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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-06T09:32:26-08:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHAUGHNESSY GIELLA CPA PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 ROUTE 46 EAST SUITE 4 | AddressLine1 |
| City | FAIRFIELD | City |
| State | NJ | State |
| ZIP Code | 07004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 226487222 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IBEW LOCAL 102 WELFARE FUND | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | IBEW | NameControl |
| Phone | 9738871718 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5355 | AddressLine1 |
| City | PARSIPPANY | City |
| State | NJ | State |
| ZIP Code | 07054 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BERNARD CORRIGAN | Name |
| Title | TRUSTEE | Title |
| Phone | 9738871718 | Phone |
| Date Signed | 2013-11-06 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL GIELLA | Name |
| Phone | 9738820228 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BERNARD CORRIGAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5355 | AddressLine1 |
| City | PARSIPPANY | City |
| State | NJ | State |
| ZIP Code | 07054 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 64013290 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | WELFARE FUND - HEALTH/MEDICAL BENEFITS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 44402479 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 41758167 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3181969 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3561948 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1089270 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1327715 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 48673718 | TotalRevenuePriorYear |
| Total Revenue Current Year | 46647830 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 32927428 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 39814741 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2233922 | OtherExpensePriorYear |
| Other Expenses Current Year | 2452425 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 35161350 | TotalExpensesPriorYear |
| Total Expenses Current Year | 42267166 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 13512368 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4380664 | RevenuesLessExpensesCY |
| Total Assets BOY | 92539475 | TotalAssetsBOY |
| Total Assets EOY | 95876752 | TotalAssetsEOY |
| Total Liabilities BOY | 2743049 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1699662 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 89796426 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 94177090 | NetAssetsOrFundBalancesEOY |
| Mission Description | WELFARE FUND - HEALTH/MEDICAL BENEFITS | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 42267166 | Expense |
| Description | PROVIDING HEALTH & MEDICAL BENEFITS TO THE PARTICIPANTS | Description |
| Total Program Service Expense | 42267166 | TotalProgramServiceExpense |
| Described In501 C3 | false | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 62 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IE SHAFFER PLAN ADMINISTRATORS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6098836688 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 830 BEAR TAVERN ROAD | AddressLine1 |
| City | WEST TRENTON | City |
| State | NJ | State |
| ZIP Code | 08628 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (8 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector |
|---|---|---|
| JAMES ESTABROOK | ||
| TRUSTEE | 1.00 | X |
| PATRICK DELLE CAVA | ||
| TRUSTEE | 1.00 | X |
| GARY PFARR | ||
| TRUSTEE | 1.00 | X |
| BERNIE CORRIGAN | ||
| TRUSTEE | 1.00 | X |
| LOUIS VITO | ||
| TRUSTEE | 1.00 | X |
| BILL ROSSI | ||
| TRUSTEE | 1.00 | X |
| ROBERT WILLIAMSON III | ||
| TRUSTEE | 1.00 | X |
| ROBERT RENALDI | ||
| TRUSTEE | 1.00 | X |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HORIZON BC BS | |||||
| 3 PENN PLAZA EAST | NEWARK | NJ | 07105 | CONTRACT ADMINISTRATOR | 649378 |
| DELTA DENTAL | |||||
| 1639 ROUTE 10 | PARSIPPANY | NJ | 07054 | CONTRACT ADMINISTRATOR | 144036 |
| FABIAN & BYRN LLC | |||||
| 204 EAGLE ROCK AVE | ROSELAND | NJ | 07068 | CLAIMS PROCESSING | 448264 |
| IE SHAFFER CO | |||||
| 830 BEAR TAVERN ROAD | WEST TRENTON | NJ | 08628 | THIRD PARTY ADMINISTRATOR | 349188 |
| PREMIER HEALYHCARE EXCHANGE INC | |||||
| 2 CROSSROADS DRIVE | BEDMINSTER | NJ | 07921 | CLAIMS REVIEW | 282579 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn |
|---|---|---|
| EMPLOYER & PARTICIPANT CONTRIBUTIONS | 525100 | 40849209 |
| COBRA & MEDICARE DRUG SUBSIDY | 525100 | 482826 |
| INSURANCE CLAIM | 525100 | 400000 |
| OTHER | 525100 | 26132 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 41758167 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2941117 | TotalRevenueColumn |
| Exclusion | $2,941,117 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 17986291 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 17365460 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 620831 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 620831 | TotalRevenueColumn |
| Exclusion | $620,831 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| UNREALIZED APPRECIATION OF INVESTMENTS | 525100 | 1322154 | $1,322,154 | |
| REIMBURSED COLLECTION FEES | 525100 | 5561 | 5561 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1327715 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 46647830 | TotalRevenueColumn |
| Related Or Exempt Function Income | 41763728 | RelatedOrExemptFunctionIncome |
| Exclusion | $4,884,102 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39814741 | Total |
| Program Services | 39814741 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54055 | Total |
| Program Services | 54055 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28350 | Total |
| Program Services | 28350 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 924 | Total |
| Program Services | 924 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| ACTUARY | 4000 | 4000 | 0 | 0 |
| PRINTING & POSTAGE | 10963 | 10963 | 0 | 0 |
| INVESTMENT ADVISORY | 187802 | 187802 | 0 | 0 |
| CONTRACT ADMINISTRATOR FEES | 1998539 | 1998539 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 167792 | Total |
| Program Services | 167792 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42267166 | Total |
| Program Services | 42267166 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6177619 | BOY |
| EOY | 4867551 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5068860 | BOY |
| EOY | 6014492 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80942996 | BOY |
| EOY | 84544709 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 350000 | BOY |
| EOY | 450000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92539475 | BOY |
| EOY | 95876752 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2743049 | BOY |
| EOY | 1699662 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2743049 | BOY |
| EOY | 1699662 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89796426 | BOY |
| EOY | 94177090 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89796426 | BOY |
| EOY | 94177090 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92539475 | BOY |
| EOY | 95876752 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 4380664 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Revenue Etc Audited Fincl Stmt | 46460028 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 46460028 | RevenueSubtotal |
| Investment Expenses Not Included | 187802 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 187802 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 46647830 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 42479307 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1796060 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1796060 | ExpensesNotRptdF990 |
| Expenses Subtotal | 40683247 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 187802 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 1396117 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1583919 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 42267166 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt XII Line 2d | ACCRUED HEALTH CLAIMS 12/31/11 INCLUDED IN BENEFIT OBLIGATIONS STATEMENT |
| Pt XII Line 4b | ACCRUED HEALTH CLAIMS 12/31/12 INCLUDED IN BENEFIT OBLIGATIONS STATEMENT |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI, Line 3 | THE ORGANIZATION UTILIZES THE SERVICES OF I.E. SHAFFER, |
| A THIRD PARTY ADMINISTRATOR, AND FABIAN & BYRN, LLC, | |
| A CLAIMS ADMINISTRATOR. | |
| Pt VI, Line 11b | A 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 12c | THE ORGANIZATION HAS A REGULARLY SCHEDULED QUARTERLY |
| MEETING WHERE IT MONITORS COMPLIANCE WITH THE POLICY. | |
| Pt VI, Line 15a | NO COMPENSATION - EMPLOYEE BENEFIT PLAN |
| Pt VI, Line 19 | THE DOCUMENTS ARE AVAILABLE TO PARTICIPANTS AND THE PUBLIC UPON REQUEST |
| Form 990, Part IX, Line 24f | COLLECTION 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. |