2020-11-09T17:08:12-06:00 2019-12-31 363168081 SIKICH LLP 13400 BISHOPS LANE SUITE 300 BROOKFIELD WI 53005 990 2019-01-01 316041107 HEARTLAND HEALTH & WELLNESS FUND HEAR 9376651900 7250 POE AVENUE NO 300 DAYTON OH 45414 JOE CHORPENNING CHAIRPERSON 9376651900 2020-11-09 1 JILL M BOYLE CPA P01246734 2627549400 2020-11-09 65.31.102.84 2020-11-09 12:50:10 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 69B2C8D0D2D5719A9760AB475680DF517C2C1DE6 2019 2021-04-22 16:20:28Z HENRY TAYLOR 7250 POE AVENUE NO 300 DAYTON OH 45414 194679272 0 X WWW.HEARTLANDWELLNESSFUND.COM X EMPLOYEE BENEFIT PLAN 1957 OH THE PLAN PROVIDES MEDICAL, DENTAL, AND LIFE BENEFITS TO ITS MEMBERS AND DEPENDENTS. 10 8 55 9 0 0 0 0 171491039 192143731 300418 548806 274994 297333 172066451 192989870 0 0 173542820 196470564 2500549 2547898 0 0 0 9963074 11004046 186006443 210022508 -13939992 -17032638 28481422 33236475 22796430 31448681 5684992 1787794 TO PROVIDE FOR A UNIFORM HEALTH AND WELFARE PROGRAM FOR EMPLOYEES EMPLOYED UNDER CERTAIN COLLECTIVE BARGAINING AGREEMENTS. 0 0 THE PLAN PROVIDES ACCIDENT, HEALTH, VISION, PRESCRIPTION, DENTAL, LIFE, AND DEATH BENEFITS TO ITS MEMBERS AND DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 396 0 55 1 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 1 0 0 X JERRY EVANS 9376651900 7250 POE AVENUE SUITE 300 DAYTON OH 45414 KEVIN GARVEY TRUSTEE 1.00 X 0 293938 28422 BRYON O'NEAL ALTERNATE TRUSTEE 1.00 X 0 244109 28422 RANDY QUICKEL TRUSTEE 1.00 X 0 222350 32657 TONY HELFER ALTERNATE TRUSTEE 1.00 X 0 218486 0 JERRY EVANS ADMINISTRATOR 40.00 X 154019 0 23282 MELISSA STEED EMPLOYEE 40.00 X 108481 0 32570 RICHARD MAINS JR EMPLOYEE 40.00 X 103788 0 32386 JOE CHORPENNING CHAIRMAN 1.00 X X 0 0 0 HENRY TAYLOR SECRETARY 1.00 X X 0 0 0 GREG THOMPSON ALTERNATE TRUSTEE 1.00 X 0 0 0 STEVEN SPRINGER TRUSTEE 1.00 X 0 0 0 ROB FRANCIN TRUSTEE 1.00 X 0 0 0 DON SATTLER ALTERNATE TRUSTEE 1.00 X 0 0 0 STEVE YANCEY TRUSTEE 1.00 X 0 0 0 BOB BLAIR TRUSTEE 1.00 X 0 0 0 DAN PEDERSEN TRUSTEE 1.00 X 0 0 0 DAVID BLITSTEIN TRUSTEE 1.00 X 0 0 0 366288 978883 177739 3 0 1 0 REINHART BOERNER VAN DEUREN SC PO BOX 2965 MILWAUKEE WI 532012965 ATTORNEY 631356 EPLAN LLC 22601 N 19TH AVE SUITE 240 PHOENIX AZ 85027 CLAIMS REVIEW 523347 THE SEGAL COMPANY 101 NORTH WACKER DRIVE STE 500 CHICAGO IL 60606 ACTUARY 402224 EUGENE STEWART 5671 WEBSTER ST DAYTON OH 45414 PRINTING AND DESIGN SERVICES 337712 REDCARD SYSTEMS LLC 744 OFFICE PARKWAY ST LOUIS MO 45414 TECHNOLOGY SERVICES 195227 5 EMPLOYER CONTRIBUTIONS 900099 190477026 190477026 SELF-PAYMENT CONTRIBUTIONS 900099 1666705 1666705 192143731 409907 409907 1828301 1689402 138899 138899 138899 SHARED EXPENSE REIMBURSEMENT 900099 216645 216645 MISCELLANEOUS 900099 80688 80688 297333 192989870 192441064 0 548806 196470564 177613 1697341 528604 144340 694829 21558 562629 903959 598175 196215 61290 29129 69429 PPO FEES AND MEDICAL RE 7601858 VISION SERVICE PLAN PRO 149497 PCORI FEE 66077 PRESCRIPTION DRUG PROGR 38027 11374 210022508 8149155 6848954 6206499 5360463 5723929 11611083 66914 73630 279925 163581 82859 116344 7677227 9226001 574839 0 28481422 33236475 5398232 3122175 187098 155346 17211100 28171160 22796430 31448681 X 0 0 0 0 5684992 1787794 5684992 1787794 28481422 33236475 X -17032638 213444 12921996 X X 0 1 X 1 0 279925 163581 116344 116344 BENEFIT OBLIGATIONS CURRENTLY PAYABLE 27734200 UNFUNDED PENSION OBLIGATION 436960 28171160 X 193181756 213444 213444 192968312 21558 21558 192989870 199477850 0 199477850 21558 10523100 10544658 210022508 PART X, LINE 2: 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 PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN CURRENT YEAR'S CLAIMS PAYABLE 10,523,100. X X 0 0 0 KEVIN GARVEY TRUSTEE 0 200542 0 93396 0 0 0 2385 0 26037 0 322360 0 0 BRYON O'NEAL ALTERNATE TRUSTEE 0 165099 0 79010 0 0 0 2385 0 26037 0 272531 0 0 RANDY QUICKEL TRUSTEE 0 213325 0 9025 0 0 0 0 0 32657 0 255007 0 0 TONY HELFER ALTERNATE TRUSTEE 0 218486 0 0 0 0 0 0 0 0 0 218486 0 0 JERRY EVANS ADMINISTRATOR 154019 0 0 0 0 0 14507 0 8775 0 177301 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 GOES THROUGH A PRELIMINARY REVIEW BY THE ADMINISTRATIVE MANAGER AND ACCOUNTANT. ONCE THEY APPROVE THE FORM 990 IT IS PRESENTED TO A COMMITTEE OF TRUSTEES FOR APPROVAL PRIOR TO SIGNING AND FILING. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ARE EXPECTED TO FULLY DISCLOSE ANY OWNERSHIP OR OTHER FINANCIAL RELATIONSHIPS THEY HAVE WITH OTHER PARTIES THAT DEAL WITH THE PLAN. FORM 990, PART VI, SECTION B, LINE 15A THE ADMINISTRATIVE MANAGER'S PAY RANGE IS DETERMINED BY THE BOARD OF TRUSTEES. THE TRUSTEES HAD A SALARY STUDY PERFORMED BY THE PLAN'S CONSULTANTS. THE TRUSTEES APPROVE INCREASES IN COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS 12,921,996. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT TO PERFORM THE AUDIT OF THE PLAN'S FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HEARTLAND BENEFIT PLAN ADMINISTRATORS LLC 7250 POE AVENUE NO 300 DAYTON OH 45414 475593281 PROVIDE MEDICAL AND LIFE BENEFITS TO ITS MEMBERS OH BOARD OF TRUSTEES OF HEARTLAND HEALTH & WELLNESS FUND 7250 POE AVENUE DAYTON OH 45414 316173363 PLAN SPONSOR AND PLAN ADMINISTRATOR OH 501(C)(9) N/A 0 CHAMPAIGN RESIDENTIAL SERVICES INC CINCINNATI AFO-CIO LABOR COUNCIL CINCINNATI INTERFAITH WORKERS DAYTON AREA PLUMBERS AND PIPEFITTERS APPRENTICESHIP FUND GENACROSS-WOLF CREEK GOOD SHEPHERD HOME HAMILTON COUNTY DEMOCRATIC PARTY HARBOR BEHAVIORAL HEALTH NEUSOLE FOUNDATION UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL NO 1776KS UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL NO 23 UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL NO 75 UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL 1059 HEARTLAND BENEFIT PLAN ADMINISTRATORS LLC UNITED FOOD AND COMMERCIAL WORKERS H&W ACTIVE UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL 1059 RETIREES UNITED FOOD AND COMMERCIAL WORKERS H&W HOURLY RETIREES UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL 23 FCU ALLISON STREET VENTURES LLC CLERMONTS BEST DRIVING ACADEMY LLC CONSOLIDATED HEALTHCARE SOLUTIONS LLC CUNDIFF TOWN & COUNTRY TREE SERV LLC EUGENE STEWART DBA SPECTRUM PRINTING & DESIGN GRAPHIC FINISHING LLC JAS ELECTRIC LLC MAXWELL MEDICAL LLC MICHAEL P KELLY REALTY PIPCO LLC SNYDER & GAST LLC WEBER DICKEY BELLMAN LAW LEONARD A BLEH LLC LAW OFFICES OF LEONARD SIGALL AMERICAN BUSINESS TECHNOLOGIES AVI FOOD SYSTEMS INC BILLOW CONSTRUCTION INC BLUE GRASS PROVISIONS BRIDGETOWN FINER MEATS INC BRUSH & LADDER PAINTING INC C-FAB LLC FRESH ENCOUNTERS - CHIEF SUPER MARKET INC COOK & LOGOTHETIS LLC CVS PHARMACY INC DBM & SONS INC DON CARTER & ASSOC INC DR ELLEN C TORBECK DMD PSC FROZEN SPECIALTIES INC G&G TRANSPORTATION SERVICE INC GR FEHR COMPANY INC GARY LORD WALL OPTIONS AND ASSOCIATES INC GOERGE F MOELLER LPA GRACE FOODS INC FRESH ENCOUNTER - GREAT SCOT INC HILLTOP PHYSICIANS INC JIM BITZENHOFER REFRIGERATION AND AC INC JOHN STEHLIN & SONS CO INC KUHL TILE & MARBLE INC LANGEN MEATS INC MANLEY BURKE LPA NEWMAN & MEEKS CO LPA ROBERT WHOLEY & CO INC RUBLE ARTISTIC FURNITURE RESTORATION INC RUDOLPH FOODS COMPANY INC SEVEN HILLS COFFEE COMPANY SILGAN CAN COMPANY SKYHAVEN FARMS INC SUGAR CREEK PACKING CO THE KROGER CO UNION EYE CARE WASSLER MEATS INC WE CARE FOOD STORES INC LEE WILLIAMS MEATS INC KISSEL BROS MULLEN VAN HOUTEN OUR HARVEST FRESH ENCOUNTER - CHIEFS SMARTCAT MARKETING SOLUTIONS 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 FORM 990, SCHEDULE R, PARTS II-IV IN ADDITION TO THE CONTRIBUTING EMPLOYERS REPORTED AS RELATED ORGANIZATIONS ON SCHEDULE R, PARTS II-IV, THE FUND HAD EMPLOYERS THAT HAVE NOT YET RESPONDED TO THE FUNDS EFFORT TO OBTAIN THE TAX CLASSIFICATION.