STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UNITED MINE WORKERS OF AMERICA COMBINED BENEFIT FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
UNITED MINE WORKERS OF AMERICA COMBINED BENEFIT FUND (EIN 52-1805433)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-05-23
IRS object ID
201231449349300713
Schema version
2010v3.2
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)
Timestamp2012-05-23T12:04:40-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521805433EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1United Mine Workers of AmericaBusinessNameLine1
Business Name Line2Combined Benefit FundBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUNITNameControl
Phone2025212200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 K Street NWAddressLine1
CityWashingtonCity
StateDCState
ZIP Code20037ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael H HollandName
TitleTrustee,CoChairTitle
Date Signed2012-05-23DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMichael H HollandNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12121 K Street NWAddressLine1
CityWashingtonCity
StateDCState
ZIP Code200371879ZIPCode
FieldValueIRS element (for citing)
Gross Receipts239465304GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteWWW.UMWAFUNDS.ORGWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1993YearFormation
State Legal DomicileDCStateLegalDomicile
Activity Or Mission DescriptionHigh quality delivery of contractually and statutorily mandated benefits to eligible beneficiaries in the most efficient and effective manner possible.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees7TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year264651757ProgramServiceRevenuePriorYear
Program Service Revenue CY237262630ProgramServiceRevenueCY
Investment Income Prior Year133006InvestmentIncomePriorYear
Investment Income Current Year177112InvestmentIncomeCurrentYear
Other Revenue Prior Year297684OtherRevenuePriorYear
Other Revenue Current Year56731OtherRevenueCurrentYear
Total Revenue Prior Year265082447TotalRevenuePriorYear
Total Revenue Current Year237496473TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year234821421BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY220446640BenefitsPaidToMembersCY
Salaries Etc Prior Year611259SalariesEtcPriorYear
Salaries Etc Current Year626381SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year28832966OtherExpensePriorYear
Other Expenses Current Year22056482OtherExpensesCurrentYear
Total Expenses Prior Year264265646TotalExpensesPriorYear
Total Expenses Current Year243129503TotalExpensesCurrentYear
Revenues Less Expenses Prior Year816801RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-5633030RevenuesLessExpensesCY
Total Assets BOY89697021TotalAssetsBOY
Total Assets EOY98975607TotalAssetsEOY
Total Liabilities BOY46979241TotalLiabilitiesBOY
Total Liabilities EOY61920681TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY42717780NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY37054926NetAssetsOrFundBalancesEOY
Mission DescriptionHigh quality delivery of contractually and statutorily mandated benefits to eligible beneficiaries in the most efficient and effective manner possible.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionServed as a trust for a multiemployer welfare plan that provided medical, vision, and death benefits.Description
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 EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
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
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees7NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDale R StoverNamePerson
Telephone Number2025212294TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12121 K Street NWAddressLine1
CityWashingtonCity
StateDCState
ZIP Code200371879ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
William P Hobgood
Trustee4.00X7000009136
Morris D Feibusch
Trustee5.00X700003000010037
Micheal W Buckner
Trustee12.00X5000009608
Michael H Holland
Trustee,CoChair8.00X4000009458
Lorraine Lewis
Executive Direc9.00677806852412782X
Gail R Wilensky
Trustee4.00X7000009800
Daniel L Fassio
Trustee,CoChair8.00X700003000010036
Dale R Stover
Dir., Finance13.0063482410519052X
Carl E Van Horn
Trustee8.00X7000009782
FieldValueIRS element (for citing)
Total Reportable Comp From Org571262TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs169575TotalReportableCompFrmRltdOrgs
Total Other Compensation89691TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNIVITA
11100 Long Prairie Lakes DrEden PrairieMN55344Geriatric Care Mgt.7754589
Towers Watson
875 Third AvenueNew YorkNY10022Consulting190336
HealthSmart
222 W Las Colinas Blvd 40NIrvingTX75039Contract Admin.6150715
Caremark
2211 Sanders RoadNorthbrookIL60062Drug Care Coordinato215120
Big Sandy Area Develop
110 Resource CourtPrestonsburgKY41653Consulting152108
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medicare reimbursement5251007359317373593173
Legislated Transfer AML900099133254564133254564
Employer premiums5251002960738629607386
DOL reimbursement525100761228761228
COBRA premiums5251004627946279
FieldValueIRS element (for citing)
Total Program Service Revenue237262630TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column218181TotalRevenueColumn
Exclusion$218,181ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1927762Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1968831Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-41069Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-41069TotalRevenueColumn
Exclusion-$41,069ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther incomeDescription
Business Code900099BusinessCode
Total Revenue Column56731TotalRevenueColumn
Related Or Exempt Function Income56731RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue56731TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column237496473TotalRevenueColumn
Related Or Exempt Function Income237319361RelatedOrExemptFunctionIncome
Exclusion$177,112ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total220446640Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total591157Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total35224Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total8341724Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total79961Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total93065Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7388428Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total287733Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total257649Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total797444Total

Travel Travel

FieldValueIRS element (for citing)
Total270085Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total35744Total

Interest Interest

FieldValueIRS element (for citing)
Total2802Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total101084Total

Insurance Insurance

FieldValueIRS element (for citing)
Total169090Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionAllocated other expensesDescription
Total4231673Total

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total243129503Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-2081840BOY
EOY-2165380EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY37213440BOY
EOY73342057EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY51630786BOY
EOY25111830EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2728066BOY
EOY1998909EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY206569BOY
EOY688191EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY89697021BOY
EOY98975607EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24426739BOY
EOY39662318EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY22552502BOY
EOY22258363EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY46979241BOY
EOY61920681EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY42717780BOY
EOY37054926EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42717780BOY
EOY37054926EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY89697021BOY
EOY98975607EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-5633030ReconcilationRevenueExpenses
Reconcilation Other Changes-29824ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Revenue237496473TotalRevenue
Total Expenses243129503TotalExpenses
Excess Or Deficit For Year-5633030ExcessOrDeficitForYear
Net Unrealized GL On Investments-29824NetUnrealizedGLOnInvestments
Total Adjustments-29824TotalAdjustments
Excess Or Deficit Per FS-5662854ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt163113000TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-29824NetUnrealizedGainsInvestments
Other Revenues752OtherRevenues
Revenue Not Rptd F990-29072RevenueNotRptdF990
Revenue Subtotal163142072RevenueSubtotal
Other Revenues Not Included74354401OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt74354401RevenueNotRptdOnFinStmt
Total Revenue Per Form990237496473TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt168777000TotExpensesEtcAuditedFinclStmt
Other Expenses Included-74352503OtherExpensesIncluded
Expenses Not Rptd F990-74352503ExpensesNotRptdF990
Expenses Subtotal243129503ExpensesSubtotal
Total Expenses Per Form990243129503TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteAccounting principles generally accepted in the United States of America require management of an organization to evaluate tax positions taken by the organization and recognize a tax liability if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed the Combined Fund's tax positions taken by the Combined Fund, and has concluded that as of September 30, 2011, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements.The Combined Fund is subject to routine audits by taxing jurisdictions; however, there are currently no audits in progress for any tax periods. Management believes the Combined Fund is no longer subject to income tax examinations for years prior to the year ended September 30, 2008.
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SReimbursements $74354401
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990audited F/S rounded to nearest $1,000. $752

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe organization makes its governing documents, conflict of interest and financial statements available to the public by providing copies upon request or inspection at the office of the organization.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe UMWA Combined Benefit Fund ("the Plan") receives administrative services jointly with other health and pension plans serving retirees of the coal mining industry. These plans are collectively referred to as the UMWA Health & Retirement Funds ("the Funds"). Pursuant to administrative services agreements, the UMWA 1974 Pension Trust serves as Master Administrative Entity for the other plans and employs the administrative staff of the Funds. Compensation of the Executive Director and other key staff officers, including heads of all staff departments, is determined by the board of trustees of the 1974 Pension Trust after consultation with the board of trustees of the Plan and other boards of trustees of plans among the Funds. Neither the Executive Director nor any staff officer serves on the Plan's or any of the Funds' boards of trustees.Compensation of the Executive Director and all key staff officers (as well as all other staff employees) is determined based upon results of periodic surveys and analysis conducted by expert outside consultants who gather and review compensation data from comparable positions at comparable organizations. The most recent such survey and analysis was conducted by Buck Consultants in 2009.The reports and supporting documentation of outside compensation consultants and the memoranda and minutes reflecting the boards of trustees' review of these reports and their establishment of compensation of the Executive Director and other key staff officers all constitute the contemporaneous documentation of decisions regarding the compensation arrangement, and all are maintained as part of the records of the Plan and the Funds.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe United Mine Workers of America Combined Benefit Fund requests staff, on an annual basis, to review the organization's conflict of interest policy, to provide a list of potential conflicts of interest to management and to declare that, to the best of their knowledge, they have no other potential conflicts of interest.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe Trustees, management staff, legal counsel, and independent certified public accountants of the plan have extensively reviewed the prepared Form 990 prior to signing and filing the form with the Internal Revenue Service.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgEINEIN
Centers for Medicare and Medicaid Serv
7500 Security BoulevardBaltimoreMD21244Federal GovernmentMDN/AN/Afalse
Office of Surface Mining
1951 Constitution Avenue NorthwestWashingtonDC202450003Federal GovernmentDCN/AN/Afalse
UMWA Prefunded Benefit Plan
2121 K Street NWWashingtonDC20037Provide health benefitsDC501(c)(9)N/Afalse261508254
UMWA 1992 Benefit Plan
2121 K Street NWWashingtonDC20037Provide health benefitsDC501(c)(9)N/Afalse521805437
UMWA 1993 Benefit Plan
2121 K Street NWWashingtonDC20037Provide health benefitsDC501(c)(9)N/Afalse521888497

Form990 Schedule R Part III Form990ScheduleRPartIII

FieldValueIRS element (for citing)
Direct Controlling Entity NAN/ADirectControllingEntityNA
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

FieldValueIRS element (for citing)
Direct Controlling Entity NAN/ADirectControllingEntityNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg