2017-01-31T08:09:38-05:00 2016-04-30 382284921 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2015-05-01 381968628 MILLWRIGHTS' LOCAL 1102 HEALTH AND WELFARE FUND MILL 5173517502 6525 CENTURION DRIVE LANSING MI 489179275 MICHAEL BARNWELL CHAIRMAN 5173517502 2016-09-16 BRYAN STULZ P00265596 5868836240 2017-01-30 2015 2021-01-29 14:40:06Z MICHAEL BARNWELL 34258185 false X X 1970 MI PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS. 8 0 0 0 0 22262380 22970359 185333 190018 3302 9340 22451015 23169717 0 23249160 22777143 0 0 0 238701 290060 23487861 23067203 -1036846 102514 15773169 16976416 12929890 14062159 2843279 2914257 PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS. false false TO PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS. 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 X 8 0 false false false false false false false true true false false false false false false false false false X TIC INTERNATIONAL CORPORATION 5173217502 6525 CENTURION DRIVE LANSING MI 48917 X MICHAEL BARNWELL CHAIRMAN 1.00 40.00 X 0 102485 30123 JEFF THARRETT TRUSTEE 1.00 40.00 X 0 76947 48066 KELLY JAMES RALEIGH TRUSTEE 1.00 40.00 X 0 74854 30123 WILLIAM KENNEY TRUSTEE 1.00 40.00 X 0 74284 30123 THOMAS WOODBECK SECRETARY 1.00 40.00 X 0 0 0 JAMES SCHULTZ TRUSTEE 1.00 40.00 X 0 0 0 DAVID HURST TRUSTEE 1.00 40.00 X 0 0 0 TODD BEGEROWSKI TRUSTEE 1.00 40.00 X 0 0 0 328570 138435 false false false BLUE CROSS BLUE SHIELD OF MICHIGAN 600 EAST LAFAYETTE D517 DETROIT MI 48226 HEALTH BENEFIT 1040399 1 EMPLOYER CONTRIBUTIONS 230000 18574861 18574861 PARTICIPANT SELF-PAYS 900099 4395498 4395498 22970359 314538 314538 10963948 11088468 -124520 -124520 -124520 LIQUIDATED DAMAGES 900099 9340 9340 9340 23169717 22855179 314538 22777143 33242 44647 19000 46103 59250 50133 15165 6574 HIPAA COMPLIANCE CHARGES 8598 SUMMARY ANNUAL REPORTING 7348 23067203 0 0 0 2420432 1930351 1681400 1743822 914488 970990 10756849 12331253 15773169 16976416 909890 808159 12020000 13254000 12929890 14062159 X 2843279 2914257 2843279 2914257 15773169 16976416 102514 -31536 X false true X true false ACCUMULATED ELIGIBILITY CREDITS 11920000 CLAIMS INCURRED BUT NOT REPORTED 1334000 13254000 23092078 -31536 -31536 23123614 46103 46103 23169717 23021100 23021100 46103 46103 23067203 FORM 990, PART VI LINE 2 - FAMILY RELATIONSHIP OR BUSINESS RELATIONSHIP - THE RELATIONSHIP BETWEEN THE TRUSTEES OF THE FUND IS A "BUSINESS REALATIONSHIP". THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. THE FUND, AS A TAFT-HATLEY 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 OF THE FUND. LINE 12 - ANNUALLY, EACH TRUSTEE MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONAIRE, WHICH CONTAINS QUESTIONS REGARDING POTNETIAL AND ACTUAL CONFLICTS OF INTEREST. LINE 15 - THE FUND DID NOT HAVE A CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICAL, OR OTHER OFFICERS OR KEY EMPLOYEES, AS THOSE TERMS ARE DEFINED IN THE INSTRUCTIONS. 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 REVIEW BY AND APPROVAL OF THE FUND LEGAL COUNSEL. IN ADDITION, EACH TRUSTEES 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 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 - MICHAEL BARNWELL, WILLIAM KENNEY, KELLY JAMES RALEIGH, AND JEFF THARRETT SERVED AS TRUSTEES OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, THEY WERE COMPENSATED AS EMPLOYEES OF MILLWRIGHTS LOCAL 1102, MICHIGAN REGIONAL COUNCIL OF CARPENTERS, AND MILLWRIGHTS LOCAL 1102 JATC WHICH WERE CONTRIBUTING EMPLOYERS TO THE FUND, AND AS SUCH, RELATED ORGAINZATIONS, AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. MILLWRIGHTS 1102 SUPPLEMENTAL PEN 6525 CENTURION DRIVE LANSING MI 489179275 386216941 SUPP PEN MI 501A N/A false MILLWRIGHTS 1102 VACATION FUND 6525 CENTURION DRIVE LANSING MI 489179275 382707168 VACATION MI 501C9 N/A false MILLWRIGHTS LOCAL 1102 23401 MOUND ROAD WARREN MI 48091 380839965 LOCAL MI 501C5 N/A false MICHIGAN REGIONAL COUNSIL OF CARP 400 RENAISSANCE CENTER SUITE 1010 DETROIT MI 48243 383508105 UNION MI 501C9 N/A false MILLWIGHTS LOCAL 1102 JATC 27555 MOUND ROAD WARREN MI 48092 471972321 TRAINING MI 501C3 2 N/A false ADIRONDACK SERVICES LLC N/A false ADVANTAGE INDUSTRIAL SYS LLC N/A false ALBERICI CONSTRUCTORS N/A false ALLIED INDUSTRIAL GROUP INC N/A false AMERICAN INDUSTRIAL SUPPORT N/A false AP COM POWER INC N/A false APEX AUTOMATION N/A false ARISTEO CONSTRUCTION N/A false ARISTEO INSTALLATION N/A false ATLANTIC PLANT MAINT INC N/A false ATLAS INDUSTRIAL HOLDINGS LLC N/A false AUTOMATIC SYSTEMS INC N/A false B K B CONSTRUCTION INC N/A false BARTON MALOW CO N/A false BELT MAINTENANCE MIDWEST N/A false BELT MAINT MIDWEST N/A false BOLDT COMPANY N/A false C M F GROUP N/A false CARDINAL CONTRACTING CORP N/A false CARPENTERS INDUSTRIAL COUNCIL N/A false CENTRAL CONVEYOR N/A false CENTRAL CONVEYOR ALSO SHOP N/A false CITY OF DETROIT-HOUSING N/A false COMMERCIAL CONSTRUCTION INC N/A false COMMERCIAL CONTRACTING CORP N/A false CONSTRUCTION LABOR SERVICES N/A false CRITTENDEN CONST CO INC N/A false DAY & ZIMMERMANN NPS N/A false DEARBORN MID-WEST CONVEYOR N/A false DEMARIA BUILDING COMPANY INC N/A false DRUG TEST MONEY N/A false DUKE & DUKE SERVICES INC N/A false DULUTH SERVICES INC N/A false DURR SYSTEMS INC N/A false ELITE LINE SERVICES-SHOP N/A false ERICKSON TRUCKING SERVICE INC N/A false ETHOSENERGY FIELD SERVICES N/A false GEM INDUSTRIAL INC N/A false GENESYS INDUSTRIAL CORP N/A false GRAYCOR INDUSTRIAL CONSTRUCTOR N/A false GREAT LAKES TECHNOLOGIES & MFG N/A false HACKETT CONSTRUCTION N/A false HAMILTON CONTRACTING N/A false HAYES MECHANICAL N/A false HENKELS & MCCOY INC N/A false HERITAGE INDUSTRIAL CONTRACTING N/A false IMPERIAL CRANE SERVICES N/A false INDUSTRIAL POWER SYSTEMS INC N/A false INTERNATIONAL COOLING TOWER N/A false INTERN'L IND CONTR CORP N/A false JERGENS PIPING CORPORATION N/A false K C I INC N/A false LAKESHORE GLOBAL CORPORATION N/A false LARKIN ENTERPRISES INC N/A false LEE MACHINERY MOVERS N/A false LESCO DESIGN & MFG CO N/A false LIBERTY FABRICATORS INC N/A false MASON MECHANICAL MAINTENANCE N/A false MATRIX SERVICE INDUSTRIAL N/A false MECHANICAL CONSULTANTS INC N/A false MERIDIAN INDUSTRIAL & WELDING N/A false MEYER C R & SONS COMPANY N/A false MIDWEST STEEL INC N/A false MIRON CONSTRUCTION CO INC N/A false N B PROCESSING INC N/A false N K C CONVEYOR INSTALLATION CO N/A false OVERHEAD CONVEYOR COMPANY N/A false PIQUA STEEL COMPANY N/A false POWER TECHNIQUES INC N/A false PRO SERVICES INC N/A false PROCESS PIPING & EQUIPMENT INC N/A false R M F NOOTER INC N/A false RLC INC N/A false SCHWEITZER INC N/A false SHOULDICE BROTHERS INC N/A false SIEMENS PWR GNRTN SRVC CO N/A false SPEEDRACK MIDWEST N/A false ST COTTER TURBINE SERVICES N/A false STATE CONVEYOR SERVICE N/A false STONE & WEBSTER CONSTR N/A false SYSTEMS ENTERPRISE CORP (SECO) N/A false THE STATE GROUP IND (USA) N/A false TURBINE PRO'S LLC N/A false UNITED SKILLED TRADE N/A false URS - ENERGY & CONSTRUCTION N/A false VETBUILT BUILDING GROUP INC N/A false W SOULE & COMPANY N/A false WALBRIDGE EQUIPMENT INSTALLATION N/A false WALBRIDGE TOOLING SERVICES N/A false WEBB JERVIS B N/A false WESTERN INDUSTRIAL CONTRACTORS N/A false ZIGGY'S MACHINERY MOVING N/A false false false false false false false false false false false false false false false false false false false true