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CHICAGO PAINTERS AND DECORATORS WELFARE FUND: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CHICAGO PAINTERS AND DECORATORS WELFARE FUND (EIN 51-0245220)
Tax period
2009-05-01 to 2010-04-30
Filed
2011-03-08
IRS object ID
201140679349300014
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)
Timestamp2011-03-08T14:45:58-06:00Timestamp
Tax Period End Date2010-04-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BANSLEY AND KIENER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18745 WEST HIGGINS ROAD SUITE 200AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606312704ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510245220EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHICAGO PAINTERS AND DECORATORS WELFARE FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHICNameControl
Phone6309603322Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 PIERCE ROAD No 410AddressLine1
CityITASCACity
StateILState
ZIP Code60143ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTERRENCE P FITZMAURICEName
TitleTRUSTEETitle
Phone6309603322Phone
Date Signed2011-02-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL D HUELSName
Phone3122632700Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTERRENCE P FITZMAURICENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1333 PIERCE ROADAddressLine1
CityITASCACity
StateILState
ZIP Code60143ZIPCode
FieldValueIRS element (for citing)
Gross Receipts267400035GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1953YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HOSPITALIZATION, MEDICAL, AND OTHER RELATED BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTSActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year40122617ProgramServiceRevenuePriorYear
Program Service Revenue CY33560201ProgramServiceRevenueCY
Investment Income Prior Year1067904InvestmentIncomePriorYear
Investment Income Current Year3239350InvestmentIncomeCurrentYear
Other Revenue Prior Year130514OtherRevenuePriorYear
Other Revenue Current Year662132OtherRevenueCurrentYear
Total Revenue Prior Year41321035TotalRevenuePriorYear
Total Revenue Current Year37461683TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year36592785BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY38225939BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1789997OtherExpensePriorYear
Other Expenses Current Year1924745OtherExpensesCurrentYear
Total Expenses Prior Year38382782TotalExpensesPriorYear
Total Expenses Current Year40150684TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2938253RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2689001RevenuesLessExpensesCY
Total Assets BOY83819237TotalAssetsBOY
Total Assets EOY89892483TotalAssetsEOY
Total Liabilities BOY22917470TotalLiabilitiesBOY
Total Liabilities EOY23895642TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY60901767NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY65996841NetAssetsOrFundBalancesEOY
Mission DescriptionSEE BELOWMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE HOSPITALIZATION, MEDICAL AND OTHER RELATED BENEFITS TO ELIGIBLE MEMBERS 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 Required0ScheduleJRequired
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 With10961799NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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 Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
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 Line1Edward OTSTOTTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6309603322TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1333 PIERCE ROAD NO 410AddressLine1
CityITASCACity
StateILState
ZIP Code60143ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MARTIN TEW
CHAIRMAN2.00X000
RICHARD TAMBORSKI
SECRETARY2.00X000
SCOTT HALL
TRUSTEE2.00X000
TERRENCE FITZMAURICE
TRUSTEE2.00X000
andrew perch
TRUSTEE2.00X000
NORBERT SOLTYSIAK
TRUSTEE2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS BLUE SHIELD
300 E RANDOLPHCHICAGOIL60601HEALTH CARE PROVIDER686788
ARNOLD AND KADJAN
19 WEST JACKSON BLVDCHICAGOIL60604LEGAL and collection631765
OBA MIDWEST
333 PIERCE ROADITASCAIL60143THIRD PARTY ADMINISTRATOR559632
Unicare
233 S Wacker - Ste 3900cHICAGOIL60606hEALTH CARE PROVIDER210920
Delta Dental
801 Ogden AvenueLisleIL60532hEALTH CARE PROVIDER149061
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000993143286031432860
EMPLOYEE CONTRIBUTIONS90009921273412127341
FieldValueIRS element (for citing)
Total Program Service Revenue33560201TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2298900TotalRevenueColumn
Exclusion$2,298,900ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities230878802Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities229938352Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities940450Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column940450TotalRevenueColumn
Exclusion$940,450ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
COBRA SUBSIDY900099652920652920
MEDICARE REIMBURSEMENT90009992129212
FieldValueIRS element (for citing)
Total Other Revenue662132TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37461683TotalRevenueColumn
Related Or Exempt Function Income34222333RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,239,350ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total38225939Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total571095Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total236383Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total178277Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total133039Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total136430Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total183142Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9910Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2820Total

Insurance Insurance

FieldValueIRS element (for citing)
Total40278Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionCollection feesDescription
Total433371Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total40150684Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY221738BOY
EOY363683EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3102834BOY
EOY2873311EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY270900BOY
EOY268285EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY67724646BOY
EOY68588196EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY11485690BOY
EOY16946592EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1013429BOY
EOY852416EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY83819237BOY
EOY89892483EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY139571BOY
EOY140617EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22777899BOY
EOY23755025EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY22917470BOY
EOY23895642EOY
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)
BOY60901767BOY
EOY65996841EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY60901767BOY
EOY65996841EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY83819237BOY
EOY89892483EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionCommon Trust FundsDescription
Book Value16946592BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities16946592TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
EMPLOYER BONDS PAYABLE$143,295
DUE TO RELATED ORGANIZATIONS$13,035
DUE TO BROKER FOR SECURITIES PURCHASED$249,651
CLAIMS AND PREMIUMS PAYABLE$903,730
CLAIMS INCURRED, NOT REPORTED$1,358,270
ACCRUED ELIGIBILITY$15,731,000
FURTURE INSURANCE PREMIUMS$40,000
COBRA BENEFITS$4,870,038
BANK OVERDRAFT$446,006
FieldValueIRS element (for citing)
Total Of Amounts23755025TotalOfAmounts
Total Revenue37461683TotalRevenue
Total Expenses40150684TotalExpenses
Excess Or Deficit For Year-2689001ExcessOrDeficitForYear
Net Unrealized GL On Investments7784075NetUnrealizedGLOnInvestments
Total Adjustments7784075TotalAdjustments
Excess Or Deficit Per FS5095074ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt45112719TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments7784075NetUnrealizedGainsInvestments
Revenue Not Rptd F9907784075RevenueNotRptdF990
Revenue Subtotal37328644RevenueSubtotal
Investment Expenses Not Included133039InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt133039RevenueNotRptdOnFinStmt
Total Revenue Per Form99037461683TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt38034543TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal38034543ExpensesSubtotal
Investment Expenses Not Included2133039InvestmentExpensesNotIncluded2
Other Expenses Not Included1983102OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2116141ExpensesNotRptdOnFinStmt
Total Expenses Per Form99040150684TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIII, Line 4b - Other Adjustments:Identifier
ExplanationINCREASE IN CHANGES IN BENEFIT OBLIGATIONS: 1983102.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 8bTHERE ARE NO OTHER COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Section B, line 11FORM 990 IS PREPARED BY AN INDEPENDENT CPA AND IS REVIEWED AND APPROVED BY THE FUND REPRESENTATIVE PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Section C, line 19THE ORGANIZATION MAKES ITS FORM 990 AND FORM 5500 (WHICH INCLUDES AUDITED ANNUAL FINANCIAL STATEMENTS) AND SUMMARY ANNUAL REPORT AVAILABLE FOR INSPECTION UPON REQUEST.
FORM 990, PART XI, LINE 2CTHE ORGANIZATION'S BOARD OF TRUSTEES ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. THERE HAS BEEN NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR.