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MICHIGAN LABORERS HEALTH AND WELFARE FUND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MICHIGAN LABORERS HEALTH AND WELFARE FUND (EIN 38-6058384)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-06-20
IRS object ID
201411719349300526
Schema version
2012v2.3
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)
Timestamp2014-06-20T14:38:11-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BENDA GRACE STULZ & COMPANY PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line138800 VAN DYKE AVE STE 100AddressLine1
CitySTERLING HEIGHTSCity
StateMIState
ZIP Code48312ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN386058384EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN LABORERS HEALTH ANDBusinessNameLine1
Business Name Line2WELFARE FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlMICHNameControl
Phone5173217502Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16525 CENTURION DRIVEAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGENO ALESSANDRINIMICHAEL NYSTROMName
TitleSECRETARY/TRUSTEETitle
Phone5173217502Phone
Date Signed2014-02-11DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRYAN STULZName
Phone5868836240Phone
Date Prepared2014-06-20DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSAME AS ABOVENameOfPrincipalOfficerPerson
Gross Receipts93898007GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1952YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH AND WELFARE BENEFITSActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year48118695ProgramServiceRevenuePriorYear
Program Service Revenue CY49274267ProgramServiceRevenueCY
Investment Income Prior Year2410210InvestmentIncomePriorYear
Investment Income Current Year2772332InvestmentIncomeCurrentYear
Other Revenue Prior Year352797OtherRevenuePriorYear
Other Revenue Current Year350281OtherRevenueCurrentYear
Total Revenue Prior Year50881702TotalRevenuePriorYear
Total Revenue Current Year52396880TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year42680878BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY43159883BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1748844OtherExpensePriorYear
Other Expenses Current Year4523043OtherExpensesCurrentYear
Total Expenses Prior Year44429722TotalExpensesPriorYear
Total Expenses Current Year47682926TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6451980RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4713954RevenuesLessExpensesCY
Total Assets BOY73845437TotalAssetsBOY
Total Assets EOY78571703TotalAssetsEOY
Total Liabilities BOY17869907TotalLiabilitiesBOY
Total Liabilities EOY19523760TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY55975530NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY59047943NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH AND WELFARE BENEFITSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionTO PROVIDE HOSPITALIZATION, MEDICAL, DEATH, SURGICAL AND OTHER HEALTH CARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS.Description
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTIC INTERNATIONAL CORPORATIONNamePerson
Telephone Number5173217502TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16525 CENTURION DRIVEAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ALEX ZUREK
TRUSTEE1.0040.00X015854029049
GENO ALESSANDRINI
SECRETARY1.0040.00X015838329049
MICHAEL AARON
TRUSTEE1.0040.00X01328630
JOSEPH GALLINO
TRUSTEE1.0040.00X09457229247
ROBERT MALCOLM
TRUSTEE1.0040.00X08738426072
DAN HUSTED
TRUSTEE1.0040.00X07566127028
WA HENDRICK JR
CHAIRMAN1.0040.00X000
MICHAEL NYSTROM
TRUSTEE1.0040.00X000
JOEL CHRISTENSEN
TRUSTEE1.0040.00X000
DAN EMMENECKER
TRUSTEE1.0040.00X000
SCOTT FISHER
TRUSTEE1.000.00X000
GARY BEMJAMIN
TRUSTEE1.0040.00X000
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs707403TotalReportableCompFrmRltdOrgs
Total Other Compensation140445TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS BLUE SHIELD OF MICHIGAN
27000 W ELEVEN MILE B561SOUTHFIELDMI48034HEALTH ADMIN.2883433
TIC INTERNATIONAL CORPORATION
6525 CENTURION DRIVELANSINGMI48917ADMIN. MANAGER836211
LEGGHIO & ISRAEL PC
306 SOUTH WASHINGTON SUITE 600ROYAL OAKMI48067LEGAL126508
SEGALL BRYANT & HAMILL
10 S WACKER DR 3500CHICAGOIL60606INVEST CONSULT110278
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS2300004221982142219821
PARTICIPANT SELF-PAYMENTS90009970544467054446
FieldValueIRS element (for citing)
Total Program Service Revenue49274267TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1449035TotalRevenueColumn
Exclusion$1,449,035ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities42824424Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities41501127Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1323297Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1323297TotalRevenueColumn
Related Or Exempt Function Income1323297RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE SUBSIDY PART D900099338365338365
LIQUIDATED DAMAGES9000991101311013
OTHER900099903903
FieldValueIRS element (for citing)
Total Other Revenue350281TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column52396880TotalRevenueColumn
Related Or Exempt Function Income50947845RelatedOrExemptFunctionIncome
Exclusion$1,449,035ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total43159883Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3330683Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total138243Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total22700Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total178493Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total477977Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15200Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4800Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total21726Total

Insurance Insurance

FieldValueIRS element (for citing)
Total22762Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
LABORERS' NAT'L SAFETY152235
PRINTING AND MISC.78435
SUMMARY ANNUAL REPORT33754
NOTICES TO PARTICIPANTS20618

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total25417Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total47682926Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3169177BOY
EOY3679121EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3540390BOY
EOY2308887EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5752351BOY
EOY6753916EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1787338BOY
EOY1716968EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY59596181BOY
EOY64112811EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY73845437BOY
EOY78571703EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY876907BOY
EOY1265760EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16993000BOY
EOY18258000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17869907BOY
EOY19523760EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY55975530BOY
EOY59047943EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY55975530BOY
EOY59047943EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY73845437BOY
EOY78571703EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses4713954ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-1641541ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ELIGIBITY CREDITS$16,015,000
BENEFIT CLAIMS PAYABLE$2,243,000
FieldValueIRS element (for citing)
Total Of Amounts18258000TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt50576846TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1641541NetUnrealizedGainsInvestments
Revenue Not Rptd F990-1641541RevenueNotRptdF990
Revenue Subtotal52218387RevenueSubtotal
Investment Expenses Not Included178493InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt178493RevenueNotRptdOnFinStmt
Total Revenue Per Form99052396880TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt47504433TotExpensesEtcAuditedFinclStmt
Expenses Subtotal47504433ExpensesSubtotal
Investment Expenses Not Included2178493InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt178493ExpensesNotRptdOnFinStmt
Total Expenses Per Form99047682926TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
ALEX ZUREK
TRUSTEE15854029049187589
GENO ALESSANDRINI
SECRETARY15838329049187432

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990, PART VILINE 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 ADMINSTERED BY A BOARD OF TRUSTEES WHICH IS COMPOSED OF AN EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES, AND BECAUSE OF THIS ORGANIZATIONAL REQUIREMENT, THERE IS A BUSINESS RELATIONSHIP BETWEEN THE TRUSTEES.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AALL BOARD MEMBERS ARE ELECTED BY THE MEMBERSHIP INTO THEIR OFFICER POSITIONS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS PRESENTED AND APPROVED AT A MEETING OF THE TRUSTEES, SUBJECT TO REVIEW AND APPROVAL BY THE FUND ATTORNEY.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CANNUALLY, EACH TRUSTEE MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENIAL AND ACUTAL CONFLICTS OF INTEREST.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE FUND DID NOT HAVE ANY EMPLOYEES WHO MET THE DEFINITIONS IN THE PLAN YEAR. IF THE FUND DID HAVE EMPLOYEES THAT MET THE LISTED DEFINITIONS, THEN ANY COMPENSATION WOULD HAVE BEEN ESTABLISHED IN ACCORDANCE WITH THE PROCESS DESCRIBED IN PART VI, LINE 15A OF FORM 990.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE FUND DID NOT HAVE ANY EMPLOYEES WHO MET THE DEFINITIONS IN THE PLAN YEAR. IF THE FUND DID HAVE EMPLOYEES THAT MET THE LISTED DEFINITIONS, THEN ANY COMPENSATION WOULD HAVE BEEN ESTABLISHED IN ACCORDANCE WITH THE PROCESS DESCRIBED IN PART VI, LINE 15B OF FORM 990.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE 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.
ADDITIONAL INFORMATIONFORM 990, PART VIILINE 1A - GENO ALESSANDRINI, ALEX ZUREK, MICHAEL AARON, JOSEPH GALLINO, DAN HUSTED AND ROBERT MALCOLM SERVED AS TRUSTEES OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, THEY WERE COMPENSATED AS EMPLOYEES OF MICHIGAN LABORERS DISTRICT COUNCIL, LABORERS LOCAL 1191, LABORERS LOCAL 1075, AND LABORERS LOCAL 499, RESPECTIVELY, WHICH WERE CONTRIBUTING EMPLOYERS TO THE FUND, AND AS SUCH, "RELATED ORGANIZATIONS" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
MICHIGAN LABORERS ANNUITY FUND
6525 CENTURIAN DRIVELANSINGMI48917383345443PENSIONMI401AN/Afalse
MICHIGAN LABORERS VACATION FUND
6525 CENTURIAN DRIVELANSINGMI48917382106864VACATIONMI501C9N/Afalse
MICHIGAN LABOERS PENSION FUND
6525 CENTURIAN DRIVELANSINGMI48917386233976PENSIONMI401AN/Afalse
MICHIGAN LABORERS EXCESS FUND
6525 CENTURIAN DRIVELANSINGMI48917383502493PENSIONMI402BN/Afalse
MICHIGAN LABORERS LMT FUND
6525 CENTURIAN DRIVELANSINGMI48917383187248LABOR MGMTMI501C5N/Afalse
MICHIGAN LABORERS TRAINING FUND
6525 CENTURIAN DRIVELANSINGMI48917237187036TRAININGMI501C3N/Afalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SEE PART VIIBusinessNameLine1
FieldValueIRS element (for citing)
Direct Controlling Entity NAN/ADirectControllingEntityNA
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SEE PART VIIBusinessNameLine1
FieldValueIRS element (for citing)
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE RReturnReference
ExplanationSCHEDULE R PARTS III IV 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 AUGUST 31 2013 THERE WERE 560 CONTRIBUTING EMPLOYERS TO THE FUND UNDER THE INSTRUCTIONS TO SCHEDULE R THOSE EMPLOYERS ARE CONSIDERED RELATED ORGANIZATIONS THE FUNDS ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF ALL CONTRIBUTING EMPLOYERS THE FOLLOWING IS A LISTING OF THOSE CONTRIBUTING EMPLOYERS 1 WAY SERVICE INC 6K CONSTRUCTION COMPANY A1 UTILITY CONTRACTOR INC ABC PAVING COMPANY A PRODUCTION CLEANING API INC AARON ENTERPRISES INC ACCURATE CONC CTG CORING ACCURATE SAWING DRILLING ACE ASPHALT PAVING CO ADAMO DEMOLITION ADAMS GENERAL CONTRACTING INC AIM TECH CO LTD AJAX PAVING INDUSTRIES INC AKINS CONSTRUCTION INC ALBANELLI CEMENT CONTRACTORS ALFREDSON BROTHERS CONSTRUCTION ALL SERVICE CONTRACTORS CORP ALLAN EDWARDS CONSTR CO AMALIO CORPORATION AMBOY CONTRACTORS LLC ANLAAN CORPORATION AP COM POWER INC APEX PIPELINE SERVICES INC ARBOR CONSTRUCTION PERSONNEL ARISTEO CONSTRUCTION ARROW ACCOUSTICAL INC ARROW CONSTR R SCHEIDING ASHBAKER ALVIN MASONRY ASSOCIATED CONSTRUCTION CO ASSOCIATED PIPELINE CONTR INC ATLANTIC PLANT MAINT INC ATSALIS BROTHERS AZCO INC B B CONCRETE PLACEMENT INC B B SERVICES LLC BKB CONSTRUCTION INC B MILLER EXCAVATING INC BABCOCK WILCOX CONST CO BABCOCK UTILITIES INC BACCO CONSTRUCTION CO BAILEY EXCAVATING INC BAKER CONSTRUCTION BARNEY J J CONSTRUCTION LLC BARRETT PAVING MATERIALS INC BARTHEL CONTRACTING CO BARTON MALOW CO BASELINE CONSTRUCTORS INC BEST ASPHALT INC BIERLEIN SERVICES INC BILL HAWK INC BLATTNER ENERGY INC BLAZE CONTRACTING INC BLUE FLAME PIPELINE LLC BLUE RIBBON CONTRACTING BODDY CONSTRUCTION COMPANY BOLDT COMPANY BOOS A A SONS INC BOWEN ENGINEERING CORPORATION BP R CONST BRACY JAHR MASONRY INC BRACY DEVELOPMENT LLC BRADY SAND GRAVEL 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