2023-11-15T15:32:56-06:00 2022-12-31 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-01-01 521889144 NTCA REGIONAL RETIREE MEDICAL FUNDING TRUST II C/O NAT'L TELECOMMUN COOP ASSOC NATI 7033512000 4121 WILSON BOULEVARD ARLINGTON VA 22203 SHIRLEY BLOOMFIELD NTCA CHIEF EXECUTIVE OFFICER 7033512000 2023-11-15 1 SHIRLEY BLOOMFIELD 999009999 0 AMY BIBBY P00445891 8282542254 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SHIRLEY BLOOMFIELD 4121 WILSON BOULEVARD ARLINGTON VA 22203 2443628 0 X N/A X 1993 DC TO ACT AS AN ADEQUATE FUNDING VEHICLE FOR ASSISTING ITS MEMBERS IN PROVIDING BENEFITS. 8 8 0 8 0 0 0 0 265000 240000 2936712 2015470 0 0 3201712 2255470 0 0 573511 374802 0 0 0 0 0 35685 37773 609196 412575 2592516 1842895 78613539 65606869 0 11848 78613539 65595021 TO PROVIDE NTCA MEMBER COMPANIES DOMICILED IN KENTUCKY, ARKANSAS, AND TEXAS WITH A FUNDING VEHICLE TO HELP MEET THEIR LIABILITIES FOR SICKNESS, ACCIDENT, AND OTHER WELFARE BENEFITS FOR ELIGIBLE CURRENT AND FORMER EMPLOYEES UPON RETIREMENT. 0 0 PROVIDED CERTAIN NTCA MEMBER SYSTEMS DOMICILED IN THE STATES OF KENTUCKY, ARKANSAS, AND TEXAS WITH A FUNDING VEHICLE TO HELP MEET THEIR LIABILITIES FOR SICKNESS, ACCIDENT, AND OTHER WELFARE BENEFITS PROVIDED FOR ELIGIBLE CURRENT AND FORMER EMPLOYEES UPON RETIREMENT. 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 0 0 1 0 0 0 0 1 1 1 1 1 0 0 0 X MANO KOILPILLAI CHIEF FINANCIAL OFFICER 7033512000 4121 WILSON BOULEVARD 10TH FLOOR ARLINGTON VA 22203 X THOMAS E PRESTON CHAIR 1.00 1.00 X X 0 0 0 JIMMY TODD VICE CHAIR 1.00 1.00 X X 0 0 0 DUSTIN DURDEN TRUSTEE 1.00 1.00 X 0 0 0 JENNIFER L PRATHER TRUSTEE 1.00 1.00 X 0 0 0 HOLLY UTKE TRUSTEE 1.00 1.00 X 0 0 0 CANDACE WRIGHT TRUSTEE 1.00 1.00 X 0 0 0 KEVIN BEYER TRUSTEE 1.00 6.00 X 0 0 0 CRYSTAL MORLEY TRUSTEE 1.00 1.00 X 0 0 0 SHIRLEY BLOOMFIELD CHIEF EXECUTIVE OFFICER 1.00 42.50 X 0 989833 272646 MAN KOILPILLAI NTCA CHIEF FINANCIAL OFFICER 1.00 42.50 X 0 238072 44483 0 1227905 317129 0 0 1 0 0 RETIREMENT FUNDING 900099 240000 240000 240000 1777935 1777935 425693 188158 237535 237535 237535 2255470 240000 0 2015470 374802 16578 325 11302 6799 2769 412575 140109 144867 1976 3088 66690373 54878627 11781081 10580287 78613539 65606869 706 0 11142 0 11848 X 78613539 65595021 0 0 0 0 78613539 65595021 78613539 65606869 1842895 -14861413 0 X X 0 1 X 1 0 0 BLACKROCK LOW VOL GLOBAL EQ 10580287 F 10580287 DUE TO NTCA & AFFILIATES 11142 11142 X 2017935 -14861413 14627677 -233736 2251671 3799 3799 2255470 15036453 14627677 14627677 408776 3799 3799 412575 PART X, LINE 2: IN ACCORDANCE WITH SECTION 505(C) OF THE IRC, THE TRUST SPONSOR, NTCA, HAS FILED THE REQUIRED NOTIFICATION TO THE INTERNAL REVENUE SERVICE (IRS) REQUESTING A DETERMINATION THAT THE TRUST IS EXEMPT FROM TAX UNDER SECTION 501(C)(9) OF THE IRC. IRC SECTION 501(C)(9) IS REFERRED TO AS A VOLUNTARY EMPLOYEE BENEFICIARY ASSOCIATION (VEBA).ON JUNE 7, 1995, THE TRUST RECEIVED A FAVORABLE RESPONSE FROM THE IRS TO ITS EXEMPTION LETTER REQUEST. THE TRUST HAS NOT BEEN AMENDED AFTER RECEIPT OF THE LATEST EXEMPTION LETTER. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE TRUST MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE TRUST AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE TRUST HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE TRUST IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED LOSS INCLUDED IN EXPENSES 14,627,677. PART XII, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED LOSS INCLUDED IN EXPENSES 14,627,677. 0 1 0 SHIRLEY BLOOMFIELD CHIEF EXECUTIVE OFFICER 0 826600 0 161851 0 1382 0 246324 0 26322 0 1262479 0 0 MAN KOILPILLAI NTCA CHIEF FINANCIAL OFFICER 0 226738 0 11234 0 100 0 12490 0 31993 0 282555 0 0 PART I, LINE 3 THE ORGANIZATION'S TOP MANAGEMENT OFFCIALS ARE EMPLOYES AND COMPENSATED BY NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION (NTCA), A RELATED ORGANIZATION, AND REGIONAL RETIREE MEDICAL FUNDINT TRUST I RELIES ON NTCA TO ESTABLISH REASONABLE COMPENSATION. THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS REVIEWED BY AN INDEPENDENT COMPENSATION CONSULTANT THAT DOES A COMPARISON OF LIKE POSITIONS IN THE AREA AND PRESENTS THE STUDY TO THE NTCA BOARD FOR APPROVAL. THIS PROCESS IS DOCUMENTED IN THE BOARD MEETING MINUTES. THIS PROCESS WAS LAST CONDUCTED IN 2018. HOWEVER, THE ANNUAL SALARY INCREASE AND BONUS FOR THE CEO ARE APPROVED BY THE BOARD EVERY YEAR WHILE THE INDEPENDENT CONSULTANT STUDY IS BEING DONE ONCE EVERY FIVE YEARS. OTHER OFFICERS AND KEY EMPLOYEES' COMPENSATION IS REVIEWED BY A COMPENSATION CONSULTANT EVERY FIVE YEARS. CHANGES IN COMPENSATION ARE PRESENTED AND APPROVED BY THE CHIEF EXECUTIVE OFFICER. THIS PROCESS WAS LAST REVIEWED INTERNALLY BY THE ASSOCIATION IN 2020. PART I, LINE 4B SHIRLEY BLOOMFIELD - $178,674 - 457(F) PLAN CONTRIBUTION IN 2022. FORM 990, PART VI, SECTION A, LINE 3 NTCA MEDICAL FUNDING TRUST II'S TRUSTEE COMITTEE HAS A HIRED SERVICE MANAGEMENT CORPORATION TO ADMINISTER THE DAILY ACTIVITY OF THE PROGRAM AND REPORT BACK TO THE TRUSTEE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 THE MEDICAL FUNDING TRUST I HAS MEMBERS WHO PAY INTO THE PROGRAM FOR FUTURE BENEFITS FOR ITS EMPLOYEES. VEBA STATUS AND MEMBERSHIP: THE TRUST IS INTENDED TO CONSTITUTE, AND THE TRUSTEE MAY ASSUME THE TRUST IS, A VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(9) OF THE CODE, AND SHALL BE INTERPRETED IN A MANNER CONSISTENT WITH THIS INTENT. THE MEMBERS OF THE TRUST SHALL BE THE PARTICIPANTS. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY BOTH THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER PRIOR TO ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C TRUST'S CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS AND OFFICERS. WHEN A PERSON BECOMES AWARE OF AN ACTUAL OR POTENTIAL CONFLICT, THEY DISCLOSE ALL RELEVANT INFORMATION TO THE BOARD CHAIR OR VICE CHAIR, REMOVE THEMSELVES FROM ALL DISCUSSIONS OF THE MATTER, AND REMOVE THEMSELVES FROM ALL VOTES ON THE MATTER. THE BOARD MAY VOTE TO ENTER THE TRANSACTION IF IT DETERMINES THAT THE TRANSACTION IS IN THE ASSOCIATION'S BEST INTEREST. ALL RELEVANT INFORMATION IS DOCUMENTED IN THE MEETING MINUTES. IF A PERSON VIOLATES THE ASSOCIATION'S CONFLICT OF INTEREST POLICY, THEY INFORM THE PRESIDENT OF THE BOARD AND THE ASSOCIATION'S GENERAL COUNSEL, WHO TAKE APPROPRIATE ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE MEDICAL FUNDING TRUST II DOES NOT HAVE DIRECT EMPLOYEES. THE TRUSTEE COMMITTEE HAS HIRED SERVICE MANAGEMENT CORPORATION TO ADMINISTER THE DAILY OPERATIONS OF THE TRUST AND REPORT BACK TO THE TRUSTEE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE COMPENSATED OFFICERS LISED IN FORM 990, PART VII WERE COMPENSATED THROUGH NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION (NTCA). THE HOURS PER WEEK INDICATED IN FORM 990, PART VII FOR THERE OFFICERS ARE FOR NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION AND ITS RELATED ENTITIES AND TRUST. FORM 990, PART VII: THE COMPENSATED OFFICERS LISTED IN FORM 990, PART VII WERE COMPENSATED THROUGH NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION. THE HOURS PER WEEK INDICATED IN FORM 990, PART VII FOR THESE OFFICERS ARE FOR NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION AND ITS RELATED ENTITIES AND TRUST. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGES FROM THE PRIOR YEAR. FOUNDATION FOR RURAL SERVICE 4121 WILSON BOULEVARD 10TH FLOOR ARLINGTON VA 22203 521889647 PROMOTE, EDUCATE, AND ADVANCE RURAL TELECOMMUNICATIONS VA 501(C)(3) LINE 7 NTCA 0 NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION (NTCA) 4121 WILSON BOULEVARD 10TH FLOOR ARLINGTON VA 22203 520741336 TRADE ASSOCIATION VA 501(C)(6) 0 NTCA RETIREMENT AND SECURITY PROGRAM 4121 WILSON BOULEVARD 10TH FLOOR ARLINGTON VA 22203 521558805 DEFINED BENEFIT PLAN VA 501(C)(9) NTCA 0 NTCA SAVINGS PLAN 4121 WILSON BOULEVARD 10TH FLOOR ARLINGTON VA 22203 521522857 DEFINED CONTRIBUTION PLAN VA 501(C)(9) NTCA 0 NTCA REGIONAL MEDICAL FUNDING TRUST I 4121 WILSON BOULEVARD 10TH FLOOR ARLINGTON VA 22203 526737391 POST RETIREMENT BENEFITS DC 501(C)(9) NTCA 0 NTCA GROUP HEALTH PROGRAM 4121 WILSON BOULEVARD 10TH FLOOR ARLINGTON VA 22203 521043923 HEALTH BENEFITS VA 501(C)(9) NTCA 0 NTCA MASTER TRUST FOR DEFERRED COMP PLANS 4121 WILSON BOULEVARD 10TH FLOOR ARLINGTON VA 22203 566678513 DEFERRED COMPENSATION VA 501(C)(9) NTCA 0 NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION RURAL BROADBAND PAC 4121 WILSON BOULEVARD 10TH FLOOR ARLINGTON VA 22203 521674218 VOLUNTARY, NON-PARTISAN POLITICAL ACTION COMMITTEE VA 527 NTCA 0 BRAZOS TELEPHONE COOPERATIVE INC 109 N AVE D OLNEY TX 76374 750850281 POST RETIREMENT BENEFITS AR 501(C)(12) 0 CENTRAL ARKANSAS TELEPHONE PO BOX 130 BISMARCK AR 71929 710259315 POST RETIREMENT BENEFITS KY 501(C)(12) 0 CENTRAL TEXAS TELEPHONE PO BOX 627 GOLDWAITE TX 76844 750853485 POST RETIREMENT BENEFITS KS 501(C)(12) 0 COLORADO VALLEY TELEPHONE 4915 S US HWY 77 LA GRANCE TX 78945 741362636 POST RETIREMENT BENEFITS KY 501(C)(12) 0 DUO COUNTY TELEPHONE COOP PO BOX 80 JAMESTOWN KY 42629 610529587 POST RETIREMENT BENEFITS TX 501(C)(12) 0 EASTEX TELEPHONE PO BOX 150 HENDERSON TX 75656 750838640 POST RETIREMENT BENEFITS TX 501(C)(12) 0 ETEX TELEPHONE COOP PO BOX 130 GILMER TX 75644 750860868 POST RETIREMENT BENEFITS TX 501(C)(12) 0 FIVE AREA TELEPHONE COOP PO BOX 448 MULESHOE TX 79347 756111577 POST RETIREMENT BENEFITS TX 501(C)(12) 0 MOUNTAIN RURAL TELEPHONE COOP PO BOX 399 WEST LIBERTY KS 41472 610467317 POST RETIREMENT BENEFITS TX 501(C)(12) 0 TAYLOR TELEPHONE COOP PO BOX 370 MERKEL TX 79536 750842158 POST RETIREMENT BENEFITS TX 501(C)(12) 0 WEST KENTUCKY TELEPHONE 100 WK T TECHNOLOGY DR MAYFIELD KY 42066 610471985 POST RETIREMENT BENEFITS TX 501(C)(12) 0 XIT PO BOX 411 DALHART TX 79022 750829216 POST RETIREMENT BENEFITS TX 501(C)(12) 0 SERVICES MANAGEMENT CORPORATION 30 TOWN SQUARE BOULEVARD SUITE 300 ASHEVILLE NC 28801 521200541 ADMINISTER BENEFIT PLANS NC N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0