2013-03-12T15:33:08-05:00 2012-04-30 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2011-05-01 382073681 DETROIT & VICINITY TROWEL TRADES HEALTH AND WELFARE FUND DETR 2488220100 700 TOWER DRIVE ROOM/SUITE 350 TROY MI 48098 CHARLES WILSONMARK KING 2488220100 2012-10-24 true BRYAN STULZ 5868836240 2013-03-12 2011 2016-02-25 16:41:14Z SAME AS ABOVE 144364403 false X WWW.DVTT.ORG X 1974 MI THE FUND IS CREATED, ESTABLISHED, AND MAINTAINED FOR THE PURPOSE OF PROVIDING ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS AND/OR BENEFICIATIES WITH MEDICAL, SURGICAL, AND HOSPITAL CARE; BENEFITS IN THE EVENT OF SICKNESS, ACCIDENT, DISABILITY, DEATH, OR UNEMPLOYMENT; AND DENTAL, OPTICAL, AND PRESCRIPTION DRUG CARE; AND FOR THE PURPOSE OF DEFRAYING REASONABLE COSTS OF ADMINISTRATION. 8 4 7 0 0 6854264 7441688 177198 133317 256297 200169 7287759 7775174 0 6320167 6549231 264462 271401 0 0 581172 575000 7165801 7395632 121958 379542 7119939 7645129 1978686 2158968 5141253 5486161 X THE FUND IS CREATED, ESTABLISHED, AND MAINTAINED FOR THE PURPOSE OF PROVIDING ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS AND/OR BENEFICIATIES WITH MEDICAL, SURGICAL, AND HOSPITAL CARE; BENEFITS IN THE EVENT OF SICKNESS, ACCIDENT, DISABILITY, DEATH, OR UNEMPLOYMENT; AND DENTAL, OPTICAL, AND PRESCRIPTION DRUG CARE; AND FOR THE PURPOSE OF DEFRAYING REASONABLE COSTS OF ADMINISTRATION. false false 6549231 THE FUND PROVIDES FOR HEALTH, MEDICAL, DENTAL, AND VISION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 6549231 false false false false false false false false false true false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false true false false false true 0 0 7 true false false false false false false X 8 4 true false true false false false false true true false false false false false false false false false X BENESYS INC 2488139800 700 TOWER DRIVE SUITE 350 TROY MI 48098 X MARK KING 1.00 X 0 101034 15391 CHARLES KUKAWKA 1.00 X 0 93727 14170 PAUL DUNFORD 1.00 X 0 74258 13434 FRANK RODRIGUEZ 1.00 X 0 73730 11728 CHARLES WILSON 1.00 X 0 0 0 MARINO CENSONI 1.00 X 0 0 0 CHUCK BINKOWSKI 1.00 X 0 0 0 PATRICK BAKER 1.00 X 0 0 0 342749 54723 false false false SAV-RX 224 NORTH PARK AVE FREMONT NE 68025 PRESCRIPTION 411987 BENESYS INC 700 TOWER DRIVE STE 300 TROY MI 48098 TPA 176488 2 EMPLOYER CONTRIBUTION 230000 6492139 6492139 PARTICIPANT SELF-PAYMENTS 900099 949549 949549 7441688 222157 222157 136500389 136589229 -88840 -88840 -88840 COBRA SUBSIDY 900099 103061 103061 OTHER 900099 82385 82385 LIQUIDATED DAMAGES 900099 14723 14723 200169 7775174 7553017 222157 6549231 6549231 230104 230104 19425 19425 21872 21872 92100 92100 37733 37733 12900 12900 10554 10554 213950 213950 91603 91603 63327 63327 40324 40324 2399 2399 9866 9866 HIPAA COSTS 694 694 DUES AND SUBSCRIPTIONS -450 -450 7395632 6549231 846401 0 113411 1696 262312 861390 504564 464478 95509 75301 44363 42217 4545 2146 6139598 6240118 7119939 7645129 134686 279968 1844000 1879000 1978686 2158968 X 5141253 5486161 5141253 5486161 7119939 7645129 379542 -34634 X false true true X false false false false false false false false false false false 44363 42217 2146 2146 ACCUMULATED ELIGIBILITY CREDITS 1184000 CLAIMS INCURRED BUT NOT REPORTED 695000 1879000 7775174 7395632 379542 -34634 -34634 344908 7729986 -34634 -34634 7764620 10554 10554 7775174 7385078 7385078 10554 10554 7395632 ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION THE FUND IS CREATED, ESTABLISHED, AND MAINTAINED FOR THE PURPOSE OF PROVIDING ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS AND/OR BENEFICIATIES WITH MEDICAL, SURGICAL, AND HOSPITAL CARE; BENEFITS IN THE EVENT OF SICKNESS, ACCIDENT, DISABILITY, DEATH, OR UNEMPLOYMENT; AND DENTAL, OPTICAL, AND PRESCRIPTION DRUG CARE; AND FOR THE PURPOSE OF DEFRAYING REASONABLE COSTS OF ADMINISTRATION. ADDITIONAL INFORMATION FORM 990, PART VI LINE 2 - FAMILY RELATIONSHIP OR BUSINESS RELATIONSHIP - THE RELATIONSHIP BETWEEN THE TRUSTEES OF THE FUND IS A 'BUSINESS RELATIONSHIP'. THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. THE FUND, AS A TAFT-HARTLEY FUND, IS ADMINISTERED BY A BOARD OF TRUSTEES WHICH IS COMPOSED OF AN EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES. BECAUSE OF THIS ORGANIZATIONAL REQUIREMENT, THERE IS A BUSINESS RELATIONSHIP BETWEEN THE TRUSTEES. LINE 12 - ANNUALLY, EACH TRUSTEE MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE REVEWAL QUESTIONAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. LINE 15 - THE FUND DID NOT HAVE A CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, OR OTHER OFFICERS OR KEY EMPLOYEES, AS THOSE TERMS ARE DEFINED. SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PAGE 6, PART VI, LINE 4 THE FUND RESTATED THE SPD TO INCORPORATE THE CHANGES REQUIRED BY THE HEALTH CARE REFORM LAW. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED AND APPROVED AT A MEETING OF THE BOARD OF TRUSTEES, SUBJECT TO APPROVAL BY AND REVIEW OF THE FUND'S LEGAL COUNSEL. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT SECURITY ACT OF 1974, AS AMENDED. IT OPERATES IN COMPLIANCE WITH THE REPORTING AND DISCLOSURE REQUIREMENTS OF SUBTITLE B, PART 1 ERISA WITH RESPECT TO DISCLOSURE OF ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION. IT OPERATES IN COMPLIANCE WITH FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA. THE FUND DOES NOT HAVE A CONFLICTS OF INTEREST POLICY. ADDITIONAL INFORMATION FORM 990, PART VII LINE 1A - THE TRUSTEES OF THE FUND SERVE WITHOUT COMPENSATION FROM THE FUND FOR THEIR SERVICES, HOWEVER, SOME OF THE TRUSTEES WERE COMPENSATED AS EMPLOYEES OF CONTRIBUTING EMPLOYERS TO THE FUND, WHICH ARE CONSIDERED RELATED ORGANIZTIONS TO THE FUND FOR PURPOSES OF FORM 990. BRICKLAYERS PENSION FUND-METRO AREA 24900 HARPER ST CLAIR SHORES MI 48080 516030972 PENSION MI 401(A) N/A false BRICKLAYERS HOLIDAY FUND-METRO AREA 24900 HARPER ST CLAIR SHORES MI 48080 382105545 VAC & HOL MI 501C9 N/A false DETROIT METRO MASONRY JAT FUND 21031 RYAN WARREN MI 48091 386149270 APPRENTICE MI 501C5 N/A false CEMENT MASONS PENSION FUND-D&V 30700 TELEGRAPH STE 2400 BINGHAM FARMS MI 48025 386242187 PENSION MI 401(A) N/A false CEMENT MASONS V&H FUND-D&V 30700 TELEGRAPH STE 2400 BINGHAM FARMS MI 48025 382106635 VAC & HOL MI 501C9 N/A false SEE PART VII N/A false false SEE PART VII N/A false false false false false false false false false false false false false false true false false true ADDITIONAL INFORMATION SCHEDULE R SCHEDULE R PARTS III IV AND V IDENTIFICATION OF RELATED ORGANIZATIONS THE FILING ORGANIZATION IS A MULTIEMPLOYER TRUST FUND AS DEFINED IN THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 AS AMENDED THE FUND PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS AS OF APRIL 30 2012 THERE WERE 125 CONTRIBUTING EMPLOYERS TO THE FUND UNDER THE INSTRUCTIONS TO SCHEDULE R THOSE EMPLOYERS ARE CONSIDERED RELATED ORGANIZATIONS THE FUNDS ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF ALL CONTRIBUTING EMPLOYERS INCLUDING NAMES ADDRESSES AND OTHER CONTACT INFORMAITON HOWEVER THE FUND DOES NOT HAVE AND HAS NO REASONABLE WAY TO OBTAIN MUCH OF THE INFORMATION TO BE REPORTED ON SCHEDULE R SUCH AS THE EMPLOYERS LEGAL STRUCTUREEG CORPORATION OR PARTNERSHIP THE FOLLOWING IS A LISTING OF THOSE CONTRIBUTING EMPLOYERS WHICH IS THE EXTENT OF THE INFORMATION THE FUND HAS WITH RESPECT TO EACH EMPLOYER AND COMPORTS WITH THE INSTRUCTIONS FOR THE 2012 SCHEDULE R FORM 990 ACF BRICKCLEANER INC A A BOOS SONS AKINS CONSTRUCTION ALBANELLI CEMENT CONTRACTORS ALL TOGETHER SERVICES ALPHA FOAM AMERICAN INTER CONSTR ASSEMBLERS INC ASSEMBLERS PRECAST STEEL SVC AUTHORITY GROUP CONCRETE INC BMI REFRACTORY SERVICES BAKER CONSTRUCTION CO INC BARTON MALOW CO BESTEVER CONSTR CO BOOMS STONE CO BRAND ENERGY SERVICES BRAZEN AND GREER MASONRY INC BRENCAL CONTRACTORS BRICKLAYERS LOCAL 1 BRICKLAYERS PENSION TRUST FUND BROADCAST DESIGN CONSTR INC C J CONSULTANTS CAMO CARL WALKER CONSTRUCTION CO CERCO INC CHASE NEDROW MANUFACTURING CHEZCORP INC COMMERCIAL CONTR CONTEX INC CULVER DEVELOPMENT LLC CUSACKS MASONRY D S MASONRY D C BYERS CO DAVENPORT MASONRY INC DEMARIA BUILDING CO DESANTIS CONSTRUCTION CO DFC INC DICLAUDIO MASONRY CONT DILISID CONTRACTING INC DIXON INC DRV JOINT SEALANT CONT E L DEVELOPMENT E R MASONRY CONSTRUCTIONS E CREMONTE SON EMELLI CONCRETE LLC FABCON INC FINGER LAKES WATERPROOFING INC FOSBEL INC FUTURE BUILDING CONSTRUCTION G P SERVICES G M REFRACTORIES INC GA MASONRY GENERAL ACIO PROOFING INC GEORGE MCINTOSH INC GILARDOONE COMPANY LLC GLASS ROCK PRODUCTS GRAYCOR INDUSTRIAL GRUNWELL CASHERO CO INC HSS CONSTRUCTIONS INC HANSCHMANN MASONRY HELMS CAULKING HICKS MASONRY CO LLC IMINRT INDUSTRIAL SERVICES INC JIM SCHWEIHOFER CONST CO INC JOHN TRAVIS KING MASONRY INC KVAERNER SONGER ONC LEIDAL HART MASON CONTR LEOS CONCRETE INC MASONRY DEVELOPERS MATRIX MICRO ELECTRIC LTD MIDAMERICAN GUNITE INC MIDWEST IND SERVICE MONTE COSTELLA CO MOSSER CONSTRUSTION INC MUIRHEAD CONST NAVETTA MASON CONTR NEDROW REFRACTORIES NORTHERN INDUSTRIAL CONST INC OHIO BUILDING RESTORATION OLSON CEMENT WORK OMI RERACTORIES ONEX CONSTRUCTION ORION WATERPROOFING ORLANDO SONS INC PADULA CEMENT CO INC PCI CONSTRUCTION PERSICONI CONSTRUCTION CO POLEY MASONRY CONST INC POMPONIO CONST INC PREMIER CAULKING INC PUMFORD CONSTRUCTION INC R C NOWAK CO RR CONSTRUCTION SERVICES INC RAM CONSTRUCTION SERVICES RENEGADE CONSTRACTOR INC RICHARD PHILLIPS INC ROBOVITSKY INCORPORATED RONCELLI INC ROSATI MASON CONTRACTOR LLC ROYAL RESTORATION WATERPROOFING RUDLOPH LIBBE INC SA STORER SONS CO SALINAS CEMENT CO SBM MASONRY CO SCHAD BOILER SETTING CO SCHAEFER GROUP SCHIFFER MASON CONTR INC SCHROEDER MASONRCEMENT CO SEALED RITE SERESCASTLE MASONRY INC SHARED SYSTEMS TECHCOLOGY SICILIA MASONRY SIMONE CONTRACTING CORP SONGER STEEL SERVICES SPENCE BROTHERS STEBBINS ENGINEERING STRUCTURAL PRESERVATION SYSTEM TALON INDUSTRIES INC TEERA CONSTRUCTION CO INC URS VAN ROSHALEN CONCRETE INC WALTER DALOISIO MASONRY INC