MIDDLETOWN WORKS HOURLY & SALARIED UNION RETIREES HEALTH CARE FUND: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MIDDLETOWN WORKS HOURLY & SALARIED UNION RETIREES HEALTH CARE FUND (EIN 36-7485085)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-10
IRS object ID: 201723149349301622
Schema version: 2016v3.0
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
Form 990
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-10T10:20:53-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	320043599	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	LEGACY PROFESSIONALS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	222 INDIANAPOLIS BOULEVARD SUITE	AddressLine1Txt
Address Line2	103	AddressLine2Txt
City	SCHERERVILLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46375	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	367485085	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIDDLETOWN WORKS HOURLY & SALARIED UNION	BusinessNameLine1Txt
Business Name Line2	RETIREES HEALTH CARE FUND	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	MIDD	BusinessNameControlTxt
Phone	8778295500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 CRAWFORD STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45044	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAY YOUNGDAHL	PersonNm
Person Title	CO-CHAIR	PersonTitleTxt
Phone	8778295500	PhoneNum
Signature	2017-11-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RENEE SPECK	PreparerPersonNm
PTIN	P00201492	PTIN
Phone	3123680500	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	12.197.118.215	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-10	IPDt
IP Tm	10:20:45	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	D56625F7C0621E1EB8BA8C5A7372C18F0F4BC985	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C3168D624729577079CA47B99B0ED2C5793BD89E	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BRIAN DALEY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 CRAWFORD STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45044	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$741,287,861	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c	Yes (X)	Organization501cInd
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Trust	Yes (X)	TypeOfOrganizationTrustInd
Formation	2008	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HEALTH BENEFITS	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$12,879,676	PYProgramServiceRevenueAmt
CY Program Service Revenue	$12,947,247	CYProgramServiceRevenueAmt
PY Investment Income	$5,113,689	PYInvestmentIncomeAmt
CY Investment Income	$32,619,157	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$400,000	CYOtherRevenueAmt
PY Total Revenue	$17,993,365	PYTotalRevenueAmt
CY Total Revenue	$45,966,404	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$46,779,502	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$48,709,997	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$95,500	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$92,500	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,835,089	PYOtherExpensesAmt
CY Other Expenses	$3,286,419	CYOtherExpensesAmt
PY Total Expenses	$49,710,091	PYTotalExpensesAmt
CY Total Expenses	$52,088,916	CYTotalExpensesAmt
PY Revenues Less Expenses	-$31,716,726	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$6,122,512	CYRevenuesLessExpensesAmt
Total Assets BOY	$635,943,460	TotalAssetsBOYAmt
Total Assets EOY	$641,611,730	TotalAssetsEOYAmt
Total Liabilities BOY	$379,674	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$277,679	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$635,563,786	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$641,334,051	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE HEALTH BENEFITS	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Desc	TO PROVIDE MEDICAL, PRESCRIPTION DRUG, DENTAL, VISION AND/OR LIFE INSURANCE BENEFITS FOR ELIGIBLE RETIREES AND THEIR DEPENDENTS.	Desc
Described In Section501c3	0	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	0	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	12	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	DA	ForeignCountryCd
Foreign Country	HU	ForeignCountryCd
Foreign Country	IS	ForeignCountryCd
Foreign Country	MY	ForeignCountryCd
Foreign Country	NO	ForeignCountryCd
Foreign Country	PO	ForeignCountryCd
Foreign Country	SW	ForeignCountryCd
Foreign Country	SZ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	5	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	0	ConflictOfInterestPolicyInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ZENITH AMERICAN SOLUTIONS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8778295500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1201 CRAWFORD STREET	AddressLine1Txt
City	MIDDLETOWN	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45044	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
JAY YOUNGDAHL
CHAIR	8.00	Yes (X)	$24,000	$0	$0
BRIAN DALEY
CO-CHAIR	8.00	Yes (X)	$8,875	$0	$0
ROGER MCCLOW
TRUSTEE	8.00	Yes (X)	$22,500	$0	$0
ROGER MINOR
TRUSTEE	8.00	Yes (X)	$9,875	$0	$0
MICHAEL BAILEY
TRUSTEE	8.00	Yes (X)	$7,125	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$72,375	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ZENITH AMERICAN SOLUTIONS INC
3333 N MAYFAIR RD STE 201	WAUWATOSA	WI	53222	THIRD PARTY ADMINISTRATOR & CLAIMS PROCE	$814,291
EXPRESS SCRIPTS
100 PARSONS POND DRIVE	FRANKLIN LAKES	NJ	07417	PHARMACY BENEFIT MANAGER	$532,937
UNITED HEALTHCARE SERVICES INC
185 ASYLUM STREET	HARTFORD	CT	06103	MEDICAL NETWORK ACCESS	$393,781
PIMCO
1633 BROADWAY 46TH FLOOR	NEW YORK	NY	10019	INVESTMENT MANAGER	$187,649
WELLS FARGO
90 SOUTH 7TH STREET N9305-164	MINNEAPOLIS	MN	55402	INVESTMENT MANAGER	$149,768

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER GROUP WAIVER PLAN REBATE	900099	$5,343,327	$5,343,327
SELF PAY CONTRIBUTIONS	900099	$3,956,606	$3,956,606
PRESCRIPTION DRUG REBATES	900099	$3,647,314	$3,647,314

Field	Value	IRS element (for citing)
Total Program Service Revenue	$12,947,247	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,895,220	TotalRevenueColumnAmt
Exclusion	$13,895,220	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$714,045,394	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$695,321,457	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$18,723,937	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,723,937	TotalRevenueColumnAmt
Exclusion	$18,723,937	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	SETTLEMENT INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	$400,000	TotalRevenueColumnAmt
Exclusion	$400,000	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$400,000	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,966,404	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,947,247	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$33,019,157	ExclusionAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$48,709,997	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$92,500	TotalAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$324,047	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$205,777	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$23,320	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$928,864	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,459,170	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$194,363	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$33,334	TotalAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$63,866	TotalAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt
FEES MANDATED BY ACA	$46,368
RETIREE ASSISTANCE COMM	$7,245
CLAIMS ASSESSMENT TAX	$65

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$52,088,916	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$49,582	BOYAmt
EOY	$91,938	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,705,625	BOYAmt
EOY	$16,879,209	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,043,447	BOYAmt
EOY	$6,926,119	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$25,247	BOYAmt
EOY	$21,282	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$274,049,347	BOYAmt
EOY	$617,693,182	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$351,070,212	BOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$635,943,460	BOYAmt
EOY	$641,611,730	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$305,574	BOYAmt
EOY	$198,054	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$74,100	BOYAmt
EOY	$79,625	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$379,674	BOYAmt
EOY	$277,679	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow SFAS117	Yes (X)	OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$635,563,786	BOYAmt
EOY	$641,334,051	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$635,563,786	BOYAmt
EOY	$641,334,051	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$635,943,460	BOYAmt
EOY	$641,611,730	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$6,122,512	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$11,892,777	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$56,930,317	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$11,892,777	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$11,892,777	RevenueNotReportedAmt
Revenue Subtotal	$45,037,540	RevenueSubtotalAmt
Investment Expenses Not Incld	$928,864	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$928,864	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$45,966,404	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$51,160,052	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$51,160,052	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$928,864	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$928,864	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$52,088,916	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUE OF LIMITATION EXPIRES.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	ALTHOUGH THE TRUSTEES MAINTAIN ULTIMATE CONTROL AND RESPONSIBILITY FOR THE PLAN, THEY HAVE DELEGATED THE DAY-TO-DAY ADMINISTRATIVE DUTIES TO ZENITH AMERICAN SOLUTIONS, INC. AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES FOR THEIR REVIEW. FORM 990 IS SIGNED AND FILED ONLY AFTER ALL QUESTIONS ARE ANSWERED AND ANY REVIEW CHANGES ARE MADE.
FORM 990, PART VI, SECTION B, LINE 15	ALTHOUGH THE PLAN HAS NOT USED THE METHODS LISTED IN PART VI, SECTION B, NUMBER 15 TO DETERMINE COMPENSATION, THE PLAN HAS ADOPTED A FORMAL COMPENSATION POLICY.
FORM 990, PART VI, SECTION C, LINE 19	THE PLAN DISTRIBUTES THE SUMMARY PLAN DESCRIPTION TO PLAN PARTICIPANTS AND PLAN PARTICIPANTS MAY REQUEST A COPY OF FORM 5500 ANNUAL REPORT, INCLUDING A FINANCIAL STATEMENT, FROM THE PLAN. OTHER PLAN DOCUMENTS THAT ARE REQUIRED TO BE DISCLOSED UNDER FEDERAL LAW, INCLUDING THE EMPLOYEE RETIREMENT AND INCOME SECURITY ACT OF 1974, AS AMENDED, ARE AVAILABLE UPON REQUEST.