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UA LOCAL 716 HEALTH & WELFARE FUND: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UA LOCAL 716 HEALTH & WELFARE FUND (EIN 01-6010506)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201243189349301904
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)
Timestamp2012-11-13T08:16:01-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Robert L Corallino CPA PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1114 Bay StreetAddressLine1
CityManchesterCity
StateNHState
ZIP Code03104ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN016010506EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LOCAL 716 HEALTH & WELFARE TRUST FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLOCANameControl
Phone2032697741Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 TECHNOLOGY DRIVEAddressLine1
CityWALLINGFORDCity
StateCTState
ZIP Code06492ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN NAPOLITANOName
TitleTrusteeTitle
Date Signed2012-11-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT L CORALLINO CPAName
Phone6036235557Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Gross Receipts3817667GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteN/AWebSite
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionPROVISION OF MEDICAL BENEFITS TO MEMBERS & BENEFICIARIES (DEPENDENTS) OF UA LOCAL 716 PLUMBERS & PIPEFITTERS. ALSO INCLUDING OTHER WELFARE RELATED BENEFITS.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2446760ProgramServiceRevenuePriorYear
Program Service Revenue CY2797459ProgramServiceRevenueCY
Investment Income Prior Year343936InvestmentIncomePriorYear
Investment Income Current Year254100InvestmentIncomeCurrentYear
Other Revenue Prior Year2872OtherRevenuePriorYear
Other Revenue Current Year270OtherRevenueCurrentYear
Total Revenue Prior Year2793568TotalRevenuePriorYear
Total Revenue Current Year3051829TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year2496125BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY2398490BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year212879OtherExpensePriorYear
Other Expenses Current Year256904OtherExpensesCurrentYear
Total Expenses Prior Year2709004TotalExpensesPriorYear
Total Expenses Current Year2655394TotalExpensesCurrentYear
Revenues Less Expenses Prior Year84564RevenuesLessExpensesPriorYear
Revenues Less Expenses CY396435RevenuesLessExpensesCY
Total Assets BOY5821341TotalAssetsBOY
Total Assets EOY6327632TotalAssetsEOY
Total Liabilities BOY4905088TotalLiabilitiesBOY
Total Liabilities EOY5223553TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY916253NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1104079NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVISION OF MEDICAL BENEFITS TO MEMBERS & BENEFICIARIES (DEPENDENTS) OF UA LOCAL 716 PLUMBERS & PIPEFITTERS. ALSO INCLUDING OTHER WELFARE RELATED BENEFITS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1702837Expense
DescriptionMEDICAL INSURANCE - PROVIDER MAJOR MEDIAL & RX BENEFIT INSURANCEDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense480487Expense
DescriptionSUPPLEMENTAL BENEFITS - OUT OF POCKET MEDICAL EXPENSES REIMBURSEMENTDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense185659Expense
DescriptionOTHER BENEFITS PROVIDED INCLUDING DENTAL INSURANCE, DENTAL/VISION & EYE REIMBURSEMENTS, AND RECIPROCITY PAYMENTS OUTDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp29507TotalOfOtherProgramServiceExp
Total Program Service Expense2398490TotalProgramServiceExpense
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 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
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
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
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 Employees3NumberOfEmployees
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 Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
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 CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonINSURANCE PROGRAMMERS INCNamePerson
Telephone Number2032697741TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110 TECHNOLOGY DRIVEAddressLine1
CityWALLINGFORDCity
StateCTState
ZIP Code06492ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
GARY SAINIO
Trustee0.00X000
JOHN NAPOLITANO
Trustee0.00X000X
JON E LEE
Trustee0.00X000X
KEN BROUSSEAU
Trustee0.00X000
FieldValueIRS element (for citing)
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SHUMAKER LOOP & KENDRICK LLP
1000 JACKSON STTOLEDOOH43624LEGAL48989
S&A INC
50 ELM STMANCHESTERNH03101PLAN ADMINISTRATOR105749
ROBERT L CORALLINO CPA PC
114 BAY STMANCHESTERNH03104AUDITOR34660
AG EDWARDSWELLS FARGO
23 WATER STBANGORME04401INVESTMENTS29118
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RECIPROCAL CONTRIBUTION11110741111074
FORFEITURES
EMPLOYEE CONTRIBUTION347697347697
CONTRACTOR CONTRIBUTION13386881338688
FieldValueIRS element (for citing)
Total Program Service Revenue2797459TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column197470TotalRevenueColumn
Exclusion$197,470ExclusionAmount

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)
Securities822468Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities765838Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities56630Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column56630TotalRevenueColumn
Related Or Exempt Function Income56630RelatedOrExemptFunctionIncome

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)
DescriptionMISC INCOMEDescription
Total Revenue Column270TotalRevenueColumn
Related Or Exempt Function Income270RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue270TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3051829TotalRevenueColumn
Related Or Exempt Function Income2854359RelatedOrExemptFunctionIncome
Exclusion$197,470ExclusionAmount

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)
Total2398490Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

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)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total105749Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total48989Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total34660Total

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)
Total29118Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4000Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4524Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2440Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3012Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3972Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total2277Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotal
TELEPHONE4340
Postage and Shipping3099
DISABILITY TAXES995
BENEFIT CARDS7554
BANK FEES1133

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1042Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2655394Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY107879BOY
EOY578403EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY469681BOY
EOY463743EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY305173BOY
EOY126369EOY

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)
BOY176378BOY
EOY172578EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4700153BOY
EOY4946756EOY

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)
BOY62077BOY
EOY39783EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5821341BOY
EOY6327632EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY135922BOY
EOY194005EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4769166BOY
EOY5029548EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4905088BOY
EOY5223553EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY916253BOY
EOY1104079EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY916253BOY
EOY1104079EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5821341BOY
EOY6327632EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses396435ReconcilationRevenueExpenses
Reconcilation Other Changes-208609ReconcilationOtherChanges
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

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionMEMBER FUTURE BENEFITDescription
Amount$5,029,548Amount
FieldValueIRS element (for citing)
Total Of Amounts5029548TotalOfAmounts
Total Revenue3051829TotalRevenue
Total Expenses2655394TotalExpenses
Excess Or Deficit For Year396435ExcessOrDeficitForYear
Net Unrealized GL On Investments53128NetUnrealizedGLOnInvestments
Other-$261,737OtherAmount
Total Adjustments-208609TotalAdjustments
Excess Or Deficit Per FS187826ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3104956TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments53127NetUnrealizedGainsInvestments
Revenue Not Rptd F99053127RevenueNotRptdF990
Revenue Subtotal3051829RevenueSubtotal
Total Revenue Per Form9903051829TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2655394TotExpensesEtcAuditedFinclStmt
Expenses Subtotal2655394ExpensesSubtotal
Total Expenses Per Form9902655394TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8Identifier
Return ReferencePart XI, Line 8: Other Changes in Net Assets or Fund BalancesReturnReference
ExplanationDEC TO VALUE OF FUTURE PARTICIPANT BALANCE $ -260383 TRANSFER FROM PARTICIPANT BALANCES $ -1354Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
SARETTE ASSOCIATES INC
EXCESS DEPOSITX$36,44613469falsefalsefalse
SARETTE & ASSOCIATES
UNFUNDED RESERVEX$101,895112900falsefalsefalse
FieldValueIRS element (for citing)
Total Balance Due126369TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableUPON REQUEST
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsEACH TRUSTEE AND ADMINISTRATIVE MANAGER SIGNS AN ANNUAL STATEMENT WHICH AFFIRMS THAT THEY HAVE RECEIVED A COPY OF THE POLICY, HAS READ AND UNDERSTANDS THE POLICY AND AGREES TO COMPLY WITH THE POLICY.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessCOMPLETED FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS, THIRD PARTY ADMINISTRATOR AND ATTORNEY THEN SUBMITTED TO THE CHAIRMAN OF THE BOARD OF TRUSTEES FOR REVIEW AND SIGNATURE
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderPARTICIPANTS - UA LOCAL 716 UNION MEMBERS
Form 990, Part VI, Line 3Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyADMINISTRATION OF PLAN IS PERFORMED BY A THIRD PARTY PLAN ADMINSTRATOR
Form 990, Part III, Line 4dForm 990, Part III, Line 4d : Other Program Services DescriptionOTHER PROGRAM SERVICES 4: OTHER BENEFITS PROVIDED INCLUDING DENTAL INSURANCE, DENTAL/VISION & EYE REIMBURSEMENTS, AND RECIPROCITY PAYMENTS OUT