SOUTHERN EMPLOYERS HOSPITALIZATION DENTAL & VISION CARE PLAN & TRUST DUMBARCHER ROBERT J TTEE

ATLANTAGeorgia 30339

EIN: 58-2170261

Sick accident death or similar benefits

DEMOGRAPHIC

ADDRESS
200 GALLERIA PKWY SE STE 900
30339
IN CARE OF NAME
JILL VAN PELT

CLASSIFICATION

ORGANIZATION CODE
2: Trust
DEDUCTIBILITY CODE
2: Contributions are not deductible
AFFILIATION CODE
3: Independent
SUBSECTION/CLASSIFICATION CODES
Voluntary Employees' Beneficiary Association (Non-Govt. Emps.)
ACTIVITY CODES
Sick accident death or similar benefits
NTEE COMMON CODE
N/A
NTEE CODE
N/A
FOUNDATION CODE
00: All organizations except 501(c)(3)
EXEMPT ORGANIZATION STATUS CODE
1: Unconditional Exemption

FINANCIALS

TAX PERIOD
12/2021
ACCOUNTING PERIOD
12
INCOME CODE
6: $1,000,000 to $4,999,999
INCOME AMOUNT
$2,450,118.00
FORM 990 REVENUE AMOUNT
$2,450,118.00
RULING DATE
01/1997
ASSET CODE
6: $1,000,000 to $4,999,999
ASSET AMOUNT
$1,220,725.00
FILING REQUIREMENT CODE
990 (all other) or 990EZ return
PF FILING REQUIREMENT CODE
No 990-PF return

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