IATSE LOCAL 857 WELFARE FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
IATSE LOCAL 857 WELFARE FUND (EIN 30-0042023)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-04-17
IRS object ID
201211099349300211
Schema version
2010v3.4
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)
Timestamp2012-04-17T11:09:39-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BERNARD KOTKIN AND COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1533 SOUTH FREMONT AVENUEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90071ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN300042023EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1IATSE LOCAL 857 WELFARE FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlIATSNameControl
Phone5624635000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line113191 CROSSROADS PKWY NORTH NO 205AddressLine1
CityCITY OF INDUSTRYCity
StateCAState
ZIP Code91746ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSERGIO MEDINAName
TitleTRUSTEETitle
Phone5624635015Phone
Date Signed2012-04-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2138929090Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSERGIO MEDINANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line113191 CROSSROADS PKWY N SUITE 205AddressLine1
CityCITY OF INDUSTRYCity
StateCAState
ZIP Code91746ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1427013GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH AND WELFARE BENEFITS.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
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 Year874995ProgramServiceRevenuePriorYear
Program Service Revenue CY942089ProgramServiceRevenueCY
Investment Income Prior Year19239InvestmentIncomePriorYear
Investment Income Current Year59304InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year894234TotalRevenuePriorYear
Total Revenue Current Year1001393TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year966752BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY994075BenefitsPaidToMembersCY
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 Year47201OtherExpensePriorYear
Other Expenses Current Year64454OtherExpensesCurrentYear
Total Expenses Prior Year1013953TotalExpensesPriorYear
Total Expenses Current Year1058529TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-119719RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-57136RevenuesLessExpensesCY
Total Assets BOY1158137TotalAssetsBOY
Total Assets EOY1152043TotalAssetsEOY
Total Liabilities BOY361870TotalLiabilitiesBOY
Total Liabilities EOY372342TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY796267NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY779701NetAssetsOrFundBalancesEOY
Mission DescriptionTHE FUND PROVIDES ELIGIBLE MEMBERS AND THEIR DEPENDENTS WITH MEDICAL AND OTHER HEALTH BENEFITS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1053868Expense
DescriptionTO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE BENEFITS TO APPROXIMATELY 145 ELIGIBLE MEMBERS.Description
Total Program Service Expense1053868TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
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
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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 Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BENEFIT PROGRAM ADMINISTRATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5624635000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line113191 CROSSROADS PKWY NORTH SUITEAddressLine1
CityCITY OF INDUSTRYCity
StateCAState
ZIP Code91746ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SERGIO MEDINA
TRUSTEE2.00X000
KAREN SARPOLUS
TRUSTEE2.00X000
MICHAEL DEMARTINI
TRUSTEE2.00X000
TOM SHEPPARD
TRUSTEE2.00X000
JEFF LOEB
TRUSTEE2.00X000
MICHAEL THOMPSON
TRUSTEE2.00X000
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 CONTRIBUTIONS900099829623829623
EMPLOYEE CONTRIBUTIONS900099112466112466
FieldValueIRS element (for citing)
Total Program Service Revenue942089TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column25974TotalRevenueColumn
Related Or Exempt Function Income25974RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities458950Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities425620Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities33330Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column33330TotalRevenueColumn
Related Or Exempt Function Income33330RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1001393TotalRevenueColumn
Related Or Exempt Function Income1001393RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total994075Total
Program Services994075ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total875Total
Management And General875ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3786Total
Management And General3786ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5303Total
Program Services5303ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total14379Total
Program Services14379ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total4117Total
Program Services4117ProgramServices

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionADMINISTRATIVEDescription
Total35994Total
Program Services35994ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1058529Total
Program Services1053868ProgramServices
Management And General4661ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12174BOY
EOY2236EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY349582BOY
EOY86568EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY65549BOY
EOY69014EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7116BOY
EOY1743EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY723716BOY
EOY992482EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1158137BOY
EOY1152043EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3406BOY
EOY7573EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY358464BOY
EOY364769EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY361870BOY
EOY372342EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY796267BOY
EOY779701EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY796267BOY
EOY779701EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1158137BOY
EOY1152043EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-57136ReconcilationRevenueExpenses
Reconcilation Other Changes40570ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionBENEFIT OBLIGATIONS PAYABLEDescription
Amount$364,769Amount
FieldValueIRS element (for citing)
Total Of Amounts364769TotalOfAmounts
Total Revenue1001393TotalRevenue
Total Expenses1058529TotalExpenses
Excess Or Deficit For Year-57136ExcessOrDeficitForYear
Net Unrealized GL On Investments40570NetUnrealizedGLOnInvestments
Total Adjustments40570TotalAdjustments
Excess Or Deficit Per FS-16566ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1041963TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments40570NetUnrealizedGainsInvestments
Revenue Not Rptd F99040570RevenueNotRptdF990
Revenue Subtotal1001393RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901001393TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1052224TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1052224ExpensesSubtotal
Other Expenses Not Included6305OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt6305ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901058529TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XIII, LINE 4B - OTHER ADJUSTMENTS:Identifier
ExplanationCHANGE IN BENEFIT LIABILITY 6,305.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS PROVIDED TO MANAGEMENT FOR REVIEW PRIOR TO FILING.
THE FORM 990 IS AVAILABLE FOR REVIEW AT THE ADMINISTRATORS OFFICE BY APPOINTMENT ONLY.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 40,570.FORM 990, PART XI, LINE 5:
AUDIT COMMITTEETHE BOARD OF TRUSTEES HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF INDEPENDENT ACCOUNTANTS.FORM 990, PART XII, LINE 2C

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.