2023-03-09T16:15:43-06:00 2022-04-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2021-05-01 410761972 PIPE TRADES SERVICES MN WELFARE FUND PIPE 6516454540 4461 WHITE BEAR PKWY STE 1 WHITE BEAR LAKE MN 55110 MIKE TIEVA BOARD CHAIR 6516454540 2023-03-07 1 MIKE TIEVA 999009999 DAVID LOWENTHAL P00378651 3122071040 2023-03-07 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MIKE TIEVA 4461 WHITE BEAR PKWY STE 1 WHITE BEAR LAKE MN 55110 125987817 0 X HTTPS://WWW.PTSMN.ORG/ X 1955 MN TO PROVIDE ELIGIBLE PIPE TRADES MEMBERS AND THEIR DEPENDENTS WITH HEALTH AND WELFARE BENEFITS. 10 10 0 0 0 0 0 0 98259394 102826448 8460300 6511420 1897769 1948872 108617463 111286740 0 0 89341734 100617309 0 0 0 0 0 17691258 18838779 107032992 119456088 1584471 -8169348 124255702 103560351 84756 67549 124170946 103492802 PROVIDING MEDICAL BENEFITS 0 0 PROVIDER OF HEALTH AND WELFARE BENEFITS FOR MEMBERS OF THE PIPING INDUSTRY AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 1 116 0 1 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X JON MELANDER 6516454540 4461 WHITE BEAR PARKWAY STE 1 WHITE BEAR LAKE MN 55110 X DOUG JONES CHAIR 2.00 4.00 X X 0 0 0 JEFF HUBERTY CO-CHAIR 2.00 4.00 X X 0 0 0 SAM ARNOLD TRUSTEE 2.00 4.00 X 0 0 0 JOE LANE TRUSTEE 2.00 4.00 X 0 0 0 MATT MARQUIS TRUSTEE 2.00 4.00 X 0 0 0 KRISTEN OLSON TRUSTEE 2.00 4.00 X 0 0 0 JAKE PETTIT TRUSTEE 2.00 4.00 X 0 0 0 SCOTT SEATH TRUSTEE 2.00 4.00 X 0 0 0 GARY THADEN TRUSTEE 2.00 4.00 X 0 0 0 MIKE TIEVA TRUSTEE 2.00 4.00 X 0 0 0 0 0 0 0 0 0 0 TAFT STETTINIUS & HOLLISTER LLP PO BPX 64591 ST PAUL MN 55164 LEGAL SERVICES 198499 PLANTE MORAN PLLC 16060 COLLECTIONS CENTER CHICAGO IL 60693 ACCOUNTING SERVICES 111342 2 EMPLOYER CONTRIBUTIONS 900099 85688955 85688955 RETIREE HEALTH FUND 900099 10528725 10528725 SELF PAY CONTRIBUTIONS 900099 6608768 6608768 102826448 1740256 1740256 84156 107261 -23105 -23105 -23105 19364980 14593816 4771164 4771164 4771164 481(A) ADJUSTMENT-CASH TO ACCRUAL 900099 1871469 1871469 MISCELLANEOUS INCOME 900099 100508 100508 1971977 111286740 104798425 0 6488315 100617309 1137331 198499 111342 255630 297266 708 4009 275 39005 PIPE TRADES HEALTH CARE 11329107 CONTRACT ADMINISTRATIVE 5207910 NET PRESCRIPTION EXPENS 23210 UA RECIPROCITY SYS ACCE 3060 231427 119456088 8822961 10065485 10518897 7590595 7298795 8410727 13139 14848 1823 1823 275 0 94909517 73933659 2692118 3545037 124255702 103560351 84756 67549 84756 67549 X 0 0 0 0 124170946 103492802 124170946 103492802 124255702 103560351 X -8169348 -10660432 -1848364 X 0 1 X 1 0 1823 1823 0 0 98777944 -10660432 73743 -10586689 109364633 1922107 1922107 111286740 119245745 73743 73743 119172002 284086 284086 119456088 PART XI, LINE 2D - OTHER ADJUSTMENTS: ELIMINATED INTERCOMPANY EXPENSE 73,743. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUE OF DISREGARDED ENTITY 73,743. NET LOSS OF GRANTOR TRUST -23,105. 481(A) ADJUSTMENT - CASH TO ACCRUAL 1,871,469. PART XII, LINE 2D - OTHER ADJUSTMENTS: ELIMINATED INTERCOMPANY EXPENSE 73,743. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSE OF DISREGARDED ENTITY 284,086. PIPE TRADES HEALTH CARE SERVICES INC 100% COMMONLY CONTROLLED ENTITY -11324397 PIPE TRADES HEALTH CARE SERVICES, A COMMONLY CONTROLLED ENTITY, PAYS ALL OPERATING EXPENSES FOR THE ORGANIZATION. THE ORGANIZATION REIMBURSES PIPE TRADES HEALTH CARE SERVICES FOR THESE EXPENSES ANNUALLY. 0 FORM 990, PART VI, SECTION A, LINE 3 THE TRUST DOES NOT HAVE ANY EMPLOYEES. CLAIMS PROCESSING AND ROUTINE ADMINISTRATIVE TASKS ARE PERFORMED BY THE PIPE TRADES SERVICES MN, INC., A TAXABLE CORPORATION ESTABLISHED BY THE TRUST AND OTHER BENEFIT FUNDS TO FACILITATE DAY TO DAY ADMINISTRATIVE FUNCTIONS. FORM 990, PART VI, SECTION B, LINE 11B THE ADMINISTRATOR AND THE TRUSTEES REVIEW THE FORM 990 AND WILL CONSULT WITH THE PREPARER REGARDING ANY ITEM THAT THEY DETERMINE TO BE INSUFFICIENT OR REQUIRING ADDITIONAL INFORMATION OR DISCUSSION. FORM 990, PART VI, SECTION B, LINE 12C EACH TRUSTEE COMPLETES AN ANNUAL DISCLOSURE FORM FOR POTENTIAL CONFLICTS OF INTEREST, AND IS REQUIRED TO INFORM THE TRUST OF ANY CONFLICT THAT THE TRUSTEES BELIEVE MAY HAVE ARISEN. IF THE ADMINISTRATIVE STAFF OF THE PIPE TRADES SERVICES MN, INC. OR TRUSTEES OF THE PIPE TRADES SERVICES MN WELFARE FUND BELIEVE A CONFLICT HAS ARISEN, OR IF INFORMATION OF A POTENTIAL CONFLICT IS DISCOVERED IN ANY OTHER MANNER, THAT INFORMATION IS COMMUNICATED TO THE TRUSTEES FOR REVIEW AND ATTENTION. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: NET LOSS OF GRANTOR TRUST 23,105. ADJUSTMENT - CASH TO ACCRUAL -1,871,469. LABOR VALUE RX LLC 4461 WHITE BEAR PKWY STE 1 WHITE BEAR LAKE MN 55110 812225045 PHARMACY BENEFIT MANAGEMENT COMPANY MN -282256 137542 PIPE TRADE SERVICES MN WELFARE FUND PIPE TRADES HEALTH CARE SERVICES INC 4461 WHITE BEAR PARKWAY STE 1 WHITE BEAR LAKE MN 55110 461398525 HEALTHCARE SERVICES MN 501(C)(5) N/A N/A 0 PIPE TRADES SERVICES MN RETIREE HEALTH FUND 4461 WHITE BEAR PARKWAY STE 1 WHITE BEAR LAKE MN 55110 161657260 PROVIDING HEALTH AND MEDICAL BENEFITS MN 501(C)(9) N/A N/A 0 CITY OF MPLS PUBLIC WORKS CITY OF ST PAUL OFFICE OF HUMAN RESOURCE INDEPENDENT SCHOOL DIST 625 JAC OF LOCAL 11 & 589 LOCAL 015 MPLS J A C LOCAL 034 PLUMBERS LOCAL 11 LOCAL 15 PLUMBERS LOCAL 34 JATC LOCAL 455 J A C LOCAL 455 PIPEFITTERS LOCAL 539 MPLS PIPEFITTERS J A C LOCAL 539 LOCAL 561 PLUMBERS & FITTERS LOCAL 589 UNION HALL LOCAL 6 JAC LOCAL 6 MN MECHANICAL CONTRACTORS ASSOC MN PIPE TRADES ASSN MPLS PUBLIC SCHOOLS-SSD #1 MUNICIPAL BLDG COMMISSION SPRINKLER FITTERS LOCAL 417 JAC OFFICE SPRINKLER FITTERS LOCAL 417 PIPE TRADES SERVICES MN BUILDING TRUST 4461 WHITE BEAR PARKWAY STE 1 WHITE BEAR LAKE MN 55110 416251939 PROPERTY RENTAL MN N/A T -23105 979718 0.33330 0 PIPE TRADES SERVICES MN INC 4461 WHITE BEAR PARKWAY STE 1 WHITE BEAR LAKE MN 55110 410918427 ADMINISTRATIVE SERVICES MN N/A C 0 3D MECHANICAL INC A & E PLUMBING AW KUETTEL & SONS AC & R SPECIALISTS ACI PLUMBING INC ADAM'S ON-TIME PLBG & WATER HTRS ADMIRAL RADON MECHANICAL SVC LLC ADVANTAGE AIR HEATING & COOLING ADVANTAGE POINT GROUP AFFINITY PLUMBING AIR CONDITIONING ASSOCIATES INC AIRCORPS LLC ALBERS MECHANICAL CONTRACTORS INC ALEXANDER PLUMBING LLC ALLAN MECHANICAL ALLIANCE MECHANICAL SVCS ALLIED POWER SERVICES ANDERSON HEATING & AIR-CONDITIONING ANDERSON PLUMBING & HEATING APEX MECHANICAL ARCHER MECHANICAL LLC ARCHITECT MECHANICAL INC AREA MECHANICAL INC AREA MECHANICAL LLC ARI MECHANICAL SERVICES INC ARMOR MECHANICAL LLC ARROW SPRINKLER INC ASSOCIATED MECH CONTRACTORS INC ATLANTIC PLANT MAINT ATTNCOLEENGLASSCOCK AUGUST WINTER & SONS INC AZCO INC BAEHR PIPING LLC BAKER GROUP BARNES PLBG CO INC BARTYLLA PLUMBING & HEATING INC BASSETT MECHANICAL BELKNAP PLUMBING & HEATING BENDTEC INC BENDTEC LLC BERG PLBG & HTG INC BHI ENERGY SPECIALTY SERVICES BILL RASCHER MECHANICAL INC BINDER HEATING & AC INC BLAYLOCK PLBG CO BREDAHL PLBG INC BRESKI PLUMBING INC BRETH-ZENZEN FIRE PROTECTION LLC BROTHERS FIRE & SECURITY BRUCE NELSON PLBG & HTG SVC BSI MECHANICAL INC BUDGET PLUMBING CORP BURNETT PLUMBING COMPANY BURNN BOILER & MECHANICAL INC BURN-O-MATIC MOONEY & RIDLER MECH CONT C R MEYER & SONS CO CALDWELL PLUMBING & HEATING CANDOR COMPANIES INC CARLSON BROS INC CARLSON DULUTH COMPANY CARRIER CORP CENTRAIRE HTG & AC INC CENTURY PLBG INC CHARPS LLC CHERNE CONTRACTING CORP CHS INC CITIES 1 PLB & HTG INC CITIES COMPANIES INC CLIMATE AIR INC CLIMATE MAKERS INC CLIMATE PROS LLC COMFORT MATTERS LLC COMMERCIAL KITCHEN SERVICES COMMERCIAL PLBG & HTG INC COMMERCIAL REFRIGERATION SYSTEMS INC CONSTRUCTION & TURNAROUND SERVICES LLC COOL AIR MECHANICAL INC CORPORATE MECHANICAL INC CORVAL CONSTRUCTORS INC CROSSTOWN MECHANICAL CUSTOM REFRIGERATION DAIKIN APPLIED DANS SEWER SERVICE DAVIS MECHANICAL SYSTEMS DIVISION 23 MECHANICAL SVCS INC DLM PLUMBING DMC PLBG & HTG INC DOWNS PLBG & HTG LLC DOWNTOWN MECHANICAL LLC DYNAMIC FIRE PROTECTION INC ECO MECHANICAL SERVICES LLC EGAN COMPANIES INC DBA EGAN MECHANICAL EL JAY PLBG & HTG INC ELANDER MECHANICAL INC ELLINGSON TRENCHLESS LLC ERICKSON PLBG HTG & COOLG INC ESCAPE FIRE PROTECTION EVER - 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