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SOUTHEASTERN PIPETRADES HEALTH AND WELFARE FUND: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SOUTHEASTERN PIPETRADES HEALTH AND WELFARE FUND (EIN 58-1903188)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-15
IRS object ID
201212289349302101
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)
Timestamp2012-08-15T10:22:57-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DANIELS IRWIN & AYLORBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1223 MADISON STREET SUITE 112AddressLine1
CityMADISONCity
StateTNState
ZIP Code371153660ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581903188EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHEASTERN PIPETRADES HEALTH &BusinessNameLine1
Business Name Line2WELFARE PLANBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone6158590131Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1449AddressLine1
CityGOODLETTSVILLECity
StateTNState
ZIP Code370701449ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLES CONNATSERName
TitleCHAIRMANTitle
Phone6158590131Phone
Date Signed2012-07-24DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameDOUGLAS A IRWINName
Phone6158686008Phone
Date Prepared2012-08-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts11315308GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1952YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionTHE PROVISION OF BENEFITS TO PARTICIPANTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees23TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6993434ProgramServiceRevenuePriorYear
Program Service Revenue CY7505478ProgramServiceRevenueCY
Investment Income Prior Year506516InvestmentIncomePriorYear
Investment Income Current Year323751InvestmentIncomeCurrentYear
Other Revenue Prior Year155823OtherRevenuePriorYear
Other Revenue Current Year176602OtherRevenueCurrentYear
Total Revenue Prior Year7655773TotalRevenuePriorYear
Total Revenue Current Year8005831TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year5971138BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY8822273BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year717518OtherExpensePriorYear
Other Expenses Current Year730455OtherExpensesCurrentYear
Total Expenses Prior Year6688656TotalExpensesPriorYear
Total Expenses Current Year9552728TotalExpensesCurrentYear
Revenues Less Expenses Prior Year967117RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1546897RevenuesLessExpensesCY
Total Assets BOY10520738TotalAssetsBOY
Total Assets EOY10050580TotalAssetsEOY
Total Liabilities BOY4319184TotalLiabilitiesBOY
Total Liabilities EOY5395923TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6201554NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4654657NetAssetsOrFundBalancesEOY
Mission DescriptionTHE PROVISION OF BENEFITS TO PARTICIPANTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionTHE PROVISION OF HEALTH, VISION, TEMPORARY DISABILITY AND DEATH BENEFITS TO PLAN PARTICIPANTS.Description
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 EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
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
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees23NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSOUTHERN BENEFIT ADMINISTRATORSNamePerson
Telephone Number6158590131TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12001 CALDWELL DRIVEAddressLine1
CityGOODLETTSVILLECity
StateTNState
ZIP Code37072ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CHARLES CONNATSER
CHAIRMAN2.00X000
JAMES ROWE II
SECRETARY2.00X000
ROGER D LAMBERT
TRUSTEE2.00X000
RICK OLIVER
TRUSTEE2.00X000
PERRY S HOWARD JR
TRUSTEE2.00X000
STEVE MARTIN
TRUSTEE2.00X000
MICHAEL HUESER
TRUSTEE2.00X000
JOE HARRISON
TRUSTEE2.00X000
DON WHITE
TRUSTEE2.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SOUTHERN BENEFIT ADMINSTRATORS
PO BOX 1449GOODLETTSVILLETN370701449ADMINISTRATION324405
CIGNA
1111 MARKET STCHATTANOOGATN37402PPO287284
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS71692447169244
EMPLOYEE CONTRIBUTIONS336234336234
FieldValueIRS element (for citing)
Total Program Service Revenue7505478TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column229933TotalRevenueColumn
Exclusion$229,933ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3403295Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3309477Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities93818Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column93818TotalRevenueColumn
Exclusion$93,818ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FORMULARY REBATES7853878538
SUBROGATION REFUNDS4403644036
CLAIMS REFUNDS3371733717

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column20311TotalRevenueColumn
Related Or Exempt Function Income20311RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue176602TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8005831TotalRevenueColumn
Related Or Exempt Function Income7682080RelatedOrExemptFunctionIncome
Exclusion$323,751ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total8822273Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total303600Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17695Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13400Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total30264Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total309049Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
TRUSTEES MEETING EXPENSE17734
ADMINISTRATORS MEETING10231
FIDUCIARY LIABILITY INSUR8883
FICA TAX EXPENSE5825

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13774Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9552728Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY566291BOY
EOY354039EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY654752BOY
EOY521021EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY774145BOY
EOY820567EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11524BOY
EOY13974EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8514026BOY
EOY8340979EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10520738BOY
EOY10050580EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY152406BOY
EOY267482EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4166778BOY
EOY5128441EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4319184BOY
EOY5395923EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY6201554BOY
EOY4654657EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6201554BOY
EOY4654657EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10520738BOY
EOY10050580EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1546897ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionBENEFIT OBLIGATIONSDescription
Amount$5,128,441Amount
FieldValueIRS element (for citing)
Total Of Amounts5128441TotalOfAmounts
Total Revenue8005831TotalRevenue
Total Expenses9552728TotalExpenses
Excess Or Deficit For Year-1546897ExcessOrDeficitForYear
Excess Or Deficit Per FS-1546897ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8005831TotRevenueEtcAuditedFinclStmt
Revenue Subtotal8005831RevenueSubtotal
Total Revenue Per Form9908005831TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9552728TotExpensesEtcAuditedFinclStmt
Expenses Subtotal9552728ExpensesSubtotal
Total Expenses Per Form9909552728TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3SOUTHERN BENEFIT ADMINISTRATORS, INC.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AUNION TRUSTEES ARE APPOINTED TO THE BOARD BY THE LOCAL UNIONS WHO ARE PARTY TO THE TRUST AGREEMENT WHILE MANAGEMENT TRUSTEES ARE APPOINTED BY THE EMPLOYERS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS REVIEWED AND APPROVED BY THE ENTIRE BOARD OF TRUSTEES. IT IS THEN SIGNED AND FILED.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CCONFLICTS OF INTEREST ARE REVIEWED CONTINUALLY AND ANY ISSUES THAT ARISE ARE HANDLED AT REGULAR BOARD MEETINGS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE MEMBERS OF THE BOARD OF TRUSTEES ARE NOT COMPENSATED IN ANY WAY. A THIRD PARTY ADMINISTRATOR WAS HIRED BY THE BOARD OF TRUSTEES TO MANAGE THE FUND AND WAS SELECTED, HAD ITS QUALIFICATIONS REVIEWED AND COMPENSATION DETERMINED BY COMPETITIVE COMPARISON BY THE ENTIRE BOARD OF TRUSTEES.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE MEMBERS OF THE BOARD OF TRUSTEES ARE NOT COMPENSATED IN ANY WAY. A THIRD PARTY ADMINISTRATOR WAS HIRED BY THE BOARD OF TRUSTEES TO MANAGE THE FUND AND WAS SELECTED, HAD ITS QUALIFICATIONS REVIEWED AND COMPENSATION DETERMINED BY COMPETITIVE COMPARISON BY THE ENTIRE BOARD OF TRUSTEES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST. ALL COMMUNICATIONS INCLUDE REFERENCE TO DOCUMENTS BEING AVAILABLE UPON REQUEST.