2014-04-15T09:31:07-05:00 2013-05-31 381357951 PLANTE & MORAN PLLC 19176 HALL ROAD SUITE 300 CLINTON TOWNSHIP MI 480386915 990 2012-06-01 237165969 SHEET METAL WORKERS LOCAL NO 80 INSURANCE TRUST FUND SHEE 2488139800 700 TOWER DRIVE TROY MI 480983446 MARK SABA 2488139800 2014-04-11 1 JOHN WALTERS P00266568 5864164900 2012 2015-11-30 17:44:51Z MARK SABA 700 TOWER DRIVE TROY MI 48098 21472686 0 X WWW.BENESYSINC.COM/BENEFIT/SHEET80FRINGE.ASP X 1964 MI PROVIDE HEALTH, LIFE, DENTAL, VISION, ORTHODONTIC, HEARING, PHARMACEUTICAL, AND WEEKLY DISABILITY. 8 1 0 0 0 0 0 0 15424519 15270520 149676 355972 0 0 15574195 15626492 0 0 12377431 11026936 0 0 0 0 0 1047741 1317987 13425172 12344923 2149023 3281569 10077630 13615175 2611538 2497861 7466092 11117314 COLLECTION OF EMPLOYER CONTRIBUTIONS AND DISBURSEMENTS OF HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS WHICH IS THE EXEMPT PURPOSE OF THE FUND. 0 0 COLLECTION OF EMPLOYER CONTRIBUTIONS AND DISBURSEMENTS OF HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS WHICH IS THE EXEMPT PURPOSE OF THE FUND. 0 0 0 0 0 0 0 0 0 0 1 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 X 501 0 0 0 0 0 0 0 0 X 8 1 0 0 1 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 X BENESYS INC 2488139800 700 TOWER DRIVE STE 300 TROY MI 48098 MR MARK SABA 0.50 40.00 X X 0 114256 0 MR ANTHONY ASHER 0.50 0.00 X X 0 0 0 MR ERIC MCPHERSON 0.50 40.00 X 0 102095 0 MR DAVID KARL 0.50 40.00 X 0 0 0 MR KEITH TRELFA 0.50 40.00 X 0 0 0 MR NICK SERAPHINOFF 0.50 40.00 X 0 0 0 MS STACY HUFFMAN 0.50 40.00 X 0 0 0 MR RICK MEAD 0.50 40.00 X 0 0 0 0 216351 0 0 0 0 0 BLUE CROSS BLUE SHIELD OF MICHIGAN 600 E LAFAYETTE DETROIT MI 48226 ADMINISTRATIVE 459351 BENESYS INC 700 TOWER DRIVE SUITE 300 TROY MI 48098 ADMINISTRATIVE 314608 2 EMPLOYER CONTRIBUTIONS 230000 12808187 12808187 EMPLOYEE CONTRIBUTIONS 900099 2462333 2462333 15270520 159511 159511 6042655 5846194 196461 196461 196461 15626492 15270520 0 355972 11026936 910617 43056 23085 41920 17695 28923 7835 OTHER OPERATING EXPENSE 124093 COST OF COLLECTION 120763 12344923 2310522 3380941 202300 1058899 1025918 557575 476659 9589861 5069903 10312 9915 10077630 13615175 76631 133453 2534907 2364408 2611538 2497861 X 0 0 0 0 7466092 11117314 7466092 11117314 10077630 13615175 3281569 369653 0 X X 0 1 X 1 0 0 0 BENEFIT CLAIMS PAYABLE 2300000 DEFERRED SELF-PAY REVENUE 64408 2364408 X 15954225 369653 369653 15584572 41920 41920 15626492 12486003 183000 183000 12303003 41920 41920 12344923 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: IN ACCORDANCE WITH GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, MANAGEMENT EVALUATED THE FUND'S TAX POSITION AND DOES NOT BELIEVE THE FUND AS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE FINANCIAL STATEMENTS. THE PLAN ADMINISTRATOR BELIEVES THE FUND IS NO LONGER SUBJECT TO TAX EXAMINATIONS FOR YEARS PRIOR TO THE YEAR ENDED MAY 31, 2010. PART XII, LINE 2D - OTHER ADJUSTMENTS: DECREASE IN BENEFIT OBLIGATIONS CURRENTLY PAYABLE 183,000. THE FUND MAY NOT RECEIVE DEDUCTIBLE CONTRIBUTIONS UNDER SECTION 170(C). PART V, LINE 7 THEREFORE, LINES 7A THROUGH 7H ARE NOT APPLICABLE. FORM 990, PART VI, SECTION A, LINE 4 THE FUND'S BOARD OF TRUSTEES ADOPTED AN AMENDMENT TO ITS PLAN DOCUMENT DURING THE TAX YEAR THAT INCLUDED CHANGES TO ENROLLMENT AND DISENROLLMENT OF DEPENDENTS; HIPPA SECURITY REQUIREMENTS; CHANGES TO THE CONTINUING ELIGIBILITY RULES; AND CHANGES TO THE OWNER-MEMBER TRANSFER RULE. FORM 990, PART VI, SECTION A, LINE 7A THE FUND IS ADMINISTERED BY A BOARD OF EIGHT TRUSTEES, COMPRISED OF FOUR UNION TRUSTEES AND FOUR EMPLOYER TRUSTEES. THE UNION TRUSTEES ARE ELECTED BY THE LOCAL UNION MEMBERSHIP, EITHER DIRECTLY INTO A TRUSTEE POSITION OR INTO AN OFFICE POSITION OF THE LOCAL UNION FROM WHICH HE HOLDS HIS FUND TRUSTEESHIP EX OFFICIO. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO EACH TRUSTEE BEFORE IT IS FILED WITH THE IRS. IN ADDITION, IT IS PRESENTED AND APPROVED BY THE FULL BOARD OF TRUSTEES AT A MEETING, SUBJECT TO REVIEW BY, AND APPROVAL OF, THE FUND'S LEGAL COUNSEL. PART VI, LINE 12B EACH TRUSTEE MUST ANNUALLY ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONNAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. PART VI, LINE 15: THE FUND DID NOT HAVE ANY EMPLOYEES THAT 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. FORM 990, PART VI, SECTION C, 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 OF 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 CONFLICT OF INTEREST POLICY. FORM 990, PART XII, LINE 2C: THE PROCESS THE BOARD OF TRUSTEES PERFOMS, WHO ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, HAS NOT CHANGED FROM PRIOR YEAR. FORM 990, PART 1, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: BENEFITS FOR ELIGIBLE PARTICIPANTS. PART VII, LINE 1A THE TRUSTEES OF THE FUND SERVE WITHOUT COMPENSATION FROM THE FUND, BUT SOME ARE COMPENSATED AS EMPLOYEES OF ENTITIES THAT ARE CONSIDERED RELATED ORGANIZATIONS TO THE FUND FOR PURPOSES OF FORM 990. CITY OF DETROIT SMACNA DETROIT CHAPTER SHEET METAL WORKERS LOCAL UNION NO 80 APPRENTICESHIP FUND 32700 DEQUINDRE WARREN MI 48092 381795378 TO PROVIDE APPRENTICESHIP TRAINING TO ELIGBLE MEMBERS MI 501(C)(3) LINE 2 NO 0 SHEET METAL WORKERS LOCAL UNION NO 80 ANNUITY FUND 700 TOWER DRIVE SUITE 300 TROY MI 480982808 382941426 TO PROVIDE RETIREMENT BENEFITS FOR MEMBERS MI 501 (A) NO 0 SHEET METAL WORKERS LOCAL UNION NO 80 PENSION FUND 700 TOWER DRIVE SUITE 300 TROY MI 480982808 386105633 TO PROVIDE RETIREMENT BENEFITS FOR MEMBERS MI 501 (A) NO 0 SHEET METAL WORKERS LOCAL UNION NO80 SUPPLEMENTAL UNEMPLOYMENT BENEFIT FUND 700 TOWER DRIVE SUITE 300 TROY MI 480982808 386112387 TO PROVIDE BENEFITS FOR ELIGIBLE UNEMPLOYED MEMBERS MI 501 (A) NO 0 SHEET METAL WORKERS LOCAL UNION CEI MICHIGAN LLC SDI EXTERIOR SYSTEMS LLC CONQUEST MANUFACTURING LLC HMW CONTRACTING LLC HERITAGE MECHANICAL LL SUMMIT ROOFING LLC MECHANICAL DESIGN & INSTALLATION LLC BARMATIC INSPECTING COMPANY SCHENA ROOFING & SHEET METAL C KNAPPS ARCHITECTURAL METAL WOR DENNIS HEATING & COOLING BRINES REFRIGERATION INC BRINKER TEAM CONSTRUCTION CO CROWN CORR INC VM SYSTEMS INC MICHIGAN METAL WALLS INC EXTERIOR METALS INC MARTINEZ MECHANICAL INC MW MORSS ROOFING DEE CRAMER INC BUMLER MECHANICAL INC CONDOR METAL ROOFING & SIDING COMMERCIAL COMFORT SYSTEMS HALEY MECHANICALINC BEST IMPRESSIONSINC E W ENSROTH COMPANY FULLER HEATING COMPANY GREAT LAKES HOTEL SUPPLY COMPA GREAT LAKES MTL PANEL SYS INC LIBERTY SHEET METAL LIMBACH COMPANY MCSHANE MECHANICAL CONTRACTING ROBERTSON MORRISON INC S & Z SHEETMETAL INC A-1 SPECIALTY SERVICES NORTH ROOFING (GORDON) NORTH STAR REFRIGERATION AMERICAN MECHANICAL ALLIED VENTILATION INC SYSTEMP CORP MACOMB HEATING & COOLING INC BLOOM ROOFING SYSTEMS INC MOTOR CITY VENTILATION INC MI LABOR INC VENTILATION SYSTEMS INC MJ MECHANICAL INC UNIVERSAL WALL SYSTEMS INC KOOL HEATING & COOLING EL MECHANICAL INC JOHNSON CONTROLS WITT MECHANICAL INC METRO AIR INC ROYAL-WEST ROOFING & SHEET METAL LLC AERODYNAMICS INSPECTING COMP DETROIT CORNINCE AND SLATE CO INC ERV EHLERS COMPANY MI WJ O'NEIL COMPANY J & J METAL PRODUCTS RE LEGGETTE COMPANY ALLIANCE AIR CONDITIONING & HE PARTLAN-LABADIE SHEET METAL CO ROYAL ROOFING CO INC SCHREIBER CORPORATION RW MEAD & SONS INC RENE VANASSCHE & SONS COMPANY TEMPCO MECHANICAL CONTRACTORS HUTZEL PLUMBING & HEATING CO APPLEGATE INC SANI-VAC SERVICE INC JD CANDLER ROOFING CO INC CDP ENVIRONMENTAL INC ANN ARBOR ROOFING COMPANY ENVIRO-AIRE INC NEWTON CRANE ROOFING INC BARON MECHANICAL CONTRACTORS INC INTERNATIONAL TEST & BALANCE INC LADUKE CORPORATION LYON MECHANICAL CONTRACTORSINC ABSOLUT BALANCING CO INC TEMP ASURE DBA WEBB MECHANICAL & ELECTRICAL CONTRACTORS T F BECK COMPANY QUALITY ROOFING INCORPORATED SET DUCT MANUFACTURING INC VENTCON INC MCM FIXTURE COMPANY MECHANICAL SHEET METAL CO MEP MECHANICAL SERVICES LLC GREAT LAKES MECHANICAL CURBS & DAMPER PRODUCTS INC METRO ENVIRONMENTAL INC S & M SHEET METAL LTD MW METALS INCORPORATED CONTI MECHANICAL INC DANBOISE MECHANICAL CUSTOM ARCHITECTURAL SHEETMETAL SPECIALISTS INC THE FRED CHRISTEN & SONS COMPANY AIRFLOW TESTING INC GOYETTE MECHANICAL CO INC FORCED AIR SYSTEMS INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1