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MISCELLANEOUS WAREHOUSEMENS LOCAL 781 HEALTH AND WELFARE FUND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MISCELLANEOUS WAREHOUSEMENS LOCAL 781 HEALTH AND WELFARE FUND (EIN 36-6117757)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-04-04
IRS object ID
201410949349300801
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2014-04-04T10:55:19-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN364409576EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BRONSWICK REICIN POLLACK LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12150 E LAKE COOK ROAD SUITE 430AddressLine1
CityBUFFALO GROVECity
StateILState
ZIP Code600891862ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN366117757EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MISC WHSMENS LOCAL 781 H & W FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMISCNameControl
Phone8472989999Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1747 CHURCH ROAD BUILDING D NO 1AddressLine1
CityELMHURSTCity
StateILState
ZIP Code60126ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAUL J STRIPLINGName
TitleTRUSTEETitle
Phone8472989999Phone
Date Signed2014-04-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY D BRONSWICKName
PTINP00440208PTIN
Phone8478089800Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPAUL J STRIPLINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1200 EAST HOWARD STREET 216AddressLine1
CityDES PLAINESSCity
StateILState
ZIP Code60018ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15860748GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1960YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH BENEFITS AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5941963ProgramServiceRevenuePriorYear
Program Service Revenue CY6022025ProgramServiceRevenueCY
Investment Income Prior Year620987InvestmentIncomePriorYear
Investment Income Current Year428859InvestmentIncomeCurrentYear
Other Revenue Prior Year-9025OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year6553925TotalRevenuePriorYear
Total Revenue Current Year6450884TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year5357362BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY6109040BenefitsPaidToMembersCY
Salaries Etc Prior Year1496SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year555466OtherExpensePriorYear
Other Expenses Current Year642092OtherExpensesCurrentYear
Total Expenses Prior Year5914324TotalExpensesPriorYear
Total Expenses Current Year6751132TotalExpensesCurrentYear
Revenues Less Expenses Prior Year639601RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-300248RevenuesLessExpensesCY
Total Assets BOY18448048TotalAssetsBOY
Total Assets EOY17262732TotalAssetsEOY
Total Liabilities BOY1083827TotalLiabilitiesBOY
Total Liabilities EOY616897TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17364221NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16645835NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH BENEFITS AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTHE PLAN IS MAINTAINED PURSUANT TO A NUMBER OF COLLECTIVE BARGAINING AGREEMENTS AND PROVIDES FOR EMPLOYEE DEATH, DISABILITY, MEDICAL, HOSPITALIZATION, SURGICAL, PRESCRIPTION, DENTAL AND VISION BENEFITS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PAUL J STRIPLINGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8472989999TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1747 CHURCH ROAD BUILDING D NO 1AddressLine1
CityELMHURSTCity
StateILState
ZIP Code60126ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
S JAMES PERLOW - THRU 22813
MANAGEMENT TRUSTEE1.00X000
EARL ABRAMSON
MANAGEMENT TRUSTEE1.00X000
DAVID ABRAMSON - EFF 62613
MANAGEMENT TRUSTEE1.00X000
PAUL J STRIPLING
LABOR TRUSTEE6.00X000
TRACY L TREADWELL
LABOR TRUSTEE2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS BLUE SHIELD OF ILLINOIS
300 EAST RANDOLPH STREETCHICAGOIL60601PPO NETWORK PROVIDER252719
GROUP ADMINISTRATORS LTD
915 NATIONAL PARKWAY SUITE FSCHAUMBURGIL60173THIRD PARTY ADMINISTRATOR136833
BRONSWICK REICIN POLLACKLTD
2150 E LAKE COOK ROADSUITE 430BUFFALO GROVEIL60089AUDITING124606
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER PREMIUM CONTRIBUTIONS52510059493725949372
EMPLOYEE COBRA CONTRIBUTIONS5251007265372653
FieldValueIRS element (for citing)
Total Program Service Revenue6022025TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column470053TotalRevenueColumn
Exclusion$470,053ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities9368670Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities9409864Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-41194Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-41194TotalRevenueColumn
Exclusion-$41,194ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6450884TotalRevenueColumn
Related Or Exempt Function Income6022025RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$428,859ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total6109040Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total90872Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total124603Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total53154Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total25677Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10183Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6239Total

Insurance Insurance

FieldValueIRS element (for citing)
Total8311Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
INSURANCE ADMINISTRATIO125580
PROVISION FOR UNCOLLECT100000
INSURANCE CONSULTANTS61148
PRE-ADM SERVICES - UTIL13679

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total22646Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6751132Total
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY230241BOY
EOY562776EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY246198BOY
EOY345513EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY791149BOY
EOY399382EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2067BOY
EOY8575EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7902LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7902LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY16642695BOY
EOY15642250EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY535698BOY
EOY304236EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18448048BOY
EOY17262732EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY34340BOY
EOY13557EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1049487BOY
EOY603340EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1083827BOY
EOY616897EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY17364221BOY
EOY16645835EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17364221BOY
EOY16645835EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18448048BOY
EOY17262732EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-300248ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-418138ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7902OtherCostOrOtherBasis
Depreciation7902Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATED ORGANIZATION$2,397
CLAIMS PAYABLE AND CLAIMS IBNR$600,943
FieldValueIRS element (for citing)
Total Of Amounts603340TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PAGE 3, PART IV, ITEM 12 - AUDITED FINANCIAL STATEMENTSTHE FUND DID RECEIVE AN AUDITED FINANCIAL STATEMENT IN ACCORDANCE WITH GAAP. THE FUND'S AUDITED FINANCIAL STATEMENT IS NOT REQUIRED TO BE PREPARED IN ACCORDANCE WITH SFAS 117. THEREFORE, THE FUND ANSWERED "NO" TO THIS QUESTION AND IS NOT REQUIRED TO COMPLETE PARTS XI,XII AND XIII OF SCHEDULE D. NOTE THAT ON FORM 990,PAGE 12,PART XII, LINE 2B, THE FUND ANSWERED "YES" BECAUSE THE FUND'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTANT IN ACCORDANCE WITH GAAP.
FORM 990, PART VI, SECTION A, LINE 2MANAGEMENT TRUSTEE EARL ARBRAMSON AND MANAGEMENT TRUSTEE DAVID ABRAMSON HAVE A FAMILY AND BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6THE PARTICIPANTS OF THE FUND ARE CONSIDERED THE MEMBERS. THE HEALTH AND DEATH BENEFITS PROVIDED TO THE PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS ARE PAID FROM THE FUND'S INCOME AND/OR ASSETS.
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES OTHER THAN THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE TWO LABOR TRUSTEES OF THE FUND REVIEWED THE FORM 990 IN DETAIL WITH THE PREPARER PRIOR TO ITS FILING. THE TWO MANAGEMENT TRUSTEES WERE PROVIDED COPIES OF THE FORM 990 PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE POLICY STATES THAT EACH TRUSTEE WILL BE REQUIRED TO STATE ANNUALLY THAT HE HAS REVIEWED THE POLICY AND DOES NOT HAVE ANY CONFLICTS OR , IF THERE IS A CONFLICT,THAT THE TRUSTEE IS REQUIRED TO INDICATE WHAT IT IS.
FORM 990, PART VI, SECTION C, LINE 19THE FUND'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST FROM THE FUND'S OFFICE.
FORM 990, PAGE 11, PART X,COLUMN (A) - BEGINNING OF YEAR BALANCESCERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE PRIOR YEAR AMOUNTS TO CONFORM TO THE CURRENT YEAR PRESENTATION.THERE WAS NO EFFECT TO THE NET ASSETS REPORTED AS OF JUNE 30, 2012 ON THE 2011 FORM 990 FILED.
FORM 990, PAGE 12, PART XII,LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.