2024-03-27T10:01:49-05:00 2022-06-30 470900880 CALIBRE CPA GROUP PLLC 230 WEST MONROE ST STE310 CHICAGO IL 60606 990 2021-07-01 366117757 MISC WHSMENS LOCAL 781 H & W FUND MISC 8472989999 747 CHURCH ROAD BUILDING D ELMHURST IL 60126 PAUL J STRIPLING TRUSTEE 8472989999 2024-03-27 1 PAUL STRIPLING 999009999 COREY BILKEY P00499751 3126550037 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X PAUL J STRIPLING 747 CHURCH ROAD BUILDING D ELMHURST IL 60126 15015914 0 X N/A X 1960 IL TO PROVIDE HEALTH BENEFITS AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS. 4 2 0 0 0 0 0 0 10129769 9644152 2142117 2337397 39000 0 12310886 11981549 0 0 8904687 8217195 0 0 0 0 0 696543 710863 9601230 8928058 2709656 3053491 24763111 23381984 1300979 615623 23462132 22766361 TO PROVIDE HEALTH BENEFITS AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS. 0 0 THE PLAN IS MAINTAINED PURSUANT TO A NUMBER OF COLLECTIVE BARGAINING AGREEMENTS AND PROVIDES FOR EMPLOYEE DEATH, DISABILITY, MEDICAL, HOSPITALIZATION, SURGICAL, PRESCRIPTION, DENTAL, VISION, AND MENTAL HEALTH BENEFITS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 X 4 2 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X PAUL J STRIPLING 8472989999 747 CHURCH ROAD BUILDING D ELMHURST IL 60126 DAVID ABRAMSON MANAGEMENT TRUSTEE 1.00 X 0 0 0 BARBARA BRIDGER MANAGEMENT TRUSTEE 1.00 X 0 0 0 PAUL J STRIPLING LABOR TRUSTEE 6.00 40.00 X 0 212552 32938 TRACY L TREADWELL LABOR TRUSTEE 2.00 40.00 X 0 151354 32938 0 363906 65876 0 0 1 0 BLUE CROSS BLUE SHIELD 300 E RANDOLPH ST CHICAGO IL 60601 PPO NETWORK PROVIDER 346119 GROUP ADMINISTRATORS LTD 953 AMERICAN LANE SCHAUMBURG IL 60173 THIRD PARTY ADMINISTRATOR 147404 2 EMPLOYER CONTRIBUTIONS 525100 9569887 9569887 EMPLOYEE CONTRIBUTIONS 525100 74265 74265 9644152 626859 626859 4744903 3034365 1710538 1710538 1710538 11981549 9644152 0 2337397 8217195 17193 29290 61829 540564 50951 8527 ACA FEES AND ASSESSMENT 2509 8928058 3484958 3393423 841004 968358 239854 268761 11604 11429 1180 1180 0 0 17775190 15666640 2216488 2755606 194013 317767 24763111 23381984 8788 13780 1292191 601843 1300979 615623 X 0 0 0 0 23462132 22766361 23462132 22766361 24763111 23381984 3053491 -3749262 0 X X 0 1 X 1 0 1180 1180 0 0 ASB ALLEGIANCE RE FUND 1319437 F PIMCO LOAN INTEREST AND CREDIT OFFSHORE FUND 1875 F U.S. REAL ESTATE INVESTMENT FUND LLC 1434294 F 2755606 CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 601843 601843 X 8170458 -3749262 -3749262 11919720 61829 61829 11981549 9556577 0 9556577 61829 -690348 -628519 8928058 PART X, LINE 2: THE PLAN HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF JUNE 30, 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO THE YEAR ENDED JUNE 30, 2019. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS INCURRED BUT NOT REPORTED -690,348. 0 0 0 PAUL J STRIPLING LABOR TRUSTEE 0 209531 0 0 0 3021 0 0 0 32938 0 245490 0 0 TRACY L TREADWELL LABOR TRUSTEE 0 148418 0 0 0 2936 0 0 0 32938 0 184292 0 0 FORM 990, PART VI, SECTION A, LINE 2 MANAGEMENT TRUSTEE DAVID ABRAMSON AND MANAGEMENT TRUSTEE BARBARA BRIDGER HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES OTHER THAN THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE TRUSTEES OF THE FUND REVIEWED THE FORM 990 IN DETAIL WITH THE PREPARER PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH TRUSTEE WILL BE REQUIRED TO STATE ANNUALLY THAT HE HAS REVIEWED THE POLICY AND DOES NOT HAVE ANY CONFLICTS OR, IF THERE IS A CONFLICT,THE TRUSTEE IS REQUIRED TO INDICATE WHAT IT IS. FORM 990, PART VI, SECTION C, LINE 19 THE FUND'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST FROM THE FUND'S OFFICE. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, ITEM B - AMENDED RETURN THE 2021 FORM 990 WAS AMENDED TO CORRECT AN INPUT ERROR. THE AMOUNT $8,217,195 WAS INCLUDED IN PART IX, LINE 3 AND SHOULD HAVE BEEN INCLUDED IN PART IX, LINE 4 - BENEFITS PAID TO OR FOR MEMBERS. THE AMENDED RETURN CORRECTS THIS. NO OTHER CHANGES TO THE RETURN WAS MADE. MISC WAREHOUSEMEN LOCAL 781 UNION 747 CHURCH RD ELMHURST IL 60126 361757753 LABOR UNION IL 501(C)(5) 0 AALIED DIE CASTING AMERICAN PRESIDENT ASHLAND COLD STOR BEAR STEWART BERKSHIRE DRIVERS BERKSHIRE WAREHOUSE CASE PAPER CATCO O'HARE INC CERTIFIED AUTOMOTIVE CERTIFIED WAREHOUSE CHICAGOLAND QUAD FREEWAY FORD TRUCK GERBER GLASS GLASS AND MIRROR AMERICA LANG ICE M&M GLASS MIDLAND WHSE NEMETH WAREHOUSE NEXEO SOLUTIONS PATSON PERLOW STEEL RAPID DISPLAY SUNNYSIDE CORP BATORY FOODS WESTERN SLATE HAMPSHIRE 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0