STRATEGY STUDIO / PUBLIC DATA EXPLORER

ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND (EIN 88-6002904)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-12
IRS object ID
201222869349300812
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)
Timestamp2012-10-12T09:35:32-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BERRY & CO CPAS LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17030 SMOKE RANCH RDAddressLine1
CityLAS VEGASCity
StateNVState
ZIP Code891281202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN886002904EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlELECNameControl
Phone7027348601Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12250 S RANCHO DRIVEAddressLine1
CityLAS VEGASCity
StateNVState
ZIP Code89102ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMAX CARTER IIName
TitleTRUSTEETitle
Phone7027348601Phone
Date Signed2012-10-12DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMAX CARTER IINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12250 S RANCHO DR SUITE 295AddressLine1
CityLAS VEGASCity
StateNVState
ZIP Code89102ZIPCode
FieldValueIRS element (for citing)
Gross Receipts122073184GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1956YearFormation
State Legal DomicileNVStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH & WELFARE BENEFIT COVERAGE FOR PARTICIPANTS AND THEIR BENEFICIARIESActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees127TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27419231ProgramServiceRevenuePriorYear
Program Service Revenue CY22686849ProgramServiceRevenueCY
Investment Income Prior Year1641276InvestmentIncomePriorYear
Investment Income Current Year1061749InvestmentIncomeCurrentYear
Other Revenue Prior Year1993377OtherRevenuePriorYear
Other Revenue Current Year1360607OtherRevenueCurrentYear
Total Revenue Prior Year31053884TotalRevenuePriorYear
Total Revenue Current Year25109205TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year38382166BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY35784190BenefitsPaidToMembersCY
Salaries Etc Current Year140716SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2998472OtherExpensePriorYear
Other Expenses Current Year3190497OtherExpensesCurrentYear
Total Expenses Prior Year41380638TotalExpensesPriorYear
Total Expenses Current Year39115403TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-10326754RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-14006198RevenuesLessExpensesCY
Total Assets BOY42410940TotalAssetsBOY
Total Assets EOY27784269TotalAssetsEOY
Total Liabilities BOY502617TotalLiabilitiesBOY
Total Liabilities EOY128704TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY41908323NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY27655565NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH & WELFAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionTO PROVIDE HEALTH & WELFARE BENEFIT COVERAGE FOR PARTICIPANTS AND THEIR BENEFICIARIESDescription
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 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
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees127NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ZENITH ADMINISTRATORS INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7027348601TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12250 S RANCHO SUITE 295AddressLine1
CityLAS VEGASCity
StateNVState
ZIP Code89102ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MAX CARTER II
TRUSTEE2.00X
MICKEY MILES
TRUSTEE2.00X
DAVID JONES
TRUSTEE2.00X
TOM STETSON
TRUSTEE2.00X
JEFFREY WESTOVER
TRUSTEE2.00X
CHRIS WILE
TRUSTEE2.00X
JIM ROBERTSON
TRUSTEE2.00X
PATRICK ARMOUR
TRUSTEE2.00X
GARY SUTTON
TRUSTEE2.00X
AL DAVIS
TRUSTEE2.00X
DAVID BENNETT
TRUSTEE2.00X
CANDACE FACIO
FUND NURSE48.00X100000039237
FieldValueIRS element (for citing)
Total Reportable Comp From Org100000TotalReportableCompFromOrg
Total Other Compensation39237TotalOtherCompensation
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
BROWNSTEIN HYATT FARBER SCHRECK
100 N CITY PKWY 1600LAS VEGASNV89106LEGAL145865
ZENITH AMERICAN
2250 SOUTH RANCHO SUITE 295LAS VEGASNV89102ADMINISTRATOR1332880
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
EMPLOYER CONTRIBUTIONS52510019989991
EMPLOYEE SELF PAYS5251002696858
FieldValueIRS element (for citing)
Total Program Service Revenue22686849TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column455910TotalRevenueColumn
Exclusion$455,910ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities97569818Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities96963979Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities605839Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column605839TotalRevenueColumn
Exclusion$605,839ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS9000991988419884
SUBROGATION9000991171311713
MEDICARE PART D RDS900099566065566065

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column762945TotalRevenueColumn
Related Or Exempt Function Income762945RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1360607TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25109205TotalRevenueColumn
Related Or Exempt Function Income24047456RelatedOrExemptFunctionIncome
Exclusion$1,061,749ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total35784190Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total100000Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total23013Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17703Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total145865Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total61807Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total133833Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total274083Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7339Total

Insurance Insurance

FieldValueIRS element (for citing)
Total41041Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
UTILIZATION & REVIEW SERVICES709086
ADMINISTRATIVE FEES1332880
CONSULTANT FEES370005
FUND NURSE EXPENSES22368

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total92190Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total39115403Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY15697834BOY
EOY5104845EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis37328LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3559LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY33769EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY26713106BOY
EOY22645655EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42410940BOY
EOY27784269EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY502617BOY
EOY128704EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY502617BOY
EOY128704EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY41908323BOY
EOY27655565EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41908323BOY
EOY27655565EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42410940BOY
EOY27784269EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-14006198ReconcilationRevenueExpenses
Reconcilation Other Changes-246560ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis37328OtherCostOrOtherBasis
Depreciation3559Depreciation
Book Value33769BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings33769TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOVERDRAFT LIABILITYDescription
Amount$128,704Amount
FieldValueIRS element (for citing)
Total Of Amounts128704TotalOfAmounts
Total Revenue25109205TotalRevenue
Total Expenses39115403TotalExpenses
Excess Or Deficit For Year-14006198ExcessOrDeficitForYear
Net Unrealized GL On Investments-246560NetUnrealizedGLOnInvestments
Other-$251,843OtherAmount
Total Adjustments-498403TotalAdjustments
Excess Or Deficit Per FS-14504601ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt24473992TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-246560NetUnrealizedGainsInvestments
Other Revenues-388653OtherRevenues
Revenue Not Rptd F990-635213RevenueNotRptdF990
Revenue Subtotal25109205RevenueSubtotal
Total Revenue Per Form99025109205TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt38978593TotExpensesEtcAuditedFinclStmt
Other Expenses Included-136810OtherExpensesIncluded
Expenses Not Rptd F990-136810ExpensesNotRptdF990
Expenses Subtotal39115403ExpensesSubtotal
Total Expenses Per Form99039115403TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
Pt XI Line 8ADJUSTMENTS MADE TO REFLECT CASH BASIS FORM 990
Pt XII Line 2dADJUSTMENTS MADE TO REFLECT CASH BASIS FORM 990
Pt XIII Line 2dADJUSTMENTS MADE TO REFLECT CASH BASIS FORM 990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11aFORM 990 IS REVIEWED BY THE GOVERNING BODY PRIOR TO FILING
Pt VI, Line 12cTHE GOVERNING BODY DISCLOSES ANY CONFLICTS THAT HAVE ARISEN
Pt VI, Line 15DETERMINING COMPENSATION WAS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES
Pt VI, Line 19PURSUANT TO ERISA
Form 990EZ, Part II, Line 24INVESTMENTS
Form 990, Part IX, Line 24fFUND NURSE EXPENSES