STRATEGY STUDIO / PUBLIC DATA EXPLORER

JACKSONVILLE PLUMBERS & PIPEFITTERS HEALTH & WELFARE<FUND: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
JACKSONVILLE PLUMBERS & PIPEFITTERS HEALTH & WELFARE<FUND (EIN 59-0810108)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-06-27
IRS object ID
201321789349300507
Schema version
2011v1.2
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)
Timestamp2013-06-27T08:49:03-05:00Timestamp
Tax Period End Date2012-08-31TaxPeriodEndDate

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 Date2011-09-01TaxPeriodBeginDate

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)
NameW W GAYName
TitleCHAIRMANTitle
Phone9045380100Phone
Date Signed2013-06-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHARLES R SHOFFNERName
PTINP00296143PTIN
Phone9047307709Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts10707022GrossReceipts
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 Year8410428ProgramServiceRevenuePriorYear
Program Service Revenue CY8202655ProgramServiceRevenueCY
Investment Income Prior Year200762InvestmentIncomePriorYear
Investment Income Current Year203123InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8611190TotalRevenuePriorYear
Total Revenue Current Year8405778TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year6912455BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY6506355BenefitsPaidToMembersCY
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 Year857193OtherExpensePriorYear
Other Expenses Current Year855483OtherExpensesCurrentYear
Total Expenses Prior Year7769648TotalExpensesPriorYear
Total Expenses Current Year7361838TotalExpensesCurrentYear
Revenues Less Expenses Prior Year841542RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1043940RevenuesLessExpensesCY
Total Assets BOY10702766TotalAssetsBOY
Total Assets EOY11967541TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10702766NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11967541NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH BENEFITS TO UNION MEMBERS AND THEIR DEPENDENTSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6506355Expense
DescriptionPAYMENTS OF MEDICAL CLAIMS FOR PLAN PARTICIPANTS INCLUDING THEIR DEPENDENTSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense157688Expense
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 Expense6664043TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096608NumberFormsTransmittedWith1096
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 Line1DAVID MAST - 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
DAVID TANKERSLY
TRUSTEE2.00X000
JAMES HENDRICKS
TRUSTEE2.00X000
LARRY COGBURN
TRUSTEE2.00X000
MICHAEL WOOD
TRUSTEE2.00X000
BENNIE CRAVEN
TRUSTEE2.00X000
KELLEN JORDAN
TRUSTEE2.00X000
BENJAMIN CLARK
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 ADMIN264316
NEBA
8657 BAYPINE RD BLDG 5 STE 200JACKSONVILLEFL32256THIRD PARTY ADMIN184018
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionEMPLOYER AND PARTICIPADescription
Business Code900099BusinessCode
Total Revenue Column8202655TotalRevenueColumn
Related Or Exempt Function Income8202655RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8202655TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column211494TotalRevenueColumn
Related Or Exempt Function Income211494RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2292873Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2301244Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-8371Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-8371TotalRevenueColumn
Related Or Exempt Function Income-8371RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8405778TotalRevenueColumn
Related Or Exempt Function Income8405778RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total6506355Total
Program Services6506355ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total448334Total
Management And General448334ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total40555Total
Management And General40555ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total77085Total
Management And General77085ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total37686Total
Management And General37686ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total40440Total
Management And General40440ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19296Total
Management And General19296ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2075Total
Management And General2075ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11907Total
Management And General11907ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total11129Total
Management And General11129ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
RECIPROCAL TRANSFERS157688157688
BANK CHARGES88608860
DUES428428

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7361838Total
Program Services6664043ProgramServices
Management And General697795ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3023678BOY
EOY1282269EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7679088BOY
EOY10685272EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10702766BOY
EOY11967541EOY

Total Liabilities TotalLiabilities

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

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10702766BOY
EOY11967541EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10702766BOY
EOY11967541EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10702766BOY
EOY11967541EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1043940ReconcilationRevenueExpenses
Reconcilation Other Changes220835ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Total Revenue8405778TotalRevenue
Total Expenses7361838TotalExpenses
Excess Or Deficit For Year1043940ExcessOrDeficitForYear
Net Unrealized GL On Investments220835NetUnrealizedGLOnInvestments
Total Adjustments220835TotalAdjustments
Excess Or Deficit Per FS1264775ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8588927TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments220835NetUnrealizedGainsInvestments
Revenue Not Rptd F990220835RevenueNotRptdF990
Revenue Subtotal8368092RevenueSubtotal
Investment Expenses Not Included37686InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt37686RevenueNotRptdOnFinStmt
Total Revenue Per Form9908405778TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7324152TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal7324152ExpensesSubtotal
Investment Expenses Not Included237686InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt37686ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907361838TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationPARTS XI, XII AND XIII: 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 (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 220,835.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 99O, PART XII, LINE 2B:NON-GAAP FINANCIAL STATEMENTS ARE AUDITED BY INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT.