STRATEGY STUDIO / PUBLIC DATA EXPLORER

TEAMSTERS JOINT COUNCIL-83 OF VIRGINIA HEALTH & WELFARE INSURANC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
TEAMSTERS JOINT COUNCIL-83 OF VIRGINIA HEALTH & WELFARE INSURANC (EIN 54-0556299)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201313179349302896
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)
Timestamp2013-11-13T13:29:39-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN208078757EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SALTER & COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14600 EAST-WEST HIGHWAY SUITE 300AddressLine1
CityBETHESDACity
StateMDState
ZIP Code208143415ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN540556299EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS JOINT COUNCIL NO 83 OFBusinessNameLine1
Business Name Line2VIRGINIA HEALTH & WELFARE FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlTEAMNameControl
Phone8042823131Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18814 FARGO ROAD NO 200AddressLine1
CityRICHMONDCity
StateVAState
ZIP Code232294673ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL MCCALLName
TitleADMINISTRATOR FOR THE TRUSTEESTitle
Phone8042823131Phone
Date Signed2013-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOSEPH M HERISHEN CPAName
PTINP00361968PTIN
Phone3018307400Phone
Date Prepared2013-11-13DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL M MCCALLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18814 FARGO ROADAddressLine1
CityRICHMONDCity
StateVAState
ZIP Code232294673ZIPCode
FieldValueIRS element (for citing)
Gross Receipts100586850GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.TJC83FUNDS.ORGWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1952YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH & WELFARE BENEFITS TO PARTICIPANTS AND THEIR BENEFICIARIES AS DETERMINED BY THE TRUSTEES, AND SHALL FURTHER PROVIDE THE MEANS FOR DEFRAYING REASONABLE EXPENSES OF THE OPERATION AND ADMINISTRATION OF THE FUND.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees30TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI2561250TotalGrossUBI
Net Unrelated Business Txbl Income-5998NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year37600700ProgramServiceRevenuePriorYear
Program Service Revenue CY36760231ProgramServiceRevenueCY
Investment Income Prior Year1972332InvestmentIncomePriorYear
Investment Income Current Year4317315InvestmentIncomeCurrentYear
Other Revenue Prior Year2587229OtherRevenuePriorYear
Other Revenue Current Year2759640OtherRevenueCurrentYear
Total Revenue Prior Year42160261TotalRevenuePriorYear
Total Revenue Current Year43837186TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year30710659BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY33738682BenefitsPaidToMembersCY
Salaries Etc Prior Year2598076SalariesEtcPriorYear
Salaries Etc Current Year2765178SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5746710OtherExpensePriorYear
Other Expenses Current Year5654378OtherExpensesCurrentYear
Total Expenses Prior Year39055445TotalExpensesPriorYear
Total Expenses Current Year42158238TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3104816RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1678948RevenuesLessExpensesCY
Total Assets BOY67361260TotalAssetsBOY
Total Assets EOY70047678TotalAssetsEOY
Total Liabilities BOY2017008TotalLiabilitiesBOY
Total Liabilities EOY2507234TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY65344252NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY67540444NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionADMINISTER AND PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS AND ELIGIBLE DEPENDENTS COVERED BY APPLICABLE COLLECTIVE BARGAINING AND PARTICIPATION AGREEMENTS.Description
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 Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
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 Required1ScheduleJRequired
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096899NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees30NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
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 Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
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 CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WEST END ADMINISTRATORS INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8042823131TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18814 FARGO ROAD STE 200AddressLine1
CityRICHMONDCity
StateVAState
ZIP Code23229ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM STRICKLAND
EMPLOYER TRUSTEE1.00X000
W ROBERT DAVIDSON
EMPLOYER TRUSTEE1.00X000
WILLIAM A NATIONS
EMPLOYER TRUSTEE1.00X000
JOHN FARRISH
UNION TRUSTEE1.00X01112973497663.00
JAMES R SMITH
UNION TRUSTEE1.00X0982533497640.00
KENNETH CHISM
UNION TRUSTEE1.00X01046813497660.00
MICHAEL M MCCALL
EXEC DIRECTOR35.00189874034976X
MATTHEW COHN
DIRECTOR OF FINANCE35.00104978034976X
FieldValueIRS element (for citing)
Total Reportable Comp From Org294852TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs314231TotalReportableCompFrmRltdOrgs
Total Other Compensation174880TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WEST END ADMINISTRATORS
8814 FARGO ROADRICHMONDVA23229TPA2554500
HEALTH CARE SERVICE CORPORATION
300 EAST RANDOLPHCHICAGOIL60601PPO NETWORK2034406
SHPS INC (CAREWISE HEALTH)
DEPARTMENT 8101CAROL STREAMIL60122DISEASE MGT338641
THE SEGAL COMPANY
CHURCH STREET STATIONNEW YORKNY10261ACTUARY211423
DAVIS & KIRBY
1108 WYTESTONE PLACERICHMONDVA23219ATTORNEY118003
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PARTICIPANT EMPLOYER C5251003497686134976861
VOLUNTARY EMPLOYEE CONTRIBUTION52510017833701783370
FieldValueIRS element (for citing)
Total Program Service Revenue36760231TotalProgramServiceRevenue

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column923390TotalRevenueColumn
Related Or Exempt Function Income923390RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real220527Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real92433Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real128094Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column128094TotalRevenueColumn
Exclusion$128,094ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities60051156Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities56657231Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3393925Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3393925TotalRevenueColumn
Related Or Exempt Function Income3393925RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
TPA REVENUE56100025612502561250
EMPLOYER INTEREST ASSESMENTS5610005999359993
EXTRAORDINARY ITEM - BAKERY MERGE5610001030310303
FieldValueIRS element (for citing)
Total Other Revenue2631546TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column43837186TotalRevenueColumn
Related Or Exempt Function Income41147842RelatedOrExemptFunctionIncome
Unrelated Business Revenue2561250UnrelatedBusinessRevenue
Exclusion$128,094ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total33738682Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total224851Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1503273Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total575083Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total335015Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total126956Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2554500Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total145850Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total101250Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total57635Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2503578Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total145294Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total107124Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total83649Total

Travel Travel

FieldValueIRS element (for citing)
Total21022Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total17891Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total243828Total

Insurance Insurance

FieldValueIRS element (for citing)
Total71435Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
ACTUARIES205968
OTHER EXPENSES82970
EMPLOYEE LEASING-687616

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total42158238Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY437325BOY
EOY500797EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5188161BOY
EOY3469786EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3401676BOY
EOY3197136EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY52458BOY
EOY61814EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3316703LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1969612LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1500673BOY
EOY1347091EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY56780967BOY
EOY61471054EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY67361260BOY
EOY70047678EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2017008BOY
EOY2507234EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2017008BOY
EOY2507234EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY65344252BOY
EOY67540444EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY65344252BOY
EOY67540444EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY67361260BOY
EOY70047678EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1678948ReconcilationRevenueExpenses
Reconciliation Unrealized Invest497612ReconciliationUnrealizedInvest
Reconcilation Other Changes19632ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis92370OtherCostOrOtherBasis
Book Value92370BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2485410OtherCostOrOtherBasis
Depreciation1465521Depreciation
Book Value1019889BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis738923OtherCostOrOtherBasis
Depreciation504091Depreciation
Book Value234832BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1347091TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CF DV NON-SL STOCK INDEX21527498F
CF DV NSL INT CR BOND INDEX FND20133921F
CF DV NON-SL AGG BOND INDEX FUND19809635F
FieldValueIRS element (for citing)
Total Of Book Value Securities61471054TotalOfBookValueSecurities
Tot Revenue Etc Audited Fincl Stmt41808346TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments497612NetUnrealizedGainsInvestments
Other Revenues92433OtherRevenues
Revenue Not Rptd F990590045RevenueNotRptdF990
Revenue Subtotal41218301RevenueSubtotal
Investment Expenses Not Included57635InvestmentExpensesNotIncluded
Other Revenues Not Included2561250OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2618885RevenueNotRptdOnFinStmt
Total Revenue Per Form99043837186TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt39612154TotExpensesEtcAuditedFinclStmt
Other Expenses Included93716OtherExpensesIncluded
Expenses Not Rptd F99093716ExpensesNotRptdF990
Expenses Subtotal39518438ExpensesSubtotal
Investment Expenses Not Included257635InvestmentExpensesNotIncluded2
Other Expenses Not Included2582165OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2639800ExpensesNotRptdOnFinStmt
Total Expenses Per Form99042158238TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 2D - OTHER ADJUSTMENTS:NET RENTAL INCOME 92,433.
PART XI, LINE 4B - OTHER ADJUSTMENTS:TPA REVENUE NETTED 2,561,250. EXTRAORDINARY ITEM - BAKERY FUND
PART XII, LINE 2D - OTHER ADJUSTMENTS:NONDEDUCTIBLE MEALS AND ENTERTAINMENT 758. BOOK/TAX DEPRECIATION DIFFERENCE 92,433. CHARITABLE EXPENSE 525.
PART XII, LINE 4B - OTHER ADJUSTMENTS:TPA REVENUE NETTED 2,561,250. NET RENTAL INCOME 20,915.
P 1 86 14

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMICHAEL M MCCALLNamePerson
TitleEXEC DIRECTORTitle
Base Compensation Filing Org189874BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org34976DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org224850TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
W ROBERT DAVIDSON
TRUSTEE PENSION, WEA1078638TRUSTEE REPRESENTS ENTITY (YRC) THAT PAYS INTO THE FUND0
KENNETH CHISM
TRUSTEE PENSION, WEATRUSTEE REPRESENTS ENTITY (LOCAL 322) THAT PAYS INTO THE FUND0
WILLIAM A NATIONS
TRUSTEE PENSION1021290TRUSTEE REPRESENTS ENTITY (ABF) THAT PAYS INTO THE FUND0
JOHN FARRISH
TRUSTEE PENSIONTRUSTEE REPRESENTS ENTITY (LOCAL 29) THAT PAYS INTO THE FUND0
WILLIAM STRICKLAND
TRUSTEE PENSION24675469TRUSTEE REPRESENTS ENTITY (UPS) THAT PAYS INTO THE FUND0
JAMES R SMITH
TRUSTEE PENSIONTRUSTEE REPRESENTS ENTITY (LOCAL 592) THAT PAYS INTO THE FUND0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11BEFORE THE FILING OF FORM 990, THE ENTIRE DRAFT WAS SENT AS A PDF TO ALL BOARD MEMBERS IN AN EMAIL. COMMENTS AND CORRECTIONS WERE STRONGLY ENCOURAGED.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY TRUSTEES AND OTHER INDIVIDUALS COMPLETE A QUESTIONNAIRE REGARDING COMPLIANCE WITH CONFLICTS POLICY
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION PROCESS FOR TOP OFFICIALS/OFFICERS BY THE CO-CHARIMAN OF THE BOARD OF TRUSTEES BASED ON COMPARATIVE COMPENSATION STUDIES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE VIA ITS WEBSITE, CONFLICT OF INTEREST POLICY IS NOT AVAILABLE, FINANCIALS ARE AVAILABLE TO PARTICIPANTS UNDER WRITTEN REQUEST.
FORM 990, PART XI, LINE 9:NONDEDUCTIBLE MEALS AND ENTERTAINMENT -758. BOOK/TAX DEPRECIATION DIFFERENCE 20,915. CHARITABLE EXPENSE -525.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionControlled OrgControlledOrg
TEAMSTERS JOINT COUNCIL NO 83 OF VA PENSION FUND
8814 FARGO ROADRICHMONDVA23229546097996PENSION FUNDVA401 (A)0
TEAMSTERS LOCAL 101
105 N MAIN STREETHOPWELLVA23860540853998LOCAL UNIONVA0
TEAMSTERS LOCAL 171
2550 W MAIN STREETSALEMVA24153540325986LOCAL UNIONVA0
TEAMSTERS LOCAL 22
97 BELMONT STREETCOLLINSVILLEVA24078540719311LOCAL UNIONVA0
TEAMSTERS LOCAL 29
12 CEDAR PARK LANEVERONAVA24482540739139LOCAL UNIONVA0
TEAMSTERS LOCAL 322
3705 CAROLINA AVERICHMONDVA23222540406217LOCAL UNIONVA0
TEAMSTERS LOCAL 592
3705 CAROLINA AVERICHMONDVA23222540212118LOCAL UNIONVA0
TEAMSTERS LOCAL 822
PO BOX 12673NORFOLKVA23541540201728LOCAL UNIONVA0

Form990 Schedule R Part IV Form990ScheduleRPartIV (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntityControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
TEAMSTERS JT COUNCIL 83 OF VA EXCESS
8814 FARGO ROAD SUITE 200RICHMONDVA23229546459815EXCESS BENEFITSVAT0
WEST END ADMINISTRATORS INC
8814 FARGO ROAD SUITE 200RICHMONDVA23229263901926TPAVAC1TEAMSTERS JOINT COUNCIL NO 83 OF VIRGINIA H&W FUND25612507572140.75000
ABF
PO BOX 10048FORT SMITHAR72917710249444TRUCKINGARC0
ACME PAPER
PO BOX 422SAVAGEMD20763520748849TRUCKINGMDC0
ALLIED BUILDING
15 E UNION AVEE RUTHORFORDNJ07073221729463BLDG MATERIALSNJC0
ARAMARK REFRESHMENTS
1301 OLIVER HILL ROADRICHMONDVA23219231673482VENDINGVAC0
ARAMARK UNIFORM
115 NORTH FIRST STREETBURBANKCA91502953082883LAUNDRYCAC0
BEINS & AXELROD
1625 MASSACHUSETTS AVEWASHINGTONDC20036521713905LEGALDCC0
INTERSTATE BRANDS
12 EAST ARMOUR BLVDKANSAS CITYMO64106440296705FOOD PROCEMOC0
JACK COOPER TRANSPORT
1100 WALNUT STREET STE 2400KANSAS CITYMO64106730493030TRUCKINGMOC0
KELLOGG SNACK
67 W MICHIGAN AVEBATTLE CREEKMI49016200329186VENDINGMIC0
NATIONAL FRUIT
PO BOX 2040WINCHESTERVA22604540315385FOOD PROCEVAC0
PCI OF VIRGINIA
5000 DEEPWATER TERMINAL ROADRICHMONDVA23234271311943TRUCKINGVAC0
PENSKE TRUCK LEASING
PO BOX 563READINGPA19603232518618TRUCKINGPAC0
PRAXAIR
175 EAST PARK DRIVETONAWANDANY14150061259050TRUCKINGCTC0
SCHWERMAN
PO BOX 1601MILWAUKEEWI53201390767397TRUCKINGWIC0
SENTINEL
1301 BELLWOOD ROADRICHMONDVA23237510392463TRUCKINGVAC0
SHENADOAH'S PRIDE
PO BOX 120MT CRAWFORDVA23241742952858DAIRYVAC0
UPS
100 EAST CAMPUSVIEW DRIVECOLUMBUSVA43235362407381TRUCKINGGAC0
VALLEY MILK
PO BOX 271STRASBURGVA22657541959730FOOD PROCEVAC0
VIRGINIA MIRROR
PO BOX 5431MARTINSVILLEVA24115540420100MIRRORVAC0
WHITE WAVE FOODS
6364 SOUTH VALLEY PIKEMT CRAWFORDVA22841722218815FOOD PROCECOC0
YRC
100900 ROE VEOVERLAND PARKKS66211340492670TRUCKINGKSC0
ALLIED SYSTEMS
2302 PARKLAKE DRIVEATLANTAGA30345581710028TRUCKINGGAC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
TJC NO 83 OF VA PENSION FUND
Q80916CASH
WEST END ADMIN
A112032CASH
WEST END ADMIN
Q2883604CASH
WEST END ADMIN
M2554500CASH