2014-06-20T14:38:11-05:00 2013-08-31 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2012-09-01 386058384 MICHIGAN LABORERS HEALTH AND WELFARE FUND MICH 5173217502 6525 CENTURION DRIVE LANSING MI 48917 GENO ALESSANDRINIMICHAEL NYSTROM 5173217502 2014-02-11 false BRYAN STULZ 5868836240 2014-06-20 2012 2015-11-30 17:44:51Z SAME AS ABOVE 93898007 false X X 1952 MI PROVIDE HEALTH AND WELFARE BENEFITS 12 1 0 0 0 48118695 49274267 2410210 2772332 352797 350281 50881702 52396880 0 42680878 43159883 0 0 0 1748844 4523043 44429722 47682926 6451980 4713954 73845437 78571703 17869907 19523760 55975530 59047943 PROVIDE HEALTH AND WELFARE BENEFITS false false TO PROVIDE HOSPITALIZATION, MEDICAL, DEATH, SURGICAL AND OTHER HEALTH CARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. 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 5 0 0 false false false false false false X 12 1 true false false false false true false true true false false false true true true false false true true false X TIC INTERNATIONAL CORPORATION 5173217502 6525 CENTURION DRIVE LANSING MI 48917 X ALEX ZUREK 1.00 40.00 X 0 158540 29049 GENO ALESSANDRINI 1.00 40.00 X 0 158383 29049 MICHAEL AARON 1.00 40.00 X 0 132863 0 JOSEPH GALLINO 1.00 40.00 X 0 94572 29247 ROBERT MALCOLM 1.00 40.00 X 0 87384 26072 DAN HUSTED 1.00 40.00 X 0 75661 27028 WA HENDRICK JR 1.00 40.00 X 0 0 0 MICHAEL NYSTROM 1.00 40.00 X 0 0 0 JOEL CHRISTENSEN 1.00 40.00 X 0 0 0 DAN EMMENECKER 1.00 40.00 X 0 0 0 SCOTT FISHER 1.00 0.00 X 0 0 0 GARY BEMJAMIN 1.00 40.00 X 0 0 0 707403 140445 false true false BLUE CROSS BLUE SHIELD OF MICHIGAN 27000 W ELEVEN MILE B561 SOUTHFIELD MI 48034 HEALTH ADMIN. 2883433 TIC INTERNATIONAL CORPORATION 6525 CENTURION DRIVE LANSING MI 48917 ADMIN. MANAGER 836211 LEGGHIO & ISRAEL PC 306 SOUTH WASHINGTON SUITE 600 ROYAL OAK MI 48067 LEGAL 126508 SEGALL BRYANT & HAMILL 10 S WACKER DR 3500 CHICAGO IL 60606 INVEST CONSULT 110278 4 EMPLOYER CONTRIBUTIONS 230000 42219821 42219821 PARTICIPANT SELF-PAYMENTS 900099 7054446 7054446 49274267 1449035 1449035 42824424 41501127 1323297 1323297 1323297 MEDICARE SUBSIDY PART D 900099 338365 338365 LIQUIDATED DAMAGES 900099 11013 11013 OTHER 900099 903 903 350281 52396880 50947845 1449035 43159883 3330683 138243 22700 178493 477977 15200 4800 21726 22762 LABORERS' NAT'L SAFETY 152235 PRINTING AND MISC. 78435 SUMMARY ANNUAL REPORT 33754 NOTICES TO PARTICIPANTS 20618 25417 47682926 0 0 0 3169177 3679121 3540390 2308887 5752351 6753916 1787338 1716968 59596181 64112811 73845437 78571703 876907 1265760 16993000 18258000 17869907 19523760 X 55975530 59047943 55975530 59047943 73845437 78571703 4713954 -1641541 X false true X true false ELIGIBITY CREDITS 16015000 BENEFIT CLAIMS PAYABLE 2243000 18258000 50576846 -1641541 -1641541 52218387 178493 178493 52396880 47504433 47504433 178493 178493 47682926 false false false ALEX ZUREK 158540 29049 187589 GENO ALESSANDRINI 158383 29049 187432 ADDITIONAL INFORMATION 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 ADMINSTERED BY A BOARD OF TRUSTEES WHICH IS COMPOSED OF AN EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES, AND 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 THEIR OFFICER POSITIONS. 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 THE TRUSTEES, SUBJECT TO REVIEW AND APPROVAL BY THE FUND ATTORNEY. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ANNUALLY, EACH TRUSTEE MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENIAL AND ACUTAL CONFLICTS OF INTEREST. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE FUND DID NOT HAVE ANY EMPLOYEES WHO 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. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE FUND DID NOT HAVE ANY EMPLOYEES WHO 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 15B OF FORM 990. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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. ADDITIONAL INFORMATION FORM 990, PART VII LINE 1A - GENO ALESSANDRINI, ALEX ZUREK, MICHAEL AARON, JOSEPH GALLINO, DAN HUSTED AND ROBERT MALCOLM SERVED AS TRUSTEES OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, THEY WERE COMPENSATED AS EMPLOYEES OF MICHIGAN LABORERS DISTRICT COUNCIL, LABORERS LOCAL 1191, LABORERS LOCAL 1075, AND LABORERS LOCAL 499, RESPECTIVELY, WHICH WERE CONTRIBUTING EMPLOYERS TO THE FUND, AND AS SUCH, "RELATED ORGANIZATIONS" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. MICHIGAN LABORERS ANNUITY FUND 6525 CENTURIAN DRIVE LANSING MI 48917 383345443 PENSION MI 401A N/A false MICHIGAN LABORERS VACATION FUND 6525 CENTURIAN DRIVE LANSING MI 48917 382106864 VACATION MI 501C9 N/A false MICHIGAN LABOERS PENSION FUND 6525 CENTURIAN DRIVE LANSING MI 48917 386233976 PENSION MI 401A N/A false MICHIGAN LABORERS EXCESS FUND 6525 CENTURIAN DRIVE LANSING MI 48917 383502493 PENSION MI 402B N/A false MICHIGAN LABORERS LMT FUND 6525 CENTURIAN DRIVE LANSING MI 48917 383187248 LABOR MGMT MI 501C5 N/A false MICHIGAN LABORERS TRAINING FUND 6525 CENTURIAN DRIVE LANSING MI 48917 237187036 TRAINING MI 501C3 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 III IV V 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 AUGUST 31 2013 THERE WERE 560 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 A LISTING OF THOSE CONTRIBUTING EMPLOYERS 1 WAY SERVICE INC 6K CONSTRUCTION COMPANY A1 UTILITY CONTRACTOR INC ABC PAVING COMPANY A PRODUCTION CLEANING API INC AARON ENTERPRISES INC ACCURATE CONC CTG CORING ACCURATE SAWING DRILLING ACE ASPHALT PAVING CO ADAMO DEMOLITION ADAMS GENERAL CONTRACTING INC AIM TECH CO LTD AJAX PAVING INDUSTRIES INC AKINS CONSTRUCTION INC ALBANELLI CEMENT CONTRACTORS ALFREDSON BROTHERS CONSTRUCTION ALL SERVICE CONTRACTORS CORP ALLAN EDWARDS CONSTR CO AMALIO CORPORATION AMBOY CONTRACTORS LLC ANLAAN CORPORATION AP COM POWER INC APEX PIPELINE SERVICES INC ARBOR CONSTRUCTION PERSONNEL 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