UPPER PENINSULA PLUMBERS AND PIPEFITTERS HEALTH AND WELFARE FUN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: UPPER PENINSULA PLUMBERS AND PIPEFITTERS HEALTH AND WELFARE FUN (EIN 38-6111803)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-03-25
IRS object ID: 201430849349300808
Schema version: 2012v2.3
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
Form 990
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-03-25T16:07:52-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BENDA GRACE STULZ & COMPANY PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	38800 VAN DYKE AVE STE 100	AddressLine1
City	STERLING HEIGHTS	City
State	MI	State
ZIP Code	48312	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	386111803	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	UPPER PENINSULA PLUMBERS &	BusinessNameLine1
Business Name Line2	PIPEFITTERS HEALTH & WELFARE FUND	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	UPPE	NameControl
Phone	5173217502	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6525 CENTURION DRIVE	AddressLine1
City	LANSING	City
State	MI	State
ZIP Code	48917	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	BRAD PETERSON MIKE HARES	Name
Title	CHAIRMAN / SECRETARY	Title
Phone	5173217502	Phone
Date Signed	2013-11-06	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BRYAN STULZ	Name
Phone	5868836240	Phone
Date Prepared	2014-03-25	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	SAME AS ABOVE	NameOfPrincipalOfficerPerson
Gross Receipts	3512640	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Type Of Organization Trust	X	TypeOfOrganizationTrust
Year Formation	1965	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	PROVIDE HEALTH & WELFARE BENEFITS	ActivityOrMissionDescription
Nbr Voting Members Governing Body	4	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	0	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3822492	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3209395	ProgramServiceRevenueCY
Investment Income Prior Year	258409	InvestmentIncomePriorYear
Investment Income Current Year	226836	InvestmentIncomeCurrentYear
Other Revenue Prior Year	54566	OtherRevenuePriorYear
Other Revenue Current Year	31175	OtherRevenueCurrentYear
Total Revenue Prior Year	4135467	TotalRevenuePriorYear
Total Revenue Current Year	3467406	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	3576830	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	3926904	BenefitsPaidToMembersCY
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	207718	OtherExpensePriorYear
Other Expenses Current Year	335583	OtherExpensesCurrentYear
Total Expenses Prior Year	3784548	TotalExpensesPriorYear
Total Expenses Current Year	4262487	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	350919	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-795081	RevenuesLessExpensesCY
Total Assets BOY	9414874	TotalAssetsBOY
Total Assets EOY	9785697	TotalAssetsEOY
Total Liabilities BOY	1748572	TotalLiabilitiesBOY
Total Liabilities EOY	2829228	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	7666302	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	6956469	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDE HEALTH & WELFARE BENEFITS	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Description	PROVIDE HEALTH AND WELFARE BENEFITS TO ACTIVE AND RETIRED MEMBERS OF LABOR UNIONS COVERED UNDER THE COLLECTIVE BARGAINING AGREEMENT.	Description
Described In501 C3	false	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	false	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	4	NbrVotingGoverningBodyMembers
Number Independent Voting Members	0	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	TIC INTERNATIONAL CORPORATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5173217502	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	6525 CENTURION DRIVE	AddressLine1
City	LANSING	City
State	MI	State
ZIP Code	48917	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
MIKE HARES
SECRETARY	1.00	40.00	X	0	71723	47806
JEROME HEDSTROM
CHAIRMAN	1.00	40.00	X	0	0	0
BRAD PETERSON
CHAIRMAN	1.00	40.00	X	0	0	0
DAN MELENDY
TRUSTEE	1.00	40.00	X	0	0	0
JAMES MONSON
TRUSTEE	1.00	40.00	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp Frm Rltd Orgs	71723	TotalReportableCompFrmRltdOrgs
Total Other Compensation	47806	TotalOtherCompensation
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
TIC INTERNATIONAL CORPORATION
6525 CENTURION DRIVE	LANSING	MI	48917	ADMINISTRATIVE	152115
BLUE CROSS BLUE SHIELD OF MICHIGAN
411 W LAFAYETTE	DETROIT	MI	48226	HEALTH ADMIN.	106517

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTION	230000	2947515	2947515
PARTICIPANT SELF-PAYMENTS	900099	261880	261880

Field	Value	IRS element (for citing)
Total Program Service Revenue	3209395	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	182612	TotalRevenueColumn
Related Or Exempt Function Income	182612	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	89458	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	45234	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	44224	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	44224	TotalRevenueColumn
Related Or Exempt Function Income	44224	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE PART D SUBSIDY	900099	27175	27175
LIQUIDATED DAMAGES	900099	4000	4000

Field	Value	IRS element (for citing)
Total Other Revenue	31175	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3467406	TotalRevenueColumn
Related Or Exempt Function Income	3467406	RelatedOrExemptFunctionIncome

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	3926904	Total

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	129344	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	17099	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	14526	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	7518	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	131517	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	20430	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	10208	Total

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4941	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	4262487	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1445138	BOY
EOY	1041451	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	311934	BOY
EOY	286155	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	601406	BOY
EOY	3855	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	7056396	BOY
EOY	8454236	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	9414874	BOY
EOY	9785697	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	24501	BOY
EOY	147228	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	25771	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1698300	BOY
EOY	2682000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1748572	BOY
EOY	2829228	EOY

Field	Value	IRS element (for citing)
Do Not Follow SFAS117	X	DoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Field	Value	IRS element (for citing)
BOY	7666302	BOY
EOY	6956469	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7666302	BOY
EOY	6956469	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	9414874	BOY
EOY	9785697	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-795081	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	85248	ReconciliationUnrealizedInvest
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	ACCUMULATED ELIGIBILITY & IBNR	Description
Amount	$2,682,000	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	2682000	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	3545136	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	85248	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	85248	RevenueNotRptdF990
Revenue Subtotal	3459888	RevenueSubtotal
Investment Expenses Not Included	7518	InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt	7518	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	3467406	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	4254969	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	4254969	ExpensesSubtotal
Investment Expenses Not Included2	7518	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	7518	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	4262487	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 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. LINE 12 - ANNUALLY, EACH TRUSTEE MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. LINE 15 - THE FUND DID NOT HAVE A CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, OR OTHER OFFICERS OR KEY EMPLOYEES, AS THOSE TERMS ARE DEFINED IN THE INSTRUCTIONS.
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 FUNDS LEGAL COUNCIL.
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 THE FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA. THE FUND DOES NOT HAVE A CONFLICTS OF INTEREST POLICY.
ADDITIONAL INFORMATION	FORM 990, PART VII	LINE 1A - THE TRUSTEES OF THE FUND SERVE WITHOUT COMPENSATION FROM THE FUND, BUT ARE COMPENSATED AS EMPLOYEES OF ENTITIES THAT ARE CONTRIBUTING EMPLOYERS TO THE FUND, AND AS SUCH, "RELATED ORGANIZATIONS" AS THAT TERM IS DESCRIBED IN THE INSTRUCTIONS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
UP PLUMBERS & PIPEFITTERS PENSION
6525 CENTURION DRIVE	LANSING	MI	48917	386233970	PENSION	MI	501A	N/A	false
UP PLUMBERS & PIPEFITTERS DC PLAN
6525 CENTURION DRIVE	LANSING	MI	48917	383296005	PENSION	MI	501A	N/A	false
UP PLUMBERS & PIPEFITTERS EDUCATION
6525 CENTURION DRIVE	LANSING	MI	48917	386102222	EDUCATION	MI	501C5	N/A	false
UP PLUMBERS & PIPEFITTERS LOCAL 111
2601 NORTH 30TH STREET	ESCANABA	MI	49829	381948506	LOCAL	MI	501C5	N/A	false

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	SEE PART VII	BusinessNameLine1

Field	Value	IRS element (for citing)
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	false	GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	SEE PART VII	BusinessNameLine1

Field	Value	IRS element (for citing)
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE R	ReturnReference
Explanation	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 JUNE 30 2013 THERE WERE 33 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 AHERN JF BERGER KING INC BERGER MJ INC COMMERICAL REFRIG SERVICE CORP COMMERCIAL REGRIG SYSTEMS INC CRITTENDEN CONSTRUCTION CO INC D K SERVCIES DAY ZIMMERMANN NPS DEHOOGHE VIAU MECHANICAL DMI DRESSLER MECHANICAL INC DUQUAINE INC ECC CORROSION INC FRANLIN HOLWERDA COMPANY GOGEBIC MECHANICAL INC GREALT LAKES MECHANICAL INC JOHN E GREEN COMPANY HENKELS MCCOY INC THE JAMAR CO JOHNSON WOOD LLC JOHNSON CONTROLS INC M J ELECTRIC LLC MEYER CR SONS COMPANY MID STATE CONTRACTING LLC PRETUBE INC RICE LAKE CONSTRUCITON RICHERS REGRIGERATION RICKS MECHANICAL CONTRACTORS SCHECK TECHNICAL SERVICES TRESEDDER PLUMBING HEATING AC TWEETGAROT MECHANICAL UNITED CONTRACTORS INC VALLEY MECHANICAL INC WINTER AUGUST SONS INC	Explanation