2015-05-12T13:02:51-05:00 2014-08-31 382284921 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2013-09-01 386058383 MICHIGAN CARPENTERS' HEALTH CARE FUND MICH 5173217502 6525 CENTURION DRIVE LANSING MI 489170000 TYLER MCCASTLEROBERT ROOT CHAIRMAN/SECRETARY 5173217502 2014-12-10 BRYAN STULZ P00265596 5868836240 2015-05-12 2013 2016-04-25 22:37:26Z SAME AS ABOVE 22185669 false X X 1952 MI PROVIDE HEALTH AND WELFARE BENEFITS. 12 2 0 0 0 19874259 21059017 1374307 1113730 10154 12922 21258720 22185669 0 16414738 20075461 0 0 0 2660619 2616809 19075357 22692270 2183363 -506601 26650895 29650944 10109915 11888166 16540980 17762778 PROVIDE HEALTH AND WELFARE BENEFITS. false false TO PROVIDE HEALTH CARE BENEFITS FOR ELIGIBLE PLAN PARTICPANTS. 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 false false false false false false false false false false false false true false false true 3 0 0 false false false false false false X 12 2 true false false false false true false true true false false false false false false false false false X TIC INTERNATIONAL CORP 5173217502 6525 CENTURION DR LANSING MI 48917 X KEVIN KLINGLER TRUSTEE 1.00 40.00 X 0 90346 44685 BRIAN KERRIGAN TRUSTEE 1.00 40.00 X 0 84786 38480 TYLER MCCASTLE CHAIRMAN 1.00 40.00 X 0 81021 35516 CHAD MILLER TRUSTEE 1.00 40.00 X 0 75765 34060 LEON TURNWALD TRUSTEE 1.00 40.00 X 0 72788 39455 TRAVIS FAIRBANKS TRUSTEE 1.00 40.00 X 0 71260 32760 ROBERT ROOT SECRETARY 1.00 40.00 X 0 0 0 TRACE HENDRICK TRUSTEE 1.00 40.00 X 0 0 0 STANLEY BUELL TRUSTEE 1.00 40.00 X 0 0 0 GARY BENJAMIN TRUSTEE 1.00 40.00 X 0 0 0 SCOTT FISHER TRUSTEE 1.00 0.00 X 0 0 0 BART CARRIGAN TRUSTEE 1.00 0.00 X 0 0 0 475966 224956 false false false BLUE CROSS BLUE SHIELD 600 EAST LAFAYETTE DETROIT MI 48226 CLAIMS ADMIN 1560554 TIC INTERNATIONAL CORPORATION 6525 CENTURION DRIVE LANSING MI 48917 ADMINISTRATION 760253 2 EMPLOYER CONTRIBUTIONS 230000 14529648 14529648 PARTICIPANT SELF-PAYMENTS 900099 6529369 6529369 21059017 1113730 1113730 LIQUIDATED DAMAGES 900099 12398 12398 OTHER 900099 524 524 12922 22185669 21071939 1113730 20075461 2161578 26923 107448 8321 136062 33614 49576 17623 11266 MEMBER COMMUNICATIONS 24834 BANK SERVICE CHARGES 17452 ACTUARIAL FEE 11000 NOTICES TO PARTICIPANTS 5243 5869 22692270 0 0 0 1367814 2057666 1498030 1419699 861681 863735 22923370 25309844 26650895 29650944 468276 820166 9641639 11068000 10109915 11888166 X 16540980 17762778 16540980 17762778 26650895 29650944 -506601 1728399 X false true X true false ACCUMULATED ELIGIBILITY CREDITS 10039000 CLAIMS INCURRED BUT NOT REPORTED 1029000 ADVANCED SELF PAYMENTS 11068000 23905747 1728399 1728399 22177348 8321 8321 22185669 22683949 22683949 8321 8321 22692270 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 7A ALL BOARD MEMBERS ARE ELECTED BY THE MEMBERSHIP INTO THEIR OFFICER POSITIONS. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED AND APPROVED AT MEETING OF THE BOARD OF TRUSTEES, SUBJECT TO REVIEW BY AND APPROVAL OF THE FUND 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 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 VII LINE 1A - TYLER MCCASTLE, BRIAN KERRIGAN, LEON TURNWALD, CHAD MILLER, TRAVIS FAIRBANKS, AND KEVIN KLINGLER SERVED AS TRUSTEES OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, THEY WERE COMPENSATED AS EMPLOYEES OF THE MICHIGAN REGIONAL COUNSIL OF CARPENTERS, WHICH WAS A CONTRIBUTING EMPLOYER TO THE FUND AND, AS SUCH, A "RELATED ORGANIZATION" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. 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INC N/A false BADGERO MARK N/A false BARTON MALOW CO N/A false BATES CONSTRUCTION INC N/A false BEHLING ACOUSTICAL CO N/A false BLOOM ROOFING SYSTEMS INC N/A false BOLDT COMPANY N/A false BOUMA INTERIORS N/A false BRAND ENERGY SERVICES N/A false BRONNER WM AND SON CONTR N/A false BROOKS & BEAN LLC N/A false BROWN & BROWN GENERAL CONT INC N/A false BRUNSWICK BOWLING & BLRDS N/A false BUCK CLIFFORD CONSTRUCTION CO N/A false C L S CONSTRUCTION SERVICE N/A false C M F GROUP N/A false CARDINAL CONTRACTING LLC N/A false CARRIER CONSTRUCTION CO INC N/A false CASE CONSTRUCTION CO INC N/A false CASTLES BROS INC N/A false CENTRAL INTERIORS INC N/A false CHRISTMAN CONSTRUCTORS N/A false CHRISTMAN CONSTRUCTORS INC N/A false CITY CARPET & FLOORING N/A false CLARK UNION SERVICES N/A false CLARK J CONSTRUCTION INC N/A false CLOSNER CONSTRUCTION N/A false COAST TO COAST CONTRACTORS N/A false COLLINS DESIGNBUILD INC N/A false COMMERCIAL CONTRACTING CORP N/A false COMMERCIAL CONTRACTORS INC N/A false COMPLETE OFFICE INTERIORS N/A false COMSTOCK CONSTRUCTION COMPANY N/A false CONSTRUCTION LABOR SERVICES N/A false CONSTRUCTION SERVICES INC N/A false CONTINENTAL CONSTRUCTION INC N/A false COOK JACKSON CONTRACTORS N/A false CORNERSTONE COMPANY N/A false COWHY HAYES N/A false COWHY-HAYES CONSTRUCTION INC N/A false CRITTENDEN CONST CO INC N/A false CRYDERMAN BUILDERS INC N/A false CUNNINGHAM CONSTRUCTION N/A false CUNNINGHAM CONSTRUCTION CO N/A false D S I ACOUSTICAL COMPANY N/A false D S I COMPANY N/A false DAN'S EXCAVATING INC N/A false DAY & ZIMMERMANN NPS N/A false DELTA T CONSTRUCTION CO INC N/A false DHI SERVICES INC N/A false DOBIE CONSTRUCTION INC N/A false DOTSON CO THE N/A false DOVER & COMPANY N/A false DRYDEN DIVING COMPANY INC N/A false DWLTRADES LLC N/A false ERICKSON & LINDSTROM CON N/A false F A INDUSTRIAL SERVICES INC N/A false FARNELL CONTRACTING N/A false FASTDECKS INC N/A false FAULKNER CONSTRUCTION CO N/A false FESSLER & BOWMAN N/A false FLOORING SERVICES INC N/A false FOULKE CONSTRUCTION COMPANY N/A false FREEMAN N/A false FRITZ-ELLIS CONST CO INC N/A false GAERTNER BUILDERS N/A false GEGARE TILE INC N/A false GEM INSTALLATION N/A false GERACE CONSTRUCTION CO N/A false GFV CONSTRUCTION LLC N/A false GIBSON-LEWIS N/A false GILMOUR CONSTRUCTION INC N/A false GOUGH INC N/A false GRAND RIVER CONSTRUCTION INC N/A false GRANGER CONSTRUCTION CO N/A false GRAYCOR INDUSTRIAL CONSTRUCT N/A false GREAT LAKES CEILING & CARP INC N/A false GUNDLACH CHAMPION INC N/A false HACKETT CONSTRUCTION N/A false HANEL MATT CONSTRUCTION INC N/A false HARDMAN CONSTRUCTION INC N/A false HAUSSMAN CONST CO N/A false HEBERT CONSTRUCTION COMPANY N/A false HEINEMAN J R & SONS INC N/A false HEINS LEO J INC N/A false HENDRICK R C AND SON INC N/A false HENKELS & MCCOY INC N/A false HULL CA INC N/A false HUNTER MODULAR CONSTRUCTION N/A false HUSSMAN SERVICES CORP N/A false INDUSTRIAL CONSTRUCTION SERVICE N/A false INDUSTRIAL MAINTENANCE SERVICE N/A false INTEGRITY INTERIORS N/A 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B PROCESSING INC N/A false NASHVILLE CONSTRUCTION CO N/A false NATIONWIDE INSTALLATION SVCS N/A false NESS ROY CONTRACTING & SALES N/A false NIELSEN COMMERCIAL CONST CO N/A false NIEMI CORPORATION N/A false NORTHERN INDUSTRIAL CONST N/A false NORTHERN INDUSTRIAL CONST INC N/A false OBOYLE AND COMPANY N/A false O'HARROW CONSTRUCTION CO N/A false PASCOE JW N/A false PCI CONSTRUCTION SERVICES LLC N/A false PCI ENERGY SERVICES N/A false PEARSON EQUIPMENT & SERVICE N/A false PEREZ J CONSTRUCTION INC N/A false PETERSON IND SCAFFOLDING INC N/A false PHILLIPS ROBERT W LLC N/A false PLC USA N/A false POWER GENERATION SERVICE N/A false POWER SUPPORT SERVICES N/A false PRELOAD INC N/A false R T U CONCEPTS LLC N/A false RBE (O'NEILL PATRICK CO) N/A false REICHENBACH CEILING & N/A false RENSHAW CONSTRUCTION INC N/A false RHOADS & JOHNSON LLC N/A false ROSEMA CORPORATION N/A false SAFWAY SERVICES LLC 89 N/A false SCAFFOLD DESIGN & ERECTION N/A false SCHAEDLER ENTERPRISES INC N/A false SCHNABEL FOUNDATION N/A false SCHWEITZER INC N/A false SHARP-SOLTIS CONSTR LLC N/A false SHEKELL RK INC N/A false SHIVELY BOUMA INC N/A false SHOULDICE BROTHERS INC N/A false SIWEK CONSTRUCTION COMPANY N/A false SKANSKA N/A false SLAGTER J & SON CONSTRUCTION N/A false SORENSON GROSS N/A false SPENCE BROTHERS N/A false SPIEKER CO THE N/A false SPORT SYSTEMS UNLIMITED CORP N/A false STANDARD TILE INC N/A false STATEWIDE INSTALLATIONS INC N/A false STONE & WEBSTER CONSTR N/A false TEACHOUT'S INDUSTRIAL N/A false THE AUSTIN COMPANY N/A false TOEBE CONSTRUCTION LLC N/A false TOEBE WALTER CONSTRUCTION CO N/A false TREND GROUP CUSTOM ARCHITECTUA N/A false TRI-CITY ACOUSTICAL CO N/A false TRI-K CONSTRUCTION N/A false TRI-STATE INSTALLATION INC N/A false TURBINE PRO N/A false TURNER BROOKS INC N/A false UBC NTNL JOB CORP TRNG FUND N/A false UNIFIED CLEANROOM CONST LLC N/A false UNITED CONTRACTORS INC N/A false UNITED LABOR SERVICES INC N/A false UNITED PIPING INC N/A false VANDERVEEN MW CONSTR CO N/A false VANSTONO'BRIEN INC N/A false VERHALEN INC N/A false VERTICAL ACCESS SOLUTIONS N/A false VERTICAL ACCESS SOLUTIONS LLC N/A false W C CONSTRUCTORS INC N/A false W F CONSTRUCTION LLC N/A false W SOULE & COMPANY N/A false WALBRIDGE EQUIPMENT INSTALLATI N/A false WALGREEN COMPANY N/A false WASHAW CONSTRUCTION INC N/A false WEIGAND CONSTRUCTION CO INC N/A false WENGER CORPORATION N/A false WEST MICHIGAN EARTH MANAGEMENT N/A false WHITCO INC N/A false WHITMARSH BUILDERS N/A false WOBIG CONSTRUCTION COMPANY N/A false WOODBRIDGE CONSTRUCTION N/A false WOODMASTER FRAME & FINISH LLC N/A false WOODS CONSTRUCTION INC N/A false XTREME CONTRACTING N/A false Z CONTRACTORS N/A false ZENITH TECH INC N/A false false false false false false false false false false false false false false false false false false false false