2021-04-15T09:46:32-05:00 2020-06-30 382284921 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2019-07-01 386111803 UPPER PENINSULA PLUMBERS & PIPEFITTERS HEALTH & WELFARE FUND UPPE 5173217502 6525 CENTURION DRIVE LANSING MI 48917 DEAN GUTZMAN CHAIRMAN 5173217502 2020-11-04 BRYAN STULZ P00265596 5868836240 2021-04-15 2019 2022-09-23 18:48:47Z DEAN GUTZMAN 4789436 false X X 1965 MI TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS, UNDER THE TERMS OF THE PLAN. 8 0 0 0 0 4794358 4133594 383080 357790 136277 67215 5313715 4558599 0 4127401 2909551 0 0 0 465054 459466 4592455 3369017 721260 1189582 10432129 10957752 4134624 3114321 6297505 7843431 TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS, UNDER THE TERMS OF THE PLAN. false false PROVIDE HEALTH AND WELFARE BENEFITS TO ACTIVE AND RETIRED MEMBERS OF LABOR UNIONS COVERED UNDER THE COLLECTIVE BARGAINING AGREEMENT. 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 1 0 0 false false false false false false false false X 8 0 true false false false false true false true true false false false false false true false false false X TIC INTERNATIONAL CORPORATION 5173217502 6525 CENTURION DRIVE LANSING MI 48917 X DEAN GUTZMAN CHAIRMAN 1.00 40.00 X 0 78669 56920 SCOTT THRASHER TRUSTEE 1.00 40.00 X 0 46397 4724 GEORGE CAVADEAS TRUSTEE 1.00 40.00 X 0 0 0 MIKE HANSON TRUSTEE 1.00 40.00 X 0 0 0 YATES VANDEN HEUVEL SECRETARY 1.00 40.00 X 0 0 0 JAMES MONSON TRUSTEE 1.00 40.00 X 0 0 0 GREGORY SUDDERTH TRUSTEE 1.00 40.00 X 0 0 0 KIP ZILISCH TRUSTEE 1.00 40.00 X 0 0 0 125066 61644 false false false BLUE CROSS BLUE SHIELD OF MICHIGAN 411 W LAFAYETTE DETROIT MI 48226 HEALTH ADMIN. 228104 TIC INTERNATIONAL CORPORATION 6525 CENTRUION DRIVE LANSING MI 48917 ADMINISTRATIVE 157380 2 EMPLOYER CONTRIBUTIONS 230000 3800695 3800695 PARTICIPANT CONTRIBUTIONS 230000 332899 332899 4133594 267127 267127 321500 230837 90663 90663 90663 PRESCRIPTION REBATES 900099 61537 61537 LIQUIDATED DAMAGES 900099 4631 4631 OTHER 900099 1047 1047 67215 4558599 4291472 267127 2909551 136817 56744 21945 8941 205640 21602 5562 2215 3369017 0 0 0 642704 345311 2553 2658 391435 222674 169941 119080 9225496 10268029 10432129 10957752 119624 54321 4015000 3060000 4134624 3114321 X 6297505 7843431 6297505 7843431 10432129 10957752 1189582 356344 X false true X true false ACCUMULATED ELIGIBILITY & IBNR 3060000 3060000 4906002 356344 356344 4549658 8941 8941 4558599 3360076 3360076 8941 8941 3369017 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. BECAUSE OF THIS ORGANIZATIONAL REQUIREMENT, 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, OR TOP MANAGEMENT OFFICIAL, OR OTHER OFFICERS OR KEY EMPLOYEES, AS THOSE TERMS ARE DEFINED IN THE INSTRUCTIONS. FORM 990, PAGE 6, PART VI, LINE 7A EMPLOYER REPRESENTATIVES ON THE BOARD OF TRUSTEES ARE APPOINTED BY THE CONTRIBUTING EMPLOYERS. EMPLOYEE REPRESENTATIVES ON THE BOARD OF TRUSTEES ARE APPOINTED BY THE UNION. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED AND APPROVED AT A MEETING OF THE TRUSTEES, SUBJECT TO REVIEW AND APPROVAL BY THE FUNDS LEGAL COUNCIL. THE TRUSTEES ARE PROVIDED WITH A FINAL COPY OF THE RETURN AS ULTIMATLY 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. FORM 990, PART VII LINE 1A - DEAN GUTZMAN AND SCOTT THRASHER SERVED AS TRUSTEES OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, THEY WERE COMPENSATED AS EMPLOYEES OF THE UPPER PENINSULA PLUMBERS AND PIPEFITTERS LOCAL 111, AND THE UPPER PENINSULA PLUMBER AND PIPEFITTERS EDUCATION FUND WHICH WERE CONTRIBUTING EMPLOYERS, TO THE FUND, AND AS SUCH, "RELATED ORGANIZATIONS" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. UP PLUMBERS & PIPEFITTERS PENSION 6525 CENTURION DRIVE LANSING MI 48917 386233970 PENSION MI 501A N/A false UP PLUMBERS & PIPEFITTERS DC PLAN 6525 CENTURION DRIVE LANSING MI 48917 383296005 PENSION MI 501A N/A false UP PLUMBERS & PIPEFITTERS EDUCATION 6525 CENTURION DRIVE LANSING MI 48917 386102222 EDUCATION MI 501C5 N/A false UP PLUMBERS & PIPEFITTERS LOCAL 111 2601 NORTH 30TH STREET ESCANABA MI 49829 381948506 LOCAL MI 501C5 N/A false AZCO INC N/A false BEAUCHAMP PLUMBING & HEATING N/A false BERGER & KING INC N/A false CARRIER BUILDING SERVICES N/A false CLIMATE PROS INC N/A false DAMON PLUMBING & HEATING N/A false DEHOOGHE & VIAU MECHANICAL N/A false DMI INC N/A false DUQUAINE INC N/A false GOYETTE MECHANICAL N/A false GREAT LAKES MECHANICAL INC N/A false HENKELS & MCCOY INC N/A false HOOPER CORPORATION N/A false JAMAR CO N/A false JOHNSON & WOOD LLC N/A false JOHNSON CONTROLS INC N/A false KEOUGH MECHANICAL CORP N/A false MEYER CR & SONS COMPANY N/A false MECHANICAL INC N/A false MJ ELECTRIC LLC N/A false MI BUILDING & CONST TRADES N/A false PRIME MECHANICAL CONTRACTING N/A false RICHER'S REFIGERATION N/A false RICK'S MECHANICAL CONTRACTING N/A false SCHECK MECHANICAL CORPORATION N/A false SIKORA SHEET METAL INC N/A false TWEETGAROT MECHANICAL N/A false UNITED CONTRACTORS INC N/A false VALLEY MECHANICAL INC N/A false WINTER AUGUST & SONS INC N/A false false false false false false false false false false false false false false false false false false false false