WISCONSIN FOX RIVER VALLEY SHEET METAL WORKERS WELFARE TRUST: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: WISCONSIN FOX RIVER VALLEY SHEET METAL WORKERS WELFARE TRUST (EIN 39-6095127)
Tax period: 2011-06-01 to 2012-05-31
Filed: 2013-03-13
IRS object ID: 201310729349300421
Schema version: 2011v1.5
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
Form 990
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-03-13T15:28:34-05:00	Timestamp
Tax Period End Date	2012-05-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	391531945	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FREYBERG HINKLE ASHLAND POWERS & STOWELL	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	15420 W CAPITOL DR	AddressLine1
City	BROOKFIELD	City
State	WI	State
ZIP Code	530052621	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-06-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	396095127	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FOX VALLEY SHEET METAL HEALTH FUND	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FOXV	NameControl
Phone	2627981838	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2201 SPRINGDALE ROAD	AddressLine1
City	WAUKESHA	City
State	WI	State
ZIP Code	531862855	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	NICHOLAS LIESCH	Name
Title	SECRETARY	Title
Phone	2627981838	Phone
Date Signed	2013-03-05	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JAMES M ASHLAND CPA	Name
PTIN	P00241858	PTIN
Phone	2627846210	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	NICHOLAS LIESCH	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2201 SPRINGDALE ROAD	AddressLine1
City	WAUKESHA	City
State	WI	State
ZIP Code	531862855	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	12776675	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	N/A	WebSite
Type Of Organization Trust	X	TypeOfOrganizationTrust
Year Formation	1981	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE WELFARE BENEFITS, SUCH AS LIFE INSURANCE, ACCIDENTAL DEATH AND DISMEMBERMENT, LOSS OF TIME, DISABILITY, DENTAL, VISION, HOSPITAL, AND SURGICAL BENEFITS FOR UNION MEMBERS AND THEIR SPOUSE AND/OR DEPENDENTS	ActivityOrMissionDescription
Nbr Voting Members Governing Body	6	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	7557310	ProgramServiceRevenuePriorYear
Program Service Revenue CY	8028119	ProgramServiceRevenueCY
Investment Income Prior Year	331850	InvestmentIncomePriorYear
Investment Income Current Year	480369	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	85845	OtherRevenueCurrentYear
Total Revenue Prior Year	7889160	TotalRevenuePriorYear
Total Revenue Current Year	8594333	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	5984780	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	7094115	BenefitsPaidToMembersCY
Salaries Etc Prior Year	0	SalariesEtcPriorYear
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	798920	OtherExpensePriorYear
Other Expenses Current Year	1479023	OtherExpensesCurrentYear
Total Expenses Prior Year	6783700	TotalExpensesPriorYear
Total Expenses Current Year	8573138	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1105460	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	21195	RevenuesLessExpensesCY
Total Assets BOY	10946522	TotalAssetsBOY
Total Assets EOY	11414148	TotalAssetsEOY
Total Liabilities BOY	2770891	TotalLiabilitiesBOY
Total Liabilities EOY	3041837	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	8175631	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	8372311	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDE HEATH AND WELFARE BENEFITS FOR PARTICIPANTS AND THEIR BENEFICIARIES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	8135885	Expense
Description	TO PROVIDE HEALTH, LIFE, DENTAL, VISION, AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS, SPOUSES, AND DEPENDENTS.	Description
Total Program Service Expense	8135885	TotalProgramServiceExpense
Described In501 C3	0	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	0	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	236	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	6	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	SUZANNE TAZALLA	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2627981838	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2201 SPRINGDALE ROAD	AddressLine1
City	WAUKESHA	City
State	WI	State
ZIP Code	531862855	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
CHARLES SCHUSTER
CHAIRMAN	1.00	X	X	0	0	0
NICHOLAS LIESCH
SECRETARY	1.00	X	X	0	0	0
PATRICK LANDGRAF
UNION TRUSTEE	1.00	X		0	0	0
PAUL HANSEN
UNION TRUSTEE	1.00	X		0	0	0
TOM FELDMANN
EMPLOYER TRUSTEE	1.00	X		0	0	0
JEFFREY GAECKE
EMPLOYER TRUSTEE	1.00	X		0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
RELIASTAR LIFE INSURANCE COMPANY
20 WASHINGTON AVENUE SOUTH	MINNEAPOLIS	MN	55401	STOP LOSS, LIFE AND ACCIDENTAL DEATH & D	585400
UNITED HEALTH CARE INSURANCE COMPANY
10701 W RESEARCH DRIVE	MILWAUKEE	WI	53226	CLAIMS PROCESSING	206748
BENEFIT PLAN ADMINISTRATION
11270 WEST PARK PLACE SUITE 950	MILWAUKEE	WI	53224	THIRD PARTY ADMINISTRATOR	175528
THE SEGAL COMPANY
101 NORTH WACKER DRIVE SUITE 500	CHICAGO	IL	606061724	CONSULTING	108196

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS	900099	6996163	6996163
STOP LOSS REIMBURSEMEN	900099	698008	698008
PARTICIPANT CONTRIBUTI	900099	315590	315590
PAYMENTS FROM OTHER LO	900099	18358	18358

Field	Value	IRS element (for citing)
Total Program Service Revenue	8028119	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	299096	TotalRevenueColumn
Exclusion	$299,096	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	4363615	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	4182342	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	181273	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	181273	TotalRevenueColumn
Related Or Exempt Function Income	181273	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
MEDICAL/SUBROGATION RE	900099	65409	$65,409
COBRA SUBSIDY REIMBURS	900099	17947	$17,947
OTHER REVENUE	900099	2489	$2,489

Field	Value	IRS element (for citing)
Total Other Revenue	85845	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	8594333	TotalRevenueColumn
Related Or Exempt Function Income	8209392	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$384,941	ExclusionAmount

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	7094115	Total
Program Services	7094115	ProgramServices

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	130217	Total
Management And General	130217	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	49038	Total
Management And General	49038	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	21375	Total
Management And General	21375	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	42211	Total
Management And General	42211	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	108196	Total
Management And General	108196	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	13201	Total
Management And General	13201	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	487	Total
Management And General	487	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5869	Total
Management And General	5869	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
STOP LOSS PREMIUMS	572576	572576
PPO SERVICE ADMINISTRAT	206748	206748
HRA CLAIMS PAID	158362	158362
RECIPROCITY PAYMENTS TO	53135	53135

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	117608	Total
Program Services	50949	ProgramServices
Management And General	66659	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	8573138	Total
Program Services	8135885	ProgramServices
Management And General	437253	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
EOY	255942	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2318030	BOY
EOY	260100	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
EOY	638474	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	67329	BOY
EOY	8503	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	7896140	BOY
EOY	10149581	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	665023	BOY
EOY	101548	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	10946522	BOY
EOY	11414148	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	80291	BOY
EOY	160737	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2690600	BOY
EOY	2881100	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2770891	BOY
EOY	3041837	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8175631	BOY
EOY	8372311	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	8175631	BOY
EOY	8372311	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10946522	BOY
EOY	11414148	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	21195	ReconcilationRevenueExpenses
Reconcilation Other Changes	175485	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	0	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
BENEFIT CLAIMS PAYABLE AND IBNR	$546,100
ESTIMATED LIABILITY FOR FUTURE BENEFITS	$2,335,000

Field	Value	IRS element (for citing)
Total Of Amounts	2881100	TotalOfAmounts
Total Revenue	8594333	TotalRevenue
Total Expenses	8573138	TotalExpenses
Excess Or Deficit For Year	21195	ExcessOrDeficitForYear
Net Unrealized GL On Investments	175485	NetUnrealizedGLOnInvestments
Total Adjustments	175485	TotalAdjustments
Excess Or Deficit Per FS	196680	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	8674472	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	175485	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	175485	RevenueNotRptdF990
Revenue Subtotal	8498987	RevenueSubtotal
Investment Expenses Not Included	42211	InvestmentExpensesNotIncluded
Other Revenues Not Included	53135	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	95346	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	8594333	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	8287292	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	8287292	ExpensesSubtotal
Investment Expenses Not Included2	42211	InvestmentExpensesNotIncluded2
Other Expenses Not Included	243635	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	285846	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	8573138	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF MAY 31, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN MANAGEMENT BELIEVES THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO MAY 31, 2009.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		PAYMENTS TO OTHER LOCALS 53,135.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		INCREASE IN HEALTH CLAIMS PAYABLE 190,500. PAYMENT TO OTHER LOCALS 53,135.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11	REVIEWED BY THE ADMINISTRATIVE MANAGER AND PRESENTED TO TRUSTEES FOR APPROVAL PRIOR TO SIGNING AND FILING.
FORM 990, PART VI, SECTION B, LINE 12C	TRUSTEES ARE EXPECTED TO DISCLOSE ANY OWNERSHIP OR OTHER FINANCIAL RELATIONSHIPS THAT THEY HAVE WITH PARTIES THAT DEAL WITH THE PLAN.
FORM 990, PART VI, SECTION C, LINE 19	THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST THROUGH THE PLAN OFFICE.
FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 175,485.	CHANGES IN NET ASSETS OR FUND BALANCES:
PART XII, LINE 2C	THE BOARD OF TRUSTEES REVIEWS AND APPROVES A DRAFT OF THE AUDITED FINANCIAL STATEMENTS AT THE MEETING. THESE ARE PRESENTED BY THE ACCOUNTANT TO THE BOARD.