2012-11-08T18:55:57-06:00 2011-12-31 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 916022828 990 2011-01-01 951734798 THE TILE INDUSTRY HEALTH & WELFARE FUND % JIM PRATER BENESYS TILE 6266461075 1050 LAKES DR WEST COVINA CA 917902910 chad boggio 2012-11-08 true Miller Kaplan Arase LLP 8187692010 2011 2016-02-25 16:41:14Z CHAD BOGGIO 1050 LAKES DR STE 225 WEST COVINA CA 917902910 6124856 false X N/A X 1960 CA SEE SCHEDULE O 9 9 20 0 0 0 0 0 6431935 4434001 497616 404358 15 0 6929566 4838359 0 0 5661050 4651461 0 0 0 0 0 506460 392122 6167510 5043583 762056 -205224 16559727 15772602 3770809 3140864 12788918 12631738 X SEE SCHEDULE O false false SEE SCHEDULE O false false false false false false false false false false false false false true true 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 false true 290 0 true 20 false true false false false false false X 9 9 false false false false false false false true true false false true true true true true true false false false X JIM PRATER BENESYS 6266461075 1050 LAKES DR STE 225 WEST COVINA CA 917902910 X X VIVIAN GALLUP 1.0 X 0 0 0 RANDALL NUNNELLY 1.0 X 0 0 0 LOREN RUCKER 1.0 X 0 0 0 JOHN WILSON 1.0 X 0 0 0 CHAD BOGGIO 1.0 X 0 0 0 PETE GERBER 1.0 X 0 0 0 STEPHEN PERSON 1.0 X 0 0 0 REFUGIO PINEDO 1.0 X 0 0 0 joel rehome 1.0 X 0 0 0 CHRIS SCHRADER 1.0 X 0 0 0 0 0 0 0 false false false BENESYS INC 1050 LAKES DR STE 225 WEST COVINA CA 917902910 CONTRACT ADMIN. 108000 1 0 EMPLOYERS CONTRIBUTIONS 900099 4152820 4152820 EMPLOYEES SELF-PAYMENTS 900099 105783 105783 CONTRACTORS COVERAGE 900099 115196 115196 COBRA SUBSIDY 900099 60202 60202 4434001 388207 388207 0 0 1302648 1286497 16151 16151 16151 0 0 0 0 4838359 4434001 404358 0 0 0 4651461 0 0 0 0 0 0 108000 78583 58743 0 0 22740 66575 0 33039 0 0 0 0 0 372 0 0 0 24070 5043583 -30223 -24362 3352536 3684701 0 0 1196345 345399 0 0 0 0 0 0 0 0 15887 24278 0 12025182 11742586 0 0 0 0 0 0 0 0 16559727 15772602 52051 67625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3718758 3073239 3770809 3140864 X 0 0 0 0 12788918 12631738 12788918 12631738 16559727 15772602 X -205224 48044 X false true true X 0 BENEFITS OBLIGATIONS 2760600 EMPLOYER REMITTANCE DIFFERENCE 117556 DUE TO AFFILIATES 195083 3073239 4838359 5043583 -205224 4851 4851 -200373 4843210 4851 4851 4838359 4838359 5043583 5043583 5043583 part x, line 2: The Organization has adopted guidance on accounting for uncertainty in income taxes issued by the Financial Accounting Standards Board. Management believes that the Organization has taken no uncertain tax positions that require adjustment to the financial statements to comply with the provisions of this guidance. Certain prior years information returns filed by the Plan are subject to examination by authorities. PART I, LINE 1; PART III, LINES 1 AND 4: THE TILE INDUSTRY HEALTH AND WELFARE FUND IS A MULTIEMPLOYER, DEFINED BENEFIT WELFARE PLAN PROVIDING MEDICAL-HOSPITAL, DENTAL, PRESCRIPTION, VISION, DEATH AND ACCIDENTAL DEATH AND DISMEMBERMENT, AND DISABILITY BENEFITS TO PARTICIPANTS. PART I, LINE 5; PART V LINES 2A AND 2B: THE ORGANIZATION HAS NO STATUTORY EMPLOYEES, HOWEVER, FORMS W-2/W-3 WERE FILED FOR PLAN PARTICIPANTS PAID SELF-FUNDED DISABILITY BENEFITS. PART VI, LINE 11b: THE BOARD OF TRUSTEES REVIEWS THE FORM 990 AND UPON APPROVAL, DESIGNATES AND AUTHORIZES AN INDIVIDUAL TO SIGN THE RETURN. PART VI, LINES 15A AND 15B: MEMBERS OF THE BOARD OF TRUSTEES RECEIVE NO COMPENSATION. THE ORGANIZATION DOES NOT HAVE OTHER OFFICERS OR KEY EMPLOYEES. PART VI, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. PART VI, LINE 12C: The Board of Trustees has adopted a set of policies and procedures to monitor and comply with the conflict of interest policy. part xi, line 5: TRANSFER OF NET ASSETS FROM TERMINATED TILE LAYERS AND TILE FINISHERS VACATION TRUST FUND (THE "VACATION FUND") (E.I.N. 95-6142282). THE FOLLOWING ASSETS, LIABILITIES AND NET ASSETS OF THE VACATION FUND WERE TRANSFERRED TO THE PLAN IN DECEMBER 2011: ASSETS CASH $52,161 LIABILITIES ACCRUED EXPENSES 8,968 NET ASSETS $43,193 UNREALIZED APPRECIATION OF INVESTMENTS 4,851 TOTAL $48,044 TILE INDUSTRY RETIREMENT SAVINGS TR FD 1050 LAKES DR STE 225 WEST COVINA CA 917902910 956118656 EMP. BEN. PL. CA 501(A) N/A NA false TILE LAYERS & TILE FINISHERS VACATION PL 1050 LAKES DR STE 225 WEST COVINA CA 917902910 956142282 EMP. BEN. PL. CA 501(C)(9) N/A NA false false false false true false false false false false false false false false false false true true true tile industry retirement savings trust fund d 215000 CASH tile industry retirement savings trust fund r 1222281 CASH TILE LAYERS AND TILE FINISHERS VAC TF R 52161 CASH THE INSTRUCTIONS FOR PREPARING 990 SCHEDULE R ARE UNCLEAR AS TO WHETHER INFORMATION ABOUT CONTRIBUTING EMPLOYERS, INCLUDING MONTHLY CONTRIBUTIONS paid to a multiemployer defined benefit, health and welfare plan, are required to be reported in applicable sections of Schedule R. The Tax Exempt and Government Entities division of the Internal Revenue Service was unable to provide any clarification of this issue. The plan has 110 contributing employers and much of the information required to complete Schedule R is currently not available at the administrative office. The plan would incur significant administrative costs to accumulate this additional information and the prudency of using plan assets to compile this questionable information has not been determined. Therefore, pending clear direction from the Internal Revenue Service, information on contributing employers has not been reported on Schedule R (Form 990).