2013-02-14T16:29:22-06:00 2012-04-30 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2011-05-01 356073323 MICHIANA ELECTRICAL WORKERS HEALTH & WELFARE FUND MICH 5173217502 6525 CENTURION DRIVE LANSING MI 489179275 ROGER DOSMANNSTANLEY MILES 5173217502 2012-08-21 BRYAN STULZ 5868836240 2013-02-14 2011 2016-03-07 17:11:31Z SAME AS ABOVE 35588736 false X X 1961 MI PROVIDE HEALTH AND WELFARE BENEFITS 6 6 0 0 0 8230080 9490837 425964 362361 214839 161878 8870883 10015076 0 13139201 11465829 0 0 0 118840 148510 13258041 11614339 -4387158 -1599263 9620046 5855785 6567895 4806632 3052151 1049153 PROVIDE HEALTH AND WELFARE BENEFITS false false 11465829 TO PROVIDE HOSPITALIZATION, MEDICAL AND OTHER RELATED HEALTH CARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. 11465829 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 false true 0 0 0 false false false false false false X 6 6 true false false false false false false true true false false false false false false false false false X TIC INTERNATIONAL 5173217502 6525 CENTURION DR LANSING MI 48917 X X ROGER DOSMANN 1.00 X 0 0 0 RON EASTON 1.00 X 0 0 0 STANLEY MILES 1.00 X 0 0 0 BRIAN SULLIVAN 1.00 X 0 0 0 CHRISTOPHER GROVE 1.00 X 0 0 0 GARY ROPBERTS 1.00 X 0 0 0 false false false BLUE CROSS BLUE SHIELD OF MICHIGAN 27000 W ELEVEN MILE B561 SOUTHFIELD MI 48034 INSURANCE 564684 1 EMPLOYER CONTRIBUTIONS 230000 8677841 8677841 EMPLOYEE CONTRIBUTIONS 230000 812996 812996 9490837 155186 2129 153057 25780835 25573660 207175 207175 207175 MEDICARE PART D SUBSIDY 900099 151690 151690 LIQUIDATED DAMAGES 900099 5722 5722 COBRA ASSISTANCE PROGRAM 900099 4466 4466 161878 10015076 9862019 153057 11465829 11465829 6600 6600 15300 15300 22456 22456 41490 41490 15301 15301 6601 6601 21892 21892 14167 14167 MEMBER COMMUNICATIONS 2857 2857 SUMMARY ANNUAL REPORT 1846 1846 11614339 11465829 148510 0 2117638 1302926 933083 1076850 682166 1050406 5887159 2425603 9620046 5855785 30907 73226 6536988 4733406 6567895 4806632 X 3052151 1049153 3052151 1049153 9620046 5855785 -1599263 -403735 X false true true X false false false false false false false false false false false ACCUMULATED ELIGIBILITY CREDITS 3595000 CLAIMS INCURRED BUT NOT REPORTED 999000 UNSETTLED INVESTMENT TRANSACTIONS 139406 4733406 10015076 11614339 -1599263 -403735 -403735 -2002998 9588885 -403735 -403735 9992620 22456 22456 10015076 11591883 11591883 22456 22456 11614339 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. 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, PRIOR TO ITS FILING 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 - THE TRUSTEES OF THE FUND SERVE WITHOUT COMPENSATION FROM THE FUND, BUT ARE COMPENSATED AS EMPLOYEES OF THE ENTITIES THAT MIGHT BE A "SPONSORING ORGANIZATION OF A VEBA" OR "CONTRIBUTING EMPLOYER OF A VEBA"; HOWEVER, NONE OF THOSE ENTITIES CONTRIBUTED 10% OR MORE OF THE CONTRIBUTIONS TO THE FUND DURING THE TAX YEAR. (SEE THE INSTRUCTIONS TO SCHEDULE R.) 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 ADDITIONAL INFORMATION SCHEDULE R SCHEDULE R PARTS 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 2012 THERE WERE 136 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 INCLUDING NAMES ADDRESSES AND OTHER CONTACT INFORMATION HOWEVER THE FUND DOES NOT HAVE AND HAS NO REASONABLE WAY TO OBTAIN MUCH OF THE INFORMATION TO BE REPORTED ON SCHEDULE R SUCH AS EMPLOYER IDENTIFICATION NUMBERS AND THE EMPLOYERS LEGAL STRUCTURE EG CORPORATION OR PARTNERSHIP THE FOLLOWING IS A LISTING OF THOSE CONTRIBUTING EMPLOYERS WHICH IS THE EXTENT OF THE INFORMATION THE FUND HAS WITH RESPECT TO EACH EMPLOYER CONTRIBUTING EMPLOYERS H G SERVICES INC MARTELL ELECTRIC KOONTZWAGNER ELECTRIC CONST MTI GLOBAL SERVICES IBID COUNTY ELECTRIC SHAMBAUGH SON LP HUNT ELECTRIC CORP DAY ZIMMERMAN NPS LINEAR ELECTRIC INC SERVICE ONE PROFESSIONAL GROUP PEMBERTONDAVIS ELECTRIC CO COMMUNICATION CO OF SOUTH BEND SCHWARTZ ELECTRIC INC MEAD WHITECOLIP ELECTRIC BRITE ELECTRIC INC GARMAN ELECTRIC HARTMAN ELECTRIC INC SHAUM ELECTRIC CO INC COLIP ELECTRIC CORP IBEW LOCAL 153 MCMANN ELECTRIC INC TRI CITY DATA ELECTRONIC ELECTRICAL MAINT CONST LLC ELITE ELECTRICAL LLC T G B UNLIMITED INC NORTEC TELECOMMUNICATIONS INC INFRASOURCE UNDERGROUND CONST HI TECH ELECTRIC CO CONNECTIVITY TECHNOLOGY INC SWENEY ELECTRIC SOUTH BEND VICINITY ELEC JATC PRECISION CONTROL SYSTEMS AMPLE ELECTRIC CRAIG ELECTRIC INC VANDERHEYDEN TECHNOLOGIES INC MCDANIEL FIRE SYSTEMS LLC ELECTRIC PLUS INC CONVERGED COMMUNICATION PARTNR SWAN ELECTRIC COMPANY INC KETELHUT ELECTRIC JETTLINE ELECTRIC INC NETWORK CABLING SOLUTIONS RIVERBEND ELECTRIC INC FAIRCHILD COMM SYSTEMS INC ENYART ELECTRIC MOTOR REPAIR SOUTH BEND ELECTRIC INC SERVICE ELECTRIC OF ALLEN CO DAYS CORPORATION ALLIED ELECTRICAL SERVICES INC R D ELECTRIC CO C K ELECTRIC INC SCHENK LIGHTNING ROD CO MOORE ELECTRICAL SERVICE INC SKILL ELECTRIC LLC SCHMITT COMMUNICATIONS INC SARGENT ELECTRIC COMPANY ELECTRICORPE INC MOLTER ELECTRIC PARSONS ELECTRIC LLC STORMS MCMULLEN ELECTRIC INC J J ELECTRIC OF INDIANA INC SHAW SYSTEMS AND INTEGRATION GIESLER ELECTRIC INC STOUFFER ELECTRIC CO F E MORAN INC SPECIAL HAZARD HALLIGAN ELECTRIC INC AE ELECTRIC CO INC J W PHYRE ELECTRIC CO OF IND INDUSTRIAL INST INC AUSTGENS ELECTRIC INC