STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

IRON WORKERS DISTRICT COUNCIL OF TENN VALLEY & VICINITY WELFARE PLA: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
IRON WORKERS DISTRICT COUNCIL OF TENN VALLEY & VICINITY WELFARE PLA (EIN 62-0588259)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-25
IRS object ID
201343299349300719
Schema version
2012v2.3
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)
Timestamp2013-11-25T14:23:29-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MITCHELL EMERT & HILL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1416 ERIN DRIVEAddressLine1
CityKNOXVILLECity
StateTNState
ZIP Code379196205ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN620588259EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1IRON WORKERS DISTRICT COUNCIL OF TNBusinessNameLine1
Business Name Line2VALLEY & VICINITY WELFARE PLANBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlIRONNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line19217 DAYTON PIKEAddressLine1
CitySODDY DAISYCity
StateTNState
ZIP Code37379ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSHARON HODSONName
TitleFUND ADMINISTRATORTitle
Date Signed2013-10-31DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLARRY A MITCHELL EAName
Phone8655222396Phone
Date Prepared2013-10-31DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSHARON HODSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line19217 DAYTON PIKEAddressLine1
CitySODDY DAISYCity
StateTNState
ZIP Code37379ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19817207GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1958YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH, LIFE INSURANCE, AND TEMPORARY DISABILITY BENEFITS FOR MEMBERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees29TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue CY5635908ProgramServiceRevenueCY
Investment Income Current Year783909InvestmentIncomeCurrentYear
Other Revenue Current Year3370OtherRevenueCurrentYear
Total Revenue Current Year6423187TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY6668352BenefitsPaidToMembersCY
Salaries Etc Current Year67169SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expenses Current Year954335OtherExpensesCurrentYear
Total Expenses Current Year7689856TotalExpensesCurrentYear
Revenues Less Expenses CY-1266669RevenuesLessExpensesCY
Total Assets BOY20965577TotalAssetsBOY
Total Assets EOY19932732TotalAssetsEOY
Total Liabilities BOY3834884TotalLiabilitiesBOY
Total Liabilities EOY3605286TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17130693NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16327446NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDE HEALTH, LIFE INSURANCE, AND TEMPORARY DISABILITY BENEFITS FOR MEMBERS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionPROVIDE LIFE INSURANCE, SHORT TERM DISABILITY PAY, AND PAYMENT OF HEALTH INSURANCE CLAIMS FOR UNION MEMBERS WORKING UNDER A COLLECTIVE BARGAINING AGREEMENT.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionADMINISTRATIVE EXPENSES AND INVESTMENT FEESDescription
FieldValueIRS element (for citing)
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees29NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSHARON HODSONNamePerson
Telephone Number4238421600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19217 DAYTON PIKEAddressLine1
CitySODDY DAISYCity
StateTNState
ZIP Code37379ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RJ WARD
TRUSTEE1.00X000
RON MCNATT
TRUSTEE1.00X000
MELVIN BREWER
TRUSTEE1.00X000
STEVE KIRKLAND
TRUSTEE1.00X000
SAM MCELROY
TRUSTEE1.00X000
STEVE STERCHI
TRUSTEE1.00X000
DAVID BECKLER
TRUSTEE1.00X000
KEITH HOPPER
TRUSTEE1.00X000
ROBERT LEONARD
1.00X000
DOUG SEXTON
TRUSTEE1.00X000
JERRY WAKEFIELD
TRUSTEE1.00X000
BUDDY BLAXTON
TRUSTEE1.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS55527775552777
COBRA CONTRIBUTIONS8313183131
FieldValueIRS element (for citing)
Total Program Service Revenue5635908TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column688490TotalRevenueColumn
Exclusion$688,490ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13489439Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13394020Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities95419Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column95419TotalRevenueColumn
Related Or Exempt Function Income95419RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionADMINISTRATIVE FEESDescription
Total Revenue Column3370TotalRevenueColumn
Related Or Exempt Function Income3370RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3370TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6423187TotalRevenueColumn
Related Or Exempt Function Income5734697RelatedOrExemptFunctionIncome
Exclusion$688,490ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total6668352Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total59143Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8026Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total18128Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18227Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total83216Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total538811Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total956Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7952Total

Insurance Insurance

FieldValueIRS element (for citing)
Total23520Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotal
SHARE OF ALLOCATED EXP232771
BAD DEBT30754

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7689856Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5BOY
EOY11929EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY164233BOY
EOY113811EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY636011BOY
EOY714893EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY15400BOY
EOY19120EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis716979LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec114284LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY581786BOY
EOY602695EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12969772BOY
EOY11661500EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY6598320BOY
EOY6808784EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY50BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20965577BOY
EOY19932732EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY371764BOY
EOY130211EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3463120BOY
EOY3475075EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3834884BOY
EOY3605286EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17130693BOY
EOY16327446EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17130693BOY
EOY16327446EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20965577BOY
EOY19932732EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1266669ReconcilationRevenueExpenses
Reconciliation Unrealized Invest222236ReconciliationUnrealizedInvest
Reconcilation Other Changes241186ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis125000OtherCostOrOtherBasis
Book Value125000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis476445OtherCostOrOtherBasis
Depreciation39292Depreciation
Book Value437153BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis115534OtherCostOrOtherBasis
Depreciation74992Depreciation
Book Value40542BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings602695TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINS. CO. POOLED SEPARATE ACCTDescription
Book Value6808784BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities6808784TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCUMULATED ELIGIBILITY CREDITS$2,387,245
CLAIMS INCURRED BUT NOT REPORTED$959,813
HEALTH CLAIMS PAYABLE$128,017
FieldValueIRS element (for citing)
Total Of Amounts3475075TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt6562207TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments222236NetUnrealizedGainsInvestments
Revenue Not Rptd F990222236RevenueNotRptdF990
Revenue Subtotal6339971RevenueSubtotal
Investment Expenses Not Included83216InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt83216RevenueNotRptdOnFinStmt
Total Revenue Per Form9906423187TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7606640TotExpensesEtcAuditedFinclStmt
Expenses Subtotal7606640ExpensesSubtotal
Investment Expenses Not Included283216InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt83216ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907689856TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DADMINISTRATIVE EXPENSES AND INVESTMENT FEES
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BREVIEW IS PERFORMED BY THE FUND ADMINISTRATOR.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION OF THE PLAN ADMINISTRATOR IS DISCUSSED ANNUALLY BY THE BOARD OF DIRECTORS AND ANY CHANGE IS VOTED UPON.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC AT THE FUND OFFICE UPON REQUEST.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 9CHANGES IN BENEFIT OBLIGATIONS -241,186