2025-12-22T11:59:51-06:00 2025-05-31 382157642 MANER COSTERISAN PC 2425 E GRAND RIVER SUITE 1 LANSING MI 489123291 990 2024-06-01 386141764 JOINT BOARD OF TRUSTEES IBEW LOCAL 252 HEALTH AND WELFARE TRUST FUND JOIN 7346632178 3135 S STATE ST 105 ANN ARBOR MI 48108 MIKE COX BOARD CHAIRPERSON 7346632178 2025-12-18 1 1 ANASTASIA LOEW CPA P03014873 5173237500 2025-12-17 2024 2025-03-06 01:10:19Z MIKE COX 7290 JACKSON RD STE A ANN ARBOR MI 48103 52058574 0 X N/A X 1966 MI PROVIDE HEALTH BENEFITS TO IBEW LOCAL 252 UNION MEMBERS 7 7 0 7 0 0 0 0 17862727 22649664 332224 355108 0 0 18194951 23004772 0 0 10845271 15350346 0 0 0 0 0 7499034 6091798 18344305 21442144 -149354 1562628 8935261 10513493 604498 432364 8330763 10081129 PROVIDE HEALTH BENEFITS TO IBEW LOCAL 252 UNION MEMBERS 0 0 PROVIDED HEALTH CARE COVERAGE TO QUALIFYING MEMBERS OF IBEW 252 AND FOR NON-BARGAINED EMPLOYEES OF EMPLOYERS SUBJECT TO IBEW 252/SCECA COLLECTIVE BARGAINING AGREEMENTS WHO SIGNED PARTICIPATION AGREEMENTS. INSURED COVERAGE FOR LIFE, ACCIDENTAL DEATH FOR MEMBERS ONLY, PLUS STOP-LOSS COVERAGE FOR THE MEDICAL BENEFITS. RECIPROCAL PAYMENTS 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X JENNIFER JONES 7346632178 3135 S STATE ST 105 ANN ARBOR MI 48108 X DAN CERVENAN MANAGEMENT TRUSTEE 8.00 X 0 0 0 SCOTT DUPUIE MANAGEMENT TRUSTEE 8.00 X 0 0 0 RYAN HUSSE LABOR TRUSTEE (ALTERNATE) 8.00 X 0 0 0 ERIC MALEY MANAGEMENT TRUSTEE 8.00 X 0 0 0 MATT SCHRODER LABOR TRUSTEE 8.00 X 0 0 0 SANDRA WIITALA LABOR TRUSTEE 8.00 X 0 0 0 MIKE COX CHAIR 8.00 X X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD OF MICHIGAN 232 S CAPITOL AVE LANSING MI 48933 ADMINISTRATION 899229 ANN ARBOR BENEFIT ADMINISTRATORS 3135 S STATE ST STE 105 ANN ARBOR MI 48108 ADMINISTRATION 383472 LAW OFFICE OF THOMAS D LUCZAK PLLC 438 S 5TH AVE ANN ARBOR MI 48104 LEGAL 288757 3 MEMBERSHIP DUES & ASSESSMENTS 900099 22649664 22649664 22649664 211111 211111 29197799 29053802 143997 143997 143997 23004772 0 0 23004772 15350346 1352290 288757 32820 45001 130056 RECIPROCAL PAYMENTS 4162521 FEDERAL EMPLOYERS TAX P 48162 MISCELLANEOUS EXPENSES 32191 21442144 27443 567329 1521228 1783521 1892235 1236369 252458 252458 0 0 5494355 6926274 8935261 10513493 604498 432364 604498 432364 X 8330763 10081129 0 0 0 0 8330763 10081129 8935261 10513493 1562628 187738 0 X X 0 1 X 1 0 252458 252458 0 0 23192510 187738 187738 23004772 0 23004772 21442144 0 21442144 0 21442144 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES ITS MANAGEMENT FUNCTION TO ANN ARBOR BENEFIT ADMINISTRATORS, INC. (AABA), BUT AABA IS SUBJECT TO THE CONTROL OF THE BOARD OF TRUSTEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B BEFORE FILING THE 990 IS PROVIDED TO AND REVIEWED BY THE BOARD CHAIR, THE ORGANIZATION'S LEGAL COUNSEL, AND THE IBEW LOCAL NO. 252 THIRD PARTY REPRESENTATIVE. IT IS THEN DISTRIBUTED TO THE REMAINDER OF THE BOARD FOR REVIEW PRIOR TO FINALIZATION OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE RELEVANT CONFLICT OF INTEREST POLICY STATES: EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THE ORGANIZATION IS TAX EXEMPT AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVILABLE TO THE PUBLIC AT THE FUND OFFICE, 3135 S STATE ST., SUITE 105, ANN ARBOR, MI 48108.