2013-10-21T10:17:32-05:00 2012-12-31 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2012-01-01 386238055 MICHIGAN TROWEL TRADES HEALTH AND WELFARE FUND MICH 5173217502 6525 CENTURION DRIVE LANSING MI 48917 MANAGEMENT TRUSTEE 5173217502 2013-03-14 false BRYAN STULZ 5868836240 2013-10-21 2012 2016-02-24 21:20:13Z SAME AS ABOVE 4945490 false X WWW.OUTSTATETROWELTRADES.ORG X 1971 MI PROVIDE HEALTH CARE BENEFITS TO PARTICIPANTS. 10 5 0 0 0 4938483 4931902 2918 606 64869 12982 5006270 4945490 0 4369176 5698961 0 0 0 296592 264207 4665768 5963168 340502 -1017678 4489013 3883422 2297486 2709573 2191527 1173849 PROVIDE HEALTH CARE BENEFITS TO PARTICIPANTS. false false 5698961 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. 5698961 false false false false false false false false false false false false true 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 true 0 0 0 false false false false false false X 10 5 true false false false false false false true true false false true false false false false false false X TIC INTERNATIONAL 5173217502 6525 CENTURION DR LANSING MI 48917 X JOEL SANTOS 1.00 40.00 X 0 79228 15163 HENRY WILLIAMS 1.00 40.00 X 0 72825 14489 CYRIL WILSON 1.00 40.00 X 0 57460 23233 MICHAEL STANFIELD 1.00 40.00 X 0 56111 23330 JACK MCCOOL 1.00 40.00 X 0 20633 13841 DON BOVRE 1.00 X 0 0 0 GLENN BUKOSKI 1.00 X 0 0 0 SCOTT FISHER 1.00 X 0 0 0 LAWRENCE WALRAVEN 1.00 40.00 X 0 0 0 DOUGLAS NEEDHAM 1.00 X 0 0 0 286257 90056 false false false 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 2 EMPLOYER CONTRIBUTIONS 230000 4475836 4475836 PARTICIPANT SELF PAYMENTS 230000 456066 456066 4931902 606 606 LIQUIDATED DAMAGES 900099 10330 10330 OTHER 900099 2652 2652 12982 4945490 4944884 606 5698961 5698961 102000 102000 50932 50932 36370 36370 44513 44513 14333 14333 1800 1800 12652 12652 1607 1607 5963168 5698961 264207 0 3296978 2880743 210967 227113 981068 775566 4489013 3883422 113486 53573 2184000 2656000 2297486 2709573 X 2191527 1173849 2191527 1173849 4489013 3883422 -1017678 X false true X true false HEALTH CARE CLAIMS DEPOSIT 774094 PREPAID EXPENSES 980 UNEXPIRED INSURANCE PREMIUM 492 775566 BENEFIT OBLIGATIONS 2656000 2656000 4945490 4945490 4945490 5963168 5963168 5963168 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. SEE PART VII N/A false SEE PART VII N/A false false SEE PART VII N/A false false 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 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