TEAMSTERS HEALTH & WELFARE FUND LOCAL 377: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
TEAMSTERS HEALTH & WELFARE FUND LOCAL 377 (EIN 34-0755508)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-05-07
IRS object ID
201421279349301212
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-07T11:14:44-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN341451668EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ANNESS GERLACH & WILLIAMS CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3827AddressLine1
CityYOUNGSTOWNCity
StateOHState
ZIP Code445133827ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN340755508EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS LOCAL NO 377 HEALTH & WELFARE FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTEAMNameControl
Phone3307443148Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11223 TEAMSTERS DRIVEAddressLine1
CityYOUNGSTOWNCity
StateOHState
ZIP Code44502ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRALPH COOKName
TitleTRUSTEETitle
Phone3307443148Phone
Date Signed2014-04-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS J ANNESS CPAName
PTINP00172345PTIN
Phone3307585716Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRALPH COOKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11223 TEAMSTERS DRIVEAddressLine1
CityYOUNGSTOWNCity
StateOHState
ZIP Code44502ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12103186GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8860232ProgramServiceRevenuePriorYear
Program Service Revenue CY9102266ProgramServiceRevenueCY
Investment Income Prior Year387035InvestmentIncomePriorYear
Investment Income Current Year244055InvestmentIncomeCurrentYear
Other Revenue Prior Year88062OtherRevenuePriorYear
Other Revenue Current Year715899OtherRevenueCurrentYear
Total Revenue Prior Year9335329TotalRevenuePriorYear
Total Revenue Current Year10062220TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year10723407BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY10205682BenefitsPaidToMembersCY
Salaries Etc Prior Year137951SalariesEtcPriorYear
Salaries Etc Current Year132847SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year258098OtherExpensePriorYear
Other Expenses Current Year242787OtherExpensesCurrentYear
Total Expenses Prior Year11119456TotalExpensesPriorYear
Total Expenses Current Year10581316TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1784127RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-519096RevenuesLessExpensesCY
Total Assets BOY7027896TotalAssetsBOY
Total Assets EOY6547962TotalAssetsEOY
Total Liabilities BOY17746TotalLiabilitiesBOY
Total Liabilities EOY18245TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7010150NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6529717NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTHE ORGANIZATION PROVIDES HEALTHCARE, RETIREMENT AND DEATH BENEFITS TO ITS ELIGIBLE MEMBERS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RALPH COOKBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3307443148TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11223 TEAMSTERS DRIVEAddressLine1
CityYOUNGSTOWNCity
StateOHState
ZIP Code44502ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RALPH SAM COOK
UNION TRUSTEE0.00X000
RICHARD SANDBERG
UNION TRUSTEE0.00X000
KEN SABO
UNION TRUSTEE0.00X000
RAYMOND HUBER
EMPLOYER TRUSTEE0.00X000
CARMEN FORDE
EMPLOYER TRUSTEE0.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHEALTH BENEFIT CONTRIBUTIONSDescription
Business Code900099BusinessCode
Total Revenue Column9102266TotalRevenueColumn
Related Or Exempt Function Income9102266RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9102266TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column284021TotalRevenueColumn
Related Or Exempt Function Income284021RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2001000Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2040966Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-39966Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-39966TotalRevenueColumn
Related Or Exempt Function Income-39966RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INSURANCE STOP-LOSS REIMBURSEMENT900099675466675466
SUBROGATION PAYMENTS9000992305723057
OTHER INCOME9000991737617376
FieldValueIRS element (for citing)
Total Other Revenue715899TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10062220TotalRevenueColumn
Related Or Exempt Function Income10062220RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total10205682Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total108810Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total15105Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8932Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total24000Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total44749Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total22365Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total14856Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total53547Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24417Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total27639Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9000Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total841Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total751Total

Insurance Insurance

FieldValueIRS element (for citing)
Total18247Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionIRS REPORTING EXPENSEDescription
Total2375Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10581316Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY279496BOY
EOY157560EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY700679BOY
EOY866910EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY31656BOY
EOY127000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5934BOY
EOY6248EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis47813LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec46768LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1795BOY
EOY1045EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5996350BOY
EOY5379442EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11986BOY
EOY9757EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7027896BOY
EOY6547962EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY17746BOY
EOY18245EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17746BOY
EOY18245EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY7010150BOY
EOY6529717EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7010150BOY
EOY6529717EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7027896BOY
EOY6547962EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-519096ReconcilationRevenueExpenses
Reconciliation Unrealized Invest38663ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis21605OtherCostOrOtherBasis
Depreciation21605Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis26208OtherCostOrOtherBasis
Depreciation25163Depreciation
Book Value1045BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1045TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt10100883TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments38663NetUnrealizedGainsInvestments
Revenue Not Rptd F99038663RevenueNotRptdF990
Revenue Subtotal10062220RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99010062220TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10581316TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10581316ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010581316TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE PROVISIONS OF "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES" PRESCRIBE A RECOGNITION THRESHOLD AND A MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. FOR THOSE BENEFITS TO BE RECOGNIZED, A TAX POSITION MUST BE MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE FUND ADMINISTRATOR HAS ANALYZED TAX POSITIONS TAKEN BY THE FUND, AND HAS CONCLUDED THAT AS OF AUGUST 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY PERIODS IN PROGRESS. THE FUND ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO POTENTIAL INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2009.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS DISTRIBUTED TO ALL TRUSTEES FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICIES ARE MAILED OUT ANNUALLY TO ALL BOARD OF TRUSTEE MEMBERS. THE MEMBERS SIGN, AND RETURN THE POLICIES TO ENSURE COMPLIANCE WITH THE POLICY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 2C, OVERSIGHT COMMITTEE OF THE AUDIT/AUDITOR: THE ORGANIZATION'S PROCESS FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

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