2021-07-27T15:26:05-05:00 2020-10-31 470900880 CALIBRE CPA GROUP PLLC 19615 S LA GRANGE RD MOKENA IL 60448 990 2019-11-01 363265979 TRUSTEES OF LIQUOR & ALLIED WORKER UNION LOCAL 3 HEALTH AND WELFARE SALES LIQU 3122434300 7716 MADISON STREET RIVER FOREST IL 60305 PATRICK DUFF TRUSTEE 3122434300 2021-07-27 1 CHARLES DIGIOVANNI P00284901 7089957180 2021-07-27 2019 2022-09-23 18:48:47Z PATRICK DUFF 7716 MADISON STREET RIVER FOREST IL 60305 40498448 0 X N/A X 1983 IL TO PROVIDE HEALTH RELATED BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS. 4 4 0 0 0 0 0 0 31974614 32112194 532056 236548 0 0 32506670 32348742 0 0 29439097 29150812 202449 201677 0 0 0 309149 239427 29950695 29591916 2555975 2756826 26906183 29252447 4110619 3690826 22795564 25561621 TO PROVIDE HEALTH RELATED BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS. 0 0 TO PROVIDE MEDICAL, LIFE, DISABILITY, VISION, DENTAL AND COUNSELING BENEFITS FOR 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 821 0 1 0 0 0 0 0 0 0 0 0 X 4 4 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 X X JAMES HENRY DUFF 3122434300 7716 MADISON STREET RIVER FOREST IL 60305 PATRICK DUFF TRUSTEE 5.00 40.00 X 0 270940 40624 PATRICK DUFF JR TRUSTEE 5.00 40.00 X 0 247796 39575 TERRENCE BRICK TRUSTEE 3.00 X 0 0 0 JEREMY KRUIDENIER TRUSTEE 3.00 X 0 0 0 0 518736 80199 0 0 1 0 BLUE CROSS BLUE SHIELD 300 E RANDOLPH CHICAGO IL 60601 PROVIDER NETWORK 977241 ELITE ADMINISTRATION 1211 W 22ND ST OAK BROOK IL 60523 CLAIM ADMINISTRATOR 382720 2 EMPLOYER CONTRIBUTIONS 900099 31865361 31865361 PARTICIPANT CONTRIBUTIONS 900099 246833 246833 32112194 238515 238515 8147739 8149706 -1967 -1967 -1967 32348742 32110227 0 238515 29150812 201677 44500 17342 192 40278 REIMBURSED ADMIN EXPENS 89556 REIMBURSED ADMIN EXPENS 30641 FEES FOR PATIENT PROTEC 10086 BANK FEES 6832 29591916 3143994 2433174 17725959 21928188 1960596 801273 4075634 4089812 26906183 29252447 690982 13883 3419637 3676943 4110619 3690826 X 0 0 0 0 22795564 25561621 22795564 25561621 26906183 29252447 2756826 9231 0 X X 0 1 X 1 0 0 INCURRED, UNREPORTED & CLAIMS PAYABLE 3676943 3676943 X 32340631 9231 9231 32331400 17342 17342 32348742 29317268 0 29317268 17342 257306 274648 29591916 PART X, LINE 2: THE PLAN MANAGEMENT HAS ANALYZED THE POSITIONS TAKEN BY THE PLAN AND HAVE CONCLUDED AS THAT OF OCTOBER 31, 2020 THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN INCURRED BUT NOT REPORTED & CLAIMS PAYABLE 257,306. 0 0 0 PATRICK DUFF TRUSTEE 0 239702 0 19975 0 11263 0 28748 0 11876 0 311564 0 0 PATRICK DUFF JR TRUSTEE 0 225602 0 18800 0 3394 0 27902 0 11673 0 287371 0 0 FORM 990, PART VI, SECTION A, LINE 2 PATRICK G DUFF IS PATRICK G DUFF JR'S FATHER. BOTH ARE TRUSTEES JAMES HENRY DUFF BECAME THE ADMINISTRATOR AFTER THE END OF THE PLAN YEAR. PATRICK G DUFF AND PATRICK G DUFF JR ARE HIS UNCLE AND COUSIN RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE PLAN ADMINISTRATOR REVIEWS THE FORM WITH THE PLAN'S OUTSIDE ACCOUNTANTS. FORM 990, PART VI, SECTION B, LINE 15 TRUSTEES RECEIVE NO COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND TAX FILINGS ARE MADE AVAILABLE UPON REQUEST. FORM 990 IS ALSO AVAILABLE ON THE GUIDESTAR WEBSITE. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR LOCAL 3 PENSION FUND 7716 MADISON STREET RIVER FOREST IL 60305 516035372 DB PENSION IL 401 N/A 0 LOCAL 3 PENSION FUND SALES DIVISION 7716 MADISON STREET RIVER FOREST IL 60305 366527340 DB PENSION IL 401 N/A 0 LOCAL 3 401K PLAN 7716 MADISON STREET RIVER FOREST IL 60305 367270398 401K PLAN IL 401 N/A 0 LOCAL 3 UNION 7716 MADISON STREET RIVER FOREST IL 60305 364044987 UNION IL 501 N/A 0 7716 MADISON ST LLC - WHOLLY OWNED BY LOCAL 3 UNION 7716 MADISON STREET RIVER FOREST IL 60305 812102319 UNION IL 501 0 BREAKTHRU BEVERAGE DIAGEO HERITAGE WINE CO MIDWAY WHOLESALERS POWER DISTRIBUTING SOUTHERN WINE & SPIRITS OF ILLINOIS TENZING WINE & SPIRITS 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0