2016-01-28T07:56:03-06:00 2015-04-30 382284921 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2014-05-01 382988356 TILE MARBLE & TERRAZZO INSURANCE MARBLE INSURANCE FUND TILE 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 MARK KINGCHARLES KUKAWAKA CHARIMAN/SECRETARY 2488139800 2015-12-08 true BRYAN STULZ P00265596 5868836240 2016-01-28 2014 2016-04-25 22:37:26Z SAME AS ABOVE 4054745 false X BAC2TILEFRINGE.ORG X PROVIDE HEALTH AND WELFARE BENEFITS. 8 4 0 0 0 2636812 2913212 106223 84739 101707 0 2844742 2997951 0 3114452 3007467 0 0 0 342792 314765 3457244 3322232 -612502 -324281 2756972 2519434 646093 769972 2110879 1749462 PROVIDE HEALTH AND WELFARE BENEFITS. false false 3007467 TO PROVIDE HOSPITALIZATION, MEDICAL AND OTHER HEALTH CARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. 3007467 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 0 0 0 false false false false false false X 8 4 false false false false false true false true true false false true true true true false true false false false X BENESYS INC 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 X MARK KING SECRETARY 1.00 40.00 X 0 116565 0 CHUCK KUKAWAKA TRUSTEE 1.00 40.00 X 0 94966 0 TIM OCHALEK TRUSTEE 1.00 40.00 X 0 76425 14144 PETE ACCICA TRUSTEE 1.00 0.00 X 0 76413 14144 ROBERT MICHIELUTTI CHAIRMAN 1.00 0.00 X 0 0 0 RON CAPP TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL MAIURI TRUSTEE 1.00 0.00 X 0 0 0 JACK DIGIOVANNI TRUSTEE 1.00 0.00 X 0 0 0 364369 28288 false false false BENESYS INC 700 TOWER DRIVE SUITE 300 TROY MI 48098 ADMINISTRATOR 196631 1 EMPLOYER CONTRIBUTIONS 238300 2124181 2124181 EMPLOYEE CONTRIBUTIONS 238300 789031 789031 2913212 67531 67531 1074002 1056794 17208 17208 17208 2997951 2930420 67531 3007467 3007467 141108 141108 84163 84163 25082 25082 4891 4891 11577 11577 33057 33057 7922 7922 3268 3268 HIPAA COMPLIANCE 3697 3697 3322232 3007467 314765 0 370514 571829 421135 469661 17199 85221 1948124 1392723 2756972 2519434 70093 51972 576000 718000 646093 769972 X 2110879 1749462 2110879 1749462 2756972 2519434 -324281 -37136 X false true X true false ACCUMULATED ELIGIBILITY CREDITS 393000 CLAIMS INCURRED BUT NOT REPORTED 325000 718000 2955924 -37136 -37136 2993060 4891 4891 2997951 3317341 3317341 4891 4891 3322232 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 AMENDE. 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 ORGANIZTIONAL REQUIREMENT, THERE IS A BUSINESS RELATIONSHIP BETWEEN THE TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 7A ALL BOARD MEMBERS ARE ELECTED BY THE MEMBERSHIP INTO OFFICER POSITIONS, FROM WHICH THEY HOLD THEIR TRUSTEESHP EX OFFICIO. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED AND APPROVED AT MEETING OF THE BOARD OF TRUSTEES, SUBJECT TO APPROVAL AND REVIEW BY THE FUND LEGAL COUNSEL. FORM 990, PAGE 6, PART VI, LINE 12C THE TRUSTEE SHARL PROVIDE HIS OR HER FULL COOPERTION TO THE BOARD, IN ORDER TO ENSURE THAT THE BOARD HAS A COMPLETE UNDERSTANDING OF THE CONFLICT AND ITS EFFECT ON THE FUND OPERATIONS. HE OR SHE SHALL ANSWER ANY QUESTIONS POSED BY THE BOARD TO THE BEST OF HIS OR HER ABILITY, AND SHALL SUPPLY THE BOARD WITH ANY RELEVANT DOCUMENATATION RELATED TO THE CONFLICT, UPON REQUEST. FUTHERMORE, A TRUSTEE WITH A CONFLICT OF INTEREST SHALL NOT VOTE ON MATTERS WHERE THE CONFLICT IS APPLICABLE. SUCH TRUSTEE ALSO SHALL NOT PARTICIPATE IN DUSCUSSIONS AS AN ADVOCATE ON MATTERS AFFECTING HIS OR HER PERSONAL INTERESTS AT MEETINGS OR THROUGH PRIVATE CONTACTS WITH THE CONFLICTING PARTY, BUT MAY RESPOND TO REQUETS FOR FACTUAL INFORMATION FROM OTHER TRUSTEES NEEDED TO REACH AN INFORMED DECISION. IN ADDITION, IN SOME SITUATIONS, A TRUSTEE WHO IS DETERMINED TO HAVE A CONFLICT OF INTERST MAY BE REQUESTED BY THE BOARD TO NOT BE PRESENT DURING THE REVIEW OF SUCH MATTERS, TO AVOID INHIBITING FREE DISCUSSION BY THE BOARD. THE DUTY TO DISCLOSE CONFLICTS OF INTEREST IS AN ONGOING ONE. ANY MATERIAL CHANGES IN STATUS OR INFORMATION REGARDING THE CONFLICT SHALL BE DISCLOSED TO THE BOARD EITHER VERBALLY OR IN WRITING, DURING ANY REGULARLY SCHEDULED TRUSTEES' MEETINGS. FORM 990, PAGE 6, PART VI, LINE 19 THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT SECURITY ACT OF 1974, AS AMENDED. IT OPERATES IN COMPLIANCE WITH THE REPORTING AND DISCLOSURE REQUIREMENTS OF SUBTITLE B, PART 1 ERISA WITH RESPECT TO DISCLOSURE OF ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMAITON. IT OPERATES IN COMPLIANCE WITH THE FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA. FORM 990, PART VII LINE 1A - THE TURSTEES OF THE FUND SERVE WITHOUT COMPENSATION FROM THE FUND BUT ARE COMPENSATED AS EMPLOYEES OF THE ENTITIES THAT MIGHT BE A "SPONSORING ORGANIZATION OF A VEBA- OR "CONTRIBUTING EMPLOYER OF A VEBA-; HOWEVER, NONE OF THOSE ENTITIES CONTRIBUTED 10% OR MORE OF THE CONTRIBUTIONS TO THE FUND DURING THE TAX YEAR. (SEE THE INSTRUCTION TO SCHEDULE R.) SEE PART VII N/A false SEE PART VII N/A false false SEE PART VII N/A false false false false false false false false false false false false false false false false false false false false SCHEDULE R SCHEDULE R, PARTS III, IV, AND V, IDENTIFICATION OF RELATED ORGANIZATIONS: THE FILING ORGANIZATION IS A MULTIEMPLOYER TRUST FUND AS DEFINED IN THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. THE FUND PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. AS OF APRIL 30, 2015, THERE WERE 47 CONTRIBUTING EMPLOYERS TO THE FUND. UNDER THE INSTRUCTIONS TO SCHEDULE R, THOSE EMPLOYERS ARE CONSIDERED "RELATED ORGANIZATIONS." THE FUND'S ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF ALL CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES, AND OTHER CONTACT INFORMATION. HOWEVER, THE FUND DOES NOT HAVE, AND HAS NO REASONABLE WAY TO OBTAIN, MUCH OF THE INFORMAITON TO BE REPORTED ON SCHEDULE R, SUCH AS EMPLOYER IDENTIFICATION NUMBERS AND THE EMPLOYER'S LEGAL STRUCTURE(E.G. CORPORATION OR PARTNERSHIP). THE FOLLOWING IS A LISTING OF THOSE CONTRIBUTING EMPLOYERS, WHICH IS THE EXTENT OF THE INFORMATION THE FUND HAS WITH RESPECT TO EACH EMPLOYER: CONTRIBUTING EMPLOYERS: ARTISAN TILE, INC. B&B TILE & MARBLE CO, INC. B.A.C. LOCAL NO. 2 OF MI BDA RENOVATIONS BOOMS STONE COMPANY BOSTON TILE & TERRAZZO CO. C-STONE INSTALLATION, INC. C.E. KORSGARD CO. CALIDAD, LLC CARLO TILE & MARBLE CO. CITY CARPET & FLOORING CLEVELAND MARBLE MOSIAC CMU MASONRY CONTRACT DESIGN GROUP DAVID BENEDICT TILE ELDORADO TILE & MARBLE COMPANY EMPIRE TILE COMPANY F D BERARDINO TILE INC. FABRIS PEARCE TILE GLENN'S TILE & CARPET HARD ROCK INVESTMENTS, LLC HOSPITALITY STONE, LLC INTERNATIONAL CERAMIC CONSTRUCTION INTERNATIONAL MASONRY INSTITUTE KELLY TILE, LLC L. MARSON TILE & MARBLE CO. LEONARD FULL SERVICE FLOOR COVERING, LLC LIVONIA TILE & MARBLE, INC. MARSON ENTERPRISES INC MICHIELUTTI BROS. INC. MICHIGAN TILE & MARBLE CO MUSANTE TILE, INC. NATIONAL TILE CO. PROGRESSIVE CONSTRUCTION SERVICES SHAMROCK FLOOR COVERING SERVICE SHOCK BROS. FLOOR COVER SHORES TILE CO INC SOUTHEASTERN TILE, LLC TERRA BELLA TERRAZZO & MOSAIC INC. TRENDELL CONSULTING LLC WOLVERINE STONE CO. YOUNG FINAL FINISH, LLC