2022-11-15T12:34:28-05:00 2021-12-31 382284921 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2021-01-01 386238055 MICHIGAN TROWEL TRADES HEALTH AND WELFARE FUND MICH 5173217502 6525 CENTURION DRIVE LANSING MI 48917 MICHAEL STANFIELD CHAIRMAN 5173217502 2022-11-15 MICHAEL STANFIELD 888008888 BRYAN STULZ P00265596 5868836240 2022-11-15 2021 2022-09-23 18:48:47Z MICHAEL STANFIELD 7410553 false X WWW.OUTSTATETROWELTRADES.ORG X 1971 MI PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. 10 3 0 0 0 6608157 6538450 186858 245174 4394 4126 6799409 6787750 0 5172568 6878829 0 0 0 679820 691341 5852388 7570170 947021 -782420 9599329 8830937 4409196 4525150 5190133 4305787 PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. false false TO PROVIDE HEALTH CARE BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS. THESE BENEFITS INCLUDED HEALTH, VISION, PRESCRIPTION DRUG, LIFE INSURANCE AND ACCIDENTAL DEATH AND DISMEMBERMENT COVERAGE. false false false false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 2 0 0 false false false false false false false false X 10 3 true false false false false true false true true false false false false false false false false false X TIC INTERNATIONAL 5173217502 6525 CENTURION DR LANSING MI 48917 X MICHAEL STANFIELD CHAIRMAN 1.00 40.00 X 0 88233 35080 KEINO WALKER TRUSTEE 1.00 40.00 X 0 87886 35080 HENRY WILLIAMS TRUSTEE 1.00 40.00 X 0 100376 17551 JUAN HERNANDEZ TRUSTEE 1.00 40.00 X 0 90457 15852 LANCE RYAN TRUSTEE 1.00 40.00 X 0 87493 18287 GLENN BUKOSKI SECRETARY 1.00 40.00 X 0 0 0 LARRY COWPER TRUSTEE 1.00 40.00 X 0 0 0 GREG GRANGER TRUSTEE 1.00 40.00 X 0 0 0 DAMIAN HILL TRUSTEE 1.00 40.00 X 0 0 0 JAMES E LIKE TRUSTEE 1.00 40.00 X 0 0 0 JAMES MALENICH TRUSTEE 1.00 40.00 X 0 0 0 RACHELLE VANDEVENTER TRUSTEE 1.00 40.00 X 0 0 0 454445 121850 false false false BLUE CROSS BLUE SHIELD OF MICHIGAN 27000 W ELEVEN MILE B561 SOUTHFIELD MI 48034 CLAIMS ADMIN. 487833 TIC INTERNATIONAL 6525 CENTURION DRIVE LANSING MI 48917 TPA 118937 2 EMPLOYER CONTRIBUTIONS 230000 6395415 6395415 PARTICIPANT SELF PAYMENTS 230000 143035 143035 6538450 117977 117977 750000 622803 127197 127197 127197 LIQUIDATED DAMAGES 900099 4126 4126 4126 6787750 6669773 117977 6878829 599588 9997 36906 8104 13054 13295 1800 5368 3229 7570170 0 0 0 2360501 1152585 1038933 1438946 452570 393937 16152 26827 5526004 5818642 205169 9599329 8830937 182196 234150 4227000 4291000 4409196 4525150 X 5190133 4305787 5190133 4305787 9599329 8830937 -782420 -101926 X false true X true false BENEFIT OBLIGATIONS 4291000 4291000 6677720 -101926 -101926 6779646 8104 8104 6787750 7562066 7562066 8104 8104 7570170 FORM 990, PART VI LINE 2 - FAMILY RELATIONSHIP OR BUSINESS RELATIONSHIP - 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. BECUASE OF THIS ORGANIZATIONAL REQUIREMENT, THERE IS A "BUSINESS RELATIONSHIP" BETWEEN THE TRUSTEES OF THE FUND. LINE 12 - ANNUALLY, EACH TRUSTEE MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFICTS OF INTEREST. LINE 15 - THE FUND DID NOT HAVE A CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICALS, OR OTHER OFFICERS OR KEY EMPLOYEES, AS THOSE TERMS ARE DEFINED IN THE INSTRUCTIONS. FORM 990, PAGE 6, PART VI, LINE 7A THE EMPLOYER TRUSTEES ARE APPOITED BY THE AGC OF MICHIGAN AND THE MICHIGAN INFRASTRUCTURE AND TRANSPORTATION ASSOCIATION (THE EMPLOYER ASSOCIATIONS REPRESENTING CONTRIBUTING EMPLOYERS TO THE FUND). THE UNION TRUSTEES ARE APPOITED BY THE MICHIGAN STATE COUNCIL OF THE OPERATIVE PLASTERERS- AND CEMENT MASONS' INTERNATIONAL ASSOCIATION OF THE UNITED STATES AND CANADA (ON BEHALF OF ITS AFFILIATED LOCAL UNIONS, WHO ARE UNION SIDE SETTLORS OF THE FUND). FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED AND APPROVED AT A MEETING OF THE BOARD OF TRUSTEES, SUBJECT TO APPROVAL BY AND REVIEW OF THE FUND'S LEGAL COUNSEL. IN ADDITION, EACH TRUSTEE IS PROVIDED A COPY OF THE FUND'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES), AS ULTIMATELY FILED WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 19 THE 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 THE FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA. THE FUND DOES NOT HAVE A CONFLICTS OF INTEREST POLICY. FORM 990, PART VII LINE 1A - MICHAEL STANFIELD, LANCE RYAN, JUAN HERNANDEZ, KEINO WALKER, & HENRY WILLIAMS ALL SERVED AS TRUSTEES OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, THEY WERE COMPENSATED AS EMPLOYEES OF PLASTERERS & CEMENT MASONS LOCAL 514, WHICH WAS A CONTRIBUTING EMPLOYER TO THE FUND, AND AS SUCH, A "RELATED ORGANIZATION" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. OUTSTATE MI TROWEL TRADES PENSION 6525 CENTURION DRIVE LANSING MI 48917 386222545 PENSION MI 501A N/A false MICHIGAN OP & CMIA APPR & TRAINING 6525 CENTURION DRIVE LANSING MI 48917 237369888 TRAINING MI 501C3 2 N/A false PLASTERERS & CEMENT MASON LOCAL 514 1154 E LINCOLN AVENUE MADISON HEIGHTS MI 48071 380407375 LOCAL MI 501C5 N/A false AJAX PAVING INDUSTRIES INC N/A false AMALIO CORPORATION N/A false ARISTEO CONSTRUCTION N/A false AUDIA CONSTRUCTION N/A false B & B CONCRETE PLACEMENT INC N/A false B & B CONTRACTING SERVICE CO N/A false BARNEY JJ CONSTRUCTION LLC N/A false BNA CONSTRUCTORS N/A false BRENCAL CONTRACTORS INC N/A false BRIX CORPORATION N/A false BYERS D C COMPANY N/A false CELL CRETE CORP N/A false CEMENT HEADS INC N/A false CENTURY CEMENT N/A false CHRISTMAN CONSTRUCTORS INC N/A false CIPPARONE CONTRACTING INC N/A false CLARK CONSTRUCTION CO N/A false CLS CONSTRUCTION SERVICES N/A false COLASANTI SPECIALTY SERVICES N/A false COMMERCIAL CONTRACTING CORP N/A false COOK JACKSON CONTRACTORS N/A false CREATIVE CEMENT INC N/A false DEARBORN MID WEST CONVEYOR N/A false DEVON INDUSTRIAL GROUP N/A false DILISIO CONTRACTING INC N/A false DIVERSIFIED CONSTR SPEC N/A false DOAN CONSTR CO N/A false DOMINIC GAGLIO CONSTRUCTION N/A false EARLEY AND ASSOCIATES INC N/A false EVERGREEN ARCHITECTURAL ARTS N/A false F & M COMPANIES N/A false F & M CEMENT COMPANY INC N/A false F & M POURED WALLS INC N/A false FESSLER & BOWMAN N/A false FLORENCE CEMENT COMPANY N/A false FORT WAYNE CONTRACTING INC N/A false G M & SONS INC N/A false G V CEMENT CONTRACTING CO N/A false GARDNER CORPORATION N/A false GATLINBYRD CEMENT CORP N/A false GIBSON-LEWIS N/A false GRAND RIVER CONSTRUCTION INC N/A false GRANGER CONSTRUCTION CO N/A false HAMILTON CONTRACTING N/A false HARNISH FIREPROOFING N/A false HARTWELL CEMENT COMPANY N/A false HOOVER WELLS LLC N/A false HULL CA INC N/A false IAFRATE ANGELO CONSTRUCTION N/A false INDUSTRIAL CONCRETE SERVICES N/A false INTEGRITY INTERIORS INC N/A false KAPPA AND WESTLAKE N/A false KEMCO PLASTERING N/A false KIEWIT POWER CONSTRUCTORS CO N/A false KOALA-T CONSTRUCTION N/A false LARSON-DANIELSON CONSTRUCTION CO N/A false LIBERTA CONSTRUCTION N/A false LUNDA CONSTRUCTION COMPANY N/A false MACRO D CONTRACTORS N/A false MAJOR CEMENT N/A false MARTIN J CONCRETE INC N/A false MCINTOSH GEORGE INC N/A false MEDINA RESOURCES N/A false MEYER CR & SONS COMPANY N/A false MID-AMERICN GUNITE N/A false MOORE-TROSPER CONSTRUCTION CO N/A false N C BUILDERS INC N/A false PACIFIC PAINTING CO N/A false PAPALAS JOHN A & CO N/A false PERFECT POLISH N/A false POLLOCK PLASTERINC INC N/A false POUND POOL PLASTERING N/A false R C CAST RESTORATION N/A false REHMUS A J & SON INC N/A false REICHENBACH CEILING N/A false RSK EXCAVATING LLC N/A false RUDOLPHLIBBE INC N/A false RUSSELL PLASTERING COMP N/A false SANCHES CONSTRUCTION CO N/A false SANTOS CEMENT N/A false SAYLOR'S INC N/A false SINELLI CHARLES AND SONS INC N/A false SIWEK CONSTRUCTION COMPANY N/A false SORENSEN GROSS N/A false STREETER BROTHERS INC N/A false THE SPIEKER COMPANY N/A false TITAN INDUSTRIAL FLOORING N/A false TOEBE CONSTRUCTION LLC N/A false TRE TORRI CONSTRUCTION N/A false V & O CONTRACTING COMPANY N/A false VEE-JAY CEMENT CONTRACTING CO N/A false W & G LLC N/A false WALSH CONSTRUCTION N/A false WCI CONSTRUCTION INC N/A false WEISS CONSTRUCTION CO N/A false WESTSIDE CONCRETE CO N/A false WHITE EDWARD R CONTRACTOR N/A false Z CONTRACTORS INC N/A false false false false false false false false false false false false false false false false false false false true