2021-12-20T10:33:27-06:00 2021-02-28 310800053 CLARK SCHAEFER HACKETT & CO 1656 HENTHORNE DR SUITE 400 MAUMEE OH 43537 990 2020-03-01 316029682 OHIO CONFERENCE OF TEAMSTERS AND INDUSTRY HEALTH AND WELFARE TRUST OHIO 4192543322 435 SOUTH HAWLEY STREET TOLEDO OH 43609 PATRICK DARROW TRUSTEE 4192543322 2021-12-13 1 PATRICK DARROW 999009999 MICHAEL D NYITRAI P01799376 4198412848 2021-12-13 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z 435 SOUTH HAWLEY STREET TOLEDO OH 43609 125450402 0 X N/A X 1959 OH VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 6 6 7 0 0 0 0 0 38702613 38148324 3292705 3367117 14429 28769 42009747 41544210 0 0 36478889 36201286 353210 384422 0 0 0 615929 686339 37448028 37272047 4561719 4272163 105849957 114724784 5306983 6518877 100542974 108205907 VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 0 0 PROVISION OF HEALTH, LIFE, DENTAL, VISION AND TEMPORARY DISABILITY BENEFITS FOR ENROLLED MEMBERS OF COLLECTIVE BARGAINING UNITS AND THEIR ELIGIBLE DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 5 0 1 7 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X DANIELA JANCESKI 4192543322 435 SOUTH HAWLEY STREET TOLEDO OH 43609 X MARK SCHMIEHAUSEN TRUSTEE 0.00 X 0 0 0 TRAVIS BORNSTEIN TRUSTEE 0.00 X 0 0 0 PATRICK DARROW TRUSTEE 0.00 X 0 0 0 TERRENCE SCHAEFER TRUSTEE 0.00 X 0 0 0 EDMUND SZCZESNY TRUSTEE 0.00 X 0 0 0 TOM CROFT TRUSTEE 0.00 X 0 0 0 HUNTINGTON BANK INSTITUTIONAL TRUSTEE 0.00 X 0 0 0 TRUST COMPANY OF TOLEDO INSTITUTIONAL TRUSTEE 0.00 X 0 0 0 DANIELA JANCESKI ADMINISTRATIVE MANAGER 40.00 X 130765 0 0 130765 0 0 1 0 0 0 MEDICAL MUTUAL OF OHIO 2060 EAST NINTH ST CLEVELAND OH 44115 ADMINISTRATOR 717255 FORTY FOUR CORPORATION 435 S HAWLEY TOLEDO OH 43609 RENT & SHARED EXP 495653 DEARBORN NATIONAL 1020 31ST ST DOWNERS GROVE IL 60515 LIFE INSURANCE 306095 METLIFE 177 SOUTH COMMONS DRIVE AURORA IL 60504 ADMINISTRATOR 262397 UNITED HEALTHCARE 5901 LINCOLN DRIVE EDINA MN 55436 ADMINISTRATOR 189278 7 EMPLOYER CONTRIBUTION 900099 38148324 38148324 38148324 2459054 2459054 84813980 275 83903118 3074 910862 -2799 908063 -2799 910862 MISC. INCOME 900099 17448 17448 ADMIN FEE INCOME 900099 11321 11321 28769 41544210 38174294 0 3369916 36201286 275383 68953 40086 85064 38755 50238 25662 3775 17937 22448 TRUST AGENT FEE 201747 EQUIPMENT RENTAL AND MA 81276 BENEFIT CONSULTING FEE 73500 PRINTING 37488 48449 37272047 85819 322745 3610964 3127552 41446 37981 282510 170738 40737 111772 102070991 111124734 105849957 114724784 194983 161877 5112000 6357000 5306983 6518877 X 0 0 0 0 100542974 108205907 100542974 108205907 105849957 114724784 4272163 3390770 0 X X 0 1 X 1 0 13600 13007 593 219249 148626 70623 49661 9105 40556 111772 CLAIMS INCURRED/ NOT REPORTED 5962000 EXTENDED LIABILITY RESERVE 395000 6357000 44733234 3390770 -201747 3189023 41544211 0 41544211 35825300 0 35825300 1446747 1446747 37272047 PART XI, LINE 2D - OTHER ADJUSTMENTS: TRUSTEE FEES -201,747. PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN BENEFIT OBLIGATION 1,245,000. TRUSTEE FEES 201,747. PART I LINE 1 PROVISION OF HEALTH, LIFE, DENTAL, VISION AND TEMPORARY DISABILITY BENEFITS FOR ENROLLED MEMBERS OF COLLECTIVE BARGAINING UNITS AND THEIR ELIGIBLE DEPENDENTS FORM 990, PART VI, SECTION A, LINE 8B LINE 9 EXPLANATION - LINE 8B IS NOT APPLICABLE AS THE ORGANIZATION DOES NOT HAVE A COMMITTEEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B LINE 11A EXPLANATION - ALL TRUSTEES ARE PROVIDED WITH A DRAFT COPY OF THE 990 FOR THEIR REVIEW. AFTER APPROVAL HAS BEEN GIVEN BY EACH OF THE TRUSTEES, THE 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTEREST ARE MONITORED BY THE BOARD AT THE BOARD MEETINGS AS ISSUES ARE BROUGHT BEFORE THE BOARD. COMPLETION OF CONFLICT OF INTEREST DISCLOSURES FORMS ARE ADDRESSED ON THE BOARD MEETING AGENDA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST AT THE UNION OFFICE. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. FORTY FOUR CORPORATION CITY OF WATERVILLE GENACROSS LUTHERAN SERVICES FOUNDATION IBT LOCAL 2750 LOCAL NO 20 MONCLOVA TOWNSHIP SYLVANIA TOWNSHIP TEAMSTERS LOCAL NO 114 TEAMSTERS LOCAL NO 1224 TEAMSTERS LOCAL NO 357 VAN WERT CO CORRECTIONAL FACILITY VAN WERT CO SHERIFF VAN WERT SHERIFF DISPATCH LB&B JOINT VENTURE WAREHOUSE ASSOCIATES LP AH JAMRA COMPANY ALLIED BUILDING PRODUCTS AMERICAN STEEL TREATING INC AVALON TRANSPORTATION SERVICES INC BAKER SHINDLER READY MIX BEERCO BELL VAULT AND MONUMENT BIMBO BAKERIES USA INC BUCKEYE SWEEPING INC COATE CONCRETE PRODUCT COUSINS WASTE CONTROL DW DICKEY & SON INC EAST MANUFACTURING CORP HARVARD MAINTENANCE INC HEALTHCARE SERVICES GROUP HEIDELBERG DISTRIBUTING COMPANY HOWARD L BOWERS CONTRACTING COMPANY INC JAMES WHITE CONSTRUCTION JIM WHITE HONDA KUHLMAN CORPORATION LAFARGE CORPORATION MARYSVILLE RELEASING MESSER NORTH AMERICA INC MOSSER CONSTRUCTION INC NATIONAL MATERIALS RECYCLING NISSEN COAL COMPANY INC NU CENTURY TEXTILES SERVICES OMNISOURCE PEPSI BEVERAGES COMPANY REPUBLIC WASTE SERVICES SKLD PERRYSBURG SPARTAN NASH ST MARYS TRUCKING CO SYGMA NETWORK-WAREHOUSING TOLEDO SHREDDING UNITED DAIRY VEOLIA WATER WAREHOUSE ASSOCIATES WASTE MANAGEMENT OF OHIO WAYNE LUMBER COMPANY INC WEIR-COVE MOVING & STORAGE CO WEIRTON CONSTRUCTION CO WEIRTON LUMBER COMPANY WILLIS DAY STORAGE COMPANY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0