STRATEGY STUDIO / PUBLIC DATA EXPLORER

THE HEALTH & WELFARE BENEFITS TRUST FOR CERTAIN RETIRED EMPLOYEES OF: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
THE HEALTH & WELFARE BENEFITS TRUST FOR CERTAIN RETIRED EMPLOYEES OF (EIN 37-1542425)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-09-10
IRS object ID
201222549349300247
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)
Timestamp2012-09-10T15:16:26-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN341878512EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1175 S WEST TEMPLE STE 650AddressLine1
CitySALT LAKE CITYCity
StateUTState
ZIP Code84101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN371542425EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEALTH AND WELFARE BENEFITS TRUST FORBusinessNameLine1
Business Name Line2CERTAIN RETIRED EMPLOYEES OF KUCCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone8669519403Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 BOULEVARD OF THE ALLIES 5THAddressLine1
Address Line2FLOORAddressLine2
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS DUZAKName
TitleCO-CHAIRMANTitle
Phone8669519403Phone
Date Signed2012-09-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICHARD SCORESBYName
PTINP00573067PTIN
Phone8013649300Phone
Date Prepared2012-09-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS DUZAKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line160 BOULEVARD OF THE ALLIES 5THAddressLine1
Address Line2FLOORAddressLine2
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3086902GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation2006YearFormation
State Legal DomicileUTStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE MEDICAL BENEFITS TO RETIREES OF KENNECOTT UTAH COPPER LLCActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2254657ProgramServiceRevenuePriorYear
Program Service Revenue CY2549778ProgramServiceRevenueCY
Investment Income Prior Year770223InvestmentIncomePriorYear
Investment Income Current Year537124InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3024880TotalRevenuePriorYear
Total Revenue Current Year3086902TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year3085507BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY2821615BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year148306OtherExpensePriorYear
Other Expenses Current Year135840OtherExpensesCurrentYear
Total Expenses Prior Year3233813TotalExpensesPriorYear
Total Expenses Current Year2957455TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-208933RevenuesLessExpensesPriorYear
Revenues Less Expenses CY129447RevenuesLessExpensesCY
Total Assets BOY23409858TotalAssetsBOY
Total Assets EOY23175537TotalAssetsEOY
Total Liabilities BOY5500TotalLiabilitiesBOY
Total Liabilities EOY50TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23404358NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23175487NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MEDICAL BENEITS TO RETIREES OF KENNECOTT UTAH COPPER LLCMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROVISION OF MEDICAL BENEFITS TO RETIREES OF KENNECOTT UTAH COPPER LLCDescription
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JENNIFER DEKLEVERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8669519403TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line160 BOULEVARD OF THE ALLIES 5THAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
THOMAS DUZAK
CO-CHAIRMAN5.00XX000
PATRICK KEENAN
CO-CHAIRMAN0.30XX000
SUSAN SPRINGER
TRUSTEE0.30X000
STANLEY HALL
TRUSTEE0.30X000
WAYNE HOLLAND
TRUSTEE0.30X000
DAVID KINS
TRUSTEE0.30X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS90009917681261768126
EMPLOYEE CONTRIBUTIONS900099477019477019
ERRP REIMBURSEMENTS900099304633304633
FieldValueIRS element (for citing)
Total Program Service Revenue2549778TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column537124TotalRevenueColumn
Related Or Exempt Function Income537124RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3086902TotalRevenueColumn
Related Or Exempt Function Income3086902RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total2821615Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4402Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18900Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total16637Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total35750Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4788Total

Insurance Insurance

FieldValueIRS element (for citing)
Total13072Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
ADMINISTRATIVE EXPENSE32891
BANK FEES8678
MAILINGS AND POSTAGE722

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2957455Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY121446BOY
EOY69899EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY77861BOY
EOY566347EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY416469BOY
EOY465575EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY22785345BOY
EOY22065046EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8737BOY
EOY8670EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23409858BOY
EOY23175537EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5500BOY
EOY50EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5500BOY
EOY50EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY23404358BOY
EOY23175487EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23404358BOY
EOY23175487EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23409858BOY
EOY23175537EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses129447ReconcilationRevenueExpenses
Reconcilation Other Changes-358318ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Total Revenue3086902TotalRevenue
Total Expenses2957455TotalExpenses
Excess Or Deficit For Year129447ExcessOrDeficitForYear
Net Unrealized GL On Investments-358318NetUnrealizedGLOnInvestments
Total Adjustments-358318TotalAdjustments
Excess Or Deficit Per FS-228871ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2728584TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-358318NetUnrealizedGainsInvestments
Revenue Not Rptd F990-358318RevenueNotRptdF990
Revenue Subtotal3086902RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9903086902TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2957455TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal2957455ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902957455TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationPART X, LINE 2: THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2011, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE BOARD MEETS REGULARLY TO REVIEW AND APPROVE POLICIES AND DOCUMENTS WITH ITS LEGAL COUNSEL, INCLUDING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CON A PERIODIC BASIS THE TRUSTEES REVIEW THE REQUIREMENTS AND DISCUSS ANY QUESTIONS AND ISSUES WITH LEGAL COUNSEL.
FORM 990, PART VI, SECTION C, LINE 19PUBLICLY DISCLOSABLE DOCUMENTS, POLICIES AND OTHER MEMORANDA ARE AVAILABLE UPON REQUEST FROM ANY MEMBER OF THE BOARD OR BY REQUEST FROM THE VEBA'S ADMINISTRATION OFFICE.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -358,318.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM XII, LINE 2CTHE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1KENNECOTT UTAH COPPER LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14700 DAYBREAK PARKWAYAddressLine1
CitySOUTH JORDANCity
StateUTState
ZIP Code84096ZIPCode
FieldValueIRS element (for citing)
Primary ActivityMININGPrimaryActivity
Legal Domicile StateUTLegalDomicileState
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg