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UA LOCAL 716 HEALTH & WELFARE FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
UA LOCAL 716 HEALTH & WELFARE FUND (EIN 01-6010506)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-08
IRS object ID
201123129349302062
Schema version
2010v3.2
Note
A later return for the same period supersedes this one.
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)
Timestamp2011-11-08T11:55:35-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

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
Phone6036418100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O SARETTE ASSOC INC 50 ELM STAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03101ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN NAPOLITANOName
TitleTrusteeTitle
Date Signed2011-10-25DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT L CORALLINO CPAName
Phone6036235557Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts3590020GrossReceipts
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 Employees9TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2249497ProgramServiceRevenuePriorYear
Program Service Revenue CY2446760ProgramServiceRevenueCY
Investment Income Prior Year152274InvestmentIncomePriorYear
Investment Income Current Year343936InvestmentIncomeCurrentYear
Other Revenue Prior Year629OtherRevenuePriorYear
Other Revenue Current Year2872OtherRevenueCurrentYear
Total Revenue Prior Year2402400TotalRevenuePriorYear
Total Revenue Current Year2793568TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year2649029BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY2496125BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year212844OtherExpensePriorYear
Other Expenses Current Year212879OtherExpensesCurrentYear
Total Expenses Prior Year2861873TotalExpensesPriorYear
Total Expenses Current Year2709004TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-459473RevenuesLessExpensesPriorYear
Revenues Less Expenses CY84564RevenuesLessExpensesCY
Total Assets BOY5375804TotalAssetsBOY
Total Assets EOY5710652TotalAssetsEOY
Total Liabilities BOY4945505TotalLiabilitiesBOY
Total Liabilities EOY4905088TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY430299NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY805564NetAssetsOrFundBalancesEOY
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
Expense1787251Expense
DescriptionMEDICAL INSURANCE - PROVIDER MAJOR MEDIAL & RX BENEFIT INSURANCEDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense513920Expense
DescriptionSUPPLEMENTAL BENEFITS - OUT OF POCKET MEDICAL EXPENSES REIMBURSEMENTDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense171871Expense
DescriptionOTHER BENEFITS PROVIDED INCLUDING DENTAL INSURANCE, DENTAL/VISION & EYE REIMBURSEMENTS, AND RECIPROCITY PAYMENTS OUTDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp23083TotalOfOtherProgramServiceExp
Total Program Service Expense2496125TotalProgramServiceExpense
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 Employees9NumberOfEmployees
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 PersonSARETTE ASSOCIATES INCNamePerson
Telephone Number6036418100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line150 ELM STAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03101ZIPCode
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
KEN BROUSSEAU
Trustee0.00X000
JON E LEE
Trustee0.00X000X
JOHN NAPOLITANO
Trustee0.00X000X
GARY SAINIO
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 STTOLEDOOH43624LEGAL6006
S&A INC
50 ELM STMANCHESTERNH03101PLAN ADMINISTRATOR100713
ROBERT L CORALLINO CPA PC
114 BAY STMANCHESTERNH03104AUDITOR33520
AG EDWARDSWELLS FARGO
23 WATER STBANGORME04401INVESTMENTS29256
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 CONTRIBUTION736376736376
FORFEITURES
EMPLOYEE CONTRIBUTION376376376376
CONTRACTOR CONTRIBUTION13340081334008
FieldValueIRS element (for citing)
Total Program Service Revenue2446760TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column249375TotalRevenueColumn
Exclusion$249,375ExclusionAmount

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)
Securities891013Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities796452Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities94561Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column94561TotalRevenueColumn
Related Or Exempt Function Income94561RelatedOrExemptFunctionIncome

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 Column2872TotalRevenueColumn
Related Or Exempt Function Income2872RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2872TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2793568TotalRevenueColumn
Related Or Exempt Function Income2544193RelatedOrExemptFunctionIncome
Exclusion$249,375ExclusionAmount

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)
Total2496125Total

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)
Total100713Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6006Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33520Total

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)
Total29256Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3750Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7513Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2880Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2714Total

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)
Total1377Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotal
TELEPHONE4849
Postage and Shipping3227
DISABILITY TAXES2201
BENEFIT CARDS11324
BANK FEES1860

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1689Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2709004Total
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)
BOY227177BOY
EOY107879EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY246110BOY
EOY469681EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY210678EOY

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)
BOY42416BOY
EOY176378EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4860101BOY
EOY4700153EOY

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)
EOY45883EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5375804BOY
EOY5710652EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4320BOY
EOY135922EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY17441BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4923744BOY
EOY4769166EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4945505BOY
EOY4905088EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY430299BOY
EOY805564EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY430299BOY
EOY805564EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5375804BOY
EOY5710652EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses84564ReconcilationRevenueExpenses
Reconcilation Other Changes290701ReconcilationOtherChanges
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$4,769,166Amount
FieldValueIRS element (for citing)
Total Of Amounts4769166TotalOfAmounts
Total Revenue2793568TotalRevenue
Total Expenses2709004TotalExpenses
Excess Or Deficit For Year84564ExcessOrDeficitForYear
Other$290,701OtherAmount
Total Adjustments290701TotalAdjustments
Excess Or Deficit Per FS375265ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2929692TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments136124NetUnrealizedGainsInvestments
Revenue Not Rptd F990136124RevenueNotRptdF990
Revenue Subtotal2793568RevenueSubtotal
Total Revenue Per Form9902793568TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2709004TotExpensesEtcAuditedFinclStmt
Expenses Subtotal2709004ExpensesSubtotal
Total Expenses Per Form9902709004TotalExpensesPerForm990

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
ExplanationUNREALIZED GAIN ON INVESTMENTS $136124 DEC TO VALUE OF FUTURE PARTICIPANT BALANCE $154577 ROUNDING $ -0Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SARETTE & ASSOCIATESBusinessNameLine1
FieldValueIRS element (for citing)
Loan From OrganizationXLoanFromOrganization
Original Principal$210,678OriginalPrincipalAmount
Balance Due210678BalanceDue
DefaultfalseDefault
Approved By BoardfalseApprovedByBoard
Written AgreementfalseWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due210678TotalBalanceDue

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 PLAN ADMINISTRATOR, 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