2013-08-15T11:21:11-05:00 2012-05-31 381357951 PLANTE & MORAN PLLC 111 E COURT STREET SUITE 1A FLINT MI 485021649 990 2011-06-01 237165969 SHEET METAL WORKERS LOCAL NO 80 INSURANCE TRUST FUND SHEE 2488139800 700 TOWER DRIVE TROY MI 480983446 ANTHONY ASHER 2488139800 2013-08-14 1 MARK HURST P00057187 8107675350 2011 2016-02-24 21:20:13Z ANTHONY ASHER 700 TOWER DRIVE TROY MI 48098 17234243 0 X WWW.BENESYSINC.COM/SHEET80FRINGE.ASP X 1964 MI PROVIDE HEALTH, LIFE, DENTAL, VISION, ORTHODONTIC, HEARING, PHARMACEUTICAL, AND WEEKLY DISABILITY. 8 1 0 0 0 0 0 0 14405617 15424519 189627 149676 0 0 14595244 15574195 0 0 10962351 12377431 0 0 0 0 0 1226692 1047741 12189043 13425172 2406201 2149023 7396371 10077630 1944827 2611538 5451544 7466092 COLLECTION OF EMPLOYER CONTRIBUTIONS AND DISBURSEMENTS OF HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS WHICH IS THE EXEMPT PURPOSE OF THE FUND. 0 0 12762919 15424519 COLLECTION OF EMPLOYER CONTRIBUTIONS AND DISBURSEMENT OF HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS WHICH IS THE EXEMPT PURPOSE OF THE FUND. 12762919 0 0 0 0 0 0 0 0 0 0 1 0 0 1 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 1 0 0 0 1 X 936 0 0 0 0 0 0 0 0 X 8 1 1 0 1 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 X BENESYS INC 2488139800 700 TOWER DRIVE STE 300 TROY MI 48098 MRMARK SABA 1.00 X 0 110958 0 MR ANTHONY ASHER 1.00 X 0 0 0 MR ERIC MCPHERSON 1.00 X 0 97983 0 MR DAVID KARL 1.00 X 0 0 0 MR KEITH TRELFA 1.00 X 0 0 0 MRNICK SERAPHINOFF 1.00 X 0 0 0 MS STACY HUFFMAN 1.00 X 0 0 0 MR RICK MEAD 1.00 X 0 0 0 MR PHILLIP MCSHANE 1.00 X 0 0 0 0 208941 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 230000 12965884 12965884 EMPLOYEE CONTRIBUTIONS 900099 2458635 2458635 15424519 117283 117283 1692441 1660048 32393 32393 32393 15574195 15424519 0 149676 12377431 734489 34763 19190 36253 7000 29588 2001 8230 OTHER EXPENSE 96778 COLLECTION EXPENSE 79449 13425172 -1 2741036 3380941 928888 1058899 652791 557575 3067095 5069903 6562 10312 7396371 10077630 87827 76631 1857000 2534907 1944827 2611538 X 0 0 0 0 5451544 7466092 5451544 7466092 7396371 10077630 X 2149023 -134475 X 0 1 1 X 0 0 U.S. GOVERNMENT AGENCY OBLIGATIONS 1364032 F CORPORATE BONDS AND NOTES 462649 F COMMON STOCK 2453775 F MONEY MARKET FUNDS 218239 F MUTUAL FUNDS 571208 F 5069903 BENEFIT CLAIMS PAYABLE 2483000 DEFERRED SELFPAY REVENUE 51907 2534907 15574195 13425172 2149023 -134475 -134475 2014548 15403431 -134511 -134511 15537942 36253 36253 15574195 12762919 -626000 -626000 13388919 36253 36253 13425172 PART XIII, LINE 2D - OTHER ADJUSTMENTS: DECREASE IN BENEFIT OBLIGATIONS CURRENTLY PAYABLE -626,000. THE FUND MAY NOT RECEIVE DEDUCTIBLE CONTRIBUTIONS UNDER SECTION 170(C). PART V, LINE 7 THEREFORE, LINES 7A THROUGH 7H ARE NOT APPLICABLE. FORM 990, PART VI, SECTION A, LINE 2 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 AN EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES. BECAUSE OF THIS ORGANIZATIONAL REQUIREMENT, THERE IS A BUSINESS RELATIONSHIP BETWEEN THE TRUSTEES. FORM 990, PART VI, SECTION A, LINE 4 THE FUND'S BOARD OF TRUSTEES ADOPTED AMENDMENTS TO ITS PLAN DOCUMENT DURING THE TAX YEAR THAT: REFLECTED CHANGES IN FUNDS'S SERVICE PROVIDERS; WERE REQUIRED TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT; CLARIFIED THE DIFFERENT CLASSIFICATION OF EMPLOYEES COVERED BY THE PLAN, THE ELIGIBILITY RULES FOR EACH CLASS, AND THE BENEFITS PROVIDED TO EACH CLASS; UPDATED THE BENEFITS THE FUND PROVIDES; CLARIFIED RULES AND BENEFITS FOR RETIRED PARTICIPANTS; UPDATED THE PLAN'S EXCLUSIONS AND LIMITATIONS; AND, UPDATED THE CLAIMS AND APPEALS PROVISION. FORM 990, PART VI, SECTION A, LINE 7A THE FUND IS ADMINISTERED BY A BOARD OF EIGHT TRUSTEES, COMPRISED OF FOUR UNION TRUSTEES AND FOUR EMPLOYER TRUSTEES. THE UNION TRUSTEES ARE ELECTED BY THE LOCAL UNION MEMBERSHIP, EITHER DIRECTLY INTO A TRUSTEE POSITION OR INTO AN OFFICE POSITION OF THE LOCAL UNION FROM WHICH HE HOLDS HIS FUND TRUSTEESHIP EX OFFICIO. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO EACH TRUSTEE BEFORE IT IS FILED WITH THE IRS. IN ADDITION, IT IS PRESTENED AND APPROVED BY THE FULL BOARD OF TRUSTEES AT A MEETING, SUBJECT TO REVIEW BY, AND APPROVAL OF, THE FUND'S LEGAL COUNSEL. EACH TRUSTEE MUST ANNUALLY ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL PART VI, LINE 12B QUESTIONNAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. PART VI, LINE 15: THE FUND DID NOT HAVE ANY EMPLOYEES THAT MET THE DEFINITIONS IN THE PLAN YEAR. IF THE FUND DID HAVE EMPLOYEES THAT MET THE LISTED DEFINITIONS, THEN ANY COMPENSATION WOULD HAVE BEEN ESTABLISHED IN ACCORDANCE WITH THE PROCESS DESCRIBED IN PART VI, LINE 15A OF FORM 990. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 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: -134,475. FORM 990, PART 1, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: BENEFITS FOR ELIGIBLE PARTICIPANTS. PART VII, LINE 1A THE TRUSTEES OF THE FUND SERVE WITHOUT COMPENSATION FROM THE FUND, BUT SOME ARE COMPENSATED AS EMPLOYEES OF ENTITIES THAT ARE CONSIDERED RELATED ORGANIZATIONS TO THE FUND FOR PURPOSES OF FORM 990. CITY OF DETROIT 2 WOODWARD AVENUE SUITE 644 DETROIT MI 48226 MI 0 SMACNA DETROIT CHAPTER 3221 W BIG BEAVER ROAD SUITE 305 TROY MI 48084 MI 0 SHEET METAL WORKERS LOCAL UNION NO 80 APPRENTICESHIP FUND 32700 DEQUINDRE WARREN MI 48092 MI 0 SHEET METAL WORKERS LOCAL UNION NO 80 ANNUITY FUND 700 TOWER DRIVE SUITE 300 TROY MI 480982808 382941426 MI 0 SHEET METAL WORKERS LOCAL UNION NO 80 PENSION FUND 700 TOWER DRIVE SUITE 300 TROY MI 480982808 386105633 MI 0 SHEET METAL WORKERS LOCAL UNION NO80 SUPPLEMENTAL UNEMPLOYMENT BENEFIT FUND 700 TOWER DRIVE SUITE 300 TROY MI 480982808 386112387 MI 0 SHEET METAL WORKERS LOCAL UNION 17100 W 12 MILE ROAD 2ND FLOOR SOUTHFIELD MI 48076 MI 0 CEI MICHIGAN LLC PO BOX 200 2140 INDUSTRIAL DR HOWELL MI 48843 MI 0 0 SDI EXTERIOR SYSTEMS LLC 20791 RANDALL FARMINGTON HILLS MI 48336 MI 0 0 CONQUEST MANUFACTURING LLC 28408 LORNA AVE WARREN MI 48092 MI 0 0 HMW CONTRACTING LLC 12855 BURT ROAD DETROIT MI 48223 MI 0 0 HERITAGE MECHANICAL LL 522 BIDDLE WYANDOTTE MI 48192 MI 0 0 SUMMIT ROOFING LLC 1755 WALDON RD LAKE ORION MI 48359 MI 0 0 MECHANICAL DESIGN & INSTALLATION LLC 47924 WEST RD WIXOM MI 48393 MI 0 0 BARMATIC INSPECTING COMPANY 1771 DIX LINCOLN PARK MI 48146 MI SCHENA ROOFING & SHEET METAL C 28299 KEHRIG DRIVE NEW BALTIMORE MI 48047 MI KNAPPS ARCHITECTURAL METAL WOR 706 EGRAND BLANC RD GRAND BLANC MI 48439 MI DENNIS HEATING & COOLING 17501 FRANCIS STREET MELVINDALE MI 48122 MI BRINES REFRIGERATION INC 26400 SOUTHFIELD RD LATHRUP VILLAGE MI 48076 MI BRINKER TEAM CONSTRUCTION CO 815 W GRAND BLVD DETROIT MI 48216 MI CROWN CORR INC BOX 1750 HIGHLAND IN 46322 IN VM SYSTEMS INC 3125 HILL AVENUE TOLEDO OH 43607 OH MICHIGAN METAL WALLS INC 1410 MCKINLEY WYANDOTTE MI 48192 MI EXTERIOR METALS INC 3162 EAST HEMPHILL BURTON MI 48529 MI MARTINEZ MECHANICAL INC 29701 WEST 6 MILE ROAD STE 140A LIVONIA MI 48152 MI MW MORSS ROOFING 15423 OAKWOOD DR ROMULUS MI 48174 MI DEE CRAMER INC 4221 EBALDWIN RD HOLLY MI 48442 MI BUMLER MECHANICAL INC 6260 18-1/2 MILE RD STERLING HGTS MI 48314 MI CONDOR METAL ROOFING & SIDING 11800 EAST 9 MILE WARREN MI 48089 MI COMMERCIAL COMFORT SYSTEMS PO BOX 8792 MAUMEE OH 43537 OH HALEY MECHANICALINC PO BOX 417 DEXTER MI 48130 MI BEST IMPRESSIONSINC 32680 NEWMAN FRASER MI 48026 MI E W ENSROTH COMPANY 24621 SCHOENHERR RD WARREN MI 48089 MI FULLER HEATING COMPANY 777 S WAGNER ROAD ANN ARBOR MI 48103 MI GREAT LAKES HOTEL SUPPLY COMPA 1961 GRAND RIVER AVENUE DETROIT MI 48226 MI GREAT LAKES MTL PANEL SYS INC 13640 WEST STATE RD GRAND LEDGE MI 48837 MI LIBERTY SHEET METAL 4715 22 MILE RD UTICA MI 48317 MI LIMBACH COMPANY 926 FEATHERSTONE PO BOX 432099 PONTIAC MI 483420728 MI MCSHANE MECHANICAL CONTRACTING 2055 EASY STREET COMMERCE TWP MI 48390 MI ROBERTSON MORRISON INC 4721 RUNWAY BLVD ANN ARBOR MI 48108 MI S & Z SHEETMETAL INC 5237 COMMERCE ROAD FLINT MI 48507 MI A-1 SPECIALTY SERVICES 1416 W 8 MILE FERNDALE MI 48220 MI NORTH ROOFING (GORDON) 1870 OPDYKE ROAD AUBURN HILLS MI 48326 MI NORTH STAR REFRIGERATION 50650 CORPORATE DRIVE SUITE A SHELBY TOWNSHIP MI 48315 MI AMERICAN MECHANICAL 4305 DELEMERE BLVD ROYAL OAK MI 480731806 MI ALLIED VENTILATION INC 21714 SCHMEMAN WARREN MI 48089 MI SYSTEMP CORP 3909 INDUSTRIAL DRIVE ROCHESTER HILLS MI 48309 MI MACOMB HEATING & COOLING INC 6250 19 MILE ROAD STERLING HEIGHTS MI 48314 MI BLOOM ROOFING SYSTEMS INC 12238 EMERSON DRIVE BRIGHTON MI 48116 MI MOTOR CITY VENTILATION INC 5851 W FORT STREET DETROIT MI 48209 MI MI LABOR INC 64200 TIPPERARY WASHINGTON TWP MI 48095 MI VENTILATION SYSTEMS INC PO BOX 287 HARTLAND MI 48353 MI MJ MECHANICAL INC 11787 PRIOR RD ST CHARLES MI 48655 MI UNIVERSAL WALL SYSTEMS INC 6119 28TH STREET SE SUITE 1B GRAND RAPIDS MI 49546 MI KOOL HEATING & COOLING PO BOX 1096 PERRYSBURG OH 43552 OH EL MECHANICAL INC PO BOX 34427 DETROIT MI 48234 MI JOHNSON CONTROLS 507 E MICHIGAN ST MILWAUKEE WI 532025211 WI WITT MECHANICAL INC 28722 WALL STREET WIXOM MI 48393 MI METRO AIR INC 6689 ORCHARD LAKE RD SUITE 320 WEST BLOOMFIELD MI 48322 MI ROYAL-WEST ROOFING & SHEET METAL LLC 10505 PLAZA DRIVE STE B WHITMORE LAKE MI 48189 MI AERODYNAMICS INSPECTING COMP 6325 CHASE ROAD DEARBORN MI 48126 MI DETROIT CORNINCE AND SLATE CO INC 1315 ACADEMY FERNDALE MI 48220 MI ERV EHLERS COMPANY 30885 EIGHT MILE RD LIVONIA MI 48152 MI WJ O'NEIL COMPANY 35457 INDUSTRIAL LIVONIA MI 48150 MI J & J METAL PRODUCTS 34145 GROESBECK CLINTON TWP MI 48035 MI RE LEGGETTE COMPANY 9335 ST STEPHENS DEARBORN MI 48126 MI ALLIANCE AIR CONDITIONING & HE 20800 HUBBELL OAK PARK MI 482373019 MI PARTLAN-LABADIE SHEET METAL CO 12901 CLOVERDALE OAK PARK MI 48237 MI ROYAL ROOFING CO INC 2445 BROWN RD ORION MI 48359 MI SCHREIBER CORPORATION 29945 BECK ROAD WIXOM MI 48393 MI RW MEAD & SONS INC 33795 RIVIERA DRIVE FRASER MI 48026 MI RENE VANASSCHE & SONS COMPANY 21530 GROESBECK WARREN MI 48089 MI TEMPCO MECHANICAL CONTRACTORS 24383 INDOPLEX CIRCLE FARMINGTON HILLS MI 48335 MI HUTZEL PLUMBING & HEATING CO 2311 SOUTH INDUSTRIAL HWY ANN ARBOR MI 48104 MI APPLEGATE INC 485 EAST SOUTH STREET JACKSON MI 49203 MI SANI-VAC SERVICE INC 5750 ENTERPRISE CT WARREN MI 480923462 MI JD CANDLER ROOFING CO INC 31111 INDUSTRIAL LIVONIA MI 48150 MI CDP ENVIRONMENTAL INC 16525 EASTLAND ROSEVILLE MI 48066 MI ANN ARBOR ROOFING COMPANY PO BOX 347 WHITMORE LAKE MI 481890347 MI ENVIRO-AIRE INC 28915 HARPER AVENUE ST CLAIR SHORES MI 48081 MI NEWTON CRANE ROOFING INC 353 N CASS AVE PONTIAC MI 48058 MI BARON MECHANICAL CONTRACTORS INC 30621 INDUSTRIAL RD LIVONIA MI 48150 MI INTERNATIONAL TEST & BALANCE INC 380 NORTHWEST HWY DES PLAINES IL 600162201 IL LADUKE CORPORATION 10311 CAPITAL AVENUE OAK PARK MI 48237 MI LYON MECHANICAL CONTRACTORSINC PO BOX 130 NEW HUDSON MI 48165 MI ABSOLUT BALANCING CO INC 9712 HARMON LANE SOUTH LYON MI 48178 MI TEMP ASURE DBA WEBB MECHANICAL & ELECTRICAL CONTRACTORS 12681 DELTA DR TAYLOR MI 48180 MI T F BECK COMPANY 2222 DEVONDALE ROAD ROCHESTER HILLS MI 48309 MI QUALITY ROOFING INCORPORATED 6201 EARHART RD ANN ARBOR MI 48105 MI SET DUCT MANUFACTURING INC 7800 INTERVALE DETROIT MI 48238 MI VENTCON INC 500 ENTERPRISE DRIVE ALLEN PARK MI 48101 MI MCM FIXTURE COMPANY 21306 JOHN R HAZEL PARK MI 48030 MI MECHANICAL SHEET METAL CO 723 WALNUT WYANDOTTE MI 48192 MI MEP MECHANICAL SERVICES LLC 12125 W SILVER SPRING RD MILWAUKEE WI 53225 MI GREAT LAKES MECHANICAL 3800 MAPLE DEARBORN MI 48126 MI CURBS & DAMPER PRODUCTS INC 16525 EASTLAND ROSEVILLE MI 48066 MI METRO ENVIRONMENTAL INC 22656 15 MILE RD CLINTON TWP MI 48035 MI S & M SHEET METAL LTD 23262 TELEGRAPH SOUTHFIELD MI 48034 MI MW METALS INCORPORATED 6201 EARHART ROAD ANN ARBOR MI 48105 MI CONTI MECHANICAL INC 6417 CENTER DRIVE STERLING HEIGHTS MI 48312 MI DANBOISE MECHANICAL 31625 GRAND RIVER FARMINGTON MI 48336 MI CUSTOM ARCHITECTURAL SHEETMETAL SPECIALISTS INC 5641 CONNER AVENUE DETROIT MI 48213 MI THE FRED CHRISTEN & SONS COMPANY 12830 MANSFIELD DETROIT MI 48227 MI AIRFLOW TESTING INC 1105 DIX ROAD LINCOLN PARK MI 48146 MI GOYETTE MECHANICAL CO INC 3842 GERRY AVE FLINT MI 48506 MI FORCED AIR SYSTEMS INC 42258 YEAREGO DR STERLING HEIGHTS MI 48314 MI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 IDENTIFICATION OF RELATED ORGANIZATIONS: PARTS II, III, AND IV THE FILING ORGANIZATION IS A MULTIEMPLOYER TRUST FUND AS DEFINED BY 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 MAY 31, 2012, THERE WERE 369 CONTRIBUTING EMPLOYERS TO THE FUND. UNDER THE INSTRUCTIONS TO SCHEDULE R, THOSE EMPLOYERS ARE CONSIDERED "RELATED ORGANIZATIONS". THE FUND'S 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 THE EMPLOYER'S LEGAL STRUCTURE. THE LIST ON SCHEDULE R INCLUDES THE NAMES AND ADDRESSES OF THE CONTRIBUTING EMPLOYERS WITH ADDRESSES, WHICH IS THE EXTENT OF THE INFORMATION THE FUND HAS WITH RESPECT TO EACH EMPLOYER, AND COMPORTS WITH THE INSTRUCTIONS FOR THE 2012 SCEDULE R (FORM 990).