STRATEGY STUDIO / PUBLIC DATA EXPLORER

HEARTLAND HEALTH & WELLNESS FUND: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HEARTLAND HEALTH & WELLNESS FUND (EIN 31-6041107)
Tax period
2015-01-01 to 2015-12-31
Filed
2017-11-06
IRS object ID
201703109349302185
Schema version
2015v3.0
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)
Return2017-11-06T16:04:58-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391531945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FREYBERG HINKLE ASHLAND POWERS & STOWELLBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line115420 W CAPITOL DRAddressLine1Txt
CityBROOKFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP530052621ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN316041107EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEARTLAND HEALTH & WELLNESS FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEARBusinessNameControlTxt
Phone9376651900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17250 POE AVENUE NO 300AddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45414ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOE CHORPENNINGPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone9376651900PhoneNum
Signature2017-11-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS M POWERS CPAPreparerPersonNm
PTINP00241729PTIN
Phone2627846210PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerJOE CHORPENNINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17250 POE AVENUE NO 300AddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45414ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$146,898,126GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.HEARTLANDWELLNESSFUND.COMWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Other Organization DscEMPLOYEE BENEFIT PLANOtherOrganizationDsc
Formation1957FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE PLAN PROVIDES MEDICAL, DENTAL, AND LIFE BENEFITS TO ITS MEMBERS AND DEPENDENTS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee37TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$104,619,203PYProgramServiceRevenueAmt
CY Program Service Revenue$142,472,587CYProgramServiceRevenueAmt
PY Investment Income$2,739,448PYInvestmentIncomeAmt
CY Investment Income$285,267CYInvestmentIncomeAmt
PY Other Revenue$220,283PYOtherRevenueAmt
CY Other Revenue$855,959CYOtherRevenueAmt
PY Total Revenue$107,578,934PYTotalRevenueAmt
CY Total Revenue$143,613,813CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$122,341,417PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$137,865,849CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,867,865PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,069,742CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,391,943PYOtherExpensesAmt
CY Other Expenses$8,989,053CYOtherExpensesAmt
PY Total Expenses$134,601,225PYTotalExpensesAmt
CY Total Expenses$148,924,644CYTotalExpensesAmt
PY Revenues Less Expenses-$27,022,291PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,310,831CYRevenuesLessExpensesAmt
Total Assets BOY$38,283,493TotalAssetsBOYAmt
Total Assets EOY$29,766,012TotalAssetsEOYAmt
Total Liabilities BOY$8,937,265TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,185,333TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,346,228NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,580,679NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FOR A UNIFORM HEALTH AND WELFARE PROGRAM FOR EMPLOYEES EMPLOYED UNDER CERTAIN COLLECTIVE BARGAINING AGREEMENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$144,424,187ExpenseAmt
DescTHE PLAN PROVIDES ACCIDENT, HEALTH, VISION, PRESCRIPTION, DENTAL, LIFE, AND DEATH BENEFITS TO ITS MEMBERS AND DEPENDENTS.Desc
Total Program Service Expenses$144,424,187TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
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 Document63IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee37EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
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 Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JERRY EVANSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9376651900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17250 POE AVENUE SUITE 300AddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45414ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
LENNIE WYATT
TRUSTEE1.0050.00Yes (X)$0$467,880$31,156
STEVE CULTER
TRUSTEE1.0050.00Yes (X)$0$499,380$32,144
STEVE LOEFFLER
TRUSTEE1.00Yes (X)$0$0$0
STEVE HENDRICKSON
TRUSTEE1.00Yes (X)$0$12,326$0
JOE CHORPENNING
CHAIRPERSON1.00Yes (X)$0$0$0Yes (X)
KATHY WAGENKNECHT
TRUSTEE1.00Yes (X)$0$0$0
OLENA MALECKYJ
TRUSTEE1.00Yes (X)$0$0$0
HENRY TAYLOR
SECRETARY/TREASURER1.00Yes (X)$0$0$0Yes (X)
JERRY EVANS
ADMINISTRATOR40.00$140,080$0$21,347Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$140,080TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$979,586TotReportableCompRltdOrgAmt
Total Other Compensation$84,647TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EPLAN LLC
22601 N 19TH AVE SUITE 202PHOENIXAZ85027CLAIMS REVIEW$624,299
MEDEXPERT INTERNATIONAL INC
2688 MIDDLEFIELD RDREDWOOD CITYCA94063DISEASE MANAGEMENT$505,056
REINHART BOERNER VAN DEUREN SC
PO BOX 2965MILWAUKEEWI532012965ATTORNEY$419,619
THE SEGAL COMPANY
101 NORTH WACKER DRIVE STE 500CHICAGOIL60606ACTUARY$405,995
BASYS INC
857 ELKRIDGE LANDING 7TH FLOORLINTHICUMMD21090COMPUTER CONSULTING$356,128
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$141,155,446$141,155,446
SELF-PAYMENT CONTRIB.900099$1,317,141$1,317,141
FieldValueIRS element (for citing)
Total Program Service Revenue$142,472,587TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$285,267TotalRevenueColumnAmt
Exclusion$285,267ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,284,313SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,284,313SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS900099$564,560$564,560
SHARED EXPENSE REIMBURSEMENT900099$291,399$291,399
FieldValueIRS element (for citing)
Other Revenue Total$855,959OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$143,613,813TotalRevenueColumnAmt
Related Or Exempt Func Income$143,328,546RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$285,267ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$137,865,849TotalAmt
Program Services$137,865,849ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,378,376TotalAmt
Management And General$1,378,376ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$101,549TotalAmt
Management And General$101,549ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$466,978TotalAmt
Management And General$466,978ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$122,839TotalAmt
Management And General$122,839ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$420,512TotalAmt
Management And General$420,512ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$82,675TotalAmt
Management And General$82,675ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$21,683TotalAmt
Management And General$21,683ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$417,116TotalAmt
Management And General$417,116ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$676,819TotalAmt
Management And General$676,819ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$380,357TotalAmt
Management And General$380,357ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$120,017TotalAmt
Management And General$120,017ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$76,365TotalAmt
Management And General$76,365ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,726TotalAmt
Management And General$15,726ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$60,008TotalAmt
Management And General$60,008ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PPO FEES AND MEDICAL RE$6,340,635$6,340,635
VISION SERVICE PLAN PRO$143,175$143,175
ONLINE OPEN ENROLLMENT$102,105$102,105
PRESCRIPTION DRUG PROGR$74,528$74,528

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$57,332TotalAmt
Management And General$57,332ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$148,924,644TotalAmt
Program Services$144,424,187ProgramServicesAmt
Management And General$4,500,457ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,544,946BOYAmt
EOY$8,179,092EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,806,457BOYAmt
EOY$6,022,032EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,027,853BOYAmt
EOY$6,013,509EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$33,346BOYAmt
EOY$23,796EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$147,591LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$91,919LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$29,777BOYAmt
EOY$55,672EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,839,821BOYAmt
EOY$8,452,958EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,001,293BOYAmt
EOY$1,018,953EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$38,283,493BOYAmt
EOY$29,766,012EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,133,924BOYAmt
EOY$3,198,242EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$23,841BOYAmt
EOY$92,491EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,779,500BOYAmt
EOY$2,894,600EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,937,265BOYAmt
EOY$6,185,333EOYAmt
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$29,346,228BOYAmt
EOY$23,580,679EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,346,228BOYAmt
EOY$23,580,679EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,283,493BOYAmt
EOY$29,766,012EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,310,831ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$454,866NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$148OtherChangesInNetAssetsAmt
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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$147,591OtherCostOrOtherBasisAmt
Depreciation$91,919DepreciationAmt
Book Value$55,672BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$55,672TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCLAIMS PAYABLEDesc
Amt$2,894,600Amt
FieldValueIRS element (for citing)
Total Liability$2,894,600TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$143,137,264TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$454,866NetUnrealizedGainsInvstAmt
Revenue Not Reported-$454,866RevenueNotReportedAmt
Revenue Subtotal$143,592,130RevenueSubtotalAmt
Investment Expenses Not Incld$21,683InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$21,683RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$143,613,813TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$149,787,861TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$149,787,861ExpensesSubtotalAmt
Investment Expenses Not Incld2$21,683InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$884,900OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$863,217ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$148,924,644TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES 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 IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THE DOL IS CURRENTLY AUDITING THE PLAN.
PART XII, LINE 4B - OTHER ADJUSTMENTS:DECREASE IN CURRENT YEAR'S CLAIMS PAYABLE -884,900.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LENNIE WYATT
TRUSTEE$0$189,513$0$130,983$0$147,384$0$0$0$31,156$0$499,036$0$0
STEVE CULTER
TRUSTEE$0$203,992$0$132,508$0$162,880$0$0$0$32,144$0$531,524$0$0
JERRY EVANS
ADMINISTRATOR$140,080$0$0$0$0$0$0$0$21,347$0$161,427$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationPART I, LINE 4A: LENNIE WYATT, SEVERANCE PAYMENT FROM RELATED ORGANIZATION, $147,384 STEVE CULTER, SEVERANCE PAYMENT FROM RELATED ORGANIZATION, $162,880ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, LINE BRETURN IS AMENDED TO CORRECT THE 12/31/15 EMPLOYER CONTRIBUTIONS RECEIVABLE AND OTHER RELATED ACCOUNTS TO REFLECT A CHANGE IN THE CONTRIBUTION STRUCTURE AND TIMING OF BILLINGS TO THE ASSOCIATED CONTRIBUTING EMPLOYERS WHICH WERE NOT RECORDED PRIOR TO THE FILING OF THE ORIGINALLY FILED TAX RETURN. THE INTERCOMPANY ACCOUNTS ARE ALSO NETTED IN THIS AMENDED RETURN. THE AMENDMENT CHANGES ARE REFLECTED ON FORM 990 PARTS I, VIII, X, AND XI, AND SCHEDULE D PART XI.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 GOES THROUGH A PRELIMINARY REVIEW BY THE ADMINISTRATIVE MANAGER AND ACCOUNTANT. ONCE THEY APPROVE THE FORM 990 IT IS PRESENTED TO A COMMITTEE OF TRUSTEES FOR APPROVAL PRIOR TO SIGNING AND FILING.
FORM 990, PART VI, SECTION B, LINE 12CTRUSTEES ARE EXPECTED TO FULLY DISCLOSE ANY OWNERSHIP OR OTHER FINANCIAL RELATIONSHIPS THEY HAVE WITH OTHER PARTIES THAT DEAL WITH THE PLAN.
FORM 990, PART VI, SECTION B, LINE 15ATHE ADMINISTRATIVE MANAGER'S PAY RANGE IS DETERMINED BY THE BOARD OF TRUSTEES. THE TRUSTEES HAD A SALARY STUDY PERFORMED BY THE PLAN'S CONSULTANTS. THE TRUSTEES APPROVE INCREASES IN COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:TRANSFER OF NET ASSETS FROM MERGER WITH INDIANA AREA UFCW HEALTH AND WELFARE PLAN 148.
FORM 990, PART XII, LINE 2CTHE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT TO PERFORM THE AUDIT OF THE PLAN'S FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, SCHEDULE R, PARTS II-IV:IN ADDITION TO THE CONTRIBUTING EMPLOYERS REPORTED AS RELATED ORGANIZATIONS ON SCHEDULE R, PARTS II-IV, THE PLAN ALSO HAD EIGHT SOLE PROPRIETORS AS CONTRIBUTING EMPLOYERS DURING 2015. THE PLAN HAD THREE EMPLOYERS PROVIDE "LLC" RATHER THAN THE TAX CLASSIFICATION. THE PLAN MADE A RESONABLE EFFORT TO OBTAIN THE TAX CLASSIFICATION FROM ALL CONTRIBUTING EMPLOYERS, BUT THREE OF THE CONTRIBUTING EMPLOYERS HAVE NOT YET RESPONDED TO THE MULTIPLE REQUESTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
BOARD OF TRUSTEES OF HEARTLAND HEALTH & WELLNESS FUND
7250 POE AVENUEDAYTONOH45414316173363PLAN SPONSOR AND PLAN ADMINISTRATOROH501(C)(9)N/A0
CHAMPAIGN RESIDENTIAL SERVICES INC
GOOD SHEPHERD HOME
HAMILTON COUNTY DEMOCRATIC PARTY
HARBOR BEHAVIORAL HEALTH
INT'L ASSOC OF MACHINISTS & AEROSPACE WORKERS LOCAL LODGE 1943
LUTHERAN HOMES SOCIETY INC
PLUMBERS & PIPEFITTERS LOCAL 162 APPRENTICESHIP TRAINING TR FUND
UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL NO 23
UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL NO 75
7250 POE AVENUEDAYTONOH45414310621221LABOR UNIONOH501(C)(5)N/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

CLERMONTS BEST DRIVING ACADEMY LLC
CONSOLIDATED HEALTHCARE SOLUTIONS LLC
CUNDIFF TOWN & COUNTRY TREE SERV LLC
EUGENE STEWART DBA SPECTRUM PRINTING & DESIGN
JAS ELECTRIC LLC
KROGER LIMITED PARTNERSHIP 1
LEONARD A BLEH LLC
MAXWELL MEDICAL LLC
MICHAEL P KELLY REALTY
SNYDER & GAST LLC
SYNERGY HOLISTIC HEALTH CENTER LLC
WEBER DICKEY BELLMAN

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (51 entries)

AMERICAN BUSINESS TECHNOLOGIES
AVI FOOD SYSTEMS INC
BAY VALLEY FOODS LLC
BILLOW CONSTRUCTION INC
BLUE GRASS PROVISIONS
BOROWIAKS IGA
BRIDGETOWN FINER MEATS INC
BRUSH & LADDER PAINTING INC
CHIEF SUPER MARKET INC
COOK & LOGOTHETIS LLC
CVS PHARMACY INC
DBM & SONS INC
DON CARTER & ASSOC INC
DON VONDERHAAR'S MARKET & CATERING INC
DR ELLEN C TORBECK DMD PSC
FOUNDATIONS HEALTH SOLUTIONS INC
FRANK L HARTER & SONS INC
FROZEN SPECIALTIES INC
G&G TRANSPORTATION SERVICE INC
G&S DISTRIBUTING
GR FEHR COMPANY INC
GARY LORD WALL OPTIONS AND ASSOCIATES INC
GOERGE F MOELLER LPA
GRACE FOODS INC
GREAT SCOT INC
INDUSTRIAL MECHANICAL CONTRACTORS INC
INNOVATIVE FOOD TECHNOLOGIES
JIM BITZENHOFER REFRIGERATION AND AC INC
JOHN J DUFFY & ASSOCIATES INC
JOHN STEHLIN & SONS CO INC
KIRCHER SUETHOLZ & GRAYSON CO LPA
KUHL TILE & MARBLE INC
LANGEN MEATS INC
LEE WILLIAMS MEATS INC
MANLEY BURKE LPA
NEWMAN & MEEKS CO LPA
RITE PRICE FOODS INC
ROBERT WHOLEY & CO INC
ROMY'S PLUMBING INC
RUBLE ARTISTIC FURNITURE RESTORATION INC
RUDOLPH FOODS COMPANY INC
SEVEN HILLS COFFEE COMPANY
SILGAN CAN COMPANY
SKYHAVEN FARMS INC
SUGAR CREEK PACKING CO
THE DOOR GROUP INC
THE KROGER CO
UNION EYE CARE
WASSLER MEATS INC
WE CARE FOOD STORES INC
WUNDERLAND INC
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 OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL NO 75
K$120,017FAIR MARKET VALUE
UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL NO 75
P$18,423ACTUAL EXPENSE REIMBURSEMENTS