IRON WORKERS LOCAL 395 TRUST FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
IRON WORKERS LOCAL 395 TRUST FUND (EIN 35-6327302)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201143159349303964
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)
Timestamp2011-11-11T17:18:26-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEGACY PROFESSIONALS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1222 INDIANAPOLIS BOULEVARD SUITE 10AddressLine1
CitySCHERERVILLECity
StateINState
ZIP Code46375ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN356327302EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1IRONWORKERS LOCAL 395 TRUST FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlIRONNameControl
Phone2197696944Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12111 WEST LINCOLN HIGHWAYAddressLine1
CityMERRILLVILLECity
StateINState
ZIP Code46410ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEFFREY CHIDESTERName
TitleCHAIRMANTitle
Phone2197696944Phone
Date Signed2011-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2198361065Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJEFFREY CHIDESTERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12111 WEST LINCOLN HIGHWAYAddressLine1
CityMERRILLVILLECity
StateINState
ZIP Code46410ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36695606GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1977YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH BENEFITSActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees37TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10077385ProgramServiceRevenuePriorYear
Program Service Revenue CY15901508ProgramServiceRevenueCY
Investment Income Prior Year836761InvestmentIncomePriorYear
Investment Income Current Year888290InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year10914146TotalRevenuePriorYear
Total Revenue Current Year16789798TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year11216936BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY11892049BenefitsPaidToMembersCY
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 Year605970OtherExpensePriorYear
Other Expenses Current Year650048OtherExpensesCurrentYear
Total Expenses Prior Year11822906TotalExpensesPriorYear
Total Expenses Current Year12542097TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-908760RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4247701RevenuesLessExpensesCY
Total Assets BOY32795764TotalAssetsBOY
Total Assets EOY38449408TotalAssetsEOY
Total Liabilities BOY62480TotalLiabilitiesBOY
Total Liabilities EOY727423TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY32733284NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY37721985NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH BENEFITSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE HEALTH, LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, DENTAL, AND VISION BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.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 Equip0ReportLandBldgEquip
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 Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096423NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees37NumberOfEmployees
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
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 Committees0MinutesOfCommittees
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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1STEWART C MILLER INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2197696944TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12111 W LINCOLN HIGHWAYAddressLine1
CityMERRILLVILLECity
StateINState
ZIP Code46410ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JEFFREY CHIDESTER
UNION TRUSTEE2.00X000
DOUGLAS STRAYER
UNION TRUSTEE2.00X000
STEVE MICHAELS
EMP TRUSTEE1.00X000
TED VRENAS
EMP TRUSTEE1.00X000
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 (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ANTHEM BLUE CROSS BLUE SHIELD
220 VIRGINIA AVEINDIANAPOLISIN46204FEE FOR PROVIDING PPO ACESS356270
STEWART C MILLER & CO INC
2111 WEST LINCOLN HIGHWAYMERRILLVILLEIN46410PROVIDES ADMINISTRATIVE SERVICES300627
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIB.9000991360367213603672
PARTICIPANT CONTRIB.90009916148971614897
MEDICARE PART D SUBSID900099364024364024
STOP-LOSS RECOVERY PRO900099205892205892
PRESCRIPTION REBATE900099105406105406

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column7617TotalRevenueColumn
Related Or Exempt Function Income7617RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15901508TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column878343TotalRevenueColumn
Exclusion$878,343ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities19915755Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities19905808Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities9947Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column9947TotalRevenueColumn
Exclusion$9,947ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16789798TotalRevenueColumn
Related Or Exempt Function Income15901508RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$888,290ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total11892049Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6133Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31566Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total97103Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total435669Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total51832Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total18316Total

Insurance Insurance

FieldValueIRS element (for citing)
Total9429Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12542097Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4872797BOY
EOY3430323EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1674584BOY
EOY2695908EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY105201BOY
EOY93333EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY26013064BOY
EOY32070753EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY130118BOY
EOY159091EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY32795764BOY
EOY38449408EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY62480BOY
EOY727423EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY62480BOY
EOY727423EOY
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)
BOY32733284BOY
EOY37721985EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32733284BOY
EOY37721985EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32795764BOY
EOY38449408EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4247701ReconcilationRevenueExpenses
Reconcilation Other Changes741000ReconcilationOtherChanges
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
Total Revenue16789798TotalRevenue
Total Expenses12542097TotalExpenses
Excess Or Deficit For Year4247701ExcessOrDeficitForYear
Net Unrealized GL On Investments741000NetUnrealizedGLOnInvestments
Total Adjustments741000TotalAdjustments
Excess Or Deficit Per FS4988701ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17433695TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments741000NetUnrealizedGainsInvestments
Revenue Not Rptd F990741000RevenueNotRptdF990
Revenue Subtotal16692695RevenueSubtotal
Investment Expenses Not Included97103InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt97103RevenueNotRptdOnFinStmt
Total Revenue Per Form99016789798TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12444994TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12444994ExpensesSubtotal
Investment Expenses Not Included297103InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt97103ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012542097TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3THE BOARD OF TRUSTEES HAS DELEGATED THE DAY TO DAY MANAGEMENT DUTIES TO STEWART C. MILLER, INC., AS THIRD PARTY ADMINISTRATOR OF THE FUND.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING. THE TRUSTEES REVIEW THE FORM AND UPON FULLY UNDERSTANDING THE COMPLETED FORM 990, THE FORM IS SUBMITTED TO THE IRS.
THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO ANY PARTICIPANT IN THE PLAN WHO COMES INTO THE FUND OFFICE AND REQUESTS TO SEE THEM.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 741,000.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1IRONWORKERS LOCAL 395 ANNUITY FUNDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12111 WEST LINCOLN HIGHWAYAddressLine1
CityMERRILLVILLECity
StateINState
ZIP Code46410ZIPCode
FieldValueIRS element (for citing)
EIN351959984EIN
Primary ActivitiesTO PROVIDE ANNUITY BENEFITS TO THE MEMBERS OF LOCAL 395PrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section401(A)ExemptCodeSection
Public Charity StatusN/APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Comments

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