NECA IBEW FAMILY MEDICAL CARE TR FUND: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NECA IBEW FAMILY MEDICAL CARE TR FUND (EIN 75-3198514)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201243209349303994
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)
Timestamp2012-11-15T11:57:35-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN470900880EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CALIBRE CPA GROUP PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17501 WISCONSIN AVENUE SUITE 1200 WEAddressLine1
CityBETHESDACity
StateMDState
ZIP Code20814ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN753198514EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NECA IBEW FAMILY MEDICAL CARE TRUST FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNECANameControl
Phone3015564300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 RESEARCH BOULEVARD NO 500AddressLine1
CityROCKVILLECity
StateMDState
ZIP Code208503266ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSALVATORE J CHILIAGEARY HIGGINSName
TitleTRUSTEETitle
Phone3015564300Phone
Date Signed2012-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSCOTT E HALLBERG CPAName
PTINP01081188PTIN
Phone2023319880Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonLAWRENCE BRADLEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1EXECUTIVE DIRECTORAddressLine1
CityROCKVILLECity
StateMDState
ZIP Code20850ZIPCode
FieldValueIRS element (for citing)
Gross Receipts198471570GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.NIFMCP.COMWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation2006YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionHEALTH AND WELFARE FUNDActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees306TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year113162270ProgramServiceRevenuePriorYear
Program Service Revenue CY133259557ProgramServiceRevenueCY
Investment Income Prior Year3259620InvestmentIncomePriorYear
Investment Income Current Year3560257InvestmentIncomeCurrentYear
Other Revenue Prior Year855498OtherRevenuePriorYear
Other Revenue Current Year10673OtherRevenueCurrentYear
Total Revenue Prior Year117277388TotalRevenuePriorYear
Total Revenue Current Year136830487TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year104666337BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY114966844BenefitsPaidToMembersCY
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 Year5364100OtherExpensePriorYear
Other Expenses Current Year5356266OtherExpensesCurrentYear
Total Expenses Prior Year110030437TotalExpensesPriorYear
Total Expenses Current Year120323110TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7246951RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16507377RevenuesLessExpensesCY
Total Assets BOY79340794TotalAssetsBOY
Total Assets EOY99535067TotalAssetsEOY
Total Liabilities BOY1154892TotalLiabilitiesBOY
Total Liabilities EOY4228829TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY78185902NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY95306238NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE MEMBERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE MEDICAL, LIFE, TEMPORARY DISABILITY, ACCIDENTAL DEATH AND DISMEMBERMENT, PRESCRIPTION DRUG, DENTAL AND VISION BENEFITS TO ELIGIBLE PARTICIPANTS, DEPENDENTS AND BENEFICIARIES.Description
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 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 With10961026NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees306NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOEL FRANCE COMPUSYS INCNamePerson
Telephone Number8019731001TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12156 W 2200 SOUTHAddressLine1
CitySALT LAKE CITYCity
StateUTState
ZIP Code841191376ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SALVATORE J CHILIA
TRUSTEE3.00X000
GEARY HIGGINS
TRUSTEE3.00X000
ROBERT P KLEIN
TRUSTEE3.00X000
JOHNNY M NICKLES
TRUSTEE3.00X000
DARRELL L MCCUBBINS
TRUSTEE3.00X000
LARRY MOTER
TRUSTEE3.00X000
HOWARD HUGHES
TRUSTEE3.00X000
KEVIN TIGHE
TRUSTEE3.00X000
JERRY SIMS
TRUSTEE3.00X000
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 (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ANTHEM
3350 PEACHTREE ROADATLANTAGA30326MEDICAL PPO PROVIDER3743718
COMPUSYS OF UTAH
2156 WEST 2200 SOUTHWEST VALLEYUT84119THIRD PARTY ADMINISTRATOR2788508
ARNOLD AND KADJAN
203 NORTH LASALLE STREET SUITE 165CHICAGOIL60601LEGAL SERVICES540471
METLIFE
501 US HIGHWAY 22 2ND FLOOR - WEBRIDGEWATERNJ08807MEDICAL PPO PROVIDER388915
MED-CARE MANAGEMENT INC
2090 PALM BEACH LAKES BLVDWEST PALM BEACHFL33409MANAGEMENT321273
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS900099121443949121443949
PART. CONTRIBUTIONS90009977181457718145
RX BENEFIT REBATES90009924582392458239
MEDICARE PART D SUBSID900099936435936435
COBRA PREMIUM SUBSIDIE900099356139356139

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column346650TotalRevenueColumn
Related Or Exempt Function Income346650RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue133259557TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2509686TotalRevenueColumn
Exclusion$2,509,686ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities62691654Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities61641083Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1050571Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1050571TotalRevenueColumn
Exclusion$1,050,571ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column10673TotalRevenueColumn
Exclusion$10,673ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue10673TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column136830487TotalRevenueColumn
Related Or Exempt Function Income133259557RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,570,930ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total114966844Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total701283Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total108122Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total175954Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3703733Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total438490Total

Travel Travel

FieldValueIRS element (for citing)
Total35788Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8836Total

Insurance Insurance

FieldValueIRS element (for citing)
Total78434Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotal
BANK FEES91963
MISCELLANEOUS13663

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total120323110Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-1596640BOY
EOY-1512918EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6955541BOY
EOY6318811EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11773155BOY
EOY13571048EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY71296BOY
EOY71413EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY62137442BOY
EOY81086713EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY79340794BOY
EOY99535067EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY449702BOY
EOY1921039EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY705190BOY
EOY2307790EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1154892BOY
EOY4228829EOY
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)
BOY78185902BOY
EOY95306238EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY78185902BOY
EOY95306238EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY79340794BOY
EOY99535067EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16507377ReconcilationRevenueExpenses
Reconcilation Other Changes612959ReconcilationOtherChanges
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 (2 entries)

DescriptionDescriptionAmountAmount
DUE TO BROKERS$1,782,205
RECIPROCITY CONTRIBUTIONS PAYABLE$525,585
FieldValueIRS element (for citing)
Total Of Amounts2307790TotalOfAmounts
Total Revenue136830487TotalRevenue
Total Expenses120323110TotalExpenses
Excess Or Deficit For Year16507377ExcessOrDeficitForYear
Net Unrealized GL On Investments136665NetUnrealizedGLOnInvestments
Other$476,294OtherAmount
Total Adjustments612959TotalAdjustments
Excess Or Deficit Per FS17120336ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt136791198TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments136665NetUnrealizedGainsInvestments
Revenue Not Rptd F990136665RevenueNotRptdF990
Revenue Subtotal136654533RevenueSubtotal
Investment Expenses Not Included175954InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt175954RevenueNotRptdOnFinStmt
Total Revenue Per Form990136830487TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt120147156TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal120147156ExpensesSubtotal
Investment Expenses Not Included2175954InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt175954ExpensesNotRptdOnFinStmt
Total Expenses Per Form990120323110TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XI, LINE 8 - OTHER ADJUSTMENTS:Identifier
ExplanationASSETS TRANSFERRED FROM IBEW LOCAL 648 HEALTH & WELFARE PLAN 476,294.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING. AFTER THE BOARD'S REVIEW, THE FORM IS APPROVED AND FILED.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 136,665. ASSETS TRANSFERRED FROM IBEW LOCAL 648 HEALTH & WELFARE PLAN 476,294. TOTAL TO FORM 990, PART XI, LINE 5: 612,959.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

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