2016-06-24T08:45:41-05:00 2015-08-31 382284921 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2014-09-01 386058383 MICHIGAN CARPENTERS' HEALTH CARE FUND MICH 5173217502 6525 CENTURION DRIVE LANSING MI 489170000 TYLER MCCASTLEROBERT ROOT CHAIRMAN/SECRETARY 5173217502 2015-12-16 BRYAN STULZ P00265596 5868836240 2016-06-24 2014 2016-09-27 15:27:22Z SAME AS ABOVE 23349272 false X X 1952 MI PROVIDE HEALTH AND WELFARE BENEFITS. 12 2 0 0 0 21059017 22259925 1113730 1046824 12922 42523 22185669 23349272 0 20075461 28621863 0 0 0 2616809 2628090 22692270 31249953 -506601 -7900681 29650944 22001794 11888166 15813059 17762778 6188735 PROVIDE HEALTH AND WELFARE BENEFITS. false false TO PROVIDE HEALTH CARE BENEFITS FOR ELIGIBLE PLAN PARTICPANTS. false false false false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 3 0 0 false false false false false false X 12 2 true false false false false true false true true false false false false false false false false false X TIC INTERNATIONAL CORP 5173217502 6525 CENTURION DR LANSING MI 48917 X KEVIN KLINGLER TRUSTEE 1.00 40.00 X 0 96124 35090 BRIAN KERRIGAN TRUSTEE 1.00 40.00 X 0 83967 35090 LEON TURNWALD TRUSTEE 1.00 40.00 X 0 83966 37517 TYLER MCCASTLE CHAIRMAN 1.00 40.00 X 0 75773 37267 CHAD MILLER TRUSTEE 1.00 40.00 X 0 73546 35090 TRAVIS FAIRBANKS TRUSTEE 1.00 40.00 X 0 73546 35090 ROBERT ROOT SECRETARY 1.00 40.00 X 0 0 0 WILLIAM HENDRICK TRUSTEE 1.00 40.00 X 0 0 0 STANLEY BUELL TRUSTEE 1.00 40.00 X 0 0 0 GARY BENJAMIN TRUSTEE 1.00 40.00 X 0 0 0 SCOTT FISHER TRUSTEE 1.00 0.00 X 0 0 0 BART CARRIGAN TRUSTEE 1.00 0.00 X 0 0 0 486922 215144 false false false BLUE CROSS BLUE SHIELD 600 EAST LAFAYETTE DETROIT MI 48226 CLAIMS ADMIN 1529613 TIC INTERNATIONAL CORPORATION 6525 CENTURION DRIVE LANSING MI 48917 ADMINISTRATION 814998 2 EMPLOYER CONTRIBUTIONS 230000 17049620 17049620 PARTICIPANT SELF-PAYMENTS 900099 5210305 5210305 22259925 1046824 1046824 LIQUIDATED DAMAGES 900099 42523 42523 42523 23349272 22302448 1046824 28621863 2144274 23633 146604 7006 114593 36739 49576 26685 11875 MEMBER COMMUNICATIONS 26639 BANK SERVICE CHARGES 18432 ACTUARIAL FEE 11000 NOTICES TO PARTICIPANTS 5259 5775 31249953 0 0 0 2057666 2343982 1419699 1459813 863735 847302 25309844 17350697 29650944 22001794 820166 1042059 11068000 14771000 11888166 15813059 X 17762778 6188735 17762778 6188735 29650944 22001794 -7900681 -3673362 X false true X true false ACCUMULATED ELIGIBILITY CREDITS 13306000 CLAIMS INCURRED BUT NOT REPORTED 1465000 14771000 19668904 -3673362 -3673362 23342266 7006 7006 23349272 31242947 31242947 7006 7006 31249953 FORM 990, PART VI LINE 2 - FAMILY RELATIONSHIP OR BUSINESS RELATIONSHIP - THE RELATIONSHIP BETWEEN THE TRUSTEES OF THE FUND IS A "BUSINESS RELATIONSHIP". THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. THE FUND, AS A TAFT-HARTLEY FUND, IS ADMINISTERED BY A BOARD OF TRUSTEES WHICH IS COMPOSED OF AN EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES. BECAUSE OF THIS ORGANIZATIONAL REQUIREMENT, THERE IS A BUSINESS RELATIONSHIP BETWEEN THE TRUSTEES. LINE 12 - ANNUALLY, EACH TRUSTEE MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACUTAL CONFLICTS OF INTEREST. LINE 15 - THE FUND DID NOT HAVE A CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, OR OTHER OFFICERS OR KEY EMPLOYEES, AS THOSE TERMS ARE DEFINED. FORM 990, PAGE 6, PART VI, LINE 7A ALL BOARD MEMBERS ARE ELECTED BY THE MEMBERSHIP INTO THEIR OFFICER POSITIONS. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED AND APPROVED AT MEETING OF THE BOARD OF TRUSTEES, SUBJECT TO REVIEW BY AND APPROVAL OF THE FUND LEGAL COUNSEL. IN ADDITION, EACH TRUSTEE IS PROVIDED A COPY OF THE FUND'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES), AS ULTIMATELY FILED WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 19 THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. IT OPERATES IN COMPLIANCE WITH THE REPORTING AND DISCLOSURE REQUIREMENTS OF SUBTITLE B, PART I ERISA WITH RESPECT TO DISCLOSURE OF ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION. IT OPERATES IN COMPLIANCE WITH THE FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA. FORM 990, PART VII LINE 1A - TYLER MCCASTLE, BRIAN KERRIGAN, LEON TURNWALD, CHAD MILLER, TRAVIS FAIRBANKS, AND KEVIN KLINGLER SERVED AS TRUSTEES OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, THEY WERE COMPENSATED AS EMPLOYEES OF THE MICHIGAN REGIONAL COUNSIL OF CARPENTERS, WHICH WAS A CONTRIBUTING EMPLOYER TO THE FUND AND, AS SUCH, A "RELATED ORGANIZATION" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. 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CONSTRUCTION INC N/A false DOTSON CO THE N/A false DOVER & COMPANY N/A false DWL TRADES LLC N/A false EAGLE EXCAVATION INC N/A false ERICKSON & LINDSTROM CON N/A false F A INDUSTRIAL SERVICES INC N/A false FASTDECKS INC N/A false FAULKNER CONSTRUCTION CO N/A false FISHER CONTRACTING N/A false FOULKE CONSTRUCTION COMPANY N/A false FREEMAN N/A false FRITZ-ELLIS CONST CO INC N/A false GERACE CONSTRUCTION CO INC N/A false GIBSON LEWIS N/A false GILMOUR CONSTRUCTION INC N/A false GOUGH INC N/A false GRAND RIVER CONSTRUCTION INC N/A false GRANGER CONTRACTING CO INC N/A false GREAT LAKES CEILING & CARP INC N/A false GUNDLACH CHAMPION INC N/A false HANEL MATT CONSTRUCTION INC N/A false HARDMAN CONSTRUCTION N/A false HEBERT CONSTRUCTION COMPANY N/A false HEINEMAN J R & SONS INC N/A false HENDRICK RC AND SON INC N/A false HENKELS & MCCOY INC N/A false HULL CA INC N/A false INDUSTRIAL CONSTRUCTION SERVICE N/A false INDUSTRIAL MAINTENANCE SERVICE N/A false INTEGRITY INTERIORS N/A false INTEGRITY INTERIORS INC N/A false INTERIOR INSTALLATIONS SRVS N/A false INTERNATIONAL COOLING TOWER N/A false IRON MOUNTAIN ACOUSTIC N/A false KAPPAZ ENTERPRISES N/A false KISER HYDRO LLC N/A false KLEIN CABINETS AND INTERIORS N/A false KRIEGHOFF LENAWEE COMPANY N/A false LAKEHEAD CONSTRUCTORS N/A false LINDBERT A & SONS N/A false LUNDA CONSTRUCTION COMPANY N/A false MCT SERVICE N/A false MEYER C R & SONS COMPANY N/A false MID-STATE CONTRACTING LLC N/A false MOORE-TROSPER CONSTRUCTION CO N/A false MUSKEGON QUALITY BLDRS INC N/A false N B PROCESSING INC N/A false NASHVILLE CONSTRUCTION CO N/A false NATGUN CORPORATION N/A false NATIONAL STEEL ERECTION N/A false NIELSEN COMMERCIAL CONST CO N/A false NIEMI CORPORATION N/A false NORTHERN INDUSTRIAL CONST INC N/A false OBOYLE AND COMPANY N/A false PEARSON EQUIPMENT & SERVICE N/A false PETERSON IND SCAFFOLDING INC N/A false R T U CONCEPTS LLC N/A false RBE (O'NEILL PATRICK CO) N/A false RENSHAW CONSTRUCTION INC N/A false RHOADES & JOHNSON LLC N/A false ROSEMA CORPORATION N/A false SAFEWAY SERVICES LLC 89 N/A false SCAFFOLD DESIGN & ERECTION N/A false SPENCE BROTHERS N/A false SPORT SYSTEMS UNLIMITED CORP N/A false STATEWIDE INSTALLATIONS INC N/A false TAYLOR BROS CONSTRUCTION N/A false TOEBE CONSTRUCTION LLC N/A false TONN AND BLANK CONSTRUCTION N/A false TRI-STATE INSTALLATION INC N/A false TURBINE PRO N/A false TURNER BROOKS INC N/A false UNITED LABOR SERVICES INC N/A false UNITED PIPING INC N/A false VERTICAL ACCESS SOLUTIONS N/A false WC CONSTRUCTORS INC N/A false W F CONSTRUCTION LLC N/A false W SOULE & COMPANY N/A false WALBRIDGE EQUIPMENT INSTALLATION N/A false WEIGAND CONSTRUCTION CO INC N/A false WENGER CORPORATION N/A false WEST MICHIGAN EARTH MANAGEMENT N/A false WHITMARSH BUILDERS N/A false WILLIAMS PLANT SERVICES LLC N/A false WOBIG CONSTRUCTION COMPANY N/A false WOODBRIDGE CONSTRUCTION N/A false WOODS CONSTRUCTION INC N/A false Z CONTRACTORS N/A false ZENITH TECH INC N/A false false false false false false false false 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