STRATEGY STUDIO / PUBLIC DATA EXPLORER

TEAMSTERS LOCAL 653 WELFARE FUND: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
TEAMSTERS LOCAL 653 WELFARE FUND (EIN 04-2149479)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-23
IRS object ID
201712969349300531
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-10-23T09:30:40-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042149479EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS LOCAL 653 WELFARE FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTEAMBusinessNameControlTxt
Phone5082307140PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14 B HAMPDEN DRIVEAddressLine1Txt
CitySOUTH EASTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02375ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN MCELHINNEYPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone5082307140PhoneNum
Signature2017-10-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEDWARD MANZIPreparerPersonNm
PTINP01058633PTIN
Phone9789751099PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address173.162.188.213IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-10-23IPDt
IP Tm10:29:17IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB1622048DC2FA161F93FA6E15ECC75076AE96EF6AtSubmissionCreationDeviceId
At Submission Filing Device IdBBDB5575E7326D5B2377496E10CFF2F4D9A3D197AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRIAN MCELHINNEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14 B HAMPDEN DRIVEAddressLine1Txt
CitySOUTH EASTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP023751158ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$39,795,651GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Other Organization DscH&W FUNDOtherOrganizationDsc
Formation1952FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH BENEFITS TO MEMBERS OF SPONSORING ORGANIZATION UNDER CBAActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$20,211,904PYProgramServiceRevenueAmt
CY Program Service Revenue$21,716,464CYProgramServiceRevenueAmt
PY Investment Income$1,306,467PYInvestmentIncomeAmt
CY Investment Income$1,889,396CYInvestmentIncomeAmt
PY Other Revenue$32,149PYOtherRevenueAmt
CY Other Revenue$3,285CYOtherRevenueAmt
PY Total Revenue$21,550,520PYTotalRevenueAmt
CY Total Revenue$23,609,145CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$18,573,075PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$20,549,649CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$269,946PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$270,618CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,169,959PYOtherExpensesAmt
CY Other Expenses$1,163,552CYOtherExpensesAmt
PY Total Expenses$20,012,980PYTotalExpensesAmt
CY Total Expenses$21,983,819CYTotalExpensesAmt
PY Revenues Less Expenses$1,537,540PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,625,326CYRevenuesLessExpensesAmt
Total Assets BOY$54,157,845TotalAssetsBOYAmt
Total Assets EOY$55,804,741TotalAssetsEOYAmt
Total Liabilities BOY$3,228,370TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,802,042TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$50,929,475NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$53,002,699NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HEALTH BENEFITS TO MEMBERS OF THE SPONSORING ORGANIZATION UNDER COLLECTIVE BARGAINING AGREEMENTMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescPROVIDE WELFARE BENEFITS TO EMPLOYEES UNDER COLLECTIVE BARGAINING AGREEMENTDesc
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 Required0ScheduleJRequiredInd
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 Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3EmployeeCnt
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 Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIAN MCELHINNEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5082307140PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14 B HAMPDEN DRIVEAddressLine1Txt
CitySOUTH EASTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02375ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BRIAN MCELHINNEY
TRUSTEE10.00Yes (X)$0$0$0
MICHAEL EPSTEIN
TRUSTEE10.00Yes (X)$0$0$0
WILLIAM BURKE
TRUSTEE10.00Yes (X)$0$0$0
WILLIAM TRASK
TRUSTEE10.00Yes (X)$0$0$0
GEORGE WIESENDANGER
TRUSTEE10.00Yes (X)$0$0$0
TIMOTHY BROWN
TRUSTEE10.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BLUE CROSS BLUE SHIELD
401 PARK DR 14BOSTONMA02129CLAIMS ADMIN$684,468
MORGAN STANLEY SMITH BARNEY
25 RECREATION PK DRHINGHAMMA02043INVESTMENT FEES$378,114
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$21,272,067$21,272,067
EMPLOYEE CONTRIBUTIONS900099$444,397$444,397
FieldValueIRS element (for citing)
Total Program Service Revenue$21,716,464TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,238,790TotalRevenueColumnAmt
Exclusion$1,238,790ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$16,837,112SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$16,186,506SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$650,606SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$650,606TotalRevenueColumnAmt
Exclusion$650,606ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INVESTMENT INCOMEDesc
Business523000BusinessCd
Total Revenue Column$3,285TotalRevenueColumnAmt
Exclusion$3,285ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,285OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,609,145TotalRevenueColumnAmt
Related Or Exempt Func Income$21,716,464RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,892,681ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$20,549,649TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$139,303TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$65,857TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$47,513TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,945TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25,000TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$60,918TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$384,031TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$119,351TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,015TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,124TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,501TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,429TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33,955TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$24,652TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
STOPLOSS$349,308
ACA COMPLIANCE FEES$88,898
REPAIRS AND MAINTENANCE$26,725
REAL ESTATE TAXES$10,783

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,862TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,983,819TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,138,267BOYAmt
EOY$2,686,692EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,340,093BOYAmt
EOY$3,912,840EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,261,049BOYAmt
EOY$2,383,014EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$18,370BOYAmt
EOY$14,166EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,377,021LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$668,403LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$732,488BOYAmt
EOY$708,618EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$38,927,983BOYAmt
EOY$37,058,685EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,102,291BOYAmt
EOY$6,394,581EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,637,304BOYAmt
EOY$2,646,145EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$54,157,845BOYAmt
EOY$55,804,741EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,699BOYAmt
EOY$11,475EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,214,671BOYAmt
EOY$2,790,567EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,228,370BOYAmt
EOY$2,802,042EOYAmt
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$50,929,475BOYAmt
EOY$53,002,699EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$50,929,475BOYAmt
EOY$53,002,699EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$54,157,845BOYAmt
EOY$55,804,741EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,625,326ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$447,898NetUnrlzdGainsLossesInvstAmt
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$115,200OtherCostOrOtherBasisAmt
Book Value$115,200BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,261,821OtherCostOrOtherBasisAmt
Depreciation$668,403DepreciationAmt
Book Value$593,418BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$708,618TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
GUGGENHEIM LIMITED DURATION I$3,122,728F
DOUBLELINE CORE FIXED INC I$3,271,853F
FieldValueIRS element (for citing)
Total Book Value Securities$6,394,581TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescHEALTH CLAIMS PAYABLEDesc
Amt$2,790,567Amt
FieldValueIRS element (for citing)
Total Liability$2,790,567TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$23,673,012TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$447,898NetUnrealizedGainsInvstAmt
Revenue Not Reported$447,898RevenueNotReportedAmt
Revenue Subtotal$23,225,114RevenueSubtotalAmt
Investment Expenses Not Incld$384,031InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$384,031RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$23,609,145TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,021,829TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$22,021,829ExpensesSubtotalAmt
Investment Expenses Not Incld2$384,031InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$422,041OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$38,010ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$21,983,819TotalExpensesPerForm990Amt

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 DECEMBER 31, 2016, 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:CHANGE IN BENEFITS PAYABLE -422,041.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN FOR MEMBERS OF TEAMSTERS LOCAL 653
FORM 990, PART VI, SECTION B, LINE 11BBOARD OF TRUSTEES HAS GIVEN AUTHORITY TO THE FUND ADMINISTRATOR TO REVIEW TAX DOCUMENTATION BEFORE FILING.
FORM 990, PART VI, LINE 15A:BOARD OF TRUSTEES DO NOT RECEIVE COMPENSATION.
FORM 990, PART VI, SECTION B, LINE 12AS AN EMPLOYEE BENEFIT PLAN, THE ORGANIZATION IS SUBJECT TO THE CONFLICTS OF INTEREST REQUIREMENTS OF ERISA
FORM 990, PART VI, SECTION B, LINE 15BOARD OF TRUSTEES REVIEWS KEY EMPLOYEES COMPENSATION WITH COMPARABILITY DATA ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AVAILABLE UPON REQUEST
FORM 990, PART XII, LINE 2C:THERE HAVE BEEN NO CHANGES TO THE PROCESS DURING THE CURRENT YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationInd
4 HAMPDEN DRIVE
4-1 HAMPDEN DRIVESOUTH EASTONMA02375043552834REALTYMA5010
INTERNATIONAL BROTHERHOOD OF TEAMSTERS LOCAL 653 TCWH
4 A HAMPDEN DRIVESOUTH EASTONMA02375041472105UNIONMA5010
TEAMSTERS 25 HEALTH SERVICES
139 CAMPANELLI DRIVEMIDDLEBOROMA02346HEALTH INSURANCE0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (22 entries)

Legal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ABF FREIGHT SYSTEM INC
AKN/A
AGGREGATE INDUSTRIES INC
N/ACA
ALKAT TRANSPORT LLC
MAN/A
ARAMARK UNIFORM SERVICES INC
CAN/A
BURKE DISTRIBUTING CORPORATION
MAN/A
CBI SHAW & WEBSTER CONSTRUCTION
TXN/A
COLLINS CRANE & RIGGINS SERVICE INC
MAN/A
FAIRSIDE TRUCKING INC
MAN/A
FRITO-LAY INC
MAN/A
GARBER BROTHERS INC
MAN/A
HALLAMORE CORPORATION
MAN/A
HORIZON BEVERAGE COMPANY INC
MAN/A
PLAINVILLELORUSSO MATERIALS CORP
MAN/A
REDIMIX COMPANIES
MAN/A
SM LORUSSO & SONS INC
MAN/A
SOUTHEASTERN CONCRETE INC
MAN/A
SOUTHEASTERN METAL FAB INC
MAN/A
UNITED LIQUORSMARTIGNETTI COMPANIES
MAN/A
UNITED PARCEL SERVICE
OHN/A
WH RILEY & SON INC (NA)
MAN/A
WH RILEY & SON INC (TAUNTON)
MAN/A
YRC WORLDWIDE INC
KSN/A
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 OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line14 HAMPDEN DRIVE NOMINEE TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$54,202InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt