2011-08-12T15:57:02-05:00 2010-12-31 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2010-01-01 386238055 MICHIGAN TROWEL TRADES HEALTH AND WELFARE FUND MICH 5173217502 6525 CENTURION DRIVE LANSING MI 48917 CYRIL WILSON 5173217502 2011-03-24 BRYAN STULZ 5868836240 2011-08-12 2010 2016-02-24 21:20:13Z SAME AS ABOVE 5224700 false X WWW.OUTSTATETROWELTRADES.ORG X 1971 MI PROVIDE HEALTH CARE BENEFITS TO PARTICIPANTS. 10 10 0 0 0 4510722 5040186 10853 4123 65104 180391 4586679 5224700 0 5148962 5335477 0 0 0 307273 369937 5456235 5705414 -869556 -480714 4414540 4602576 2082801 2751551 2331739 1851025 PROVIDE HEALTH CARE BENEFITS TO PARTICIPANTS. false false 5335477 TO PROVIDE HEALTH CARE BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS. THESE BENEFITS INCLUDED HEALTH, VISION, PRESCRIPTION DRUG, LIFE INSURANCE AND ACCIDENTAL DEATH AND DISMEMBERMENT COVERAGE. 5335477 false false false false false false false false false false false false true true false 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 false false false false true 0 0 0 false false false false false false X 10 10 true false false false false false false true true false false true false false false false false false X TIC INTERNATIONAL 5173217502 6525 CENTURION DR LANSING MI 48917 X X DON BOVRE 1.00 X 0 0 0 CYRIL WILSON 1.00 X 0 0 0 GLENN BUKOSKI 1.00 X 0 0 0 SCOTT FISHER 1.00 X 0 0 0 LAWRENCE WALRAVEN 1.00 X 0 0 0 JACK MCCOOL 1.00 X 0 0 0 JAMES OAKLEY 1.00 X 0 0 0 GREGORY DEJONGH 1.00 X 0 0 0 DOUGLAS NEEDHAM 1.00 X 0 0 0 DOUGLAS NOWAK 1.00 X 0 0 0 JOEL SANTOS 1.00 X 0 0 0 MICHAEL STANFIELD 1.00 X 0 0 0 false false false BLUE CROSS BLUE SHIELD OF MICHIGAN 27000 W ELEVEN MILE B561 SOUTHFIELD MI 48034 INSURANCE 231094 TIC INTERNATIONAL 6525 CENTURION DRIVE LANSING MI 48917 TPA 103230 2 EMPLOYER CONTRIBUTIONS 230000 4507851 4507851 PARTICIPANT SELF PAYMENTS 230000 532335 532335 5040186 4123 4123 OTHER 900099 154430 154430 LIQUIDATED DAMAGES 900099 25961 25961 180391 5224700 5220577 4123 5335477 5335477 102000 102000 114786 114786 57843 57843 67960 67960 15000 15000 1800 1800 8578 8578 1970 1970 5705414 5335477 369937 0 2991082 3611667 319598 325962 1103860 664947 4414540 4602576 54801 97551 2028000 2654000 2082801 2751551 X 2331739 1851025 2331739 1851025 4414540 4602576 -480714 X false true true X false false false false false false false false false false false HEALTH CARE CLAIMS DEPOSIT 656064 PREPAID EXPENSES 7652 UNEXPIRED INSURANCE PREMIUM 1231 664947 BENEFIT OBLIGATIONS 2654000 2654000 5224700 5705414 -480714 -480714 5224700 5224700 5224700 5705414 5705414 5705414 ADDITIONAL INFORMATION FORM 990 PART IV, LINE 34 - THE FUND IS A MULTIEMPLOYER FUND AS DEFINED BY THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED, WITH MANY ENTITIES THAT MIGHT BE A "SPONSORING ORGANIZATION OF A VEBA" OR "CONTRIBUTING EMPLOYER OF A VEBA"; HOWEVER, NONE OF THOSE ENTITIES CONTRIBUTED 10% OR MORE OF THE CONTRIBUTIONS TO THE FUND DURING THE TAX YEAR. (SEE THE INSTRUCTIONS ON THE SCHEDULE R.) ADDITIONAL INFORMATION FORM 990, PART VI LINE 2 - FAMILY RELATIONSHIP OR BUSINESS RELATIONSHIP - THE RELATIONSHIP BETWEEN THE TRUSTEES OF THE FUND IS A 'BUSINESS RELATIONSHIP'. THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. THE FUND, AS A TAFT-HARTLEY FUND, IS ADMINISTERED BY A BOARD OF TRUSTEES WHICH IS COMPOSED OF AN EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES. BECAUSE OF THIS ORGANIZATIONAL REQUIREMENT, THERE IS A BUSINESS RELATIONSHIP BETWEEN THE TRUSTEES. LINE 12 - ANNUALLY, EACH TRUSTEE MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACUTAL CONFLICTS OF INTEREST. LINE 15 - THE FUND DID NOT HAVE A CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, OR OTHER OFFICERS OR KEY EMPLOYEES, AS THOSE TERMS ARE DEFINED. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED AND APPROVED AT A MEETING OF THE BOARD OF TRUSTEES, SUBJECT TO APPROVAL BY AND REVIEW OF THE FUND'S LEGAL COUNSEL. IN ADDITION, EACH TRUSTEE IS PROVIDED A COPY OF THE FUND'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES), AS ULTIMATELY FILED WITH THE IRS, PRIOR TO ITS FILING WITH THE IRS. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT SECURITY ACT OF 1974, AS AMENDED. IT OPERATES IN COMPLIANCE WITH THE REPORTING AND DISCLOSURE REQUIREMENTS OF SUBTITLE B, PART 1 ERISA WITH RESPECT TO DISCLOSURE OF ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION. IT OPERATES IN COMPLIANCE WITH THE FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA. THE FUND DOES NOT HAVE A CONFLICTS OF INTEREST POLICY. ADDITIONAL INFORMATION FORM 990, PART VII LINE 1A -THE TRUSTEES OF THE FUND SERVE WITHOUT COMPENSATION FROM THE FUND, BUT ARE COMPENSATED AS EMPLOYEES OF THE ENTITIES THAT MIGHT BE A "SPONSORING ORGANIZATION OF A VEBA" OR "CONTRIBUTING EMPLOYER OF A VEBA"; HOWEVER, NONE OF THOSE ENTITIES CONTRIBUTED 10% OR MORE OF THE CONTRIBUTIONS TO THE FUND DURING THE TAX YEAR. (SEE THE INSTRUCTIONS TO SCHEDULE R.)