2023-11-09T16:28:42-06:00 2022-12-31 410887288 BOULAY PLLP 11095 VIKING DRIVE-STE 500 EDEN PRAIRIE MN 55344 990 2022-01-01 814619210 COLEMAN PROFESSIONAL SERVICES-VEBA COLE 3306731347 5982 RHODES ROAD KENT OH 44240 HATTIE TRACY PRESIDENT 3306731347 2023-11-02 1 HATTIE TRACY XXX-XX-XXXX 0 LANCE R MADSON P00131735 9528939320 2023-11-02 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z HATTIE TRACY 5982 RHODES ROAD KENT OH 44240 4484168 0 X WWW.COLEMANSERVICES.ORG X 2017 OH THE COLEMAN PROFESSIONAL SERVICES - VEBA ("TRUST") IS ORGANIZED FOR THE PURPOSE OF PROVIDING FUNDING FOR THE EMPLOYEE HEALTH BENEFITS OF COLEMAN PROFESSIONAL SERVICES, INC. 2 2 0 2 3568 0 0 0 4152775 4480600 27 3568 0 0 4152802 4484168 0 0 3736415 3667035 0 0 0 0 0 333930 481120 4070345 4148155 82457 336013 75059 511849 39994 140771 35065 371078 THE COLEMAN PROFESSIONAL SERVICES - VEBA ("TRUST") IS ORGANIZED FOR THE PURPOSE OF PROVIDING FUNDING FOR THE EMPLOYEE HEALTH BENEFITS OF COLEMAN PROFESSIONAL SERVICES, INC. 0 0 4148155 4480600 HEALTH AND WELFARE PLAN COVERING ELIGIBLE EMPLOYEES 4148155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 2 2 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 X X THOMAS LYZEN CFO 3306766817 5982 RHODES ROAD KENT OH 44240 X HATTIE TRACY PRESIDENT 1.00 0.00 X X 0 0 0 MELISSA DEVLIN VICE PRESIDENT AND SECRETARY 1.00 0.00 X X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 900099 4122915 4122915 EMPLOYEE CONTRIBUTIONS 900099 357685 357685 4480600 3568 3568 4484168 4480600 3568 0 3667035 3667035 48771 48771 20835 20835 233464 233464 SUPPLIES 176184 176184 BANK FEES 1866 1866 4148155 4148155 0 0 75059 186002 325847 75059 511849 39994 140771 39994 140771 X 0 0 0 0 35065 371078 35065 371078 75059 511849 336013 0 X 0 1 X 1 0 0 X 4484168 0 4484168 0 4484168 4148155 0 4148155 0 4148155 PART X, LINE 2: U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION HAS REVIEWED THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD REVIEWS THE WORKING RELATIONSHIPS BETWEEN INDIVIDUAL MEMBERS AND THE ORGANIZATION ON AN ANNUAL BASIS. ANY TIME A BOARD MEMBER MAY HAVE A CONFLICT OF INTEREST, THE OTHER MEMBERS AND OFFICERS REVIEW AND MAKE A DETERMINATION ON THE POSSIBLE CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. COLEMAN PROFESSIONAL SERVICES INC 5982 RHODES ROAD KENT OH 44240 341240178 BEHAV HEALTH OH 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 COLEMAN PROFESSIONAL SERVICES INC S 4122915