2015-04-14T14:30:03-05:00 2014-05-31 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE CT SUITE 500 AUBURN HILLS MI 48326 990 2013-06-01 237165969 SHEET METAL WORKERS LOCAL NO 80 INSURANCE TRUST FUND SHEE 2488139800 700 TOWER DRIVE TROY MI 480983446 ANTHONY ASHER CHAIRMAN 2488139800 2015-04-13 1 LYNNE HUISMANN P00053811 2483757100 2013 2016-03-07 17:11:31Z ANTHONY ASHER 700 TOWER DRIVE TROY MI 480983446 17629030 0 X HTTP://WWW.SHEET80.ORG X 1964 MI PROVIDE HEALTH, LIFE, DENTAL, VISION, ORTHODONTIC, HEARING, PHARMACEUTICAL, AND WEEKLY DISABILITY. 8 1 0 0 0 0 0 0 15270520 14059241 355972 572341 0 0 15626492 14631582 0 0 11026936 14508015 0 0 0 0 0 1317987 1243698 12344923 15751713 3281569 -1120131 13615175 14411361 2497861 3669677 11117314 10741684 COLLECTION OF EMPLOYER CONTRIBUTIONS AND DISBURSEMENTS OF HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS WHICH IS THE EXEMPT PURPOSE OF THE FUND. 0 0 COLLECTION OF EMPLOYER CONTRIBUTIONS AND DISBURSEMENTS OF HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS WHICH IS THE EXEMPT PURPOSE OF THE FUND. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 X 1094 0 1 0 0 0 0 0 0 0 X 8 1 0 0 1 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 X BENESYS INC 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 X MR MARK SABA SECRETARY 0.50 40.00 X X 0 77536 43687 MR ANTHONY ASHER CHAIRMAN 0.50 0.00 X X 0 0 0 MR ERIC MCPHERSON TRUSTEE 0.50 40.00 X 0 68824 50946 MR DAVID KARL TRUSTEE 0.50 40.00 X 0 0 0 MR KEITH TRELFA TRUSTEE 0.50 40.00 X 0 2438 0 MR NICK SERAPHINOFF TRUSTEE 0.50 40.00 X 0 0 0 MS STACY HUFFMAN TRUSTEE 0.50 40.00 X 0 0 0 MR RICK MEAD TRUSTEE 0.50 40.00 X 0 0 0 0 148798 94633 0 0 0 0 BENESYS INC 700 TOWER DRIVE SUITE 300 TROY MI 48098 ADMINISTRATIVE 356176 HEALTH ALLIANCE PLAN 2850 WEST GRAND BLVD DETROIT MI 48202 CLAIMS ADMINISTRATION 177282 2 EMPLOYER CONTRIBUTIONS 230000 11544286 11544286 EMPLOYEE CONTRIBUTIONS 900099 2514955 2514955 14059241 296409 296409 3273380 2997448 275932 275932 275932 14631582 14059241 0 572341 14508015 551595 54985 41440 89504 213171 57497 3872 2546 7875 CLAIMS TAX EXPENSE 96322 COST OF COLLECTION 80078 BANK CHARGES AND FEES 29513 EMPLOYEE ASSISTANCE SER 13200 2100 15751713 2310522 1034288 202300 246159 1025918 789830 310712 295545 9589861 11858921 175862 186618 13615175 14411361 133453 177761 2364408 3491916 2497861 3669677 X 0 0 0 0 11117314 10741684 11117314 10741684 13615175 14411361 -1120131 744501 0 X X 0 1 X 1 0 0 DEFERRED SELF-PAY REVENUE 45916 BENEFIT CLAIMS PAYABLE 3446000 3491916 X 15286579 744501 744501 14542078 89504 89504 14631582 14516209 0 14516209 89504 1146000 1235504 15751713 PART X, LINE 2: IN ACCORDANCE WITH GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, MANAGEMENT EVALUATED THE FUND'S TAX POSITION AND DOES NOT BELIEVE THE FUND HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJSUTMENT TO THE FINANCIAL STATEMENTS. THE PLAN ADMINISTRATOR BELIEVES THE FUND IS NO LONGER SUBJECT TO TAX EXAMINIATIONS FOR YEARS ENDED MAY 31, 2011. PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN BENEFIT OBLIGATION PAYABLE 1,146,000. FORM 990, PART V, LINE 7: THE FUND MAY NOT RECEIVE DEDUCTIBLE CONTRIBUTIONS UNDER SECTION 170(C)THEREFORE, LINES 7A THROUGH 7H ARE NOT APPLICABLE. FORM 990, PART VI, SECTION A, LINE 4 THE SETTLORS OF THE TRUST AMENDED THE TRUST AGREEMENT TO CLARIFY THAT THE BOARD OF TRUSTEES HAS THE EXCLUSIVE POWER TO CONSTRUE THE TRUST AND OTHER DOCUMENTS. IN ADDITION, THE BOARD OF TRUSTEES ADOPTED AMENDMENTS TO THE PLAN THAT: REFLECTED NEW BENEFIT CATEGORIES, SERVICE PROVIDERS, AND OTHER ADMINISTRATIVE MATTERS; EXPANDED VISION BENEFITS; ADDED EXCLUSIONS TO THE PHARMACY DRUG BENEFITS; ADDED A SPECIALTY DRUG STEP THERAPY PROGRAM; AND CONVERTED THE DENTAL AND VISION BENEFITS TO 'EXCEPTED BENEFITS'. FORM 990, PART VI, SECTION A, LINE 7A THE FUND IS ADMINISTERED BY A BOARD OF EIGHT TRUSTEES, COMPRISED OF FOUR UNION TRUSTEES AND FOUR EMPLOYER TRUSTEES. THE UNION TRUSTEES ARE ELECTED BY THE LOCAL UNION MEMBERSHIP, EITHER DIRECTLY INTO A TRUSTEE POSITION OR INTO AN OFFICE POSITION OF THE LOCAL UNION FROM WHICH HE HOLDS HIS FUND TRUSTEESHIP EX OFFICIO. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO EACH TRUSTEE BEFORE IT IS FILED WITH THE IRS. IN ADDITION, IT IS PRESENTED AND APPROVED BY THE FULL BOARD OF TRUSTEES AT A MEETING, SUBJECT TO REVIEW BY, AND APPROVAL OF, THE FUND'S LEGAL COUNSEL. FORM 990, PART VI, LINE 12B: EACH TRUSTEE MUST ANNUALLY ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONNAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE FUND DID NOT HAVE ANY EMPLOYEES THAT MET THE DEFINITIONS IN THE PLAN YEAR. IF THE FUND DID HAVE EMPLOYEES THAT MET THE LISTED DEFINITIONS, THEN ANY COMPENSATION WOULD HAVE BEEN ESTABLISHED IN ACCORDANCE WITH THE PROCESS DESCRIBED IN PART VI, LINE 15A OF FORM 990. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE 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 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: THE TRUSTEES OF THE FUND SERVE WITHOUT COMPENSATION FROM THE FUND, BUT SOME ARE COMPENSATED AS EMPLOYEES OF ENTITIES THAT ARE CONSIDERED RELATED ORGANIZATIONS TO THE FUND FOR PURPOSES OF FORM 990. FORM 990, PART XII, LINE 2C: THE PROCESS THE BOARD OF TRUSTEES PERFORMS, WHO ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, HAS NOT CHANGED FROM PRIOR YEAR. 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