2025-06-05T11:19:11-04:00 2024-07-31 203920878 BULTYNCK & CO PLLC 15985 CANAL RD CLINTON TOWNSHIP MI 480385021 990 2023-08-01 237080551 INTL BROTHERHOOD ELECTRICAL WORKERS LOCAL 17 HEALTH & WELFARE FUND INTL 2488139800 700 TOWER DRIVE STE 300 TROY MI 48099 MICHAEL KOZLOWSKI CHAIRMAN 2488139800 2025-06-06 true true CHRISTOPHER SCOTT CPAPFS MST P00380614 5862867300 2025-06-05 2023 2025-03-06 01:10:19Z MICHAEL KOZLOWSKI 17000 WEST 12 MILE ROAD SOUTHFIELD MI 48076 56348619 false X WWW.IBEW17.ORG X 1970 MI TO 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. 6 3 124 3 0 0 46622344 43404131 6092349 5943391 98799 4303913 52813492 53651435 0 34600838 40234975 0 0 0 784577 930679 35385415 41165654 17428077 12485781 96397992 107982101 20942703 19569816 75455289 88412285 TO 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. false false 40234975 43404131 TO 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. 40234975 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 2 0 true 124 false false false false false false false false false X 6 3 false true false false false false false true true false false false false false true false false false X BENESYS INC 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 480982808 MICHAEL KOZLOWSKI CHAIRMAN 1.00 40.00 X X 0 168351 60174 ANTHONY RAU SECRETARY 1.00 0.00 X X 0 0 0 JAMES SHAW TRUSTEE 1.00 40.00 X 0 195625 25689 MICHAEL PITTMAN TRUSTEE 1.00 40.00 X 0 168351 60174 ADAM SEGERS TRUSTEE 1.00 0.00 X 0 0 0 DARRIN FERGUSON TRUSTEE 1.00 0.00 X 0 0 0 532327 146037 false true false BENESYS INC 700 TOWER DRIVE SUITE 300 TROY MI 48098 TPA, MANAGEMENT 415696 HINES & ASSOCIATES 115 EAST HIGHLAND AVE ELGIN IL 60120 CONSULTING 273090 ZELIS 744 OFFICE PARKWAY STLOUIS MO 63141 CLAIMS PROCESS 182138 3 EMPLOYER CONTRIBUTIONS 525100 42344895 42344895 PARTICIPANT CONTRIBUTIONS 525100 1059236 1059236 43404131 6185554 6185554 2455021 2697184 -242163 -242163 -242163 STOP LOSS REIMBURSEMENT 4049103 4049103 SETTLEMENT CLAIM 194460 194460 LIQUIDATED DAMAGES 30546 30546 29804 29804 4303913 53651435 43404131 10247304 40234975 40234975 328819 328819 111822 111822 80084 80084 30120 30120 8600 8600 249472 249472 1241 1241 25515 25515 CLAIMS TAXES AND FEES 95006 95006 41165654 40234975 930679 0 10318318 10225706 3780324 5381652 74676 63521 82224674 92311222 96397992 107982101 1598740 1517924 19343963 18051892 20942703 19569816 X 75455289 88412285 75455289 88412285 96397992 107982101 X 12485781 4179144 -3707929 X false true X true false ACCUMULATED ELIGIBILITY CREDITS 13456000 CLAIMS PAYABLE 4595892 18051892 57830579 4179144 4179144 53651435 53651435 41165654 41165654 41165654 false false false MICHAEL KOZLOWSKI CHAIRMAN 168351 60174 228525 JAMES SHAW TRUSTEE 195625 25689 221314 MICHAEL PITTMAN TRUSTEE 168351 60174 228525 FORM 990, PAGE 1, PART I, LINE 6 VOLUNTEERS CONSIST OF UNCOMPENSATED BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 3 MANAGEMENT OF DAY TO DAY OPERATIONS HAS BEEN DELGATED TO BENESYS, INC. AS THIRD PARTY ADMINISTRATOR. FORM 990, PAGE 6, PART VI, LINE 11B FORM 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 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE IN CLAIMS PAYABLE -725,929 CHANGE IN ACCUMULATED ELIGIBILITY CREDITS -2,982,000 TOTAL -3,707,929 IBEW LOCAL UNION 17 17000 W TWELVE MILE ROAD SOUTHFIELD MI 48076 380679235 UNION MI 501C5 N/A false false false false false false false false false false false false false false false false false false false false