FURP.ORG / PUBLIC DATA EXPLORER

MICHIANA AREA ELECTRICAL WORKERS HEALTH & WELFARE FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MICHIANA AREA ELECTRICAL WORKERS HEALTH & WELFARE FUND (EIN 35-6073323)
Tax period
2010-05-01 to 2011-04-30
Filed
2011-11-29
IRS object ID
201123339349300507
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)
Timestamp2011-11-29T11:07:08-06:00Timestamp
Tax Period End Date2011-04-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BENDA GRACE STULZ & COMPANY PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line138800 VAN DYKE AVE STE 100AddressLine1
CitySTERLING HEIGHTSCity
StateMIState
ZIP Code48312ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN356073323EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MICHIANA ELECTRICAL WORKERSBusinessNameLine1
Business Name Line2HEALTH & WELFARE FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlMICHNameControl
Phone5173217502Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16525 CENTURION DRIVEAddressLine1
CityLANSINGCity
StateMIState
ZIP Code489179275ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROGER DOSMANNSTANLEY MILESName
TitleCHAIRMAN/SECRETARYTitle
Phone5173217502Phone
Date Signed2011-08-22DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameBRYAN STULZName
Phone5868836240Phone
Date Prepared2011-11-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSAME AS ABOVENameOfPrincipalOfficerPerson
Gross Receipts55344087GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1961YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH AND WELFARE BENEFITSActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8523710ProgramServiceRevenuePriorYear
Program Service Revenue CY8230080ProgramServiceRevenueCY
Investment Income Prior Year70307InvestmentIncomePriorYear
Investment Income Current Year425964InvestmentIncomeCurrentYear
Other Revenue Prior Year159734OtherRevenuePriorYear
Other Revenue Current Year214839OtherRevenueCurrentYear
Total Revenue Prior Year8753751TotalRevenuePriorYear
Total Revenue Current Year8870883TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year9270556BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY13139201BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year136552OtherExpensePriorYear
Other Expenses Current Year118840OtherExpensesCurrentYear
Total Expenses Prior Year9407108TotalExpensesPriorYear
Total Expenses Current Year13258041TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-653357RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4387158RevenuesLessExpensesCY
Total Assets BOY14915783TotalAssetsBOY
Total Assets EOY9620046TotalAssetsEOY
Total Liabilities BOY7431386TotalLiabilitiesBOY
Total Liabilities EOY6567895TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7484397NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3052151NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH AND WELFARE BENEFITSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13139201Expense
DescriptionTO PROVIDE HOSPITALIZATION, MEDICAL AND OTHER RELATED HEALTH CARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS.Description
Total Program Service Expense13139201TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TIC INTERNATIONALBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5173217502TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16525 CENTURION DRAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII
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
ROGER DOSMANN
CHARIMAIN1.00X000
COREY NOLAND
SECRETARY1.00X000
RON EASTON
TRUSTEE1.00X000
WALLACE HOOK
TRUSTEE1.00X000
STANLEY MILES
TRUSTEE1.00X000
SIDNEY SEYMOUR
TRUSTEE1.00X000
BRIAN SULLIVAN
TRUSTEE1.00X000
CHRISTOPHER GROVE
TRUSTEE1.00X000
GARY ROPBERTS
TRUSTEE1.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonBLUE CROSS BLUE SHIELD OF MICHIGANNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line127000 W ELEVEN MILE B561AddressLine1
CitySOUTHFIELDCity
StateMIState
ZIP Code48034ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesINSURANCEDescriptionOfServices
Compensation424179Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS23000073252437325243
EMPLOYEE CONTRIBUTIONS230000904837904837
FieldValueIRS element (for citing)
Total Program Service Revenue8230080TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column82911TotalRevenueColumn
Related Or Exempt Function Income2454RelatedOrExemptFunctionIncome
Exclusion$80,457ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities46816257Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities46473204Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities343053Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column343053TotalRevenueColumn
Related Or Exempt Function Income343053RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE PART D SUBSIDY900099169179169179
COBRA ASSISTANCE PROGRAM9000994056740567
LIQUIDATED DAMAGES90009948134813

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column280TotalRevenueColumn
Related Or Exempt Function Income280RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue214839TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8870883TotalRevenueColumn
Related Or Exempt Function Income8790426RelatedOrExemptFunctionIncome
Exclusion$80,457ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total13139201Total
Program Services13139201ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4375Total
Management And General4375ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14900Total
Management And General14900ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total20539Total
Management And General20539ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total31711Total
Management And General31711ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13156Total
Management And General13156ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6800Total
Management And General6800ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6775Total
Management And General6775ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total14169Total
Management And General14169ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
MEMBER COMMUNICATIONS34033403
SUMMARY ANNUAL REPORT30123012

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13258041Total
Program Services13139201ProgramServices
Management And General118840ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2166541BOY
EOY2117638EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3224169BOY
EOY933083EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY565501BOY
EOY682166EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8959572BOY
EOY5887159EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14915783BOY
EOY9620046EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY35557BOY
EOY30907EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7395829BOY
EOY6536988EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7431386BOY
EOY6567895EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY7484397BOY
EOY3052151EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7484397BOY
EOY3052151EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14915783BOY
EOY9620046EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-4387158ReconcilationRevenueExpenses
Reconcilation Other Changes-45088ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCUMULATED ELIGIBILITY CREDITS$3,747,000
UNSETTLED INVESTMENT TRANSACTIONS$2,035,988
CLAIMS INCURRED BUT NOT REPORTED$754,000
FieldValueIRS element (for citing)
Total Of Amounts6536988TotalOfAmounts
Total Revenue8870883TotalRevenue
Total Expenses13258041TotalExpenses
Excess Or Deficit For Year-4387158ExcessOrDeficitForYear
Net Unrealized GL On Investments-45088NetUnrealizedGLOnInvestments
Total Adjustments-45088TotalAdjustments
Excess Or Deficit Per FS-4432246ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8805256TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-45088NetUnrealizedGainsInvestments
Revenue Not Rptd F990-45088RevenueNotRptdF990
Revenue Subtotal8850344RevenueSubtotal
Investment Expenses Not Included20539InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt20539RevenueNotRptdOnFinStmt
Total Revenue Per Form9908870883TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13237502TotExpensesEtcAuditedFinclStmt
Expenses Subtotal13237502ExpensesSubtotal
Investment Expenses Not Included220539InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt20539ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013258041TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990PART 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 INFORMATIONFORM 990, PART VILINE 12 - ANNUALLY, EACH TRUSTEE MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. LINE 15 - THE FUND DID NOT HAVE A CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, OR OTHER OFFICER OR KEY EMPLOYEES, AS THOSE TERMS ARE DEFINED.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 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 EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE 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 INFORMATIONFORM 990, PART VIILINE 1A - THE TRUSTEES OF THE FUND SERVER 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.)