2022-03-25T11:11:52-05:00 2021-06-30 470900880 Calibre CPA Group PLLC 230 West Monroe St Ste310 Chicago IL 60606 990 2020-07-01 362356062 SMART LOCAL 265 WELFARE FUND SHEE 6306687260 205 ALEXANDRA WAY CAROL STREAM IL 60188 John Daniel TRUSTEE 6306687260 2022-03-24 1 John Daniel 999009999 Andy Hein P00499757 3126550037 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOHN DANIEL 205 ALEXANDRA WAY CAROL STREAM IL 60188 72306719 0 X N/A X 1962 IL PROVIDE HEALTH, DENTAL, PRESCRIPTION DRUG, VISION AND DEATH BENEFITS COVERING SUBSTANTIALLY ALL PARTICIPATING PERSONS UNDER THE SHEET METAL WORKERS LOCAL 265 UNION'S COLLECTIVE BARGAINING AGREEMENT. 10 5 68 0 0 0 0 0 25944587 25953679 2930380 9535971 333803 385443 29208770 35875093 0 0 26695647 27963470 890028 980979 0 0 0 1571213 1801113 29156888 30745562 51882 5129531 54434839 56450435 13083344 13546828 41351495 42903607 X PROVIDE HEALTH, DENTAL, PRESCRIPTION DRUG, VISION AND DEATH BENEFITS COVERING SUBSTANTIALLY ALL PARTICIPATING PERSONS UNDER THE SHEET METAL WORKERS LOCAL 265 UNION'S COLLECTIVE BARGAINING AGREEMENT. 0 0 PROVIDED ARE HEALTH (HOSPITAL, MAJOR MEDICAL, AND LONG TERM DISABILITY), DENTAL, VISION, AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS. PROVIDED ARE HEALTH (HOSPITAL, MAJOR MEDICAL, AND LONG TERM DISABILITY), DENTAL, VISION, AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS. 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 1 691 0 1 68 1 0 0 0 0 0 0 0 0 X 10 5 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X KATIE EBY 6306687260 205 ALEXANDRA WAY CAROL STREAM IL 60188 PAT HUDGENS TRUSTEE 3.00 X 0 0 0 JOHN SHAW TRUSTEE 3.00 X 0 0 0 KEN WIESBROOK TRUSTEE 3.00 X 0 0 0 JOHN DANIEL TRUSTEE 3.00 40.00 X 0 174736 92753 JOHN HOPP TRUSTEE 3.00 40.00 X 0 141388 85049 BOB BAIER TRUSTEE 3.00 40.00 X 0 142474 86335 KEVIN GALASS TRUSTEE 3.00 40.00 X 0 141271 84849 CATHERINE TOJAGA FORMER TRUSTEE 3.00 X 0 0 0 LOUISE MEDINA TRUSTEE 3.00 40.00 X 0 139422 84949 ANDY YONKUS TRUSTEE 3.00 X 0 0 0 KEVIN SCHELL ADMINISTRATOR 40.00 X 125384 0 53594 125384 739291 487529 1 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 60601 PPO ACCESS FEES 791925 1 EMPLOYER CONTRIBUTIONS 900099 23182822 23182822 EMPLOYEE CONTRIBUTIONS 900099 2770857 2770857 25953679 1257915 1257915 44709682 36431626 8278056 8278056 8278056 REIMB FROM AFFILIATES 900099 378443 378443 OTHER INCOME 900099 7000 7000 385443 35875093 26339122 0 9535971 27963470 521477 238482 146691 74329 86219 53835 134578 1238050 103534 83136 50719 1229 9418 31200 ACA FEES 9195 30745562 1272889 915924 3346750 2045415 2355340 2203491 56938 72810 258899 232130 27922 26769 47126374 42424007 7782425 248626 979594 54434839 56450435 55858 57216 13027486 13489612 13083344 13546828 X 0 0 0 0 41351495 42903607 41351495 42903607 54434839 56450435 5129531 -3577419 0 X X 0 1 X 1 0 165076 154016 11060 93823 78114 15709 26769 LIMITED PARTNERSHIPS 7782425 F 7782425 CLAIMS PAYABLE 539000 EST LIAB FUT CLAIMS-FROM EXTNDED ELIG 10622300 EST LIAB FUT CLAIMS-INCURRED NOT REPORTE 2155000 ACCRUED PAYROLL TAXES AND WITHHOLDINGS 969 DUE TO BROKERS 4903 PAYROLL PROTECTION PROGRAM LOAN 167440 13489612 X 31784653 -3577419 -3577419 35362072 134578 378443 513021 35875093 29893041 0 29893041 134578 717943 852521 30745562 Part X, Line 2: The trust established under the Plan to hold the Plan's assets is qualified pursuant to Section 501(c)(9) of the Internal Revenue Code as a tax-exempt organization. The Plan has obtained a favorable tax determination letter from the Internal Revenue Service, and the Plan Sponsor believes that the Plan, as amended, continues to qualify and to operate in accordance with applicable provisions of the Internal Revenue Code. Accounting principles generally accepted in the United States of America require plan management to evaluate tax positions taken by the plan and recognize a tax liability (or asset) if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the taxing authorities. As of June 30, 2021, there were 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. Part XI, Line 4b - Other Adjustments: REIMB EXPENSES FROM AFFILIATED FUNDS 378,443. Part XII, Line 4b - Other Adjustments: REIMB. EXPENSES FROM AFFILIATED FUNDS 378,443. INC IN CLAIMS PAYABLE AND IBNR 70,200. INC IN LIABILITY FOR EXTENDED ELIGIBILITY 269,300. X 0 0 0 JOHN DANIEL TRUSTEE 0 160839 0 0 0 13897 0 67041 0 25712 0 267489 0 0 BOB BAIER TRUSTEE 0 132008 0 0 0 10466 0 60797 0 25538 0 228809 0 0 JOHN HOPP TRUSTEE 0 132008 0 0 0 9380 0 59715 0 25334 0 226437 0 0 KEVIN GALASS TRUSTEE 0 132008 0 0 0 9263 0 60364 0 24485 0 226120 0 0 LOUISE MEDINA TRUSTEE 0 132008 0 0 0 7414 0 59577 0 25372 0 224371 0 0 KEVIN SCHELL ADMINISTRATOR 125384 0 0 0 0 0 33189 0 20405 0 178978 0 0 0 Form 990, Part VI, Section B, line 11b THE TRUSTEES HAVE AUTHORIZED THE FUND'S CHAIRMAN AND/OR SECRETARY TO REVIEW THE FORM 990 BEFORE IT IS FILED. Form 990, Part VI, Section B, line 12c PERSONS COVERED BY THE CONFLICT OF INTEREST POLICY WILL ANNUALLY DISCLOSE OR UPDATE TO THE BOARD OF TRUSTEES THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. FOR EACH INTEREST DISCLOSED TO THE BOARD OF TRUSTEES, THE TRUSTEES WILL DETERMINE WHETHER TO: (A) TAKE NO ACTION; (B) ASSURE FULL DISCLOSURE TO THE BOARD OF TRUSTEES AND OTHER INDIVIDUALS COVERED BY THIS POLICY; (C) ASK THE PERSON TO REFUSE FROM PARTICIPATION IN RELATED DISCUSSIONS OR DECISIONS WITHIN THE FUNDS; OR (D) ASK THE PERSON TO RESIGN FROM HIS OR HER POSITION IN THE FUND, OR IF THE PERSON REFUSES TO RESIGN, BECOME SUBJECT TO POSSIBLE REMOVAL IN ACCORDANCE WITH THE FUND'S REMOVAL PROCEDURES. THE ADMINISTRATIVE MANAGER WILL MONITOR PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND DISCLOSE THEM TO THE BOARD OF TRUSTEES IN ORDER TO DEAL WITH POTENTIAL OR ACTUAL CONFLICTS, WHETHER DISCOVERED BEFORE OR AFTER THE TRANSACTION HAS OCCURRED. Form 990, Part VI, Section C, line 19 A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE PLAN ADMINISTRATOR AND/OR THE US DEPARTMENT OF LABOR. ALSO, FORM 5500 IS OPEN TO PUBLIC INSPECTION THROUGH THE US DEPARTMENT OF LABOR. Form 990, Part XII, Line 2c THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SMART LOCAL 265 PENSION 205 ALEXANDRA WAY CAROL STREAM IL 60188 366168611 PENSION FUND IL 401(A) 0 SMART LOCAL 265 SUPPLEMENTAL RETIREMENT PLAN 205 ALEXANDRA WAY CAROL STREAM IL 60188 363911499 ANNUITY FUND IL 401(A) 0 SMART LOCAL 265 LMCC 2703 VAN BUREN STREET BELLWOOD IL 60104 364146794 LABOR MANAGEMENT COOPERATION COMMITTEE IL 501(c)(5) 0 SMART LOCAL 265 EDUCATION 205 ALEXANDRA WAY CAROL STREAM IL 60188 366148078 TRAINING FUND IL 501(c)(5) 0 SMART LOCAL 265 205 ALEXANDRA WAY CAROL STREAM IL 60188 362368182 LABOR UNION IL 501(c)(5) 0 A & R MECHANICAL CONTRACTOR A P I INC A-1 ROOFING CO ADVANCE MECHANICAL AIR COMFORT CORP AIR DESIGN SYSTEMS INC AIR DUCT MFG & SUPPLY INC AIR FLOW CO INC AIR QUALITY INC AIR RITE HEATING & COOLING ALBERT J WAGNER & SON ALL AMERICAN ROOFING COINC ALLIED POWER LLC ALLSTATE METAL FAB ALTHOFF INDUSTRIES INC AMBER MECHANICAL CONTR INC AMCO INC AMERICAN AIR MECH SERV INC AMS MECHANICAL SYSTEMS ANDERSON & SHAH ANTHONY ROOFING LTD ANY TEMPERATURE ANYTIME HEATING 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