2021-07-07T15:14:54-05:00 2020-09-30 382284921 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2019-10-01 382026006 LABORERS METROPOLITAN DETROIT HEALTH AND WELFARE FUND LABO 5173217502 6525 CENTURION DRIVE LANSING MI 48917 WILLIAM BASS CHAIRMAN 5173217502 2021-04-16 BRYAN STULZ P00265596 5868836240 2021-07-07 2019 2022-09-23 18:48:47Z WILLIAM BASS 47768987 false X N/A X 1973 MI PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. 12 2 0 0 0 26728926 27011610 1745343 2135493 189920 3631 28664189 29150734 0 23131221 22919591 0 0 0 2528143 2673032 25659364 25592623 3004825 3558111 62127459 68501630 10094321 10688291 52033138 57813339 PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. false false TO PROVIDE HOSPITALIZATION, MEDICAL, DEATH, SURGICAL AND OTHER RELATED HEALTH CARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. 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 5 0 0 false false false false false false false false X 12 2 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 DRIVE LANSING MI 48917 X ALEX ZUREK TRUSTEE 1.00 40.00 X 0 194140 33711 PAUL GASSEL TRUSTEE 1.00 40.00 X 0 187076 38457 WILLIAM BASS CHAIRMAN 1.00 40.00 X 0 187046 38457 MICHAEL AARON TRUSTEE 1.00 40.00 X 0 157172 51387 MARK PULICE TRUSTEE 1.00 40.00 X 0 147342 49819 JASON CHWALEK TRUSTEE 1.00 40.00 X 0 142585 38457 JESUS PENA JR TRUSTEE 1.00 40.00 X 0 112473 33904 ROBERT COPPERSMITH SECRETARY 1.00 0.00 X 0 0 0 DAVID GREGOR TRUSTEE 1.00 40.00 X 0 0 0 WILLIAM LITZ TRUSTEE 1.00 40.00 X 0 0 0 JAMES OLEKSINSKI TRUSTEE 1.00 0.00 X 0 0 0 IJE OSUAGWU TRUSTEE 1.00 40.00 X 0 0 0 MICHAEL P SMITH TRUSTEE 1.00 40.00 X 0 0 0 CHARLES WILSON TRUSTEE 1.00 40.00 X 0 0 0 JEREMY ZELLER TRUSTEE 1.00 40.00 X 0 0 0 1127834 284192 false true false BLUE CROSS BLUE SHIELD OF MICHIGAN 27000 WEST 11 MILE ROAD B494 SOUTHFIELD MI 48034 HEALTH ADMIN 1553411 TIC INTERNATIONAL CORPORATION 6525 CENTURION DRIVE LANSING MI 48917 TPA 439938 LABORERS' JOINT DELINQ COMMITTEE 22260 HAGGERTY ROAD SUITE 350 NORTHVILLE MI 48167 COLLECTION FEES 181155 EAGLE CAPITAL MANAGEMENT 449 PARK AVENUE 17TH FLOOR NEW YORK NY 10022 INVESTMENT MGMT 149705 4 EMPLOYER CONTRIBUTIONS 230000 21247712 21247712 PARTICIPANT SELF-PAYMENTS 230000 5763898 5763898 27011610 973989 973989 19779757 18618253 1161504 1161504 1161504 LIQUIDATED DAMAGES 900099 3220 3220 MISCELLANEOUS 900099 411 411 3631 29150734 28176745 973989 22919591 1935677 55334 25800 273189 190655 86115 7199 17442 LBRS NTL HLTH & SFTY DUES 66785 ERISA REPORTING COSTS 12971 EDUCATIONAL FOUNDATION 1865 25592623 0 0 0 3994290 2578608 646106 535282 3048483 2866659 948039 966415 53490541 61554666 62127459 68501630 1494321 1200291 8600000 9488000 10094321 10688291 X 52033138 57813339 52033138 57813339 62127459 68501630 3558111 2222090 X false true X true false ACCUMULATED ELIGIBILITY CREDITS 6901000 CLAIMS INCURRED BUT NOT REPORTED 2587000 9488000 31099635 2222090 2222090 28877545 273189 273189 29150734 25319434 25319434 273189 273189 25592623 false false false ALEX ZUREK TRUSTEE 194140 33711 227851 PAUL GASSEL TRUSTEE 187076 38457 225533 WILLIAM BASS CHAIRMAN 187046 38457 225503 MICHAEL AARON TRUSTEE 157172 51387 208559 MARK PULICE TRUSTEE 147342 49819 197161 JASON CHWALEK TRUSTEE 142585 38457 181042 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. BECAUSE OF THIS ORGANIZATIONAL REQUIREMENT THRERE 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 TRUSTEES ARE APPOINTED BY SPONSORING PARTIES OF THE TRUST. UNION TRUSTEES ARE APPOINTED BY PERSONS AUTHORIZED BY THE EACH APPOINTING UNION ORGANIZATON'S EXECUTIVE BOARD, WHO ARE ELECTED PERIODICALLY BY MEMBERS IN GOOD STANDING WHO ARE ELEGIBLE TO VOTE CONSISTENT WITH THE CONSTITUTION OF THE APPOINTING UNION ORGANIZATION. EMPLOYER TRUSTEES ARE APPOINTED BY PERSONS AUTHORIZED BY THEIR EXECUTIVE BOARDS, WHO ARE ELECTED CONSISTENT WITH THE VOTING REQUIREMENTS OF EACH SPECIFIC EMPLOYER ASSOCIATION. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED AND APPROVED AT A MEETING OF THE BOARD OF TRUSTEES, SUBJECT TO REVEIW BY AND APPROVAL OF THE FUND'S LEGAL COUNSEL. IN ADDITION, EACH TRUSTEE IS PROVIDED WITH A COMPLETED 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 THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, SOME TRUSTEES WERE COMPENSATED AS EMPLOYEES OF EITHER LABORERS LOCAL 1076, 1191, OR MICHIGAN LABORERS DISTRICT COUNCIL, ALL OF WHICH WERE CONTRIBUTING EMPLOYERS TO THE FUND AND, AS SUCH, "RELATED ORGAINZATIONS" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. LABORERS V & H TRUST FUND - D & V 700 TOWER DRIVE STE 300 TROY MI 48098 386195524 VAC & HOL MI 501C9 N/A false LABORERS PENSION TRUST FUND - D & V 700 TOWER DRIVE STE 300 TROY MI 48098 516030973 PENSION MI 401A N/A false LABORERS LOCAL UNION 1076 760 JOSLYN AVENUE PONTIAC MI 48340 380738510 LOCAL MI 501C5 N/A false LABORERS LOCAL UNION 1191 2161 W GRAND BOULEVARD DETROIT MI 48208 380975762 LOCAL MI 501C5 N/A false MICHIGAN LABORERS DISTRICT COUNCIL 1118 CENTENNIAL WAY SUITE 100 LANSING MI 48917 381811365 DIST. COUN MI 501C5 N/A false 1 WAY SERVICE INC N/A false 3 LK CONSTRUCTION N/A false ANM CONSTRUCTION CO N/A false API INC N/A false ADAMO CONTRACTING CORP N/A false ADAMO DEMOLITION COMPANY N/A false ADAMS GENERAL CONTRACTING INC N/A false ALBANELLI CEMENT CONTRACTORS N/A false ALBERICI CONSTRUCTORS N/A false AMALIO CORPORATION N/A false AMERICUT CORING & SAWING INC N/A false APPALACHIAN UNIVERSITY SYSTEMS N/A false ARBOR CONSTRUCTION PERSONNEL N/A false ARISTEO CONSTRUCTION N/A false AUCH GEORGE CO N/A false B & B CONCRETE PLACEMENT INC N/A false BMI REFRACTORY SERVICE N/A false BAKER CONSTRUCTION N/A false BARNEY JJ CONSTRUCTION LLC N/A false BARTON MALLOW CO N/A false BIERLEIN FIELD SERVICES INC N/A false BLAZE CONTRACTING INC N/A false BLUE RIBBON CONTRACTING INC N/A false BNE SERVICES LLC N/A false BOLDT COMPANY N/A false BRANDENBERG INDUSTRIAL SERVICE N/A false BRANDSAFWAY INDUSTRIES LLC N/A false BRAZEN & GREER MASONRY INC N/A false BRENCAL CONTRACTORS N/A false BRINKER TEAM CONSTRRUCTION CO N/A false BRIX CORPORATION N/A false BYERS D C COMPANY N/A false C & P CONSTRUCTION N/A false C B INCCHRIS VASSEUR N/A false CAMERON CONSTRUCTION COMPANY N/A false CARDINAL CONTRACTING CORP N/A false CBRE GWS LLC N/A false CENTRAL CONVEYOR N/A false CERCO INC N/A false CHRISTMAN CONSTRUCTORS INC N/A false C I CONTRACTING INC N/A false CITY RENOVATION & TRIM INC N/A false CLARK CONSTRUCTION CO N/A false COLASANTI CONSTRUCTION SERV N/A false COMET CONTRACTING CO UAP N/A false COMMERCIAL CONTRACTING CORP N/A false CONCRETE CUTTING & BRAKING N/A false CONSTRUCTION LABOR SERVICES N/A false CONTEK INC N/A false CONTI CORPORATION N/A false CONTRACTORS TRENCHING N/A false COUGAR CONTRACTING INC N/A false CREATIVE CEMENT INC N/A false CTI PROPERTY SERVICES INC N/A false CULVER DEVELOPMENT LLC N/A false DAV CONSTRUCTION CO N/A false D'ALOISIO MASONRY N/A false DAN'S EXCAVATING INC N/A false DAVENPORT MASONRY INC N/A false DEARBORN MID-WEST CONVEYOR CO N/A false DE-CAL INC N/A 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GIFFIN INC N/A false GILARDONE COMPANY LLC N/A false GLASSROCKOMI N/A false GRAND RIVER CONSTRUCTION INC N/A false GRANGER CONSTRUCTION CO N/A false GREAT LAKES REG ORGANIZING N/A false GREEN JOHN E COMPANY N/A false GRUNWELL CASHERO COMPANY N/A false HAMILTON CONTRACTING LLC N/A false HARDMAN CONSTRUCTION INC N/A false HARNISH FIREPROOFING N/A false HARTWELL CEMENT N/A false HATZEL & BUEHLER INC N/A false HENKELS & MCCOY INC N/A false HILTON VENTILATION N/A false HMCHICKS MASON CONTRACTORS N/A false HOLLY CONSTRUCTION CO N/A false HOOVER WELLS LLC N/A false IAFRATE ANGELO CONSTRUCTION N/A false IDEAL CONTRACTING N/A false ILE EXCAVATING INC N/A false INDEPENDENCE EXCAVATING N/A false INDUSTRIAL DEMOLITION SERVICES N/A false INTEGRITY INTERIORS INC N/A false INTERN'L IND CONTR CORP N/A false JJ BLARNEY N/A false JAY DEE CONTRACTORS INC N/A false K & W CONCRETE CONST INC N/A false KELLER NORTH AMERICA N/A false KING MASONRY INC N/A false KLOCHKO EQUIPMENT RENTAL N/A false LAKESHORE GLOBAL CORPORATION N/A false LANAVILLE FOUNDATIONS N/A false LEIDAL & HART MASON CONTRACTOR N/A false LOWE CONSTRUCTION CO INC N/A false MAJOR CEMENT N/A false MANTICORE CONSTRUCTION SERVICES N/A false MATRIX NORTH AMERICAN CONSTRUCTION N/A false MCCARTHY & SMITH INC N/A false MCINTOSH GEORGE INC N/A false MCKINNEY DRILLING COMPANY N/A false MEDINA GLASS BLOCK INC N/A false MICRO ELECTRIC LTD N/A false MID-AMERICAN GUNITE INC N/A false MIDWEST INDUSTRIAL SERVICES N/A false MIDWEST STEEL INC N/A false M-K CONSTRUCTION COMPANY N/A false MONARCH WELDING & ENG INC N/A false MORETTI FOUNDATION CO INC N/A false MRT ENVIRONMENTAL N/A false MUNRO ELECTRIC CO INC N/A false NAVETTA MASON CONTRACTORS N/A false NEDROW REFRACTORIES N/A false NICHOLSON CONSTRUCTION N/A false NIEMI CORPORATION N/A false NILES INDUSTRIAL COATINGS LLC N/A false NORTH AMERICAN DISMANTLING N/A false NORTH CHANNEL CONST CO INC N/A false NORTHERN INDUSTRIAL CONSTR INC N/A false NORTHSTAR CONRACTING INC N/A false NOWAK R C AND COMPANY N/A false OAKLAND PLUMBING COMPANY N/A false ORION SPECIALTY CONTRACTING N/A false ORION WATERPROOFING LLC N/A false PAPALAS JOHN A & COMPANY N/A false PCI CONSTRUCTION SERVICES LLC N/A false PERFECT POLISH N/A false POLEY MASONRY CONSTRUCTION INC N/A false POMPONIO CONSTRUCTION N/A false PONTIAC DRYWALL SYSTEMS N/A false POURED BRICK WALLS INC N/A false POWER PROCESS PIPING INC N/A false PRATER COMMERCIAL CARPENTRY N/A false PRO IMAGE FACILITY SERVICES N/A false PRO TRENCHING N/A false PROCESS PIPING & EQUIPMENT N/A false PULLMAN SST N/A false PUSHMAN CONSTRUCTION SERVICES N/A false R B V CONTRACTING INC N/A false RAM CONSTRUCTION SERVICES N/A false REGIS CONSTRUCTION LLC N/A false REICHENBACH CEILING & N/A false REWOLD FRANK & SONS N/A false RIC-MANN CONSTRUCTION INC N/A false ROESE PIPELINE COMPANY N/A false ROHRSCHEIB SONS CAISSONS INC N/A false RONCELLI ELC3 LLC N/A false ROSATI MASONRY COMPANY INC N/A false ROYAL OAK MILLWORK CO LLC N/A false RUDOLPHLIBBE INC N/A false RUSSELL PLASTERING N/A false RYAN INC CENTRAL N/A false SSS INC N/A false SALENBIEN TRUCKING & EXC INC N/A false SALVATORE & SONS N/A false SAYLOR'S INC N/A false SCAFFOLDING INC N/A false SCHAD BOILER SETTING COMPANY N/A false SCHENA ROOFING AND SHEET METAL N/A false SCHIFFER MASON CONTRACTORS INC N/A false SERES-CASTLE MASONRY INC N/A false SERVICE CONSTRUCTION LLC N/A false SIMONE CONTRACTING CORP N/A false SINELLI & SONS CHARLES N/A false SITE DEVELOPMENT INC N/A false SIWEK CONSTRUCTION COMPANY N/A false SOLE CONSTRUCTION INC N/A false SORENSON GROSS N/A false SPENCE BROTHERS N/A false SPIEKER COMPANY N/A false SPRINGLINE EXCAVCATING LLC N/A false STANTE EXCAVATING CO INC N/A false STEVENS COMPANY N/A false STEVENSON CONSTRUCTION CO N/A false STREETER BROTHERS INC N/A false SUPERIOR EXCAVATING INC N/A false SYLVAN INDUSTRIAL PIPING INC N/A false TEERA CONSTRUCTION CO INC N/A false THE STATE GROUP IND N/A false THOMPSON-PHELAN INC N/A false TIMMER CONSTRUCTION COMPANY N/A false TITUS WELDING COMPANY N/A false TOOLES CONTRACTING GROUP INC N/A false TRI-CITY GROUNDBREAKERS INC N/A false TURNER CONSTRUCTION CO N/A false TURNER-BROOKS INC N/A false TWENTY-FIRST CENTURY SALVAGE N/A false ULTIMATE CORROSION CONTROL INC N/A false UNIVERSAL PIPING INC N/A false V & O CONTRACTING COMPANY N/A false V I L CONSTRUCTION INC N/A false VIG J S CONSTRUCTION CO N/A false W & G LLC N/A false WJ O'NEIL COMPANY N/A false WPM INC N/A false WALBRIDGE ALDINGER N/A false WALLBRIDGE EQUIPMENT INHSTALLATION N/A false WALSH CONSTRUCTION COMPANY N/A false WCI CONSTRUCTION INC N/A false WEISS CONSTRUCTION CO LLC N/A false YOUNGS ENVIRONMENTAL CLEANUP N/A false false false false false false false false false false false false false false false false false false false false