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SOUTHEASTERN PIPETRADES HEALTH AND WELFARE FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SOUTHEASTERN PIPETRADES HEALTH AND WELFARE FUND (EIN 58-1903188)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-14
IRS object ID
201142879349301139
Schema version
2010v3.4
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)
Timestamp2011-10-14T14:00:52-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DANIELS IRWIN & AYLORBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1223 MADISON STREET SUITE 112AddressLine1
CityMADISONCity
StateTNState
ZIP Code371153660ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581903188EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHEASTERN PIPETRADES HEALTH &BusinessNameLine1
Business Name Line2WELFARE PLANBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone6158590131Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1449AddressLine1
CityGOODLETTSVILLECity
StateTNState
ZIP Code370701449ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLES CONNATSERName
TitleCHAIRMANTitle
Phone6158590131Phone
Date Signed2011-10-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameDOUGLAS A IRWINName
Phone6158686008Phone
Date Prepared2011-10-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts10578665GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1952YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionTHE PROVISION OF BENEFITS TO PARTICIPANTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees13TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7037389ProgramServiceRevenuePriorYear
Program Service Revenue CY6993434ProgramServiceRevenueCY
Investment Income Prior Year724601InvestmentIncomePriorYear
Investment Income Current Year506516InvestmentIncomeCurrentYear
Other Revenue Prior Year159370OtherRevenuePriorYear
Other Revenue Current Year155823OtherRevenueCurrentYear
Total Revenue Prior Year7921360TotalRevenuePriorYear
Total Revenue Current Year7655773TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year5925491BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY5971138BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year652513OtherExpensePriorYear
Other Expenses Current Year717518OtherExpensesCurrentYear
Total Expenses Prior Year6578004TotalExpensesPriorYear
Total Expenses Current Year6688656TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1343356RevenuesLessExpensesPriorYear
Revenues Less Expenses CY967117RevenuesLessExpensesCY
Total Assets BOY10173879TotalAssetsBOY
Total Assets EOY10520738TotalAssetsEOY
Total Liabilities BOY4939442TotalLiabilitiesBOY
Total Liabilities EOY4319184TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5234437NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6201554NetAssetsOrFundBalancesEOY
Mission DescriptionTHE PROVISION OF BENEFITS TO PARTICIPANTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionTHE PROVISION OF HEALTH, VISION, TEMPORARY DISABILITY AND DEATH BENEFITS TO PLAN PARTICIPANTS.Description
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
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
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 EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees13NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
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
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSOUTHERN BENEFIT ADMINISTRATORSNamePerson
Telephone Number6158590131TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12001 CALDWELL DRIVEAddressLine1
CityGOODLETTSVILLECity
StateTNState
ZIP Code37072ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CHARLES CONNATSER
CHAIRMAN2.00X000
JAMES ROWE II
SECRETARY2.00X000
ROGER D LAMBERT
TRUSTEE2.00X000
JOHN LINDSTROM
TRUSTEE2.00X000
PERRY S HOWARD JR
TRUSTEE2.00X000
STEVE MARTIN
TRUSTEE2.00X000
MICHAEL HUESER
TRUSTEE2.00X000
JOE HARRISON
TRUSTEE2.00X000
DON WHITE
TRUSTEE2.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SOUTHERN BENEFIT ADMINSTRATORS
PO BOX 1449GOODLETTSVILLETN370701449ADMINISTRATION319325
CIGNA
1111 MARKET STCHATTANOOGATN37402PPO262617
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS66290356629035
EMPLOYEE CONTRIBUTIONS364399364399
FieldValueIRS element (for citing)
Total Program Service Revenue6993434TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column479466TotalRevenueColumn
Exclusion$479,466ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2949942Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2922892Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities27050Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column27050TotalRevenueColumn
Exclusion$27,050ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FORMULARY REBATES4733347333
COBRA SUBSIDY REIMBURSEMENTS4636446364
CLAIMS REFUNDS3886438864

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column23262TotalRevenueColumn
Related Or Exempt Function Income23262RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue155823TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7655773TotalRevenueColumn
Related Or Exempt Function Income7149257RelatedOrExemptFunctionIncome
Exclusion$506,516ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total5971138Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total299000Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14661Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12775Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total29171Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total284259Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotal
TRUSTEES MEETING EXPENSE33652
ADMINISTRATORS MEETING12235
FIDUCIARY LIABILITY INSUR8769
PRINTING & MAILING6464
BANK CHARGES4923

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11609Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6688656Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY335871BOY
EOY566291EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY582523BOY
EOY654752EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY790923BOY
EOY774145EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11287BOY
EOY11524EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8453275BOY
EOY8514026EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10173879BOY
EOY10520738EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY82773BOY
EOY152406EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4856669BOY
EOY4166778EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4939442BOY
EOY4319184EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY5234437BOY
EOY6201554EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5234437BOY
EOY6201554EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10173879BOY
EOY10520738EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses967117ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionBENEFIT OBLIGATIONSDescription
Amount$4,166,778Amount
FieldValueIRS element (for citing)
Total Of Amounts4166778TotalOfAmounts
Total Revenue7655773TotalRevenue
Total Expenses6688656TotalExpenses
Excess Or Deficit For Year967117ExcessOrDeficitForYear
Excess Or Deficit Per FS967117ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7655773TotRevenueEtcAuditedFinclStmt
Revenue Subtotal7655773RevenueSubtotal
Total Revenue Per Form9907655773TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6688656TotExpensesEtcAuditedFinclStmt
Expenses Subtotal6688656ExpensesSubtotal
Total Expenses Per Form9906688656TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3SOUTHERN BENEFIT ADMINISTRATORS, INC.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AUNION TRUSTEES ARE APPOINTED TO THE BOARD BY THE LOCAL UNIONS WHO ARE PARTY TO THE TRUST AGREEMENT WHILE MANAGEMENT TRUSTEES ARE APPOINTED BY THE EMPLOYERS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS REVIEWED AND APPROVED BY THE ENTIRE BOARD OF TRUSTEES. IT IS THEN SIGNED AND FILED.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CCONFLICTS OF INTEREST ARE REVIEWED CONTINUALLY AND ANY ISSUES THAT ARISE ARE HANDLED AT REGULAR BOARD MEETINGS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE MEMBERS OF THE BOARD OF TRUSTEES ARE NOT COMPENSATED IN ANY WAY. A THIRD PARTY ADMINISTRATOR WAS HIRED BY THE BOARD OF TRUSTEES TO MANAGE THE FUND AND WAS SELECTED, HAD ITS QUALIFICATIONS REVIEWED AND COMPENSATION DETERMINED BY COMPETITIVE COMPARISON BY THE ENTIRE BOARD OF TRUSTEES.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE MEMBERS OF THE BOARD OF TRUSTEES ARE NOT COMPENSATED IN ANY WAY. A THIRD PARTY ADMINISTRATOR WAS HIRED BY THE BOARD OF TRUSTEES TO MANAGE THE FUND AND WAS SELECTED, HAD ITS QUALIFICATIONS REVIEWED AND COMPENSATION DETERMINED BY COMPETITIVE COMPARISON BY THE ENTIRE BOARD OF TRUSTEES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST. ALL PUBLIC AND PARTICIPANT COMMUNICATIONS INCLUDE REFERENCE TO DOCUMENTS BEING AVAILABLE UPON REQUEST.