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INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS 17 WELFARE FUND: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS 17 WELFARE FUND (EIN 23-7080551)
Tax period
2021-08-01 to 2022-07-31
Filed
2023-06-06
IRS object ID
202311579349301606
Schema version
2021v4.0
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)
Return2023-06-06T16:02:23-04:00ReturnTs
Tax Period End2022-07-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN203920878PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BULTYNCK & CO PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line115985 CANAL RDAddressLine1Txt
CityCLINTON TOWNSHIPCityNm
State AbbreviationMIStateAbbreviationCd
ZIP480385021ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-08-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237080551EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INTL BROTHERHOOD ELECTRICAL WORKERSBusinessNameLine1Txt
Business Name Line2LOCAL 17 HEALTH & WELFARE FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlINTLBusinessNameControlTxt
Phone2488139800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 TOWER DRIVE STE 300AddressLine1Txt
CityTROYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48099ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL KOZLOWSKIPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone2488139800PhoneNum
Signature2023-06-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHAELPersonFirstNm
Person LastKOZLOWSKIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTOPHER SCOTT CPAPFS MSTPreparerPersonNm
PTINP00380614PTIN
Phone5862867300PhoneNum
Preparation2023-06-06PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL KOZLOWSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line117000 WEST 12 MILE ROADAddressLine1Txt
CitySOUTHFIELDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48076ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$73,215,191GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.IBEW17.ORGWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1970FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE AND LIFE INSURANCE BENEFITS TO LOCAL 17 MEMBERS AND THEIR BENEFICIARIES PURSUANT TO A COLLECTIVELY BARGAINED AGREEMENT UNDER A JOINTLY ADMINISTERED TAFT HARLEY TRUST FUND.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee110TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$39,420,291PYProgramServiceRevenueAmt
CY Program Service Revenue$50,042,913CYProgramServiceRevenueAmt
PY Investment Income$4,368,139PYInvestmentIncomeAmt
CY Investment Income$4,348,839CYInvestmentIncomeAmt
PY Other Revenue$714,655PYOtherRevenueAmt
CY Other Revenue$1,234,253CYOtherRevenueAmt
PY Total Revenue$44,503,085PYTotalRevenueAmt
CY Total Revenue$55,626,005CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$26,544,732PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$33,170,685CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$693,309PYOtherExpensesAmt
CY Other Expenses$782,227CYOtherExpensesAmt
PY Total Expenses$27,238,041PYTotalExpensesAmt
CY Total Expenses$33,952,912CYTotalExpensesAmt
PY Revenues Less Expenses$17,265,044PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,673,093CYRevenuesLessExpensesAmt
Total Assets BOY$62,318,236TotalAssetsBOYAmt
Total Assets EOY$76,426,384TotalAssetsEOYAmt
Total Liabilities BOY$14,952,402TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,079,925TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$47,365,834NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$60,346,459NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH CARE AND LIFE INSURANCE BENEFITS TO LOCAL 17 MEMBERS AND THEIR BENEFICIARIES PURSUANT TO A COLLECTIVELY BARGAINED AGREEMENT UNDER A JOINTLY ADMINISTERED TAFT HARLEY TRUST FUND.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$33,952,912ExpenseAmt
Revenue$50,042,933RevenueAmt
DescTO PROVIDE HEALTH CARE AND LIFE INSURANCE BENEFITS TO LOCAL 17 MEMBERS AND THEIR BENEFICIARIES PURSUANT TO A COLLECTIVELY BARGAINED AGREEMENT UNDER A JOINTLY ADMINISTERED TAFT HARLEY TRUST FUND.Desc
Total Program Service Expenses$33,952,912TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee110EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BENESYS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2488139800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 TOWER DRIVEAddressLine1Txt
Address Line2SUITE 300AddressLine2Txt
CityTROYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP480982808ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL KOZLOWSKI
CHAIRMAN1.0040.00Yes (X)Yes (X)$0$150,990$55,035
KEVIN KOC
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
DEAN BRADLEY
TRUSTEE1.0040.00$0$152,595$20,942Yes (X)
ANDY GARDNER
TRUSTEE1.000.00Yes (X)$0$0$0
MICHAEL PITTMAN
TRUSTEE1.0040.00Yes (X)$0$149,864$54,753
JAMES SHAW
TRUSTEE1.0040.00Yes (X)$0$71,095$17,053
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$524,544TotReportableCompRltdOrgAmt
Total Other Compensation$147,783TotalOtherCompensationAmt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
ZELIS
744 OFFICE PARKWAYSTLOUISMO63141CLAIMS PROCESS$552,085
BENESYS INC
700 TOWER DRIVETROYMI48098TPA, MANAGEMENT$374,146SUITE 300
HINES & ASSOCIATES
115 EAST HIGHLAND AVEELGINIL60120CONSULTING$216,340
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS525100$49,105,405$49,105,405
PARTICIPANT CONTRIBUTIONS525100$937,508$937,508
FieldValueIRS element (for citing)
Total Program Service Revenue$50,042,913TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,304,053TotalRevenueColumnAmt
Exclusion$4,304,053ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$17,633,972SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$17,589,186SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$44,786SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,786TotalRevenueColumnAmt
Related Or Exempt Func Income$44,786RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
STOP LOSS REIMBURSEMENT$1,170,879$1,170,879
COBRA SUBSIDY REIMBURSEMENT$31,332$31,332
COMMISSION CREDIT$24,400$24,400

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,642TotalRevenueColumnAmt
Exclusion$7,642ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,234,253OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,626,005TotalRevenueColumnAmt
Related Or Exempt Func Income$50,087,699RelatedOrExemptFuncIncomeAmt
Exclusion$5,538,306ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$33,170,685TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$313,446TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$78,284TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$60,302TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$53,838TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,000TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$173,876TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$545TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,735TotalAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescCLAIMS TAXES AND FEESDesc
Total$76,201TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,952,912TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,206,169BOYAmt
EOY$7,629,194EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,938,506BOYAmt
EOY$4,826,913EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,962BOYAmt
EOY$73,889EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$52,158,599BOYAmt
EOY$63,896,388EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$62,318,236BOYAmt
EOY$76,426,384EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$918,902BOYAmt
EOY$1,430,925EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,033,500BOYAmt
EOY$14,649,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,952,402BOYAmt
EOY$16,079,925EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$47,365,834BOYAmt
EOY$60,346,459EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$47,365,834BOYAmt
EOY$60,346,459EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$62,318,236BOYAmt
EOY$76,426,384EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$21,673,093ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$8,076,968NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$615,500OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCUMULATED ELIGIBILITY CREDITS$12,617,000
CLAIMS PAYABLE$2,032,000
FieldValueIRS element (for citing)
Total Liability$14,649,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$47,549,037TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$8,076,968NetUnrealizedGainsInvstAmt
Revenue Not Reported-$8,076,968RevenueNotReportedAmt
Revenue Subtotal$55,626,005RevenueSubtotalAmt
Total Revenue Per Form990$55,626,005TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$33,952,912TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$33,952,912ExpensesSubtotalAmt
Total Expenses Per Form990$33,952,912TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE PLAN OBTAINED A FAVORABLE DETERMINATION LETTER ON JANUARY 26, 1999, IN WHICH THE INTERNAL REVENUE SERVICE STATED THAT THE PLAN AND RELATED TRUST, AS THEN DESIGNED, WAS IN COMPLIANCE WITH APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THE PLAN HAS BEEN AMENDED SINCE RECEIVING THE DETERMINATION LETTER. HOWEVER, THE PLAN ADMINISTRATOR AND THE PLANS LEGAL COUNSEL BELIEVE THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2019.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
MICHAEL KOZLOWSKI
CHAIRMAN$150,990$55,035$206,025
DEAN BRADLEY
TRUSTEE$152,595$20,942$173,537
MICHAEL PITTMAN
TRUSTEE$149,864$54,753$204,617

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6VOLUNTEERS CONSIST OF UNCOMPENSATED BOARD OF TRUSTEES.
FORM 990, PAGE 6, PART VI, LINE 3MANAGEMENT OF DAY TO DAY OPERATIONS HAS BEEN DELGATED TO BENESYS, INC. AS THIRD PARTY ADMINISTRATOR.
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS PRESENTED TO THE BOARD OF TRUSTEES FOR APPROVAL AND SIGNATURE OF THE FORM 8879, SO THAT THE CPA MAY SUBMIT THE ELECTORNICALLY ALL PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9CHANGE IN CLAIMS PAYABLE 2,561,500 CHANGE IN ACCUMULATED ELIGIBILITY CREDITS -3,177,000 TOTAL -615,500

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1IBEW LOCAL UNION 17BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line117000 W TWELVE MILE ROADAddressLine1Txt
CitySOUTHFIELDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48076ZIPCd
FieldValueIRS element (for citing)
EIN380679235EIN
Primary ActivitiesUNIONPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Exempt Code Section501C5ExemptCodeSectionTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd