Form990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 09-01-2012 , 2012, and ending 08-31-2013
BCheck if applicable:
CName of organization
PIPEFITTERS LOCAL 636 INSURANCE FUND
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
700 TOWER DRIVE
 
Room/suite
City or town, state or country, and ZIP + 4
TROY, MI480982808
D Employer identification number

38-6447252
E Telephone number

G Gross receipts $ 25,629,889
F Name and address of principal officer:
JOSEPH P BOURGEOIS
700 TOWER DRIVE
TROY,MI48098
I
Tax-exempt status: ( 9 ) LeftBullet (insert no.) or
J
Website:MediumBullet
N/A
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1982
M State of legal domicile: MI
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: PROVIDING HEALTH AND WELFARE BENEFITS
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 6
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 6
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 106
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) .........   0
9 Program service revenue (Part VIII, line 2g) ......... 19,665,604 18,718,855
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 298,177 274,486
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 962,917 4,482
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 20,926,698 18,997,823
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...   0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 17,814,938 18,011,946
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)   0
16a Professional fundraising fees (Part IX, column (A), line 11e).....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,509,873 1,533,502
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 19,324,811 19,545,448
19 Revenue less expenses. Subtract line 18 from line 12....... 1,601,887 -547,625
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 9,849,376 9,275,750
21 Total liabilities (Part X, line 26)............. 106,720 80,719
22 Net assets or fund balances. Subtract line 21 from line 20..... 9,742,656 9,195,031
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: PROVIDING HEALTH AND WELFARE BENEFITS
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 18,011,946 including grants of $   ) (Revenue $ 18,718,855 )
HOSPITAL, MEDICAL, DENTAL, LIFE, VISION, HEARING, RX, DISABILITY AND OTHER SUPPLEMENTAL BENEFITS PAID TO OR ON BEHALF OF MEMEBERS OF PIPEFITTERS LOCAL NO 636 AND THEIR DEPENDANTS AND BENEFICIARIES
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet18,011,946
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A........................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI....................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J.......................
23
 
No
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2...
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
106
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
6
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
6
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
 
No
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
 
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
 
 
13
Did the organization have a written whistleblower policy? ...............
13
 
No
14
Did the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletBENESYS INC700 TOWER DRIVE 300TROYMI480982808 (248) 813-9800
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) JOSEPH BOURGEOIS........................................................................
CHAIRMAN
 0.00
.......................   		  X         0 103,862 0
(2) JOHN R GREEN........................................................................
SECRETARY
 0.00
.......................   		  X         0 0 0
(3) FRANK WIECHERT........................................................................
TRUSTEE
 0.00
.......................   		X           0 107,550 0
(4) TERRY GILLIGAN........................................................................
TRUSTEE
 0.00
.......................   		X           0 99,874 0
(5) CHRIS FREEMAN........................................................................
TRUSTEE
 0.00
.......................   		X           0 0 0
(6) MICHAEL FLESHER........................................................................
TRUSTEE
 0.00
.......................   		X           0 0 0






















Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet   311,286  
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet  
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
 
No
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet  
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet  
Program Service Revenue Business Code
2a CONTRIBUTION 990009 18,718,855      
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 18,718,855
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 174,170     174,170
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 6,732,382  
b Less: cost or other basis and sales expenses 6,632,066  
c Gain or (loss) 100,316  
d Net gain or (loss)..........MediumBullet 100,316     100,316
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a UNREALIZED GAIN FROM INVESTMENTS 900001 -331,769     -331,769
b STOP LOSS INSURANCE REIMBURSEMENTS 900099 61,025 61,025    
c CLASS ACTION PROCEEDS 900099 275,226 275,226    
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 4,482
12 Total revenue. See Instructions......MediumBullet 18,997,823 19,055,106   -57,283
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21    
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members 18,011,946 18,011,946
5 Compensation of current officers, directors, trustees, and key employees ....        
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 84,303   84,303  
c Accounting ........... 9,608   9,608  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 13,681   13,681  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........        
12 Advertising and promotion ....        
13 Office expenses ....... 66,474   66,474  
14 Information technology ...... 1,800   1,800  
15 Royalties ..        
16 Occupancy ...........        
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 5,992   5,992  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .....        
23 Insurance ..............        
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a BANK FEES 14,051   14,051  
b BENEFIT ADMINISTRATION FEE 822,695   822,695  
c ADMINISTRATIVE FEES 230,310   230,310  
d CONSULTING FEES 24,613   24,613  
e All other expenses 259,975   259,975  
25 Total functional expenses. Add lines 1 through 24e 19,545,448 18,011,946 1,533,502  
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 1,369,860 1 2,111,895
2 Savings and temporary cash investments ......... 180,583 2 162,650
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 2,234,116 4 2,563,353
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 619,562 9 14,243
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a  
b Less: accumulated depreciation ..... 10b     10c  
11 Investments—publicly traded securities .......... 5,445,255 11 4,423,609
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 9,849,376 16 9,275,750
Liabilities 17 Accounts payable and accrued expenses ......... 106,720 17 80,719
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................   25  
26 Total liabilities. Add lines 17 through 25......... 106,720 26 80,719
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..............   27  
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds 9,742,656 32 9,195,031
33 Total net assets or fund balances ........... 9,742,656 33 9,195,031
34 Total liabilities and net assets/fund balances ........ 9,849,376 34 9,275,750
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
18,997,823
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
19,545,448
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-547,625
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
9,742,656
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
 
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
9,195,031
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID: 12000225
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
PIPEFITTERS LOCAL 636 INSURANCE FUND
 
Employer identification number

38-6447252
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................        
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet  
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet  
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 18,997,823
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3 18,997,823
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 18,997,823
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1 19,545,448
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3 19,545,448
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 19,545,448
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Schedule D (Form 990) 2012

Additional Data


Software ID: 12000225
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
PIPEFITTERS LOCAL 636 INSURANCE FUND
 
Employer identification number

38-6447252
Identifier Return Reference Explanation
Pt VI, Line 11b   ONCE FORM IS PREPARED BY TAXPREPARER IT IS FORWARDED TO TRUSTEES FOR REVIEW AND SUBMISSION.
Pt VI, Line 19   INFO IS AVAILABLE UPON REQUEST AT OFFICE.
Pt XII, Line 1   THE ORGANIZATION BOOKS ARE KEPT ON AN ACCRUAL BASIS.
SCH R PART II, III, IV   IN ORDER TO COMPLETE SCHEDULE R PARTS II, III, AND IV
    INFORMATION WAS REQUIRED TO BE GATHERED FROM INDEPENDENT
    THIRD PARTY SOURCES. IN SOME CASES, THE INFORMATION
    PROVIDED BY THESE INDEPENDENT CONTRIBUTORS TO A VEBA PLAN
    WAS INCOMPLETE. IN THESE CASES THE SCHEDULE WAS COMPLETED
    USING THE BEST AVAILABLE INFORMATION OR ESTIMATES.
    INDEPENDENT CONTRIBUTORS NO PROVIDING A FEDERAL IDENTIFICATION
    NUMBER ARE DESIGNATED AS "99-9999999".
Form 990, Part IX, Line 24f   MISCELLANEOUS 1274. 1274. ERISA BOND 1430. 1430. PRESCRIPTION ADMIN FEES 14277. 14277. FIDUCIARY INSURANCE 16804. 16804. RDS RECOVERY FEES 109784. 109784. MI CLAIMS TAX 104828. 104828. FRAUD ABUSE/CLAIM EDIT FEE 11578. 11578.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000225
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
PIPEFITTERS LOCAL 636 INSURANCE FUND
 
Employer identification number

38-6447252
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) PEPEFITTERS EDUCATIONAL TRUST

636 EXECUTIVE DRIVE

TROY,MI48083
38-6221933 		UNION MI 501(C)(3)   NA
 
 
No
(2) PIPEFITTERS LOCAL 636

30100 NORTHWESTERN HWY

FARMINGTON HILLS,MI48334
38-1068240 		UNION MI 501(C)(3)   NA
 
 
No
(3) WAYNE STATE UNIVERSITY

5700 CASS AVE

DETROIT,MI48202
38-6028429 		UNIVERSITY MI 501(C)(3) 2 NA
 
 
No








For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) ABM BUILDING SOLUTIONS LLC

37695 INTERCHANGE DRIVE
FARMINGTON HILLS,MI48335
20-0357058 		CONSTRUCTION MI NO
  		N/A       No     No 0 %
(2) ALLIED GENERAL MECHANICAL LLC

7600 IOWA
DETROIT,MI48212
20-0086475 		CONSTRUCTION MI NO
  		N/A       No     No 0 %
(3) AWSINC LLC

5460 HIGHLAND ROAD
WATERFORD,MI48357
36-4584462 		CONSTRUCTION MI NO
  		N/A       No     No 0 %
(4) GOLDEN REFRIGERANT

12901 NEWBURGH RD
LIVONIA,MI48150
38-3245149 		CONSTRUCTION MI NO
  		N/A       No     No 0 %
(5) GRIFFITH STAINLESS WELDING LLC

5126 HIGH MILL AVE NW
MASSILLUM,OH44647
20-4017603 		CONSTRUCTION OH NO
  		N/A       No     No 0 %
(6) HERITAGE MECHANICAL LLC

522 BIDDLE
WYANDOTTE,MI48192
 CONSTRUCTION MI NO
  		N/A       No     No 0 %
(7) JOHNSON & WOOD LLC

2130 E HEMPHILL RD
BURTON,MI48529
38-3386488 		CONSTRUCTION MI NO
  		N/A       No     No 0 %
(8) JG MECHANICAL LLC

181 LATHERS ST
GARDEN CITY,MI48135
27-5300583 		CONSTRUCTION MI NO
  		N/A       No     No 0 %
(9) MECHANICAL SYSTEMS SERV LLC

PO BOX 1830
WARREN,MI48090
 CONSTRUCTION MI NO
  		N/A       No     No 0 %
(10) MSL MECHANICAL LLC

PO BOX 328
HARTLAND,MI48353
20-3866199 		CONSTRUCTION MI NO
  		N/A       No     No 0 %
(11) PCS LLC

PO BOX 510
RIPLEY,WV25271
04-3815019 		CONSTRUCTION WV NO
  		N/A       No     No 0 %
(12) SERVICE ENGINEERING LLC

7931 STOUT
GROSSE ILE,MI48138
38-3608451 		CONSTRUCTION MI NO
  		N/A       No     No 0 %
(13) SHAMBAUGH & SON INC LP

PO BOX 1287
FORT WAYNE,IN46801
35-0965412 		CONSTRUCTION IN NO
  		N/A       No     No 0 %
(14) SUPERIOR FLUID SYSTEMS LLC

12525 HALE
RIVERVIEW,MI48193
20-5248621 		CONSTRUCTION MI NO
  		N/A       No     No 0 %
(15) UNIVERSAL PIPING INDUSTRIES LLC

12900 CAPITAL ST
OAK PARK,MI48237
38-3630755 		CONSTRUCTION MI NO
  		N/A       No     No 0 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) A & B REFRIGERATION

24435 W WARREN
DEARBORN HGTS,MI48127
38-2001850 		CONSTRUCTION MI NO
  		S     0 %    
(2) A C COUTTS INC

PO BOX 930317
WIXOM,MI48393
38-1570934 		CONSTRUCTION MI NO
  		C     0 %    
(3) ALLIANCE AC & HEATING INC

20800 HUBBELL
OAK PARK,MI48237
38-1891905 		CONSTRUCTION MI NO
  		C     0 %    
(4) ANDY J EGAN

2001 WALDORF NW SUITE 200
GRAND RAPIDS,MI49544
 CONSTRUCTION MI NO
  		S     0 %    
(5) ARCTIC AIR INC

4918 FERNLEE
ROYAL OAK,MI48073
38-1801848 		CONSTRUCTION MI NO
  		S     0 %    
(6) AUTOMATED BLDG CONTROL SYSTEM

1320 KINGSBROOK
FLUSHING,MI48433
38-3479588 		CONSTRUCTION MI NO
  		S     0 %    
(7) B & C TEN AIR HVAC SYSTEMS

41441 11 MILE RD
NOVI,MI48375
20-1325155 		CONSTRUCTION MI NO
  		S     0 %    
(8) BELDING WALBRIDGE

777 WOODWARD AVE SUITE 300
DETROIT,MI48226
36-3973394 		CONSTRUCTION MI NO
  		C     0 %    
(9) BH ROSS COMPANY

4315 DELEMERE COURT
ROYAL OAK,MI48073
 CONSTRUCTION MI NO
  		S     0 %    
(10) BLUEWATER BOILER & MECH

7557 MARKEL RD
FAIRHAVEN,MI48023
38-3582478 		CONSTRUCTION MI NO
  		S     0 %    
(11) BOONE & DARR INC

PO BOX 1718
ANN ARBOR,MI48106
38-1544262 		CONSTRUCTION MI NO
  		S     0 %    
(12) BRINE'S REFRIGERATION

26400 SOUTHFIELD RD
LATHRUP VILLAGE,MI48076
38-3019914 		CONSTRUCTION MI NO
  		S     0 %    
(13) BUMLER MECHANICAL

6260 18 1/2 MILE RD
STERLING HGTS,MI48314
20-1252207 		CONSTRUCTION MI NO
  		S     0 %    
(14) CARRIER CORPORATION

CARRIER PKWY BLDG TR-5
SYRACUSE,NY13221
 CONSTRUCTION NY NO
  		S     0 %    
(15) CLIMATE TECHNOLOGY HTG & AC

42692 PROCTOR
CANTON,MI48188
20-8681490 		CONSTRUCTION MI NO
  		S     0 %    
(16) COMMERCIAL CONTROLS INC

15391 W ELEVEN MILE RD
OAK PARK,MI48237
38-2050575 		CONSTRUCTION MI NO
  		S     0 %    
(17) COMPLETE MECHANICAL CONTRACT

38534 BROOKFIELD PLACE
WAYNE,MI48184
01-0583872 		CONSTRUCTION MI NO
  		S     0 %    
(18) COMPLETE REFRIGERATION

430 BISHOP RD SUITE B
BOWLING GREEN,OH43402
 CONSTRUCTION OH NO
  		S     0 %    
(19) CONSTRUCTION & TURNAROUND

4304 E 36 STREET NORTH
TULSA,OK74115
73-1471996 		CONSTRUCTION OK NO
  		C     0 %    
(20) CONTI MECHANICAL

6417 CENTER DRIVE
STERLING HGTS,MI48312
38-1884765 		CONSTRUCTION MI NO
  		S     0 %    
(21) CONTROLLED TEMPERATURE

1897 BEST DRIVE
WALLED LAKE,MI48390
38-1918949 		CONSTRUCTION MI NO
  		S     0 %    
(22) CR MEYER & SONS COMP

PO BOX 2157
OSHKOSH,WI54903
39-0467980 		CONSTRUCTION WI NO
  		S     0 %    
(23) DANBOISE MECHANICAL

31625 GRAND RIVER AVE
FARMINGTON,MI48336
41-2105440 		CONSTRUCTION MI NO
  		S     0 %    
(24) DE-CAL INC

24659 SCHOENHERR RD
WARREN,MI48089
38-3023202 		CONSTRUCTION MI NO
  		S     0 %    
(25) DELTA TEMP INC

500 AJAX DRIVE
MADISON HGTS,MI48071
38-1950675 		CONSTRUCTION MI NO
  		C     0 %    
(26) DETROIT PIPING GRP

38291 SCHOOLCRAFT SUITE 105
LIVONIA,MI48150
20-8120277 		CONSTRUCTION MI NO
  		S     0 %    
(27) DETROIT TEMP ENG INC

12490 GLOBE ROAD
LIVONIA,MI48150
38-1615742 		CONSTRUCTION MI NO
  		S     0 %    
(28) DUAL TEMP REFRIGERATION INC

33798 CAPITOL
LIVONIA,MI48150
38-2470904 		CONSTRUCTION MI NO
  		S     0 %    
(29) DUNBAR MECHANICAL INC

2806 NREYNOLDS RD PO BOX 352350
TOLEDO,OH43635
34-4467756 		CONSTRUCTION OH NO
  		S     0 %    
(30) EL MECHANICAL

PO BOX 34427
DETROIT,MI48234
26-3272095 		CONSTRUCTION MI NO
  		C     0 %    
(31) EASTERN MECHANICAL INC

6250 19 MILE ROD
STERLING HEIGHTS,MI48314
38-3119199 		CONSTRUCTION MI NO
  		S     0 %    
(32) ECKER MECH CONTROL INC

PO 190099
BURTON,MI48519
38-1806282 		CONSTRUCTION MI NO
  		S     0 %    
(33) FM SYLVAN INC

815 AUBURN AVE
PONTIAC,MI48342
22-3841378 		CONSTRUCTION MI NO
  		S     0 %    
(34) FONTANESI AND KANN COMPANY

13380 CAPITAL
OAK PARK,MI48237
38-1565917 		CONSTRUCTION MI NO
  		S     0 %    
(35) GEM INDUSTRIAL INC

6842 COMMODORE DRIVE
WALBRIDGE,OH43565
31-1036493 		CONSTRUCTION OH NO
  		S     0 %    
(36) GOYETTE MECHANICAL

PO BOX 33
FLINT,MI48501
38-1332690 		CONSTRUCTION MI NO
  		S     0 %    
(37) GREAT LAKES MECHANICAL

3800 MAPLE
DEARBORN,MI48126
38-1745758 		CONSTRUCTION MI NO
  		S     0 %    
(38) HALE CONTRACTING INC

18407 WEAVER
DETROIT,MI48228
38-3333233 		CONSTRUCTION MI NO
  		S     0 %    
(39) HENKELS & MCCOY INC

985 JOLLY ROAD
BLUE BELL,PA19422
02-3153562 		CONSTRUCTION PA NO
  		S     0 %    
(40) HOLLY CONSTRUCTION

5800 BELLEVILLE ROAD
BELLEVILLE,MI48111
38-2361545 		CONSTRUCTION MI NO
  		S     0 %    
(41) HONEYWELL INC

1985 DOUGLAS DRIVE NORTH MN 10-1457
GOLDEN VALLEY,MN55422
22-2640650 		CONSTRUCTION MN NO
  		C     0 %    
(42) HOYT BRUMM & LINK

1400 E 9 MILE RD
FERNDALE,MI48220
38-1948484 		CONSTRUCTION MI NO
  		S     0 %    
(43) HURST MECHANICAL

5800 SAFETY DRIVE
BELMONT,MI49306
38-2281804 		CONSTRUCTION MI NO
  		S     0 %    
(44) HUSSMANN SERVICES CORPORATION

3123 WILSON DR NW
GRAND RAPIDS,MI49534
43-0156220 		CONSTRUCTION MI NO
  		S     0 %    
(45) IDEAL HEATING COMPANY

18430 MORANG
DETROIT,MI48205
38-1711741 		CONSTRUCTION MI NO
  		S     0 %    
(46) JANSSEN REFRIGERATION COMPANY

26725 BUNERT
WARREN,MI48089
38-3392937 		CONSTRUCTION MI NO
  		S     0 %    
(47) JERGENS PIPING

21030 M-60
MENDON,MI49072
38-2480783 		CONSTRUCTION MI NO
  		S     0 %    
(48) JOHN E GREEN P&H CO

220 VICTOR
HIGHLAND PARK,MI48203
38-0607500 		CONSTRUCTION MI NO
  		S     0 %    
(49) JOHNSON CONTROLS INC

507 E MICHIGAN STREET
MILWAUKEE,WI53202
39-0380010 		CONSTRUCTION WI NO
  		C     0 %    
(50) KROPF SERVICE CO

33792 CAPITOL
LIVONIA,MI48150
38-2167403 		CONSTRUCTION MI NO
  		S     0 %    
(51) LAMSAR INC

PO BOX 611020
PORT HURON,MI48061
38-3550559 		CONSTRUCTION MI NO
  		S     0 %    
(52) LIMBACH COMPANY

PO BOX 420728
PONTIAC,MI48342
16-1622725 		CONSTRUCTION MI NO
  		C     0 %    
(53) LYON MECHANICAL INC

PO BOX 130
NEW HUDSON,MI48165
38-2528222 		CONSTRUCTION MI NO
  		S     0 %    
(54) MARBLE MECHANICAL

PO BOX 420728
BIRMINGHAM,MI48012
06-1758232 		CONSTRUCTION MI NO
  		S     0 %    
(55) MECHANICAL DESIGN & INSTALL

47924 WEST ROAD
WIXOM,MI48393
26-3415726 		CONSTRUCTION MI NO
  		S     0 %    
(56) MECHANICAL PIPING & PLUMBING

13235 PROSPECT
DEARBORN,MI48126
38-3230081 		CONSTRUCTION MI NO
  		S     0 %    
(57) MECHANICAL SERVICES INC

6380 GREEN ROAD
FENTON,MI48430
38-3479779 		CONSTRUCTION MI NO
  		S     0 %    
(58) METRO ENVIRONMENTAL INC

22656 FIFTEEN MILE ROAD
CLINTON TWP,MI48035
38-2659587 		CONSTRUCTION MI NO
  		C     0 %    
(59) METRO PIPING INC

1500 TROMBLY
DETROIT,MI48211
38-3575640 		CONSTRUCTION MI NO
  		S     0 %    
(60) MIDWEST REFRIGERATION CORP

900 E 61ST AVENUE
MERRILLVILLE,IN46410
35-1926370 		CONSTRUCTION IN NO
  		S     0 %    
(61) MILLER - BOLDT INC

42826 MOUND ROAD
STERLING HEIGHTS,MI48314
22-3877519 		CONSTRUCTION MI NO
  		S     0 %    
(62) MONROE PLBG & HTG

506 COOPER STREET
MONROE,MI48161
38-1296178 		CONSTRUCTION MI NO
  		S     0 %    
(63) NB PROCESSING INC

2025 LATIMER DRIVE
MUSKEGON,MI49442
38-2964796 		CONSTRUCTION MI NO
  		S     0 %    
(64) NORTH STAR REFRIGERATION

50650 CORPORATE DR
SHELBY TWP,MI48315
38-2807203 		CONSTRUCTION MI NO
  		S     0 %    
(65) OSCAR W LARSON NMA COMPANY

10080 DIXIE HWY
CLARKSTON,MI48348
36-4587871 		CONSTRUCTION MI NO
  		S     0 %    
(66) PHOENIX ENVIRONMENTAL

11042 HI TECH DRIVE
WHITMORE LAKE,MI48189
38-3397670 		CONSTRUCTION MI NO
  		C     0 %    
(67) PHOENIX REFRIGERATION

29333 LORIE LN
WIXOM,MI48393
30-0058938 		CONSTRUCTION MI NO
  		S     0 %    
(68) PIPE SYSTEMS INC

199 KAY INDUSTRIAL DR
LAKE ORION,MI48359
38-3629743 		CONSTRUCTION MI NO
  		S     0 %    
(69) POWER PROCESSING INC

45780 PORT STREET
PLYMOUTH,MI48170
38-2041808 		CONSTRUCTION MI NO
  		S     0 %    
(70) PREMIER REFRIGERATION CO

6650 HIGHLAND RD STE 311
WATERFORD,MI48327
38-2390938 		CONSTRUCTION MI NO
  		S     0 %    
(71) PROGRESSIVE MECHANICAL

10800 GALAXIE
FERNDALE,MI48220
38-2552170 		CONSTRUCTION MI NO
  		S     0 %    
(72) R & D MECHANICAL SYSTEMS

39111 W SIX MILE
LIVONIA,MI48152
38-3402166 		CONSTRUCTION MI NO
  		S     0 %    
(73) RW MEAD & SONS CO

33795 RIVIERA
FRASER,MI48026
38-3388367 		CONSTRUCTION MI NO
  		S     0 %    
(74) REFRIGERATION ENG INC

3123 WILSON DRIVE NW
GRAND RAPIDS,MI49534
22-3783678 		CONSTRUCTION MI NO
  		S     0 %    
(75) RENE VANASSCHE & SONS

21530 GROESBECK
WARREN,MI48089
38-1887156 		CONSTRUCTION MI NO
  		S     0 %    
(76) RMF NOOTER INC

915 MATZINGER ROAD
TOLEDO,OH43612
 CONSTRUCTION OH NO
  		C     0 %    
(77) SACHS ELECTRIC

PO BOX 96
ST LOUIS,MO63166
43-0911363 		CONSTRUCTION MO NO
  		S     0 %    
(78) SCHECK TECHNICAL SERVICES

500 E PLAINFIELD ROAD
COUNTRYSIDE,IL60525
36-3442807 		CONSTRUCTION IL NO
  		S     0 %    
(79) SEAWAY MECH CONTR

650 W JEFFERSON
TRENTON,MI48183
38-1557953 		CONSTRUCTION MI NO
  		S     0 %    
(80) SIEMENS BUILDING TECHNOLOGIES

45470 COMMERCE CENTER DR
PLYMOUTH TWP,MI48170
13-2762488 		CONSTRUCTION MI NO
  		C     0 %    
(81) SOLID REFRIGERATION

1125 AMERICAN BLVD E
BLOOMINGTON,MN55420
20-1357847 		CONSTRUCTION MN NO
  		S     0 %    
(82) SONGER STEEL SVCS

2755A PARK AVENUE
WASHINGTON,PA15301
25-1480393 		CONSTRUCTION PA NO
  		C     0 %    
(83) STAFFORD-SMITH INC

3414 S BURDICK
KALAMAZOO,MI49001
38-1059585 		CONSTRUCTION MI NO
  		S     0 %    
(84) SUMMIT CONTRACTORS INC

PO BOX 219
HASLETT,MI48840
38-3441559 		CONSTRUCTION MI NO
  		S     0 %    
(85) SWISSLOG TRANSLOGIC CORP

10825 E 47TH AVENUE
DENVER,CO80239
84-0911610 		CONSTRUCTION CO NO
  		C     0 %    
(86) SYSTEMP CORPORATION

3909 INDUSTRIAL DRIVE
ROCHESTER HILLS,MI48309
38-3090285 		CONSTRUCTION MI NO
  		S     0 %    
(87) TEMPCO MECHANICAL CONTRACTORS

24383 INDOPLEX CIRCLE
FARMINGTON HILLS,MI48335
38-2172742 		CONSTRUCTION MI NO
  		S     0 %    
(88) TEMPERATURE SERVICES

37107 SCHOOCRAFT
LIVONIA,MI48150
38-2447830 		CONSTRUCTION MI NO
  		S     0 %    
(89) TH EIFERT MECH CONTRACTORS

3302 WEST ST JOSEPH
LANSING,MI48917
38-2658387 		CONSTRUCTION MI NO
  		S     0 %    
(90) TRANE

37001 INDUSTRIAL ROAD
LIVONIA,MI48150
 CONSTRUCTION MI NO
  		C     0 %    
(91) US REFRIGERATION

8655 SOUTHFIELD ROAD
DETROIT,MI48228
38-1913775 		CONSTRUCTION MI NO
  		S     0 %    
(92) VANGUARD ENERGY SERVICES INC

PO BOX 546
PINCKNEY,MI48169
38-3149745 		CONSTRUCTION MI NO
  		S     0 %    
(93) WJ O'NEIL COMPANY

35457 INDUSTRIAL ROAD
LIVONIA,MI48150
38-2489126 		CONSTRUCTION MI NO
  		S     0 %    
(94) URS ENERGY & CONSTR INC - MI

PO BOX 1136
MONROE,MI48161
34-0217470 		CONSTRUCTION MI NO
  		C     0 %    
(95) WATSON BROS SERVICE COPANY

3433 ELECTRIC AVE
PORT HURON,MI48060
38-3568239 		CONSTRUCTION MI NO
  		S     0 %    
(96) WEBB MECH & ELEC CONTRACTORS

12681 DELTA DR
TAYLOR,MI48180
38-3272253 		CONSTRUCTION MI NO
  		S     0 %    
(97) WESTERN MECH CONTR

22630 15 MILE ROAD
CLINTON TWP,MI48035
38-2492950 		CONSTRUCTION MI NO
  		S     0 %    
(98) WHITE REFRIGERATION INC

7920 W ORLAND ROAD
ANGOLA,IN46703
35-2045457 		CONSTRUCTION IN NO
  		S     0 %    
(99) WILLIAM E WALTER INC

1917 HOWARD AVE
FLINT,MI48503
38-1227478 		CONSTRUCTION MI NO
  		S     0 %    
(100) WITT MECHANICAL INC

28722 WALL STREET
WIXOM,MI48393
38-3334606 		CONSTRUCTION MI NO
  		S     0 %    
(101) WM FLOYD HEATING & COOLING CO

G-7298 FENTON RD
GRAND BLANC,MI48439
 CONSTRUCTION MI NO
  		S     0 %    
(102) WOOD REFRIGERATION

11336 EAGLE WAY
BRIGHTON,MI48114
61-1527372 		CONSTRUCTION MI NO
  		S     0 %    
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) VARIOUS

 r   COL. BARGAINING AGREEMENT





Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


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