IBEW WESTERN UTILITIES HEALTH AND WELFARE TRUST FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
IBEW WESTERN UTILITIES HEALTH AND WELFARE TRUST FUND (EIN 87-0496328)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-09
IRS object ID
201112219349301336
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)
Timestamp2011-08-09T11:57:48-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SSA PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13355 American DriveAddressLine1
CityColorado SpringsCity
StateCOState
ZIP Code809175707ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN870496328EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1IBEWWestern Utilities HealthBusinessNameLine1
Business Name Line2and Welfare Trust FundBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUTAHNameControl
Phone8019731001Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12156 West 2200 SouthAddressLine1
CitySalt Lake CityCity
StateUTState
ZIP Code841191376ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJulie LewisName
TitleChairpersonTitle
Phone5038135048Phone
Date Signed2011-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWilliam C Sanden CPAName
Phone7195740100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJulie LewisNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1825 E MultnomahAddressLine1
CityPortlandCity
StateORState
ZIP Code97232ZIPCode
FieldValueIRS element (for citing)
Gross Receipts33377577GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Siten/aWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1991YearFormation
State Legal DomicileUTStateLegalDomicile
Activity Or Mission DescriptionProvide medical, dental and life insurance benefitsActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
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 Year29812728ProgramServiceRevenuePriorYear
Program Service Revenue CY31542398ProgramServiceRevenueCY
Investment Income Prior Year269662InvestmentIncomePriorYear
Investment Income Current Year292317InvestmentIncomeCurrentYear
Other Revenue Prior Year1094OtherRevenuePriorYear
Other Revenue Current Year1200OtherRevenueCurrentYear
Total Revenue Prior Year30083484TotalRevenuePriorYear
Total Revenue Current Year31835915TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year27094285BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY28944560BenefitsPaidToMembersCY
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 Year1733892OtherExpensePriorYear
Other Expenses Current Year1770230OtherExpensesCurrentYear
Total Expenses Prior Year28828177TotalExpensesPriorYear
Total Expenses Current Year30714790TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1255307RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1121125RevenuesLessExpensesCY
Total Assets BOY10109364TotalAssetsBOY
Total Assets EOY11759394TotalAssetsEOY
Total Liabilities BOY6545010TotalLiabilitiesBOY
Total Liabilities EOY6738702TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3564354NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5020692NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide medical, dental and life insurance benefits to participants of the Plan.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense29758428Expense
Revenue31541206Revenue
DescriptionThe Plan provides medical, dental and life insurance benefits under a collectively bargained agreement between IBEW Local Union 57 and PacifiCorp dba Rocky Mountain Power.Description
Total Program Service Expense29758428TotalProgramServiceExpense
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 Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
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 With10961463NumberFormsTransmittedWith1096
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
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 Line1Compusys of UtahBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8019731001TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12156 West 2200 SouthAddressLine1
CitySalt Lake CityCity
StateUTState
ZIP Code84119ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Brent Donohue
Trustee5.00X000
Byron Nielsen
Trustee5.00X000
Gary Cox
Trustee5.00X000
Julie Lewis
Chairperson5.00X000
Erich Wilson
Trustee5.00X000
Travis Eri
Secretary5.00X000
Paul Radakovich
Trustee5.00X000
Jeremy Courval
Trustee5.00X000
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
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Contributions Medical5241143008766430087664
Contributions Life52411313819911381991
Self Pay Cobra Medical5241146432164321
Flex Forfeitures52411484228422
FieldValueIRS element (for citing)
Total Program Service Revenue31542398TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column294709TotalRevenueColumn
Exclusion$294,709ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1539270Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1541662Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-2392Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2392TotalRevenueColumn
Related Or Exempt Function Income-2392RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOtherDescription
Business Code900099BusinessCode
Total Revenue Column1200TotalRevenueColumn
Related Or Exempt Function Income1200RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1200TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column31835915TotalRevenueColumn
Related Or Exempt Function Income31541206RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$294,709ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total28944560Total
Program Services28944560ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total26453Total
Management And General26453ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25908Total
Management And General25908ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1997Total
Management And General1997ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total8240Total
Management And General8240ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Administrative Fees - C552000552000
Managed Care Review - D302469302469
Consultant Fee - Segal211556211556
Delta Dental Administra123155123155
PPO Fee - Wise114186114186

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total404266Total
Program Services274058ProgramServices
Management And General130208ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total30714790Total
Program Services29758428ProgramServices
Management And General956362ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY520365BOY
EOY401338EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2230315BOY
EOY1604460EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY613966BOY
EOY433467EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY17053BOY
EOY16446EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6727665BOY
EOY9303683EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10109364BOY
EOY11759394EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY342460BOY
EOY663962EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6202550BOY
EOY6074740EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6545010BOY
EOY6738702EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3564354BOY
EOY5020692EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3564354BOY
EOY5020692EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10109364BOY
EOY11759394EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1121125ReconcilationRevenueExpenses
Reconcilation Other Changes335213ReconcilationOtherChanges
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
Claims Incurred Not Reported$4,744,000
Claims Payable$1,330,740
FieldValueIRS element (for citing)
Total Of Amounts6074740TotalOfAmounts
Total Revenue31835915TotalRevenue
Total Expenses30714790TotalExpenses
Excess Or Deficit For Year1121125ExcessOrDeficitForYear
Net Unrealized GL On Investments335213NetUnrealizedGLOnInvestments
Total Adjustments335213TotalAdjustments
Excess Or Deficit Per FS1456338ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt32088987TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments335213NetUnrealizedGainsInvestments
Revenue Not Rptd F990335213RevenueNotRptdF990
Revenue Subtotal31753774RevenueSubtotal
Investment Expenses Not Included82141InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt82141RevenueNotRptdOnFinStmt
Total Revenue Per Form99031835915TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt30760462TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal30760462ExpensesSubtotal
Investment Expenses Not Included282141InvestmentExpensesNotIncluded2
Other Expenses Not Included-127813OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-45672ExpensesNotRptdOnFinStmt
Total Expenses Per Form99030714790TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:Part X:The Plan has adopted Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740, Accounting for Uncertainty in Income Taxes, which prescribes a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return and also provides guidance on various related matters such as derecognition, interest, penalties and disclosures required. The Plans determination as a tax-exempt entity is considered a tax position subject to the requirements of ASC 740. There were no unrecognized tax benefits at December 31, 2010, and the Plan does not believe it is reasonably possible that unrecognized tax benefits related to this tax position will significantly change within twelve months of the reporting date. The Plan would recognize interest and penalties, if any, related to unrecognized tax benefits as income tax expense. The Plan did not have any accrued liabilities or expense for interest or penalties related to unrecognized tax benefits for the years ended December 31, 2010 and 2009.
Part XIII, Line 4b: Change in claims incurred not yet reported and change in claims payable.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section B, line 11The Form 990 is reviewed at the Board of Trustees meeting prior to filing the return. All board members have the opportunity to ask questions. The board chairman signs the return at the conclusion of the discussion and is responsible for mailing the return.
The documents and financial statements are available upon request by any interested party.Form 990, Part VI, Section C, line 19
Changes in Net Assets or Fund Balances:Net unrealized gains on investments: 335213.Form 990, Part XI, line 5:
There have been no changes in the procedures from the prior year.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.