STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MEBA MEDICAL AND BENEFITS PLAN: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MEBA MEDICAL AND BENEFITS PLAN (EIN 13-5590515)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201143189349303689
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)
Timestamp2011-11-14T12:26:42-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BUCHBINDER TUNICK & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line16116 EXECUTIVE BLVD SUITE 201AddressLine1
CityROCKVILLECity
StateMDState
ZIP Code208524920ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN135590515EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEBA MEDICAL AND BENEFITS PLANBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEBANameControl
Phone4105479111Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11007 EASTERN AVENUEAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code212024345ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL B JEWELL - TRUSTEEName
TitleTHOMAS MURPHY, TRUSTEETitle
Phone4105479111Phone
Date Signed2011-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN ZIMMERMANName
Phone3017709110Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL B JEWELL TRUSTENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11007 EASTERN AVEAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code212024345ZIPCode
FieldValueIRS element (for citing)
Gross Receipts64580294GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1950YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionEMPLOYEE BENEFIT PLANActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees77TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year35417328ProgramServiceRevenuePriorYear
Program Service Revenue CY34522374ProgramServiceRevenueCY
Investment Income Prior Year1201047InvestmentIncomePriorYear
Investment Income Current Year1055206InvestmentIncomeCurrentYear
Other Revenue Prior Year6887946OtherRevenuePriorYear
Other Revenue Current Year7019464OtherRevenueCurrentYear
Total Revenue Prior Year43506321TotalRevenuePriorYear
Total Revenue Current Year42597044TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year31071971BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY31634768BenefitsPaidToMembersCY
Salaries Etc Prior Year6868825SalariesEtcPriorYear
Salaries Etc Current Year6534624SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1581615OtherExpensePriorYear
Other Expenses Current Year1612604OtherExpensesCurrentYear
Total Expenses Prior Year39522411TotalExpensesPriorYear
Total Expenses Current Year39781996TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3983910RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2815048RevenuesLessExpensesCY
Total Assets BOY67338031TotalAssetsBOY
Total Assets EOY72909407TotalAssetsEOY
Total Liabilities BOY1474130TotalLiabilitiesBOY
Total Liabilities EOY1379524TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY65863901NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY71529883NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MEDICAL, DEATH AND DISMEMBERMENT, DENTAL, OPTICAL, ANNUAL DIAGNOSTIC EXAMS, DISABILITY, HEARING AIDS, WAGE INSURANCE, LEGAL AID AND CERTAIN OTHER BENEFITS TO ELIGIBLE PARTICIPANTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROVIDED MEDICAL BENEFITS TO APPROXIMATELY 4,000 ACTIVE AND RETIRED PARTICIPANTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionPROVIDED FOR THE OPERATING COSTS OF 3 DIAGNOSTIC MEDICAL CENTERS AND FOR PARTICIPANT TRAVEL TO THOSE MEDICAL CENTERS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionPROVIDED ADDITIONAL BENEFITS FOR APPROXIMATELY 4,000 ACTIVE AND RETIRED PARTICIPANTS IN THE WAY OF INSURANCE, LEGAL AID AND MEDICARE PREMIUM REIMBURSEMENTS.Description
FieldValueIRS element (for citing)
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 Securities1ReportInvestOthSecurities
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 Required1ScheduleJRequired
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 With1096194NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees77NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ALLEN SZYMCZAK ADMINISTRATORBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4105479111TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11007 EASTERN AVENUEAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code212024345ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BALLENGER DUNCAN
ALTERNATE TRUSTEE2.00X000
BECKER WALLY
TRUSTEE2.00X000
CAMERON MICHAEL
ALTERNATE TRUSTEE2.00X000
COLE WILLIAM
ALTERNATE TRUSTEE2.00X000
DORN ROBERT
TRUSTEE2.00X000
FISHER PWJ
TRUSTEE2.00X000
GILL TIMOTHY
ALTERNATE TRUSTEE2.00X000
HANLEY EDWARD
TRUSTEE2.00X000
HUBER MARC
TRUSTEE2.00X000
KEEFE DONALD
CHAIRMAN - TRUSTEE2.00X000
KINGERY KAROL
ALTERNATE TRUSTEE2.00X000
MCHUGH WILLIAM
TRUSTEE2.00X000
MOSES DALE
ALTERNATE TRUSTEE2.00X000
MOZDEAN ROBERT
ALTERNATE TRUSTEE2.00X000
MURPHY THOMAS
SECRETARY - TRUSTEE2.00X000
NIZETICH MICHAEL
TRUSTEE2.00X000
STEPHENS ROBERT
ALTERNATE TRUSTEE2.00X000
SULLIVAN JACK
TRUSTEE2.00X000
SUNESON THOMAS
TRUSTEE2.00X000
VAN LOO WILLIAM
TRUSTEE2.00X000
WOODRUFF DANA
ALTERNATE TRUSTEE2.00X000
YOUNG LARRY
TRUSTEE2.00X000
JOE WASSELL
TRUSTEE2.00X000
JIM STAATS
ALTERNATE TRUSTEE2.00X000
SZYMCZAK ALLEN R
ADMINISTRATOR9.00197928061948X
EICKHOFF ROBERT
CONTROLLER6.00126016067442X
TALATI PRAVINKANT
PHYSICIAN40.00114142038848X
KOHRN BRUCE
PHYSICIAN40.00106615048422X
FABELLA SANDRA
ASST. CONTROLLER10.00104889037079X
BARRY BUCKALEW
INTERNAL AUDITOR18.00105000020944X
FieldValueIRS element (for citing)
Total Reportable Comp From Org754590TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation274683TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MORGAN LEWIS & BOCKIUS LLP
1111 PENNSYLVANIA AVENUE NWWASHINGTONDC20004LEGAL FEES AND EXPENSES215515
SLEVIN & HART
1625 MASSACHUSETTS AVENUE NWWASHINGTONDC20036LEGAL FEES AND EXPENSES163929
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000992651555526515555
PARTICIPANT CONTRIBUT.90009977850027785002
EMPLOYER CONT. - FRCA900099221817221817
FieldValueIRS element (for citing)
Total Program Service Revenue34522374TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column811273TotalRevenueColumn
Exclusion$811,273ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities22227183Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities21983250Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities243933Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column243933TotalRevenueColumn
Related Or Exempt Function Income243933RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REIMBURSED ADMIN. EXP.90009948813734881373
ERRP REIMBURSEMENT900099880138880138
MEDICARE PART D REBATE900099565071565071

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column692882TotalRevenueColumn
Related Or Exempt Function Income689858RelatedOrExemptFunctionIncome
Exclusion$3,024ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7019464TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42597044TotalRevenueColumn
Related Or Exempt Function Income41782747RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$814,297ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total31634768Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total754290Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3239855Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1113965Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1094237Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total332277Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total381345Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total43400Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total136977Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total96800Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total91517Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total203171Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total135483Total

Travel Travel

FieldValueIRS element (for citing)
Total4016Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total40185Total

Insurance Insurance

FieldValueIRS element (for citing)
Total105789Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotal
DELTA DENTAL PROVIDER F119065
POSTAGE56383
CLAIMS INVESTIGATION FE33870
PROPERTY ASSET USAGE CH33545
EQUIPMENT RENTAL AND MA32443

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total98615Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total39781996Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2158563BOY
EOY2167847EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY994674BOY
EOY630044EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6170471BOY
EOY7069715EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY46134BOY
EOY50300EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1561575LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1264695LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY438971BOY
EOY296880EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY24036966BOY
EOY27737580EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY33492252BOY
EOY34957041EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY67338031BOY
EOY72909407EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY770172BOY
EOY824432EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY703958BOY
EOY555092EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1474130BOY
EOY1379524EOY
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)
BOY65863901BOY
EOY71529883EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY65863901BOY
EOY71529883EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY67338031BOY
EOY72909407EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2815048ReconcilationRevenueExpenses
Reconcilation Other Changes2850934ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1022223OtherCostOrOtherBasis
Depreciation414864Depreciation
Book Value607359BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis539352OtherCostOrOtherBasis
Depreciation849831Depreciation
Book Value-310479BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings296880TotalOfBookValueLandBuildings

Other Securities OtherSecurities (8 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MEBA MASTER TRUST FOR ERISA PLANS13553595F
MELLON GLBAL ALPHA I5178972F
MELLON EB TEMPORARY INVESTMENT8F
RUSSELL 1000 VALUE INDEX7598541F
PIMCO ALL ASSET FUND5255097F
SEIX INSTITUTIONAL HIGH YIELD FUND1257557F
RIDGEWORTH SEIX FLOATING RATE1186138F
RIDGEWORTH SEIX HIGH YIELD BOND927133F
FieldValueIRS element (for citing)
Total Of Book Value Securities34957041TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
CASH OVERDRAFT$177,111
CONTRIBUTION RECEIVED IN ADVANCE$267,099
DUE TO RELATED PARTY$87,951
DUE TO BROKERS$22,931
FieldValueIRS element (for citing)
Total Of Amounts555092TotalOfAmounts
Total Revenue42597044TotalRevenue
Total Expenses39781996TotalExpenses
Excess Or Deficit For Year2815048ExcessOrDeficitForYear
Net Unrealized GL On Investments1380261NetUnrealizedGLOnInvestments
Other$1,470,673OtherAmount
Total Adjustments2850934TotalAdjustments
Excess Or Deficit Per FS5665982ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt38984419TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1380261NetUnrealizedGainsInvestments
Other Revenues1470673OtherRevenues
Revenue Not Rptd F9902850934RevenueNotRptdF990
Revenue Subtotal36133485RevenueSubtotal
Investment Expenses Not Included136977InvestmentExpensesNotIncluded
Other Revenues Not Included6326582OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt6463559RevenueNotRptdOnFinStmt
Total Revenue Per Form99042597044TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33318437TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal33318437ExpensesSubtotal
Investment Expenses Not Included2136977InvestmentExpensesNotIncluded2
Other Expenses Not Included6326582OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt6463559ExpensesNotRptdOnFinStmt
Total Expenses Per Form99039781996TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:NET GAIN FROM COMMON COLLECTIVE TRUSTS
PART XII, LINE 2D - OTHER ADJUSTMENTS:NET GAIN FROM COMMON COLLECTIVE TRUST REPORTED AS OTHER CHANGE IN NET ASSETS
PART XII, LINE 4B - OTHER ADJUSTMENTS:REIMBURSEMENT OF ADMINISTRATIVE EXPENSES NET AGAINST EXPENSES MEDICARE PART D REBATES NET AGAINST EXPENSES EERP REIMBURSEMENTS NET AGAINST EXPENSES
PART XIII, LINE 4B - OTHER ADJUSTMENTS:REIMBURSEMENT OF ADMINISTRATIVE EXPENSES NET AGAINST EXPENSES MEDICARE PART D REBATES NET AGAINST EXPENSES EERP REIMBURSEMENTS NET AGAINST EXPENSES

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SZYMCZAK ALLEN R
19792800000467380152100259876000
EICKHOFF ROBERT
12601600000522320152100193458000
TALATI PRAVINKANT
11414200000236380152100152990000
KOHRN BRUCE
10661500000332120152100155037000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 7ATHE PLAN IS A JOINTLY ADMINISTERED MULTI-EMPLOYER BENEFIT PLAN. UNION TRUSTEES ARE APPOINTED BY THE SPONSORING UNION. EMPLOYER TRUSTEES ARE APPOINTED BY CONTRIBUTING EMPLOYERS BASED ON THE HIGHEST TOTALS OF CUMULATIVE MAN DAYS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE FUND'S ADMINISTRATOR WITH THE ASSISTANCE OF THE FUND'S PROFESSIONALS AND IS PROVIDED TO THE FUND'S BOARD OF TRUSTEES PRIOR TO ITS FILING.
THE BOARD OF TRUSTEES MONITORS AND ENFORCES COMPLIANCE WITH THE FUND'S CONFLICT OF INTEREST POLICY THROUGH ANNUAL QUESTIONNAIRES AND WITH THE ASSISTANCE OF THE FUND'S PROFESSIONALS.FORM 990, PART VI, SECTION B, LINE 12C
THE ADMINISTRATOR'S SALARY IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES.FORM 990, PART VI, SECTION B, LINE 15
THE FUND MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS, BENEFICIARIES, THE SPONSORING UNION, AND CONTRIBUTING EMPLOYERS AS REQUIRED BY ERISA. ERISA DOES NOT REQUIRE THAT THE FUND MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC AND THE FUND DOES NOT DO SO.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 1380261. NET GAIN FROM COMMON COLLECTIVE TRUSTS 1470673. TOTAL TO FORM 990, PART XI, LINE 5: 2850934.FORM 990, PART XI, LINE 5: