2015-06-19T09:51:17-05:00 2014-08-31 592892813 HANNON & ASSOCIATES 2700 UNIVERSITY BLVD W SUITE A-2 JACKSONVILLE FL 322172120 990 2013-09-01 590810108 JACKSONVILLE PLUMBERS AND PIPEFITTERS HEALTH AND WELFARE FUND JACK 6158590131 2001 CALDWELL DRIVE GOODLETTSVILLE TN 370723589 W W GAY CHAIRMAN 6158590131 2015-06-19 1 CHARLES R SHOFFNER P00296143 9047307709 2013 2016-03-07 17:11:31Z X W W GAY 2001 CALDWELL DRIVE GOODLETTSVILLE TN 370723589 14605722 0 X N/A X 1957 FL TO PROVIDE HEALTH CARE BENEFITS TO UNION MEMBERS AND THEIR DEPENDENTS 10 10 0 0 0 0 0 0 8274311 8049099 171722 223022 0 0 8446033 8272121 0 0 7012000 8626344 0 0 0 0 0 817501 879904 7829501 9506248 616532 -1234127 12754059 11701962 0 0 12754059 11701962 TO PROVIDE HEALTH BENEFITS TO UNION MEMBERS AND THEIR DEPENDENTS 0 0 8626344 PAYMENTS OF MEDICAL CLAIMS FOR PLAN PARTICIPANTS INCLUDING THEIR DEPENDENTS 163781 REMITTANCE OF EMPLOYER CONTRIBUTIONS PAID INTO THE FUND FOR UNION MEMBERS OUTSIDE OF LOCAL UNION #234 BUT WORKING ON A RECIPROCAL BASIS WITHIN THE JURISDICTION OF LOCAL UNION #234 TO THE APPROPRIATE RECIPROCAL UNION BENEFIT FUND 8790125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 699 0 1 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X JAY BRASSELL - SOUTHERN BENEFIT ADMINISTRATORS INC 6158590131 2001 CALDWELL DRIVE GOODLETTSVILLE TN 370723589 X W W GAY CHAIRMAN 5.00 X 0 0 0 RONNY ANDREWS SECRETARY 5.00 X 0 0 0 RUSSELL DRAWDY ASST SECRETARY 5.00 X 0 0 0 JAMES HENDRICKS TRUSTEE 2.00 X 0 0 0 BENNIE CRAVEN TRUSTEE 2.00 X 0 0 0 KELLEN JORDAN TRUSTEE 2.00 X 0 0 0 MICHAEL WOOD TRUSTEE 2.00 X 0 0 0 BENJAMIN CLARK TRUSTEE 2.00 X 0 0 0 TROY CARVER TRUSTEE 2.00 X 0 0 0 DAVID TANKERSLY TRUSTEE 2.00 X 0 0 0 0 0 0 0 0 0 0 AETNA 821 PRUDENTIAL DRIVE JACKSONVILLE FL 32207 CONTRACT ADMIN 277418 NEBA 8657 BAYPINE RD BLDG 5 STE 200 JACKSONVILLE FL 32256 THIRD PARTY ADMIN 172361 2 EMPLOYER AND PARTICIPANT CONTRIBU 900099 8049099 8049099 8049099 171977 171977 6384646 6333601 51045 51045 51045 8272121 8272121 0 0 8626344 8626344 449779 449779 23268 23268 71995 71995 42952 42952 44236 44236 24298 24298 620 620 9599 9599 35175 35175 RECIPROCAL TRANSFERS 163781 163781 BANK CHARGES 11582 11582 PATIENT-CENTERED OUTCOM 2162 2162 DUES 457 457 9506248 8790125 716123 0 1135876 1535653 11618183 10166309 12754059 11701962 0 0 X 12754059 11701962 12754059 11701962 12754059 11701962 -1234127 182030 0 X 0 1 X 1 0 0 8411199 182030 182030 8229169 42952 42952 8272121 9463296 0 9463296 42952 42952 9506248 FORM 990 SCHEDULE D PARTS XI AND XII ORGANIZATION DOES NOT HAVE AUDITED FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GAAP. NON-GAAP FINANCIAL STATEMENTS ARE AUDITED BY INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS. FORM 990, PART VI, SECTION A, LINE 3 THE BOARD OF TRUSTEES CONTRACTED WITH NATIONAL EMPLOYEE BENEFIT ADMINISTRATORS, INC. TO PERFORM DAY TO DAY MANAGEMENT AND BENEFIT PROCESSING FUNCTIONS DURING FYE 8/31/2014. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED IN DETAIL BY MEMBERS OF THE BOARD OF TRUSTEES BEFORE FORM 990 IS APPROVED, SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF TRUSTEES ARE REQUIRED TO DISCLOSE AT EACH BOARD MEETING THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. ANY TRUSTEE WHO HAS A CONFLICT OF INTEREST IS PROHIBITED FROM PARTICIPATING IN BOARD DELIBERATIONS AND DECISIONS RELATED TO TRANSACTIONS WHERE THERE IS A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT COMPENSATE ANY TRUSTEE. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC.