OHIO CONFERENCE OF TEAMSTERS AND INDUSTRY HEALTH AND WELFARE TRUST: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: OHIO CONFERENCE OF TEAMSTERS AND INDUSTRY HEALTH AND WELFARE TRUST (EIN 31-6029682)
Tax period: 2011-03-01 to 2012-02-29
Filed: 2012-12-11
IRS object ID: 201213469349300206
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
Form 990
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-12-11T06:50:24-08:00	Timestamp
Tax Period End Date	2012-02-29	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LublinSussman Group LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	3166 N Republic Blvd	AddressLine1
City	Toledo	City
State	OH	State
ZIP Code	436151507	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-03-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	316029682	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Ohio Conference of Teamsters and	BusinessNameLine1
Business Name Line2	Industry Health and Welfare Trust	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	OHIO	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	435 South Hawley Street	AddressLine1
City	Toledo	City
State	OH	State
ZIP Code	43609	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Kenneth Lochtefeld	Name
Title	Chairman	Title
Date Signed	2012-12-05	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Lee D Wunschel	Name
Phone	4198412848	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	74762860	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c	X	Organization501c
Web Site	N/A	WebSite
Type Of Organization Other	X	TypeOfOrganizationOther
Year Formation	1959	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	Voluntary Employee Benefit Association	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	25083168	ProgramServiceRevenuePriorYear
Program Service Revenue CY	26087554	ProgramServiceRevenueCY
Investment Income Prior Year	2316507	InvestmentIncomePriorYear
Investment Income Current Year	2306363	InvestmentIncomeCurrentYear
Other Revenue Prior Year	25783	OtherRevenuePriorYear
Other Revenue Current Year	34161	OtherRevenueCurrentYear
Total Revenue Prior Year	27425458	TotalRevenuePriorYear
Total Revenue Current Year	28428078	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	25606197	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	26302223	BenefitsPaidToMembersCY
Salaries Etc Prior Year	236339	SalariesEtcPriorYear
Salaries Etc Current Year	255561	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	601186	OtherExpensePriorYear
Other Expenses Current Year	676498	OtherExpensesCurrentYear
Total Expenses Prior Year	26443722	TotalExpensesPriorYear
Total Expenses Current Year	27234282	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	981736	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1193796	RevenuesLessExpensesCY
Total Assets BOY	76155731	TotalAssetsBOY
Total Assets EOY	91335318	TotalAssetsEOY
Total Liabilities BOY	3849772	TotalLiabilitiesBOY
Total Liabilities EOY	5087504	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	72305959	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	86247814	NetAssetsOrFundBalancesEOY
Mission Description	Voluntary Employee Benefit Association	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Description	Provision of health, life, dental, vision and temporary disability benefits for enrolled members of collective bargaining units and their eligible dependents	Description
Described In501 C3	false	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	307	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Employment Tax Returns Filed	false	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	false	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Ken Lochtefeld	NamePerson
Telephone Number	4192543322	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	435 South Hawley Street	AddressLine1
City	Toledo	City
State	OH	State
ZIP Code	43609	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
James W Bishop
Trustee	0.00	X	0	0	0
James D Gilmore
Trustee	0.00	X	0	0	0
Mark Sobczak
Trustee	0.00	X	0	0	0
Kenneth Lochtefeld
Chairman	0.00	X	0	0	0
David Tuttle
Trustee	0.00	X	0	0	0
Travis Bornstein
Trustee	0.00	X	0	0	0
Gregory J Cassidy
Trustee	0.00	X	0	0	0
Varney Richmond
Trustee	0.00	X	0	0	0

Field	Value	IRS element (for citing)
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
United Healthcare
5901 Lincoln Drive	Edina	MN	55436	Administrator	229233
MetLife
177 South Commons Drive	Aurora	IL	60504	Administrator	269753
Medical Mutual of Ohio
2060 East Ninth St	Cleveland	OH	44115	Administrator	646620
Huntington National Bank
41 South High St	Columbus	OH	43287	Administrator	124281
Forty Four Corporation
435 S Hawley	Toledo	OH	43609	Rent & Shared Exp	375300

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	6	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Employer Contribution	25384931	25384931
Employee Contribution	702623	702623

Field	Value	IRS element (for citing)
Total Program Service Revenue	26087554	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2401841	TotalRevenueColumn
Exclusion	$2,401,841	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	46239304	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	46334782	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-95478	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-95478	TotalRevenueColumn
Related Or Exempt Function Income	-95478	RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Misc. Income	403	$403
Admin Fee Income	33758	$33,758

Field	Value	IRS element (for citing)
Total Other Revenue	34161	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	28428078	TotalRevenueColumn
Related Or Exempt Function Income	25992076	RelatedOrExemptFunctionIncome
Exclusion	$2,436,002	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	26302223	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	0	Total

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	164980	Total

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	30240	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	45333	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	15008	Total

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	59104	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	59771	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	34075	Total

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	22666	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	0	Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	13678	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	19594	Total

Insurance Insurance

Field	Value	IRS element (for citing)
Total	19690	Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal
Trust Agent Fee	130491
Health Management Fees	34203
Equipment Rental and Maint.	20608
Computer Expense	135693
Benefit Consulting Fee	86141

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	40784	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	27234282	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	407661	BOY
EOY	156669	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2182350	BOY
EOY	2261283	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	20458	BOY
EOY	22171	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	443290	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	391203	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	44978	BOY
EOY	52087	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	73500284	BOY
EOY	88843108	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	76155731	BOY
EOY	91335318	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	81772	BOY
EOY	171504	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	3768000	BOY
EOY	4916000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3849772	BOY
EOY	5087504	EOY

Field	Value	IRS element (for citing)
Do Not Follow SFAS117	X	DoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Field	Value	IRS element (for citing)
BOY	72305959	BOY
EOY	86247814	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	72305959	BOY
EOY	86247814	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	76155731	BOY
EOY	91335318	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1193796	ReconcilationRevenueExpenses
Reconcilation Other Changes	12748059	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	443290	InvestmentCostOrOtherBasis
Depreciation	391203	Depreciation
Book Value	52087	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	52087	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Prescription Drug Claims	$178,372
Health Claims Payable	$1,330,666
Extended Liability Reserve	$640,000
Claims Incurred/ Not Reported	$2,766,962

Field	Value	IRS element (for citing)
Total Of Amounts	4916000	TotalOfAmounts
Total Revenue	28428078	TotalRevenue
Total Expenses	27234282	TotalExpenses
Excess Or Deficit For Year	1193796	ExcessOrDeficitForYear
Net Unrealized GL On Investments	2080835	NetUnrealizedGLOnInvestments
Other	$1,148,000	OtherAmount
Total Adjustments	3228835	TotalAdjustments
Excess Or Deficit Per FS	4422631	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	30508913	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	2080835	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	2080835	RevenueNotRptdF990
Revenue Subtotal	28428078	RevenueSubtotal
Total Revenue Per Form990	28428078	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	26086282	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	26086282	ExpensesSubtotal
Other Expenses Not Included	1148000	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	1148000	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	27234282	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part X	Part X : FIN48 Footnote	The Plan has determined that there are no uncertain tax positions that require disclosure in these financial statements under the FASB Accounting Standards Codification topic Income Taxes. The tax years 2008 through 2011 are subject to possible examination by the Internal Revenue Service.
Part XIII, Line 4b	Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S	Increase in Benefit Obligation $1148000
Part XI, Line 8	Part XI, Line 8: Other Changes in Net Assets or Fund Balances	Transfer assets from Teamsters L20 Health and Welfare Fund $10667224

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The organization provides its governing documents, conflict of interest policy, and financial statements to the public upon request at the Union office.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Conflicts of interest are monitored by the board at the board meetngs as issues are brought before the board. Completion of conflict of interest disclosures forms are addressed on the board meeting agenda.
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: Form 990 Review Process	All trustees are provided with a draft copy of the 990 for their review. After approval has been given by each of the trustees, the 990 is filed.
Form 990, Part VI, Line 8	Form 990, Part VI, Line 8 : Explanation of No Contemporaneously Documentation of Meetings	Line 8b is not applicable as the organization does not have a committeee with authority to act on behalf of the governing body.