2021-10-21T15:40:11-05:00 2020-12-31 320043599 LEGACY PROFESSIONALS LLP 222 INDIANAPOLIS BLVD SUITE 103 SCHERERVILLE IN 46375 990 2020-01-01 320047529 PLUMBERS LOCAL 210 HEALTH AND WELFARE FUND PLUM 2199427224 2901 E 83RD PLACE MERRILLVILLE IN 46410 SALVADOR ESPINO TRUSTEE 2199427224 2021-10-21 1 SALVADOR ESPINO 999009999 TIMOTHY LAKIS P00841931 2198361065 2021-10-21 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z SALVADOR ESPINO 2901 E 83RD PLACE MERRILLVILLE IN 46410 5668138 0 X N/A X 2003 IN TO PROVIDE HEALTH BENEFITS 6 5 9 0 0 0 0 0 4216733 4318527 144453 131625 0 41655 4361186 4491807 0 0 4059758 4398237 0 0 0 0 0 136566 158003 4196324 4556240 164862 -64433 6715386 6466071 692694 232005 6022692 6234066 TO PROVIDE HEALTH BENEFITS. 0 0 TO PROVIDE HEALTH CARE, DEATH AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 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 5 0 1 9 1 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X SALVADOR ESPINO 2199427224 2901 E 83RD PLACE MERRILLVILLE IN 46410 SALVADOR ESPINO TRUSTEE 1.00 45.00 X 0 111381 81709 BILL MCCALL TRUSTEE 1.00 0.00 X 0 0 0 KEITH KLEINFELDT TRUSTEE 1.00 0.00 X 0 0 0 KEVIN KEOUGH TRUSTEE 1.00 0.00 X 0 0 0 MIKE LASKARIN TRUSTEE 1.00 0.00 X 0 0 0 DAVE SIDDALL TRUSTEE 1.00 0.00 X 0 0 0 MELODY KALUZA FUND MANAGER 16.00 24.00 X 0 74378 63209 0 185759 144918 0 0 1 0 ACTIVATE HEALTHCARE LLC 210 N DAMEN AVE STE F CHICAGO IL 60647 EMPLOYEE HEALTH PROVIDER 283922 ALLIED BENEFIT SYSTEMS INC 200 W ADAMS STREET CHICAGO IL 60606 HEALTH CLAIMS PROCESSING 175950 2 EMPLOYER CONTRIBUTIONS 900099 3736238 3736238 PARTICIPANT AND RETIREE CONTRIBUT 900099 582289 582289 4318527 149864 149864 1158092 1176331 -18239 -18239 -18239 MISCELLANEOUS INCOME 900999 41655 41655 41655 4491807 4318527 0 173280 4398237 14122 25750 9266 21027 5524 20975 1250 SHARED EMPLOYEE 57448 FEES MANDATED BY ACA 2108 DUES AND SUBSCRIPTIONS 533 4556240 665744 412983 387820 116603 390852 389428 47787 132509 392701 26547 367410 366154 4766889 4967162 88884 81232 6715386 6466071 289228 6571 23341 47173 380125 178261 692694 232005 X 0 0 0 0 6022692 6234066 6022692 6234066 6715386 6466071 -64433 275807 0 X 0 1 X 1 0 354763 17738 337025 37938 8809 29129 366154 LOCKBOX CONTRIBUTIONS NOT YET REMITTED 110813 DUE TO RELATED ORGANIZATION 67448 178261 X 4758348 275807 275807 4482541 9266 9266 4491807 4546974 0 4546974 9266 9266 4556240 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. 0 0 0 SALVADOR ESPINO TRUSTEE 0 108932 0 0 0 2449 0 62989 0 18720 0 193090 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE GOVERNING BODY (BOARD OF TRUSTEES) FOR THEIR REVIEW. AFTER THEIR REVIEW THE FORM IS APPROVED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C THE FUND HAS A CONFLICT OF INTEREST POLICY TO HELP ENSURE THAT ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED AND ADDRESSED ON A TIMELY BASIS. IT IS THE DUTY OF THE FUND TRUSTEES AND EMPLOYEES TO IDENTIFY ACTUAL OR POTENTIAL CONFLICTS. IN CONNECTION WITH AN ACTUAL OR POTENTIAL CONFLICT, THE PARTY-IN-INTEREST (OR INTERESTED PARTY) WILL IMMEDIATELY DISCLOSE TO THE BOARD OF TRUSTEES THE EXISTENCE OF SUCH CONFLICT. UPON DISCLOSURE, THE BOARD OF TRUSTEES WILL DETERMINE IF THERE IS IN FACT A CONFLICT. THE BOARD OF TRUSTEES MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. FORM 990, PAGE 1 LINE 5, PAGE 5 LINE 2A AND PAGE 10 LINE 24 THE REPORTING ENTITY SHARES AN EMPLOYEE WITH PLUMBERS LOCAL UNION NO. 210. THE PAYROLL TAX FILINGS AND FORM W-2 FOR THESE WAGES ARE FILED BY THE LOCAL UNION. THE WELFARE FUNDS SHARE OF SALARY AND RELATED EXPENSES FOR THIS EMPLOYEE APPEARS ON PAGE 10, LINE 24 AS SHARED EMPLOYEE. THE NUMBER OF EMPLOYEES REPORTED ON W-3 FOR PART V QUESTION 2A INCLUDES THE NUMBER OF PLAN PARTICIPANTS WHO RECEIVED THIRD PARTY SICK PAY FROM THIS FUND DURING THE YEAR. PLUMBERS LOCAL NO 210 RETIREMENT FUND 2901 EAST 83RD PLACE MERRILLVILLE IN 46410 320100178 PROVIDES RETIREMENT BENEFITS IN 401(A) NOT APPLICABLE 0 PLUMBERS LOCAL UNION NO 210 2901 EAST 83RD PLACE MERRILLVILLE IN 46410 352116536 LABOR UNION IN 501(C)(5) NOT APPLICABLE 0 PLUMBERS LOCAL UNION NO 210 JOINT APPRENTICESHIP AND JOURNEYMAN UPGRADE FUN 2901 EAST 83RD PLACE MERRILLVILLE IN 46410 352129341 TRAINING FUND IN 501(C)(3) LINE 2 NOT APPLICABLE 0 A M S MECHANICAL SYSTEMS CONTRIBUTING EMPLOYER 0 A T PLUMBING CONTRIBUTING EMPLOYER 0 AMEX NOOTER LLC CONTRIBUTING EMPLOYER 0 ARCTIC ENGINEERING CO CONTRIBUTING EMPLOYER 0 B & D SEWER & BACKHOE SERVICE CONTRIBUTING EMPLOYER 0 BLOOMFIELD MECHANICAL CONTRIBUTING EMPLOYER 0 CALUMET CITY PLUMBING CONTRIBUTING EMPLOYER 0 CIRCLE R MECHANICAL CONTRIBUTING EMPLOYER 0 CLELAND PLUMBING INC CONTRIBUTING EMPLOYER 0 DODD D A INC CONTRIBUTING EMPLOYER 0 ELISH PLUMBING & SEWER INC CONTRIBUTING EMPLOYER 0 GATLIN PLUMBING & HEATING INC CONTRIBUTING EMPLOYER 0 GONZALES ENTERPRISES CONTRIBUTING EMPLOYER 0 ILLIANA EXCAVATING CONTRIBUTING EMPLOYER 0 J J WHITE CONTRIBUTING EMPLOYER 0 KEOUGH MECHANICAL CO CONTRIBUTING EMPLOYER 0 L G S PLUMBING INC CONTRIBUTING EMPLOYER 0 MECCON INDUSTRIES INC CONTRIBUTING EMPLOYER 0 MECH CONCEPTS INC CONTRIBUTING EMPLOYER 0 OSBY CO INC CONTRIBUTING EMPLOYER 0 PIERCE PLUMBING INC CONTRIBUTING EMPLOYER 0 RHODES PLUMBING CO CONTRIBUTING EMPLOYER 0 SALYER PLUMBING INC CONTRIBUTING EMPLOYER 0 SCHOOL CITY OF EAST CHICAGO CONTRIBUTING EMPLOYER 0 SCHOOL CITY OF HAMMOND CONTRIBUTING EMPLOYER 0 SOUTH TOWN REFRIGERATION CORP CONTRIBUTING EMPLOYER 0 ST JOHN PLUMBING INC CONTRIBUTING EMPLOYER 0 T L C PLUMBING INC CONTRIBUTING EMPLOYER 0 V & L PLUMBING & HEATING INC CONTRIBUTING EMPLOYER 0 WHITE EDWARD J INC CONTRIBUTING EMPLOYER 0 YOUNG PLUMBING CORP CONTRIBUTING EMPLOYER 0 D S PLUMBING INC CONTRIBUTING EMPLOYER 0 REICHELT PLUMBING INC CONTRIBUTING EMPLOYER 0 ZIESE PLUMBING HEATING & COOLING CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1