PLUMBERS & STEAMFITTERS LOCAL 166 HEALTH & WELFARE PL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PLUMBERS & STEAMFITTERS LOCAL 166 HEALTH & WELFARE PL (EIN 35-2030543)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201233209349301258
Schema version
2011v1.2
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)
Timestamp2012-11-15T07:30:23-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN350905017EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WHITINGER & COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11100 W WHITE RIVER BLVDAddressLine1
CityMUNCIECity
StateINState
ZIP Code473033776ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN352030543EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PLUMBERS AND STEAMFITTERS LOCAL 166BusinessNameLine1
Business Name Line2HEALTH AND WELFARE BENEFIT PLANBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlPLUMNameControl
Phone2604979380Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12930 W LUDWIG ROADAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46818ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKENT PROSSERName
TitleCHAIRMANTitle
Phone2604979380Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJERALD L CHILDS CPAName
PTINP00318360PTIN
Phone7652843384Phone
Date Prepared2012-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKENT PROSSERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12930 W LUDWIG ROADAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46818ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7313600GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1998YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionHEALTH AND WELFARE FUND FOR LOCAL UNION 166ActivityOrMissionDescription
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 Year7119180ProgramServiceRevenuePriorYear
Program Service Revenue CY7056616ProgramServiceRevenueCY
Investment Income Prior Year180950InvestmentIncomePriorYear
Investment Income Current Year53528InvestmentIncomeCurrentYear
Other Revenue Prior Year140187OtherRevenuePriorYear
Other Revenue Current Year203456OtherRevenueCurrentYear
Total Revenue Prior Year7440317TotalRevenuePriorYear
Total Revenue Current Year7313600TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year6028406BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY6840308BenefitsPaidToMembersCY
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 Year404950OtherExpensePriorYear
Other Expenses Current Year544505OtherExpensesCurrentYear
Total Expenses Prior Year6433356TotalExpensesPriorYear
Total Expenses Current Year7384813TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1006961RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-71213RevenuesLessExpensesCY
Total Assets BOY8239214TotalAssetsBOY
Total Assets EOY8335806TotalAssetsEOY
Total Liabilities BOY21184TotalLiabilitiesBOY
Total Liabilities EOY96544TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8218030NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8239262NetAssetsOrFundBalancesEOY
Mission DescriptionHEALTH AND WELFARE FUND FOR LOCAL UNION 166.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROVIDE EMPLOYEES AND RETIREES WITH 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 Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
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 Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KENT PROSSERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2604979380TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12930 W LUDWIG ROADAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46818ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KENT PROSSER
UNION TRUSTEE2.00X000
MIKE KLINGER
UNION TRUSTEE2.00X000
THOMAS MALLOTT
UNION TRUSTEE2.00X000
RICHARD RAMIREZ
UNION TRUSTEE2.00X000
BRAD JENKINS
EMPLOYER TRUSTEE2.00X000
STEVE MIRWALDT
EMPLOYER TRUSTEE2.00X000
DOUG ZOLLINGER
EMPLOYER 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

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BENESYS INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1700 TOWER DRIVEAddressLine1
CityTROYCity
StateMIState
ZIP Code48098ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCONTRACT ADMINISTRATORDescriptionOfServices
Compensation165390Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PARTICIPANT CONTRIBUTI90009965312926531292
SELF PAY - RETIRED PAR900099505876505876
SELF PAY - ACTIVE PART9000991944819448
FieldValueIRS element (for citing)
Total Program Service Revenue7056616TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column53528TotalRevenueColumn
Exclusion$53,528ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACEUTICAL REBATES900099193979193979
LIQUIDATED DAMAGES90009953225322
LITIGATION SETTLEMENTS90009941554155
FieldValueIRS element (for citing)
Total Other Revenue203456TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7313600TotalRevenueColumn
Related Or Exempt Function Income7260072RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$53,528ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total6840308Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total74745Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14426Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2000Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total44720Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total45958Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2200Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5768Total

Insurance Insurance

FieldValueIRS element (for citing)
Total15558Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
CONTRACT ADMINISTRATOR165390
MEDICAL CLAIMS ADMINIST112736
BENEFIT LIASON33130
BANK FEES10955

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16919Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7384813Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1648937BOY
EOY1500368EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY680095BOY
EOY568592EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5898627BOY
EOY5375768EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11555BOY
EOY891078EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8239214BOY
EOY8335806EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21184BOY
EOY96544EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21184BOY
EOY96544EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8218030BOY
EOY8239262EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8218030BOY
EOY8239262EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8239214BOY
EOY8335806EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-71213ReconcilationRevenueExpenses
Reconcilation Other Changes92445ReconcilationOtherChanges
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 Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
ACCOUNTS RECEIVABLE - OTHER841276
ACCRUED INTEREST INCOME49802
FieldValueIRS element (for citing)
Total Book Value Other Assets891078TotalBookValueOtherAssets
Total Revenue7313600TotalRevenue
Total Expenses7384813TotalExpenses
Excess Or Deficit For Year-71213ExcessOrDeficitForYear
Other$92,445OtherAmount
Total Adjustments92445TotalAdjustments
Excess Or Deficit Per FS21232ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8247131TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments92445NetUnrealizedGainsInvestments
Other Revenues841086OtherRevenues
Revenue Not Rptd F990933531RevenueNotRptdF990
Revenue Subtotal7313600RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9907313600TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8225899TotExpensesEtcAuditedFinclStmt
Other Expenses Included841086OtherExpensesIncluded
Expenses Not Rptd F990841086ExpensesNotRptdF990
Expenses Subtotal7384813ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907384813TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:UNREALIZED GAIN ON INVESTMENTS 92,445.
PART XII, LINE 2D - OTHER ADJUSTMENTS:REINSURANCE AND REIMBURSEMENTS
PART XIII, LINE 2D - OTHER ADJUSTMENTS:REINSURANCE AND REIMBURSEMENTS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE BOARD OF TRUSTEES CHAIR, KENT PROSSER, BEFORE IT IS SIGNED AND MAILED.
FORM 990, PART VI, SECTION C, LINE 19ALL FORMS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART XI, LINE 5:UNREALIZED GAIN ON INVESTMENTS 92,445. TOTAL TO FORM 990, PART XI, LINE 5: 92,445.CHANGES IN NET ASSETS OR FUND BALANCES:

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