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CONNECTICUT LABORERS HEALTH FUND: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CONNECTICUT LABORERS HEALTH FUND (EIN 06-0681161)
Tax period
2009-08-01 to 2010-07-31
Filed
2011-04-09
IRS object ID
201120999349300207
Schema version
2009v1.7
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)
Timestamp2011-04-09T11:41:07-05:00Timestamp
Tax Period End Date2010-07-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1T M BYXBEE COMPANY PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 187169AddressLine1
CityHAMDENCity
StateCTState
ZIP Code06518ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-08-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060681161EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CONNECTICUT LABORERS' HEALTH FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCONNNameControl
Phone2039347991Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1435 CAPTAIN THOMAS BOULEVARDAddressLine1
CityWEST HAVENCity
StateCTState
ZIP Code06516ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD F WEISSName
TitleEXECUTIVE DIRECTORTitle
Phone2039347991Phone
Date Signed2011-03-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePamela J MatochaName
Phone2032814933Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD F WEISSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1435 Captain Thomas BoulevardAddressLine1
CityWest HavenCity
StateCTState
ZIP Code06516ZIPCode
FieldValueIRS element (for citing)
Gross Receipts114781414GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1984YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE MEDICAL, LIFE AND RELATED BENEFITS TO INDIVIDUALS WORKING UNDER THE TERMS OF A COLLECTIVE BARGAINING AGREEMENT WITH THE LABORERS UNION IN CONNECTICUT.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees20TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year41604216ProgramServiceRevenuePriorYear
Program Service Revenue CY37916080ProgramServiceRevenueCY
Investment Income Prior Year107318InvestmentIncomePriorYear
Investment Income Current Year1987767InvestmentIncomeCurrentYear
Other Revenue Prior Year45328OtherRevenuePriorYear
Other Revenue Current Year47742OtherRevenueCurrentYear
Total Revenue Prior Year41756862TotalRevenuePriorYear
Total Revenue Current Year39951589TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year42324725BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY40887554BenefitsPaidToMembersCY
Salaries Etc Prior Year559176SalariesEtcPriorYear
Salaries Etc Current Year669518SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year677438OtherExpensePriorYear
Other Expenses Current Year711822OtherExpensesCurrentYear
Total Expenses Prior Year43561339TotalExpensesPriorYear
Total Expenses Current Year42268894TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1804477RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2317305RevenuesLessExpensesCY
Total Assets BOY41341228TotalAssetsBOY
Total Assets EOY40287003TotalAssetsEOY
Total Liabilities BOY369809TotalLiabilitiesBOY
Total Liabilities EOY878314TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY40971419NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY39408689NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide medical, life, and related benefits to individuals working under the terms of a collective bargaining agreement with the laborers union in Connecticut.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROVIDE MEDICAL, LIFE, AND OTHER RELATED BENEFITS TO COVERED EMPLOYEES AND THEIR DEPENDENTS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees20NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RICHARD WEISSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2039347991TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1435 CAPTAIN THOMAS BOULEVARDAddressLine1
CityWEST HAVENCity
StateCTState
ZIP Code06516ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
VINCENT GIORDANO
TRUSTEE0.50X000
LOUIS STONE
TRUSTEE0.50X000
EDWARD GILLIGAN
TRUSTEE0.50X000
CHARLES T LECONCHE
TRUSTEE0.50X000
RICHARD BECKENBACH
TRUSTEE0.50X000
ANTHONY SCARNATI
TRUSTEE0.50X000
KEITH BROTHERS
TRUSTEE0.50X000
JOHN T LEAHY
TRUSTEE0.50X000
RICHARD F WEISS
eXEC. DIR.40.00167423053239XX
FieldValueIRS element (for citing)
Total Reportable Comp From Org167423TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation53239TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONTRIBUTIONS - EMPLOY9000993048810930488109
CONTRIBUTIONS - SELF-P90009960988026098802

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1329169TotalRevenueColumn
Related Or Exempt Function Income1329169RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue37916080TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1116137TotalRevenueColumn
Exclusion$1,116,137ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities75701455Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities74829825Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities871630Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column871630TotalRevenueColumn
Related Or Exempt Function Income871630RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionADMINISTRATIVE INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column47742TotalRevenueColumn
Exclusion$47,742ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue47742TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column39951589TotalRevenueColumn
Related Or Exempt Function Income38787710RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,163,879ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total40887554Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total405763Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total95870Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total127883Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total40002Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total108473Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total62199Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total137470Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total116831Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total74365Total

Travel Travel

FieldValueIRS element (for citing)
Total10024Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1611Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13514Total

Insurance Insurance

FieldValueIRS element (for citing)
Total52434Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
OTHER PROFESSIONAL FEES111159
PROPERTY TAXES13982
REPAIRS AND MAINTENANCE9760

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total42268894Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8731852BOY
EOY6646840EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY38186BOY
EOY47826EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis324858LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec212451LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY141472BOY
EOY112407EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY27145979BOY
EOY27404137EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5283739BOY
EOY6075793EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY41341228BOY
EOY40287003EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY247550BOY
EOY299907EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY122259BOY
EOY578407EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY369809BOY
EOY878314EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY40971419BOY
EOY39408689EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY40971419BOY
EOY39408689EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41341228BOY
EOY40287003EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis238142OtherCostOrOtherBasis
Depreciation177566Depreciation
Book Value60576BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis86716OtherCostOrOtherBasis
Depreciation34885Depreciation
Book Value51831BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings112407TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
CONTRIBUTION RECEIVABLE4591512
INTEREST AND DIVIDENDS RECEIVABLE157751
FEDERAL SUBSIDIES & REIMBURSEMENTS RECEIVABLE488585
OTHER RECEIVABLES837945
FieldValueIRS element (for citing)
Total Book Value Other Assets6075793TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATED FUNDSDescription
Amount$578,407Amount
FieldValueIRS element (for citing)
Total Of Amounts578407TotalOfAmounts
Total Revenue39951589TotalRevenue
Total Expenses42268894TotalExpenses
Excess Or Deficit For Year-2317305ExcessOrDeficitForYear
Net Unrealized GL On Investments754575NetUnrealizedGLOnInvestments
Total Adjustments754575TotalAdjustments
Excess Or Deficit Per FS-1562730ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt40706164TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments754575NetUnrealizedGainsInvestments
Revenue Not Rptd F990754575RevenueNotRptdF990
Revenue Subtotal39951589RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99039951589TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt42268894TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal42268894ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99042268894TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RICHARD F WEISSBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org161865BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org5558OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org39765DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org13474NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org220662TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11COPIES OF THE FORM 990 ARE MAILED TO BOARD MEMBERS PRIOR TO FILING.
Form 990, Part VI, Section B, line 12cON AN ANNUAL BASIS, EACH TRUSTEE AND KEY EMPLOYEE SIGN A STATEMENT THAT THEY WILL COMPLY WITH THE CONFLICT OF INTEREST POLICY WHICH REQUIRES DISCLOSURE OF CONFLICTS OF INTEREST.
Form 990, Part VI, Section B, line 15aTHE BOARD REVIEWS THE COMPENSATION LEVELS FOR EXECUTIVE DIRECTORS OF COMPARABLE FUNDS TO HELP DETERMINE THE COMPENSATION OF ITS OWN EXECUTIVE DIRECTOR. JOB PERFORMANCE IS ALSO EVALUATED AND USED TO DETERMINE COMPENSATION.
Form 990, Part VI, Section C, line 19Information available upon request. However, information is not available to the public. Information is only available to plan participants and signatory employers upon request.