FURP.ORG / PUBLIC DATA EXPLORER

MICHIGAN BAC HEALTH CARE FUND: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MICHIGAN BAC HEALTH CARE FUND (EIN 38-6098425)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202203199349315760
Schema version
2021v4.0
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)
Return2022-11-15T14:25:00-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382284921PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BENDA GRACE STULZ & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line138800 VAN DYKE AVE STE 100AddressLine1Txt
CitySTERLING HEIGHTSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48312ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN386098425EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN BAC HEALTH CARE FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMICHBusinessNameControlTxt
Phone5173217502PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16525 CENTURION DRIVEAddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48917ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL DUNFORDPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone5173217502PhoneNum
Signature2022-11-15SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPAULPersonFirstNm
Person LastDUNFORDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRYAN STULZPreparerPersonNm
PTINP00265596PTIN
Phone5868836240PhoneNum
Preparation2022-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd
Principal OfficerPAUL DUNFORDPrincipalOfficerNm
Gross Receipts$6,717,081GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1964FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH AND WELFARE BENEFITSActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$8,501,694PYProgramServiceRevenueAmt
CY Program Service Revenue$6,518,226CYProgramServiceRevenueAmt
PY Investment Income$32,809PYInvestmentIncomeAmt
CY Investment Income$149,763CYInvestmentIncomeAmt
PY Other Revenue$2,750PYOtherRevenueAmt
CY Other Revenue$2,846CYOtherRevenueAmt
PY Total Revenue$8,537,253PYTotalRevenueAmt
CY Total Revenue$6,670,835CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$7,646,790PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$5,408,418CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,033,719PYOtherExpensesAmt
CY Other Expenses$643,475CYOtherExpensesAmt
PY Total Expenses$8,680,509PYTotalExpensesAmt
CY Total Expenses$6,051,893CYTotalExpensesAmt
PY Revenues Less Expenses-$143,256PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$618,942CYRevenuesLessExpensesAmt
Total Assets BOY$6,273,369TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$3,556,199TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,717,170NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HEALTH AND WELFARE BENEFITSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
DescTO PROVIDE HEALTH CARE BENEFITS AND DISABILITY BENEFITS TO ELIGIBLE PLAN PARTICIPANTS AND THEIR DEPENDENTS.Desc
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 OperationsYes (true)TerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
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 Line1TIC INTERNATIONAL CORPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5173217502PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16525 CENTURION DRIVEAddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48917ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JAMES BRYLOWSKI
TRUSTEE1.0040.00Yes (X)$0$99,102$31,975
JAMES BUDD
TRUSTEE1.0040.00Yes (X)$0$95,217$30,584
GREG LOBODZINSKI
TRUSTEE1.0040.00Yes (X)$0$95,217$30,584
DARYL NICHOLS
TRUSTEE1.0040.00Yes (X)$0$95,217$30,584
CHUCK KUKAWKA
FORMER - CHA1.0040.00Yes (X)$0$122,298$0
PAUL DUNFORD
CHAIRMAN1.0040.00Yes (X)$0$105,250$0
ANDY BRACY
SECRETARY1.0040.00Yes (X)$0$0$0
DAMIAN HILL
TRUSTEE1.0040.00Yes (X)$0$0$0
STEVE MEYER
TRUSTEE1.0040.00Yes (X)$0$0$0
SCOTT PANTALEO
TRUSTEE1.0040.00Yes (X)$0$0$0
NORM THOMAS
TRUSTEE1.0040.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$612,301TotReportableCompRltdOrgAmt
Total Other Compensation$123,727TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUE CROSS BLUE SHIELD OF MICHIGANBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line127000 WEST 11 MILE ROAD B494AddressLine1Txt
CitySOUTHFIELDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48034ZIPCd
FieldValueIRS element (for citing)
ServicesHEALTH ADMIN.ServicesDesc
Compensation$774,204CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS230000$5,897,570$5,897,570
PARTICIPANT SELF-PAYMENTS230000$620,656$620,656
FieldValueIRS element (for citing)
Total Program Service Revenue$6,518,226TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,637TotalRevenueColumnAmt
Exclusion$54,637ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$141,372SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$46,246SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$95,126SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,126TotalRevenueColumnAmt
Related Or Exempt Func Income$95,126RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLIQUIDATED DAMAGES COLLECTEDDesc
Business230000BusinessCd
Total Revenue Column$2,846TotalRevenueColumnAmt
Related Or Exempt Func Income$2,846RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,846OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,670,835TotalRevenueColumnAmt
Related Or Exempt Func Income$6,616,198RelatedOrExemptFuncIncomeAmt
Exclusion$54,637ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$5,408,418TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$524,037TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$18,256TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,669TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$13,632TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,750TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,749TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,538TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,949TotalAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmt
MEMBER COMMUNICATIONS$6,582
CONTRACT MONITORING FEE$1,300
PARTICIPANT NOTICES$1,013

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,051,893TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,188,288BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$67,906BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$776,634BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,203BOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,239,338BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,273,369BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$281,053BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,275,146BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,556,199BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$2,717,170BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,717,170BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,273,369BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$618,942ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$592NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,336,704OtherChangesInNetAssetsAmt
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$6,657,795TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$592NetUnrealizedGainsInvstAmt
Revenue Not Reported$592RevenueNotReportedAmt
Revenue Subtotal$6,657,203RevenueSubtotalAmt
Investment Expenses Not Incld$13,632InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$13,632RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,670,835TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,038,261TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$6,038,261ExpensesSubtotalAmt
Investment Expenses Not Incld2$13,632InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$13,632ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,051,893TotalExpensesPerForm990Amt

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail (2 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtEINEINAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionTxt
BAC OF MICHIGAN HEALTH AND WELFARE
ALL ASSETS NET OF LIAB2022-01-01$3,336,704BOOK VALUE382073681700 TOWER DR STE 215TROYMI480999490501(C)(9)
(no name)
38-2073681
FieldValueIRS element (for citing)
Director Of SuccessorfalseDirectorOfSuccessorInd
Employee Of SuccessorfalseEmployeeOfSuccessorInd
Owner Of SuccessorfalseOwnerOfSuccessorInd
Receive CompensationfalseReceiveCompensationInd
Assets DistributedYes (true)AssetsDistributedInd
Required To Notify AGfalseRequiredToNotifyAGInd
Liabilities PaidYes (true)LiabilitiesPaidInd
Bonds OutstandingfalseBondsOutstandingInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VILINE 2 - THE RELATIONSHIP BETWEEN THE TRUSTEES OF THE FUND IS A "BUSINESS RELATIONSHIP". THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. THE FUND, AS A TAFT-HARTLEY TRUST FUND, IS ADMINISTERED BY A BOARD OF TRUSTEES WHICH IS COMPOSED OF AN EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES. IT IS BECUASE OF THIS ORGANIZATIONAL REQUIREMENT THAT THERE IS A "BUSINESS RELATIONSHIP" BETWEEN THE TRUSTEES. LINE 12 - ANNUALLY, EACH TRUSTEE MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. LINE 15 - THE FUND DID NOT HAVE A CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICAL, OR OTHER OFFICER OR KEY EMPLOYEES, AS THOSE TERMS ARE DEFINED IN THE INSTRUCTIONS.
FORM 990, PAGE 6, PART VI, LINE 4THE TRUSTEES OF THE MICHIGAN BAC HEALTH CARE FUND (MI BAC FUND) AND THE DETROIT & VICINITY TROWEL TRADES HEALTH AND WELFARE FUND (D&VTT FUND) HAVE AGREED TO MERGE THE TWO FUNDS, MERGING THE MI BAC FUND WITH THE D&VTT FUND INTO THE BAC OF MICHIGAN HEALTH AND WELFARE FUND. UPON THE EFFECTIVE DATE OF THE MERGER, JANUARY 1, 2022, THE MI BAC FUND SHALL CEASE TO EXIST AS A SEPARATE LEGAL ENTITY, ALL ASSETS WILL BE TRANSFERRED TO THE D&VTT FUND AND ALL LIABILITIES OF THE MI BAC FUND WILL BE ASSUMED BY THE BAC OF MICHIGAN HEALTH AND WELFARE FUND IN ACCORDANCE WITH THE MERGER AGREEMENT.
FORM 990, PAGE 6, PART VI, LINE 7AALL BOARD MEMBERS ARE ELECTED BY THE MEMBERSHIP INTO OFFICER POSITIONS, FROM WHICH THEY HOLD THEIR TRUSTEESHIP.
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS PRESENTED AND APPROVED AT A MEETING OF TRUSTEES, SUBJECT TO APPROVAL AND REVIEW BY THE FUND ATTORNEY. UPON COMPLETION THE TRUSTEE'S ARE PROVIDED WITH THE FINAL FORM 990 (INCLUDING ALL REQUIRED SCHEDULES), AS ULTIMATLY FILED WITH THE IRS.
FORM 990, PAGE 6, PART VI, LINE 19THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. IT OPERATES IN COMPLIANCE WITH THE REPORTING AND DISCLOSURE REQUIREMENTS OF SUBTITLE B, PART 1 ERISA WITH RESPECT TO DISCLOSURE OF ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION. IT OPERATES IN COMPLIANCE WITH FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA.
FORM 990, PART VIILINE 1A - GREG LOBODZINSKI, DARYL NICHOLS, PAUL DUNFORD, JAMES BRYLOWSKI, JAMES BUDD AND CHARLES KUKAWKA SERVED AS TRUSTEES OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, THERE WERE COMPENSATED AS EMPLOYEES OF MICHIGAN BAC LOCALS, WHICH WERE CONTRIBUTING EMPLOYERS TO THE FUND AND, AS SUCH, "RELATED ORGANIZATIONS" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS.
FORM 990, PART XI, LINE 9MERGER INTO D&V TT HEALTH & WELFARE FUND -3,336,704

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
MICHIGAN BAC APPRENTICESHIP
6525 CENTURION DRIVELANSINGMI48917386158556APPRENTICEMI501C32N/Afalse
MICHIGAN BAC PENSION
6525 CENTURION DRIVELANSINGMI48917382895943PENSIONMI401BN/Afalse
BAC 9-MCE COOP & EDUC TRUST
6525 CENTURION DRIVELANSINGMI48917386771345PROMOTIONMI501C5N/Afalse
MICHIGAN BAC LOCAL 9
3321 REMY DRIVELANSINGMI48906463778303LOCALMI501C5N/Afalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (96 entries)

Direct Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
A PUZ & CO LLC
N/Afalse
A&G CONSTRUCTION
N/Afalse
AKINS CONSTRUCTION
N/Afalse
AMALIO CORPORATION
N/Afalse
APTIM SERVICES LLC
N/Afalse
ARTISAN TILE INE
N/Afalse
BAKER CONSTRUCTION
N/Afalse
BARTON MALOW CO
N/Afalse
BHI ENERGY SPECIALTY SERVICES
N/Afalse
BNE SERVICES LLC
N/Afalse
BORNER RESTORATION INC
N/Afalse
BRACY & JAHR MASONRY INC
N/Afalse
BRONNER WM AND SON CONSTR
N/Afalse
BUCKLAND JOHN CONTR INC
N/Afalse
BYERS D C COMPANY
N/Afalse
C R MEYER AND SONS
N/Afalse
C&S MASONRY RESTORATION LLC
N/Afalse
CENTRAL TILE & TERRAZZO
N/Afalse
CLOSNER CONSTRUCTION
N/Afalse
COMMERCIAL SPECIALTY CONT INC
N/Afalse
CONTEK INC
N/Afalse
CORNERSTONE CONTRACTOR & CONSTRUCT
N/Afalse
CUSACK'S MASONRY RESTORATION
N/Afalse
DAVENPORT MASONRY INC
N/Afalse
DIXON INC
N/Afalse
DONE RIGHT MASONRY
N/Afalse
DRV JOINT SEALANT CONTRACTORS
N/Afalse
EMPIRE REFACTORY SERVICES
N/Afalse
EMPIRE SOLUTIONS INC
N/Afalse
FABCON PRECAST
N/Afalse
FISHER CONTRACTING
N/Afalse
FOAMS & BARRIERS LLC
N/Afalse
GAGNON INC
N/Afalse
GLENN'S TILE
N/Afalse
GRUNWELL CASHERO COMPANY
N/Afalse
GUNDLACH CHAMPION INC
N/Afalse
HENKELS & MCCOY INC
N/Afalse
HOFFMAN PLASTERING
N/Afalse
HOT TECJH
N/Afalse
INDUSTRIAL CONSTRUCTION SERVICE
N/Afalse
INDUSTRIAL MAINTENANCE SERVICE
N/Afalse
INDUSTRIAL SERVICES INC
N/Afalse
INDUSTRIAL SVC INC-WASHTENAW
N/Afalse
INTEGRITY INTERIORS INC
N/Afalse
KOCH GLITCH INC-KNIGHT DAVIS
N/Afalse
KRULL CONTRUCTION CO INC
N/Afalse
LEIDAL & HART MASON CONTRACTOR
N/Afalse
LEWIS CONSTRUCTION INC
N/Afalse
LONESTAR SIERRA LLC
N/Afalse
MCMATH MASONRY INC
N/Afalse
MERIDIAN RESTORATION LLC
N/Afalse
MIDLAND ENGINEERING
N/Afalse
MIDWEST INDUSTRIAL SERVICES
N/Afalse
MIRON CONSTRUCTION CO INC
N/Afalse
NC BUILDERS INC
N/Afalse
NEDROW REFRACTORIES
N/Afalse
NOTEBAERT CONSTRUCTION SERVICE
N/Afalse
PCI CONSTRUCTION SERVICES LLC
N/Afalse
PEARSON EQUIPMENT & SERVICE
N/Afalse
POLEY MASONRY CONSTRUCTION INC
N/Afalse
POMPONIO CONSTRUCTION
N/Afalse
PREMIER CAULKING INC
N/Afalse
PWP-MI LLC
N/Afalse
RANCK J ELECTRIC INC
N/Afalse
REFTECH INTERNATIONAL INC
N/Afalse
REICHENBACH CEILING &
N/Afalse
RESCH'S TILE INC
N/Afalse
RHODES & JOHNSON LLC
N/Afalse
SCHAD BOILER SETTING COMPANY
N/Afalse
SCHAEFER GROUP INC
N/Afalse
SCHIFFER MASON CONTRACTORS INC
N/Afalse
SIELER CONSTRUCTION INC
N/Afalse
SLATILE ROOFING & RESTORATIONS
N/Afalse
SPARTAN CONSTRUCTION CO
N/Afalse
SPENCE BROTHERS
N/Afalse
STANDARD TILE INC
N/Afalse
STEBBINS ENGINEERING
N/Afalse
STEWART'S SERVICES LLC
N/Afalse
STORER S A & SONS
N/Afalse
TAILORED FOAM INC
N/Afalse
TEACHOUT'S INDUSTRIAL
N/Afalse
THE AUSTIN COMPANY
N/Afalse
THORPE J T & SONS INC
N/Afalse
TRISCO SYSTEMS
N/Afalse
UNIVERSAL INC DBA UNIVERSAL
N/Afalse
VALCON INC DBA PIAZZA MASONRY
N/Afalse
VANDERMAY CONST INC
N/Afalse
VANSTONO'BRIEN INC
N/Afalse
W & G LLC
N/Afalse
WASHAW CONSTRUCTION INC
N/Afalse
WELLMAN MASONRY INC
N/Afalse
WESTERN SPECIALTY CONTRACTORS
N/Afalse
WOBIG CONSTRUCTION COMPANY
N/Afalse
XTREME MASON CONTRACTORS LLC
N/Afalse
ZANETTI ENT GROUP LLC
N/Afalse
ZIOLKOWSKI CONSTRUCTION INC
N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd