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BRICKLAYERS LOCAL 1 OF MD VA AND DC HEALTH AND WELFARE FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BRICKLAYERS LOCAL 1 OF MD VA AND DC HEALTH AND WELFARE FUND (EIN 54-1008445)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-02
IRS object ID
201143069349300119
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)
Timestamp2011-11-02T10:26:19-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SALTER & COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14600 EAST-WEST HIGHWAY SUITE 300AddressLine1
CityBETHESDACity
StateMDState
ZIP Code208143415ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN541008445EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BRICKLAYERS LOCAL 1 OF MD VA AND DCBusinessNameLine1
Business Name Line2HEALTH AND WELFARE FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlBRICNameControl
Phone3018398800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16009 OXON HILL ROAD NO 416AddressLine1
CityOXON HILLCity
StateMDState
ZIP Code20745ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSCOTT GARVINName
TitleTRUSTEETitle
Phone3018398800Phone
Date Signed2011-10-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePETER P OSMAN CPAName
Phone3018307400Phone
Date Prepared2011-10-26DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSCOTT GARVINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16009 OXON HILL ROAD NO 416AddressLine1
CityOXON HILLCity
StateMDState
ZIP Code20745ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15308228GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.GEMGROUPLP.COMWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1950YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH BENEFITS TO UNION MEMBERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4751366ProgramServiceRevenuePriorYear
Program Service Revenue CY6147096ProgramServiceRevenueCY
Investment Income Prior Year345405InvestmentIncomePriorYear
Investment Income Current Year575268InvestmentIncomeCurrentYear
Other Revenue Prior Year2402346OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year7499117TotalRevenuePriorYear
Total Revenue Current Year6722364TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year4709716BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY6346971BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year469469OtherExpensePriorYear
Other Expenses Current Year753102OtherExpensesCurrentYear
Total Expenses Prior Year5179185TotalExpensesPriorYear
Total Expenses Current Year7100073TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2319932RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-377709RevenuesLessExpensesCY
Total Assets BOY11185823TotalAssetsBOY
Total Assets EOY11137094TotalAssetsEOY
Total Liabilities BOY155695TotalLiabilitiesBOY
Total Liabilities EOY329619TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11030128NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10807475NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH BENEFITS TO UNION MEMBERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROVIDING OF HEALTH BENEFITS TO MEMBERS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096719NumberFormsTransmittedWith1096
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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 Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
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 Line1GEMGROUP INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3018398800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16009 OXON HILL RD 416AddressLine1
CityOXON HILLCity
StateMDState
ZIP Code20745ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
THOMAS MCQUAID
TRUSTEE1.00X000
PETE BRYANT
TRUSTEE1.00X000
RAY KEEN
TRUSTEE1.00X000
SCOTT GARVIN
TRUSTEE1.00X000
SCOTT PRITCHETT
TRUSTEE1.00X000
DON JOHNSON
TRUSTEE1.00X000
BRENDAN JOHNSTON
TRUSTEE1.00X000
THOMAS FORD
TRUSTEE1.00X000
MIKE MANTUA
TRUSTEE1.00X000
THOMAS STRUNGE
TRUSTEE1.00X000
ROY HOLT
TRUSTEE1.00X000
DURWARD WELLS
TRUSTEE1.00X000
BARRY FRENCH
TRUSTEE1.00X000
TERRY OVERSTREET
TRUSTEE1.00X000
PAUL PAINTER
TRUSTEE1.00X000
PAT HURLEY
TRUSTEE1.00X000
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 (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SAV-RX
224 NORTH PARK AVEFREMONTNE68025PRESCRIPTIONS1592953
ANTHEM BLUE CROSS BLUE SHIELD
2015 STAPLES MILL RDRICHMONDVA27401CLAIMS1412234
GEMGROUP
1200 3 GATEWAY CENTERPITTSBURGHPA15222TPA328018
SEGAL COMPANY
1920 N STREET NWWASHINGTONDC20036ACTUARIAL132740
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIB.52510048207644820764
EMPLOYEE SELF-PAY525100909939909939
MEDICARE PART D REIMB525100416393416393
FieldValueIRS element (for citing)
Total Program Service Revenue6147096TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column345287TotalRevenueColumn
Exclusion$345,287ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities8815845Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities8585864Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities229981Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column229981TotalRevenueColumn
Related Or Exempt Function Income229981RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6722364TotalRevenueColumn
Related Or Exempt Function Income6377077RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$345,287ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total6346971Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total38779Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24850Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total39298Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7500Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total62411Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10877Total

Insurance Insurance

FieldValueIRS element (for citing)
Total9662Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotal
THIRD PARTY ADMINISTRAT284700
BENEFITS CONSULTING129512
HOSPITAL CLAIMS AUDITS70121
NETWORK ACCESS FEES57785
UTILIZATION REVIEW17607

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7100073Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY189225BOY
EOY337900EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY408971BOY
EOY898253EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2859703BOY
EOY627964EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1960BOY
EOY2679EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7725964BOY
EOY9270298EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11185823BOY
EOY11137094EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY155695BOY
EOY219849EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY109770EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY155695BOY
EOY329619EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY11030128BOY
EOY10807475EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11030128BOY
EOY10807475EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11185823BOY
EOY11137094EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-377709ReconcilationRevenueExpenses
Reconcilation Other Changes155056ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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 Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSECURITIES PURCHASE PAYABLEDescription
Amount$109,770Amount
FieldValueIRS element (for citing)
Total Of Amounts109770TotalOfAmounts
Total Revenue6722364TotalRevenue
Total Expenses7100073TotalExpenses
Excess Or Deficit For Year-377709ExcessOrDeficitForYear
Net Unrealized GL On Investments155056NetUnrealizedGLOnInvestments
Total Adjustments155056TotalAdjustments
Excess Or Deficit Per FS-222653ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6421729TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments155056NetUnrealizedGainsInvestments
Revenue Not Rptd F990155056RevenueNotRptdF990
Revenue Subtotal6266673RevenueSubtotal
Investment Expenses Not Included39298InvestmentExpensesNotIncluded
Other Revenues Not Included416393OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt455691RevenueNotRptdOnFinStmt
Total Revenue Per Form9906722364TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6644382TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal6644382ExpensesSubtotal
Investment Expenses Not Included239298InvestmentExpensesNotIncluded2
Other Expenses Not Included416393OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt455691ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907100073TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 4B - OTHER ADJUSTMENTS:MEDICARE PART D REIMB
PART XIII, LINE 4B - OTHER ADJUSTMENTS:MEDICARE PART D REIMB

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11ALL TRUSTEES ARE PROVIDED A COPY OF THE COMPLETED FORM BEFORE IT IS FILED.
PARTICIPANTS CAN REVIEW THE FUND'S DOCUMENTS AT THE FUND OFFICE.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 155,056.FORM 990, PART XI, LINE 5:
THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionControlled OrgControlledOrg
MARBLE TILE AND TERRAZZO WORKERS PENSION
6009 OXON HILL RDOXON HILLMD20745526117426PENSION FUNDMD501(A)0
MARBLE TILE AND TERRAZZO WORKERS ANNUITY
6009 OXON HILL RDOXON HILLMD20745521610630ANNUITY FUNDMD501(A)0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg