STRATEGY STUDIO / PUBLIC DATA EXPLORER

JACKSONVILLE PLUMBERS & PIPEFITTERS HEALTH & WELFARE<FUND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
JACKSONVILLE PLUMBERS & PIPEFITTERS HEALTH & WELFARE<FUND (EIN 59-0810108)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-07-03
IRS object ID
201431849349300013
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)
Timestamp2014-07-03T11:42:35-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN592892813EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HANNON & ASSOCIATESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12700 UNIVERSITY BLVD W SUITE A-2AddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code322172120ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN590810108EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JACKSONVILLE PLUMBERS AND PIPEFITTERSBusinessNameLine1
Business Name Line2HEALTH AND WELFARE FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlJACKNameControl
Phone9045380100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18657 BAYPINE ROAD BUILDING 5 NO 200AddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code322568364ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRONNY ANDREWSName
TitleSECRETARYTitle
Phone9045380100Phone
Date Signed2014-07-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHARLES R SHOFFNERName
PTINP00296143PTIN
Phone9047307709Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonW W GAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18657 BAYPINE ROAD BUILDING 5 NO 200AddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code322568364ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13213586GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1957YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH CARE BENEFITS TO UNION MEMBERS AND THEIR DEPENDENTSActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
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 Year8202655ProgramServiceRevenuePriorYear
Program Service Revenue CY8274311ProgramServiceRevenueCY
Investment Income Prior Year203123InvestmentIncomePriorYear
Investment Income Current Year171722InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8405778TotalRevenuePriorYear
Total Revenue Current Year8446033TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year6506355BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY7012000BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year855483OtherExpensePriorYear
Other Expenses Current Year817501OtherExpensesCurrentYear
Total Expenses Prior Year7361838TotalExpensesPriorYear
Total Expenses Current Year7829501TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1043940RevenuesLessExpensesPriorYear
Revenues Less Expenses CY616532RevenuesLessExpensesCY
Total Assets BOY11967541TotalAssetsBOY
Total Assets EOY12754059TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11967541NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12754059NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH BENEFITS TO UNION MEMBERS AND THEIR DEPENDENTSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7012000Expense
DescriptionPAYMENTS OF MEDICAL CLAIMS FOR PLAN PARTICIPANTS INCLUDING THEIR DEPENDENTSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense131868Expense
DescriptionREMITTANCE 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 FUNDDescription
FieldValueIRS element (for citing)
Total Program Service Expense7143868TotalProgramServiceExpense
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 Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
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 With1096699NumberFormsTransmittedWith1096
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
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
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 Line1SCOTT DWELLE - NATIONAL EMPLOYEE BENEFITS ADMINISTRATORSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9045380100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18657 BAYPINE RD BLDG 5 SUITE 200AddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32256ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
W W GAY
CHAIRMAN5.00X000
RONNY ANDREWS
SECRETARY5.00X000
RUSSELL DRAWDY
ASST SECRETARY5.00X000
JAMES HENDRICKS
TRUSTEE2.00X000
BENNIE CRAVEN
TRUSTEE2.00X000
KELLEN JORDAN
TRUSTEE2.00X000
MICHAEL WOOD
TRUSTEE2.00X000
BENJAMIN CLARK
TRUSTEE2.00X000
LARRY COGBURN
TRUSTEE2.00X000
DAVID TANKERSLY
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 (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AETNA
821 PRUDENTIAL DRIVEJACKSONVILLEFL32207CONTRACT ADMIN276070
NEBA
8657 BAYPINE RD BLDG 5 STE 200JACKSONVILLEFL32256THIRD PARTY ADMIN179778
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionEMPLOYER AND PARTICIPANT CONTRIBUDescription
Business Code900099BusinessCode
Total Revenue Column8274311TotalRevenueColumn
Related Or Exempt Function Income8274311RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8274311TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column196813TotalRevenueColumn
Related Or Exempt Function Income196813RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4742462Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4767553Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-25091Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-25091TotalRevenueColumn
Related Or Exempt Function Income-25091RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8446033TotalRevenueColumn
Related Or Exempt Function Income8446033RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total7012000Total
Program Services7012000ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total455848Total
Management And General455848ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total33624Total
Management And General33624ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total73545Total
Management And General73545ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total42166Total
Management And General42166ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total39365Total
Management And General39365ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19167Total
Management And General19167ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total635Total
Management And General635ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total793Total
Management And General793ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total10982Total
Management And General10982ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
RECIPROCAL TRANSFERS131868131868
BANK CHARGES90689068
DUES440440

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7829501Total
Program Services7143868ProgramServices
Management And General685633ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1282269BOY
EOY1135876EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10685272BOY
EOY11618183EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11967541BOY
EOY12754059EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11967541BOY
EOY12754059EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11967541BOY
EOY12754059EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11967541BOY
EOY12754059EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses616532ReconcilationRevenueExpenses
Reconciliation Unrealized Invest169986ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
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

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt8573853TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments169986NetUnrealizedGainsInvestments
Revenue Not Rptd F990169986RevenueNotRptdF990
Revenue Subtotal8403867RevenueSubtotal
Investment Expenses Not Included42166InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt42166RevenueNotRptdOnFinStmt
Total Revenue Per Form9908446033TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7787335TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal7787335ExpensesSubtotal
Investment Expenses Not Included242166InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt42166ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907829501TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
ExplanationPARTS 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3THE BOARD OF TRUSTEES CONTRACTS WITH NATIONAL EMPLOYEE BENEFIT ADMINISTRATORS, INC. TO PERFORM DAY TO DAY MANAGEMENT AND BENEFIT PROCESSING FUNCTIONS.
FORM 990, PART VI, SECTION B, LINE 11FORM 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 12CALL 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.
THE ORGANIZATION DOES NOT COMPENSATE ANY TRUSTEE.
FORM 990, PART VI, SECTION C, LINE 19NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC.