2016-05-12T08:12:31-05:00 2015-06-30 382184825 HUNGERFORD NICHOLS CPAS ADVISORS 2910 LUCERNE DRIVE SE GRAND RAPIDS MI 495467175 990 2014-07-01 386519330 WEST MI PLUMBERS FITTERS AND SERVICE TRADES LOCAL 174 HEALTH & BENEFITS PLAN WEST 6168370222 6525 CENTURION DRIVE LANSING MI 489179275 JEFFREY WILKERSON CHAIRMAN OF THE BOARD OF TRUSTEES 6168370222 2016-05-09 1 CARLA A GRANT CPA P00017320 6169493200 2014 2016-08-17 19:52:53Z JEFFREY WILKERSON 1008 OMALLEY DRIVE COOPERSVILLE MI 49404 26855709 0 X N/A X 1983 MI TO PROVIDE HEATH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS OF THE WEST MICHIGAN PLUMBERS FITTERS AND SERVICE TRADES UNION LOCAL NO. 174 9 9 0 0 0 0 0 0 8880689 10020878 333330 584002 176784 693939 9390803 11298819 0 0 8607004 9852785 0 0 0 0 0 1162824 1272194 9769828 11124979 -379025 173840 20571461 20646872 69695 115168 20501766 20531704 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS OF THE WEST MICHIGAN PLUMBERS FITTERS AND SERVICE TRADES UNION LOCAL NO. 174. 0 0 ALL EXPENDITURES ARE FOR PROVIDING HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 768 MEMBERS SERVED. 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 70 0 1 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 0 0 0 X X TIC INTERNATIONAL CORPORATION 5173217502 6525 CENTURION DRIVE LANSING MI 48917 X MARK MANGIONE UNION TRUSTEE, CHAIRMAN 1.00 49.00 X X 0 91283 70312 KIRK STEVENSON UNION TRUSTEE 1.00 X 0 0 0 JEFFREY WILKERSON UNION TRUSTEE 1.00 45.00 X 0 86176 69278 AMY JONES MANAGEMENT TRUSTEE 1.00 X 0 0 0 JOHN NIC MANAGEMENT TRUSTEE 1.00 X 0 0 0 CINDY MORSE MANAGEMENT TRUSTEE, ALT 1.00 X 0 0 0 JON PENNING MANAGEMENT TRUSTEE, SEC'Y 1.00 X X 0 0 0 RYAN BENNETT UNION TRUSTEE 1.00 45.00 X 0 82731 68244 CRAIG VANDER HYDE MANAGEMENT TRUSTEE 1.00 X 0 0 0 0 260190 207834 0 0 1 0 BLUE CROSS BLUE SHIELD OF MICHIGAN 600 E LAFAYETTE DETROIT MI 48231 INSURANCE ADMINISTRATION FEES 465612 NOVARA TESIJA PLLC 2000 TOWN CENTER SUITE 2370 SOUTHFIELD MI 480751314 LEGAL SERVICES 116701 2 EMPLR. AND PART. CONTRIBUTIONS 525100 10020878 10020878 10020878 627642 627642 15513250 15556890 -43640 -43640 -43640 STOP-LOSS REIMBURSEMENT 525100 605144 605144 MEDICARE PART D SUBSIDY 525100 84679 84679 MISCELLANEOUS 525100 4116 4116 693939 11298819 10714817 0 584002 9852785 539007 116701 32000 20265 35525 23280 4181 415197 REINSURANCE FEE 75915 BANK FEES 9697 MISCELLANEOUS 426 11124979 107712 897339 833711 441167 918493 1197023 646345 329660 18065200 17781683 20571461 20646872 69695 115168 69695 115168 X 0 0 0 0 20501766 20531704 20501766 20531704 20571461 20646872 173840 -143902 0 X X 0 1 X 1 0 0 X 11134652 -143902 -143902 11278554 20265 20265 11298819 11104714 0 11104714 20265 20265 11124979 PART X, LINE 2: ACCOUNTING 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 PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF JUNE 30, 2015, THERE ARE NO UNCERTAIN 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. FEDERAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION FOR A PERIOD OF THREE YEARS. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED IN REVENUE ON F/S; IN EXPENSES ON 990 20,265. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED IN REVENUE ON F/S; IN EXPENSES ON 990 20,265. 0 0 0 MARK MANGIONE UNION TRUSTEE, CHAIRMAN 0 91283 0 0 0 0 0 52924 0 17388 0 161595 0 0 JEFFREY WILKERSON UNION TRUSTEE 0 86176 0 0 0 0 0 51890 0 17388 0 155454 0 0 RYAN BENNETT UNION TRUSTEE 0 82731 0 0 0 0 0 50856 0 17388 0 150975 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE TRUSTEES ARE ELECTED BY THE UNION MEMBERS. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO SUBCOMMITTEES TO THE BOARD OF TRUSTEES FORM 990, PART VI, SECTION B, LINE 11 THE PLAN'S CHAIRMAN OF THE BOARD OF TRUSTEES REVIEWS THE RETURN BEFORE SIGNING AND FILING IT AND PROVIDES AN UPDATE TO THE BOARD REGARDING THE STATUS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS 990 AVAILABLE UPON REQUEST. THE 990 IS ALSO AVAILABLE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART VII - COMPENSATION OF TRUSTEES THERE IS NO REPORTABLE COMPENSATION ON PART VII FOR CERTAIN TRUSTEES WHO MEET THE VOLUNTEER EXCEPTION: THE TRUSTEES ARE PAID BY A RELATED ORGANZIATION WHICH IS NOT OWNED OR CONTROLLED DIRECTLY OR INDIRECTLY BY, AND DOES NOT PROVIDE MANAGEMENT SERVICES FOR A FEE TO, THE WEST MI PLUMBERS FITTERS AND SERVICE TRADES LOCAL 174 HEALTH & BENEFITS PLAN FORM 990 PART XI, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE BENEFIT PLAN AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. 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