FURP.ORG / PUBLIC DATA EXPLORER

LABORERS METROPOLITAN DETROIT HEALTH AND WELFARE FUND: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
LABORERS METROPOLITAN DETROIT HEALTH AND WELFARE FUND (EIN 38-2026006)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-06-28
IRS object ID
201641809349300449
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-06-28T14:39:18-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382284921PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BENDA GRACE STULZ & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line138800 VAN DYKE AVE STE 100AddressLine1Txt
CitySTERLING HEIGHTSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48312ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382026006EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LABORERS METROPOLITAN DETROITBusinessNameLine1Txt
Business Name Line2HEALTH AND WELFARE FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLABOBusinessNameControlTxt
Phone5173217502PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16525 CENTURION DRIVEAddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48917ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM BASS CHARLES WILSONPersonNm
Person TitleCHAIRMAN / SECRETARYPersonTitleTxt
Phone5173217502PhoneNum
Signature2016-01-15SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRYAN STULZPreparerPersonNm
PTINP00265596PTIN
Phone5868836240PhoneNum
Preparation2016-06-28PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSAME AS ABOVEPrincipalOfficerNm
Gross Receipts$40,230,769GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1973FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH AND WELFARE BENEFITSActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$20,868,578PYProgramServiceRevenueAmt
CY Program Service Revenue$24,159,407CYProgramServiceRevenueAmt
PY Investment Income$1,442,631PYInvestmentIncomeAmt
CY Investment Income$909,124CYInvestmentIncomeAmt
PY Other Revenue$304,951PYOtherRevenueAmt
CY Other Revenue$250,995CYOtherRevenueAmt
PY Total Revenue$22,616,160PYTotalRevenueAmt
CY Total Revenue$25,319,526CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$23,013,835PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$21,552,669CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,097,441PYOtherExpensesAmt
CY Other Expenses$1,022,271CYOtherExpensesAmt
PY Total Expenses$24,111,276PYTotalExpensesAmt
CY Total Expenses$22,574,940CYTotalExpensesAmt
PY Revenues Less Expenses-$1,495,116PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,744,586CYRevenuesLessExpensesAmt
Total Assets BOY$40,505,056TotalAssetsBOYAmt
Total Assets EOY$42,854,786TotalAssetsEOYAmt
Total Liabilities BOY$8,929,514TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,650,985TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$31,575,542NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$34,203,801NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HEALTH AND WELFARE BENEFITSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
DescTO PROVIDE HOSPITALIZATION, MEDICAL, DEATH, SURGICAL AND OTHER RELATED HEALTH CARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS.Desc
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIC INTERNATIONAL CORPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5173217502PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16525 CENTURION DRIVEAddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48917ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BILL BASS
CHAIRMAN1.0040.00Yes (X)$0$142,870$34,846
PAUL GASSEL
TRUSTEE1.0040.00Yes (X)$0$142,870$34,846
MARK PULICE
TRUSTEE1.0040.00Yes (X)$0$135,914$48,025
MICHAEL AARON
TRUSTEE1.0040.00Yes (X)$0$135,256$48,025
JASON CHWALEK
TRUSTEE1.0040.00Yes (X)$0$111,063$34,846
CHARLES WILSON
SECRETARY1.000.00Yes (X)$0$0$0
ROBERT COPPERSMITH
TRUSTEE1.000.00Yes (X)$0$0$0
WILLIAM GRUEBNAU
TRUSTEE1.000.00Yes (X)$0$0$0
DAVID KRUSE
TRUSTEE1.000.00Yes (X)$0$0$0
SCOTT FISHER
TRUSTEE1.000.00Yes (X)$0$0$0
MICHAEL P SMITH
TRUSTEE1.000.00Yes (X)$0$0$0
ALEX ZUREK
TRUSTEE1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$667,973TotReportableCompRltdOrgAmt
Total Other Compensation$200,588TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BLUE CROSS BLUE SHIELD OF MICHIGAN
27000 WEST 11 MILE ROAD B494SOUTHFIELDMI48034HEALTH ADMIN$1,255,435
TIC INTERNATIONAL CORPORATION
6525 CENTURION DRIVELANSINGMI48917TPA$409,233
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS230000$18,388,954$18,388,954
PARTICIPANT SELF-PAYMENTS900099$5,770,453$5,770,453
FieldValueIRS element (for citing)
Total Program Service Revenue$24,159,407TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$632,815TotalRevenueColumnAmt
Exclusion$632,815ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$15,187,552SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$14,911,243SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$276,309SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$276,309TotalRevenueColumnAmt
Related Or Exempt Func Income$276,309RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE PART D SUBSIDY900099$217,589$217,589
LIQUIDATED DAMAGES900099$33,406$33,406
FieldValueIRS element (for citing)
Other Revenue Total$250,995OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,319,526TotalRevenueColumnAmt
Related Or Exempt Func Income$24,686,711RelatedOrExemptFuncIncomeAmt
Exclusion$632,815ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$21,552,669TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$385,196TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$35,731TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,100TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$200,354TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$205,765TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$78,619TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,390TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$16,025TotalAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmt
LBRS NTL HLTH & SFTY DUES$58,697
ERISA REPORTING COSTS$13,079
EDUCATIONAL FOUNDATION$1,315

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,574,940TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,098,875BOYAmt
EOY$7,499,430EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$994,750BOYAmt
EOY$1,199,333EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,480,361BOYAmt
EOY$2,506,893EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$864,476BOYAmt
EOY$864,845EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$33,066,594BOYAmt
EOY$30,784,285EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$40,505,056BOYAmt
EOY$42,854,786EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,377,514BOYAmt
EOY$1,900,985EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,552,000BOYAmt
EOY$6,750,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,929,514BOYAmt
EOY$8,650,985EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$31,575,542BOYAmt
EOY$34,203,801EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,575,542BOYAmt
EOY$34,203,801EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$40,505,056BOYAmt
EOY$42,854,786EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,744,586ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$116,327NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCUMULATED ELIGIBILITY CREDITS$5,320,000
CLAIMS INCURRED BUT NOT REPORTED$1,430,000
FieldValueIRS element (for citing)
Total Liability$6,750,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$25,002,845TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$116,327NetUnrealizedGainsInvstAmt
Revenue Not Reported-$116,327RevenueNotReportedAmt
Revenue Subtotal$25,119,172RevenueSubtotalAmt
Investment Expenses Not Incld$200,354InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$200,354RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$25,319,526TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,374,586TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$22,374,586ExpensesSubtotalAmt
Investment Expenses Not Incld2$200,354InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$200,354ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$22,574,940TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
BILL BASS
CHAIRMAN$142,870$34,846$177,716
PAUL GASSEL
TRUSTEE$142,870$34,846$177,716
MARK PULICE
TRUSTEE$135,914$48,025$183,939
MICHAEL AARON
TRUSTEE$135,256$48,025$183,281

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VILINE 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 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.
FORM 990, PAGE 6, PART VI, LINE 7ATRUSTEES ARE APPOINTED BY SPONSORING PARTIES OF THE TRUST. UNION TRUSTEES ARE APPOINTED BY PERSONS AUTHORIZED BY THE EACH APPOINTING UNION ORGANIZATON'S EXECUTIVE BOARD, WHO ARE ELECTED PERIODICALLY BY MEMBERS IN GOOD STANDING WHO ARE ELEGIBLE TO VOTE CONSISTENT WITH THE CONSTITUTION OF THE APPOINTING UNION ORGANIZATION. EMPLOYER TRUSTEES ARE APPOINTED BY PERSONS AUTHORIZED BY THEIR EXECUTIVE BOARDS, WHO ARE ELECTED CONSISTENT WITH THE VOTING REQUIREMENTS OF EACH SPECIFIC EMPLOYER ASSOCIATION.
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS PRESENTED AND APPROVED AT A MEETING OF THE BOARD OF TRUSTEES, SUBJECT TO REVEIW BY AND APPROVAL OF THE FUND'S LEGAL COUNSEL. IN ADDITION, EACH TRUSTEE IS PROVIDED WITH A COMPLETED COPY OF THE FUND'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES), AS ULTIMATELY FILED WITH THE IRS.
FORM 990, PAGE 6, PART VI, LINE 19THE 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 I 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 VIILINE 1A - MICHAEL AARON, MARK PULICE, BILL BASS, PAUL GASSEL, AND JASON CHWALEK SERVED AS TRUSTEES OF THE FUND WITHOUT COMPENSATION FORM THE FUND FOR THOSE SERVCIES. HOWEVER, THEY WERE COMPENSATED AS EMPLOYEES OF EITHER LOCAL 1076 OR 1191 WHICH WERE CONTRIBUTING EMPLOYERS TO THE FUND AND, AS SUCH, "RELATED ORGANIZTIONS" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
LABORERS V & H TRUST FUND - D & V
700 TOWER DRIVE STE 300TROYMI48098386195524VAC & HOLMI501C9N/Afalse
LABORERS PENSION TRUST FUND - D & V
700 TOWER DRIVE STE 300TROYMI48098516030973PENSIONMI401AN/Afalse
LABORERS LOCAL UNION 1076
760 JOSLYN AVENUEPONTIACMI48340380738510LOCALMI501C5N/Afalse
LABORERS LOCAL UNION 1191
2161 W GRAND BOULEVARDDETROITMI48208380975762LOCALMI501C5N/Afalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (269 entries)

Direct Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
1 WAY SERVICE INC
N/Afalse
3 LK CONSTRUCTION
N/Afalse
6-K CONSTRUCTION CO
N/Afalse
API INC
N/Afalse
ADAMO CONTRACTING CORP
N/Afalse
ADAMO DEMOLITION COMPANY
N/Afalse
ADAMS GENERAL CONTRACTING INC
N/Afalse
ADVANCED CLEANROOM MICROCLEAN
N/Afalse
AJAX PAVING INDUSTRIES INC
N/Afalse
AKINS CONSTRUCTION INC
N/Afalse
ALBANELLI CEMENT CONTRACTORS
N/Afalse
ALFORD CONSTRUCTION GROUP LLC
N/Afalse
ALLEN J L COMPANY
N/Afalse
ALLIED ERECTING & DISMANTLING
N/Afalse
ALPINE CONTRACTORS INC
N/Afalse
AMALIO CORPORATION
N/Afalse
ARBOR CONSTRUCTION PERSONNEL
N/Afalse
ARISTEO CONSTRUCTION
N/Afalse
ASSEMBLERS PRECAST & STEEL SER
N/Afalse
ASSEMBLERS INC
N/Afalse
ATLAS INDUSTRIAL CONTRACTORS
N/Afalse
AUCH GEORGE CO
N/Afalse
AUTHORITY CONCRETE GROUP INC
N/Afalse
AUTOMATIC SYSTEMS INC
N/Afalse
B & B CONCRETE PLACEMENT INC
N/Afalse
BMI REFRACTORY SERVICE
N/Afalse
BAKER CONSTRUCTION
N/Afalse
BARNEY JJ CONSTRUCTION LLC
N/Afalse
BARTON MALLOW CO
N/Afalse
BIERLEIN SERVICES INC
N/Afalse
BLAZE CONTRACTING INC
N/Afalse
BLUE RIBBON CONTRACTING INC
N/Afalse
BRAND ENERGY SERVICES
N/Afalse
BRAZEN & GREER MASONRY INC
N/Afalse
BRENCAL CONTRACTORS
N/Afalse
BRIX CORPORATION
N/Afalse
BYERS D C COMPANY
N/Afalse
C & P CONSTRUCTION
N/Afalse
C B INCCHRIS VASSEUR
N/Afalse
CAMERON CONSTRUCTION COMPANY
N/Afalse
CARDINAL CONTRACTING CORP
N/Afalse
CENTRAL CONVEYOR ALSO SHOP
N/Afalse
CERCO INC
N/Afalse
CHAMPAGNE & MARX EXCAVATING
N/Afalse
CHEMSTEEL CONSTRUCTION COMPANY
N/Afalse
CHRISTMAN CONSTRUCTORS INC
N/Afalse
C I CONTRACTING INC
N/Afalse
CITY RENOVATION & TRIM INC
N/Afalse
COLASANTI SPECIALTY SERVICES
N/Afalse
COMET CONTRACTING CO UAP
N/Afalse
COMMERCIAL CONTRACTING CORP
N/Afalse
CONSTRUCTION LABOR SERVICES
N/Afalse
CONTEK INC
N/Afalse
CONTRACTORS TRENCHING
N/Afalse
CORBY ENERG SERVICES INC
N/Afalse
COUGAR CONTRACTING INC
N/Afalse
CREATIVE CEMENT INC
N/Afalse
CTI PROPERTY SERVICES INC
N/Afalse
CULVER DEVELOPMENT LLC
N/Afalse
D'ALOISIO MASONRY
N/Afalse
DAN'S EXCAVATING INC
N/Afalse
DAVENPORT MASONRY INC
N/Afalse
DEARBORN MID-WEST CONVEYOR CO
N/Afalse
DE-CAL INC
N/Afalse
DEMARIA BUILDING COMPANY INC
N/Afalse
DEMREX INDUSTRIAL SERV INC
N/Afalse
DENN-CO CONSTRUCTION INC
N/Afalse
DETROIT CONCRETE CONSTRUCTION
N/Afalse
DETROIT CORNICE & SLATE CO INC
N/Afalse
DETROIT DISMANTLING CORP
N/Afalse
DETROIT LABORERS DEL COMM
N/Afalse
DEVON INDUSTRIAL GROUP
N/Afalse
DICLAUDIO MASON CONSTRACTORS
N/Afalse
DICOSMO CONSTRUCTION
N/Afalse
DIVERSIFIED CONSTRUCTION SPCL
N/Afalse
DIXON INC
N/Afalse
DRV JOINT SEALANT CONTRACTORS
N/Afalse
DULUTH ENVIRONMENTAL SERVICES
N/Afalse
DUMAS CONCEPTS IN BUILDING
N/Afalse
DURR SYSTEMS INC
N/Afalse
DYCON INC
N/Afalse
E & L DEVELOPMENT INC
N/Afalse
ELS CONSTRUCTION
N/Afalse
EAGLE EXCAVATION INC
N/Afalse
EQUIPMENT RECYCLING SOLUTIONS
N/Afalse
ERICKSON & LINDSTROM
N/Afalse
EUGENIO PAINTING COMPANY
N/Afalse
F T L CONSTRUCTION
N/Afalse
FABCON INCORPORATED
N/Afalse
FANELLI CONST INC
N/Afalse
FASTDECKS INC
N/Afalse
FESSLER & BOWMAN
N/Afalse
FLAGG CLEANING SYSTEMS INC
N/Afalse
G M REFRACTORIES INC
N/Afalse
GALLAGHER-KAISER CORPORATION
N/Afalse
GENERAL ACIDPROOFING
N/Afalse
GEMELLI CONCRETE LLC
N/Afalse
GILARDONE COMPANY LLC
N/Afalse
GLASSROCKOMI
N/Afalse
GRANGER CONSTRUCTION CO
N/Afalse
GRAYCON INDUST CONST
N/Afalse
GREAT LAKES REG ORGANIZING
N/Afalse
GREENE JOHN E COMPANY
N/Afalse
GRUNWELL CASHERO COMPANY
N/Afalse
HAMON CUSTODIS INC
N/Afalse
HANSCHMANN MASONRY
N/Afalse
HARDMAN CONSTRUCTION INC
N/Afalse
HARNISH FIREPROOFING
N/Afalse
HARNISH WILLIAM E ACOUSTICAL
N/Afalse
HARSCO INFRA FKA PATENT CONST
N/Afalse
HARTWELL CEMENT
N/Afalse
HATZEL & BUEHLER INC
N/Afalse
HMCNICKS MASON CONTRACTORS
N/Afalse
HENKELS & MCCOY INC
N/Afalse
HOLLY CONSTRUCTION CO
N/Afalse
HOLLY J C CONTRACTING
N/Afalse
HOOVER WELLS LLC
N/Afalse
IAFRATE ANGELO CONSTRUCTION
N/Afalse
IDEAL CONTRACTING
N/Afalse
ILE EXCAVATING INC
N/Afalse
IMPERIAL CONSTRUCTION CO INC
N/Afalse
INTEGRITY INTERIORS INC
N/Afalse
INTERN'L IND CONTR CORP
N/Afalse
JASMAN CONSTRUCTION INC
N/Afalse
JAY DEE CONTRACTORS INC
N/Afalse
JENKINS CONSTRUCTION INC
N/Afalse
JOHNSON CONTROLS INC
N/Afalse
K & W CONCRETE CONST INC
N/Afalse
KING MASONRY INC
N/Afalse
KULBACKI INC
N/Afalse
LJH CONSTRUCTION
N/Afalse
LV PAINTING & CONSTRACTING INC
N/Afalse
LABELLE ELECTRIC SERVICE INC
N/Afalse
LABOR SERVICES LLC
N/Afalse
LAKE MICHIGAN SITE DEVELOPMENT
N/Afalse
LANDRY GEORGE INC
N/Afalse
LDJ ASSOCIATES INC
N/Afalse
LEE MACHINERY MOVERS INC
N/Afalse
LEIDAL & HART MASON CONTRACTOR
N/Afalse
LOWE CONSTRUCTION CO INC
N/Afalse
MANFREDI CONSTRUCTION INC
N/Afalse
MASONRY DEVELOPERS INC
N/Afalse
MATRIX NORTH AMERICAN CONSTRUCTION
N/Afalse
MCCARTHY & SMITH INC
N/Afalse
MCCORMICK WILLIE AND ASSOC
N/Afalse
MCINTOSH GEORGE INC
N/Afalse
MCKINNEY DRILLING COMPANY
N/Afalse
MICRO ELECTRIC LTD
N/Afalse
MID AMERICAN CONSTRUCTION SERV
N/Afalse
MID-AMERICAN GUNITE INC
N/Afalse
MIDWEST INDUSTRIAL SERVICES
N/Afalse
MIG EAST LLC
N/Afalse
MILLER BROS CONST INC
N/Afalse
MORETTI FOUNDATION CO INC
N/Afalse
MRT ENVIRONMENTAL
N/Afalse
MUIRHEAD CONSTRUCTION
N/Afalse
MUNRO ELECTRIC CO INC
N/Afalse
N B PROCESSING INC
N/Afalse
NSS CONSTRUCTION INC
N/Afalse
NATIONAL ENVIRONMENTAL GROUP
N/Afalse
NAVETTA MASON CONTRACTORS
N/Afalse
NEDROW REFRACTORIES
N/Afalse
NEHEMIAH MASONRY
N/Afalse
NIELSEN COMMERCIAL CONST CO
N/Afalse
NILES INDUSTRIAL COATINGS LLC
N/Afalse
NORTH AMERICAN DISMANTLING
N/Afalse
NOBLE VISION GROUP
N/Afalse
NORTH CHANNEL CONST CO INC
N/Afalse
NORTHERN INDUSTRIAL CONST INC
N/Afalse
NOWAK R C AND COMPANY
N/Afalse
OAKLAND PLUMBING COMPANY
N/Afalse
OMI REFRACTORIES LLC
N/Afalse
ORION WATERPROOFING LLC
N/Afalse
ON-BOARD INDUSTRIAL SOL INC
N/Afalse
OUTSIDE THE LINES INC
N/Afalse
PACITTO & FOREST CONST CO
N/Afalse
PALLISCO CONCRETE CO INC
N/Afalse
PAPALAS JOHN A & COMPANY
N/Afalse
POLEY MASONRY CONSTRUCTION INC
N/Afalse
PCI CONSTRUCTION SERVICES LLC
N/Afalse
POMPONIO CONSTRUCTION
N/Afalse
POURED BRICK WALLS INC
N/Afalse
POWER PROCESS PIPING INC
N/Afalse
PREFERRED BLDG SERVICES LLC
N/Afalse
PRO IMAGE FACILITY SERVICES
N/Afalse
PROGRESSIVE GROUP INSTALLERS
N/Afalse
PULLMAN SST
N/Afalse
R & R CONSTRUCTION SERVICES
N/Afalse
R B V CONTRACTING INC
N/Afalse
R J INDUSTRIAL EMPLOYEES
N/Afalse
R M F NOOTER INC
N/Afalse
RAM CONSTRUCTION SERVICES
N/Afalse
RAYMOND EXCAVATING CO
N/Afalse
REDLINE DEMOLITION LLC
N/Afalse
REICHENBACH CEILING &
N/Afalse
RESCO PRODUCTS INC
N/Afalse
REWOLD FRANK & SONS
N/Afalse
RIC MAN DETROIT
N/Afalse
RIC-MANN CONSTRUCTION INC
N/Afalse
RIVER CONTRACTING INC
N/Afalse
RK HYDRO-VAC INC
N/Afalse
ROHRSCHEIB SONS CAISSONS INC
N/Afalse
RONCELLI ELC3 LLC
N/Afalse
ROSATI MASONRY COMPANY INC
N/Afalse
ROYAL OAK MILLWORK CO LLC
N/Afalse
ROYAL RESTORATION & WATERPROOF
N/Afalse
RUDOLPHLIBBE INC
N/Afalse
RUSSELL PLASTERING CO
N/Afalse
SSS INC
N/Afalse
SAFEWAY SERVICES LLC 89
N/Afalse
SAK CONSTRUCTION LLC
N/Afalse
SALVATORE EXEC CO INC
N/Afalse
SAYLOR'S INC
N/Afalse
SCAFFOLDING INC
N/Afalse
SCHAD BOILER SETTING COMPANY
N/Afalse
SCHENA ROOFING AND SHEET METAL
N/Afalse
SCHIFFER MASON CONTRACTORS INC
N/Afalse
SCHROEDER MASONRY & CEMENT CO
N/Afalse
SERES-CASTLE MASONRY INC
N/Afalse
SERVICE CONSTRUCTION LLC
N/Afalse
SHEKELL RL INC
N/Afalse
SIMONE CONTRACTING CORP
N/Afalse
SINELLI & SONS CHARLES
N/Afalse
SITE DEVELOPMENT INC
N/Afalse
SIWEK CONSTRUCTION COMPANY
N/Afalse
SKANSKA USA BUILDING INC
N/Afalse
SOLE CONSTRUCTION INC
N/Afalse
SORENSON GROSS
N/Afalse
SPENCE BROTHERS
N/Afalse
SPRINGLINE EXCAVATING LLC
N/Afalse
STANTE EXCAVATING CO INC
N/Afalse
STORER S A & SONS
N/Afalse
STRUCTURAL GROUP INC
N/Afalse
SUPERIOR EXCAVATING INC
N/Afalse
TAPLIN INDUSTRIAL
N/Afalse
TEERA CONSTR CO INC
N/Afalse
THE STATE GROUP IND(USA)LIMIT
N/Afalse
THOMPSON-PHELAN INC
N/Afalse
TIMMER CONSTRUCTION COMPANY
N/Afalse
TOLEDO CAISSON CORP
N/Afalse
TOOLES CONTRACTING GROUP INC
N/Afalse
TOTAL SURFACE PREP INC
N/Afalse
TRI-STATE INDUSTRIAL FLOORS
N/Afalse
TRI-CITY GOUNDBREAKERS INC
N/Afalse
TROELSEN EXCAVATING CO
N/Afalse
TURNER CONSTRUCTION CO
N/Afalse
TURNER-BROOKS INC
N/Afalse
TWENTY-FIRST CENTURY SALVAGE
N/Afalse
UNIVERSAL PIPING INC
N/Afalse
URS WASHINGTON DIVISION
N/Afalse
US BUILDERS GROUP INC
N/Afalse
USA PLUMBING & SEWER SERVICE
N/Afalse
V & O CONTRACTING COMPANY
N/Afalse
V I L CONSTRUCTION INC
N/Afalse
VETBUILT BUILDING GROUPS INC
N/Afalse
VIG J S CONSTRUCTION CO
N/Afalse
W & G LLC
N/Afalse
W C CONSTRUCTORS INC
N/Afalse
WJ O'NEIL COMPANY
N/Afalse
WPM INC
N/Afalse
W-3 CONSTRUCTION COMPANY
N/Afalse
WALBRIDGE ALDINGER
N/Afalse
WALLBRIDGE EQUIPMENT INHSTALLATION
N/Afalse
WALSH CONSTRUCTION COMPANY
N/Afalse
WASHINGTON GROUP
N/Afalse
WAYNE STATE UNIVERSITY
N/Afalse
WCI CONSTRUCTION INC
N/Afalse
WEISS CONSTRUCTION CO LLC
N/Afalse
WICKERSHAM HOMES INC
N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd