2014-10-15T16:33:55-05:00 2013-12-31 510435869 Needles & Associates LLC 350 Interlocken Blvd STE 220 Broomfield CO 80021 990 2013-01-01 840456274 Pipe Industry Health and Welfare Fund of PIPE 3037451596 7010 Broadway Street Suite 106 No 106 Denver CO 80221 Dave Davia Secretary 3037451596 2014-10-15 Kurt D Needles P00850236 3034304225 2014-10-15 2013 2015-11-30 17:44:51Z X Kurt Steenhoek 7010 Broadway Street Suite 106 No 106 Denver CO 80221 22917164 0 X N/A X 1955 CO Provide major medical, prescription drug, dental, vision, death and accidental death and dismemberment, and accident and sickness benefits for eligible participants and their dependents. 12 0 0 0 0 0 0 0 19897430 20994065 540324 159699 126638 919 20564392 21154683 21911661 0 0 11825228 0 0 0 0 0 1397862 1517988 23309523 13343216 -2745131 7811467 9559204 10036085 158682 8254873 9400522 1781212 Provide major medical, prescription drug, dental, vision, death and accidental death and dismemberment, and accident and sickness benefits for eligible participants and their dependents. 0 0 18812918 Major medical, prescription drug, dental, vision, death and accidental death and dismemberment, and accident and sickness benefits paid. 242421 Stop loss insurance premiums. -7230111 Change in hour bank liability and claims incurred but unreported. 11825228 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 0 0 0 0 0 0 0 0 0 0 0 X 12 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Board of Trustees 3037451596 7010 N Broadway No 106 Denver CO 80221 X Kurt Steenhoek Chairman 1.00 X 0 0 0 Howard Arnold Trustee 1.00 X 0 0 0 James C Keif Trustee 1.00 X 0 0 0 Ron Lenz Trustee 1.00 X 0 0 0 Tom Tuttle Trustee 1.00 X 0 0 0 Steven Callahan Trustee 1.00 X 0 0 0 Dave Davia Secretary 1.00 X 0 0 0 Charlie Lee Trustee 1.00 X 0 0 0 David Kixmiller Trustee 1.00 X 0 0 0 Todd VonLintel Trustee 1.00 X 0 0 0 Dick O'Brecht Trustee 1.00 X 0 0 0 Allen C Stone Trustee 1.00 X 0 0 0 0 0 0 0 0 0 0 CIGNA 3900 East Mexico Ave STE 1250 Denver CO 80210 Administrative 1033871 Fringe Benefit Services Inc 7010 N Broadway STE 106 Denver CO 80221 Administrative 200265 2 Employer Contributions 525100 19104000 19104000 Reciprocity In 525100 1418210 1418210 Participant Contributions 525100 803560 803560 Reciprocity Out 525100 -331705 -331705 20994065 130072 130072 1792108 1762481 29627 29627 29627 Misc. revenue-Related-990 525100 919 919 919 21154683 21024611 0 130072 11825228 11825228 186478 186478 76349 76349 26111 26111 1147407 1147407 46674 46674 15788 15788 9407 9407 Other expenses-Mngmnt-9 9774 9774 13343216 11825228 1517988 0 1144186 1227895 6111699 1488202 1680909 351906 2244530 270504 309403 4766055 9559204 10036085 158682 194466 0 8060407 158682 8254873 X 9400522 1781212 9400522 1781212 9559204 10036085 7811467 -140258 -15290519 0 X 0 1 X 1 0 0 Hour Bank Reserve 6514507 Claims Incurred but Not Reported 1545900 8060407 X 21014425 -140258 -140258 21154683 0 21154683 20573328 0 20573328 -7230112 -7230112 13343216 Part X, Line 2: The Internal Revenue Service has determined that the Fund is exempt from federal income tax under Internal Revenue Code Section 501(c)(9). The trust has been amended since receiving the determination letter. However, the Fund's third party administrator and the Fund's tax counsel believe that the trust is currently designed and being operated in compliance with the applicable requirements of the Internal Revenue Code. Management has evaluated the Fund's tax positions and concluded that the Fund has maintained its tax exempt status and had taken no uncertain tax positions that would require financial statement adjustment or disclosure for the years ended December 31, 2013 and 2012. With few exceptions, the Fund is no longer subject to income tax examinations by tax authorities for years preceding December 31, 2009. Part XII, Line 4b - Other Adjustments: Change in Benefit Obligation -7,230,112. Form 990, Part VI, Section B, line 11 Form 990 was provided to the Trustees prior to filing. Form 990, Part VI, Section B, line 12c The Trustees review and assess the conflicts of interest policy and its enforcement at meetings. Form 990, Part VI, Section C, line 18 Form 990 is available for public inspection upon request. Form 990, Part VI, Section C, line 19 The organization makes its governing documents available to the public upon request. Colorado Pipe Industry Annuity and Salary Deferral Trust 7010 N Broadway STE 106 Denver CO 80221 846041803 Provide defined contribution benefits to participants. CO 401(b) 0 Mechanical Contractors Association of Colorado 1114 West 7th Ave STE 250 Denver CO 80204 840858385 Sponsoring organization CO 501 (c) (6) 0 Service Industry Fund PO Box 645 Conifer CO 80433 840878221 Sponsoring organization CO 501 (c) (6) 0 United Association of Plumbers Local 3 17100 E 32nd Pl Aurora CO 80011 840293634 Sponsoring organization CO 501 (c) (5) 0 United Association of Plumbers and Pipefitters Local 58 2870 Janitell Road Colorado Springs CO 80906 840202249 Sponsoring organization CO 501 (c) (5) 0 United Association of Plumbers and Pipefitters Local 145 3168 Pipe Court Grand Junction CO 81504 840284479 Sponsoring organization CO 501 (c) (5) 0 Pipefitters Local Union 208 6350 Broadway Denver CO 80216 840328015 Sponsoring organization CO 501 (c) (5) 0 2H MECHANICAL N/A NA CO 81505 000000000 Contributing Employer CO 0 A C & R SPECIALISTS INC N/A NA IA 51102 000000000 Contributing Employer IA 0 AP COM POWER INC N/A NA CO 80223 000000000 Contributing Employer CO 0 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