2023-07-25T11:52:15-05:00 2022-12-31 320043599 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CENTER STE 700 WESTCHESTER IL 60154 990 2022-01-01 362365968 UFCW L1546 FOOD HANDLERS WELFARE FUND C/O ZENITH AMERICAN SOLUTIONS UFCW 3126491200 2625 BUTTERFIELD ROAD 208E OAKBROOK IL 60523 BOB O'TOOLE BOARD CHAIRMAN 3126491200 2023-07-25 1 BOB OTOOLE 999009999 0 ADAM SIMAGA P01649025 3123680500 2023-07-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BOB O'TOOLE 2625 BUTTERFIELD ROAD 208E OAKBROOK IL 60523 122302930 0 X N/A X 1956 IL PROVIDE HEALTH BENEFITS. 6 6 0 0 0 0 0 0 27131292 28103301 185275 -1023877 0 56 27316567 27079480 0 0 19791038 22425498 0 0 0 0 0 1902313 2138087 21693351 24563585 5623216 2515895 34155400 35068817 297693 325088 33857707 34743729 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND ACCIDENTAL DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 0 0 0 1 1 0 1 0 1 0 0 0 X ZENITH AMERICAN SOLUTIONS 3126491200 2625 BUTTERFIELD ROAD SUITE 208E OAKBROOK IL 60523 X GERALD M KOLB TRUSTEE 1.00 X 0 0 0 DAVID KALUZNY II TRUSTEE 0.50 X 0 0 0 BOB O'TOOLE TRUSTEE 1.00 X 0 0 0 JONATHAN WILLIGMAN TRUSTEE 0.50 X 0 0 0 MARIO MARIN TRUSTEE 0.50 X 0 0 0 KIMBERLY ZUBRICKAS TRUSTEE 0.50 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH ST CHICAGO IL 60601 PPO PROVIDER 910745 ZENITH AMERICAN SOLUTIONS 2625 BUTTERFIELD SUITE 208E OAKBROOK IL 60523 CONTRACT ADMINISTRATOR 740861 2 EMPLOYER CONTRIBUTIONS 900099 26750706 26750706 PRESCRIPTION DRUG REBATES 900099 1314663 1314663 PARTICIPANTS CONTRIB. 900099 31227 31227 SUBROGATION REFUNDS 900099 6705 6705 28103301 723085 723085 93476488 95223450 -1746962 -1746962 -1746962 MISCELLANEOUS 900099 56 56 56 27079480 28103301 0 -1023821 22425498 612965 71879 51232 136109 1001155 56085 4997 25808 FIELD REPRESENTATIVE EX 92693 COST CONTAINMENT FEES 71999 FEES MANDATED BY ACA 13165 24563585 428447 315892 1639520 1672697 56851 40080 22000 22000 30925880 32126578 1082702 891570 34155400 35068817 146074 167689 151619 157399 297693 325088 X 0 0 0 0 33857707 34743729 33857707 34743729 34155400 35068817 2515895 -1629873 0 X 0 1 X 1 0 0 FEES MANDATED BY ACA 12377 DUE TO BROKER 145022 157399 X 25313498 -1629873 -1629873 26943371 136109 136109 27079480 24427476 0 24427476 136109 136109 24563585 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. FORM 990, PART VI, SECTION A, LINE 3 EVEN THOUGH THE TRUSTEES RETAIN THE ULTIMATE RESPONSIBILITY, THE PLAN IS ADMINISTERED AND MANAGED ON A DAY TO DAY BASIS BY ZENITH AMERICAN SOLUTIONS, A THIRD PARTY ADMINISTRATOR AS DIRECTED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING. AFTER THE BOARDS' THOROUGH REVIEW, THE FORM IS APPROVED, SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C A FIDUCIARY TO THE FUND IS REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST TO BOTH THE FUND ADMINISTRATOR AND THE TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST THROUGH THE FUND'S THIRD PARTY ADMINISTRATOR. NEW HORIZON CHRISTIAN CENTER CONTRIBUTING EMPLOYER 0 GEORGIOU LLC CONTRIBUTING EMPLOYER 0 0 HELLAS MANAGEMENT LLC CONTRIBUTING EMPLOYER 0 0 OSI INDUSTRIES LLC CONTRIBUTING EMPLOYER 0 0 EON PROPERTY MANAGEMENT LLC CONTRIBUTING EMPLOYER 0 0 RWB GROUP LLC CONTRIBUTING EMPLOYER 0 0 A W R WELDING INC CONTRIBUTING EMPLOYER 0 ADAM & EVE HAIR DESIGN INC DBA ENTOURAGE HAIR SALON AND SPA CONTRIBUTING EMPLOYER 0 ALLIANCE POULTRY FARMS INC CONTRIBUTING EMPLOYER 0 ANTON FINANCIAL SERVICE CORP CONTRIBUTING EMPLOYER 0 BERNARD FOOD INDUSTRY INC CONTRIBUTING EMPLOYER 0 C & N BROTHERS LTD CONTRIBUTING EMPLOYER 0 CARL BUDDIG & CO CONTRIBUTING EMPLOYER 0 CHICAGO SUBURBAN LUMBER SALES INC CONTRIBUTING EMPLOYER 0 COLUMBUS MEATS INC CONTRIBUTING EMPLOYER 0 CONSUMERS PACKING COMPANY INC CONTRIBUTING EMPLOYER 0 COUGLE COMMISSION COMPANY CONTRIBUTING EMPLOYER 0 DANIELSON FOOD PRODUCTS CONTRIBUTING EMPLOYER 0 DEKALB COUNTY PACKING CONTRIBUTING EMPLOYER 0 DEVON AVENUE MEATS CONTRIBUTING EMPLOYER 0 DINO'S SPORTS FAB SHOP INC CONTRIBUTING EMPLOYER 0 FARM CITY FOODS CONTRIBUTING EMPLOYER 0 FISH KEG CONTRIBUTING EMPLOYER 0 GEORGE'S RESTAURANT CONTRIBUTING EMPLOYER 0 H R R ENTERPRISES CONTRIBUTING EMPLOYER 0 INDUSTRIAL PLANT EQUIPMENT CONTRIBUTING EMPLOYER 0 JFC INTERNATIONAL INC CONTRIBUTING EMPLOYER 0 KALUZNY BROTHERS INC CONTRIBUTING EMPLOYER 0 LAGROU OPERATIONS CONTRIBUTING EMPLOYER 0 LONG SHOT TO WIN CONTRIBUTING EMPLOYER 0 LUCHA'S BEAUTY SHOP CONTRIBUTING EMPLOYER 0 MICKEY'S GYROS XI INC CONTRIBUTING EMPLOYER 0 MIDWAY WHOLESALE PROVISION INC CONTRIBUTING EMPLOYER 0 MIDWEST RECYCLING CO CONTRIBUTING EMPLOYER 0 MOMENCE PACKING COMPANY CONTRIBUTING EMPLOYER 0 OAK MANAGEMENT CONTRIBUTING EMPLOYER 0 ORIGINAL SCOOPS CHICAGO INC CONTRIBUTING EMPLOYER 0 QUALITY SNACK FOODS INC CONTRIBUTING EMPLOYER 0 RICHELIEU FOODS INC CONTRIBUTING EMPLOYER 0 SUPREME LOBSTER CONTRIBUTING EMPLOYER 0 UNILEVER-KILBORN CONTRIBUTING EMPLOYER 0 UNITED WHOLESALE GRUB & SUPPLIES CONTRIBUTING EMPLOYER 0 VERTICAL HOLDING DBA VERTICAL HR CONTRIBUTING EMPLOYER 0 VITA FOOD PRODUCTS INC CONTRIBUTING EMPLOYER 0 WEST BEVERLY NEWS CONTRIBUTING EMPLOYER 0 WILSON-MCSHANE CORPORATION CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1