2018-04-13T11:40:12-05:00 2017-05-31 381357951 PLANTE & MORAN PLLC 2601 Cambridge Ct Ste 500 Auburn Hills MI 48326 990 2016-06-01 237165969 SHEET METAL WORKERS LOCAL No 80 INSURANCE TRUST FUND SHEE 2488139800 700 Tower Drive TROY MI 480983446 TIM MULLIGAN CHAIRMAN 2488139800 2018-04-11 1 LYNNE HUISMANN P00053811 2483757100 2018-04-11 67.59.56.31 2018-04-11 11:04:04 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 7B5970BB30A17B6BAE7BF1FD28D9BF2DFF5A8B87 2016 2021-01-29 14:40:06Z 700 Tower Drive TROY MI 480983446 25418635 0 X HTTP://WWW.SHEET80.ORG X 1964 MI PROVIDE HEALTH, LIFE, DENTAL, VISION, ORTHODONTIC, HEARING, PHARMACEUTICAL, AND WEEKLY DISABILITY. 11 1 0 0 0 0 0 0 16612112 21503280 236104 340824 0 0 16848216 21844104 0 0 14905116 15909403 0 0 0 0 0 1381064 2645046 16286180 18554449 562036 3289655 17949817 22700941 4012841 4456966 13936976 18243975 COLLECTION OF EMPLOYER CONTRIBUTIONS AND DISBURSEMENTS OF HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS WHICH IS THE EXEMPT PURPOSE OF THE FUND. 0 0 COLLECTION OF EMPLOYER CONTRIBUTIONS AND DISBURSEMENTS OF HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS WHICH IS THE EXEMPT PURPOSE OF THE FUND. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 X 111 0 1 0 0 0 0 0 0 0 X 11 1 0 0 1 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 X BENESYS INC 2488139800 700 TOWER DRIVE STE 300 TROY MI 48098 X MR MARK SABA CHAIRMAN 0.50 40.00 X X 0 85898 48976 MR ANTHONY ASHER SECRETARY 0.50 0.50 X X 0 0 0 MR ERIC MCPHERSON TRUSTEE 0.50 40.00 X 0 75703 48620 MR DAVID KARL TRUSTEE 0.50 40.00 X 0 0 0 MR KEITH TRELFA TRUSTEE 0.50 40.00 X 0 587 0 MS STACY HUFFMAN TRUSTEE 0.50 40.00 X 0 1203 0 MR RICK MEAD TRUSTEE 0.50 40.00 X 0 0 0 MR IAN SWITALSKI TRUSTEE 0.50 40.00 X 0 0 0 MS DAWN NORRIS TRUSTEE 0.50 40.00 X 0 0 0 MR DAVID HARTSUCK TRUSTEE 0.50 40.00 X 0 0 0 0 163391 97596 0 0 0 0 SULLIVAN WARD ASHER & PATTON PC 25800 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48075 LEGAL FEES 1210686 BENESYS INC 700 TOWER DRIVE SUITE 300 TROY MI 48098 ADMINISTRATIVE 489397 BLUE CROSS BLUE SHIELD 225 NORTH MICHIGAN AVE CHICAGO IL 60601 CLAIMS ADMINISTRATION 302100 MORGAN STANLEY 34901 WOODWARD AVE SUITE 300 BIRMINGHAM MI 48009 FINANCIAL ADVISING 117327 4 EMPLOYER CONTRIBUTIONS 230000 16380718 16380718 BCBS SETTLEMENT 900099 3200000 3200000 EMPLOYEE CONTRIBUTIONS 900099 1922562 1922562 21503280 353076 353076 3562279 3574531 -12252 -12252 -12252 21844104 21503280 0 340824 15909403 692474 1241095 34470 117411 291228 26032 4224 3150 9049 CLAIMS TAX EXPENSE 85784 COST OF COLLECTION 83690 BANK CHARGES AND FEES 41898 EMPLOYEE ASSISTANCE SER 13200 1341 18554449 3577966 5129767 77222 455300 1157283 1330325 280079 650026 12854772 15128711 2495 6812 17949817 22700941 246720 492781 3766121 3964185 4012841 4456966 X 0 0 0 0 13936976 18243975 13936976 18243975 17949817 22700941 3289655 1017344 0 X X 0 1 X 1 0 0 DEFERRED SELF-PAY REVENUE 19147 BENEFIT CLAIMS PAYABLE 3924000 DUE TO BROKER FOR SECURITIES PURCHASED 21038 3964185 22744037 1017344 1017344 21726693 117411 117411 21844104 18257348 0 18257348 117411 179690 297101 18554449 Part XII, Line 4b - Other Adjustments: INCREASE IN BENEFIT OBLIGATION PAYABLE 179,690. FORM 990, PART V, LINE 7: THE FUND MAY NOT RECEIVE DEDUCTIBLE CONTRIBUTIONS UNDER SECTION 170(C)THEREFORE, LINES 7A THROUGH 7H ARE NOT APPLICABLE. Form 990, Part VI, Section A, line 4 THE BOARD OF TRUSTEES ADOPTED AMENDMENTS TO THE PLAN THAT REFLECTED UPDATES TO THE AMOUNT OF DEATH BENEFITS PAID TO BENEFICIARIES, LONG-TERM DISABILITY BENEFITS CONTINUATION, AND VISION CORRECTION BENEFITS. Form 990, Part VI, Section A, line 7a THE FUND IS ADMINISTERED BY A BOARD OF EIGHT TRUSTEES, COMPRISED OF FOUR UNION TRUSTEES AND FOUR EMPLOYER TRUSTEES. THE UNION TRUSTEES ARE ELECTED BY THE LOCAL UNION MEMBERSHIP, EITHER DIRECTLY INTO A TRUSTEE POSITION OR INTO AN OFFICE POSITION OF THE LOCAL UNION FROM WHICH HE HOLDS HIS FUND TRUSTEESHIP EX OFFICIO. Form 990, Part VI, Section B, line 11b THE FORM 990 IS PROVIDED TO EACH TRUSTEE BEFORE IT IS FILED WITH THE IRS. IN ADDITION, IT IS PRESENTED AND APPROVED BY THE FULL BOARD OF TRUSTEES AT A MEETING, SUBJECT TO REVIEW BY, AND APPROVAL OF, THE FUND'S LEGAL COUNSEL. Form 990, Part VI, Line 12b: EACH TRUSTEE MUST ANNUALLY ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONNAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. Form 990, Part VI, Section B, line 15 THE FUND DID NOT HAVE ANY EMPLOYEES THAT MET THE DEFINITIONS IN THE PLAN YEAR. IF THE FUND DID HAVE EMPLOYEES THAT MET THE LISTED DEFINITIONS, THEN ANY COMPENSATION WOULD HAVE BEEN ESTABLISHED IN ACCORDANCE WITH THE PROCESS DESCRIBED IN PART VI, LINE 15A OF FORM 990. Form 990, Part VI, Section C, line 18 THE ORGANIZATION MAKES AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST Form 990, Part VI, Section C, 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 OF 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 CONFLICT OF INTEREST POLICY. FORM 990, PART VII, LINE 1A: THE TRUSTEES OF THE FUND SERVE WITHOUT COMPENSATION FROM THE FUND, BUT SOME ARE COMPENSATED AS EMPLOYEES OF ENTITIES THAT ARE CONSIDERED RELATED ORGANIZATIONS TO THE FUND FOR PURPOSES OF FORM 990. FORM 990, PART XII, LINE 2C: THE PROCESS THE BOARD OF TRUSTEES PERFORMS, WHO ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, HAS NOT CHANGED FROM PRIOR YEAR. CITY OF DETROIT MI SMACNA of DETROIT 3221 W BIG BEAVER SUITE 305 TROY MI 480842896 381810154 ADVANCEMENT OF THE SHEET METAL TRADE ASSOCIATION MI 501(C)(6) 0 SHEET METAL WORKERS LOCAL UNION NO 80 APPRENTICESHIP FUND 32700 DEQUINDRE WARREN MI 48092 381795378 TO PROVIDE APPRENTICESHIP TRAINING TO ELIGIBLE MEMBERS MI 501(c)(3) Line 2 0 SHEET METAL WORKERS LOCAL UNION NO 80 ANNUITY FUND 700 TOWER DRIVE SUITE 300 TROY MI 480982808 382941426 TO provide retirement benefits for members MI 501 (A) 0 SHEET METAL WORKERS LOCAL UNION NO 80 PENSION FUND 700 TOWER DRIVE SUITE 300 TROY MI 480982808 386105633 TO provide retirement benefits for members MI 501 (A) 0 SHEET METAL WORKERS LOCAL UNION NO80 SUPPLEMENTAL UNEMPLOYMENT BENEFIT FUND 700 TOWER DRIVE SUITE 300 TROY MI 480982808 386112387 TO PROVIDE SUPPLEMENTAL UNEMPLOYMENT BENEFITS FOR MEMBERS MI 501(c)(9) 0 SHEET METAL WORKERS LOCAL 80 INT'L ASSOCIATION 17100 WEST 12 MILE ROAD SECOND FLOO SOUTHFIELD MI 48076 381720794 ADVANCEMENT OF THE SHEET METAL WORKERS MI 501(c)(5) 0 sHEET METAL WORKERS LOCAL 110 WELFARE TRUST FUND 3150 ROUTE 60 ONA WV 25545 550711972 TO provide retirement benefits for members WV 501(c)(9) 0 SHEET METAL WORKERS WELFARE PLAN OF SOUTHERN CALIFORNIA ARIZONA NEVADA 111 N SEPULVEDA BLVD MANHATTEN BEACH CA 90266 956052259 TO provide retirement benefits for members CA 501(c)(9) 0 NORTHWEST SHEET METAL WORKERS WELFARE FUND 1322 N POST ST SPOKANE WA 99201 910589283 TO provide retirement benefits for members WA 501(c)(9) 0 SHEET METAL WORKERS LOCAL 292 HEALTH FUND 700 TOWER DRIVE SUITE 300 TROY MI 480982808 381433000 TO provide retirement benefits for members MI 501(c)(9) 0 SHEET METAL WORKERS LOCAL 292 APPRENTICESHIP FUND 64 PARK ST TROY MI 48083 387057494 TO provide retirement benefits for members MI 501(c)(9) 0 SHEET METAL WORKERS LOCAL 292 SUPPLEMENTAL UNEMPLOYMENT BENEFITS 700 TOWER DRIVE SUITE 300 TROY MI 48083 237205462 TO PROVIDE SUPPLEMENTAL UNEMPLOYMENT BENEFITS FOR MEMBERS MI 501(c)(9) 0 SHEET METAL WORKERS LOCAL 104 & BAY AREA INDUSTRY TRAINING FUND 1700 MARINE BLVD SAN LEANDRO CA 94577 946138707 TO provide retirement benefits for members CA 501(c)(3) 0 SHEET METAL WORKERS LOCAL 20 WELFARE AND BENEFIT FUND 2828 E 45TH ST INDIANAPOLIS IN 46205 356028684 TO provide retirement benefits for members IN 501(c)(5) 0 SHEET METAL WORKERS LOCAL 7 ZONE 1 PO BOX 689 COMSTOCK MI 49401 382286787 TO provide retirement benefits for members MI 501(c)(3) 0 SHEET METAL WORKERS LOCAL 7 ZONE 3 PO BOX 1408 TROY MI 48099 381449784 TO provide retirement benefits for members MI 501(c)(9) 0 CEI MICHIGAN LLC CLIMATE TECHNOLOGY CMR MECHANICAL LLC CONQUEST MANUFACTURING LLC ENVIRONMENTAL TESTING SERVICES FECTEAU AIR SYSTEMS LLC H M WHITE LLC SDI EXTERIOR SYSTEMS LLC SUMMIT ROOFING LLC QUALITY CRAFT FABRICATORS LLC VECTOR FOILTEC LLC ABSOLUT BALANCING CO INC AERODYNAMICS INSPECTING COMP AIR SOLUTIONS INC AIRFLOW TESTING INC ALLIANCE AIR CONDITIONING & HE ALLIED MECHANICAL SERVICES IN ALLIED VENTILATION INC AMERICAN MECHANICAL APPLEGATE INC BARMATIC INSPECTING COMPANY BARON MECHANICAL CONTRACTORS BEST IMPRESSIONSINC BLOOM ROOFING SYSTEMS INC BUMLER MECHANICAL INC CASS CDP ENVIRONMENTAL INC CHRISTENDETROIT COMPLETE INSTALLATION SERV CONTI MECHANICAL INC CROWN CORR INC CURBS & DAMPER DANBOISE MECHANICAL DE-CAL INC DEE CRAMER INC DETROIT CORNICE & SLATE CO I E W ENSROTH COMPANY ECKER MECHANICAL CONTRACTORS ENVIRO-AIRE INC ERV EHLERS COMPANY EXTERIOR METALS INC FORCED AIR SYSTEMS INC GEARING ENTERPRISES INC GOYETTE MECHANICAL GREAT LAKES HOTEL SUPPLY COMPA GREAT LAKES MECHANICAL HALEY MECHANICALINC HERITAGE MECHANICAL HURST INC HUTZEL PLUMBING & HEATING COMP INTERNATIONAL TEST & BALANCE I J & J METAL PRODUCTS JD CANDLER ROOFING CO INC JOHNSON CONTROLS INC KASL ENTERPRISES INC LADUKE CORPORATION LIBERTY SHEET METAL LIMBACH COMPANY LOCAL 80 JAC LONG MECHANICAL LYON MECHANICAL INC MW MORSS ROOFING MACOMB HEATING & COOLING MARTINEZ MECHANICAL INC MCM STAINLESS FABRICATING INC MCSHANE MECHANICAL CONTRACTING MECHANICAL DESIGN & INSTALLATI MECHANICAL SHEET METAL METRO AIR INC MJ MECHANICAL INC MW METALS NEWTON & CRANE INC NORTH ROOFING (GORDON) PARTLAN-LABADIE SHEET METAL CO QUALITY ROOFING & SHEET METAL RE LEGGETTE COMPANY RW MEAD & SONS INC RENE VANASSCHE & SONS COMPANY ROBERTSON-MORRISON INC ROYAL ROOFING COMPANY INC ROYAL-WEST ROOFING &SHEET MTL S & M SHEET METAL LTD S & Z SHEETMETAL INC SANI-VAC SERVICE INC SCHENA ROOFING & SHEET METAL C SCHREIBER CORPORATION SET DUCT MANUFACTURING INC SYSTEMP CORP T F BECK TEMPCO MECHANICAL CONTRACTORS UNIVERSAL WALL SYSTEMS INC VENTCON INC VENTILATION SYSTEMS INC VM SYSTEMS INC WJ O'NEIL COMPANY WEBB MECHANICAL & ELECTRICAL WENDLING SHEET METAL WITT MECHANICAL INC WM FLOYD HEATING CO WOLVERINE STEEL ERECTORS INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1