2013-08-15T07:04:39-05:00 2012-09-30 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE COURT SUITE 500 AUBURN HILLS MI 48326 990 2011-10-01 382243531 INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 324 HEALTH & WELFARE FUN INTE 2484510324 500 HULET DRIVE BLOOMFIELD TOWNSHIP MI 48302 THOMAS BARKER 2484510324 2013-08-14 1 LYNNE HUISMANN P00053811 2483757100 2011 2016-02-24 21:20:13Z THOMAS BARKER 500 HULET DRIVE BLOOMFIELD TOWNSHIP MI 48302 13367360 0 X N/A X 1984 MI HEALTH AND WELFARE TRUST FUND PROVIDING MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 5 5 0 5 0 0 0 0 10214072 10473770 67825 104271 3211 21516 10285108 10599557 0 0 8657082 8357598 0 0 0 0 0 892531 841369 9549613 9198967 735495 1400590 5630135 7505411 2179329 2653634 3450806 4851777 NONE 0 0 COLLECTION OF CONTRIBUTIONS FROM PARTICIPATING EMPLOYERS AND REMITTANCE OF PREMIUMS AND CLAIMS TO INSURANCE COMPANIES AND CONTRACT BENEFIT ADMINISTRATORS. 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 1 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 X AUTOMATED BENEFIT SERVICES 5866934844 8220 IRVING ROAD STERLING HEIGHTS MI 48312 X RYAN DUNN 1.00 X 0 0 0 TOM SCOTT 1.00 X 0 0 0 JIM ARINI 1.00 X 0 0 0 THOMAS BARKER 1.00 X X 0 0 0 JOHN HEALY 1.00 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD OF MICHIGAN PO BOX 2500 DETROIT MI 48231 ADMIISTRATION AND STOP LOSS FEES FOR HEA 510574 AUTOMATED BENEFIT SERVICES INC 8220 IRVING STERLING HEIGHTS MI 48312 ADMINISTRATION OF HEALTH BENEFITS 196357 2 EMPLOYER CONTRIBUTIONS 811000 10473770 10473770 10473770 108725 108725 2763349 2767803 -4454 -4454 -4454 LIQUIDATED DAMAGES 900099 19761 19761 BAD DEBT RECOVERIES 900099 1755 1755 21516 10599557 10495286 0 104271 8357598 706931 78120 19000 14002 4545 14188 BANK CHARGES 3542 MISCELLANEOUS 1041 9198967 402935 939998 4191796 5381378 179673 249172 855731 934863 5630135 7505411 449999 968371 1729330 1685263 2179329 2653634 X 0 0 0 0 3450806 4851777 3450806 4851777 5630135 7505411 X 1400590 381 X 0 1 0 X 0 0 CLAIMS INCURRED BUT NOT YET REPORTED 651300 FUTURE BENEFITS 1033963 1685263 10599557 9198967 1400590 -23688 24069 381 1400971 10574114 -23688 -1755 -25443 10599557 0 10599557 9197212 -1755 -1755 9198967 0 9198967 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE TRUST ESTABLISHED UNDER THE FUND TO HOLD THE FUND'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE, AND THE FUND'S MANAGEMENT BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE INTERNAL REVENUE CODE. IN ACCORDANCE WITH GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, MANAGEMENT EVALUATED THE TRUSTS' TAX POSITION AND DOES NOT BELIEVE THE TURST HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE FINANCIAL STATEMENTS. THE FUND ADMINISTRATOR BELIEVES THE FUND IS NO LONGER SUBJECT TO TAX EXAMINATIONS FOR YEARS PRIOR TO 2009. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS 24,069. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT RECOVERIES -1,755. PART XIII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT RECOVERIES -1,755. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WHICH HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PRESENTED AND APPROVED BY THE CHAIRMAN, SUBJECT TO REVIEW BY AND APPROVAL OF FUND LEGAL COUNSEL. PART VI, LINE 12B ANNUALLY, EACH TRUSTEE MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONNAIRE WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE LOCATED AT THE FUND OFFICE UPON REQUEST. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -23,688. CHANGE IN BENEFIT OBLIGATIONS 24,069. TOTAL TO FORM 990, PART XI, LINE 5: 381. 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