NORTH CENTRAL STATES REGIONAL COUNCIL OF CARPENTERS HEALTH FUND: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- NORTH CENTRAL STATES REGIONAL COUNCIL OF CARPENTERS HEALTH FUND (EIN 39-6069788)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-12
- IRS object ID
- 201742859349301334
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-12T14:53:38-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | 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 | 396069788 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CENTRAL STATES REGIONAL COUNCIL OF | BusinessNameLine1Txt |
| Business Name Line2 | CARPENTERS' HEALTH FUND | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 7158353174 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4002 | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54702 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BOB BARKER | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 7158353174 | PhoneNum |
| Signature | 2017-09-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUGLAS BERTOSSI | PreparerPersonNm |
| PTIN | P00637990 | PTIN |
| Phone | 6123764500 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-09-29 | IPDt |
| IP Tm | 13:26:48 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B357B3474D56858E50033D16EDC996189344987F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B4CEFC48486AD23E31E8D5C62CADEAB4C6800BE3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BOB BARKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4002 | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $188,203,186 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.NCSCBF.COM | WebsiteAddressTxt |
| Type Of Organization Trust | Yes (X) | TypeOfOrganizationTrustInd |
| Formation | 1963 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH AND WELFARE BENEFITS TO UNION MEMBERS AND THEIR DEPENDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 116 | 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 | $59,456,811 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $63,380,069 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,759,610 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,950,971 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,696 | PYOtherRevenueAmt |
| CY Other Revenue | $32,210 | CYOtherRevenueAmt |
| PY Total Revenue | $64,229,117 | PYTotalRevenueAmt |
| CY Total Revenue | $69,363,250 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $61,803,497 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $68,706,208 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $954,658 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $969,927 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,402,713 | PYOtherExpensesAmt |
| CY Other Expenses | $1,583,204 | CYOtherExpensesAmt |
| PY Total Expenses | $64,160,868 | PYTotalExpensesAmt |
| CY Total Expenses | $71,259,339 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $68,249 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,896,089 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $185,233,047 | TotalAssetsBOYAmt |
| Total Assets EOY | $184,358,817 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $33,912,046 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $32,869,036 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $151,321,001 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $151,489,781 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HEALTH AND WELFARE BENEFITS TO UNION MEMBERS AND THEIR DEPENDENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Desc | PROVIDE SELF FUNDED BENEFITS FOR APPROXIMATELY 5,309 UNION MEMBERS AND THEIR DEPENDENTS. TO PAY FOR INSURANCE PREMIUMS FOR TRANSPLANT COVERAGE FOR MEMBERS 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 | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | 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 | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Loan Outstanding | Yes (1) | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 714 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 116 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | 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 | KRISTIN PASSINEAU | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7158353174 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4002 | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54702 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| BURT JOHNSON | |||||||
| TRUSTEE, CHAIRMAN | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $155,741 | $51,080 |
| BOB BARKER | |||||||
| TRUSTEE, SECRETARY/TREASURER | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $198,443 | $30,591 |
| JOHN RAINES | |||||||
| TRUSTEE, SECRETARY/TREASURER | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $253,016 | $55,723 |
| ERIC BALLWEG | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| COREY BIALCIK | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $117,992 | $45,789 | |
| BRAD DEPREZ | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| F WILLIAM HARVAT | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL HENDRICKS | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $86,480 | $36,436 | |
| CHRIS HILL | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $108,407 | $43,498 | |
| JEFF MCLEAN | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| PAT NILSEN | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $159,457 | $47,848 | |
| WAYNE NORDIN | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $118,789 | $43,498 | |
| PAT RODRIGUEZ | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $109,897 | $45,998 | |
| SID SAMUELS | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| BARRY SCHOLZ | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| JERRY SHEA | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| DAVE SMESTAD | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT WATSON | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $98,010 | $41,008 | |
| GERALD YARIE | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $97,644 | $40,833 | |
| KRISTIN PASSINEAU | |||||||
| ADMINISTRATIVE MANAGER | 18.00 | 27.00 | Yes (X) | $0 | $125,811 | $40,697 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,629,687 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $522,999 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | 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 |
|---|---|---|---|---|---|
| ANTHEM BLUECROSS BLUESHIELD | |||||
| PO BOX 951254 | CLEVELAND | OH | 44193 | CLAIMS PROCESSING | $1,428,035 |
| CASE MANAGEMENT SPECIALISTS | |||||
| 553 S INDUSTRIAL DR | HARTLAND | WI | 53209 | CONTRACTED MEDICAL CONSULTANT | $393,605 |
| DELTA DENTAL | |||||
| 2801 HOOVER ROAD PO BOX 828 | STEVENS POINT | WI | 54481 | CLAIMS PROCESSING | $183,747 |
| THE PREVIANT LAW FIRM SC | |||||
| 310 W WISCONSIN AVE STE 100 MW | MILWAUKEE | WI | 53212 | LEGAL COUNSEL | $160,822 |
| DEARBORN PARTNERS LLC | |||||
| 200 WEST MADISON SUITE 1950 | CHICAGO | IL | 60606 | INVESTMENT MANAGER | $121,775 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EMPLOYER CONTRIBUTIONS | 525100 | $54,410,813 | $54,410,813 |
| EMPLOYEE CONTRIBUTIONS | 525100 | $8,969,256 | $8,969,256 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $63,380,069 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,761,881 | TotalRevenueColumnAmt |
| Exclusion | $3,761,881 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $121,029,026 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $118,839,936 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,189,090 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,189,090 | TotalRevenueColumnAmt |
| Exclusion | $2,189,090 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 525100 | BusinessCd |
| Total Revenue Column | $32,210 | TotalRevenueColumnAmt |
| Exclusion | $32,210 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $32,210 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $69,363,250 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,380,069 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,983,181 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,706,208 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $618,037 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,548 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,054 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,288 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,972 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,250 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,401 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $573,704 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,974 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,697 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,840 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,959 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,728 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,385 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt |
|---|---|
| PCORI FEE | $22,954 |
| EDP MAINT./EDUCATION | $16,218 |
| BANK CHARGES | $15,401 |
| MISC EXPENSES | $13,863 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,789 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,259,339 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,988,517 | BOYAmt |
| EOY | $5,775,144 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,930,716 | BOYAmt |
| EOY | $4,493,614 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,584 | BOYAmt |
| EOY | $23,486 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,316 | BOYAmt |
| EOY | $51,420 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,221 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $30,748 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,301 | BOYAmt |
| EOY | $1,473 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,473,457 | BOYAmt |
| EOY | $141,604,356 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,094,873 | BOYAmt |
| EOY | $31,817,293 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $677,283 | BOYAmt |
| EOY | $592,031 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,233,047 | BOYAmt |
| EOY | $184,358,817 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $343,299 | BOYAmt |
| EOY | $530,489 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,568,747 | BOYAmt |
| EOY | $32,338,547 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,912,046 | BOYAmt |
| EOY | $32,869,036 | 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 | $151,321,001 | BOYAmt |
| EOY | $151,489,781 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,321,001 | BOYAmt |
| EOY | $151,489,781 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,233,047 | BOYAmt |
| EOY | $184,358,817 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,896,089 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,064,869 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,221 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,748 | DepreciationAmt |
| Book Value | $1,473 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,473 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESCO INSTITUTIONAL TRUST | $12,508,759 | F |
| NTGI DAILY ALL COUNTRY | $19,308,534 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $31,817,293 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO BROKERS FOR SECURITIES LENDING | Desc |
| Amt | $32,338,547 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $32,338,547 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $71,142,718 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,064,869 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $2,064,869 | RevenueNotReportedAmt |
| Revenue Subtotal | $69,077,849 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $285,401 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $285,401 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $69,363,250 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $70,973,938 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $70,973,938 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $285,401 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $285,401 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $71,259,339 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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 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; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BURT JOHNSON | ||||||||||||||
| TRUSTEE, CHAIRMAN | $0 | $155,741 | $0 | $0 | $0 | $0 | $0 | $24,053 | $0 | $27,027 | $0 | $206,821 | $0 | $0 |
| BOB BARKER | ||||||||||||||
| TRUSTEE, SECRETARY/TREASURER | $0 | $198,443 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $30,591 | $0 | $229,034 | $0 | $0 |
| JOHN RAINES | ||||||||||||||
| TRUSTEE, SECRETARY/TREASURER | $0 | $253,016 | $0 | $0 | $0 | $0 | $0 | $26,239 | $0 | $29,484 | $0 | $308,739 | $0 | $0 |
| COREY BIALCIK | ||||||||||||||
| TRUSTEE | $0 | $117,992 | $0 | $0 | $0 | $0 | $0 | $25,453 | $0 | $20,336 | $0 | $163,781 | $0 | $0 |
| CHRIS HILL | ||||||||||||||
| TRUSTEE | $0 | $108,407 | $0 | $0 | $0 | $0 | $0 | $23,348 | $0 | $20,150 | $0 | $151,905 | $0 | $0 |
| PAT NILSEN | ||||||||||||||
| TRUSTEE | $0 | $159,457 | $0 | $0 | $0 | $0 | $0 | $25,683 | $0 | $22,165 | $0 | $207,305 | $0 | $0 |
| WAYNE NORDIN | ||||||||||||||
| TRUSTEE | $0 | $118,789 | $0 | $0 | $0 | $0 | $0 | $23,348 | $0 | $20,150 | $0 | $162,287 | $0 | $0 |
| PAT RODRIGUEZ | ||||||||||||||
| TRUSTEE | $0 | $109,897 | $0 | $0 | $0 | $0 | $0 | $25,569 | $0 | $20,429 | $0 | $155,895 | $0 | $0 |
| KRISTIN PASSINEAU | ||||||||||||||
| ADMINISTRATIVE MANAGER | $0 | $125,811 | $0 | $0 | $0 | $0 | $0 | $22,867 | $0 | $17,830 | $0 | $166,508 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART 1, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S ADMINISTRATIVE MANAGER. THE RELATED ORGANIZATION USED THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION: APPROVAL BY THE BOARD OF TRUSTEES. | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (14 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $12 | $12 | 0 | 0 | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $4,530 | $4,530 | 0 | 0 | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $1,764 | $1,764 | 0 | 0 | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $4,930 | $4,930 | 0 | 0 | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $3,864 | $3,864 | 0 | 0 | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $3,543 | $3,543 | 0 | 0 | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $1,533 | $1,533 | 0 | 0 | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $176 | $176 | 0 | 0 | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $105 | $105 | 0 | 0 | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $81 | $81 | 0 | 0 | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $2,589 | $2,589 | 0 | 0 | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $83 | $83 | 0 | 0 | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $70 | $70 | 0 | 0 | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||||||
| CONTRIBUTING EMPLOYER | LATE CONTRIBUTIONS | Yes (X) | $206 | $206 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $23,486 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | THE BARGAINING ORGANIZATIONS (THE EMPLOYER AND UNION) BOTH APPOINT 50% OF THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY ADMINISTRATIVE STAFF AND PRESENTED TO THE HEALTH BOARD OF TRUSTEES FOR APPROVAL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE TRUSTEES ARE REQUIRED TO COMPLETE AN ANNUAL QUESTIONNAIRE REGARDING ANY POSSIBLE CONFLICTS OF INTEREST. ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST MUST BE DISCLOSED TO THE APPROPRIATE BOARD OR COMMITTEE AND THEY WILL DETERMINE IF A CONFLICT EXISTS AND IF THEY CAN OBTAIN A MORE ADVANTAGEOUS ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT. IF NOT, THE BOARD OR COMMITTEE WILL DETERMINE BY A MAJORITY VOTE OF DISINTERESTED TRUSTEES WHETHER THE TRANSACTION IS IN THE FUNDS BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE AND WILL DECIDE WHETHER TO ENTER INTO THE TRANSACTION ON THAT BASIS. IF THE BOARD OR COMMITTEE BELIEVES THAT A TRUSTEE HAS FAILED TO DISCLOSE, IT WILL GIVE THE TRUSTEE AN OPPORTUNITY TO EXPLAIN. IF THE BOARD OR COMMITTEE DETERMINES THE TRUSTEE HAS FAILED TO DISCLOSE, IT WILL TAKE DISCIPLINARY AND CORRECTIVE ACTION. THE TRUSTEE WITH A CONFLICT MUST LEAVE THE MEETING WHILE THE BOARD OR COMMITTEE MAKES THE DECISION WHETHER A CONFLICT EXISTS. |
| FORM 990, PART VI, SECTION B, LINE 15A | ADMINISTRATIVE MANAGER WAGES ARE DETERMINED BY THE EXECUTIVE COMMITTEE AND APPROVED BY THE FULL BOARD. BALANCE OF FUND OFFICE STAFF ARE RECOMMENDED BY THE ADMINISTRATIVE MANAGER, REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE AND PRESENT TO THE FULL BOARD FOR APPROVAL AT EACH QUARTERLY MEETING. THE PROCESS INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2016. WAGES ARE PAID BY A RELATED ORGANIZATION AND ALLOCATED TO THIS FUND. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| PART IX, LINE 11A | FEES ARE PAID TO A THIRD PARTY ADMINISTRATOR FOR ADMINISTRATION TO THE FUND. |
| PART XII, LINE 2C | THE ORGANIZATION DID NOT CHANGE EITHER THEIR OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NCSRCC TRAINING FUND | ||||||||||
| 1704 DEVNEY DRIVE | ALTOONA | WI | 54720 | 391243343 | TRAINING BENEFITS | WI | 501(C)(3) | LINE 10 | N/A | 0 |
| LABOR MGMT COOPERATIVE TRUST OF THE NCSRCC & AGC OF WI INC | ||||||||||
| 1704 DEVNEY DRIVE | ALTOONA | WI | 54720 | 680572562 | DRUG TESTING AND REIMBURSMENT FOR CLASSES | WI | 501(C)(6) | N/A | 0 | |
| NCSRCC PENSION FUND | ||||||||||
| 1704 DEVNEY DRIVE | ALTOONA | WI | 54720 | 396079856 | PENSION BENEFITS | WI | 401(A) | N/A | 0 | |
| NCSRCC SUPPLEMENTAL RETIREMENT PLAN | ||||||||||
| 1704 DEVNEY DRIVE | ALTOONA | WI | 54720 | 800234499 | DEFINED CONTRIBUTIONS BENEFITS | WI | 401(A) | N/A | 0 | |
| CARPENTERS & JOINERS LOCAL UNION 314 | ||||||||||
| 1602 S PARK STREET ROOM 206 | MADISON | WI | 53715 | 390198847 | MAN-POWER (SKILLED) | WI | 501(C)(5) | N/A | 0 | |
| NORTH CENTRAL STATES REGIONAL COUNCIL OF CORPENTERS | ||||||||||
| N2213 BODDE ROAD | KAUKAUNA | WI | 54130 | 390776395 | LABOR ORGANIZATION | MN | 501(C)(5) | N/A | 0 | |
| NORTH CENTRAL STATES REGIONAL COUNCIL OF CARPENTERS | ||||||||||
| N2216 BODDE ROAD | KAUKAUNA | WI | 54130 | 390776395 | LABOR ORGANIZATION | MN | 501(C)(5) | N/A | 0 | |
| WISCONSIN STATE COUNCIL OF CARPENTERS | ||||||||||
| 115 W MAIN STREET | MADISON | WI | 53703 | 390716115 | LOBBYING & LEGISLATIVE ACTIVITIES ON BEHALF OF THE WISCONSIN CARPENTERS | WI | 501(C)(5) | N/A | 0 | |
| NORTH CENTRAL STATES REG CNCL FO CARPS | ||||||||||
| UBS NATIONAL JOB CORPS TRAINING | ||||||||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)
| ACOUSTIC PROFESSIONALS LLC |
| ADVANTAGE INDUSTRIAL SYSTEMS LLC |
| BRUNSWICK BOWLING & BILLIARDS |
| CECO CONCRETE CONSTRUCTION |
| CONCRETE STRATAGIES LLC |
| PRICE ERECTING INC |
| SAFWAY STEEL PRODUCTS LLC - ST PAUL |
| SCHMITT ACOUSTICS LLC |
| SHEET PILING SERVICES LLC |
| U S VET LLC |
| KRAEMER NORTH AMERICA LLC |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (201 entries)
| A P COM POWER INC N CORP |
| ALBERICI CONSTRUCTORS INC |
| ALFREDSON BROS CONST CO |
| ANDERSON PLASTER & DRYWALL INC |
| ARCHITECTURAL PRODUCTS OF WAUSAU |
| ATLANTIC PLANT MAINTENANCE |
| AUSTAD & SON INC |
| BILFINGER INDUSTRIAL SERVICES INC |
| BIS INDUSTRIAL SERVICES INC - NONFLD |
| BADGER ACOUSTICS INC |
| BECKER CONSTRUCTION INC |
| BRAND SCAFFOLD SERVICES INC |
| CALACCI CONSTRUCTION CO INC |
| CAMOSY INC |
| CENTRAL MECHANICAL SYSTEMS INC (SHOP) |
| COMMONWEALTH CONSTRUCTION INC |
| CORNERSTONE CARPENTRY CONTRACTORS INC |
| DORAL CORPORATION |
| DOYLE CONTRACTORS INC |
| EAU CLAIRE ACOUSTICS INC |
| GAGNON CONST CO INC |
| HUNZINGER CONST CO |
| IEI GENERAL CONTRACTORS INC |
| INSULATED PANEL COMPANY |
| INTERIOR INSTALLATION SERVICE INC |
| JEFFERS ACOUSTICAL INC |
| JONES & OTTENWELLER INC |
| KPH CONSTRUCTION SERVICES LLC |
| KEPA SERVICES INC |
| KOTZE CONSTRUCTION CO INC |
| KRAUS ANDERSON CONST CO INC (MPLS) |
| LUNDA CONST CO - DIST 5 HWY HVY |
| MASHL STUDS & DRYWALL INC - ALUM |
| MCMULLEN & PITZ CONST CO |
| MEYER C R & SONS INC |
| MODERN CRANE SERVICE |
| MORTENSON M A CO |
| OLSON FLOOR COVERING INC |
| POWER GENERATION SERVICE INC |
| PRECISION LAB INSTALLATIONS INC |
| RICE IVAN & SONS INC |
| THE RIGHT ALIGNMENT CO INC |
| SCHMITT JOS & SONS CONST CO - NBU |
| SIEGFRIED CONSTRUCTION GEORGE |
| SPRINKMANN SONS CORP |
| STATE GROUP INDUSTRIAL (USA) LIMITED |
| STATZ & HARROP INC - ALUM |
| STEELE CONSTRUCTION CORPORATION |
| SULLIVAN KENNETH CO |
| SUPERIOR MASONRY BUILDERS INC |
| SYSTEMS ENTRPRS CORP (SECO) |
| TAYLOR BROS CONST CO INC |
| TRI-NORTH BUILDERS INC |
| TRI-STATE CARPETS INC |
| VER HALEN INC |
| VOGEL BROS BLDG CO (COMM) |
| W O J INSTALLATIONS INC |
| WALL TECH INC |
| WELLENSTEIN & SONS INC |
| SIEMENS GENERATION SRVCS CO |
| WINGHART INC |
| WYNTREE CONST INC - NBU |
| ZEISE FRANK O CONST CO INC |
| CAROUSEL USA |
| ICON INDUSTRIAL SERVICES LLC |
| MIDDLETON CONSTRUCTION CONSULTING LLC |
| TURBINEPROS LLC |
| AARON CARLSON INSTALLATION SERVICES |
| B A CONSTRUCTION LLC |
| BADGER WALL SYSTEMS - ALUM |
| BOWKER MECHANICAL CONTRACTORS LLC |
| COUNTERTOP DESIGNS LLC |
| MAVID CONST SVRCS LLC |
| MIDSTATE CONTRACTING LLC |
| REVOLUTION INDUSTRIAL SERVICES LLC |
| S & R BORCHARDT BUILDERS |
| KISER HYDRO LLC |
| VMI LLC |
| ANNING JOHNSON COMPANY |
| BAY AREA ROCK & PLASTER LLC |
| DRESSER RAND |
| DUKE & DUKE SERVICES INC |
| PLATINUM SCAFFOLDING SERVICES INC |
| HOLSTER CONSTRUCTION INC |
| HUSSMANN CORP |
| NORTHERN STATES POWER CO - PROLL 2ND FLR |
| PENN CONSTRUCTION GROUP |
| REICHL CONSTRUCTION INC |
| WALL PANEL LLC |
| A K INSTALLATION INC |
| API INC |
| ACOUSTIC SPEC INC CO VANRYZIN - ALUM |
| ALL AMERICAN CONST CO OF MOSINEE INC |
| ALL-TIMATE CONST INC (NBU) |
| AMES CONSTRUCTION INC |
| APPLETON LATHING CORP |
| AZCO INC |
| BACHMANN CONST CO INC (ALUM) |
| BADGER SCAFFOLD INC |
| BADGER SWIMPOOLS INC |
| BANE NELSON INC |
| BKB CONSTRUCTION INC |
| BOLDT COMPANY THE |
| BORTON CONSTRUCTION INC |
| BRENNAN J F CO INC - LU 606 HWY HVY |
| BUILDING SERVICE INC |
| CALIBER CONSTRUCTION CO |
| CAPELLE BROS & DIEDRICH INC |
| CARDINAL CONST CO INC - ALUM |
| CARPETLAND USA |
| CARY SPECIALIZED SERVICES INC - ALUM |
| CENTRAL CEILING SYSTEMS INC |
| MACCO'S COMMERCIAL INSTALLATION INC |
| COMPLETE THERMAL SYSTEMS INC |
| COMMON LINKS CONST LLC |
| CONTINENTAL ENTERPRISES (NBU) |
| ST COTTER TURBINE SERVICES |
| CULLEN J P & SON INC |
| DAVCO DEVELOPMENT CORP |
| DAY & ZIMMERMANN NPS INC |
| DELL CONST CO INC - ALUM |
| DELTA T CONST CO INC |
| DUGGAN CONTRACTING CORP |
| E & A ENTERPRISES INC |
| EGI MECHANICAL INC |
| FACILITIES CONST MGT CORP |
| FINDORFF J H & SON INC |
| FLOOR IT INC - ALUM |
| FOND DU LAC MOSAIC TILE INC - NBU |
| FOWLER & HAMMER INC |
| GATEWAY CONCRETE FORMING SYSTEMS |
| GEGARE TILE INC |
| GRAYCOR INDUST CONST INC |
| GRUBE G J CONST CO LLC |
| HALLMARK DRYWALL INC |
| HALVERSON CARPET CENTER LTD |
| HANDELAND FLOORING INC |
| HUGHES FLOORING INC |
| IBUILDERS CORP |
| IDEAL BUILDERS INC - ALUM |
| IMMEL HOWARD INC |
| INDUSTRIAL MAINTENANCE SERVICES INC |
| INDUSTRIAL SERVICES GROUP |
| JW FLOORING INC |
| JESSE JONES CONSTRUCTION INC |
| JUROWSKI R J CONST INC |
| K B S CONSTRUCTION INC |
| K N G MECHANICAL INC |
| KARI INSTALLATIONS INC |
| KLOBUCAR CONST CO INC - NBU |
| KNIGHT FLOORING |
| LARSON CONSTRUCTION INC |
| LEFFEL JAMES & CO |
| LEWIS CONST INC |
| LOVEGREEN INDUSTRIAL SERVICES INC |
| MAAS BROTHERS CONST CO INC |
| MACKEY ARNIE CONST INC -ALUM |
| MAGILL CONSTRUCTION CO INC - NBU |
| MARKET & JOHNSON INC |
| MICHELS FOUNDATIONS DIV OF MICHELS CORP |
| MIDDLETON CONSTRUCTION CO INC |
| MIDWEST CEILING SYSTEMS INC |
| MIRON CONSTRUCTION CO INC |
| MOORHEAD MACHINERY & BOILER CO |
| NATGUN CORP |
| NEWELL MACHINERY CO INC |
| NONNS FLOORING INC |
| OLYMPIC WALL SYSTEMS INC - WAUKESHA |
| OSBORNE CONSTRUCTION INC (DAVE) |
| OUDENHOVEN CONST CO |
| OVERHEAD DOOR CO OF CHIPPEWA VALLEY-JRYM |
| OVERHEAD DOOR CO OF MADISON INC-RESDNT |
| PHEIFER BROTHERS CONST |
| PLATT CONST INC |
| POELLINGERS INC |
| PORTZEN CONST INC |
| QUASIUS CONSTRUCTION INC |
| RTL CONSTRUCTION INC - INDUST |
| REYNOLDS TRANSFER & STORAGE |
| ROCKWELL GROUP INC THE |
| S J S ERECTING INC - ALUM |
| SAMUELS GROUP INC THE |
| SCHAEFER GROUP INC THE |
| SCHERRER CONST CO INC (RES PRE-APPRN) |
| SCHLEIS FLOOR COVERING |
| SCHMIDT CG INC |
| SERGENIANS FLOOR COVERINGS INC |
| SMITH CHARLES D & SONS - ALUM |
| STAINLESS SPECIALISTS INC |
| TL ENTERPRISES OF BANGOR INC |
| TRI-CITY CONCRETE CONST INC |
| TWIN CITY ACOUSTICS INC |
| VALOE PLASTERING INC |
| VJS CONSTRUCTION SERVICES |
| V & S CONSTRUCTION SERVICES |
| WCA |
| WALSH CONSTRUCTION CO |
| WENGER CORPORATION |
| BAUER & RAETHER BLDRS |
| WOODS CONSTRUCTION INC |
| ZENITH TECH INC |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING ARE INDIVIDUALS OR SOLE PROPRIETORS: JP FLOORING LLC KOMOROWSKI DRYWALL, LLC (FKA JAMES T) PRECISION CONVEYOR SERVICES RHOM CONSTRUCTION LLC TEWS CARPENTRY - RES MF JRNY DIEDERICH FLOORING LLC | ExplanationTxt |