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SHEET METAL WORKERS UNION LOCAL NO 17 INSURANCE FUND: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SHEET METAL WORKERS UNION LOCAL NO 17 INSURANCE FUND (EIN 04-2088633)
Tax period
2018-12-01 to 2019-11-30
Filed
2020-09-25
IRS object ID
202012699349301001
Schema version
2018v3.2
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)
Return2020-09-25T09:18:48-05:00ReturnTs
Tax Period End2019-11-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN043508036PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MANZI & ASSOCIATES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1855 TURNPIKE STREETAddressLine1Txt
CityNORTH ANDOVERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01845ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042088633EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHEET METAL WORKERS LOCAL UNIONBusinessNameLine1Txt
Business Name Line2NO 17 INSURANCE FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSHEEBusinessNameControlTxt
Phone6174265646PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11157 ADAMS STREET 1ST FLOORAddressLine1Txt
CityDORCHESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02124ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT KEOGHPersonNm
Person TitleFUND ADMINISTRATORPersonTitleTxt
Phone6174265646PhoneNum
Signature2020-09-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEANNIE MICKELPreparerPersonNm
PTINP01058630PTIN
Phone9789751099PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address173.162.188.213IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-09-25IPDt
IP Tm10:01:17IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id7ADBD96C547CBE419AC9B87DCFC7EE63ECE44F7BAtSubmissionCreationDeviceId
At Submission Filing Device Id57CAB1478FA21B4BB6BCA0ED5F2D8E49AC86AE59AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-09-10 13:11:23ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT KEOGHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11157 ADAMS STREET 1ST FLOORAddressLine1Txt
CityDORCHESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02124ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$48,637,641GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1950FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH BENEFITS FOR ELIGIBLE PARTICIPANTSActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee41TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$37,133,616PYProgramServiceRevenueAmt
CY Program Service Revenue$42,221,518CYProgramServiceRevenueAmt
PY Investment Income$2,140,887PYInvestmentIncomeAmt
CY Investment Income$1,650,168CYInvestmentIncomeAmt
PY Other Revenue$726,984PYOtherRevenueAmt
CY Other Revenue$642,279CYOtherRevenueAmt
PY Total Revenue$40,001,487PYTotalRevenueAmt
CY Total Revenue$44,513,965CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$34,087,049PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$39,027,707CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$827,163PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$873,150CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$272,523PYOtherExpensesAmt
CY Other Expenses$632,215CYOtherExpensesAmt
PY Total Expenses$35,186,735PYTotalExpensesAmt
CY Total Expenses$40,533,072CYTotalExpensesAmt
PY Revenues Less Expenses$4,814,752PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,980,893CYRevenuesLessExpensesAmt
Total Assets BOY$57,722,359TotalAssetsBOYAmt
Total Assets EOY$65,814,278TotalAssetsEOYAmt
Total Liabilities BOY$4,746,956TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,818,207TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$52,975,403NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$59,996,071NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTO PROVIDE HEALTH AND OTHER SPECIFIED BENEFITS TO ELIGIBLE MEMBERS/DEPENDENTS THROUGH A COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee41EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonROBERT KEOGHPersonNm
Phone6174265646PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11157 ADAMS STREET 1ST FLOORAddressLine1Txt
CityDORCHESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02124ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
JAMES WOOL
TRUSTEE10.00Yes (X)Yes (X)$0$0$0
KEVIN GILL
TRUSTEE10.00Yes (X)Yes (X)$0$0$0
JOSEPH CULLEN
TRUSTEE10.00Yes (X)Yes (X)$0$0$0
JACK DESMOND
TRUSTEE10.00Yes (X)Yes (X)$0$0$0
RICHARD KEOGH
TRUSTEE10.00Yes (X)$0$0$0
ROBERT BUTLER
TRUSTEE10.00Yes (X)$0$0$0
ROBERT KEOGH
ADMINISTRATOR40.00$236,100$0$122,789Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$236,100TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$122,789TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BLUE CROSS BLUE SHIELD
401 PARK DRIVEBOSTONMA02215HEALTH CLAIMS ADMINISTRATION$1,171,686
ENVISION RX
2181 E AURORA ROADTWINSBURGOH44087PRESCRIPTION CLAIMS ADMINSTRATION$115,571
DELTA DENTAL
465 MEDOFRD STREETBOSTONMA02129DENTAL CLAIMS ADMINISTRATION$112,254
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS561000$40,913,022$40,913,022
MEMBER CONTRIBUTIONS561000$1,135,042$1,135,042
SASMI CONTRIBUTIONS561000$173,454$173,454
FieldValueIRS element (for citing)
Total Program Service Revenue$42,221,518TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$788,748TotalRevenueColumnAmt
Exclusion$788,748ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,985,096SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,123,676SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$861,420SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$861,420TotalRevenueColumnAmt
Exclusion$861,420ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ADMIN ASSESSMENTS900099$627,522$627,522
SETTLEMENT INCOME900099$14,757$14,757
FieldValueIRS element (for citing)
Other Revenue Total$642,279OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,513,965TotalRevenueColumnAmt
Related Or Exempt Func Income$42,863,797RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,650,168ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$39,027,707TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$239,185TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$244,774TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$217,449TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$137,280TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$34,462TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,514TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$26,350TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$113,672TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$66,872TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,708TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$49,104TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$32,450TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,176TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$34,743TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,940TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
STOPLOSS INSURANCE$195,278
TEMPORARY HELP/BOOKKEEP$17,300
TELEPHONE$12,731
ACA FEES$11,043

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$14,334TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$40,533,072TotalAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,771,821BOYAmt
EOY$4,504,940EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,301,543BOYAmt
EOY$6,240,977EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$39,799BOYAmt
EOY$58,364EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,225,147LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$600,352LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$659,569BOYAmt
EOY$624,795EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$44,865,407BOYAmt
EOY$52,164,449EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,084,220BOYAmt
EOY$2,220,753EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,722,359BOYAmt
EOY$65,814,278EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$237,231BOYAmt
EOY$223,964EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,509,725BOYAmt
EOY$5,594,243EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,746,956BOYAmt
EOY$5,818,207EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$52,975,403BOYAmt
EOY$59,996,071EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$52,975,403BOYAmt
EOY$59,996,071EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,722,359BOYAmt
EOY$65,814,278EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,980,893ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,039,775NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$807,660OtherCostOrOtherBasisAmt
Depreciation$251,923DepreciationAmt
Book Value$555,737BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$417,487OtherCostOrOtherBasisAmt
Depreciation$348,429DepreciationAmt
Book Value$69,058BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$624,795TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LONGVIEW LARGECAP 500$16,093,285F
INSTITUTIONAL SENIOR LOAN FUND$3,942,360F
INSTL MULTI-STRATEGY$3,890,057F
BAIRD INTERMEDIATE BOND$14,747,472F
NHIT CORE PLUS DISCRETION TRUST$9,524,252F
US REAL ESTATE INVEST FUND$3,967,023F
FieldValueIRS element (for citing)
Total Book Value Securities$52,164,449TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INCURRED BUT NOT REPORTED CLAIMS$4,945,464
BENEFITS PAYABLE$648,779
FieldValueIRS element (for citing)
Total Liability$5,594,243TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$47,440,068TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$3,039,775NetUnrealizedGainsInvstAmt
Revenue Not Reported$3,039,775RevenueNotReportedAmt
Revenue Subtotal$44,400,293RevenueSubtotalAmt
Investment Expenses Not Incld$113,672InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$113,672RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$44,513,965TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$39,334,882TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$39,334,882ExpensesSubtotalAmt
Investment Expenses Not Incld2$113,672InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$1,084,518OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,198,190ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$40,533,072TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2: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 (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE DEPARTMENT OF LABOR AND INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF NOVEMBER 30, 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS.
PART XII, LINE 4B - OTHER ADJUSTMENTS:NET CHANGE IN BENEFIT OBLIGATIONS 1,084,518.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonROBERT KEOGHPersonNm
TitleADMINISTRATORTitleTxt
Base Compensation Filing Org$236,100BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$95,333DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$27,456NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$358,889TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN FOR MEMBERS AND RETIREES OF LOCAL 17 SMW
FORM 990, PART VI, SECTION B, LINE 11BBOARD OF TRUSTEES HAS GIVEN AUTHORITY TO THE FUND ADMINISTRATOR TO REVIEW ALL TAX DOCUMENTATION BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12AS AN EMPLOYEE BENEFIT PLAN WE ARE SUBJECT TO THE CONFLICTS OF INTEREST REQUIREMENTS OF ERISA.
FORM 990, PART VI, SECTION B, LINE 15BCOMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST
FORM 990, PART XII, LINE 2C:NO CHANGE IN OVERSIGHT PROCESS OR SELECTION OF INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationInd
SMW LOCAL 17 JATC
1157 ADAMS STREETDORCHESTERMA02124222562168TRAINING FUNDMA5010
SMW LOCAL 17 UNION
1157 ADAMS STREETDORCHESTERMA02124046133804UNIONMA5010
SMW LOCAL 17 ANNUITY FUND
1157 ADAMS STREETDORCHESTERMA02124046394579EMPLOYEE BENEFIT FUNDMA0
SMW LOCAL 17 EQUALITY
1157 ADAMS STREETDORCHESTERMA02124042740831EMPLOYEE BENEFIT FUNDMA5010
SMW LOCAL 17 SUPPLEMENTAL PENSION FUND
1157 ADAMS STREETDORCHESTERMA02124200845880EMPLOYEE BENEFIT FUNDMA0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (139 entries)

Legal Domicile StateLegalDomicileStateCd
A ZAHNER COMPANY
MA
ADVANCE AIR & HEAT (NEW BEDFORD)
MA
AERO MECH INC (RI)
RI
AERODYNE MECHANICAL CONTRACTOR
MA
AIR DISTRIBUTION CORP (BOSTON)
MA
ALLIANCE SHEET METAL (BOSTON)
MA
APEX CORPORATION (BOSTON)
MA
APEX CORPORATION (NEW BEDFORD)
MA
APOLLO ROOFING & SHEET METAL
MA
ATLANTIC CONTRACTING & SPECIAL
NH
ATLANTIC CONTRACTING & SPECIAL
NH
BENNETT CAD SYSTEMS INC (BOSTON)
MA
BI-STATE INSULATION (NEW BEDFORD)
MA
BLOUIN SERVICE LLC
NH
BONNER SHEET METAL CORP (BOSTON)
MA
BOSTON AIR SYSTEMS (BOSTON)
MA
BRANDSAFWAY INDUSTRIES LLC
MA
BRYANT SHEET METAL (BOSTON)
MA
BTEA
MA
BUCKLEY ASSOCIATES (BOSTON)
MA
BUCKLEY ASSOCIATES (PRODUCTION)
MA
CHARLES P BLOUIN (NH)
NH
CHARLES P BLOUIN (OFFICE)
MA
CHARLES P BLOUIN INC (BOSTON)
MA
CHARLES P BLOUIN (MAINE)
ME
CHARLES P BLOUIN (NBFR)
MA
COMMONWEALTH BLDG SYSTEMS (BOSTON)
MA
COMMONWEALTH VENTILATION
MA
COX ENGINEERING COMPANY
MA
CROSS COUNTRY FOOD SERVICE INS
MA
CUSTOM METALS - INSURANCE
MA
CUSTOM METALS OF MASS
MA
DD SILVIA HVAC (NB)
MA
DD SILVIA HVAC (RI)
RI
DESIGN FLOW ASSOCIATES LLC
MA
E L BARRETT CO INC
MA
EAGLE CONRNICE CO INC (RI)
RI
ENVIRONMENTAL DUCT SOLUTIONS
MA
EVERGREEN SHEETMETAL (NB)
MA
EXCEL HVAC INC
RI
F DONOVAN BALANCING LLC
MA
FANNING ASSOCIATES
MA
FEELEY MCANESPIE INC
MA
FOOD EQUIPMENT INSTALLATION
MA
FRAZIER SHEET METAL
MA
GASTON ELECTRICAL CO INC
MA
GILBERT & BECKER CO INC
MA
GLOBAL MECHANICAL SERVICES
MA
GREENWOOD INDUST (BOSTON)
MA
GREENWOOD INDUST (NB)
MA
GREENWOOD INDUST (RI)
RI
HEMCO SHEET METAL
MA
INDEPENDENT AIR
MA
J F COFFEY ASSOC INC
MA
JC CANNISTRARO LLC (BOSTON)
MA
JAMAR COMPANY (MAINE)
ME
JEC SERVICE COMPANY
MA
JOHN F SHEA CO INC
MA
JOHN W DANFORTH COMPANY
NY
JOHN W MCDOUGALL CO INC
TN
JOHNSON S M CO INC
MA
KEVIN S COX ASSOC (BOSTON)
MA
KIMBALL AIR SYSTEMS (BOS)
MA
KINETIC SYSTEMS (MAINE)
ME
KIVA SYSTEMS INC
MA
KLEEBERG SHEET METAL INC (NH)
NH
LEONHARDT CO INC
NH
LOCAL 104 H&W
MA
LOCAL 88 SOUTHERN CALIFORNIA
MA
LYMO CONSTRUCTION CO
NH
MAPLEWOOD SHEET METAL CO INC
MA
MAY ENGINEERING CO (RI)
RI
MBTA
MA
MCCUSKER-GILL INC
MA
MCCUSKER-GILL INC
MA
MCCUSKER-GILL ST SEBASTIAN'S
MA
METALON LLC
MA
MILHAMER ASSOCIATES INC (BOSTON)
MA
MILHARMER ASSOCIATES INC (NB)
MA
MILHARMER ASSOCIATES INC (RI)
RI
MLS SHEET METAL
MA
MURPHY SPECIALTIES
MA
NESM (NH)
NH
NESM CONNECTORS
MA
NEW ENGLAND ABATEMENT RESOURCE
MA
NORTHEASTERN MECHANCIAL INC
MA
NORTHEASTERN SHEET METAL (NH)
NH
NORTHEASTERN SPIRAL MFG
MA
NORTHSTAR CONTRACTING GROUP
MA
PEAK MECHANICAL SERVICES CORP
MA
PERFORMANCE PIPING
MA
PHIL'S HVAC (BOSTON)
MA
PLATINUM SCAFFOLDING SERVICES
MA
PRECISION AIR TESTING & BALANCING
RI
QUALITY AIR METALS (NB)
MA
QUALITY AIR METALS (RI)
RI
QUALITY AIR METALS BOSTON
MA
REDSTONE ENERGY INC
MA
RELIABLE ROOFING & SM
MA
RMN MECHANICAL
NH
S&D SHEET METAL (MAINE)
ME
SKANSKA US BLDG USA INC (BOS)
MA
SMW 17 JATC
MA
SMW LOCAL 17 JATC
MA
SMW LOCAL 17 OFFICE AT HALL
MA
SMW LU OFFICE AT HALL
MA
SUNRISE ERECTORS INC
MA
SYDNEY SHEET METAL
MA
TEKON (NB)
MA
TEKON (RI)
RI
TEKON TECH (BOSTON)
MA
TEKON TECH (MAINE)
ME
TEKON TECH (NH)
NH
TEMPTEC MECHANICAL
RI
THB (RI)
RI
THOMAS YOUNG ASSOC (NB)
MA
THOMAS YOUNG CO (BOS)
MA
TITANWORCESTER OFFICE
MA
TRI STAR SHEET METAL (MAINE)
ME
UNIQUE METAL WORKS LLC (NBFR)
MA
UNIQUE METAL WORKS LLC (RI)
RI
UNITED HVAC (BOSTON)
MA
WALLCO INSTALLATIONS
MA
WALSH MECHANCIAL (BOSTON)
MA
WORCESTER AIR COND (BOSTON)
MA
WORCESTER AIR COND (NB)
MA
WORCESTER AIR COND (RI)
RI
XYZ SHEET METAL
MA
ZONE MECHANICAL INC
MA
MODERNIZED ARCHITECTURAL SHEET
MA
O'CONNOR CORPORATION (ME)
ME
PROTEK (RESIDENTIAL)
MA
QUINCY SHEET METAL CO
MA
THERMAL INDUSTRIAL INSULATION
MA
TOWER RECYCLING SYSTEMS
NJ
TREMONT HVAC
MA
UNIVERSAL AUTOMATION & MECH
MA
WALSH BROTHERS INC
MA
WILLIAM F FLYNCH CO
MA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd