STRATEGY STUDIO / PUBLIC DATA EXPLORER

SHEET METAL WORKERS UNION LOCAL NO 17 INSURANCE FUND: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SHEET METAL WORKERS UNION LOCAL NO 17 INSURANCE FUND (EIN 04-2088633)
Tax period
2017-12-01 to 2018-11-30
Filed
2019-09-27
IRS object ID
201942709349300009
Schema version
2017v2.3
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)
Return2019-09-27T08:46:51-05:00ReturnTs
Tax Period End2018-11-30TaxPeriodEndDt

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 Begin2017-12-01TaxPeriodBeginDt

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
Signature2019-09-17SignatureDt
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)
IP2019-09-27IPDt
IP Tm09:39:04IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id908F5FDF7FF5B10F9B65F5EF02648CE53D886785AtSubmissionCreationDeviceId
At Submission Filing Device Id57CAB1478FA21B4BB6BCA0ED5F2D8E49AC86AE59AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$82,698,126GrossReceiptsAmt
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 Employee32TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$30,475,535PYProgramServiceRevenueAmt
CY Program Service Revenue$37,133,616CYProgramServiceRevenueAmt
PY Investment Income$2,538,474PYInvestmentIncomeAmt
CY Investment Income$2,140,887CYInvestmentIncomeAmt
PY Other Revenue$552,306PYOtherRevenueAmt
CY Other Revenue$726,984CYOtherRevenueAmt
PY Total Revenue$33,566,315PYTotalRevenueAmt
CY Total Revenue$40,001,487CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$29,873,800PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$34,087,049CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$807,456PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$827,163CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$388,858PYOtherExpensesAmt
CY Other Expenses$272,523CYOtherExpensesAmt
PY Total Expenses$31,070,114PYTotalExpensesAmt
CY Total Expenses$35,186,735CYTotalExpensesAmt
PY Revenues Less Expenses$2,496,201PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,814,752CYRevenuesLessExpensesAmt
Total Assets BOY$54,154,394TotalAssetsBOYAmt
Total Assets EOY$57,722,359TotalAssetsEOYAmt
Total Liabilities BOY$4,545,276TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,746,956TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$49,609,118NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$52,975,403NetAssetsOrFundBalancesEOYAmt
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 Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee32EmployeeCnt
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
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$211,228$0$117,878Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$211,228TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$117,878TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUE CROSS BLUE SHIELDBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 PARK DRIVEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02215ZIPCd
FieldValueIRS element (for citing)
ServicesHEALTH CLAIMS ADMINISTRATIONServicesDesc
Compensation$1,100,010CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS561000$35,935,096$35,935,096
MEMBER CONTRIBUTIONS561000$1,033,916$1,033,916
SASMI CONTRIBUTIONS561000$164,604$164,604
FieldValueIRS element (for citing)
Total Program Service Revenue$37,133,616TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$852,338TotalRevenueColumnAmt
Exclusion$852,338ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$43,985,188SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$42,696,639SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,288,549SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,288,549TotalRevenueColumnAmt
Exclusion$1,288,549ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ADMIN ASSESSMENTS900099$615,744$615,744
SETTLEMENT INCOME900099$89,946$89,946
GAIN ON DISPOSAL OF ASSET900099$13,000$13,000

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,294TotalRevenueColumnAmt
Related Or Exempt Func Income$8,294RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$726,984OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,001,487TotalRevenueColumnAmt
Related Or Exempt Func Income$37,860,600RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,140,887ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$34,087,049TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$211,228TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$238,495TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$219,492TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$126,880TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$31,068TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,737TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,760TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$41,185TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$28,434TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,641TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$40,404TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$27,911TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,790TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,931TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$21,031TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
TELEPHONE$11,456
ACA FEES$9,889
POSTAGE$6,839
ADMINISTRATIVE EXPENSE$6,193

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,322TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$35,186,735TotalAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$22,304,248BOYAmt
EOY$3,771,821EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,956,089BOYAmt
EOY$6,301,543EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,556BOYAmt
EOY$39,799EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,225,178LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$565,609LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$652,724BOYAmt
EOY$659,569EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$149,229BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$23,963,242BOYAmt
EOY$44,865,407EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,119,306BOYAmt
EOY$2,084,220EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$54,154,394BOYAmt
EOY$57,722,359EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$374,752BOYAmt
EOY$237,231EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,170,524BOYAmt
EOY$4,509,725EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,545,276BOYAmt
EOY$4,746,956EOYAmt
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$49,609,118BOYAmt
EOY$52,975,403EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$49,609,118BOYAmt
EOY$52,975,403EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$54,154,394BOYAmt
EOY$57,722,359EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,814,752ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,448,467NetUnrlzdGainsLossesInvstAmt
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$231,213DepreciationAmt
Book Value$576,447BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$417,518OtherCostOrOtherBasisAmt
Depreciation$334,396DepreciationAmt
Book Value$83,122BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$659,569TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LONGVIEW LARGECAP 500$13,868,879F
INSTITUTIONAL SENIOR LOAN FUND$3,826,108F
INSTL MULTI-STRATEGY$3,872,526F
BAIRD INTERMEDIATE BOND$14,097,894F
NHIT CORE PLUS DISCRETION TRUST$9,200,000F
FieldValueIRS element (for citing)
Total Book Value Securities$44,865,407TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INCURRED BUT NOT REPORTED CLAIMS$3,990,195
BENEFITS PAYABLE$519,530
FieldValueIRS element (for citing)
Total Liability$4,509,725TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$38,511,835TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,448,467NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,448,467RevenueNotReportedAmt
Revenue Subtotal$39,960,302RevenueSubtotalAmt
Investment Expenses Not Incld$41,185InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$41,185RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$40,001,487TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$34,806,349TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$34,806,349ExpensesSubtotalAmt
Investment Expenses Not Incld2$41,185InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$339,201OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$380,386ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$35,186,735TotalExpensesPerForm990Amt

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, 2018, 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 339,201.

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$211,228BaseCompensationFilingOrgAmt
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$92,502DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$25,376NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$329,106TotalCompensationFilingOrgAmt
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 (137 entries)

Legal Domicile StateLegalDomicileStateCd
ACS MECHANCIAL LLC
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
ATLANTIC CONTRACTING & SPECIAL
NH
BENNETT CAD SYSTEMS INC (BOSTON)
MA
BLOUIN SERVICE LLC
NH
BOSTON AIR SYSTEMS (BOSTON)
MA
BOSTON GLOBE NEWSPAPER CO
MA
BRAND ENERGY SERVICES LLC
MA
BRYANT SHEET METAL (BOSTON)
MA
BTEA
MA
BUCKLEY ASSOCIATES (PRODUCTION)
MA
BUCKLEY ASSOCIATES (BOSTON)
MA
BUNTING GRAPHICS INC (BOS)
MA
CHARLES P BLOUIN INC (BOSTON)
MA
CHARLES P BLOUIN (OFFICE)
MA
CHARLES P BLOUIN (MAINE)
ME
CHARLES P BLOUIN (NH)
NH
CHARLES P BLOUIN (RI)
RI
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
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 (NH)
NH
GREENWOOD INDUST (NB)
MA
GREENWOOD INDUST (RI)
RI
GREENWOOD INDUST (BOSTON)
MA
HALMARK MECHANICAL CORP (BOSTON)
MA
HAMILTONNEE AIR SYSTEMS
MA
HEMCO SHEET METAL
MA
INDEPENDENT AIR
MA
J F COFFEY ASSOC INC
MA
JC CANNISTRARO LLC (BOSTON)
MA
JEC SERVICE COMPANY
MA
JOHN F SHEA CO INC
MA
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 63 RECIP CONTRACTOR
MA
LOCAL 88 SOUTHERN CALIFORNIA
MA
MBTA
MA
MANGANARO NORTHEAST LLC
MA
MANNYS PLUMBING & HEATING
MA
MAPLEWOOD SHEET METAL CO INC
MA
MASSEYS PLATE
CT
MAY ENGINEERING CO (RI)
RI
MCCUSKER-GILL INC
MA
MCCUSKER-GILL ST SEBASTIAN'S
MA
MCCUSKER-GILL INC
MA
METALON LLC
MA
MILHAMER ASSOCIATES INC (BOSTON)
MA
MILHARMER ASSOCIATES INC (RI)
RI
MILHARMER ASSOCIATES INC (NB)
MA
MLS SHEET METAL
MA
MURPHY SPECIALTIES
MA
NESM (NH)
NH
NESM CONNECTORS
MA
NEW ENGLAND ABATEMENT RESOURCE
MA
NEW ENGLAND MECH2
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 (RI)
RI
TEKON (NB)
MA
TEKON TECH (BOSTON)
MA
TEKON TECH (MAINE)
ME
TEKON TECH (NH)
NH
TEMPTEC MECHANICAL
RI
THB (RI)
RI
THB COMPANY
MA
THOMAS YOUNG ASSOC (NB)
MA
THOMAS YOUNG CO (BOS)
MA
TITANWORCESTER OFFICE
MA
TRI STAR SHEET METAL (MAINE)
ME
TWEET GAROT MECH INC (BO)
MA
TWEET GAROT MECH INC (ME)
ME
UNIQUE METAL WORKS LLC (NBFR)
MA
UNIQUE METAL WORKS LLC (RI)
RI
UNITED HVAC (BOSTON)
MA
WALLCO INSTALLATIONS
MA
WALLCO INSTALLATIONS (RI)
RI
WALSH MECHANCIAL (BOSTON)
MA
WORCESTER AIR COND (NB)
MA
WORCESTER AIR COND (RI)
RI
WORCESTER AIR COND (BOSTON)
MA
XYZ SHEET METAL
MA
ZONE MECHANICAL INC
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