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UNITED MINE WORKERS OF AMERICA COMBINED BENEFIT FUND: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
UNITED MINE WORKERS OF AMERICA COMBINED BENEFIT FUND (EIN 52-1805433)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-04-28
IRS object ID
201111189349300756
Schema version
2009v1.3
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)
Timestamp2011-04-28T09:12:38-07:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521805433EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1United Mine Workers of America CombinedBusinessNameLine1
Business Name Line2Benefit 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
TitleTrusteeTitle
Date Signed2011-04-28DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts265082447GrossReceipts
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 Employees8TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year281091141ProgramServiceRevenuePriorYear
Program Service Revenue CY264651757ProgramServiceRevenueCY
Investment Income Prior Year1305163InvestmentIncomePriorYear
Investment Income Current Year133006InvestmentIncomeCurrentYear
Other Revenue Prior Year515457OtherRevenuePriorYear
Other Revenue Current Year297684OtherRevenueCurrentYear
Total Revenue Prior Year282911761TotalRevenuePriorYear
Total Revenue Current Year265082447TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year256061965BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY234821421BenefitsPaidToMembersCY
Salaries Etc Prior Year698402SalariesEtcPriorYear
Salaries Etc Current Year611259SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year29140815OtherExpensePriorYear
Other Expenses Current Year28832966OtherExpensesCurrentYear
Total Expenses Prior Year285901182TotalExpensesPriorYear
Total Expenses Current Year264265646TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2989421RevenuesLessExpensesPriorYear
Revenues Less Expenses CY816801RevenuesLessExpensesCY
Total Assets BOY105651342TotalAssetsBOY
Total Assets EOY89697021TotalAssetsEOY
Total Liabilities BOY63740417TotalLiabilitiesBOY
Total Liabilities EOY46979241TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY41910925NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY42717780NetAssetsOrFundBalancesEOY
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
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
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 Employees8NumberOfEmployees
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
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

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
William P Hobgood
Trustee4.00X7000008140
Morris D Feibusch
Trustee5.00X51423146926339
Micheal W Buckner
Trustee12.00X50000012631
Michael H Holland
Trustee,CoChair8.00X4000007962
Lorraine Lewis
Executive Direc9.0066926640779463X
Gail R Wilensky
Trustee4.00X7000008260
Elliot A Segal
Trustee retired6.00X80770806
Daniel L Fassio
Trustee,CoChair8.00X70000197708503
Dale R Stover
Dir., Finance13.0062216402347398X
Carl E Van Horn
Trustee8.00X7000008271
FieldValueIRS element (for citing)
Total Reportable Comp From Org558642TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs138773TotalReportableCompFrmRltdOrgs
Total Other Compensation77773TotalOtherCompensation
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.7517697
Mercer
1166 Avenue of the AmericasNew YorkNY100362708Actuary307191
HealthSmart
222 W Las Colinas Blvd 40NIrvingTX75039Contract Admin.5935362
Groom Law Group
1701 Pennsylvania Avenue NWWashingtonDC20006Legal169214
Caremark
2211 Sanders RoadNorthbrookIL60062Drug Care Coordinato474640
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 reimbursement525100113229493113229493
Legislated Transfer AML900099114356759114356759
Employer premiums5251003584271035842710
DOL reimbursement52510012011161201116
COBRA premiums5251002167921679
FieldValueIRS element (for citing)
Total Program Service Revenue264651757TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column133006TotalRevenueColumn
Exclusion$133,006ExclusionAmount

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

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 Column297684TotalRevenueColumn
Related Or Exempt Function Income297684RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue297684TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column265082447TotalRevenueColumn
Related Or Exempt Function Income264949441RelatedOrExemptFunctionIncome
Exclusion$133,006ExclusionAmount

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)
Total234821421Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total576724Total

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)
Total34535Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total7971010Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total213250Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total82805Total

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)
Total7328081Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total357691Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total209805Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total584885Total

Travel Travel

FieldValueIRS element (for citing)
Total293309Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total55598Total

Interest Interest

FieldValueIRS element (for citing)
Total12268Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total116899Total

Insurance Insurance

FieldValueIRS element (for citing)
Total121312Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotal
Other622996
Allocated other expenses10863057

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total264265646Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-3230400BOY
EOY-2081840EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY88484907BOY
EOY37213440EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19679193BOY
EOY51630786EOY

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)
BOY700000BOY
EOY2728066EOY

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)
BOY17642BOY
EOY206569EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY105651342BOY
EOY89697021EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21182422BOY
EOY24426739EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY23424079BOY
EOY22552502EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19133916BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY63740417BOY
EOY46979241EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY41910925BOY
EOY42717780EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41910925BOY
EOY42717780EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY105651342BOY
EOY89697021EOY
FieldValueIRS element (for citing)
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 Revenue265082447TotalRevenue
Total Expenses264265646TotalExpenses
Excess Or Deficit For Year816801ExcessOrDeficitForYear
Net Unrealized GL On Investments-9949NetUnrealizedGLOnInvestments
Other$1,148OtherAmount
Total Adjustments-8801TotalAdjustments
Excess Or Deficit Per FS808000ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt150643000TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-9949NetUnrealizedGainsInvestments
Other Revenues1110OtherRevenues
Revenue Not Rptd F990-8839RevenueNotRptdF990
Revenue Subtotal150651839RevenueSubtotal
Other Revenues Not Included114430608OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt114430608RevenueNotRptdOnFinStmt
Total Revenue Per Form990265082447TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt149835000TotExpensesEtcAuditedFinclStmt
Other Expenses Included-114430646OtherExpensesIncluded
Expenses Not Rptd F990-114430646ExpensesNotRptdF990
Expenses Subtotal264265646ExpensesSubtotal
Total Expenses Per Form990264265646TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 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, 2010, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements.
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SReimbursements $XXX-XX-XXXX
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. $1110
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesRounding $1148

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 Fund'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 (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionDirect Controlling Entity NADirectControllingEntityNA
UMWA Prefunded Benefit Plan
2121 K Street NWWashingtonDC20037261508254Provide health benefitsDC501(c)(9)N/A
UMWA 1992 Benefit Plan
2121 K Street NWWashingtonDC20037521805437Provide health benefitsDC501(c)(9)N/A
UMWA 1993 Benefit Plan
2121 K Street NWWashingtonDC20037521888497Provide health benefitsDC501(c)(9)N/A
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