2014-01-31T18:11:24-06:00 2013-04-30 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2012-05-01 356073323 MICHIANA ELECTRICAL WORKERS HEALTH & WELFARE FUND MICH 5173217502 6525 CENTURION DRIVE LANSING MI 489179275 ROGER DOSMANN CHRISTOPHER GROVE 5173217502 2013-08-20 false BRYAN STULZ 5868836240 2014-01-31 2012 2015-11-30 17:44:51Z SAME AS ABOVE 17442620 false X WWW.IBEW153BENEFITS.ORG X 1961 MI PROVIDE HEALTH AND WELFARE BENEFITS 6 1 0 0 0 9490837 10632747 362361 3470 161878 190355 10015076 10826572 0 11465829 10819157 0 0 0 148510 126602 11614339 10945759 -1599263 -119187 5855785 6206590 4806632 5270885 1049153 935705 PROVIDE HEALTH AND WELFARE BENEFITS false false TO PROVIDE HOSPITALIZATION, MEDICAL AND OTHER RELATED 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 false false false false false false false false false false false false true false false true 0 0 0 false false false false false false X 6 1 true false false false false true false true true false false false false false false false false false X TIC INTERNATIONAL 5173217502 6525 CENTURION DR LANSING MI 48917 X STANLEY MILES 1.00 40.00 X 0 35211 26127 ROGER DOSMANN 1.00 40.00 X 0 0 0 RON EASTON 1.00 40.00 X 0 0 0 BRIAN SULLIVAN 1.00 X 0 0 0 CHRISTOPHER GROVE 1.00 40.00 X 0 0 0 GARY ROBERTS 1.00 40.00 X 0 0 0 THOMAS E CIOCH 1.00 40.00 X 0 0 0 35211 26127 false false false BLUE CROSS BLUE SHIELD OF MICHIGAN 27000 W ELEVEN MILE B561 SOUTHFIELD MI 48034 HEALTH ADMIN. 696248 1 EMPLOYER CONTRIBUTIONS 230000 9758951 9758951 EMPLOYEE CONTRIBUTIONS 230000 873796 873796 10632747 43867 93 43774 6575651 6616048 -40397 -40397 -40397 MEDICARE PART D SUBSIDY 900099 172128 172128 OTHER 900099 13251 13251 LIQUIDATED DAMAGES 900099 4976 4976 190355 10826572 10782798 43774 10819157 7356 15700 13974 35504 13158 7176 17899 12910 SUMMARY ANNUAL REPORT 1894 MEMBER COMMUNICATIONS 1031 10945759 0 0 0 1302926 1769540 1076850 1278206 1050406 131664 2425603 3027180 5855785 6206590 73226 193779 4733406 5077106 4806632 5270885 X 1049153 935705 1049153 935705 5855785 6206590 -119187 5739 X false true X true false ACCUMULATED ELIGIBILITY CREDITS 3635000 CLAIMS INCURRED BUT NOT REPORTED 869000 UNSETTLED INVESTMENT TRANSACTIONS 573106 5077106 10818337 5739 5739 10812598 13974 13974 10826572 10931785 10931785 13974 13974 10945759 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 AND EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES, BECASUE 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 OFFICER OR KEY EMPLOYEES, AS THOSE TERMS ARE DEFINED. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A ALL BOARD MEMBERS ARE ELECTED BY THE MEMBERSHIP INTO OFFICER POSITIONS, FROM WHICH THEY HOLD THIER TRUSTEESHIP. 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 BOARD OF TRUSTEES, SUBJECT TO APPROVAL BY AND REVIEW OF THE FUND'S LEGAL COUNSEL. IN ADDITION, EACH TRUSTEE IS PROVIDED A COPY OF THE FUND'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES), AS ULTIMATELY FILED WITH THE IRS. 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 - STANLEY MILES SERVED AS A TRUSTEE OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, HE WAS COMPENSATED AS AN EMPLOYEE OF IBEW LOCAL 153, WHICH WAS A CONTRIBUTING EMPLOYER TO THE FUND, AND AS SUCH, A "RELATED ORGANIZATION" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. PART VII N/A false PART VII N/A false false 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 II 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 APRIL 30 2013 THERE WERE 74 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 CONTRIBUTING EMPLOYERS ALLIED ELECTRICAL SERVICES INC AMPLE ELECTRIC BRITE ELECTRIC C K ELECTRIC INC CIRCLE R ELECTRIC COLIP ELECTRIC CORP COMMUNICATION CO OF S BEND CONNECTIVITY TECHNOLOGY INC CONVERGED COMMUNICATION PARTNR CRAIG ELECTRIC INC DAY ZIMMERMAN NPS DAYS CORPORATION ELECTRIC PLUS INC ELECTRICAL MAINT CONST LLC ELECTRICORPE INC ELITE ELECTRICAL LLC ENYART ELECTRIC MOTOR REPAIR ESSEXVILLE ELECTRIC INC FAIRCHILD COMM SYSTEMS INC GARMANN ELECTRIC GEPHART ELECTRICAL CONST CO H G SERVICES INC HARTMAN ELECTRIC INC HI TECH ELECTRIC CO HUNT ELECTRIC CORP IBEW LOCAL 153 IBEW LU 712 WELFARE TRUST IBID COUNTY ELECTRIC INDUSTRIAL INST INC INFRASOURCE UNDERGROUND CONST J W PHYRE ELECTRIC CO OF INDI JETTLINE ELECTRIC INC KETELHUT ELECTRIC KOONTZWAGNER ELECTRIC CONST LINEAR ELECTRIC INC MALKO TECH SERVICES MARKEE ELECTRIC INC MARTELL ELECTRIC MCDANIEL FIRE SYSTEMS LLC MCMANN ELECTRIC INC MEAD WHITECOLIP ELECTRIC MICHIANA BOT MEETING MOLTER ELECTRIC MTI GLOBAL SERVICES NETWORK CABLING SOLUTIONS NEWKIRK ELECTRIC ASSOC INC NORTEC TELECOMMUNICATIONS INC ORGANIZED COMMUNICATIONS INC PEMBERTONDAVIS ELECTRIC CO PRECISION CONTROL SYSTEMS R D ELECTRIC CO RIVERBEND ELECTRIC INC ROMANOFF ELECTRIC CO LLC SARGENT ELECTRIC COMPANY SCHENK LIGHTNING ROD CO SCHMITT COMMUNICATIONS INC SCHWARTZ ELECTRIC INC SERVICE ELECTRIC OF ALLEN CO SERVICE ONE PROFESSIONAL GROUP SHAMBAUGH SON LP SHAUM ELECTRIC CO INC SKILL ELECTRIC LLC SOUTH BEND VICINITY ELEC JATC SOUTH BEND ELECTRIC INC STATE GROUP INDUSTRIAL THE STORMS MCMULLEN ELECTRIC INC SWAN ELECTRIC COMPANY INC SWENEY ELECTRIC T G B UNLIMITED INC TOP LINE ELECTRICAL SERVICE TRI CITY DATA ELECTRONIC UNITED CONSTRUCTION INC VANDERHEYDEN TECHNOLOGIES INC WELLS ELECTRIC INC