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IBEW LOCAL 102 WELFARE FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
IBEW LOCAL 102 WELFARE FUND (EIN 22-6487222)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-31
IRS object ID
201143049349300909
Schema version
2010v3.2
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)
Timestamp2011-10-31T09:34:47-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SHAUGHNESSY GIELLA CPA PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1420 ROUTE 46 EAST SUITE 4AddressLine1
CityFAIRFIELDCity
StateNJState
ZIP Code07004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN226487222EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1IBEW LOCAL 102 WELFARE FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlIBEWNameControl
Phone9738871718Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5355AddressLine1
CityPARSIPPANYCity
StateNJState
ZIP Code07054ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBERNARD CORRIGANName
TitleTRUSTEETitle
Phone9738871718Phone
Date Signed2011-10-31DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL GIELLAName
Phone9738820228Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBERNARD CORRIGANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5355AddressLine1
CityPARSIPPANYCity
StateNJState
ZIP Code07054ZIPCode
FieldValueIRS element (for citing)
Gross Receipts59866649GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1991YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionWELFARE FUND - HEALTH/MEDICAL BENEFITSActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year39874899ProgramServiceRevenuePriorYear
Program Service Revenue CY40022598ProgramServiceRevenueCY
Investment Income Prior Year2381862InvestmentIncomePriorYear
Investment Income Current Year2700112InvestmentIncomeCurrentYear
Other Revenue Prior Year1240367OtherRevenuePriorYear
Other Revenue Current Year1048006OtherRevenueCurrentYear
Total Revenue Prior Year43497128TotalRevenuePriorYear
Total Revenue Current Year43770716TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year34370803BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY34801401BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2134802OtherExpensePriorYear
Other Expenses Current Year2183354OtherExpensesCurrentYear
Total Expenses Prior Year36505605TotalExpensesPriorYear
Total Expenses Current Year36984755TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6991523RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6785961RevenuesLessExpensesCY
Total Assets BOY72720162TotalAssetsBOY
Total Assets EOY78501415TotalAssetsEOY
Total Liabilities BOY3222065TotalLiabilitiesBOY
Total Liabilities EOY2217357TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY69498097NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY76284058NetAssetsOrFundBalancesEOY
Mission DescriptionWELFARE FUND - HEALTH/MEDICAL BENEFITSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense36984755Expense
DescriptionPROVIDING HEALTH & MEDICAL BENEFITS TO THE PARTICIPANTSDescription
Total Program Service Expense36984755TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 LiabilitiesfalseReportOtherLiabilities
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
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
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 With109670NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
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 PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1IE SHAFFER PLAN ADMINISTRATORSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6098836688TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1830 BEAR TAVERN ROADAddressLine1
CityWEST TRENTONCity
StateNJState
ZIP Code08628ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JAMES ESTABROOK
TRUSTEE1.00X000
PATRICK DELLE CAVA
TRUSTEE1.00X000
GARY PFARR
TRUSTEE1.00X000
BERNIE CORRIGAN
TRUSTEE1.00X000
LOUIS VITO
TRUSTEE1.00X000
BILL ROSSI
TRUSTEE1.00X000
ROBERT WILLIAMSON III
TRUSTEE1.00X000
ROBERT RENALDI
TRUSTEE1.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HORIZON BC BS
3 PENN PLAZA EASTNEWARKNJ07105CONTRACT ADMINISTRATOR598035
DELTA DENTAL
1639 ROUTE 10PARSIPPANYNJ07054CONTRACT ADMINISTRATOR147049
FABIAN & BYRN LLC
204 EAGLE ROCK AVEROSELANDNJ07068CLAIMS PROCESSING463293
IE SHAFFER CO
830 BEAR TAVERN ROADWEST TRENTONNJ08628THIRD PARTY ADMINISTRATOR360713
ENVISION RX
2181 E AURORA RDTWINSBURGOH44087PHARMACEUTICAL SERVICES152517
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
EMPLOYER & PARTICIPANT CONTRIBUTIONS52510037931797
COBRA & MEDICARE DRUG SUBSIDY5251001697137
OTHER525100393664
FieldValueIRS element (for citing)
Total Program Service Revenue40022598TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2512611TotalRevenueColumn
Exclusion$2,512,611ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities16283434Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities16095933Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities187501Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column187501TotalRevenueColumn
Exclusion$187,501ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionUNREALIZED APPRECIATION OF INVESTMENTSDescription
Business Code525100BusinessCode
Total Revenue Column1048006TotalRevenueColumn
Exclusion$1,048,006ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1048006TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column43770716TotalRevenueColumn
Related Or Exempt Function Income40022598RelatedOrExemptFunctionIncome
Exclusion$3,748,118ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total34801401Total
Program Services34801401ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total31943Total
Program Services31943ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total28350Total
Program Services28350ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1008Total
Program Services1008ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
ACTUARY4500450000
PRINTING & POSTAGE117631176300
BENEFIT CONSULTING240002400000
CONTRACT ADMINISTRATOR FEES1721607172160700
INVESTMENT ADVISORY15593115593100

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total204252Total
Program Services204252ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total36984755Total
Program Services36984755ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8628686BOY
EOY6209607EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4444913BOY
EOY4528440EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY59419563BOY
EOY67413368EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY227000BOY
EOY350000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY72720162BOY
EOY78501415EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3222065BOY
EOY2217357EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3222065BOY
EOY2217357EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY69498097BOY
EOY76284058EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY69498097BOY
EOY76284058EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY72720162BOY
EOY78501415EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses6785961ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Revenue43770716TotalRevenue
Total Expenses36984755TotalExpenses
Excess Or Deficit For Year6785961ExcessOrDeficitForYear
Other-$1,047,431OtherAmount
Total Adjustments-1047431TotalAdjustments
Excess Or Deficit Per FS5738530ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt43614785TotRevenueEtcAuditedFinclStmt
Revenue Subtotal43614785RevenueSubtotal
Investment Expenses Not Included155931InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt155931RevenueNotRptdOnFinStmt
Total Revenue Per Form99043770716TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt37876255TotExpensesEtcAuditedFinclStmt
Other Expenses Included2364370OtherExpensesIncluded
Expenses Not Rptd F9902364370ExpensesNotRptdF990
Expenses Subtotal35511885ExpensesSubtotal
Investment Expenses Not Included2155931InvestmentExpensesNotIncluded2
Other Expenses Not Included1316939OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1472870ExpensesNotRptdOnFinStmt
Total Expenses Per Form99036984755TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
Pt XI Line 8ACCRUED HEALTH CLAIMS 12/31/08 INCLUDED IN BENEFIT OBLIGATIONS STATEMENT
ACCRUED HEALTH CLAIMS 12/31/09 INCLUDED IN BENEFIT OBLIGATIONS STATEMENT
Pt XIII Line 2dACCRUED HEALTH CLAIMS 12/31/08 INCLUDED IN BENEFIT OBLIGATIONS STATEMENT
Pt XIII Line 4bACCRUED HEALTH CLAIMS 12/31/09 INCLUDED IN BENEFIT OBLIGATIONS STATEMENT

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanation
Pt VI-A, Line 3THE ORGANIZATION UTILIZES THE SERVICES OF I.E. SHAFFER,
A THIRD PARTY ADMINISTRATOR, AND FABIAN & BYRN, LLC,
A CLAIMS ADMINISTRATOR.
Pt VI-B, Line 11aA COPY OF THE FORM 990 IS PROVIDED TO EACH TRUSTEE AT A MEETING
PRIOR TO THE FILING DATE, WHERE QUESTIONS THAT A TRUSTEE HAS
ARE ADDRESSED.
Pt VI-B, Line 12cTHE ORGANIZATION HAS A REGULARLY SCHEDULED QUARTERLY
MEETING WHERE IT MONITORS COMPLIANCE WITH THE POLICY.
Pt VI-B, Line 15NO COMPENSATION - EMPLOYEE BENEFIT PLAN
Pt VI-C, Line 19THE DOCUMENTS ARE AVAILABLE TO PARTICIPANTS AND THE PUBLIC UPON REQUEST
Form 990EZ, Part I, Line 16INSURANCE CLAIMS ADMINISTRATION INSURANCE CONSULTING BANK CHARGES ACTUARY INVESTMENT ADVISORY CONSULTING OFFICE EXPENSE
Form 990, Part IX, Line 24fPAYROLL AUDIT FEES 4918. 4918. 0. 0. INSURANCE 8157. 8157. 0. 0. PRESCRIPTION PRICING AUDIT 17000. 17000. 0. 0. COLLECTION FEES - LEGAL 37215. 37215. 0. 0. LAWSUIT JUDGMENT 136962. 136962. 0. 0.