2022-06-13T11:17:12-05:00 2022-01-31 470900880 CALIBRE CPA GROUP PLLC 19615 S LAGRANGE ROAD MOKENA IL 60448 990 2021-02-01 362153764 INTERNATIONAL BROTHERHOOD OF TEAMSTERS 710 HEALTH & WELFARE FUND INTE 7732542500 9000 W 187TH STREET MOKENA IL 60448 SAMUEL PILGER TRUSTEE 7732542500 2022-06-13 1 SAMUEL PILGER 999009999 CHARLES DIGIOVANNI P00284901 7089957180 2022-06-13 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z SAMUEL PILGER 9000 W 187TH STREET MOKENA IL 60448 111013179 0 X N/A X 1950 IL TO PROVIDE HEALTH BENEFITS TO THE ELIGIBLE PARTICIPANTS AND DEPENDENTS OF INTERNATIONAL BROTHERHOOD OF TEAMSTERS 710 HEALTH & WELFARE FUND. 6 6 14 0 0 0 0 0 50297633 48302699 3374948 2770307 104921 79 53777502 51073085 0 0 41002716 46098320 1114788 1075409 0 0 0 996790 1124673 43114294 48298402 10663208 2774683 121648374 125695095 8259673 7854557 113388701 117840538 TO PROVIDE HEALTH BENEFITS TO THE ELIGIBLE PARTICIPANTS AND DEPENDENTS OF INTERNATIONAL BROTHERHOOD OF TEAMSTERS 710 HEALTH & WELFARE FUND. 0 0 TO PROVIDE HEALTH, LIFE, TEMPORARY DISABILITY, ACCIDENTAL DEATH AND DISMEMBERMENT, PRESCRIPTION DRUGS, DENTAL AND VISION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 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 1 0 0 0 0 0 0 1 0 0 1 731 0 1 14 1 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X MICHAEL O'MALLEY 7732542500 9000 W 187TH STREET MOKENA IL 60448 SAMUEL D PILGER SECRETARY TREASURER/TRUSTE 1.00 X 0 0 0 GARY CALDWELL TRUSTEE 1.00 X 0 0 0 BERNARD T SHERLOCK TRUSTEE 1.00 45.00 X 0 137500 55607 DELMAR SCHAEFER TRUSTEE 1.00 45.00 X 0 172835 55735 MICHAEL J CALES CHAIRMAN/TRUSTEE 1.00 45.00 X 0 197130 55735 RYAN THIBODEAU FORMER TRUSTEE 1.00 X 0 0 0 DAN HOYER TRUSTEE 1.00 X 0 0 0 BRIAN O'MALLEY FORMER ADMINISTRATOR 25.00 25.00 X 217877 0 36224 MICHAEL O'MALLEY ADMINISTRATOR 25.00 25.00 X 153257 0 54398 371134 507465 257699 2 0 1 0 BLUE CROSS BLUE SHIELD 300 E RANDOLPH CHICAGO IL 60601 BENEFIT CONTRACT ADMINISTRATOR 1527965 UNITED ACTUARIAL SERVICES INC 11590 N MERIDIAN ST 610 CARMEL IN 46032 ACTUARIAL 113695 2 EMPLOYER CONTRIBUTIONS 900099 47460379 47460379 PARTICIPANT CONTRIBUTI 900099 350687 350687 RETIREE CONTRIBUTIONS 900099 234859 234859 COBRA SUBSIDY 900099 139187 139187 CLAIMS REFUNDS AND SET 900099 117587 117587 48302699 1355264 1355264 61355137 59940094 1415043 1415043 1415043 MISCELLANEOUS INCOME 900099 79 79 79 51073085 48302778 0 2770307 46098320 215832 461734 193219 157896 46728 218431 94660 160164 131987 140654 156197 119085 28936 9540 65019 48298402 4064379 5241143 3416398 1609536 5462324 5207359 32671 48452 663551 631717 33589 31834 68820993 72509442 39640970 40772001 177050 275328 121648374 125695095 101703 119024 8157970 7735533 8259673 7854557 X 0 0 0 0 113388701 117840538 113388701 117840538 121648374 125695095 2774683 1677154 0 X X 0 1 X 1 0 123441 119852 3589 540110 511865 28245 31834 COMMON COLLECTIVE TRUSTS 40772001 F 40772001 LIABILITY FOR LOSS ON SECURITIES LENDING 252076 LIABILITY TO RETURN COLLATERAL HELD FOR SECURITIES ON LOAN 275328 INSURANCE PREMIUMS PAYABLE 45809 DUE TO BROKER 70822 CLAIMS PAYABLE/IBNR 7019000 DUE TO RELATED FUND 72498 7735533 X 52590075 1677154 1677154 50912921 160164 160164 51073085 48360429 0 48360429 160164 -222191 -62027 48298402 PART X, LINE 2: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEES BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES. PART XII, LINE 4B - OTHER ADJUSTMENTS: DECREASE IN CLAIMS, IBNR AND PREMIUMS PAYABLE -222,191. 1 0 0 0 BRIAN O'MALLEY FORMER ADMINISTRATOR 217877 0 0 0 0 0 9999 9999 8113 8113 235989 18112 0 0 MICHAEL J CALES CHAIRMAN/TRUSTEE 0 185000 0 2500 0 9630 0 29958 0 25777 0 252865 0 0 DELMAR SCHAEFER TRUSTEE 0 164900 0 2500 0 5435 0 29958 0 25777 0 228570 0 0 MICHAEL O'MALLEY ADMINISTRATOR 148257 0 5000 0 0 0 14979 14979 12220 12220 180456 27199 0 0 BERNARD T SHERLOCK TRUSTEE 0 115000 0 2500 0 20000 0 29958 0 25649 0 193107 0 0 MICHAEL O'MALLEY ADMINISTRATOR 210215 MICHAEL O'MALLEY IS THE ADMINISTRATOR OF THE PLAN. THE PLAN PAYS MICHAEL O'MALLEY A SALARY AND CONTRIBUTES TO EMPLOYEE BENEFIT PLANS ON HIS BEHALF. MICHAEL O'MALLEY IS A FAMILY MEMBER OF BRIAN O'MALLEY , WHO RETIRED AS ADMINISTRATOR DURING THE PLAN YEAR . 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE ADMINISTRATOR AND IS MADE AVAILABLE TO THE TRUSTEES PRIOR TO FILING. THE FORM IS SIGNED AND FILED AFTER THIS REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY DURING BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE REVIEWED PERIODICALLY BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. FORM 990 PART XII LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. IB OF T LOCAL NO 710 PENSION FUND 9000 W 187TH STREET MOKENA IL 60448 362377656 PROVIDE RETIREMENT, DISABILITY AND DEATH BENEFITS IL 501(A) N/A 0 IB OF T LOCAL UNION NO 710 9000 W 187TH STREET MOKENA IL 60448 361460890 LABOR ORGANIZATION IL 501(C)(5) N/A 0 ARKANSAS BEST FRT-GE AURORA PACKING CO D BREAKTHRU BEVERAGE G CASSENS TRANSPORT CO CITY FOODS CPC HOME PRODUCTS L DAILY MEAT SUPPLY I FOUR STAR FOODS INC GUARINO WHOLESALE I HEBDING TRANSPORT I HOFMEISTER JOHN AND IB OF T LOCAL UNION KALUZNY BROTHERS IN L AND L PROVISION LINCOLN PROVISIONS I MAHONEY ENVIRONMENTA MARTIN BROWERGSF MONDELEZ GLOBAL LLC MORREALE JOHN R I NEALEY FOODS OFFICE OF THE TRUSTE PACIFIC RAIL SERVICE RANDOLPH PACKING CO ROSE PACKING COMPANY SOUTHERN GLAZER'S WI STOCK YARDS CHICAGO USF HOLLAND INC VANEK INC VANEK INC - FLATBED WHITE CASTLE SYSTEM WICHITA PACKING COMP YRC WORLDWIDE 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1