2014-01-31T18:23:58-06:00 2013-04-30 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2012-05-01 386098425 MICHIGAN BAC HEALTH CARE FUND MICH 5173217502 6525 CENTURION DRIVE LANSING MI 48917 NELSON MCMATH ANDY BRACY 5173217502 2013-08-27 false BRYAN STULZ 5868836240 2014-01-31 2012 2015-11-30 17:44:51Z 5675817 false X X 1964 MI PROVIDE HEALTH AND WELFARE BENEFITS 10 2 0 0 0 5960498 5295554 331588 308352 25903 71911 6317989 5675817 0 6460658 4847311 0 0 0 856739 820452 7317397 5667763 -999408 8054 8957733 8610105 2777312 2090049 6180421 6520056 PROVIDE HEALTH AND WELFARE BENEFITS false false TO PROVIDE HEALTH CARE BENEFITS AND DISABILITY BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. false false false false false false false false false false true 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 0 0 0 false false false false false false X 10 2 true false false false false true false true true false false false false false false false X TIC INTERNATIONAL CORP 5173217502 6525 CENTURION DRIVE LANSING MI 48917 X NELSON MCMATH 1.00 40.00 X 0 79506 19560 DARYL NICHOLS 1.00 40.00 X 0 54976 19560 JAMES BUDD 1.00 40.00 X 0 54135 19560 JAMES BRYLOWSKI 1.00 40.00 X 0 53030 19560 GREG LOBODZINSKI 1.00 40.00 X 0 52215 18690 ANDY BRACY 1.00 40.00 X 0 0 0 ANDY HOFSTRA 1.00 40.00 X 0 0 0 BART CARRIGAN 1.00 X 0 0 0 SCOTT D FISHER 1.00 X 0 0 0 ED DAVENPORT 1.00 40.00 X 0 0 0 293862 96930 false false false BLUE CROSS BLUE SHIELD OF MICHIGAN 27000 WEST 11 MILE ROAD B494 SOUTHFIELD MI 48034 HEALTH ADMIN. 576072 1 EMPLOYER CONTRIBUTIONS 4085949 4085949 PARTICIPANT SELF-PAYMENTS 1209605 1209605 5295554 308352 308323 29 MEDICARE PART D SUBSIDY 55045 55045 LIQUIDATED DAMAGES COLLECTED 10158 10158 OTHER 6708 6708 71911 5675817 5675788 29 4847311 647172 57789 32214 22720 11500 31926 5342 4987 OTHER 3363 CONTRACT MONITORING FEE 1950 PARTICIPANT NOTICES 1489 5667763 0 0 0 342531 1393345 302000 241638 612744 281676 7700458 5945284 748162 8957733 8610105 156312 116748 2621000 1973301 2777312 2090049 X 6180421 6520056 6180421 6520056 8957733 8610105 8054 331581 X false true X true false LIMITED LIABILITY COMPANY 748162 F 748162 ACCUMULATED ELIGIBILITY CREDITS 1106000 CLAIMS INCURRED BUT NOT REPORTED 867301 1973301 5984678 331581 331581 5653097 22720 22720 5675817 5645043 5645043 22720 22720 5667763 ADDITIONAL INFORMATION FORM 990, PART VI LINE 2 - 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. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A ALL BOARD MEMBERS ARE ELECTED BY THE MEMBERSHIP INTO OFFICER POSITIONS, FROM WHICH THEY HOLD THEIR TRUSTEESHIP. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED AND APPROVED AT A MEETING OF TRUSTEES, SUBJECT TO APPROVAL AND REVIEW BY THE FUND ATTORNEY. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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 ERISA WITH RESPECT TO DISCLOSURE OF ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION. IT OPERATES IN COMPLIANCE WITH FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA. ADDITIONAL INFORMATION FORM 990, PART VII LINE 1A - NELSON MCMATH, DARYL NICHOLS, JAMES BRYLOWSKI, JAMES BUDD & GREG LOBODZINSKI SERVED AS TRUSTEES OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, THEY WERE COMPENSATED AS EMPLOYEES OF BAC LOCAL 9, WHICH WAS A CONTRIBUTING EMPLOYER TO THE FUND AND, AS SUCH, A "RELATED ORGANIZATIONS" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. SEE PART VII N/A false SEE PART VII N/A false false SEE PART VII N/A false false false false false false false false false false false false false false false false false false false false ADDITIONAL INFORMATION SCHEDULE R SCHEDULE R PARTS II III AND IV IDENTIFICATION OF RELATED ORGANIZATIONS THE FILING ORGANIZATION IS A MULTIEMPLOYER TRUST FUND AS DEFINED IN THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 AS AMENDED THE FUND PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS AS OF APRIL 30 2013 THERE WERE 149 CONTRIBUTING EMPLOYERS TO THE FUND UNDER THE INSTRUCTIONS TO SCHEDULE R THOSE EMPLOYERS ARE CONSIDERED RELATED ORGANIZATIONS THE FUNDS ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF ALL CONTRIBUTING EMPLOYERS THE FOLLOWING IS AN ALPHABETICAL LISTING OF THOSE CONTRIBUTING EMPLOYERS CONTRIBUTING EMPLOYERS A AND G FLOOR COVERING INC AKINS CONSTRUCTION INC ALBANELLI CEMENT CONTRACTORS ALFREDSON BROS CONSTRUCTION ALPHA FOAM INSULATION SYSTEMS AMALIO CORPORATION ARISTEO CONSTRUCTION ARNOLD COMPANY ARTISAN MICHIGAN INC ARTISAN TILE INC ASSOCIATED CONSTRUCTION CO B B TILE AND MARBLE BAC APPRENTICESHIP FUNDMI BAC LOCAL 9 BAKER CONSTRUCTION BARTON MALOW CO BETKE MASONRY CONSTRUCTION LLC BOOMS STONE CO BORNOR RESTORATION INC BOSTON TILE TERRAZZO PC BOUMA INTERIORS BRACY JAHR MASONRY INC BREND CONTRACTING COMPANY INC BRESCOL BROTHERS INC BRONNER WM AND SON CONTR BUCKLAND JOHN CONTR INC BYERS D C COMPANY C S S CONTRACTING CO INC CAPITAL TILE INC CARRIER CONSTRUCTION CO INC CENTRAL TILE TERRAZZO CHEZCORE INC CHRISTIN MASONRY CHRISTMAN CONSTRUCTORS INC CLEVELAND MARBLE MOSAIC CO CLOSNER CONSTRUCTION COMMERCIAL SPECIALTY CONT INC COMSTOCK CONSTRUCTION COMPANY CONTEK INC COROTECH CONST ACQUISITION CSTONE INSTALLATION CO CUSACKS MASONRY RESTORATION DALOISIO MASONRY DAVENPORT MASONRY INC DAY ZIMMERMANN NPS DEMARIA BUILDING COMPANY INC DICLAUDIO MASON CONTRACTORS DIXONINC DRAPER ARLAND MASONRY DRV JOINT SEALANT CONTRACTORS E R MASONRY CONST INC EMPIRE MARBLE TILE CO EMPIRE REF SVC OF MICH LLC ERICKSON LINDSTROM CON F M TILE TERRAZZO CO INC FABRIS PEARCE FAULKNER CONSTRUCTION CO GEGARE TILE INC GEMELLI CONCRETE LLC GENERAL ACID PROOFING INC GERACE CONSTRUCTION CO INC GLENNS TILE GOUGH INC GRUNWELL CASHERO COMPANY GUNDLACH CHAMPION INC HANSCHMANN MASONRY HELM M MASONRY INC HELMS CAULKING MERCURY REST HMCHICKS MASON CONTRACTORS HOFFMAN PLASTERING HOLOMBO MASONRY HOVER FLOORING CONSULTANTS INC INDUSTRIAL CONSTRUCTION SERVICE INDUSTRIAL FIREBRICK CORP INDUSTRIAL SVC INC WASHTENAW INTL MASONRY INSTITUTE IRISH CONSTRUCTION CO INC JPB CONTRACTING INC KOCH MASONRY INC KRIEGHOFF LENAWEE COMPANY KRULL CONSTRUCTION CO INC LEIDAL HART MASON CONTRACTOR MASONRY DEVELOPERS INC MCMATH MASONRY INC MERIDIAN RESTORATION LLC MEYER CR SONS COMPANY MICHIELUTTI BROTHERS INC MIDWEST INDUSTRIAL SERVICES MIDWEST TILE INTERIORS INC MIRON CONSTRUCTION CO INC MTI GLOBAL SERVICES NC BUILDERS INC NSS CONSTRUCTION INC NAVETTA MASON CONTRACTORS NEDROW REFRACTORIES NEHEMIAH MASONRY NESS ROY CONTRACTING SALES NORTHERN INDUSTRIAL CONST INC NORTHSHORE CONSTRUCTION CO NOTEBAERT CONSTRUCTION SERVICE NUCO INTERNATIONAL INC OAK MOUNTAIN INDUSTRIES OBOYLE AND COMPANY OHIO BUILDING RESTORATION INC PCI CONSTRUCTION SERVICES LLC PEARSON EQUIPMENT SERVICE PHILLIPS BRICK CLEANING INC PLUMMER MASONRY INC POLEY MASONRY CONSTRUCTION INC POMPONIO CONSTRUCTION PREMIER CAULKING INC R R CONSTRUCTION SERVICES RANCK J ELECTRIC INC REICHENBACH CEILING REINTJES GEORGE P CO INC RIVERVIEW REFRACTORY SRVS INC ROSATI MASONRY COMPANY INC ROYAL RESTORATION WATER PRF SCHAD BOILER SETTING COMPANY SCHIFFER MASON CONTRACTORS INC SER DEVELOPMENT LLC SERESCASTLE MASONRY INC SLATILE ROOFING RESTORATIONS SPENCE BROTHERS STANDARD TILE INC STEWARTS SERVICES LLC STORER S A SONS STRUCTURAL GROUP INC TAILORED FOAM INC TBMC INC TEACHOUTS INDUSTRIAL TERRA BELLA TILE MOSAIC THE AUSTIN COMPANY THORPE JT SONS INC TRICITY ACOUSTICAL CO TWIN CITY MASONRY INC UNITED CONSTRUCTION CO INC UNIVERSAL BLASTCO MICH TILE DV VALCON INC DBA PIAZZA MASONRY VANDERMAY CONST INC VANSTONOBRIEN INC WASHAW CONSTRUCTION INC WEIGAND CONSTRUCTION CO INC WELLMAN MASONRY INC WOBIG CONSTRUCTION COMPANY XTREME MASON CONTRACTORS LLC YORK LININGS INTERNATIONAL INC ZANETTI ENT GROUP LLC ZIOLKOWSKI CONSTRUCTION INC