FURP.ORG / PUBLIC DATA EXPLORER

UTILITY WORKERS UNION OF AMERICA NATIONAL HEALTH AND WELFARE FUND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UTILITY WORKERS UNION OF AMERICA NATIONAL HEALTH AND WELFARE FUND (EIN 20-0027580)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-25
IRS object ID
201342989349300729
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)
Timestamp2013-10-25T13:50:04-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN470900880EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CALIBRE CPA GROUP PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17501 WISCONSIN AVENUE SUITE 1200AddressLine1
Address Line2WESTAddressLine2
CityBETHESDACity
StateMDState
ZIP Code20814ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN200027580EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UTILITY WORKERS UNION OF AMERICABusinessNameLine1
Business Name Line2NATIONAL HEALTH AND WELFARE FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUTILNameControl
Phone5173217502Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16525 CENTURION DRIVEAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVEN VANSLOOTENName
TitleTRUSTEETitle
Phone5173217502Phone
Date Signed2013-10-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOANN WOODSONName
PTINP01293745PTIN
Phone2023319880Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEVEN VANSLOOTENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16525 CENTURION DRIVEAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
Gross Receipts27200694GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation2003YearFormation
State Legal DomicileDCStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE "O"TO PROVIDE HEALTH AND RELATED BENEFITS TO EMPLOYEES AND FORMER EMPLOYEES OF VARIOUS EMPLOYERS AND AFFILIATED LOCAL UNIONS OF UWUA.ActivityOrMissionDescription
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 Year11971456ProgramServiceRevenuePriorYear
Program Service Revenue CY13103973ProgramServiceRevenueCY
Investment Income Prior Year1834145InvestmentIncomePriorYear
Investment Income Current Year1778082InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year13805601TotalRevenuePriorYear
Total Revenue Current Year14882055TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year9776833BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY10762612BenefitsPaidToMembersCY
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 Year425406OtherExpensePriorYear
Other Expenses Current Year408603OtherExpensesCurrentYear
Total Expenses Prior Year10202239TotalExpensesPriorYear
Total Expenses Current Year11171215TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3603362RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3710840RevenuesLessExpensesCY
Total Assets BOY37888586TotalAssetsBOY
Total Assets EOY42645790TotalAssetsEOY
Total Liabilities BOY126862TotalLiabilitiesBOY
Total Liabilities EOY23557TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37761724NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY42622233NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH AND RELATED BENEFITS TO EMPLOYEES AND FORMER EMPLOYEES OF VARIOUS EMPLOYERS AND AFFILIATED LOCAL UNIONS OF UWUA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE 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 Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
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

FieldValueIRS element (for citing)
Name PersonTIC INTERNATIONAL CORPORATIONNamePerson
Telephone Number5173217502TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16525 CENTURION DRIVEAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
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
GERALD POWERS
UNION TRUSTEE1.00X000
ROBERT MCKEAGE
EMPLOYER TRUSTEE1.00X000
J KEVIN BOOTH
UNION TRUSTEE1.00X000
RICH MATA
UNION TRUSTEE1.00X000
LEE ELLIS
EMPLOYER TRUSTEE1.00X000
CHARLIE RITTENHOUSE
UNION TRUSTEE1.00X000
KEVIN JENKINS
EMPLOYER TRUSTEE1.00X000
RODNEY LEBEAU
EMPLOYER TRUSTEE1.00X000
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 (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000991273660312736603
EMPLOYEE CONTRIBUTION900009367370367370
FieldValueIRS element (for citing)
Total Program Service Revenue13103973TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1385825TotalRevenueColumn
Exclusion$1,385,825ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities12710896Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities12318639Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities392257Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column392257TotalRevenueColumn
Exclusion$392,257ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14882055TotalRevenueColumn
Related Or Exempt Function Income13103973RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,778,082ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total10762612Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total89797Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total43438Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10192Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total173639Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total31081Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1019Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19594Total

Insurance Insurance

FieldValueIRS element (for citing)
Total16307Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
MISCELLANEOUS9140
BANK SERVICE CHARGES8516
DUES AND SUBSCIRPTIONS5880

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11171215Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2673891BOY
EOY1563023EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY635416BOY
EOY661674EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY23814BOY
EOY3388EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY34476304BOY
EOY40401320EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY79161BOY
EOY16385EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY37888586BOY
EOY42645790EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY77954BOY
EOY13698EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY48908BOY
EOY9859EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY126862BOY
EOY23557EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY37761724BOY
EOY42622233EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37761724BOY
EOY42622233EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37888586BOY
EOY42645790EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3710840ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1149669ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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)
DescriptionPENDING PURCHASES OF SECURITIESDescription
Amount$9,859Amount
FieldValueIRS element (for citing)
Total Of Amounts9859TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt15858085TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1149669NetUnrealizedGainsInvestments
Revenue Not Rptd F9901149669RevenueNotRptdF990
Revenue Subtotal14708416RevenueSubtotal
Investment Expenses Not Included173639InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt173639RevenueNotRptdOnFinStmt
Total Revenue Per Form99014882055TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10997576TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10997576ExpensesSubtotal
Investment Expenses Not Included2173639InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt173639ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011171215TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTING FIRM AND PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY WHICH FOLLOWS THE FIDUCIARY STANDARDS SET FORTH IN THE EMPLOYEE INCOME RETIREMENT AND SECURITY ACT OF 1974.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENT, OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PASRT XII, LINE 2CTHE BOARD OF TRUSTEES HAS OVERSIGHT OF THE AUDIT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1UTILITY WORKERS UNION OF AMERICABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1815 16TH STREET NWAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20006ZIPCode
FieldValueIRS element (for citing)
EIN530183102EIN
Primary ActivitiesPARTICIPATING EMPLOYERPrimaryActivities
Legal Domicile StateDCLegalDomicileState
Exempt Code Section501(C)(5)ExemptCodeSection
Controlled Org0ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateControlled OrgControlledOrg
PEOPLES NATURAL GAS
PO BOX 535323PITTSBURGHPA15253PARTICIPATING EMPLOYERPA0
DOMINION RESOURCES SERVICES
701 EAST CARY STREETRICHMONDVA23219PARTICIPATING EMPLOYERVA0
CONSTELLATION ENERGY GROUP
100 CONSTELLATION WAYBALTIMOREMD21202PARTICIPATING EMPLOYERMD0
DTE ENERGY CO
ONE ENERGY PLAZADETRIOTMI48226PARTICIPATING EMPLOYERMI0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg