SOUTHERN OPERATORS HEALTH FUND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN OPERATORS HEALTH FUND (EIN 43-2067325)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201313169349302771
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)
Timestamp2013-11-12T12:57:48-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN582588678EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1AARONS GRANT & HABIF LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13500 PIEDMONT RD SUITE 500AddressLine1
CityATLANTACity
StateGAState
ZIP Code30305ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN432067325EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN OPERATORS HEALTH FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone6158590131Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 CALDWELL DRAddressLine1
CityGOODELETTESVILLECity
StateTNState
ZIP Code37072ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePHIL MCENTYREName
TitleTRUSTEETitle
Phone6158590131Phone
Date Signed2013-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP00292261PTIN
Phone4042335486Phone
Date Prepared2013-11-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPHIL MCENTYRENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12001 CALDWELL DRAddressLine1
CityGOODELETTESVILLECity
StateTNState
ZIP Code37072ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14531690GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteNAWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation2005YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionTHE PURPOSE OF THIS FUND IS TO MAINTAIN A PLAN OF BENEFITS WHICH PROVIDES DISABILITY, HOSPITALIZATION, AND MAJOR MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AS SPECIFIED IN THE PLANActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13529908ProgramServiceRevenuePriorYear
Program Service Revenue CY14232816ProgramServiceRevenueCY
Investment Income Prior Year331917InvestmentIncomePriorYear
Investment Income Current Year298874InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year13861825TotalRevenuePriorYear
Total Revenue Current Year14531690TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year11913187BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY13721444BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year552112OtherExpensePriorYear
Other Expenses Current Year586929OtherExpensesCurrentYear
Total Expenses Prior Year12465299TotalExpensesPriorYear
Total Expenses Current Year14308373TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1396526RevenuesLessExpensesPriorYear
Revenues Less Expenses CY223317RevenuesLessExpensesCY
Total Assets BOY12070728TotalAssetsBOY
Total Assets EOY12644171TotalAssetsEOY
Total Liabilities BOY6446506TotalLiabilitiesBOY
Total Liabilities EOY206284TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5624222NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12437887NetAssetsOrFundBalancesEOY
Mission DescriptionTHE PURPOSE OF THIS FUND IS TO MAINTAIN A PLAN OF BENEFITS WHICH PROVIDES DISABILITY, HOSPITALIZATION, AND MAJOR MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AS SPECIFIED IN THE PLANMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTHE PURPOSE OF THIS FUND IS TO MAINTAIN A PLAN OF BENEFITS WHICH PROVIDES DISABILITY, HOSPITALIZATION, AND MAJOR MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AS SPECIFIED IN THE PLANDescription
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 Equip0ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
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 Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
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 Policy1DocumentRetentionPolicy
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 Line1SOUTHERN BENEFIT ADMINISTRATORS INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6158590131TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12001 CALDWELL DRAddressLine1
CityGOODELETTESVILLECity
StateTNState
ZIP Code37072ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RUSSELL BRITT
TRUSTEE5.00X000
PHIL MCENTYRE
TRUSTEE5.00X000
ROBERT SAMMONS
TRUSTEE5.00X000
THOMAS MANLEY
TRUSTEE5.00X000
FRANK KANE
TRUSTEE5.00X000
MICHAEL WALL
TRUSTEE5.00X000
DENNIS TAYLOR
TRUSTEE5.00X000
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 (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYERS CONTRIBUTIONS9000991374279113742791
EMPLOYEE CONTRIBUTIONS900099967764967764
EMPLOYER PENALTIES9000991154411544
RECIPROCAL PAYMENTS900099-489283-489283
FieldValueIRS element (for citing)
Total Program Service Revenue14232816TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column298874TotalRevenueColumn
Exclusion$298,874ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14531690TotalRevenueColumn
Related Or Exempt Function Income14232816RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$298,874ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total13721444Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total23353Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20240Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total71521Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total436533Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12714Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9979Total

Insurance Insurance

FieldValueIRS element (for citing)
Total9526Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionBANK FEESDescription
Total3063Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14308373Total
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2377549BOY
EOY1768164EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1322133BOY
EOY1097269EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9294BOY
EOY6727EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8361752BOY
EOY9772011EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12070728BOY
EOY12644171EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY124796BOY
EOY206284EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6321710BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6446506BOY
EOY206284EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5624222BOY
EOY12437887EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5624222BOY
EOY12437887EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12070728BOY
EOY12644171EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses223317ReconcilationRevenueExpenses
Reconciliation Unrealized Invest257101ReconciliationUnrealizedInvest
Reconcilation Other Changes6333247ReconcilationOtherChanges
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

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt14717270TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments257101NetUnrealizedGainsInvestments
Revenue Not Rptd F990257101RevenueNotRptdF990
Revenue Subtotal14460169RevenueSubtotal
Investment Expenses Not Included71521InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt71521RevenueNotRptdOnFinStmt
Total Revenue Per Form99014531690TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14236852TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal14236852ExpensesSubtotal
Investment Expenses Not Included271521InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt71521ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014308373TotalExpensesPerForm990

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
ExplanationU.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN SPONSOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012 THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE UNDER ASC TOPIC 740. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN SPONSOR BELIEVES THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR YEARS PRIOR TO 2009.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS AVAILABLE BY THE BOARD OF TRUSTEES AT THE FUND OFFICE.
FORM 990, PART VI, SECTION B, LINE 12CEACH OFFICER IS REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN THE ANNUAL CONFLICT OF INTEREST STATEMENT.
FORM 990, PART VI, SECTION C, LINE 19A PUBLIC DISCLOSURE COPY OF FORM 990 IS AVAILABLE FOR REVIEW AT THE FUND OFFICE.
FORM 990, PART XI, LINE 9:CHANGE IN PRIOR YEAR BENEFIT OBLIGATION 6,321,710. CHANGE IN PRIOR YEAR CONTRIBUTIONS 11,537.CHANGES IN NET ASSETS OR FUND BALANCES:

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