TEAMSTERS HEALTH & WELFARE FUND LOCAL 377: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
TEAMSTERS HEALTH & WELFARE FUND LOCAL 377 (EIN 34-0755508)
Tax period
2010-09-01 to 2011-08-31
Filed
2012-05-23
IRS object ID
201241449349300509
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)
Timestamp2012-05-23T11:10:57-05:00Timestamp
Tax Period End Date2011-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ANNESS GERLACH & WILLIAMS CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3827AddressLine1
CityYOUNGSTOWNCity
StateOHState
ZIP Code445133827ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN340755508EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS LOCAL NO 377 HEALTH & WELFARE FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTEAMNameControl
Phone3307443148Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11223 TEAMSTERS DRIVEAddressLine1
CityYOUNGSTOWNCity
StateOHState
ZIP Code44502ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRALPH COOKName
TitleTRUSTEETitle
Phone3307443148Phone
Date Signed2012-05-23DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS J ANNESS CPAName
Phone3307585716Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRALPH COOKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11223 TEAMSTERS DRIVEAddressLine1
CityYOUNGSTOWNCity
StateOHState
ZIP Code44502ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11134660GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8115358ProgramServiceRevenuePriorYear
Program Service Revenue CY8080754ProgramServiceRevenueCY
Investment Income Prior Year436439InvestmentIncomePriorYear
Investment Income Current Year606544InvestmentIncomeCurrentYear
Other Revenue Prior Year549636OtherRevenuePriorYear
Other Revenue Current Year307365OtherRevenueCurrentYear
Total Revenue Prior Year9101433TotalRevenuePriorYear
Total Revenue Current Year8994663TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year9406764BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY9421290BenefitsPaidToMembersCY
Salaries Etc Prior Year140179SalariesEtcPriorYear
Salaries Etc Current Year136426SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year265566OtherExpensePriorYear
Other Expenses Current Year258541OtherExpensesCurrentYear
Total Expenses Prior Year9812509TotalExpensesPriorYear
Total Expenses Current Year9816257TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-711076RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-821594RevenuesLessExpensesCY
Total Assets BOY9581013TotalAssetsBOY
Total Assets EOY8666423TotalAssetsEOY
Total Liabilities BOY22618TotalLiabilitiesBOY
Total Liabilities EOY46287TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9558395NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8620136NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTHE ORGANIZATION PROVIDES HEALTHCARE, RETIREMENT AND DEATH BENEFITS TO ITS ELIGIBLE MEMBERS.Description
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 Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
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 Employees3NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
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
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
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 Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
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 Line1RALPH COOKBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3307443148TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11223 TEAMSTERS DRIVEAddressLine1
CityYOUNGSTOWNCity
StateOHState
ZIP Code44502ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOHN LESICKO
UNION TRUSTEEX000
ROBERT BASIC
UNION TRUSTEEX000
FRANCIS P MORA
UNION TRUSTEEX000
JOSEPH MCHENRY
EMPLOYER TRUSTEEX000
CARMEN FORDE
EMPLOYER TRUSTEEX000
RAYMOND HUBER
EMPLOYER TRUSTEEX000
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

FieldValueIRS element (for citing)
DescriptionHEALTH BENEFIT CONTRIBDescription
Business Code900099BusinessCode
Total Revenue Column8080754TotalRevenueColumn
Related Or Exempt Function Income8080754RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8080754TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column503303TotalRevenueColumn
Related Or Exempt Function Income503303RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2243238Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2139997Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities103241Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column103241TotalRevenueColumn
Related Or Exempt Function Income103241RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INSURANCE STOP-LOSS RE900099299222299222
SUBROGATION PAYMENTS90009981438143
FieldValueIRS element (for citing)
Total Other Revenue307365TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8994663TotalRevenueColumn
Related Or Exempt Function Income8994663RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total9421290Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total112491Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total14820Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9115Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total22000Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total33902Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total23850Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total16282Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total76166Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total27331Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total25835Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10200Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total786Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total787Total

Insurance Insurance

FieldValueIRS element (for citing)
Total21402Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9816257Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY372519BOY
EOY111618EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY574336BOY
EOY556632EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY440565BOY
EOY715262EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8020BOY
EOY6756EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis47812LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec45230LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3369BOY
EOY2582EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8165150BOY
EOY7258950EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17054BOY
EOY14623EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9581013BOY
EOY8666423EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22618BOY
EOY46287EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY22618BOY
EOY46287EOY
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)
BOY9558395BOY
EOY8620136EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9558395BOY
EOY8620136EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9581013BOY
EOY8666423EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-821594ReconcilationRevenueExpenses
Reconcilation Other Changes-116665ReconcilationOtherChanges
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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis21605OtherCostOrOtherBasis
Depreciation21605Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis26207OtherCostOrOtherBasis
Depreciation23625Depreciation
Book Value2582BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2582TotalOfBookValueLandBuildings
Total Revenue8994663TotalRevenue
Total Expenses9816257TotalExpenses
Excess Or Deficit For Year-821594ExcessOrDeficitForYear
Net Unrealized GL On Investments-116665NetUnrealizedGLOnInvestments
Total Adjustments-116665TotalAdjustments
Excess Or Deficit Per FS-938259ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8877998TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-116665NetUnrealizedGainsInvestments
Revenue Not Rptd F990-116665RevenueNotRptdF990
Revenue Subtotal8994663RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908994663TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9816257TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal9816257ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909816257TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationDURING THE YEAR ENDED AUGUST 31, 2010, THE FUND ADOPTED THE PROVISIONS OF "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES" WHICH PRESCRIBES A RECOGNITION THRESHOLD AND A MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. FOR THOSE BENEFITS TO BE RECOGNIZED, A TAX POSITION MUST BE MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE FUND ADMINISTRATOR HAS ANALYZED TAX POSITIONS TAKEN BY THE FUND, AND HAS CONCLUDED THAT AS OF AUGUST 31, 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY PERIODS IN PROGRESS. THE FUND ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO POTENTIAL INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2007.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS DISTRIBUTED TO ALL TRUSTEES FOR REVIEW.
CONFLICT OF INTEREST POLICIES ARE MAILED OUT ANNUALLY TO ALL BOARD OF TRUSTEE MEMBERS. THE MEMBERS SIGN, AND RETURN THE POLICIES TO ENSURE COMPLIANCE WITH THE POLICY.FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -116,665.FORM 990, PART XI, LINE 5:
FORM 990, PART XI, LINE 2C, OVERSIGHT COMMITTEE OF THE AUDIT/AUDITOR: THE ORGANIZATION'S PROCESS FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

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