2023-11-14T12:04:56-06:00 2022-12-31 571157523 APRIO LLP 111 ROCKVILLE PIKE SUITE 600 ROCKVILLE MD 20850 990 2022-01-01 456491273 THE CATHOLIC CHARITIES USA EMPLOYEE WELFARE BENEFIT TRUST CATH 7035491390 2050 BALLENGER AVENUE ALEXANDRIA VA 22314 KEITH R STYLES AUTHORIZED REPRESENTATIVE 7035491390 2023-11-03 1 KEITH STYLES 999009999 0 STACY CULLEN P00974308 3012316200 2023-11-03 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KEITH R STYLES 2050 BALLENGER AVENUE ALEXANDRIA VA 22314 41175292 0 X N/A X ERISA TRUST 2011 VA TO PROVIDE HEALTH BENEFITS TO THE EMPLOYEES & MEMBERS OF CATHOLIC CHARITIES USA AND OTHER QUALIFYING CATHOLIC ORGANIZATIONS. 5 5 1 5 0 0 0 0 41598368 41037738 174888 137554 0 0 41773256 41175292 0 0 41144329 34287679 129780 144373 0 0 0 4470918 3771353 45745027 38203405 -3971771 2971887 13170209 11925296 8400273 5599608 4769936 6325688 TO PROVIDE HEALTH BENEFITS TO THE EMPLOYEES & MEMBERS OF CATHOLIC CHARITIES USA AND OTHER QUALIFYING CATHOLIC ORGANIZATIONS. 0 0 THE TRUST PROVIDES FOR THE PAYMENT OF CERTAIN MEDICAL, DENTAL AND REIMBURSEMENT OF OUT OF POCKET OR NON-REIMBURSABLE MEDICAL, DENTAL AND VISION EXPENSES THROUGH FLEXIBLE SPENDING ACCOUNTS. 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 4 0 1 1 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X CORDIA PARTNERS 7034626200 8330 BOONE BOULEVARD SUITE 350 VIENNA VA 22182 X SISTER DONNA MARKHAM CHAIR 3.00 X 0 0 0 CHARLES C CORNELIO TRUSTEE 1.00 X 0 0 0 ELIDA HERNANDEZ TRUSTEE 1.00 X 0 0 0 JANE DURNE CROWLEY TRUSTEE 1.00 X 0 0 0 REVEREND PATRICK KEATING TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 PROSOURCING PARTNERS 8330 BOONE BOULEVARD SUITE 350 VIENNA VA 22182 ACCOUNTING SERVICES 134126 1 CONTRIBUTIONS TO THE TRUST 524292 41037738 41037738 41037738 137554 137554 41175292 41037738 0 137554 34287679 99492 37441 7440 3151 189390 94958 8362 10225 42514 ADMINISTRATIVE EXPENSES 3421755 EMPLOYEE EXPENSES 998 38203405 3518754 2768185 1840140 2180575 2923026 2827566 4679527 4053833 208762 95137 13170209 11925296 6526440 4837149 1873833 762459 8400273 5599608 X 4769936 6325688 4769936 6325688 13170209 11925296 2971887 -1416135 0 X X 0 1 X 1 0 0 FIXED INCOME SECURITIES 4053833 F 4053833 LINE OF CREDIT 500000 PREMIUMS BILLED IN ADVANCE 262459 762459 X 39759157 -1416135 -1416135 41175292 0 41175292 39352605 0 39352605 -1149200 -1149200 38203405 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN IBNR -1,149,200. FORM 990, PART VI, SECTION A, LINE 7A TRUSTEES ARE APPOINTED BY THE PLAN SPONSOR, THE BOARD OF TRUSTEES OF CATHOLIC CHARITIES USA. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEE MEETINGS OF THE BOARD, THEREFORE DOCUMENTATION IS NOT REQUIRED. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD IS PROVIDED A COPY OF THE FORM 990 FOR REVIEW BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS SUBMIT A CONFLICT OF INTEREST QUESTIONAIRE ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST. CATHOLIC CHARITIES - USA 2050 BALLENGER AVENUE ALEXANDRIA VA 22314 530196620 RELIGIOUS VA 501(C)(3) LINE 1 N/A 0 CATHOLIC CHARITIES - MARYVILLE 1150 N RIVER ROAD DES PLAINES IL 60016 362170873 RELIGIOUS IL 501(C)(3) LINE 1 N/A 0 CATHOLIC CHARITIES - MISERICORDIA 6300 N RIDGE CHICAGO IL 60660 362170153 RELIGIOUS IL 501(C)(3) LINE 1 N/A 0 CATHOLIC CHARITIES - TX PANHANDLE PO BOX 15127 AMARILLO TX 79105 750818147 RELIGIOUS TX 501(C)(3) LINE 1 N/A 0 CATHOLIC LEGAL IMMIGRATION NETWORK 8757 GEORGIA AVENUE SUITE 850 SILVER SPRING MD 20910 521584951 RELIGIOUS MD 501(C)(3) LINE 1 N/A 0 CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO 721 N LASALLE STREET CHICAGO IL 60654 362170821 RELIGIOUS IL 501(C)(3) LINE 1 N/A 0 COMMONWEALTH CATHOLIC CHARITIES 1601 ROLLING HILLS DRIVE RICHMOND VA 23229 540505877 RELIGIOUS VA 501(C)(3) LINE 1 N/A 0 CATHOLIC CHARITIES OF OMAHA 6223 MAPLE STREET SUITE 4520 OMAHA NE 68104 470376612 RELIGIOUS NE 501(C)(3) LINE 1 N/A 0 CATHOLIC CHARITIES BROOKLYN & QUEENS 191 JORALEMON STREET BROOKLYN NY 11201 111633548 RELIGIOUS NY 501(C)(3) LINE 1 N/A 0 CATHOLIC CHARITIES OF THE DIOCESE OF PITTSBURGH 212 NINTH STREET PITTSBURGH PA 15222 251326213 RELIGIOUS PA 501(C)(3) LINE 1 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0