2015-10-26T14:58:10-05:00 2014-12-31 382284921 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2014-01-01 386238055 MICHIGAN TROWEL TRADES HEALTH AND WELFARE FUND MICH 5173217502 6525 CENTURION DRIVE LANSING MI 48917 MICHAEL STANFIELD GLENN BUKOSKI CHAIRMAN / SECRETARY 5173217502 2015-06-16 BRYAN STULZ P00265596 5868836240 2015-10-26 2014 2016-04-25 22:37:26Z SAME AS ABOVE 4992026 false X WWW.OUTSTATETROWELTRADES.ORG X 1971 MI PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. 10 3 0 0 0 4698158 4974628 376 460 21118 16938 4719652 4992026 0 3878891 3897135 0 0 0 467358 574198 4346249 4471333 373403 520693 3578078 4610439 2030826 2542494 1547252 2067945 PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. false false TO PROVIDE HEALTH CARE BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS. THESE BENEFITS INCLUDED HEALTH, VISION, PRESCRIPTION DRUG, LIFE INSURANCE AND ACCIDENTAL DEATH AND DISMEMBERMENT COVERAGE. false false false false false false false false false false false false true true false true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 2 0 0 false false false false false false X 10 3 true false false false false false false true true false false false false false false false false false X TIC INTERNATIONAL 5173217502 6525 CENTURION DR LANSING MI 48917 X MICHAEL STANFIELD CHAIRMAN 1.00 40.00 X 0 67371 29102 HENRY WILLIAMS TRUSTEE 1.00 40.00 X 0 66091 10867 KEINO WALKER TRUSTEE 1.00 40.00 X 0 63449 29102 JOSEPH DAMRON TRUSTEE 1.00 40.00 X 0 45169 6895 SHERMAN SMITH TRUSTEE 1.00 40.00 X 0 45005 8709 TOMMY SANCHEZ TRUSTEE 1.00 40.00 X 0 30595 6629 JAMES E LIKE TRUSTEE 1.00 40.00 X 0 0 0 GLENN BUKOSKI SECRETARY 1.00 0.00 X 0 0 0 SCOTT FISHER TRUSTEE 1.00 0.00 X 0 0 0 LAWRENCE WALRAVEN TRUSTEE 1.00 40.00 X 0 0 0 DOUGLAS NEEDHAM TRUSTEE 1.00 0.00 X 0 0 0 DAN RAUCH TRUSTEE 1.00 40.00 X 0 0 0 317680 91304 false false false BLUE CROSS BLUE SHIELD OF MICHIGAN 27000 W ELEVEN MILE B561 SOUTHFIELD MI 48034 CLAIMS ADMIN. 326970 TIC INTERNATIONAL 6525 CENTURION DRIVE LANSING MI 48917 TPA 106460 2 EMPLOYER CONTRIBUTIONS 230000 4720828 4720828 PARTICIPANT SELF PAYMENTS 900099 253800 253800 4974628 460 460 LIQUIDATED DAMAGES 900099 16938 16938 16938 4992026 4991566 460 3897135 411509 67019 39359 35373 13641 1800 3234 2263 4471333 0 0 0 1889422 3956948 231704 384075 1456952 269416 3578078 4610439 80826 92494 1950000 2450000 2030826 2542494 X 1547252 2067945 1547252 2067945 3578078 4610439 520693 X false true X true false HEALTH CARE CLAIMS DEPOSIT 267538 PREPAID EXPENSES 1055 UNEXPIRED INSURANCE PREMIUM 823 269416 BENEFIT OBLIGATIONS 2450000 2450000 4992026 4992026 4992026 4471333 4471333 4471333 FORM 990, PART VI LINE 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 ACUTAL 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 11B THE FORM 990 IS PRESENTED AND APPROVED AT A MEETING OF THE BOARD OF TRUSTEES, SUBJECT TO APPROVAL BY AND REVIEW OF THE FUND'S LEGAL COUNSEL. IN ADDITION, EACH TRUSTEE IS PROVIDED A COPY OF THE FUND'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES), AS ULTIMATELY FILED WITH THE IRS. FORM 990, PAGE 6, PART VI, 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 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 CONFLICTS OF INTEREST POLICY. FORM 990, PART VII LINE 1A - MICHAEL STANFIELD, KEINO WALKER, JOSEPH DAMRON, HENRY WILLIAMS, SHERMAN SMITH & TOMMY SANCHEZ SERVED AS TRUSTEES OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, THEY WERE COMPENSATED AS EMPLOYEES OF PLASTERERS & CEMENT MASONS LOCAL 514, WHICH WAS A CONTRIBUTING EMPLOYER TO THE FUND AND, AS SUCH, A " RELATED ORGANIZATION" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. OUTSTATE MI TROWEL TRADES PENSION 6525 CENTURION DRIVE LANSING MI 48917 386222545 PENSION MI 501A N/A false MICHIGAN OP & CMIA APPR & TRAINING 6525 CENTURION DRIVE LANSING MI 48917 237369888 TRAINING MI 501C3 2 N/A false PLASTERERS & CEMENT MASON LOCAL 514 1154 E LINCOLN AVENUE MADISON HEIGHTS MI 48071 380407375 LOCAL MI 501C5 N/A false ACKERMAN CONCRETE N/A false ACOUSTICAL ARTS INC N/A false ADM CONSTRUCTION N/A false AJAX PAVING INDUSTRIES INC N/A false ALBERICI CONSTRUCTORS N/A false AMALIO CORPORATION N/A false ARBOR CONSTR PERSONNEL N/A false ARISTEO CONSTRUCTION N/A false ARTISANY PRECAST RESTORATION N/A false AUDIA CONSTRUCTION N/A false B & B CONCRETE PLACEMENT INC N/A false B & B CONTRACTING SERVICE CO N/A false BARNEY JJ CONSTRUCTION LLC N/A false BARTON MALOW CO N/A false BOWEN ENGINEERING CORPORATION N/A false BRENCAL CONTRACTORS INC N/A false BRIX CORPORATION N/A false BURTON BROTHERS INC N/A false BYERS D C COMPANY N/A false C L S CONSTRUCTION SERVICE N/A false CAEMENTUM LLC N/A false CENTRAL CONSTRUCTION INC N/A false CENTRAL INTERIORS INC N/A false CENTRAL INTERIORS INC N/A false CENTURION CONTRACTING COMPANY N/A false CENTURY CEMENT N/A false CHRISTMAN CONSTRUCTORS INC N/A false CIPPARONE CONTRACTING INC N/A false CITY RENOVATION & TRIM INC N/A false COLASANTI SPECIALTY SERVICES N/A false COMMERCIAL CONTRACTING CORP N/A false CONCRETE PLACEMENT SERVICES N/A false CONSTRUCTION LABOR SERVICES N/A false COOK JACKSON CONTRACTORS N/A false CORE CONCRETE CONST INC N/A false CREATIVE CEMENT INC N/A false CREATIVE FLOOR COATING SYSTEMS N/A false D S I ACOUSTICAL COMPANY N/A false DAN'S CEMENT N/A false DEARBORN MID WEST CONVEYOR N/A false DETROIT CONCRETE CONST INC N/A false DEVON INDUSTRIAL GROUP N/A false DIAMOND CONCRETE INC N/A false DILISIO CONTRACTING INC N/A false DIVERSIFIED CONSTR SPEC N/A false DOAN CONSTR CO N/A false DOMINIC GAGLIO CONSTRUCTION N/A false E L S CONSTRUCTION N/A false EARLEY AND ASSOCIATES INC N/A false ERICKSON & LINDSTROM CON N/A false F & G POURED WALLS N/A false F & M COMPANIES N/A false F & M POURED WALLS INC N/A false FERRINI CEMENT COMPANY N/A false FESSLER & BOWMAN N/A false FLORENCE CEMENT COMPANY N/A false FORT WAYNE CONTRACTING INC N/A false G M & SONS INC N/A false G V CEMENT CONTRACTING CO N/A false GAGLIO INC N/A false GERACE CONSTRUCTION CO INC N/A false GIBSON LEWIS N/A false GRAFF CONCRETE CUTTING N/A false GRAND RIVER CONSTRUCTION INC N/A false GRANGER CONSTRUCTION CO N/A false HACKETT CONSTRUCTION N/A false HARNISH FIREPROOFING N/A false HARNISH WM E ACOUSTICAL N/A false HARTWELL CEMENT COMPANY N/A false HOLLY JC CONTRACTING INC N/A false HOOVER WELLS LLC N/A false HULL CA INC N/A false HUNT NIEBOER CONCRETE CONST N/A false IAFRATE ANGELO CONSTRUCTION N/A false INTEGRITY INTERIORS INC N/A false JOMAR BUILDIJNG COMPANY INC N/A false KAPPA AND WESTLAKE N/A false KEMCO PLASTERING INC N/A false KOALA-T CONSTRUCTION INC N/A false LABOR SERVICES LLC N/A false LACARIA CONSTRUCTION N/A false MACRO D CONTRACTORS N/A false MAJOR CEMENT CO N/A false MATRIX SERVICE INDUSTRY CONST N/A false MCINTOSH GEORGE INC N/A false MICHAEL ANSREWS CONCRETE LLC N/A false MLS CONCRETE LLC N/A false MOORE-TROSPER CONSTRUCTION CO N/A false N C BUILDERS INC N/A false NORTH CHANNEL CONSTRUCTION N/A false NORTHERN INDUSTRIAL FLOORING N/A false OSBORN'S CONCRETE INC N/A false PAPALAS JOHN A & CO N/A false POLLOCK PLASTERING INC N/A false PRO POUR CONCRETE CONSTRUCTION N/A false R C CAST RESTORATION N/A false REHMUS A J & SON INC N/A false REICHENBACH CEILING N/A false ROCKHARD CONSTRUCTION N/A false RUDOLPHLIBBE INC N/A false RUSSELL PLASTERING COMP N/A false SANCHES CONSTRUCTION CO N/A false SANTOS CEMENT N/A false SAYLOR N/A false SCHROEDER MASONRY AND CEMENT N/A false SERRATOS CONSTRUCTION INC N/A false SINELLI CHARLES AND SONS INC N/A false SIWEK CONSTRUCTION COMPANY N/A false SKANSKA USA BUILDING INC N/A false SORENSON GROSS N/A false SPENCE BROTHERS N/A false STACY & WITBECK N/A false STREETER BROTHERS INC N/A false TCI INC OF MICHIGAN N/A false THE AUSTIN COMPANY N/A false TITAN INDUSTRIAL FLOORING N/A false TOEBE WALTER CONSTRUCTION CO N/A false TOOLES CONTRACTING GROUP LLC N/A false TRE TORRI CONSTRUCTION N/A false V & O CONTRACTING COMPANY N/A false VALLEY PAINTING N/A false W & G LLC N/A false WALBRIDGE EAST N/A false WALSH CONSTRUCTION N/A false WAYNE STATE N/A false WCI CONSTRUCTION INC N/A false WESTSIDE CONCRETE CO N/A false WHITE EDWARD R CONTRACTOR N/A false false false false false false false false false false false false false false false false true false false true