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HEALTH & WELFARE FUND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HEALTH & WELFARE FUND (EIN 04-2219623)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-01
IRS object ID
201322749349300027
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)
Timestamp2013-10-01T14:16:46-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN043508036EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MANZI & ASSOCIATES LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1855 TURNPIKE STREET STE 140AddressLine1
CityNORTH ANDOVERCity
StateMAState
ZIP Code01845ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042219623EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS LOCAL 170 HEALTH AND WELFARE FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTEAMNameControl
Phone5087913416Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1330 SOUTHWEST CUTOFFAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01607ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL HOGANName
TitleTRUSTEETitle
Phone5087913416Phone
Date Signed2013-10-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEANNIE MICKELName
PTINP01058630PTIN
Phone9789751099Phone
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 HOGANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1330 SOUTHWEST CUSTOFFAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01607ZIPCode
FieldValueIRS element (for citing)
Gross Receipts45712666GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization OtherXTypeOfOrganizationOther
Type Of Org Other DescriptionH&W FUNDTypeOfOrgOtherDescription
Year Formation1954YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE MEDICAL, DENTAL, VISION, LIFE, ACCIDENT & SICKNESS BENEFITS TO ELIGIBLE PARTICIPANTSActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees7TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24271448ProgramServiceRevenuePriorYear
Program Service Revenue CY24496323ProgramServiceRevenueCY
Investment Income Prior Year635902InvestmentIncomePriorYear
Investment Income Current Year904448InvestmentIncomeCurrentYear
Other Revenue Prior Year-63631OtherRevenuePriorYear
Other Revenue Current Year226162OtherRevenueCurrentYear
Total Revenue Prior Year24843719TotalRevenuePriorYear
Total Revenue Current Year25626933TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year22889727BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY24058893BenefitsPaidToMembersCY
Salaries Etc Prior Year381918SalariesEtcPriorYear
Salaries Etc Current Year425747SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year877739OtherExpensePriorYear
Other Expenses Current Year1014361OtherExpensesCurrentYear
Total Expenses Prior Year24149384TotalExpensesPriorYear
Total Expenses Current Year25499001TotalExpensesCurrentYear
Revenues Less Expenses Prior Year694335RevenuesLessExpensesPriorYear
Revenues Less Expenses CY127932RevenuesLessExpensesCY
Total Assets BOY33601233TotalAssetsBOY
Total Assets EOY33244996TotalAssetsEOY
Total Liabilities BOY7821048TotalLiabilitiesBOY
Total Liabilities EOY7434453TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY25780185NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25810543NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MEDICAL, DENTAL, VISION, LIFE, ACCIDENT & SICKNESS BENEFITS TO ELIGIBLE PARTICIPANTSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROVIDE WELFARE BENEFITS TO EMPLOYEES UNDER COLLECTIVE BARGAINING AGREEMENTDescription
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 Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
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 Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees7NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
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 Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
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 Policy0ConflictOfInterestPolicy
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
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 Line1MR MICHAEL HOGAN CO-CHAIRMANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5087913416TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1330 SOUTHWEST CUTOFFAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01607ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MICHAEL P HOGAN
TRUSTEE/CO-CHAIR0.00X000
CHARLES H AUBUCHON
TRUSTEE/CO-CHAIR0.00X000
LINDA L VARNEY
TRUSTEE0.00X000
JAMES R PETERS
TRUSTEE0.00X000
JAMES R FIORI
TRUSTEE0.00X000
WILLIAM F HOFF
TRUSTEE0.00X000
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

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BLUE CROSS BLUE SHIELDBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line125 TECHNOLOGY PLACEAddressLine1
CityHINGHAMCity
StateMAState
ZIP Code02043ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCLAIMS ADMINDescriptionOfServices
Compensation948065Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000992317327623173276
EMPLOYEE CONTRIBUTIONS90009913230471323047
FieldValueIRS element (for citing)
Total Program Service Revenue24496323TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column860859TotalRevenueColumn
Exclusion$860,859ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real211679Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real211679Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column211679TotalRevenueColumn
Related Or Exempt Function Income211679RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities20129322Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities20085733Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities43589Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column43589TotalRevenueColumn
Related Or Exempt Function Income43589RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column14483TotalRevenueColumn
Related Or Exempt Function Income14483RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue14483TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25626933TotalRevenueColumn
Related Or Exempt Function Income24766074RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$860,859ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total24058893Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total300461Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total86894Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total38392Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total69120Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total35448Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total86961Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total100741Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total74312Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total309685Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total47402Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total265358Total

Insurance Insurance

FieldValueIRS element (for citing)
Total25334Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25499001Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY20333BOY
EOY2392991EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8801655BOY
EOY1457873EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1872491BOY
EOY1886220EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY25851BOY
EOY40575EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7311980LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2834335LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4665662BOY
EOY4477645EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY18007017BOY
EOY22807468EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY208224BOY
EOY182224EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33601233BOY
EOY33244996EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY121397BOY
EOY128522EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7699651BOY
EOY7305931EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7821048BOY
EOY7434453EOY
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)
BOY25780185BOY
EOY25810543EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25780185BOY
EOY25810543EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33601233BOY
EOY33244996EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses127932ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-98927ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment1353ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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 Committee0AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis534151OtherCostOrOtherBasis
Book Value534151BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5875600OtherCostOrOtherBasis
Depreciation2834335Depreciation
Book Value3041265BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis570255OtherCostOrOtherBasis
Book Value570255BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis233054OtherCostOrOtherBasis
Book Value233054BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis98920OtherCostOrOtherBasis
Book Value98920BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4477645TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
EST. INCURRED BUT UNREPORTED CLAIMS$7,294,179
CONTRACTOR DEPOSITS$11,752
FieldValueIRS element (for citing)
Total Of Amounts7305931TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt25441045TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-98927NetUnrealizedGainsInvestments
Revenue Not Rptd F990-98927RevenueNotRptdF990
Revenue Subtotal25539972RevenueSubtotal
Investment Expenses Not Included86961InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt86961RevenueNotRptdOnFinStmt
Total Revenue Per Form99025626933TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt25810487TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal25810487ExpensesSubtotal
Investment Expenses Not Included286961InvestmentExpensesNotIncluded2
Other Expenses Not Included-398447OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-311486ExpensesNotRptdOnFinStmt
Total Expenses Per Form99025499001TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA 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 DEPARTMENT OF LABOR AND INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 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.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN BENEFITS PAYABLE

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN FOR MEMBERS OF TEAMSTERS LOCAL 170
FORM 990, PART VI, SECTION B, LINE 11THE BOARD OF TRUSTEES HAS GRANTED THE FUND ADMINSTRATOR AUTHORITY TO REVIEW AND FILE ALL TAX DOCUMENTS.
FORM 990, PART VI, LINE 15A:BOARD OF TRUSTEES DO NOT RECEIVE COMPENSATION.
FORM 990, PART VI, SECTION B, LINE 12AS AN EMPLOYEE BENEFIT PLAN, THE ORGANIZATION IS SUBJECT TO THE CONFLICTS OF INTEREST REQUIREMENTS OF ERISA
FORM 990, PART VI, SECTION B, LINE 15BBOARD OF TRUSTEES REVIEWS KEY EMPLOYEES COMPENSATION WITH COMPARABILITY DATA ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AVAILABLE UPON REQUEST
FORM 990, PART XII, LINE 2C:NO CHANGE IN OVERSIGHT PROCESS OR SELECTION OF INDEPENDANT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS LOCAL 170BusinessNameLine1
FieldValueIRS element (for citing)
Legal Domicile StateMALegalDomicileState
Controlled Org0ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV (48 entries)

Legal Domicile StateLegalDomicileStateControlled OrgControlledOrg
ABF FREIGHT SYSTEMS INC
MA0
AGGREGATE INDUSTRIES-GRAFTON
MA0
AGGREGATE SHREWSBURY
MA0
AGGREGATEASHLAND
MA0
AGGREGATELITTLETON
MA0
AUBUCHON DISTRIBUTION INC
MA0
BORGGAARD CONSTRUCTION
MA0
CAMOSSE & SONS
MA0
DURHAM SCHOOL SERVICES
MA0
ET AND L CONSTRUCTION
MA0
FIRST STUDENT
MA0
GRANGER-LYNCH INC
MA0
KELLOGG COMPANY
MA0
HEALTH & WELFARE FUND
MA0
MARIOS BROTHERS INC
MA0
UNITED NATURAL FOODS (UNFI)
MA0
MVATC
MA0
PJ KEATINGMECHANICS
MA0
PJ KEATING DRIVERS
MA0
CPC HOME PRODUCTS LLC
MA0
RAND WHITNEY GROUP LLC
MA0
RECIPORCAL AGREEMENT WLOCAL25
MA0
ROSENFELD CONCRETE CORP
MA0
RYDER TRUCK RENTAL
MA0
TEAMSTER'S CREDIT UNION
MA0
TOWN OF MERRIMAC
MA0
AGGREGATEKEATING
MA0
TRUCK DRIVERS UNION LOCAL 170
MA0
UNITED PARCEL SERVICE
MA0
VARNEY BROTHERS S&G
MA0
WORCESTER CHEMICAL DIST INC
MA0
YELLOW FREIGHT SYSTEMS INC
MA0
BAKER COMMODITIES
MA0
ROY BROTHERS
MA0
KC WILLIAMS IND
MA0
J G MACLELLAN CONCRETE CO
MA0
MERRIMACK VALLEY DISTRIB CO
MA0
TRANSGAS CO
MA0
UNISOURCE
MA0
AGGREGATE INDUSTRIES49
MA0
H & M INTERNATIONAL TRANS
MA0
LAWRENCE HOUSING AUTHORITY
MA0
FIRST STUDENT (FITCHBURG MECH)
MA0
ROLLSTONE FULFILLMENT INC
MA0
WE AUBUCHON CO INC
MA0
SPINCRAFT
MA0
SUBURBAN PROPANE LP
MA0
RECIPORAL AGREEMENT WITH NNBT
MA0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
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 Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS LOCAL 170BusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeJTransactionType
Amount Involved87263AmountInvolved
Method Of Amt DeterminationCASHMethodOfAmtDetermination