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IBEW LOCAL 102 WELFARE FUND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
IBEW LOCAL 102 WELFARE FUND (EIN 22-6487222)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-06
IRS object ID
201313109349301066
Schema version
2012v2.0
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)
Timestamp2013-11-06T09:32:26-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SHAUGHNESSY GIELLA CPA PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1420 ROUTE 46 EAST SUITE 4AddressLine1
CityFAIRFIELDCity
StateNJState
ZIP Code07004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN226487222EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1IBEW LOCAL 102 WELFARE FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlIBEWNameControl
Phone9738871718Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5355AddressLine1
CityPARSIPPANYCity
StateNJState
ZIP Code07054ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBERNARD CORRIGANName
TitleTRUSTEETitle
Phone9738871718Phone
Date Signed2013-11-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL GIELLAName
Phone9738820228Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBERNARD CORRIGANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5355AddressLine1
CityPARSIPPANYCity
StateNJState
ZIP Code07054ZIPCode
FieldValueIRS element (for citing)
Gross Receipts64013290GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1991YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionWELFARE FUND - HEALTH/MEDICAL BENEFITSActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year44402479ProgramServiceRevenuePriorYear
Program Service Revenue CY41758167ProgramServiceRevenueCY
Investment Income Prior Year3181969InvestmentIncomePriorYear
Investment Income Current Year3561948InvestmentIncomeCurrentYear
Other Revenue Prior Year1089270OtherRevenuePriorYear
Other Revenue Current Year1327715OtherRevenueCurrentYear
Total Revenue Prior Year48673718TotalRevenuePriorYear
Total Revenue Current Year46647830TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year32927428BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY39814741BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2233922OtherExpensePriorYear
Other Expenses Current Year2452425OtherExpensesCurrentYear
Total Expenses Prior Year35161350TotalExpensesPriorYear
Total Expenses Current Year42267166TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13512368RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4380664RevenuesLessExpensesCY
Total Assets BOY92539475TotalAssetsBOY
Total Assets EOY95876752TotalAssetsEOY
Total Liabilities BOY2743049TotalLiabilitiesBOY
Total Liabilities EOY1699662TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY89796426NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY94177090NetAssetsOrFundBalancesEOY
Mission DescriptionWELFARE FUND - HEALTH/MEDICAL BENEFITSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense42267166Expense
DescriptionPROVIDING HEALTH & MEDICAL BENEFITS TO THE PARTICIPANTSDescription
Total Program Service Expense42267166TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 LiabilitiesfalseReportOtherLiabilities
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 RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
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 EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109662NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1IE SHAFFER PLAN ADMINISTRATORSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6098836688TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1830 BEAR TAVERN ROADAddressLine1
CityWEST TRENTONCity
StateNJState
ZIP Code08628ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirector
JAMES ESTABROOK
TRUSTEE1.00X
PATRICK DELLE CAVA
TRUSTEE1.00X
GARY PFARR
TRUSTEE1.00X
BERNIE CORRIGAN
TRUSTEE1.00X
LOUIS VITO
TRUSTEE1.00X
BILL ROSSI
TRUSTEE1.00X
ROBERT WILLIAMSON III
TRUSTEE1.00X
ROBERT RENALDI
TRUSTEE1.00X
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HORIZON BC BS
3 PENN PLAZA EASTNEWARKNJ07105CONTRACT ADMINISTRATOR649378
DELTA DENTAL
1639 ROUTE 10PARSIPPANYNJ07054CONTRACT ADMINISTRATOR144036
FABIAN & BYRN LLC
204 EAGLE ROCK AVEROSELANDNJ07068CLAIMS PROCESSING448264
IE SHAFFER CO
830 BEAR TAVERN ROADWEST TRENTONNJ08628THIRD PARTY ADMINISTRATOR349188
PREMIER HEALYHCARE EXCHANGE INC
2 CROSSROADS DRIVEBEDMINSTERNJ07921CLAIMS REVIEW282579
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
EMPLOYER & PARTICIPANT CONTRIBUTIONS52510040849209
COBRA & MEDICARE DRUG SUBSIDY525100482826
INSURANCE CLAIM525100400000
OTHER52510026132
FieldValueIRS element (for citing)
Total Program Service Revenue41758167TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2941117TotalRevenueColumn
Exclusion$2,941,117ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities17986291Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities17365460Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities620831Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column620831TotalRevenueColumn
Exclusion$620,831ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
UNREALIZED APPRECIATION OF INVESTMENTS5251001322154$1,322,154
REIMBURSED COLLECTION FEES52510055615561
FieldValueIRS element (for citing)
Total Other Revenue1327715TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column46647830TotalRevenueColumn
Related Or Exempt Function Income41763728RelatedOrExemptFunctionIncome
Exclusion$4,884,102ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total39814741Total
Program Services39814741ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total54055Total
Program Services54055ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total28350Total
Program Services28350ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total924Total
Program Services924ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
ACTUARY4000400000
PRINTING & POSTAGE109631096300
INVESTMENT ADVISORY18780218780200
CONTRACT ADMINISTRATOR FEES1998539199853900

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total167792Total
Program Services167792ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total42267166Total
Program Services42267166ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6177619BOY
EOY4867551EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5068860BOY
EOY6014492EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY80942996BOY
EOY84544709EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY350000BOY
EOY450000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY92539475BOY
EOY95876752EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2743049BOY
EOY1699662EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2743049BOY
EOY1699662EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY89796426BOY
EOY94177090EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY89796426BOY
EOY94177090EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY92539475BOY
EOY95876752EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses4380664ReconcilationRevenueExpenses
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

FieldValueIRS element (for citing)
Tot Revenue Etc Audited Fincl Stmt46460028TotRevenueEtcAuditedFinclStmt
Revenue Subtotal46460028RevenueSubtotal
Investment Expenses Not Included187802InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt187802RevenueNotRptdOnFinStmt
Total Revenue Per Form99046647830TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt42479307TotExpensesEtcAuditedFinclStmt
Other Expenses Included1796060OtherExpensesIncluded
Expenses Not Rptd F9901796060ExpensesNotRptdF990
Expenses Subtotal40683247ExpensesSubtotal
Investment Expenses Not Included2187802InvestmentExpensesNotIncluded2
Other Expenses Not Included1396117OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1583919ExpensesNotRptdOnFinStmt
Total Expenses Per Form99042267166TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanation
Pt XII Line 2dACCRUED HEALTH CLAIMS 12/31/11 INCLUDED IN BENEFIT OBLIGATIONS STATEMENT
Pt XII Line 4bACCRUED HEALTH CLAIMS 12/31/12 INCLUDED IN BENEFIT OBLIGATIONS STATEMENT

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 3THE ORGANIZATION UTILIZES THE SERVICES OF I.E. SHAFFER,
A THIRD PARTY ADMINISTRATOR, AND FABIAN & BYRN, LLC,
A CLAIMS ADMINISTRATOR.
Pt VI, Line 11bA COPY OF THE FORM 990 IS PROVIDED TO EACH TRUSTEE AT A MEETING
PRIOR TO THE FILING DATE, WHERE QUESTIONS THAT A TRUSTEE HAS
ARE ADDRESSED.
Pt VI, Line 12cTHE ORGANIZATION HAS A REGULARLY SCHEDULED QUARTERLY
MEETING WHERE IT MONITORS COMPLIANCE WITH THE POLICY.
Pt VI, Line 15aNO COMPENSATION - EMPLOYEE BENEFIT PLAN
Pt VI, Line 19THE DOCUMENTS ARE AVAILABLE TO PARTICIPANTS AND THE PUBLIC UPON REQUEST
Form 990, Part IX, Line 24fCOLLECTION FEES - LEGAL 38264. 38264. 0. 0. COLLECTION FEES REIMB-102 PENSION FD 22218. 22218. 0. 0. COLLECTION FEES REIMB-102 SURETY FD 9753. 9753. 0. 0. DISCOUNT CLAIM FEES 43605. 43605. 0. 0. INSURANCE 4912. 4912. 0. 0. PAYROLL AUDIT FEES 49040. 49040. 0. 0.