2015-10-14T16:11:23-05:00 2014-12-31 510435869 Needles & Associates LLC 350 Interlocken Blvd STE 360 Broomfield CO 80021 990 2014-01-01 840456274 Pipe Industry Health and Welfare Fund of Colorado PIPE 3037451596 7010 Broadway Street No 106 Denver CO 80221 Dave Davia Secretary 3037451596 2015-10-14 1 Kurt D Needles P00850236 3034304225 2015-10-14 2014 2016-02-25 16:41:14Z Kurt Steenhoek 7010 Broadway Street No 106 Denver CO 80221 24680150 0 X N/A X 1955 CO Provide major medical, prescription drug, vision, death and accidental death and dismemberment, and accident and sickness benefits for eligible participants and their dependents. 12 0 0 0 0 0 0 0 20994065 22905378 159699 173777 919 0 21154683 23079155 0 0 11825228 17992943 0 0 0 0 0 1517988 1798444 13343216 19791387 7811467 3287768 10036085 14376108 8254873 9366669 1781212 5009439 Provide major medical, prescription drug, vision, death and accidental death and dismemberment, and accident and sickness benefits for eligible participants and their dependents. 0 0 Provide major medical, prescription drug, vision, death and accidental death and dismemberment, and accident and sickness benefits for eligible participants and their dependents. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 X 12 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Board of Trustees 3037451596 7010 N Broadway No 106 Denver CO 80221 X Kurt Steenhoek Chairman 1.00 X 0 0 0 Howard Arnold Trustee 1.00 X 0 0 0 James C Keif Trustee 1.00 X 0 0 0 Ron Lenz Trustee 1.00 X 0 0 0 Tom Tuttle Trustee 1.00 X 0 0 0 Steven Callahan Trustee 1.00 X 0 0 0 Dave Davia Secretary 1.00 X 0 0 0 Charlie Lee Trustee 1.00 X 0 0 0 David Kixmiller Trustee 1.00 X 0 0 0 Todd VonLintel Trustee 1.00 X 0 0 0 Dick O'Brecht Trustee 1.00 X 0 0 0 Allen C Stone Trustee 1.00 X 0 0 0 0 0 0 0 0 0 0 CIGNA 8505 E Orchard Rd 5T1 Greenwood Village CO 80111 Administrative 1086671 Fringe Benefit Services Inc 7010 N Broadway STE 106 Denver CO 80221 Administrative 169673 2 Employer Contributions 525100 23621369 23621369 Reciprocity In 525100 854543 854543 Participant Contributions 525100 134387 134387 Reciprocity Out 525100 -1704921 -1704921 22905378 158521 158521 1616251 1600995 15256 15256 15256 23079155 22905378 0 173777 17992943 169673 71033 34960 25298 1198657 22778 10138 9894 ACA Transitional Reinsu 241896 Misc. 14117 19791387 1227895 693098 1488202 1503423 2244530 2488658 309403 465382 4766055 9225547 10036085 14376108 194466 445937 8060407 8920732 8254873 9366669 X 1781212 5009439 1781212 5009439 10036085 14376108 3287768 -59541 0 X 0 1 X 1 0 0 Hour Bank Reserve 6750322 Claims Incurred but Not Reported 2170410 8920732 X 23019614 -59541 -59541 23079155 0 23079155 18931062 0 18931062 860325 860325 19791387 Part X, Line 2: The Internal Revenue Service has determined that the Fund is exempt from federal income tax under Internal Revenue Code Section 501(c)(9). The Trust established to hold the Fund's assets obtained its original determination letter in 1955, in which the Internal Revenue Service stated that the trust, as then designed, was in compliance with the applicable requirements of the Internal Revenue Code. The trust has been amended since receiving the determination letter. However, the Fund's Administrator and the Fund's tax counsel believe that the trust is currently designed and being operated in compliance with the applicable requirements of the Internal Revenue Code. Management has evaluated the Fund's tax positions and concluded that the Fund has maintained its tax exempt status and had taken no uncertain tax positions that would require financial statement adjustment or disclosure for the years ended December 31, 2014 and 2013. With few exceptions, the Fund is no longer subject to income tax examinations by tax authorities for years preceding December 31, 2010. Part XII, Line 4b - Other Adjustments: Change in Benefit Obligation 860,325. Form 990, Part VI, Section B, line 11 Form 990 was provided to the Trustees prior to filing. Form 990, Part VI, Section B, line 12c The Trustees review and assess the conflicts of interest policy and its enforcement at meetings. Form 990, Part VI, Section C, line 18 Form 990 is available for public inspection upon request. Form 990, Part VI, Section C, line 19 The organization makes its governing documents available to the public upon request. Colorado Pipe Industry Annuity and Salary Deferral Trust 7010 N Broadway STE 106 Denver CO 80221 846041803 Provide defined contribution benefits to participants. CO 401(b) 0 Mechanical Contractors Association of Colorado 1114 West 7th Ave STE 250 Denver CO 80204 840858385 Sponsoring organization CO 501 (c) (6) 0 Service Industry Fund PO Box 645 Conifer CO 80433 840878221 Sponsoring organization CO 501 (c) (6) 0 United Association of Plumbers Local 3 17100 E 32nd Pl Aurora CO 80011 840293634 Sponsoring organization CO 501 (c) (5) 0 United Association of Plumbers and Pipefitters Local 58 2870 Janitell Road Colorado Springs CO 80906 840202249 Sponsoring organization CO 501 (c) (5) 0 United Association of Plumbers and Pipefitters Local 145 3168 Pipe Court Grand Junction CO 81504 840284479 Sponsoring organization CO 501 (c) (5) 0 Pipefitters Local Union 208 6350 Broadway Denver CO 80216 840328015 Sponsoring organization CO 501 (c) (5) 0 2H MECHANICAL N/A NA CO 81505 000000000 Contributing Employer CO 0 A C & R SPECIALISTS INC N/A NA IA 51102 000000000 Contributing Employer IA 0 AP COM POWER INC N/A NA CO 80223 000000000 Contributing Employer CO 0 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