PLUMBERS & STEAMFITTERS LOCAL 166 HEALTH & WELFARE PL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PLUMBERS & STEAMFITTERS LOCAL 166 HEALTH & WELFARE PL (EIN 35-2030543)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-02
IRS object ID
201322149349301252
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)
Timestamp2013-08-02T15:01:51-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN350905017EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WHITINGER & COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11100 W WHITE RIVER BLVDAddressLine1
CityMUNCIECity
StateINState
ZIP Code473033776ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN352030543EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PLUMBERS AND STEAMFITTERS LOCAL 166BusinessNameLine1
Business Name Line2HEALTH AND WELFARE BENEFIT PLANBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlPLUMNameControl
Phone2604979380Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12930 W LUDWIG ROADAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46818ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKENT PROSSERName
TitleCHAIRMANTitle
Phone2604979380Phone
Date Signed2013-07-24DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJERALD L CHILDS CPAName
PTINP00318360PTIN
Phone7652843384Phone
Date Prepared2013-07-24DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKENT PROSSERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12930 W LUDWIG ROADAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46818ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7175020GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1998YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionHEALTH AND WELFARE FUND FOR LOCAL UNION 166ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
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 Year7056616ProgramServiceRevenuePriorYear
Program Service Revenue CY6794957ProgramServiceRevenueCY
Investment Income Prior Year53528InvestmentIncomePriorYear
Investment Income Current Year232074InvestmentIncomeCurrentYear
Other Revenue Prior Year203456OtherRevenuePriorYear
Other Revenue Current Year147989OtherRevenueCurrentYear
Total Revenue Prior Year7313600TotalRevenuePriorYear
Total Revenue Current Year7175020TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year6840308BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY6450299BenefitsPaidToMembersCY
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 Year544505OtherExpensePriorYear
Other Expenses Current Year625136OtherExpensesCurrentYear
Total Expenses Prior Year7384813TotalExpensesPriorYear
Total Expenses Current Year7075435TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-71213RevenuesLessExpensesPriorYear
Revenues Less Expenses CY99585RevenuesLessExpensesCY
Total Assets BOY8335806TotalAssetsBOY
Total Assets EOY9181359TotalAssetsEOY
Total Liabilities BOY96544TotalLiabilitiesBOY
Total Liabilities EOY792590TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8239262NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8388769NetAssetsOrFundBalancesEOY
Mission DescriptionHEALTH AND WELFARE FUND FOR LOCAL UNION 166.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROVIDE EMPLOYEES AND RETIREES WITH HEALTH AND WELFARE BENEFITSDescription
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 Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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 Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KENT PROSSERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2604979380TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12930 W LUDWIG ROADAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46818ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KENT PROSSER
LABOR TRUSTEE2.00X000
MIKE KLINGER
LABOR TRUSTEE2.00X000
THOMAS MALOTT
LABOR TRUSTEE2.00X000
THOMAS FORTMAN ALTERNATE
LABOR TRUSTEE2.00X000
BRAD JENKINS
MANAGEMENT TRUSTEE2.00X000
BILL MEYER
MANAGEMENT TRUSTEE2.00X000
DOUG ZOLLINGER
MANAGEMENT TRUSTEE2.00X000
TED CURRENT ALTERNATE
MANAGEMENT TRUSTEE2.00X000
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

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BENESYS INC
700 TOWER DRIVETROYMI48098CONTRACT ADMINISTRATOR165294
PREMIER HEALTH EXCHANGE
2 CROSSROADS DRIVEBEDMINSTERNJ07921CLAIMS REPRICING AND NEGOTIATIONS104743
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PARTICIPANT CONTRIBUTI90009962581996258199
SELF PAY900099536758536758
FieldValueIRS element (for citing)
Total Program Service Revenue6794957TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column232074TotalRevenueColumn
Exclusion$232,074ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACEUTICAL REBATES900099146326146326
LIQUIDATED DAMAGES90009916631663
FieldValueIRS element (for citing)
Total Other Revenue147989TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7175020TotalRevenueColumn
Related Or Exempt Function Income6942946RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$232,074ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total6450299Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total62392Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19339Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total17532Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total49679Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total23672Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13049Total

Insurance Insurance

FieldValueIRS element (for citing)
Total12563Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
MEDICAL CLAIMS ADMINIST190701
CONTRACT ADMINISTRATOR166612
BENEFIT LIAISON42677
BANK FEES13578

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13342Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7075435Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1500368BOY
EOY1846055EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY568592BOY
EOY669985EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5375768BOY
EOY6539653EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY891078BOY
EOY125666EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8335806BOY
EOY9181359EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY96544BOY
EOY125325EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY667265EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY96544BOY
EOY792590EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8239262BOY
EOY8388769EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8239262BOY
EOY8388769EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8335806BOY
EOY9181359EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses99585ReconcilationRevenueExpenses
Reconcilation Other Changes49922ReconcilationOtherChanges
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

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO OTHER FUNDSDescription
Amount$667,265Amount
FieldValueIRS element (for citing)
Total Of Amounts667265TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt7289426TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments49922NetUnrealizedGainsInvestments
Other Revenues64484OtherRevenues
Revenue Not Rptd F990114406RevenueNotRptdF990
Revenue Subtotal7175020RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9907175020TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7139919TotExpensesEtcAuditedFinclStmt
Other Expenses Included64484OtherExpensesIncluded
Expenses Not Rptd F99064484ExpensesNotRptdF990
Expenses Subtotal7075435ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907075435TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 2D - OTHER ADJUSTMENTS:REINSURANCE AND REIMBURSEMENTS
PART XII, LINE 2D - OTHER ADJUSTMENTS:REINSURANCE AND REIMBURSEMENTS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE BOARD OF TRUSTEES CHAIR, KENT PROSSER, BEFORE IT IS SIGNED AND MAILED.
FORM 990, PART VI, SECTION C, LINE 19ALL FORMS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART XI, LINE 9:UNREALIZED GAIN ON INVESTMENTS 49,922.CHANGES IN NET ASSETS OR FUND BALANCES:

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