VALUE RECOVERY HOLDINGS LLC
 
 
         
 
 
(158)SEQUENT INC
 
 
         
 
 
(159)CHILDREN'S HUNGER ALLIANCE
 
 
         
 
 
(160)OHIO ORTHOPEDIC SURGERY INSTITUTE LLC
 
 
         
 
 
(161)RIVER VALLEY CREDIT UNION INC
 
 
         
 
 
(162)RACK PROCESSING COMPANY INC
 
 
         
 
 
(163)COMMUNITY PROPERTIES OF OHIO
 
 
         
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) SEQUENT INC

4700 LAKEHURST COURT
DUBLIN,OH43016
31-1428576 		EMPLOYER SERVICES OH  
C         No
(2) COMMUNITY PROPERTIES OF OHIO

 
 
56-2281157 		     
          No
(3) RACK PROCESSING COMPANY INC

 
 
31-0535048 		     
          No
(4) RIVER VALLEY CREDIT UNION INC

 
 
31-0547898 		     
          No
(5) OHIO ORTHOPEDIC SURGERY INSTITUTE LLC

 
 
43-1939917 		     
          No
(6) CHILDREN'S HUNGER ALLIANCE

 
 
23-7303509 		     
          No
(7) VALUE RECOVERY HOLDINGS LLC

 
 
31-1680268 		     
          No
(8) INDUSTRIAL CERAMIC PRODUCTS

 
 
31-4215190 		     
          No
(9) LOGISTICS PARTNERS INC

 
 
34-1835892 		     
          No
(10) REV1VENTURES

 
 
31-1658220 		     
          No
(11) EVANS ADHESIVE CORP LTD

 
 
51-0428942 		     
          No
(12) BRY-AIR INC

 
 
31-0677989 		     
          No
(13) EYE CENTER OF COLUMBUS LLC

 
 
01-0702725 		     
          No
(14) RICART FINANCIAL SERVICES INC

 
 
31-1313713 		     
          No
(15) TRACIR FINANCIAL SERVICES I INC

 
 
20-4951176 		     
          No
(16) BUCKEYE WESTERN STAR

 
 
31-1284776 		     
          No
(17) THE OHIO PIA SERVICE CORP

 
 
31-1452252 		     
          No
(18) SAVARE SPECIALTY ADHESIVES LLC

 
 
55-0907139 		     
          No
(19) MIDWAY STRUCTURAL PIPE AND SUPPLY INC

 
 
20-8815652 		     
          No
(20) RACK PROCESSING MICHIGAN LLC

 
 
20-5243731 		     
          No
(21) COLUMBUS SIGN COMPANY

 
 
31-0740538 		     
          No
(22) SUPERIOR PLASTICS INC

 
 
31-1585777 		     
          No
(23) SEQUENT HR CONSULTING

 
 
46-3078093 		     
          No
(24) TRUEPERFORMANCE INC

 
 
31-1294564 		     
          No
(25) SANDS DECKER CPS LLC

 
 
31-1602569 		     
          No
(26) KNIGHTSBRIDGE SURGERY CENTER LTD

 
 
28-0650797 		     
          No
(27) GREATER COLUMBUS CHAMBER OF COMMERCE

 
 
31-4152950 		     
          No
(28) U-CO INDUSTRIES INC

 
 
31-0862418 		     
          No
(29) KNAPE INDUSTRIES INC

 
 
31-0989627 		     
          No
(30) HELLO HEALTH INC

 
 
26-2832842 		     
          No
(31) INNOVATIVE HARDWARE INC DBA EPS

 
 
31-1328642 		     
          No
(32) PELOTONIA LLC

 
 
90-0416888 		     
          No
(33) BAKER SERVICES INC

 
 
31-0866119 		     
          No
(34) MARKETSOURCE AGENCY NETWORK LLC

 
 
55-0886694 		     
          No
(35) VALUE RECOVERY GROUP INC

 
 
20-8032919 		     
          No
(36) COLS COMM CLINICAL ONC PROGRAM

 
 
31-1290751 		     
          No
(37) CAPITOL SOUTH COMMUNITY URBAN REDEVELOPM

 
 
31-0868417 		     
          No
(38) SAWMILL ROAD MANAGEMENT COMPANY LLC

 
 
31-1705139 		     
          No
(39) WILMINGTON CHURCH OF CHRIST

 
 
31-0737111 		     
          No
(40) BURT E SCHEAR M D AND ASSOC

 
 
31-0833325 		     
          No
(41) SIMPLE HOLDINGS LLC

 
 
38-3990596 		     
          No
(42) IMPEX LOGISTICS INC

 
 
31-1685550 		     
          No
(43) CENTRAL OHIO SURGICAL INSTITUTE LLC

 
 
74-3059062 		     
          No
(44) AFTER-SCHOOL ALL-STARS OHIO

 
 
31-1736272 		     
          No
(45) COMPASS HOMES INC

 
 
31-1734264 		     
          No
(46) ALNI LTD

 
 
35-2212919 		     
          No
(47) ALPHA AND OMEGA BUILDING SERVICES LTD

 
 
20-1239136 		     
          No
(48) LENNONHEADS SALON AND SPA

 
 
31-1298651 		     
          No
(49) J P TRANSPORTATION CO INC

 
 
31-6043251 		     
          No
(50) DR DIRK LLC

 
 
27-3520413 		     
          No
(51) CREATIVE JUMP SYSTEMS INC

 
 
22-3497078 		     
          No
(52) KARIS INC

 
 
31-1775242 		     
          No
(53) FURNITURE BANK OF CENTRAL OHIO

 
 
31-1600869 		     
          No
(54) PROSTRATUS LLC

 
 
81-0781986 		     
          No
(55) WE DAVIS INSURANCE AGENCY INC

 
 
31-1300418 		     
          No
(56) SAMUEL D KOON AND ASSOCIATES LTD

 
 
31-1542639 		     
          No
(57) FUTURE POLYTECH

 
 
27-5079731 		     
          No
(58) VANTAGE POINT LOGISTICS INC

 
 
46-2190696 		     
          No
(59) IBOD COMPANY INC

 
 
47-3049829 		     
          No
(60) AMERICAN ASSOCIATION OF SERVICE COORDINA

 
 
31-1670185 		     
          No
(61) SEQUENT EMPLOYEE WELFARE BENEFIT TRUST

 
 
31-1732659 		     
          No
(62) SEQUENT - FUNDERMAX GMBH

 
 
31-1428576 		     
          No
(63) CELMARK DEVELOPMENT GROUP INC

 
 
32-0059684 		     
          No
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2020

Additional Data


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