2021-11-30T08:31:58-06:00 2021-06-30 470900880 CALIBRE CPA GROUP PLLC 230 WEST MONROE ST STE310 CHICAGO IL 60606 990 2020-07-01 366117757 MISC WHSMENS LOCAL 781 H & W FUND MISC 8472989999 747 CHURCH ROAD BUILDING D ELMHURST IL 60126 PAUL J STRIPLING TRUSTEE 8472989999 2021-11-30 1 PAUL STRIPLING 999009999 COREY BILKEY P00499751 3126550037 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z PAUL J STRIPLING 747 CHURCH ROAD BUILDING D ELMHURST IL 60126 17896995 0 X N/A X 1960 IL TO PROVIDE HEALTH BENEFITS AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS. 4 2 0 0 0 0 0 0 10491589 10129769 427790 2142117 14622 39000 10934001 12310886 0 0 8479592 8904687 0 0 0 0 0 788755 696543 9268347 9601230 1665654 2709656 21535915 24763111 707273 1300979 20828642 23462132 TO PROVIDE HEALTH BENEFITS AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS. 0 0 THE PLAN IS MAINTAINED PURSUANT TO A NUMBER OF COLLECTIVE BARGAINING AGREEMENTS AND PROVIDES FOR EMPLOYEE DEATH, DISABILITY, MEDICAL, HOSPITALIZATION, SURGICAL, PRESCRIPTION, DENTAL, VISION, AND MENTAL HEALTH BENEFITS. 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 3 0 1 0 0 0 0 0 0 0 0 0 X 4 2 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X PAUL J STRIPLING 8472989999 747 CHURCH ROAD BUILDING D ELMHURST IL 60126 DAVID ABRAMSON MANAGEMENT TRUSTEE 1.00 X 0 0 0 BARBARA BRIDGER MANAGEMENT TRUSTEE 1.00 X 0 0 0 PAUL J STRIPLING LABOR TRUSTEE 6.00 40.00 X 0 201988 32564 TRACY L TREADWELL LABOR TRUSTEE 2.00 40.00 X 0 143884 32564 0 345872 65128 0 0 1 0 BLUE CROSS BLUE SHIELD 300 E RANDOLPH ST CHICAGO IL 60601 PPO NETWORK PROVIDER 306125 GROUP ADMINISTRATORS LTD 953 AMERICAN LANE SCHAUMBURG IL 60173 THIRD PARTY ADMINISTRATOR 151808 2 EMPLOYER CONTRIBUTIONS 525100 10031574 10031574 EMPLOYEE CONTRIBUTIONS 525100 98195 98195 10129769 372852 372852 7355374 5586109 1769265 1769265 1769265 INTEREST AND LIQUIDATED DAMAGES - 525100 39000 39000 39000 12310886 10168769 0 2142117 8904687 19893 32355 59495 539576 33576 8527 ACA FEES AND ASSESSMENT 3121 9601230 2124359 3484958 610580 841004 223200 239854 1779 11604 1180 1180 0 0 14572154 17775190 3612497 2216488 391346 194013 21535915 24763111 12214 8788 695059 1292191 707273 1300979 X 0 0 0 0 20828642 23462132 20828642 23462132 21535915 24763111 2709656 -76166 0 X X 0 1 X 1 0 1180 1180 0 0 ASB ALLEGIANCE RE FUND 1068782 F PIMCO LOAN INTEREST AND CREDIT OFFSHORE FUND 19363 F U.S. REAL ESTATE INVESTMENT FUND LLC 1128343 F 2216488 CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 1292191 1292191 X 12175225 -76166 -76166 12251391 59495 59495 12310886 8944603 0 8944603 59495 597132 656627 9601230 PART X, LINE 2: THE PLAN HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF JUNE 30, 2021, THERE ARE 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. THE PLAN BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO THE YEAR ENDED JUNE 30, 2018. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS INCURRED BUT NOT REPORTED 597,132. 0 0 0 PAUL J STRIPLING LABOR TRUSTEE 0 199553 0 0 0 2435 0 0 0 32564 0 234552 0 0 TRACY L TREADWELL LABOR TRUSTEE 0 141351 0 0 0 2533 0 0 0 32564 0 176448 0 0 FORM 990, PART VI, SECTION A, LINE 2 MANAGEMENT TRUSTEE DAVID ABRAMSON AND MANAGEMENT TRUSTEE BARBARA BRIDGER HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES OTHER THAN THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE TRUSTEES OF THE FUND REVIEWED THE FORM 990 IN DETAIL WITH THE PREPARER PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH TRUSTEE WILL BE REQUIRED TO STATE ANNUALLY THAT HE HAS REVIEWED THE POLICY AND DOES NOT HAVE ANY CONFLICTS OR, IF THERE IS A CONFLICT,THE TRUSTEE IS REQUIRED TO INDICATE WHAT IT IS. FORM 990, PART VI, SECTION C, LINE 19 THE FUND'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST FROM THE FUND'S OFFICE. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MISC WAREHOUSEMEN LOCAL 781 UNION 747 CHURCH RD ELMHURST IL 60126 361757753 LABOR UNION IL 501(C)(5) 0 AALIED DIE CASTING AMERICAN PRESIDENT ASHLAND COLD STOR BEAR STEWART BERKSHIRE DRIVERS BERKSHIRE WAREHOUSE CASE PAPER CATCO O'HARE INC CERTIFIED AUTOMOTIVE CERTIFIED WAREHOUSE CHICAGOLAND QUAD FREEWAY FORD TRUCK GERBER GLASS GLASS AND MIRROR AMERICA LANG ICE M&M GLASS MIDLAND WHSE NEMETH WAREHOUSE NEXEO SOLUTIONS PATSON PERLOW STEEL RAPID DISPLAY SUNNYSIDE CORP BATORY FOODS WESTERN SLATE HAMPSHIRE 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0