COLORADO SHEET METAL WORKERS LOCAL 9 FAMILY HEALTH PLAN: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COLORADO SHEET METAL WORKERS LOCAL 9 FAMILY HEALTH PLAN (EIN 84-6029106)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-05
- IRS object ID
- 201333099349300048
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-05T11:26:20-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320043599 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEGACY PROFESSIONALS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 311 S WACKER DRIVE STE 4000 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | 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 | 846029106 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLORADO SHEET METAL WORKERS' LOCAL 9 | BusinessNameLine1 |
| Business Name Line2 | FAMILY HEALTH PLAN | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COLO | NameControl |
| Phone | 3039221213 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 27910 | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 80227 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ERIC DEBEY | Name |
| Title | CHAIRMAN | Title |
| Phone | 3039221213 | Phone |
| Date Signed | 2013-11-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TIMOTHY CIBULKA | Name |
| PTIN | P00841100 | PTIN |
| Phone | 3123680500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ERIC DEBEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 27910 | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 80227 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8496081 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 1964 | YearFormation |
| State Legal Domicile | CO | StateLegalDomicile |
| Activity Or Mission Description | HEALTH AND WELFARE FUND | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8329183 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7563765 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 476684 | InvestmentIncomePriorYear |
| Investment Income Current Year | 211508 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6545 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1310 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8812412 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7776583 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 9188202 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 8318436 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 426978 | OtherExpensePriorYear |
| Other Expenses Current Year | 400057 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 9615180 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8718493 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -802768 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -941910 | RevenuesLessExpensesCY |
| Total Assets BOY | 13373567 | TotalAssetsBOY |
| Total Assets EOY | 13163762 | TotalAssetsEOY |
| Total Liabilities BOY | 63125 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 86918 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 13310442 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 13076844 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE HEALTH AND WELFARE BENEFITS | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Description | TO PROVIDE MEDICAL AND LIFE INSURANCE BENEFITS TO THE ELIGIBLE DEPENDENTS, BENEFICIARIES AND PARTICIPANTS OF THE PLAN. | Description |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERIC DEBEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3039221213 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 27910 | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 80227 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (5 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|---|
| DWAYNE STEPHENS | |||||||
| CHAIRMAN - PAST | 3.00 | 44.00 | X | 0 | 85250 | 35257 | |
| ERIC DEBEY | |||||||
| CHAIRMAN | 6.00 | 44.00 | X | 0 | 80962 | 35257 | |
| THOMAS P KEATING | |||||||
| SECRETARY | 4.00 | 40.00 | X | 0 | 96668 | 11300 | |
| RANDY MITCHELL | |||||||
| TRUSTEE | 4.00 | 44.00 | X | 0 | 81224 | 35257 | |
| MARY MARTIN | |||||||
| ADMINISTRATOR | 20.00 | 0 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 344104 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 117071 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CIGNA | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 E MEXICO AVENUE STE 1100 | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 80210 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | BENEFIT CONTRACT ADMINISTRATOR | DescriptionOfServices |
| Compensation | 454129 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CONTRACTOR CONTRIB. | 900099 | 6716215 | 6716215 |
| PARTICIPANT & RETIREE | 900099 | 610262 | 610262 |
| SASMI CONTRIBUTIONS | 900099 | 120604 | 120604 |
| REBATE INCOME | 900099 | 111466 | 111466 |
| MEDICARE PART D SUBSID | 900099 | 5218 | 5218 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7563765 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 125293 | TotalRevenueColumn |
| Exclusion | $125,293 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 805713 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 719498 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 86215 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 86215 | TotalRevenueColumn |
| Exclusion | $86,215 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 1310 | TotalRevenueColumn |
| Exclusion | $1,310 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1310 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7776583 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7563765 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $212,818 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8318436 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54999 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99967 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41994 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16493 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136545 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12245 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1613 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1200 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6105 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12993 | Total |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal |
|---|---|
| HRA RETIREE FEES AND EX | 8701 |
| MISCELLANEOUS | 7202 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8718493 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -32689 | BOY |
| EOY | -65630 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 512499 | BOY |
| EOY | 357232 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 892451 | BOY |
| EOY | 706716 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10322 | BOY |
| EOY | 7954 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 698 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 698 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5899707 | BOY |
| EOY | 5369008 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6091277 | BOY |
| EOY | 6788482 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13373567 | BOY |
| EOY | 13163762 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15613 | BOY |
| EOY | 16842 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47512 | BOY |
| EOY | 61076 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 9000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63125 | BOY |
| EOY | 86918 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13310442 | BOY |
| EOY | 13076844 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13310442 | BOY |
| EOY | 13076844 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13373567 | BOY |
| EOY | 13163762 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -941910 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 708312 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 698 | OtherCostOrOtherBasis |
| Depreciation | 698 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| COMMON COLLECTIVE TRUST FUNDS | 5215145 | F |
| LIMITED PARTNERSHIP | 1573337 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 6788482 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO PENSION PLAN | Description |
| Amount | $9,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9000 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 8141242 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 708312 | NetUnrealizedGainsInvestments |
| Other Revenues | 736725 | OtherRevenues |
| Revenue Not Rptd F990 | 1445037 | RevenueNotRptdF990 |
| Revenue Subtotal | 6696205 | RevenueSubtotal |
| Investment Expenses Not Included | 16493 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 1063885 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1080378 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 7776583 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 8748073 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 736725 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 736725 | ExpensesNotRptdF990 |
| Expenses Subtotal | 8011348 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 16493 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 690652 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 707145 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 8718493 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REMITTANCE FROM FAMILY HEALTH PLAN TO MEDICARE PLAN 736,725. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | EMPLOYER CONTRIBUTIONS - MEDICARE PLAN ALLOCATION 327,160. REMITTANCE FROM FAMILY HEALTH PLAN TO MEDICARE PLAN 736,725. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | REMITTANCE FROM FAMILY HEALTH PLAN TO MEDICARE PLAN 736,725. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | MEDICARE RETIREE BENEFITS 643,013. MEDICARE PLAN ADMINISTRATIVE EXPENSES 47,639. |
| PART X: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THE PLAN HAS NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES AND PLAN ADMINISTATOR PRIOR TO FILING. AFTER THE BOARD'S REVIEW, THE FORM IS APPROVED AND FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ENFORCEMENT OF CONFLICT OF INTEREST POLICY - THE FUND IS AN EMPLOYEE WELFARE BENEFIT PLAN GOVERNED BY THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). UNDER ERISA, IT IS THE CONTINUING RESPONSIBILITY OF EACH MEMBER OF THE BOARD OF TRUSTEES TO REVIEW TRANSACTIONS FOR POTENTIAL CONFLICTS OF INTEREST, IMMEDIATELY DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, AND TAKE APPROPRIATE ACTION UPON DISCOVERY OF SUCH CONFLICT (E.G., BY THE AFFECTED TRUSTEE RECUSING HIMSELF FROM ANY DECISION RELATED TO SUCH TRANSACTION). TO ASSIST THE TRUSTEES IN IDENTIFYING AND MANAGING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, THE FUND DISTRIBUTES TO EACH TRUSTEE, OFFICE AND KEY EMPLOYEE (IF ANY) AN ANNUAL QUESTIONNAIRE ASKING FOR INFORMATION REGARDING INTERESTS THAT COULD GIVE RISE TO A CONFLICT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO ANY PARTICIPANT IN THE PLAN UPON REQUEST AT THE FUND OFFICE. |
| FORM 990, PART VII, LINE 1A | THE ADMINISTRATOR OF THE PLAN IS ALSO THE ADMINISTRATOR OF THE RELATED PENSION PLAN AND THE OFFICE MANAGER OF THE LOCAL UNION. THE UNION INITIALLY PAYS FOR THE ADMINISTRATOR'S SALARY AND BENEFITS. AMOUNTS ARE REIMBURSED ON A MONTHLY BASIS BASED ON AN ALLOCATION APPROVED BY THE TRUSTEES. PLAN TRUSTEE THOMAS KEATING RECEIVED COMPENSATION FROM A RELATED ORGANIZATION DURING THE YEAR. AS A SPONSORING ORGANIZATION TO THE FUND, SHEET METAL AND AIR CONDITIONING CONTRACTORS COLORADO CHAPTER (SMACNA) IS CONSIDERED RELATED TO THE PLAN UNDER THIS FORM'S DEFINITION OF RELATED ENTITIES. COMPENSATION RECEIVED BY TRUSTEE KEATING IS REPORTED ON PAGE 7, PART VII, LINE 1A. FORMER TRUSTEE DWAYNE STEPHENS AND TRUSTEES ERIC DEBEY AND RANDY MITCHELL RECEIVED COMPENSATION FROM A RELATED ORGANIZATION DURING THE YEAR. AS A CONTRIBUTING EMPLOYER TO THE FUND, SHEET METAL WORKERS INTERNATIONAL ASSOCIATION LOCAL 9 (THE LOCAL) IS CONSIDERED RELATED TO THE PLAN UNDER THIS FORM'S DEFINITION OF RELATED ENTITIES. COMPENSATION RECEIVED BY THESE INDIVIDUALS IS REPORTED ON PAGE 7, PART VII, LINE 1A. FORM 990, PART XXI, LINE 2B: FINANCIAL STATEMENTS EFFECTIVE JANUARY 1, 2012, THE TRUSTEES APPROVED A RESOLUTION TO ESTABLISH A SEPARATE PLAN FOR RETIRED PARTICIPANTS. THE SHEET METAL WORKERS' LOCAL 9 MEDICARE RETIREE PLAN AND THE SHEET METAL WORKERS' LOCAL 9 FAMILY HEALTH PLAN OPERATE UNDER ONE TRUST AGREEMENT AND EACH PLAN ISSUES SEPARATE AUDITED FINANCIAL STATEMENTS. BOTH PLANS ARE REPORTED ON THIS FORM 990 ON A CONSOLIDATED BASIS. |
| FORM 990, SCHEDULE R, PART IV | THE FORM 990 INSTRUCTIONS DEFINE RELATED ORGANIZATIONS TO INCLUDE EMPLOYERS WHO CONTRIBUTE TO VOLUNTARY EMPLOYEE BENEFICIARY ORGANIZATIONS (VEBA). THE PLAN IS ALSO A MULTI-EMPLOYER PLAN OPERATED UNDER THE TAFT-HARTLEY ACT OF 1947 AND THE EMPLOYEE RETIREMENT INCOME SECURITY ACT (ERISA) WHICH PROVIDES HEALTH AND WELFARE BENEFITS TO EMPLOYEES (AND DEPENDENTS) OF CONTRIBUTING EMPLOYERS WHO MAKE CONTRIBUTIONS TO THE PLAN AS REQUIRED UNDER A COLLECTIVE BARGAINING AGREEMENT AND/OR PARTICIPATION AGREMENT. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| COLORADO SHEET METAL WORKERS LOCAL 9 PENSION FUND | ||||||||||
| 7510 W MISSISSIPPI AVE 200 | LAKEWOOD | CO | 80226 | 840783596 | TO PROVIDE RETIREMENT BENEFITS FOR ELIGIBLE PARTICIPANTS | CO | 401(A) | N/A | N/A | 0 |
| SHEET METAL WORKERS LOCAL 9 JATC | ||||||||||
| 1515 W 47TH AVENUE | DENVER | CO | 80211 | 846039791 | TRAINING FUND / CONTRIBUTING EMPLOYER | CO | 501(C)(3) | N/A | N/A | 0 |
| SHEET METAL WORKERS INTERNATIONAL LOCAL 9 | ||||||||||
| 7510 W MISSISSIPPI AVE 200 | LAKEWOOD | CO | 80226 | 840318035 | LOCAL UNION / SPONSORING ORGANIZATION | CO | 501(C)(5) | N/A | N/A | 0 |
| SHEET METAL & AIR CONDITIONING CONTRACTORS COLORADO CHAPTER | ||||||||||
| 1114 W 7TH AVENUE | DENVER | CO | 80204 | 840473302 | EMPLOYER ASSOCIATION / SPONSORING ORGANIZATION | CO | 501(C)(6) | N/A | N/A | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (59 entries)
| Primary ActivityPrimaryActivity | Controlled OrgControlledOrg |
|---|---|
| 2-H MECHANICAL LLC | |
| CONTRIBUTING EMPLOYER | 0 |
| API INC | |
| CONTRIBUTING EMPLOYER | 0 |
| AIR RIGHT INC | |
| CONTRIBUTING EMPLOYER | 0 |
| AIR SYSTEMS INC | |
| CONTRIBUTING EMPLOYER | 0 |
| ALEUT GLOBAL SOLUTIONS | |
| CONTRIBUTING EMPLOYER | 0 |
| AM HEATING & AIR | |
| CONTRIBUTING EMPLOYER | 0 |
| AMERICAN STAINLESS STEEL CORP | |
| CONTRIBUTING EMPLOYER | 0 |
| BALANCE TECHNOLOGIES | |
| CONTRIBUTING EMPLOYER | 0 |
| BELL PLUMBING AND HEATING | |
| CONTRIBUTING EMPLOYER | 0 |
| BLACKSTONE TEST & BAL INC | |
| CONTRIBUTING EMPLOYER | 0 |
| CADWERKX LLC | |
| CONTRIBUTING EMPLOYER | 0 |
| CLASSIC METALS INC | |
| CONTRIBUTING EMPLOYER | 0 |
| CMS MECHANICAL SERVICES INC | |
| CONTRIBUTING EMPLOYER | 0 |
| COLORADO SHEET METAL INC | |
| CONTRIBUTING EMPLOYER | 0 |
| COMPLETE MECHANICAL BALANCING INC | |
| CONTRIBUTING EMPLOYER | 0 |
| DALF-DENVER AREA LABOR FEDERATION | |
| CONTRIBUTING EMPLOYER | 0 |
| DENVER TEST & BALANCE CO INC | |
| CONTRIBUTING EMPLOYER | 0 |
| DIVERSE SHEET METAL LLC | |
| CONTRIBUTING EMPLOYER | 0 |
| EAGLE AIR TEST & BALANCE | |
| CONTRIBUTING EMPLOYER | 0 |
| ENERGY BALANCE AND INTEGRATION | |
| CONTRIBUTING EMPLOYER | 0 |
| FOUR WYNNS MECHANICAL | |
| CONTRIBUTING EMPLOYER | 0 |
| HEABLER METAL PRODUCTS | |
| CONTRIBUTING EMPLOYER | 0 |
| HEATING & PLUMBING ENGINEERS INC | |
| CONTRIBUTING EMPLOYER | 0 |
| HERCULES INDUSTRIES INC | |
| CONTRIBUTING EMPLOYER | 0 |
| J B HENDERSON CONSTRUCTION | |
| CONTRIBUTING EMPLOYER | 0 |
| JEDI BALANCING INC | |
| CONTRIBUTING EMPLOYER | 0 |
| JPG ENGINEERING INC | |
| CONTRIBUTING EMPLOYER | 0 |
| KLOPPENBERG LLC | |
| CONTRIBUTING EMPLOYER | 0 |
| LEGACY MECHANICAL INC | |
| CONTRIBUTING EMPLOYER | 0 |
| MG MCGRATH INC | |
| CONTRIBUTING EMPLOYER | 0 |
| MARIA CUSTOM SHEET METAL | |
| CONTRIBUTING EMPLOYER | 0 |
| MECH ONE INC | |
| CONTRIBUTING EMPLOYER | 0 |
| MIDWEST COLORADO SPRINGS INC | |
| CONTRIBUTING EMPLOYER | 0 |
| MOUNTAIN STATES SHEET METAL | |
| CONTRIBUTING EMPLOYER | 0 |
| MURPHY COMPANY | |
| CONTRIBUTING EMPLOYER | 0 |
| N M INDUSTRIAL SERVICES LLC | |
| CONTRIBUTING EMPLOYER | 0 |
| NOSTALGIC METALS | |
| CONTRIBUTING EMPLOYER | 0 |
| ONE TON SHEET METAL INC | |
| CONTRIBUTING EMPLOYER | 0 |
| PARKER SHEET METAL INC | |
| CONTRIBUTING EMPLOYER | 0 |
| PRECISION TEST & BALANCE INC | |
| CONTRIBUTING EMPLOYER | 0 |
| RED'S SHEET METAL INC | |
| CONTRIBUTING EMPLOYER | 0 |
| SCHERER METALS INC | |
| CONTRIBUTING EMPLOYER | 0 |
| SINGLETON SHEET METAL WORKS | |
| CONTRIBUTING EMPLOYER | 0 |
| SKYLINE HEATING & AIR COND | |
| CONTRIBUTING EMPLOYER | 0 |
| SMW JATC | |
| CONTRIBUTING EMPLOYER | 0 |
| SUMMIT CONTRACTING LLC | |
| CONTRIBUTING EMPLOYER | 0 |
| SUPERIOR BALANCE & COMMISSIONING INC | |
| CONTRIBUTING EMPLOYER | 0 |
| TAB SERVICES INC | |
| CONTRIBUTING EMPLOYER | 0 |
| TOLIN MECHANICAL SYSTEMS | |
| CONTRIBUTING EMPLOYER | 0 |
| TRAUTMAN & SHREVE INC | |
| CONTRIBUTING EMPLOYER | 0 |
| U S TEST & BALANCE CORP | |
| CONTRIBUTING EMPLOYER | 0 |
| US ENGINEERING CO | |
| CONTRIBUTING EMPLOYER | 0 |
| VISION AIR HVAC INC | |
| CONTRIBUTING EMPLOYER | 0 |
| WALRATH HEATING & AC CO INC | |
| CONTRIBUTING EMPLOYER | 0 |
| WESTON SOLUTIONS INC | |
| CONTRIBUTING EMPLOYER | 0 |
| WESTWIND MECHANICAL INC | |
| CONTRIBUTING EMPLOYER | 0 |
| SHEET METAL WORKERS INTERNATIONAL LOCAL 9 | |
| CONTRIBUTING EMPLOYER | 0 |
| ACE KITCHEN INSTALLATION | |
| CONTRIBUTING EMPLOYER | 0 |
| DUNRIGHT BALANCING | |
| CONTRIBUTING EMPLOYER | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |