IRON WORKERS LOCAL 17 INSURANCE BENEFIT PLAN: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
IRON WORKERS LOCAL 17 INSURANCE BENEFIT PLAN (EIN 34-0759023)
Tax period
2023-05-01 to 2024-04-30
Filed
2025-03-14
IRS object ID
202540739349300944
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-03-14T12:44:53-05:00ReturnTs
Tax Period End2024-04-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1171 SULLYS TRAILAddressLine1Txt
CityPITTSFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14534ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN340759023EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IRON WORKERS LOCAL 17 INSURANCE BENEFITBusinessNameLine1Txt
Business Name Line2FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlIRONBusinessNameControlTxt
Phone2162411086PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15600 NEW KING DRIVE 330AddressLine1Txt
CityTROYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48098ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT COOPERPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone2162411086PhoneNum
Signature2025-03-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAWN MINEMIERPreparerPersonNm
PTINP01339753PTIN
Phone5853811000PhoneNum
Preparation2025-03-14PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSCOTT COOPERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15600 NEW KING DRIVE SUITE 330AddressLine1Txt
CityTROYCityNm
State AbbreviationOHStateAbbreviationCd
ZIP48098ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,154,045GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressNAWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1971FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO PROVIDE MEDICAL AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF IRON WORKERS UNION LOCAL 17ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$12,378,249PYProgramServiceRevenueAmt
CY Program Service Revenue$13,180,190CYProgramServiceRevenueAmt
PY Investment Income$476,206PYInvestmentIncomeAmt
CY Investment Income$385,247CYInvestmentIncomeAmt
PY Other Revenue-$208,465PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$12,645,990PYTotalRevenueAmt
CY Total Revenue$13,565,437CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$8,528,616PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$8,597,317CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$752,545PYOtherExpensesAmt
CY Other Expenses$804,946CYOtherExpensesAmt
PY Total Expenses$9,281,161PYTotalExpensesAmt
CY Total Expenses$9,402,263CYTotalExpensesAmt
PY Revenues Less Expenses$3,364,829PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,163,174CYRevenuesLessExpensesAmt
Total Assets BOY$23,322,779TotalAssetsBOYAmt
Total Assets EOY$28,335,810TotalAssetsEOYAmt
Total Liabilities BOY$1,978,466TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,167,043TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,344,313NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,168,767NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE MEDICAL AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF IRON WORKERS UNION LOCAL 17MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTO PROVIDE MEDICAL AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF IRON WORKERS UNION LOCAL 17Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IRON WORKERS 17 FRINGE BENEFITS FUNDSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2162411086PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15600 NEW KING DRIVE SUITE 330AddressLine1Txt
CityTROYCityNm
State AbbreviationOHStateAbbreviationCd
ZIP48098ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RICHARD JORDAN
TRUSTEE1.00Yes (X)Yes (X)$0$0$0
SCOTT MUNNINGS
TRUSTEE1.00Yes (X)$0$0$0
BRIAN MURRAY
TRUSTEE1.00Yes (X)$0$0$0
BERNIE NOWAK
TRUSTEE1.00Yes (X)Yes (X)$0$0$0
SCOTT COOPER
TRUSTEE1.00Yes (X)$0$0$0
FRANK DIENER
TRUSTEE1.00Yes (X)$0$0$0
DANIEL MUNNINGS
TRUSTEE1.00Yes (X)$0$0$0
TIM LINVILLE
ALTERNATE TRUSTEE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANTHEMBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 MONUMENT CIRCLEAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
ServicesCLAIMS ADMINISTRATORServicesDesc
Compensation$372,869CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS525120$11,684,523$11,684,523
PARTICIPANT CONTRIBUTIONS525120$1,495,667$1,495,667
FieldValueIRS element (for citing)
Total Program Service Revenue$13,180,190TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$543,759TotalRevenueColumnAmt
Exclusion$543,759ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,430,096SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,588,608SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$158,512SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$158,512TotalRevenueColumnAmt
Exclusion-$158,512ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,565,437TotalRevenueColumnAmt
Related Or Exempt Func Income$13,180,190RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$385,247ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$8,597,317TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$110,245TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,085TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,000TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$43,190TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$606,002TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,424TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,402,263TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,913,983BOYAmt
EOY$7,676,436EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,776BOYAmt
EOY$123,633EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,715,469BOYAmt
EOY$1,152,715EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,487,320BOYAmt
EOY$15,474,342EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,188,231BOYAmt
EOY$1,121,019EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,787,665EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$23,322,779BOYAmt
EOY$28,335,810EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$235,580BOYAmt
EOY$10,893EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,742,886BOYAmt
EOY$2,156,150EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,978,466BOYAmt
EOY$2,167,043EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,344,313BOYAmt
EOY$26,168,767EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,344,313BOYAmt
EOY$26,168,767EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,322,779BOYAmt
EOY$28,335,810EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,163,174ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$661,280NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ACCRUED INTEREST AND DIVIDENDS$57,291
DUE FROM AFFILIATE$2,730,374
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,787,665TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
VACATION FUND PAYABLE$1,879,562
DUE TO AFFILIATE$129,706
RECIPROCALS PAYABLE$146,882
FieldValueIRS element (for citing)
Total Liability$2,156,150TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$14,183,527TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$661,280NetUnrealizedGainsInvstAmt
Revenue Not Reported$661,280RevenueNotReportedAmt
Revenue Subtotal$13,522,247RevenueSubtotalAmt
Investment Expenses Not Incld$43,190InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$43,190RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,565,437TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,359,073TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$9,359,073ExpensesSubtotalAmt
Investment Expenses Not Incld2$43,190InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$43,190ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,402,263TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3WHILE THE BOARD OF TRUSTEES RETAINS ULTIMATE AUTHORITY, IT HAS DELEGATED THE DAY-TO-DAY MANAGEMENT OF DUTIES TO SOLXSYS ADMINISTRATIVE SERVICES, A THIRD PARTY ADMINISTRATOR.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPEDENT ACCOUNTING FIRM AND REVIEWED AT A TRUSTEE MEETING WITH THE PLAN'S ATTORNEY PRESENT.
FORM 990, PART VI, SECTION B, LINE 12CPOLICIES ARE ENFORCED DURING REGULAR QUARTERLY TRUSTEE MEETINGS WITH THE PLAN'S ATTORNEY.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE PLAN OFFICE.

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