2025-04-16T14:31:43-05:00 2024-06-30 320043599 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CTR STE 700 WESTCHESTER IL 60154 990 2023-07-01 362229735 MID-AMERICA CARPENTERS REGIONAL COUNCIL HEALTH FUND CHIC 3127879455 12 EAST ERIE STREET CHICAGO IL 60611 KEVIN MCLAUGHLIN TRUSTEE 3127879455 2025-04-16 1 0 GREG WALLENBECKER P01451145 3123680500 2025-04-16 2023 2025-03-06 01:10:19Z GARY PERINAR JR 12 EAST ERIE STREET CHICAGO IL 60611 581643235 0 X WWW.CARPENTERBENEFITS.ORG X 1953 IL HEALTH BENEFIT FUND 12 6 0 0 0 0 0 0 300611286 303923662 20963541 19971677 1756 219405 321576583 324114744 0 0 316605177 345892449 0 0 0 0 0 11666257 11542888 328271434 357435337 -6694851 -33320593 921344155 921762741 47996856 26372731 873347299 895390010 TO PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE HEALTH CARE, PRESCRIPTION, DENTAL, VISION, LIFE AND ACCIDENT, AND DISABILITY BENEFITS FOR ELIGIBLE PLAN PARTICIPANTS AND/OR THEIR DEPENDENTS IN ACCORDANCE WITH THE PLAN DOCUMENT AND SCHEDULE OF 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 1 0 0 0 0 0 0 0 1 0 0 1 57 0 1 0 0 0 0 0 0 0 0 0 0 0 X 12 6 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 1 1 1 1 0 X KRISTINA GUASTAFERRI 3127879455 12 E ERIE STREET CHICAGO IL 60611 GERALD W THIEL JR TRUSTEE 2.00 X 0 0 0 KEVIN GESHWENDER TRUSTEE 2.00 X 0 0 0 MIKE FOREST TRUSTEE 2.00 X 0 0 0 GEORGE TUHOWSKI III TRUSTEE 2.00 X 0 0 0 JOEL POGOSE TRUSTEE 2.00 40.00 X 0 291468 140353 MICHAEL SUDOL TRUSTEE 2.00 X 0 0 0 JOHN M JARGER TRUSTEE 2.00 40.00 X 0 273652 137985 GARY PERINAR JR TRUSTEE 2.00 40.00 X 0 396655 170112 JEFFREY ISAACSON TRUSTEE - PAST 2.00 40.00 X 0 460203 154430 THOMAS RYAN JR TRUSTEE 2.00 40.00 X 0 203524 115817 BRETT SZABO TRUSTEE 2.00 X 0 0 0 KEVIN MCLAUGHLIN TRUSTEE - NEW 2.00 40.00 X 0 264787 132073 WADE BEASLEY TRUSTEE - NEW 2.00 40.00 X 0 213996 130134 KRISTINA GUASTAFERRI EXECUTIVE DIRECTOR 20.00 20.00 X 0 327880 77064 BREANNA RADTKE ADMINISTRATOR 20.00 20.00 X 0 167225 77064 TIM DROGOS CONTROLLER 20.00 20.00 X 0 186875 77064 BRIAN LESTERS IT MANAGER 20.00 20.00 X 0 149164 77064 SHARI BOBOWSKI RETIREMENT BENEFITS MGR. 20.00 20.00 X 0 144159 77064 VENETIA HALSELL HEALTH BENEFITS MGR. 40.00 X 0 124373 77064 JOHN CONKLIN PAYROLL AUDIT MGR. 20.00 20.00 X 0 120000 77064 0 3323961 1520352 0 0 1 0 BLUE CROSS BLUE SHIELD OF ILLINOIS 300 E RANDOLPH ST CHICAGO IL 60601 PPO NETWORK PROVIDER 8112750 PREMISE HEALTH EMPLOYER SOLUTIONS LLC 550 MARYLAND WAY SUITE 200 BRENTWOOD TN 37027 MEDICAL STAFFING AGENCY 2292969 EXPRESS SCRIPTS ONE EXPRESS SCRIPTS WAY ST LOUIS MO 63121 PHARMACY BENEFIT MANAGER 821943 WELLINGTON MANAGEMENT COMPANY LLC 280 CONGRESS STREET BOSTON MD 02210 INVESTMENT MANAGER 681074 MCGANN KETTERMAN & RIOUX 111 EAST WACKER DRIVE SUITE 2600 CHICAGO IL 60601 LEGAL 349002 15 EMPLOYER CONTRIBUTIONS 900099 242014385 242014385 PARTICIPANT CONTRIBUTIONS 900099 58553326 58553326 CLASS ACTION JUDGEMENT 900099 2188494 2188494 MEDICARE PART D SUBSIDY 900099 812306 812306 LIQUIDATED DAMAGES 900099 327699 327699 27452 27452 303923662 20888470 20888470 256611698 257528491 -916793 -916793 -916793 MISCELLANEOUS 900099 219405 219405 219405 324114744 303923662 0 20191082 345892449 458630 100852 1173616 454421 284298 65138 287865 221550 38864 SHARED ADM. EXP. REIMB. 8321199 FEES MANDATED BY ACA 136455 357435337 1869272 3916713 25715028 25314522 7500 7500 1878490 1336124 763917 542366 356996230 376868054 486209984 497243372 49782224 17870214 921344155 921762741 653127 1259780 47343729 25112951 47996856 26372731 X 0 0 0 0 873347299 895390010 873347299 895390010 921344155 921762741 -33320593 55363304 0 X 0 1 X 1 0 1394747 879580 515167 483743 456544 27199 542366 INVESCO UBC RUSSELL 3000 INDEX FUND 252450614 F NT COM DAILY GOVT/CR BD INDEX FUND 96832086 F WELLINGTON TRUST 78607758 F INTERCONTINENTAL REAL ESTATE INVESTMENT FUND 42183964 F ULLICO SEP ACCOUNT W1 17957550 F COLLATERAL HELD FOR SEC'S ON LOAN 9211400 F 497243372 DUE TO BROKERS 14209328 LIABILITY TO RETURN COLLATERAL HELD FOR SECURITIES ON LOAN 9211400 RECIPROCITY PAYABLE 1023862 DUE TO RELATED FUND 482798 FEES MANDATED BY ACA 136455 DEFERRED LEASE INCENTIVE 49108 25112951 X 378304432 55363304 55363304 322941128 1173616 1173616 324114744 356261721 0 356261721 1173616 1173616 357435337 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. X X X 0 0 0 JEFFREY ISAACSON TRUSTEE - PAST 0 417518 0 0 0 42685 0 131313 0 23117 0 614633 0 0 GARY PERINAR JR TRUSTEE 0 392408 0 0 0 4247 0 146995 0 23117 0 566767 0 0 JOEL POGOSE TRUSTEE 0 289401 0 0 0 2067 0 117236 0 23117 0 431821 0 0 JOHN M JARGER TRUSTEE 0 269797 0 0 0 3855 0 114868 0 23117 0 411637 0 0 KRISTINA GUASTAFERRI EXECUTIVE DIRECTOR 0 319655 0 0 0 8225 0 52021 0 25043 0 404944 0 0 KEVIN MCLAUGHLIN TRUSTEE - NEW 0 259142 0 0 0 5645 0 108956 0 23117 0 396860 0 0 WADE BEASLEY TRUSTEE - NEW 0 211535 0 0 0 2461 0 107017 0 23117 0 344130 0 0 THOMAS RYAN JR TRUSTEE 0 198019 0 0 0 5505 0 92700 0 23117 0 319341 0 0 TIM DROGOS CONTROLLER 0 186875 0 0 0 0 0 52021 0 25043 0 263939 0 0 BREANNA RADTKE ADMINISTRATOR 0 167225 0 0 0 0 0 52021 0 25043 0 244289 0 0 BRIAN LESTERS IT MANAGER 0 149164 0 0 0 0 0 52021 0 25043 0 226228 0 0 SHARI BOBOWSKI RETIREMENT BENEFITS MGR. 0 144159 0 0 0 0 0 52021 0 25043 0 221223 0 0 VENETIA HALSELL HEALTH BENEFITS MGR. 0 124373 0 0 0 0 0 52021 0 25043 0 201437 0 0 JOHN CONKLIN PAYROLL AUDIT MGR. 0 120000 0 0 0 0 0 52021 0 25043 0 197064 0 0 GARY PERINAR JR TRUSTEE IS A MEMBER OF BOARD OF DIRECTORS AT AMALGAMATED BANK OF CHICAGO 295843 INVESTMENT MANAGEMENT, CUSTODIAL AND SECURITY LENDING FEES PAID BY PLAN TO BANK 0 GARY PERINAR JR TRUSTEE IS A MEMBER OF BOARD OF DIRECTORS AT BLUE CROSS BLUE SHIELD OF IL 5170395 FEES PAID TO PPO NETWORK PROVIDER BY THE PLAN 0 FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES HAS DESIGNATED THE CHAIRMAN AND ADMINISTRATOR WITH THE RESPONSIBILITY TO REVIEW THE FORM 990. AFTER THEIR REVIEW AND APPROVAL, THE FORM IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES ARE REQUIRED TO DISCLOSE ANY NONADHERANCE TO THE ADOPTED POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S SALARY WAS REVIEWED BY AN INDEPENDENT CONSULTANT AND IS DOCUMENTED IN A WRITTEN CONTRACT UPON HIRING. SALARIES OF THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES ARE APPROVED ANNUALLY BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. 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