2023-07-13T16:57:21-04:00 2022-08-31 382284921 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2021-09-01 386058383 MICHIGAN CARPENTERS' HEALTH CARE FUND MICH 5173217502 6525 CENTURION DRIVE LANSING MI 48917 DAMIAN HILL SECRETARY 2486456550 2023-06-09 DAMIAN HILL 999009999 BRYAN STULZ P00265596 5868836240 2023-07-13 2021 2023-04-26 12:10:37Z DAMIAN HILL 43596806 false X X 1952 MI PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. 12 1 0 1 0 0 24610357 25068659 430643 307610 4179 5243 25045179 25381512 0 24117926 20166292 0 0 0 2340967 2351150 26458893 22517442 -1413714 2864070 19772580 20716149 15417084 14622808 4355496 6093341 PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. false false TO PROVIDE HEALTH CARE BENEFITS FOR ELIGIBLE PLAN PARTICPANTS. false false false false false false false false false false false false false true false true false false false false false false false false false false false false true false false false false false false false false false false false true false false true 4 0 0 false false false false false false false false X 12 1 true false false false false true false true true false false false false false false false false false X TIC INTERNATIONAL CORP 5173217502 6525 CENTURION DR LANSING MI 48917 X TOM LUTZ CHAIRMAN 1.00 40.00 X 0 241870 0 MIKE BARNWELL TRUSTEE 1.00 40.00 X 0 174182 0 BRIAN KERRIGAN TRUSTEE 1.00 40.00 X 0 93350 38195 VINCE DAWE TRUSTEE 1.00 40.00 X 0 87516 38195 CHAD MILLER TRUSTEE 1.00 40.00 X 0 81682 38195 JASON REED TRUSTEE 1.00 40.00 X 0 77792 37987 KEVIN KRIEG TRUSTEE 1.00 40.00 X 0 63355 17264 LEON TURNWALD TRUSTEE 1.00 40.00 X 0 53125 13985 KEVIN KLINGER TRUSTEE 1.00 40.00 X 0 53125 13085 GREGG GRANGER TRUSTEE 1.00 40.00 X 0 0 0 WILLIAM HENDRICK TRUSTEE 1.00 40.00 X 0 0 0 DAMIAN HILL SECRETARY 1.00 40.00 X 0 0 0 JOHN KERSAAN TRUSTEE 1.00 40.00 X 0 0 0 JAMES MALENICH TRUSTEE 1.00 40.00 X 0 0 0 BOB SPENCE TRUSTEE 1.00 40.00 X 0 0 0 925997 196906 false true false BLUE CROSS BLUE SHIELD 600 EAST LAFAYETTE DETROIT MI 48226 CLAIMS ADMIN 1114274 TIC INTERNATIONAL CORPORATION 6525 CENTURION DRIVE LANSING MI 48917 ADMINISTRATION 830591 2 EMPLOYER CONTRIBUTIONS 230000 20491744 20491744 PARTICIPANT SELF-PAYMENTS 230000 4576915 4576915 25068659 437311 437311 18085593 18215294 -129701 -129701 -129701 LIQUIDATED DAMAGES 900099 3922 3922 OTHER 900099 1321 1321 5243 25381512 24944201 437311 20166292 1869350 37832 136993 28768 58748 76927 49576 6826 15965 MEMBER COMMUNICATIONS 39346 BANK SERVICE CHARGES 22528 NOTICES TO PARTICIPANTS 4662 EDUCATION FOUNDATION DUES 1520 2109 22517442 0 0 0 1953759 1753399 24678 804918 1880601 2141989 3544 605400 15909998 15410443 19772580 20716149 1201084 1622808 14216000 13000000 15417084 14622808 X 4355496 6093341 4355496 6093341 19772580 20716149 2864070 -1126225 X false true X true false ACCUMULATED ELIGIBILITY CREDITS 12325000 CLAIMS INCURRED BUT NOT REPORTED 675000 13000000 24226519 -1126225 -1126225 25352744 28768 28768 25381512 22488674 22488674 28768 28768 22517442 false false false TOM LUTZ CHAIRMAN 241870 241870 MIKE BARNWELL TRUSTEE 174182 174182 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 TRUST FUND, IS ADMINISTERED BY A BOARD OF TRUSTEES WHICH IS COMPOSED OF AN EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES. BECUASE 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 ACTUAL CONFLICTS OF INTEREST. LINE 15 - THE FUND DID NOT HAVE A CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICAL, OR OTHER OFFICERS OR KEY EMPLOYEES, AS THOSE TERMS ARE DEFINED IN THE INSTRUCTIONS. FORM 990, PAGE 6, PART VI, LINE 7A THE FUND IS ADMINISTERED BY A BOARD OF 12 TRUSTEES, COMPRISED OF SIX UNION TRUSTEES AND SIX EMPLOYER TRUSTEES. THE UNION TRUSTEES ARE APPOINTED BY THE UNION AND THE EMPLOYER TRUSTEES ARE APPOINTED BY THE ASSOCIATION. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED AND APPROVED AT MEETING OF THE BOARD OF TRUSTEES, SUBJECT TO REVIEW BY AND APPROVAL OF THE FUND 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. FORM 990, PAGE 6, PART VI, LINE 19 THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. IT OPERATES IN COMPLIANCE WITH THE REPORTING AND DISCLOSURE REQUIREMENTS OF SUBTITLE B, PART I 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. FORM 990, PART VII LINE 1A - THE TRUSTEES OF THE FUND SERVED WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, SEVERAL TRUSTEES WERE COMPENSATED AS EMPLOYEES OF CONTRIBUTING EMPLOYERS TO THE FUND AND, AS SUCH, "RELATED ORGANIZATIONS" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. 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CONSTRUCTION N/A false HAYES MECHANICAL N/A false HERBERT CONSTRUCTION COMPANY N/A false HEINEMAN J R & SONS N/A false HENDRICK RC AND SON INC N/A false HENKELS & MCCOY INC N/A false HULL C A INC N/A false HUSSMAN SERVICES CORP N/A false IDEAL CONTRACTING N/A false IMMEL HOWARD INC N/A false INDUSTRIAL CONSTRUCTION SERVICE N/A false INDUSTRIAL MAINTENANCE SERVICE N/A false INSTALLATION SPECIALISTS N/A false INTEGRITY INTERIORS N/A false INTERIOR INSTALLATIONS SRVS N/A false JENSEN J R CONSTRUCTION INC N/A false JOHNSON SERENUS N/A false KALAKAY CONSTRUCTION N/A false KAYCEE CONST DBA DSI ACOUNSTICAL N/A false KIWEIT POWER CONSTRUCTORS N/A false KLEIN CABINETS AND INTERIORS N/A false KOKOSING ALBERICI LLC N/A false KOKOSING INDUSRIAL INC N/A false KRIEGHOFF LENAWEE COMPANY N/A false L A CONSTRUCTION CORPORATION N/A false LAKEHEAD CONSTRUCTORS N/A false LARKIN ENTERORUSES INC N/A false LARSON-DANIELSON CONSTRUCTION N/A false LASALLE GROUP INC N/A false LEIMENSTOLL SERVICES N/A false LINDBERG A & SONS N/A false LUNDA CONSTRUCTION CO N/A false MARSHALL WADE CONSTRUCTION N/A false MASTER CRAFT CARPET SVC N/A false MAVID CONSTRUCTION SERVICES N/A false MCGUIRES PROFESSIONAL CONST N/A false MCT SERVICES N/A false MEYER CR & SONS COMPANY N/A false MICHELS CORPORATION N/A false MICHIGAN OVERHEAD DOOR N/A false MILBOCKER & SONS INC N/A false MIRON CONSTRUCTION CO INC N/A false MONARCH WELDING N/A false MOORE-TROSPER CONSTRUCTION CO N/A false MUSKEGON QUALITY BLDRS INC N/A false N B PROCESSING INC N/A false NASHVILLE CONSTRUCTION CO N/A false NESS ROY CONTRACTING & SALES N/A false NICHOLSON CONSTRUCTION N/A false NIELSEN COMMERCIAL CONST CO N/A false NORTHERN INDUSTRIAL CONST INC N/A false O BOYLE AND COMPANY N/A false O'HARROW CONSTRUCTION CO N/A false PCI CONSTRUCTION SERVICES LLC N/A false PEARSON EQUIPMENT & SERVICE N/A false PEREZ J CONSTRUCTION INC N/A false PLATINUM SPECIALTY SERVICES N/A false PRESLEY PRECISION N/A false R & S CEMENT N/A false REICHENBACK CEILING & 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