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SEIU HEALTH AND WELFARE FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SEIU HEALTH AND WELFARE FUND (EIN 52-0904354)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201143149349301244
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)
Timestamp2011-11-10T12:41:29-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CALIBRE CPA GROUP PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11850 K STREET NWAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20006ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520904354EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SEIU HEALTH AND WELFARE FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSEIUNameControl
Phone2027307500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 DUPONT CIRCLE NW NO 900AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code200361202ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameELISEO MEDINAName
TitleTRUSTEETitle
Phone2027307000Phone
Date Signed2011-11-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOANN WOODSONName
Phone2023319880Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonELISEO MEDINANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11800 MASSACHUSETTS AVENUE NWAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20036ZIPCode
FieldValueIRS element (for citing)
Gross Receipts59983664GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1969YearFormation
State Legal DomicileDCStateLegalDomicile
Activity Or Mission DescriptionTHE SERVICE EMPLOYEES INTERNATIONAL UNION HEALTH AND WELFARE FUND IS A JOINTLY MANAGED TAFT-HARLEY, MULTI-EMPLOYER, COLLECTIVELY BARGAINED, SELF INSURED, AND INSURED HEALTH AND WELFARE PLAN.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
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 Year22531535ProgramServiceRevenuePriorYear
Program Service Revenue CY21301143ProgramServiceRevenueCY
Investment Income Prior Year775930InvestmentIncomePriorYear
Investment Income Current Year430777InvestmentIncomeCurrentYear
Other Revenue Prior Year9618OtherRevenuePriorYear
Other Revenue Current Year6058OtherRevenueCurrentYear
Total Revenue Prior Year23317083TotalRevenuePriorYear
Total Revenue Current Year21737978TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year20741510BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY18481141BenefitsPaidToMembersCY
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 Year1712196OtherExpensePriorYear
Other Expenses Current Year2040854OtherExpensesCurrentYear
Total Expenses Prior Year22453706TotalExpensesPriorYear
Total Expenses Current Year20521995TotalExpensesCurrentYear
Revenues Less Expenses Prior Year863377RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1215983RevenuesLessExpensesCY
Total Assets BOY20785011TotalAssetsBOY
Total Assets EOY19334396TotalAssetsEOY
Total Liabilities BOY4095603TotalLiabilitiesBOY
Total Liabilities EOY1476335TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16689408NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY17858061NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTHE PLAN PROVIDED HEALTH, DENTAL, VISION, PRESCRIPTION DRUG, AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE TO ELIGIBLE PARTICIPANTS.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 Equip1ReportLandBldgEquip
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
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 Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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 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 Line1ERICA WILLIAMSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2027307545TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111 DUPONT CIRCLE STE 900AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code200361202ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ELISEO MEDINA
CHAIR1.00X000
TOM BALANOFF
TRUSTEE1.00X000
ERICK IRELAND
TRUSTEE1.00X000
KEITH MESTRICH
TRUSTEE1.00X000
DAVE MONROE
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 (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CIGNA HEALTH CARE
5089 COLLECTIONS CENTER DRCHICAGOIL60693ADMIN & ACCESS FEES1018740
SEGAL COMPANY
PO BOX 4059WASHINGTONDC10261ACTUARY FEES412721
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000992054256020542560
EMPLOYEE CONTRIBUTIONS900099608647608647
STOP LOSS REIMBURSEMEN900099149936149936
FieldValueIRS element (for citing)
Total Program Service Revenue21301143TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column384864TotalRevenueColumn
Exclusion$384,864ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities38291599Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities38245686Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities45913Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column45913TotalRevenueColumn
Exclusion$45,913ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column6058TotalRevenueColumn
Related Or Exempt Function Income6058RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue6058TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21737978TotalRevenueColumn
Related Or Exempt Function Income21307201RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$430,777ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total18481141Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total67886Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total27400Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total42831Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1050922Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total38390Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4102Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total103895Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total153Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3125Total

Insurance Insurance

FieldValueIRS element (for citing)
Total18926Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
ADMINISTRATIVE SERVICES656613
EQUIPMENT RENTAL AND MA26526
TEMPORARY HELP85

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20521995Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1669304BOY
EOY1668259EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2277685BOY
EOY1519031EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY18192BOY
EOY18401EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26333LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec21825LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4424BOY
EOY4508EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY16681783BOY
EOY15898936EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY133623BOY
EOY225261EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20785011BOY
EOY19334396EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY65910BOY
EOY109836EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1672632BOY
EOY1242124EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2357061BOY
EOY124375EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4095603BOY
EOY1476335EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16689408BOY
EOY17858061EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16689408BOY
EOY17858061EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20785011BOY
EOY19334396EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1215983ReconcilationRevenueExpenses
Reconcilation Other Changes-47330ReconcilationOtherChanges
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

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26333OtherCostOrOtherBasis
Depreciation21825Depreciation
Book Value4508BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4508TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED PARTIES$11,060
HEALTH REIMBURSEMENT ACCOUNTS$112,436
DEFERRED RENT$879
FieldValueIRS element (for citing)
Total Of Amounts124375TotalOfAmounts
Total Revenue21737978TotalRevenue
Total Expenses20521995TotalExpenses
Excess Or Deficit For Year1215983ExcessOrDeficitForYear
Net Unrealized GL On Investments-47330NetUnrealizedGLOnInvestments
Total Adjustments-47330TotalAdjustments
Excess Or Deficit Per FS1168653ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21647817TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-47330NetUnrealizedGainsInvestments
Revenue Not Rptd F990-47330RevenueNotRptdF990
Revenue Subtotal21695147RevenueSubtotal
Investment Expenses Not Included42831InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt42831RevenueNotRptdOnFinStmt
Total Revenue Per Form99021737978TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20479164TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal20479164ExpensesSubtotal
Investment Expenses Not Included242831InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt42831ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020521995TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS PREPARED BY THE FIRM'S INDEPENDENT ACCOUNTANT. PRIOR TO FILING, THE FORM 990 IS EMAILED TO ALL UNION AND EMPLOYER TRUSTEES IN PDF FORMAT FOR THEIR REVIEW AND COMMENT. THE FORM 990 IS THEN SIGNED AND FILED.
THE FUND DOES NOT HAVE THESE POLICIES. HOWEVER, ITS OFFICERS ARE COVERED UNDER SERVICE EMPLOYEES INTERNATIONAL UNION POLICIES, SUCH AS THE CODE OF ETHICS, CONFLICT OF INTEREST, AND WHISTLEBLOWER PROTECTION POLICIES.FORM 990, PART VI, SECTION B, LINE 12
THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -47,330.FORM 990, PART XI, LINE 5:
THE BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.FORM 990, PART XII, LINE 2C