2012-11-09T16:32:17-06:00 2011-12-31 271125182 HARTOG KALLENBERGER & SWARTHOUT PLLC 1560 EAST 21ST STREET SUITE 300 TULSA OK 74114 990 2011-01-01 730776131 PIPE FITTERS LOCAL UNION 430 HEALTH AND WELFARE FUND PIPE 9188360430 2908 NORTH HARVARD TULSA OK 74115 ROBERT JONES 9188360430 2012-11-09 1 LEE R SWARTHOUT P00169413 9187432581 2011 2016-02-24 21:20:13Z ROBERT JONES 2908 NORTH HARVARD AVENUE TULSA OK 74115 11503006 0 X N/A X 1968 OK HEALTH AND WELFARE INSURANCE PLAN FOR PLUMBERS AND PIPEFITTERS LOCAL UNION 430. 8 8 0 0 0 0 0 0 5202953 5598539 475658 566944 0 0 5678611 6165483 0 0 5425243 6173316 0 0 0 0 0 789206 754398 6214449 6927714 -535838 -762231 15014778 14707478 1169594 1573397 13845184 13134081 TO PROVIDE HEALTH AND WELFARE BENEFITS FOR PLUMBERS AND PIPEFITTERS LOCAL UNION 430. 0 0 6120333 5598539 ADMINISTRATION OF EMPLOYERS' CONTRIBUTIONS PURSUANT TO A COLLECTIVELY BARGAINED PLAN; AND ADMINISTRATION OF BENEFIT PAYMENTS FOR CLAIMS OF THE SELF INSURED HEALTH & WELFARE FUND 6120333 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OK X ADMINISTRATOR 9188360430 2908 N HARVARD TULSA OK 74115 X RICHARD SHOEMAKER JR 2.50 X X 0 0 0 J BRAD FORD 2.50 X X 0 0 87132 SCOTT SODER 2.50 X X 0 0 0 L MIKE DAVIDSON 2.50 X 0 0 81321 GEORGE ADAMS 2.50 X 0 0 0 TOM OWENS 2.50 X 0 0 0 R CHUCK JONES 2.50 X 0 0 77055 MICHAEL SKINNER 2.50 X 0 0 1021 DANIEL OWENS 2.50 X 0 0 0 JAMES MEEKS 2.50 X 0 0 0 0 0 246529 0 0 0 0 BLUE CROSS BLUE SHIELD 1001 E LOOKOUT DRIVE RICHARDSON TX 75082 IN-NETWORK CLAIMS PROCESSING 276093 ERISA ADMINISTRATORS LLC P O BOX 860007 PLANO TX 750860007 THIRD-PARTY ADMINISTRATOR 202004 2 EMPLOYER CONTRIBUTIONS 900001 5301745 5301745 EMPLOYEE CONTRIBUTIONS 900001 296794 296794 5598539 399822 399822 5504645 5337523 167122 167122 167122 6165483 5598539 0 566944 6173316 12224 30120 40302 23649 6531 6136 24 111 13802 ACCESS & ADMINISTRATION 564802 ACTUARY 49719 BANK CHARGES 4786 STORAGE EXPENSE 2014 178 6927714 101284 141705 3208805 3205356 643914 658023 1446 14002 55733 55733 111 0 6572286 6232355 4486932 4456037 15014778 14707478 1168435 1573397 1159 0 1169594 1573397 X 0 0 0 0 13845184 13134081 13845184 13134081 15014778 14707478 X -762231 51128 X X 0 1 0 X 0 55733 55733 0 0 0 FEDERAL NAT'L MORTG ASSOCIATION 1375562 F FEDERAL HOME LOAN MORTG CORP 912285 F VANGUARD 500 INDEX FUND 2168190 F 4456037 6165483 6927714 -762231 51128 152000 203128 -559103 6216611 51128 51128 6165483 0 6165483 6775714 0 6775714 152000 152000 6927714 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRE FUND MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE FUND HAS TAKEN UNCERTAIN TAX POSITIONS THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE FUND ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN BY THE FUND, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE FUND ADMINISTRATOR BELIEVES THAT THE FUND IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008. THE $152,000 ADJUSTMENT IN PART XI LINE 8 AND PART XIII LINE 4B IS THE INCREASE IN CLAIMS THAT WERE INCURRED BUT NOT REPORTED. FORM 990, PART VI, SECTION A, LINE 3 THE ENTITY CONTRACTS WITH A THIRD-PARTY ADMINISTRATOR TO ADJUDICATE AND PAY ALL HEALTHCARE CLAIMS. FORM 990, PART VI, SECTION A, LINE 6 THIS ENTITY IS A COLLECTIVELY BARGAINED HEALTH AND WELFARE FUND ORGANIZED FOR THE BENEFIT OF THE PLUMBERS AND PIPEFITTERS LOCAL UNION 430 MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE PLUMBERS AND PIPE FITTERS LOCAL UNION 430 ELECT HALF OF THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE BOARD OF TRUSTEES AT THEIR MEETINGS. FORM 990, PART VI, SECTION B, LINE 12C EACH TRUSTEE, PRINCIPAL OFFICER, AND MEMBERS OF COMMITTEES ARE REQUIRED TO ANNUALLY SIGN A DISCLOSURE STATEMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR THE PUBLIC TO VIEW UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 51,128. DESCRIBE ANY CHANGES TO AUDIT COMMITTEE OVERSIGHT AND SELECTION PROCESS: 990, PART XI, LINE 2C: THERE HAVE BEEN NO SIGNIFICANT CHANGES TO THE AUDIT OVERSIGHT COMMITTEE'S OVERSIGHT OR SELECTION PROCESSES. PLUMBERS AND PIPE FITTERS LOCAL UNION 430 2908 NORTH HARVARD TULSA OK 74115 731530462 LABOR UNION OK 501(C)5 0 OKLAHOMA STATE PIPE TRADES ANNUITY FUND 2908 NORTH HARVARD TULSA OK 74115 731153085 TO PROVIDE RETIREMENT BENEFITS FOR UNION MEMEBERS OK 501(A) 0 TULSA PIPE TRADES TRAINING SCHOOL 2908 NORTH HARVARD TULSA OK 74115 730705632 TO PROVIDE PIPE TRADES TRAINING FOR APPRENTICES OK 501(C)3 170(B)(1)(A)(II) 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0