2023-11-08T16:00:28-06:00 2022-12-31 480567703 KCOE ISOM LLP 3030 CORTLAND CIR SALINA KS 67401 990 2022-01-01 481105296 BLUE BEACON INC HEALTH PLAN BLUE 7858252221 PO BOX 856 SALINA KS 67402 CHARLES TUTTLE TRUSTEE 7858252221 2023-11-03 1 CHARLES TUTTLE 999009999 0 CORLENE R LANGE P00007927 7858251561 2023-11-03 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X CHARLES TUTTLE PO BOX 856 SALINA KS 67402 16497021 0 X N/A X 1990 KS TO PROVIDE HEALTH BENEFITS FOR EMPLOYEES 3 0 0 3 0 0 0 0 16845363 16495506 1126 1515 0 0 16846489 16497021 0 0 15814218 16203645 0 0 0 0 0 745372 764142 16559590 16967787 286899 -470766 1302785 755198 550655 473834 752130 281364 TO PROVIDE HEALTH BENEFITS FOR EMPLOYEES. 0 0 TO PROVIDE HEALTH BENEFITS TO APPROXIMATELY 2,627 MEMBERS (COVERED EMPLOYEES AND THEIR DEPENDENTS) AS OF DECEMBER 31, 2022. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X CHARLIE TUTTLE 7858252221 500 GRAVES BLVD SALINA KS 67401 X MORRIE J SODERBERG TRUSTEE 0.00 X 0 0 0 CHARLES TUTTLE TRUSTEE 0.00 X 0 0 0 TRACE E WALKER TRUSTEE 0.00 X 0 0 0 0 0 0 0 0 0 0 0 CONTRIBUTIONS-EMPLOYER 900099 11225013 11225013 CONTRIBUTIONS - PARTIC 900099 3982565 3982565 STOP LOSS AND OTHER RE 900099 1240953 1240953 COBRA RECEIPTS 900099 46975 46975 16495506 1515 1515 16497021 16495506 0 1515 16203645 ADMIN EXPENSE 509573 OTHER EXPENSES 188304 ACCOUNTING AND LEGAL EX 66265 16967787 1095996 701710 206789 53488 1302785 755198 462000 462000 88655 11834 550655 473834 X 0 0 0 0 752130 281364 752130 281364 1302785 755198 -470766 0 X X 0 1 X 1 0 0 ACCRUED LIABILITIES 11834 11834 16497021 0 16497021 0 16497021 16967787 0 16967787 0 16967787 BLUE BEACON INC CORPORATE SPONSOR TO FUND MINIMUM DEPOSIT REQUIRED IN NEW CHECKING ACCOUNT X 462000 462000 0 1 0 462000 FORM 990, PART VI, SECTION A, LINE 2 CHARLES TUTTLE AND TRACE E. WALKER ARE EMPLOYEES OF BLUE BEACON, INC., THE ORGANIZATION WHICH SPONSORS THE BLUE BEACON, INC. HEALTH PLAN, AND ARE COMPENSATED AS EMPLOYEES OF BLUE BEACON, INC. MORRIE J. SODERBERG IS A FORMER EMPLOYEE OF BLUE BEACON, INC. AND A CURRENT PLAN TRUSTEE. NONE OF THESE INDIVIDUALS RECEIVE COMPENSATION FROM THE BLUE BEACON, INC. HEALTH PLAN. THEY VOLUNTEER THE TRUSTEE SERVICES THEY PROVIDE TO THE HEALTH PLAN. CHARLES TUTTLE AND TRACE E. WALKER ARE RELATED. FORM 990, PART VI, SECTION B, LINE 11B THE TRUSTEES WILL REVIEW THE FORM 990 BEFORE IT WILL BE FILED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS THE DOCUMENTS AVAILABLE UPON REQUEST AT THE CORPORATE HEADQUARTERS, LOCATED AT 500 GRAVES BOULEVARD, SALINA, KS 67401. FORM 990, PART XII, LINE 2C THE TRUSTEES ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. BLUE BEACON INC PO BOX 856 SALINA KS 67402 480843137 OWNER AND OPERATER OF TRUCK WASH LOCATIONS IN U.S. KS N/A C 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 BLUE BEACON INC S 11225013 TOTAL PLAN SPONSOR CONTRIBUTIONS BLUE BEACON INC E 462000 AMOUNT LOANED FOR MINIMUM DEPOSIT