IBEW LOCAL 102 WELFARE FUND: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
IBEW LOCAL 102 WELFARE FUND (EIN 22-6487222)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-10-12
IRS object ID
202302859349300925
Schema version
2022v5.0
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)
Return2023-10-12T09:26:05-07:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN223010525PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SHAUGHNESSY GIELLA CPA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line123 KULICK ROADAddressLine1Txt
CityFAIRFIELDCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN226487222EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IBEW LOCAL 102 WELFARE FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlIBEWBusinessNameControlTxt
Phone9738871718PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 PARSIPPANY ROADAddressLine1Txt
CityPARSIPPANYCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07054ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBERNARD CORRIGANPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone9738871718PhoneNum
Signature2023-10-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBERNARDPersonFirstNm
Person LastCORRIGANPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL GIELLAPreparerPersonNm
PTINP01399319PTIN
Phone9738820228PhoneNum
Preparation2023-10-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBERNARD CORRIGANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 PARSIPPANY ROADAddressLine1Txt
CityPARSIPPANYCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07054ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$72,694,612GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1991FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionWELFARE FUND - HEALTH/MEDICAL BENEFITSActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$53,853,606PYProgramServiceRevenueAmt
CY Program Service Revenue$61,235,765CYProgramServiceRevenueAmt
PY Investment Income$7,383,429PYInvestmentIncomeAmt
CY Investment Income$2,086,545CYInvestmentIncomeAmt
PY Other Revenue-$2,433,457PYOtherRevenueAmt
CY Other Revenue-$11,596,295CYOtherRevenueAmt
PY Total Revenue$58,803,578PYTotalRevenueAmt
CY Total Revenue$51,726,015CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$61,643,369PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$61,597,082CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,492,828PYOtherExpensesAmt
CY Other Expenses$3,308,389CYOtherExpensesAmt
PY Total Expenses$65,136,197PYTotalExpensesAmt
CY Total Expenses$64,905,471CYTotalExpensesAmt
PY Revenues Less Expenses-$6,332,619PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$13,179,456CYRevenuesLessExpensesAmt
Total Assets BOY$122,340,303TotalAssetsBOYAmt
Total Assets EOY$108,229,917TotalAssetsEOYAmt
Total Liabilities BOY$5,846,580TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,915,650TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$116,493,723NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$103,314,267NetAssetsOrFundBalancesEOYAmt
MissionWELFARE FUND - HEALTH/MEDICAL BENEFITSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
DescPROVIDING HEALTH & MEDICAL BENEFITS TO THE PARTICIPANTSDesc
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document43IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IE SHAFFER PLAN ADMINISTRATORSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6098836688PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 BEAR TAVERN ROADAddressLine1Txt
CityWEST TRENTONCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08628ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JAMES ESTABROOK
TRUSTEE1.00Yes (X)$0$0$0
BERNIE CORRIGAN
TRUSTEE1.00Yes (X)$0$0$0
DAVID FIORE
TRUSTEE1.00Yes (X)$0$0$0
PETER CHECHE
TRUSTEE1.00Yes (X)$0$0$0
ROBERT WILLIAMSON III
TRUSTEE1.00Yes (X)$0$0$0
MARK ROCHE
TRUSTEE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HORIZON BC BS
3 PENN PLAZA EASTNEWARKNJ07105CONTRACT ADMINISTRATOR$1,079,067
GLOBAL PHARMACEUTICAL BENEFITS LLC
222 LAFAYETTE STREETNEWARKNJ07105CONTRACT ADMINISTRATOR$476,362
FABIAN & BYRN LLC
204 EAGLE ROCK AVEROSELANDNJ07068CLAIMS PROCESSING$606,112
IE SHAFFER CO
830 BEAR TAVERN ROADWEST TRENTONNJ08628THIRD PARTY ADMINISTRATOR$472,319
ZELIS HEALTHCAREINC
2 CROSSROADS DRIVEBEDMINSTERNJ07921CLAIMS REVIEW$277,075
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescEMPLOYER & PARTICIPANT CONTRIBUTIONSDesc
Business525100BusinessCd
Total Revenue Column$61,235,765TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$61,235,765TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,408,855TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,408,855ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$20,646,287SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$20,968,597SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$322,310SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$322,310TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$322,310ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
UNREALIZED DEPRECIATION OF INVESTMENTS525100-$11,596,746$0$0-$11,596,746
MISC INCOME - CLASS ACTIONS525100$451$0$0$451
FieldValueIRS element (for citing)
Other Revenue Total-$11,596,295OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,726,015TotalRevenueColumnAmt
Related Or Exempt Func Income$61,235,765RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$9,509,750ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$61,597,082TotalAmt
Program Services$0ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$22,083TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$28,350TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$177,140TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$942TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,169TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ACTUARY$14,750$0$0$0
OFFICE, PRINTING & POSTAGE$25,005$0$0$0
CONTRACT ADMINISTRATOR FEES$2,910,935$0$0$0
BANK CHARGES$23,466$0$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$99,549TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$64,905,471TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,735,619BOYAmt
EOY$6,201,611EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,080,399BOYAmt
EOY$6,664,230EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$112,333,571BOYAmt
EOY$94,047,112EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,190,714BOYAmt
EOY$1,316,964EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$122,340,303BOYAmt
EOY$108,229,917EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,846,580BOYAmt
EOY$4,915,650EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,846,580BOYAmt
EOY$4,915,650EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$116,493,723BOYAmt
EOY$103,314,267EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$116,493,723BOYAmt
EOY$103,314,267EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$122,340,303BOYAmt
EOY$108,229,917EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$13,179,456ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$51,548,875TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$51,548,875RevenueSubtotalAmt
Investment Expenses Not Incld$177,140InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$177,140RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$51,726,015TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$65,697,615TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$4,996,199OtherExpensesIncludedAmt
Expenses Not Reported$4,996,199ExpensesNotReportedAmt
Expenses Subtotal$60,701,416ExpensesSubtotalAmt
Investment Expenses Not Incld2$177,140InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$4,026,915OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,204,055ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$64,905,471TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt XII, Line 2dACCRUED HEALTH CLAIMS 12/31/21 INCLUDED IN BENEFIT OBLIGATIONS STATEMENT.
Pt XII, Line 4bACCRUED HEALTH CLAIMS 12/31/22 INCLUDED IN BENEFIT OBLIGATIONS STATEMENT

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 3THE ORGANIZATION UTILIZES THE SERVICES OF I.E. SHAFFER, A THIRD PARTY ADMINISTRATOR, AND FABIAN & BYRN, LLC A CLAIMS ADMINISTRATOR.
Pt VI, Line 11bA COPY OF THE FORM 990 IS PROVIDED TO EACH TRUSTEE AT A
Pt VI, Line 11bMEETING PRIOR TO THE FILING DATE, WHERE QUESTIONS THAT A
Pt VI, Line 11bTRUSTEE MAY HAVE ARE ADDRESSED.
Pt VI, Line 12cTHE ORGANIZATION HAS A REGULARLY SCHEDULED QUARTERLY
Pt VI, Line 12cMEETING WHERE IT MONITORS COMPLIANCE WITH THE POLICY.
Pt VI, Line 15aNO COMPENSATION - EMPLOYEE BENEFIT PLAN.
Pt VI, Line 19THE DOCUMENTS ARE AVAILABLE TO PARTICIPANTS AND THE PUBLIC
Pt VI, Line 19UPON REQUEST.

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