2023-10-27T15:28:10-05:00 2022-12-31 420714325 RSM US LLP 4622 PENNSYLVANIA AVE STE 1100 KANSAS CITY MO 64112 990 2022-01-01 396046865 WISCONSIN BANKERS ASSOCIATION INSURANCE TRUST FUND WISC 6082322061 695 S GRAND AVE 101 SUN PRAIRIE WI 53590 BANK OF SUN PRAIRIE TRUST DEPT TRUSTEE 6082322061 2023-10-12 1 BANK OF SUN PRAIRIE TRUST 999009999 0 KEVIN ENSMINGER P01310558 8167533000 2023-10-12 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CHARLIE SCHMALZ 109 W 2ND STREET KAUKAUNA WI 54130 19698341 0 X N/A X 1956 WI TO PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS. 4 0 0 0 2065 0 0 0 8581707 19586655 2049 2065 87761 109621 8671517 19698341 0 0 8531833 19537816 6000 6000 0 0 0 235968 202469 8773801 19746285 -102284 -47944 545730 516652 8996 0 536734 516652 TO PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS. 0 0 PAYMENTS TO PROVIDE HEALTH AND WELFARE BENEFITS TO ITS MEMBERS. 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 X 4 0 0 1 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X BANK OF SUN PRAIRIE TRUST DEPT 6088374511 695 S GRAND AVE SUITE 101 SUN PRAIRIE WI 53590 X THOMAS JENSEN DIRECTOR 1.00 X 0 0 0 CHARLIE SCHMALZ PRESIDENT 1.00 X X 0 0 0 TIMOTHY SCHUELER VICE PRESIDENT/SECRETARY 1.00 X X 0 0 0 PAUL ADAMSKI TREASURER 1.00 X X 0 0 0 BANK OF SUN PRAIRIE TRUSTEE 2.00 X 6000 0 0 DARYLL J LUND EXECUTIVE VICE PRESIDENT 20.00 X 0 0 0 6000 0 0 0 0 0 0 0 CONTRIBUTIONS FOR WELFARE BENEFIT 900099 19586655 19586655 19586655 2065 2065 ADMIN FEE INCOME 900099 109621 109621 109621 19698341 19696276 2065 0 19537816 6000 476 21320 180000 673 19746285 247605 310809 224026 172732 74099 33111 545730 516652 8996 0 8996 0 X 0 0 536734 516652 0 0 536734 516652 545730 516652 -47944 27862 0 X 0 1 X 0 0 0 ADMIN FEE RECEIVABLE 33111 33111 X 19692341 0 19692341 6000 6000 19698341 19740285 0 19740285 6000 6000 19746285 PART X, LINE 2: THE TRUST IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(9) IN ACCORDANCE WITH A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED APRIL 8, 1977. AMENDMENTS WERE MADE TO THE TRUST DOCUMENT AND THE EXEMPT STATUS WAS RECONFIRMED IN A LETTER FROM THE IRS DATED NOVEMBER 27, 1996. THE TRUST IS SUBJECT TO A TAX ON ANY UNRELATED BUSINESS INCOME (UBI) AS A RESULT OF THE DEFICIT REDUCTION ACT OF 1984 (DEFRA) WHICH DEEMED THAT ANY AMOUNT SET ASIDE BY A VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION (VEBA) IN EXCESS OF THE QUALIFIED ASSET ACCOUNT LIMIT IS UBI. THERE WAS NO TAXABLE UBI FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021. MANAGEMENT EVALUATED THE TRUST'S TAX POSITIONS AND CONCLUDED THAT THE TRUST HAD MAINTAINED ITS EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR UNCERTAINTY IN INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. THE TRUST IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICATIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED 6,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED 6,000. CLEVELAND STATE BANK BOARD MEMBER BANK 531305 WELFARE BENEFIT PLAN CONTRIBUTIONS FOR BANK EMPLOYEES 0 THE PINERIES BANK BOARD MEMBER BANK 214355 WELFARE BENEFIT PLAN CONTRIBUTIONS FOR BANK EMPLOYEES 0 INDEPENDENCE STATE BANK BOARD MEMBER BANK 144508 WELFARE BENEFIT PLAN CONTRIBUTIONS FOR BANK EMPLOYEES 0 FORM 990, PART VI, SECTION A, LINE 3 EBC PERFORMS ADMINISTRATIVE SERVICES AND SERVES AN ADVISORY ROLE TO THE TRUST AND BIC. THE SERVICES PERFORMED ARE IN ACCORDANCE WITH THE ADMINISTRATIVE SERVICES AGREEMENT. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE GOVERNING BODY OF THE ORGANIZATION BEFORE IT WAS FILED. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART VII DARYLL LUND WAS COMPENSATED THROUGH WBA, AN UNRELATED THIRD PARTY. WISCONSIN BANKERS ASSOCIATION BENEFITS AND INSURANCE COMMITTEE C/O WI BANKERS ASSOC INS TRUST PO B MADISON WI 53707 SERVE AS BOARD OF DIRECTORS WI N/A N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0