2016-11-14T14:32:58-06:00 2015-12-31 382157642 MANER COSTERISAN PC 2425 E GRAND RIVER SUITE 1 LANSING MI 489123291 990 2015-01-01 386099712 SHEET METAL WORKERS LOCAL 7 ZONE 1 HEALTH AND WELFARE PLAN SHEE 2488224200 700 TOWER DR STE 300PO BOX 1156 TROY MI 480991218 MARVIN FOLLOWELL CO-CHAIR 2488224200 2016-11-14 1 MARVINA S BLOOMFIELD CPA P00010215 5173237500 2015 2017-02-10 21:41:12Z MARVIN FOLLOWELL 700 TOWER DR STE 300PO BOX 1156 TROY MI 480991218 7342164 0 X N/A X 2002 MI TO PROVIDE MEDICAL AND OTHER BENEFITS FOR MEMBERS OF THIS EMPLOYEES' BENEFICIARY ASSOCIATION. 10 10 11 11 377 0 0 0 6965231 7341787 323 377 0 0 6965554 7342164 0 0 6950024 6486937 4767 4890 0 0 0 477248 506411 7432039 6998238 -466485 343926 5129266 5473192 0 0 5129266 5473192 TO PROVIDE MEDICAL AND OTHER BENEFITS FOR MEMBERS OF THIS EMPLOYEES' BENEFICIARY ASSOCIATION. 0 0 PROVIDED MEDICAL AND RELATED BENEFITS FOR 791 MEMBERS AND 1,067 OF THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 1 628 0 1 11 1 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X CHUCK WYTRYCHOWSKI 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 480991218 X PAUL BURCHFIELD ALTERNATE TRUSTEE 0.50 X 0 0 0 DARREN BOWDISH ALTERNATE TRUSTEE 0.50 X 0 0 0 ERIC FARRINGTON TRUSTEE 0.50 X 0 0 0 JAMES CALLAHAN TRUSTEE 0.50 X 0 0 0 GARY CLINE TRUSTEE 0.50 X 0 0 0 JERRY O'BRIEN TRUSTEE 0.50 X 0 0 0 DAVID HERDER TRUSTEE 0.50 X 0 0 0 NICK ZYGADLO TRUSTEE 0.50 X 0 0 0 SAMUAL FULLER CO-CHAIR 0.50 X X 0 0 0 MARVIN FOLLOWELL CO-CHAIR 0.50 X X 0 0 0 CHUCK WYTRYCHOWSKI ADMINISTRATOR 0.50 X 0 0 0 0 0 0 0 0 0 0 BRONSON METHODIST HOSPITAL PO BOX 4073 KALAMAZOO MI 490034073 MEDICAL SERVICES 805196 BORGESS MEDICAL CENTER 3198 SOLUTION CENTER CHICAGO IL 606773001 MEDICAL SERVICES 494921 SPARROW HOSPITAL 8175 RELIABLE PARKWAY CHICAGO IL 60686 MEDICAL SERVICES 328947 CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVE CLEVELAND OH 44195 MEDICAL SERVICES 283218 ALLEGIANCE HEALTH 700 E MICHIGAN AVE JACKSON MI 49201 MEDICAL SERVICES 259159 9 EMPLOYER CONTRIBUTIONS 900099 6764831 6764831 MEMBER SELF-PAY CONTRI 900099 448485 448485 MEDICARE REBATES 900099 128471 128471 7341787 377 377 7342164 7341787 377 0 6486937 4890 18040 18542 38131 17980 1658 11359 21025 ADMINISTRATIVE FEES 152000 CLAIMS PROCESSING FEES 99033 REINSURANCE PROGRAM 62846 CASE MANAGEMENT 41924 23873 6998238 5129266 5473192 5129266 5473192 0 0 X 0 0 0 0 5129266 5473192 5129266 5473192 5129266 5473192 343926 0 X X 0 1 X 1 0 0 X 7342164 0 7342164 0 7342164 6998238 0 6998238 0 6998238 PART X, LINE 2: THE MODIFIED CASH BASIS OF ACCOUNTING REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2015, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2012. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS RECEIVED BY THE PLAN ADMINISTRATOR AND LEGAL COUNSEL WHO REVIEW THE RETURN FOR ACCURACY. UPON THEIR APPROVAL, THE 990 IS MADE AVAILABLE TO THE TRUSTEES IN ELECTRONIC FORMAT. AFTER ANY CONCERNS PRESENTED BY THE TRUSTEES ARE ADDRESSED, THE ADMINISTRATOR SIGNS AND FILES THE RETURN. FORM 990, PART VI, SECTION C, LINE 19 ALL INFORMATION IS MADE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 1 SHEET METAL WORKERS LOCAL 7, ZONE 1 HEALTH AND WELFARE PLAN USES THE MODIFIED CASH METHOD FOR THE ACCOUNTING METHOD. SHEET METAL WORKERS LOCAL 7 ZONE 1 PENSION PLAN 700 TOWER DR STE 300 TROY MI 48098 386234066 TO PROVIDE PENSION BENEFITS MI 401(A) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0