MICHIGAN TROWEL TRADES HEALTH & WELFARE FUND: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MICHIGAN TROWEL TRADES HEALTH & WELFARE FUND (EIN 38-6238055)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-21
- IRS object ID
- 201342949349300614
- Schema version
- 2012v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-21T10:17:32-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BENDA GRACE STULZ & COMPANY PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 38800 VAN DYKE AVE STE 100 | AddressLine1 |
| City | STERLING HEIGHTS | City |
| State | MI | State |
| ZIP Code | 48312 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 386238055 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHIGAN TROWEL TRADES HEALTH AND | BusinessNameLine1 |
| Business Name Line2 | WELFARE FUND | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MICH | NameControl |
| Phone | 5173217502 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6525 CENTURION DRIVE | AddressLine1 |
| City | LANSING | City |
| State | MI | State |
| ZIP Code | 48917 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MANAGEMENT TRUSTEE | Name |
| Title | UNION TRUSTEE | Title |
| Phone | 5173217502 | Phone |
| Date Signed | 2013-03-14 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRYAN STULZ | Name |
| Phone | 5868836240 | Phone |
| Date Prepared | 2013-10-21 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SAME AS ABOVE | NameOfPrincipalOfficerPerson |
| Gross Receipts | 4945490 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.OUTSTATETROWELTRADES.ORG | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 1971 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE HEALTH CARE BENEFITS TO PARTICIPANTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4938483 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4931902 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2918 | InvestmentIncomePriorYear |
| Investment Income Current Year | 606 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 64869 | OtherRevenuePriorYear |
| Other Revenue Current Year | 12982 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5006270 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4945490 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 4369176 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 5698961 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 296592 | OtherExpensePriorYear |
| Other Expenses Current Year | 264207 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4665768 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5963168 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 340502 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1017678 | RevenuesLessExpensesCY |
| Total Assets BOY | 4489013 | TotalAssetsBOY |
| Total Assets EOY | 3883422 | TotalAssetsEOY |
| Total Liabilities BOY | 2297486 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2709573 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2191527 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1173849 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE HEALTH CARE BENEFITS TO PARTICIPANTS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 5698961 | Expense |
| Description | TO PROVIDE HEALTH CARE BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS. THESE BENEFITS INCLUDED HEALTH, VISION, PRESCRIPTION DRUG, LIFE INSURANCE AND ACCIDENTAL DEATH AND DISMEMBERMENT COVERAGE. | Description |
| Total Program Service Expense | 5698961 | TotalProgramServiceExpense |
| Described In501 C3 | false | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicy |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TIC INTERNATIONAL | NamePerson |
| Telephone Number | 5173217502 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6525 CENTURION DR | AddressLine1 |
| City | LANSING | City |
| State | MI | State |
| ZIP Code | 48917 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| JOEL SANTOS | ||||||
| TRUSTEE | 1.00 | 40.00 | X | 0 | 79228 | 15163 |
| HENRY WILLIAMS | ||||||
| TRUSTEE | 1.00 | 40.00 | X | 0 | 72825 | 14489 |
| CYRIL WILSON | ||||||
| TRUSTEE | 1.00 | 40.00 | X | 0 | 57460 | 23233 |
| MICHAEL STANFIELD | ||||||
| CHAIRMAN | 1.00 | 40.00 | X | 0 | 56111 | 23330 |
| JACK MCCOOL | ||||||
| TRUSTEE | 1.00 | 40.00 | X | 0 | 20633 | 13841 |
| DON BOVRE | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| GLENN BUKOSKI | ||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | |
| SCOTT FISHER | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| LAWRENCE WALRAVEN | ||||||
| TRUSTEE | 1.00 | 40.00 | X | 0 | 0 | 0 |
| DOUGLAS NEEDHAM | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp Frm Rltd Orgs | 286257 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 90056 | TotalOtherCompensation |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||||
| 27000 W ELEVEN MILE B561 | SOUTHFIELD | MI | 48034 | INSURANCE | 236048 |
| TIC INTERNATIONAL | |||||
| 6525 CENTURION DRIVE | LANSING | MI | 48917 | TPA | 102000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| EMPLOYER CONTRIBUTIONS | 230000 | 4475836 | 4475836 |
| PARTICIPANT SELF PAYMENTS | 230000 | 456066 | 456066 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4931902 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 606 | TotalRevenueColumn |
| Exclusion | $606 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| LIQUIDATED DAMAGES | 900099 | 10330 | 10330 |
| OTHER | 900099 | 2652 | 2652 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 12982 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4945490 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4944884 | RelatedOrExemptFunctionIncome |
| Exclusion | $606 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5698961 | Total |
| Program Services | 5698961 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102000 | Total |
| Management And General | 102000 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50932 | Total |
| Management And General | 50932 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36370 | Total |
| Management And General | 36370 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44513 | Total |
| Management And General | 44513 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14333 | Total |
| Management And General | 14333 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1800 | Total |
| Management And General | 1800 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12652 | Total |
| Management And General | 12652 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1607 | Total |
| Management And General | 1607 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5963168 | Total |
| Program Services | 5698961 | ProgramServices |
| Management And General | 264207 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3296978 | BOY |
| EOY | 2880743 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 210967 | BOY |
| EOY | 227113 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 981068 | BOY |
| EOY | 775566 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4489013 | BOY |
| EOY | 3883422 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 113486 | BOY |
| EOY | 53573 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2184000 | BOY |
| EOY | 2656000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2297486 | BOY |
| EOY | 2709573 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2191527 | BOY |
| EOY | 1173849 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2191527 | BOY |
| EOY | 1173849 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4489013 | BOY |
| EOY | 3883422 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -1017678 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| HEALTH CARE CLAIMS DEPOSIT | 774094 |
| PREPAID EXPENSES | 980 |
| UNEXPIRED INSURANCE PREMIUM | 492 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 775566 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BENEFIT OBLIGATIONS | Description |
| Amount | $2,656,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2656000 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 4945490 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 4945490 | RevenueSubtotal |
| Total Revenue Per Form990 | 4945490 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 5963168 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 5963168 | ExpensesSubtotal |
| Total Expenses Per Form990 | 5963168 | TotalExpensesPerForm990 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 AN EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES. BECAUSE 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 ACUTAL CONFLICTS OF INTEREST. LINE 15 - THE FUND DID NOT HAVE A CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, OR OTHER OFFICERS 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 - CYRIL WILSON, JACK MCCOOL, JOEL SANTOS, MICHAEL STANFIELD AND HENRY WILLIAMS SERVED AS TRUSTEES OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, THEY WERE COMPENSATED AS EMPLOYEES OF EITHER LOCAL 16, LOCAL 67 OR LOCAL 514, WHICH WERE CONTRIBUTING EMPLOYERS TO THE FUND AND, AS SUCH, " RELATED ORGANIZATIONS" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE PART VII | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | false | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE PART VII | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE PART VII | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE R | ReturnReference |
| Explanation | SCHEDULE R PARTS IIIII IV 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 PROPVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS AS OF DECEMBER 31 2012 THERE WERE 160 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 INFORMTION 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 STRUCTUREEG CORPORATION OR PARTNERSHIP THE FOLLOWING IS A LISTING OF THOSE CONTRIBUTING EMPLOYERS CONTRIBUTING EMPLOYERS ANDREWS MICHAEL CONCRETE LLC CEMENT MASONS PENSION TRUST FUND HOLLY JC CONTRACTING INC FLORLINE GROUP G V CEMENT CONTRACTING CO GIBSONLEWIS IMPERIAL CONSTRUCTION SINELLI CHARLES AND SONS INC TRE TORRI CONSTRUCTION RIETH RILEY CONST ROCKHARD CONSTRUCTION SIWEK CONSTRUCTION CO WCI CONSTRUCTION INC OCP CONTRACTORS INC DENNCO CONSTRUCTION AMALIO CORPORATION FLUOR CONSTRUCTORS INTL INC D P SONS CONSTRUCTION CO HARTWELL CEMENT CO DEVON INDUSTRIAL GROUP HALL WILL H SON INC OPERATIVE PLTERS CM LU16 POLLOCK PLASTERING INC POSEN CONSTRUCTION INC RIETH RILEY CONST WALTON DIV WEST SIDE CONSTRUCTION TISEO BROTHERS INC ADM CONSTRUCTION ARISTEO CONSTRUCTION BARNEY JJ CONSTRUCTION LLC BROADCAST DESIGN CONSTR EPIC ONE INC DELISIO CONTRACTING INC FLORENCE CEMENT CO SERRATOS CONSTRUCTION INC SAYLOR ANDREWS CONSTRUCTION CO ACOUSTICAL ARTS INC BOWEN ENGINEERING CORPORATION CARRIER CONSTRUCTION CO INC DONOVON PLASTERING INC GRAFF CONCRETE CUTTING IAFRATE ANGELO CONSTRUCTION MOORETROSPER CONSTRUCTION CO CITY RENOVATION TRIM INC COLASANTI SPECIALTY SERVICES DMA OUTDOOR SERVICES INC KELCRIS ELC LLC KOALAT CONSTRUCTION INC MIDWEST FIREPROOFING V O CONTRACTING COMPANY BURTON BROTHERS II INC LOCAL 67 PLASTERERS W AND G LLC WAYNE STATE UNIVERSITY CENTRAL INTERIORS INC NATIONAL INSULATORS AJAX PAVING INDUSTRIES INC AUDIA CONSTRUCTION CEMENT MASONS LOCAL 514 CLS CONSTRUCTION SEERVICE CENTRAL INTERIORS INC CENTURY CEMENT CO CREATIVE CEMENT INC DSI ACOUSTICAL COMPANY DETROIT CONCRETE CONST INC ELS CONSTRUCTION EARLEY AND ASSOCIATES INC MCINTOSH GEORGE INC INDUSTRIAL CONTRACTING LLC MLS CONCRETE LLC SALINAS CEMENT CO SANCHES CONSTRUCTION CO SEAL ALL WATERPROOFING CO INC TCI INC OF MICHIGAN Z CONTRACTORS INC BRENCAL CONTRACTORS INC CHRISTMAN CONSTRUCTORS INC COOK JACKSON CONTRACTORS FESSLER BOWMAN GM SONS INC GRANGER CONSTRUCTION CO HACKETT CONSTRUCTION HOOVER WELLS LLC MACRO D CONTRACTORS NC BUILDERS INC ARBOR CONSTR PERSONNEL THE AUSTIN COMPANY ADKINS ART CO INC AMERICAN EXCAVATING CONT LLC BARTHEL CONTRACTING CO BOOS AA SONS INC CORE CONCRETE CONST INC 31088 GRENNADA LIVONIA MI 48154 FERRINI CEMENT COMPANY HULL CA INC MAJOR CEMENT CO NORTHERN INDUSTRIAL FLOORING PAPALAS JOHN A CO SPENCE BROTHERS WESTSIDE CONCRETE CO NATIONAL INSULATORS RUSSELL PLASTERING COMPANY POLLOCK PLASTERING INC ANGELO TONY CEMENT CONST CO CIPPARRONE CONTRACTING INC MARTIN J CONCRETE INC OAKLAND PLUMBING COMPANY RIETH RILEY CONST PRUDENVILLE ROCKHARD FLOORING INC SCHWEITZER INC W3 CONSTRUCTION COMPANY WHITE EDWARD R CONTRACTOR INC ALFORD CONSTRUCTION GROUP LLC BRIX CORPORATION CROMWELL PLASTERING DRYWALL DANS CEMENT DOAN CONSTRUCTION CO DOMINIC GAGLIO CONSTRUCTION KAPPA AND WESTLAKE ERICKSON LINDSTROM CON FORT WAYNE CONTRACTING INC HARNISH WILLIAM E ACOUSTICAL INTEGRITY INTERIORS INC NORTH CHANNEL CONSTRUCTION IRISH CONSTRUCTION CO INC SCHROEDER MASONRY AND CEMENT REICHENBACH CEILING PARTITION CO SHEKELL RL INC STREETER BROTHERS INC T L CONTRACTING INC TIMMER CONSTRUCTION COMPANY TITAN INDUSTRIAL FLOORING DIVERSIFIED CONSTR SPEC ALBERICI CONSTRUCTORS GTR DET CEMENT MASON JOINT APPREN BOUMA INTERIORS BYERS D C COMPANY CONSTRUCTION LABOR SERVICES HUNT NEIBOER CONCRETE CONST JMA CONTRACTING LLC MC INDUSTRIAL INC REHMUS AJ SONS INC RIETH RILEY CONSTRUCTIONMASON RUDOLPHLIBBE INC SANTOS CEMENT SAYLORS INC KEMCO PLASTERING INC B B CONCRETE PLACEMENT INC B B CONTRACTING SERVICE CO COMMERCIAL CONTRACTING CORP EVERGREENE ARCHITECTURAL ARTS GRAND RIVER CONSTRUCTION INC O K W CONCRETE CONST INC KERSON CONSTRUCTION INC PRO POUR CONCRETE CONSTRUCTION RBI INC SORENSON GROSS TR CONTRACTORS INC TOEBE WALTER CONSTRUCTION CO HARNISH WM E ACOUSTICAL | Explanation |