2023-07-12T10:46:28-05:00 2022-08-31 430765316 RUBINBROWN LLP 1200 MAIN STREET SUITE 1000 KANSAS CITY MO 64105 990 2021-09-01 440569165 INTERNATIONAL BROTHERHOOD OF ELETRL WORKERS HLTH & WLFR FND LOCAL 124 INTE 8169430277 305 E 103RD TERRACE KANSAS CITY MO 64114 KENNETH C BORDENBO MORENO TRUSTEES 8169430277 2023-07-11 1 KENNETH BORDENBO MORENO 999009999 MATTHEW C HALL P01573021 8164721122 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z KENNETH C BORDEN 305 E 103RD TERRACE KANSAS CITY MO 64114 57623450 0 X N/A X 1952 MO SEE SCHEDULE O 6 6 0 7 0 0 0 0 40594913 45551012 1502663 1005620 984246 1306103 43081822 47862735 0 0 39389190 41525993 0 0 0 0 0 2696537 3042368 42085727 44568361 996095 3294374 53905804 53387788 712379 344297 53193425 53043491 X SEE SCHEDULE OTO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS OF THE I.B.E.W. LOCAL UNION NO. 124, THEIR DEPENDENTS AND BENEFICIARIES AND CERTAIN NONMEMBER EMPLOYEES OF CONTRIBUTING EMPLOYERS. 0 0 THE PLAN PAYS MEDICAL, DENTAL, VISION, SICKNESS, AND DEATH BENEFITS ON BEHALF OF APPROXIMATLEY 3,000 UNION MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 665 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X KEVIN SMITH 8169430277 305 E 103RD TERRACE KANSAS CITY MO 64114 X X KENNETH C BORDEN CHAIRMAN, TRUSTEE 2.00 X X 0 0 0 BO MORENO SECRETARY, TRUSTEE 2.00 X X 0 0 0 GREGORY P CIANCIOLO TRUSTEE UNTIL 3/22/22 1.00 X 0 0 0 TODD HOWERTON TRUSTEE 1.00 X 0 0 0 DONALD G LAFFOON TRUSTEE 1.00 X 0 0 0 MICHAEL QUARLES TRUSTEE 1.00 X 0 0 0 RYAN LEE TRUSTEE AS OF 3/22/22 1.00 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD PO BOX 219454 KANSAS CITY MO 64121 ADMINISTRATIVE SERVICES 946262 ARNOLD NEWBOLD SOLLARS AND HOLLINS 1100 MAIN STREET KANSAS CITY MO 64105 LEGAL SERVICES 166751 2 EMPLOYER CONTR. 900099 42179259 42179259 PARTICIPANT CONTR. 900099 3371753 3371753 45551012 1217192 1217192 9549143 9760715 -211572 -211572 -211572 REBATE INCOME 812900 1146580 1146580 COBRA SUBSIDY 812900 159523 159523 1306103 47862735 46857115 0 1005620 41525993 261456 56466 234117 1043237 25526 64387 17467 19187 HEALTH PROVIDER FEES 1066042 DATA PROCESSING 135360 POSTAGE 25212 BANK CHARGES 23494 70417 44568361 0 54943 2056961 4594421 4698938 4022254 13727 70714 327301 327301 0 0 42467770 39000429 4337883 5566204 330525 78823 53905804 53387788 453599 116418 3424 258780 224455 712379 344297 X 0 0 0 0 53193425 53043491 53193425 53043491 53905804 53387788 3294374 -3444308 0 X 0 1 X 1 0 327301 327301 0 0 U.S. REAL ESTATE INVESTMENT FUND, LLC 5566204 F 5566204 RECIPROCAL TRANSFERS 224455 224455 44418427 -3444308 -3444308 47862735 0 47862735 44568361 0 44568361 0 44568361 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 50790 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 16673 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 1230 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 789 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 577 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 269 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 267 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 85 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION OVERPAID AT YEAR END X 23 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION OVERPAID AT YEAR END X 40 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION OVERPAID AT YEAR END X 3361 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 34 0 0 0 74138 FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS OF THE I.B.E.W. LOCAL UNION NO. 124, THEIR DEPENDENTS AND BENEFICIARIES AND CERTAIN NONMEMBER EMPLOYEES OF CONTRIBUTING EMPLOYERS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM, REVIEWED BY THE CONTROLLER, THEN PROVIDED VIA EMAIL TO THE BOARD OF TRUSTEES FOR THEIR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FORM 990, PART VII COMPENSATION OF TRUSTEES INTERNATIONAL BROTHERHOOD OF ELETRL WORKERS HLTH & WLFR FND LOCAL 124 DOES NOT COMPENSATE TRUSTEES. COMPENSATION PAID BY RELATED TAX-EXEMPT ORGANIZATIONS TO TRUSTEES IS REPORTED TO THE INTERNAL REVENUE SERVICE ON FORMS 990 FOR THE FOLLOWING ORGANIZATIONS: INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS 0124 LOCAL EIN: 44-0296395 BO MORENO RYAN LEE GREG CIANCIOLO TODD HOWERTON NATIONAL ELECTRICAL CONTRACTORS ASSOCIATION INC GREATER KC CHAPTER EIN: 44-0267507 KENNETH C. 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