SOUTHERN BENEFIT ADMINISTRATORS INC

Address
PO BOX 1449
GOODLETTSVILLE, TN 370701449
Contact
Phone: +1 (615) 859-0131
Nonprofit
NTEE: Y44 - Voluntary Employees Beneficiary Associations (Government)
EIN: 38-7136424

Mission

TO PROVIDE HEALTH CARE BENEFITS TO PLAN PARTICIPANTS
 20162015
Basic features of the organization
Year of formation2015
Subsection code09
PF filing required0 
Metropolitan statistical area5360
Form of organization
TrustTrue
Human resources, including compensation
Summary compensation info
Number of employees00
Personnel
Brassell, H
TitleCHAIRMAN - TCHAIRMAN - T
Name of key/compensated personH LYNN BRASSELLH LYNN BRASSELL
Position of compensated person
Current individual trustee or directorTrueTrue
Current officerTrueTrue
Average hours per week working for org 1.00
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Brassell, John
TitleTRUSTEETRUSTEE
Name of key/compensated personJOHN D BRASSELLJOHN D BRASSELL
Position of compensated person
Current individual trustee or directorTrueTrue
Current officerTrueTrue
Average hours per week working for org 1.00
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Dowlen, Donny
TitleTRUSTEETRUSTEE
Name of key/compensated personDONNY DOWLENDONNY DOWLEN
Position of compensated person
Current individual trustee or directorTrueTrue
Current officerTrueTrue
Average hours per week working for org 1.00
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Faulkner, Sharon
TitleSECRETARY -TSECRETARY -T
Name of key/compensated personSHARON FAULKNERSHARON FAULKNER
Position of compensated person
Current individual trustee or directorTrueTrue
Current officerTrueTrue
Average hours per week working for org 1.00
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
JERE T BRASSELL
TitleTRUSTEETRUSTEE
Name of key/compensated personJERE T BRASSELLJERE T BRASSELL
Position of compensated person
Current individual trustee or directorTrueTrue
Current officerTrueTrue
Average hours per week working for org 1.00
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
JERE T BRASSELL JR
TitleTRUSTEETRUSTEE
Name of key/compensated personJERE T BRASSELL JRJERE T BRASSELL JR
Position of compensated person
Current individual trustee or directorTrueTrue
Current officerTrueTrue
Average hours per week working for org 1.00
Reportable compensation from org$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00
Purpose: mission, activities, & accomplishments
Mission or significant activitiesTO PROVIDE HEALTH CARE BENEFITS TO PLAN PARTICIPANTSTO PROVIDE HEALTH CARE BENEFITS TO PLAN PARTICIPANTS
Programs, including revenue & expenses
TO PROVIDE HEALTH CARE BENEFITS TO PLAN PARTICIPANTS.
Program descriptionTO PROVIDE HEALTH CARE BENEFITS TO PLAN PARTICIPANTS.TO PROVIDE HEALTH CARE BENEFITS TO PLAN PARTICIPANTS.
Financial data
Revenue
Total revenue$1,334,876.00$1,053,464.00
Revenue from contributions (total) $0.00
Investment income, current yr$0.00$0.00
Total revenue from grants, etc., current yr$0.00$0.00
Total unrelated business revenue$0.00$0.00
Other revenue, current yr$0.00$0.00
Program service revenue (total)$1,334,876.00$1,053,464.00
Gross receipts$1,334,876.00$1,053,464.00
Other types of revenue
Net rental income $0.00
Expense categories (totals)
Total functional expenses: sum of all$1,420,434.00$940,271.00
Total functional expenses: program service $0.00$0.00
Total functional expenses: management and general$0.00$0.00
Total functional expenses: fundraising$0.00$0.00
Fees for services
Fundraising service fees (total)$0.00$0.00
Assets and liabilities
Total assets$72,742.00$113,340.00
Total assets, beginning of year$113,340.00 
Total liabilities$45,107.00$147.00
Total liabilities, beginning of year$147.00 
Net assets$27,635.00$113,193.00
Net assets, beginning of year$113,193.00 
Cash: non-interest bearing$72,742.00$113,340.00
Cash: non-interest bearing, beginning of year$113,340.00 
Other financial variables
Revenue less expenses-$85,558.00$113,193.00
Accounts payable & accrued expenses$45,107.00$147.00
Total net assets or fund balances$27,635.00$113,193.00
Governance and accountability
Number of voting members66
Number of independent voting members66
Financial sheets audited True
Relationships among key personnelTrueTrue
Accrual accountingTrueTrue
Tax year start date2016-01-012015-01-01
Tax year end date2016-12-012015-12-01
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990
Reason for form submission
First filing True
Date e-filing submitted2017-10-112017-01-24
IRS schema version2016v3.02015v2.1
Filing identifier201702229349301545201632919349301558
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