TY 2022 Form 990EZ

Part ⅢStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? THE ORGANIZATION IS A VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION UNDER 501(C)(9) AND WAS ORGANIZED TO PAY LIFE, SICK, ACCIDENT, OR SIMILAR BENEFITS TO MEMBERS OR THEIR DEPENDENTS, OR DESIGNATED BENEFICIARIES. NO PART OF THE NET EARNINGS OF THE ORGANIZATION MAY INURE TO THE BENEFIT OF ANY PRIVATE SHAREHOLDER OR INDIVIDUAL. THE ORGANIZATION MEETS THE FOLLOWING REQUIREMENTS: IT IS A VOLUNTARY ASSOCIATION OF EMPLOYEES; IT PROVIDES FOR PAYMENT OF LIFE, SICK, ACCIDENT OR OTHER SIMILAR BENEFITS TO MEMBERS OR THEIR DEPENDENTS OR DESIGNATED BENEFICIARIES AND SUBSTANTIALLY ALL OF ITS OPERATIONS ARE FOR THIS PURPOSE; AND EARNINGS MAY NOT INURE TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL OR SHAREHOLDER OTHER THAN THROUGH THE PAYMENT OF BENEFITS DESCRIBED ABOVE. MEMBERSHIP CONSISTS OF INDIVIDUALS WHO ARE EMPLOYEES WHO HAVE AN EMPLOYMENT- RELATED COMMON BOND. THIS COMMON BOND IS A COMMON EMPLOYER (OR AFFILIATED EMPLOYERS).
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 THE ORGANIZATION IS A VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION UNDER 501(C)(9) AND WAS ORGANIZED TO PAY LIFE, SICK, ACCIDENT, OR SIMILAR BENEFITS TO MEMBERS OR THEIR DEPENDENTS, OR DESIGNATED BENEFICIARIES. NO PART OF THE NET EARNINGS OF THE ORGANIZATION MAY INURE TO THE BENEFIT OF ANY PRIVATE SHAREHOLDER OR INDIVIDUAL. THE ORGANIZATION MEETS THE FOLLOWING REQUIREMENTS: IT IS A VOLUNTARY ASSOCIATION OF EMPLOYEES; IT PROVIDES FOR PAYMENT OF LIFE, SICK, ACCIDENT OR OTHER SIMILAR BENEFITS TO MEMBERS OR THEIR DEPENDENTS OR DESIGNATED BENEFICIARIES AND SUBSTANTIALLY ALL OF ITS OPERATIONS ARE FOR THIS PURPOSE; AND EARNINGS MAY NOT INURE TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL OR SHAREHOLDER OTHER THAN THROUGH THE PAYMENT OF BENEFITS DESCRIBED ABOVE. MEMBERSHIP CONSISTS OF INDIVIDUALS WHO ARE EMPLOYEES WHO HAVE AN EMPLOYMENT- RELATED COMMON BOND. THIS COMMON BOND IS A COMMON EMPLOYER (OR AFFILIATED EMPLOYERS). (Grants $ ) If this amount includes foreign grants, check here ...		28a
29 (Grants $ ) If this amount includes foreign grants, check here ...		29a
30 (Grants $ ) If this amount includes foreign grants, check here ...		30a
31 Other program services (describe in Schedule O) ................ (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32

(a) Name and title

(b) Average
hours per week
devoted to position

(c) Reportable compensation
(Forms W-2/1099-MISC) (if not paid, enter -0-)

(d) Health benefits, contributions to employee benefit plans, and
deferred compensation

(e) Estimated amount
of other compensation

LARRY HARPER

TRUSTEE

000.00

Yes

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 .......................

Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..

49a

Did the organization make any transfers to an exempt non-charitable related organization?......

49a

If "Yes," was the related organization a section 527 organization?................

49b

Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and title of each employee	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation

Total number of other employees paid over $100,000 ............. bullet

Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and business address of each independent contractor	(b) Type of service	(c) Compensation

Return Reference	Explanation
FORM 990-EZ, PART I, LINE 16	EXPENSES VEBA TRUST PAYMENTS 124,542 TOTAL 124,542
FORM 990-EZ, PART III	THE ORGANIZATION IS A VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION UNDER 501(C)(9) AND WAS ORGANIZED TO PAY LIFE, SICK, ACCIDENT, OR SIMILAR BENEFITS TO MEMBERS OR THEIR DEPENDENTS, OR DESIGNATED BENEFICIARIES. NO PART OF THE NET EARNINGS OF THE ORGANIZATION MAY INURE TO THE BENEFIT OF ANY PRIVATE SHAREHOLDER OR INDIVIDUAL. THE ORGANIZATION MEETS THE FOLLOWING REQUIREMENTS: IT IS A VOLUNTARY ASSOCIATION OF EMPLOYEES; IT PROVIDES FOR PAYMENT OF LIFE, SICK, ACCIDENT OR OTHER SIMILAR BENEFITS TO MEMBERS OR THEIR DEPENDENTS OR DESIGNATED BENEFICIARIES AND SUBSTANTIALLY ALL OF ITS OPERATIONS ARE FOR THIS PURPOSE; AND EARNINGS MAY NOT INURE TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL OR SHAREHOLDER OTHER THAN THROUGH THE PAYMENT OF BENEFITS DESCRIBED ABOVE. MEMBERSHIP CONSISTS OF INDIVIDUALS WHO ARE EMPLOYEES WHO HAVE AN EMPLOYMENT- RELATED COMMON BOND. THIS COMMON BOND IS A COMMON EMPLOYER (OR AFFILIATED EMPLOYERS).
FORM 990-EZ, PART III, LINE 28	THE ORGANIZATION IS A VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION UNDER 501(C)(9) AND WAS ORGANIZED TO PAY LIFE, SICK, ACCIDENT, OR SIMILAR BENEFITS TO MEMBERS OR THEIR DEPENDENTS, OR DESIGNATED BENEFICIARIES. NO PART OF THE NET EARNINGS OF THE ORGANIZATION MAY INURE TO THE BENEFIT OF ANY PRIVATE SHAREHOLDER OR INDIVIDUAL. THE ORGANIZATION MEETS THE FOLLOWING REQUIREMENTS: IT IS A VOLUNTARY ASSOCIATION OF EMPLOYEES; IT PROVIDES FOR PAYMENT OF LIFE, SICK, ACCIDENT OR OTHER SIMILAR BENEFITS TO MEMBERS OR THEIR DEPENDENTS OR DESIGNATED BENEFICIARIES AND SUBSTANTIALLY ALL OF ITS OPERATIONS ARE FOR THIS PURPOSE; AND EARNINGS MAY NOT INURE TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL OR SHAREHOLDER OTHER THAN THROUGH THE PAYMENT OF BENEFITS DESCRIBED ABOVE. MEMBERSHIP CONSISTS OF INDIVIDUALS WHO ARE EMPLOYEES WHO HAVE AN EMPLOYMENT- RELATED COMMON BOND. THIS COMMON BOND IS A COMMON EMPLOYER (OR AFFILIATED EMPLOYERS).

Return Reference

Explanation

FORM 990-EZ, PART I, LINE 16

EXPENSES VEBA TRUST PAYMENTS 124,542 TOTAL 124,542

FORM 990-EZ, PART III

THE ORGANIZATION IS A VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION UNDER 501(C)(9) AND WAS ORGANIZED TO PAY LIFE, SICK, ACCIDENT, OR SIMILAR BENEFITS TO MEMBERS OR THEIR DEPENDENTS, OR DESIGNATED BENEFICIARIES. NO PART OF THE NET EARNINGS OF THE ORGANIZATION MAY INURE TO THE BENEFIT OF ANY PRIVATE SHAREHOLDER OR INDIVIDUAL. THE ORGANIZATION MEETS THE FOLLOWING REQUIREMENTS: IT IS A VOLUNTARY ASSOCIATION OF EMPLOYEES; IT PROVIDES FOR PAYMENT OF LIFE, SICK, ACCIDENT OR OTHER SIMILAR BENEFITS TO MEMBERS OR THEIR DEPENDENTS OR DESIGNATED BENEFICIARIES AND SUBSTANTIALLY ALL OF ITS OPERATIONS ARE FOR THIS PURPOSE; AND EARNINGS MAY NOT INURE TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL OR SHAREHOLDER OTHER THAN THROUGH THE PAYMENT OF BENEFITS DESCRIBED ABOVE. MEMBERSHIP CONSISTS OF INDIVIDUALS WHO ARE EMPLOYEES WHO HAVE AN EMPLOYMENT- RELATED COMMON BOND. THIS COMMON BOND IS A COMMON EMPLOYER (OR AFFILIATED EMPLOYERS).

FORM 990-EZ, PART III, LINE 28

1	Contributions, gifts, grants, and similar amounts received ....................	1
2	Program service revenue including government fees and contracts ................	2	124,542
3	Membership dues and assessments .............................	3
4	Investment income ....................................	4
5a	Gross amount from sale of assets other than inventory .......	5a
b	Less: cost or other basis and sales expenses ............	5b
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the			sum of such gross income and contributions exceeds $15,000) ..	6b
c	Less: direct expenses from gaming and fundraising events ...	6c
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d
7a	Gross sales of inventory, less returns and allowances ......	7a
b	Less: cost of goods sold .............	7b
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) ....................	8
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	124,542

10	Grants and similar amounts paid (list in Schedule O) ................	10
11	Benefits paid to or for members ......................	11
12	Salaries, other compensation, and employee benefits ................	12
13	Professional fees and other payments to independent contractors ............	13
14	Occupancy, rent, utilities, and maintenance ...................	14
15	Printing, publications, postage, and shipping ...................	15
16	Other expenses (describe in Schedule O) ...................	16	124,542
17	Total expenses. Add lines 10 through 16 .................	17	124,542

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) .................	19
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21

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