2015-01-05T12:38:01-06:00 2014-04-30 382284921 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2013-05-01 381968628 MILLWRIGHTS' LOCAL 1102 HEALTH AND WELFARE FUND MILL 5173517502 6525 CENTURION DRIVE LANSING MI 489179275 MARK E BARNWELLTHOMAS WOODBECK CHAIRMAN/SECRETARY 5173517502 2014-07-24 BRYAN STULZ P00265596 5868836240 2015-01-05 2013 2016-03-07 17:11:31Z 34404130 false X X 1970 MI PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS. 8 4 0 0 0 19916241 21225347 104587 107601 7806 74602 20028634 21407550 0 19763585 20928358 0 0 0 134112 194999 19897697 21123357 130937 284193 13929163 16041895 10212987 12088000 3716176 3953895 PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS. false false 20928358 TO PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS. 20928358 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 true false false false false false false false false false false false true false false true 0 0 0 false false false false false false X 8 4 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 FRANK BENSON CHAIRMAN 1.00 40.00 X 0 119822 42713 MICHAEL BARNWELL TRUSTEE 1.00 40.00 X 0 76125 27935 WILLIAM KENNEY TRUSTEE 1.00 40.00 X 0 76125 27935 KELLY JAMES RALEIGH TRUSTEE 1.00 40.00 X 0 74613 27935 THOMAS WOODBECK SECRETARY 1.00 X 0 0 0 JAMES SCHULTZ TRUSTEE 1.00 X 0 0 0 DAVID HURST TRUSTEE 1.00 X 0 0 0 TODD BEGEROWSKI TRUSTEE 1.00 X 0 0 0 346685 126518 false true false BLUE CROSS BLUE SHIELD OF MICHIGAN 600 EAST LAFAYETTE D517 DETROIT MI 48226 HEALTH BENEFIT 900450 1 EMPLOYER CONTRIBUTIONS 230000 16516622 16516622 PARTICIPANT SELF-PAYS 900099 4708725 4708725 21225347 185802 185802 12918379 12996580 -78201 -78201 -78201 MIDCARE PART D SUBSIDY 900099 74477 74477 LIQUIDATED DAMAGES 900099 125 125 74602 21407550 21221748 185802 20928358 20928358 27592 27592 41921 41921 18000 18000 39268 39268 9250 9250 27302 27302 11023 11023 6518 6518 HIPAA COMPLIANCE CHARGES 8209 8209 SUMMARY ANNUAL REPORTING 5916 5916 21123357 20928358 194999 0 1186689 3512470 1518665 1435231 804853 699338 10418956 10394856 13929163 16041895 1452987 1545000 8760000 10543000 10212987 12088000 X 3716176 3953895 3716176 3953895 13929163 16041895 284193 -46474 X false true X true false ACCUMULATED ELIGIBILITY CREDITS 9440000 CLAIMS INCURRED BUT NOT REPORTED 1103000 10543000 21321808 -46474 -46474 21368282 39268 39268 21407550 21084089 21084089 39268 39268 21123357 false false false FRANK BENSON CHAIRMAN 119822 42713 162535 FORM 990, PART VI LINE 2 - FAMILY RELATIONSHIP OR BUSINESS RELATIONSHIP - THE RELATIONSHIP BETWEEN THE TURSTEES OF THE FUND IS AS '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 TRUSTEES MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUSETIONAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTERST. 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 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, PRIOR TO ITS FILING 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. 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 false false false false false false false false false false false false false false false false false false true