FURP.ORG / PUBLIC DATA EXPLORER

TEAMSTERS LOCAL 639 EMPLOYERS HEALTH TRUST: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
TEAMSTERS LOCAL 639 EMPLOYERS HEALTH TRUST (EIN 53-0209136)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202233189349315108
Schema version
2021v4.2
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)
Return2022-11-14T15:44:27-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470900880PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CALIBRE CPA GROUP PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17501 WISCONSIN AVENUE SUITE 1200AddressLine1Txt
Address Line2WESTAddressLine2Txt
CityBETHESDACityNm
State AbbreviationMDStateAbbreviationCd
ZIP20814ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN530209136EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOINT BOARD OF TRUSTEES OF LOCAL 639BusinessNameLine1Txt
Business Name Line2EMPLOYERS HEALTH TRUST FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlTEAMBusinessNameControlTxt
Phone2026368181PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13130 AMES PLACE NEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20018ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPHILIP GILESPersonNm
Person TitleCHAIRMAN OF THE BOARDPersonTitleTxt
Phone2026368181PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPHILIPPersonFirstNm
Person LastGILESPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIN CRANMERPreparerPersonNm
PTINP01712644PTIN
Phone2023319880PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPHILIP GILESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13130 AMES PLACE NEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20018ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$126,350,723GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1952FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH & WELFARE INSURANCE BENEFITS TO EMPLOYEES (AND THEIRELIGIBLE DEPENDENTS) OF CONTRIBUTING EMPLOYERS WHO ARE REPRESENTED BYTHE PARTICIPATING LOCAL UNIONActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
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$56,807,367PYProgramServiceRevenueAmt
CY Program Service Revenue$55,551,712CYProgramServiceRevenueAmt
PY Investment Income$18,800,089PYInvestmentIncomeAmt
CY Investment Income$9,057,877CYInvestmentIncomeAmt
PY Other Revenue$63,755PYOtherRevenueAmt
CY Other Revenue$50,071CYOtherRevenueAmt
PY Total Revenue$75,671,211PYTotalRevenueAmt
CY Total Revenue$64,659,660CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$38,481,621PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$36,402,662CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$72,000PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$72,000CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,840,315PYOtherExpensesAmt
CY Other Expenses$4,533,014CYOtherExpensesAmt
PY Total Expenses$42,393,936PYTotalExpensesAmt
CY Total Expenses$41,007,676CYTotalExpensesAmt
PY Revenues Less Expenses$33,277,275PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,651,984CYRevenuesLessExpensesAmt
Total Assets BOY$255,617,961TotalAssetsBOYAmt
Total Assets EOY$293,952,419TotalAssetsEOYAmt
Total Liabilities BOY$1,278,920TotalLiabilitiesBOYAmt
Total Liabilities EOY$988,587TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$254,339,041NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$292,963,832NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COVERAGE FOR HOSPITALIZATION, MEDICAL BENEFITS, MENTAL HEALTH BENEFITS, DISABILITY INCOME, DEATH BENEFITS, PRESCRIPTION DRUGS, DISEASE CASE MANAGEMENT, DENTAL, AND VISION CARE BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescPAYMENT OF MEDICAL AND OTHER BENEFITS TO OR FOR ITS PARTICIPANTS AND THEIR DEPENDENTS.Desc
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 SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 RequiredYes (1)ScheduleJRequiredInd
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 EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
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 Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
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 Line1BENESYSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4108739020PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17310 COLUMBIA GATEWAY DRIVE SUITE AAddressLine1Txt
CityCOLUMBIACityNm
State AbbreviationMDStateAbbreviationCd
ZIP21046ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ERIC D WEISS
TRUSTEE-EMPLOYER2.002.00Yes (X)$12,000$0$0
MICHAEL BULL
TRUSTEE-EMPLOYER2.00Yes (X)$12,000$0$0
THOMAS RATLIFF
TRUSTEE-UNION2.002.00Yes (X)$12,000$0$0
FRANK W STEGMAN
TRUSTEE-EMPLOYER2.002.00Yes (X)$12,000$0$0
WILLIAM DAVIS
TRUSTEE-UNION2.0055.00Yes (X)$0$139,784$53,479
JOHN GIBSON
TRUSTEE-UNION2.0055.00Yes (X)$0$151,750$53,479
PHILIP GILES
TRUSTEE-SECRETARY2.00Yes (X)$12,000$0$0
RAYMOND HOWARD
TRUSTEE-CHAIRMAN2.00Yes (X)$12,000$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$72,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$291,534TotReportableCompRltdOrgAmt
Total Other Compensation$106,958TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CVS CAREMARK INC
ONE CVS DRIVEWOONSOCKETRI02895PRESCRIPTION BENEFIT MANAGEMENT$10,323,174
DENTAL HEALTH CENTERS & ASSOCIATES
1450 MERCANTILE LN 131UPPER MARLBOROMD20774DENTAL CLINIC$2,315,970
CIGNA HEALTHCARE
900 COTTAGE GROVE ROADBLOOMFIELDCT06002CLAIMS PROCESSING$1,371,091
BENESYS
7130 COLUMBIA GATEWAY DR ACOLUMBIAMD21046THIRD PARTY ADMINISTRATOR$955,334
MORGAN LEWIS & BOCKIUS
1111 PENNSYLVANIA AVEWASHINGTONDC20004LAW FIRM$402,521
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRIBUTIONS-EMPLOYERS525100$55,182,273$55,182,273
CONTRIBUTIONS-PARTICIPANTS525100$369,439$369,439
FieldValueIRS element (for citing)
Total Program Service Revenue$55,551,712TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,956,660TotalRevenueColumnAmt
Exclusion$5,956,660ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$64,792,280SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$61,691,063SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,101,217SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,101,217TotalRevenueColumnAmt
Exclusion$3,101,217ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,071TotalRevenueColumnAmt
Related Or Exempt Func Income$50,071RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$50,071OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,659,660TotalRevenueColumnAmt
Related Or Exempt Func Income$55,601,783RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$9,057,877ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$36,402,662TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$72,000TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$935,714TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$756,932TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$65,889TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$865,352TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$164,494TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$83,319TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$68,657TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
NETWORK PPO FEES$1,306,167
OONP EXPENSES$236,612
BANK FEES$32,402
PCORI FEES$17,476

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$41,007,676TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$528,274EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$16,628,302BOYAmt
EOY$15,875,206EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,695,698BOYAmt
EOY$6,021,711EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,000BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$95,884,236BOYAmt
EOY$114,049,430EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$132,824,258BOYAmt
EOY$154,960,277EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,579,467BOYAmt
EOY$2,517,521EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$255,617,961BOYAmt
EOY$293,952,419EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$74,729BOYAmt
EOY$326,103EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,204,191BOYAmt
EOY$662,484EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,278,920BOYAmt
EOY$988,587EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$254,339,041BOYAmt
EOY$292,963,832EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$254,339,041BOYAmt
EOY$292,963,832EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$255,617,961BOYAmt
EOY$293,952,419EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$23,651,984ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$14,969,296NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$3,511PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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 Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LIMITED PARTNERSHIPS$102,052,980F
HEDGE FUNDS$566,306F
COMMON COLLECTIVE TRUST$52,340,991F
FieldValueIRS element (for citing)
Total Book Value Securities$154,960,277TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO TEAMSTERS LOCAL 639 - PENSION TRUST FUNDDesc
Amt$662,484Amt
FieldValueIRS element (for citing)
Total Liability$662,484TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$78,763,604TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$14,969,296NetUnrealizedGainsInvstAmt
Revenue Not Reported$14,969,296RevenueNotReportedAmt
Revenue Subtotal$63,794,308RevenueSubtotalAmt
Investment Expenses Not Incld$865,352InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$865,352RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$64,659,660TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$40,142,324TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$40,142,324ExpensesSubtotalAmt
Investment Expenses Not Incld2$865,352InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$865,352ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$41,007,676TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION. THE PLAN ADMINISTRATOR IS NOT AWARE OF ANY UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS AS OF DECEMBER 31, 2021. THE PLAN IS SUBJECT TO ROUTINE AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2018.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN GIBSON
TRUSTEE-UNION$0$151,750$0$0$0$0$0$37,527$0$15,952$0$205,229$0$0
WILLIAM DAVIS
TRUSTEE-UNION$0$139,784$0$0$0$0$0$37,527$0$15,952$0$193,263$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 HAS BEEN PROVIDED TO THE FUND'S ADMINISTRATOR TO BE DISTRIBUTED TO THE FUND'S BOARD OF TRUSTESS PRIOR TO ITS FILING
FORM 990, PART VI, SECTION B, LINE 12CTHE FUND IS SUBJECT TO THE REQUIREMENTS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT, AS AMENDED 1974 ("ERISA"), INCLUDING THE STATUTE'S FIDUCIARY STANDARDS AND PROHIBITED TRANSACTION PROVISIONS, WHICH TOGETHER CONSTITUTE THE FUND'S CONFLICT OF INTEREST POLICY. THE BOARD OF TRUSTEES, ALONG WITH THE VARIOUS FUND PROFESSIONALS' ASSISTANCE, MONITOR AND ENFORCE THE FUND'S COMPLIANCE WITH ERISA AND ALSO THE INTERNAL REVENUE CODE.
FORM 990, PART VI, SECTION C, LINE 19THE FUND'S ANNUAL FINANCIAL DISCLOSURE STATEMENT, THE FORM 5500, IS AVAILABLE FOR PUBLIC INSPECTION THROUGH CERTAIN WEBSITES, INCLUDING BUT NOT LIMITED TO, THE UNITED STATES DEPARTMENT OF LABOR'S FORM 5500 FILING SEARCH AND FREEERISA. THE FUND MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS, BENEFICIARIES, THE SPONSORING UNION, AND CONTRIBUTING EMPLOYERS AS REQUIRED BY ERISA. ERISA DOES NOT REQUIRE THE FUND TO MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC AND THE FUND DOES NOT DO SO.
FORM 990, PART XII, LINE 2C:THE TRUSTEES EVALUATE AND APPROVE THE INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationInd
TEAMSTERS LOCAL 639 EMPLOYERS PENSION TRUST FUND
3130 AMES PLACE NEWASHINGTONDC20018PENSION FUNDMD401(A)0
TEAMSTERS LOCAL 639 LEGAL SERVICES FUND
3130 AMES PLACE NEWASHINGTONDC20018LEGAL FUNDMD501(C)(9)0
TEAMSTERS LOCAL UNION 639
3130 AMES PLACE NEWASHINGTONDC20018LABOR UNIONMD501(C)(5)0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (63 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINControlled OrganizationControlledOrganizationInd
JOINT BOARD OF TRUSTEES LOCAL 639 EMPLOYERS HEALTH TRUST FUND
3130 AMES PL NEWASHINGTONDC200185302091360
21ST CENTURY EXPO GROUP
ABF FREIGHT SYSTEM INC
ADVANTAGE CONF & EXPO LLC
ALLIED POWER SERVICES
ALUMA SYSTEMS CONCRETE CONSTR
ARATA EXPOSTIONS INC
ATLANTIC EXPO SERVICES
BOILER & FURNACE CLEANERS
BREAKTHRU BEVERAGE GROUP
BREDE WASHINGTON INC
CAPITAL PAVING OF DC INC
CAST & CREW PRODUCTION SERV
CLARK CONSTRUCTION GROUP LLC
CRANE RENTAL
DEANS TRANSPORTATIONINC
EMPLOYCO SERVICES LTD
ENTERTAINMENT PARTNERS
EXPO LABOR PROS LLC
EXPO PLUS (CASUAL)
FREEMAN EXPOSITIONS INC
GALLIHER & HUGUELY
GES EXPO SERVICE CO (CASUAL)
GES EXPOSITION SERVICES
GIANT FOOD (639 DRIVERS)
HARGROVE INC
HUTCHINSON INTERNATIONAL CORP
JJ TAYLOR INC
L B M INC
LAMAR & WALLACE
LOCAL 639 DRIVERS CHAUFFEURS
MARTIN-BROWER CO (DRIVERS)
MARTIN-BROWER CO (WAREHOUSE)
MARVA MAID
MDVA MILK PRODUCERS
MERIT CONCRETE CORPORATION
METRO MECHANICAL CONTR INC
METROPOLITAN POULTRY
MONDELEZ INTERNATIONAL
NEXXTSHOW
NOLAND COMPANY
REPUBLIC NAT'L DISTRIBUTING CO
RUAN LOGISTICS COPORATION
S FREEDMAN & SONS
SAFEWAY INC
SHENANDOAH FLEET MAINTENANCE
SHEPARD EXPO (CASUAL)
SHEPARD EXPOSITION SERVICES
SILVER HILL AGGREGATE LTD
STROMBERG SHEET METAL
SUPER CONCRETE
TRAX INTERNATIONAL CORPORATION
UNION PAYROLL
UPS 2100
VISTA CONVENTION SERVICES INC
WASTE MANAGEMENT (FORMERLY POTOMAC DISPOSAL SERVICES LLC)
WILLWORK INC
YRC WORLDWIDE ENTERPRISE SERV
BEEGHLY TREE
DWIGHT ST JOHN
INFRASOURCE CONSTRUCTION
MEDIA SERVICES
MICHELS
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd