2020-11-10T15:32:58-06:00 2019-12-31 470900880 CALIBRE CPA GROUP PLLC 19615 S LAGRANGE ROAD MOKENA IL 60448 990 2019-01-01 362331071 AUTOMOBILE MECHANICS' LOCAL NO 701 UNION AND INDUSTRY WELFARE AUTO 7084820110 361 S FRONTAGE ROAD BURR RIDGE IL 605276393 STEVE BUKOVAC ADMINISTRATOR 7084820110 2020-11-10 1 CHARLES DIGIOVANNI P00284901 7089957180 2020-11-10 38.100.43.98 2020-11-10 15:28:22 CS P 2A1264631413402ED07D1720FD2C9A4C172C9560 2A1264631413402ED07D1720FD2C9A4C172C9560 2019 2021-04-22 16:20:28Z STEVE BUKOVAC 361 S FRONTAGE ROAD BURR RIDGE IL 605276393 220700300 0 X N/A X 1956 IL TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 6 6 17 0 0 0 0 0 90532592 93974790 2561782 7434534 107578 126532 93201952 101535856 0 0 80749446 89443050 1689776 1819579 0 0 0 1187360 1391751 83626582 92654380 9575370 8881476 173974964 201510051 7992045 10327300 165982919 191182751 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 0 0 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 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 12 0 1 17 1 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 X STEVE BUKOVAC 7084820110 361 S FRONTAGE ROAD NO 100 BURR RIDGE IL 60527 X CHRIS KONECKI TRUSTEE 1.00 X 0 0 0 SAM CICINELLI TRUSTEE 1.00 45.00 X 0 162164 44601 ARMADO ARREOLA FORMER TRUSTEE 1.00 45.00 X 0 136066 41783 RONALD FETTY TRUSTEE 1.00 X 0 0 0 ROBERT KEPPLER TRUSTEE 1.00 X 0 0 0 DAVID MASHEK TRUSTEE 1.00 X 0 0 0 MARK GRASSESCHI TRUSTEE 1.00 45.00 X 0 135675 41783 STEVE BUKOVAC FUND ADMINISTRATOR 40.00 X 281279 0 38138 JEANINE EARTH-GILLUND ASSISTANT ADMINISTRATOR 40.00 X 182998 0 42778 KRISTINE BENDY ACCOUNTING MANAGER/CONTROL 40.00 X 119642 0 37158 583919 433905 246241 3 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 60601 CLAIMS ADMINISTRATIVE SERVICES 2737504 PROFESSIONAL BENEFIT ADMINISTRATORS 900 JORIE BLVD 250 OAK BROOK IL 60523 CLAIMS MANAGEMENT 874526 PAYDHEALTH LLC 4001 MCEWEN RD STE 450 DALLAS TX 75244 CLAIMS MANAGEMENT 718180 MEDICAL COST MANAGEMENT GROUP 200 WEST MONROE STREET SUITE 1850 CHICAGO IL 60606 CLAIMS MANAGEMENT 504452 EPLAN LLC 22601 NORTH 19TH AVENUE SUITE 240 PHOENIX AZ 85027 CLAIMS MANAGEMENT 306381 5 EMPLOYER CONTRIBUTIONS 900099 87566948 87566948 PRESCRIPTIONS REBATES 900099 3362996 3362996 PARTICIPANT CONTRIBUTI 900099 1697925 1697925 REIMBURSED SHARED EXPE 900099 752881 752881 SUBROGATION RECOVERIES 900099 594040 594040 93974790 4826229 4826229 121772749 119164444 2608305 2608305 2608305 OTHER INCOME 900099 126532 126532 126532 101535856 93974790 0 7561066 89443050 636176 573920 375745 147532 86206 247453 202750 250647 220198 219449 103459 68693 14090 9302 35351 TEMPORARY STAFFING 20359 92654380 683081 417766 9307292 6239236 10263498 8499647 439115 403638 11515 35477 141392147 174786241 12087882 11256674 229549 275010 173974964 201510051 212093 535641 7779952 9791659 7992045 10327300 X 0 0 0 0 165982919 191182751 165982919 191182751 173974964 201510051 8881476 16318356 0 X X 0 1 X 1 0 7446 2185 5261 431669 401453 30216 35477 COMMON COLLECTIVE TRUSTS 11256674 F 11256674 DEFERRED COMPENSATIONS PLAN 264339 FEES MANDATED BY ACA 30320 MEDICAL AND DENTAL CLAIMS PAYABLE AND IBNR 9497000 9791659 X 116850684 16318356 16318356 100532328 250647 752881 1003528 101535856 89634852 0 89634852 250647 2768881 3019528 92654380 PART X, LINE 2: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEES BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES. PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENTS FROM PENSION FUND AND 401(K) PLAN 752,881. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENTS FROM PENSION FUND AND 401(K) PLAN 752,881. INCREASE IN MEDICAL AND DENTAL CLAIMS PAYABLE AND IBNR 2,016,000. X 0 0 0 SAM CICINELLI TRUSTEE 0 162164 0 0 0 0 0 28655 0 15946 0 206765 0 0 ARMADO ARREOLA FORMER TRUSTEE 0 136066 0 0 0 0 0 25837 0 15946 0 177849 0 0 MARK GRASSESCHI TRUSTEE 0 135675 0 0 0 0 0 25837 0 15946 0 177458 0 0 STEVE BUKOVAC FUND ADMINISTRATOR 281279 0 0 0 0 0 22552 0 15586 0 319417 0 0 0 JEANINE EARTH-GILLUND ASSISTANT ADMINISTRATOR 182998 0 0 0 0 0 27192 0 15586 0 225776 0 0 0 KRISTINE BENDY ACCOUNTING MANAGER/CONTROL 119642 0 0 0 0 0 21572 0 15586 0 156800 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE 990 HAS BEEN PROVIDED TO THE ADMINISTRATOR FOR HIS REVIEW PRIOR TO SIGNING THE RETURN FORM 990, PART VI, SECTION B, LINE 15 SALARY POLICIES ARE SET BY THE BOARD OF TRUSTEES. SALARIES ARE ANNUALLY REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE FORM 990 PART VII LINE 1A STEVE BUKOVAC IS THE ADMINISTRATOR, JENNY EARTH-GILLUND IS THE ASSISTANT ADMINISTRATOR AND KRISINE BENDY IS THE CONTROLLER OF THIS PLAN AND THE RELATED PENSION PLAN AND 401K PLAN. SALARY AND EMPLOYEE BENEFIT AMOUNTS ARE INITIALLY PAID FOR BY THIS PLAN AND REIMBURSED PERIODICALLY BY THE RELATED PLANS. FORM 990 PART XII LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR AUTOMOBILE MECHANICS LOCAL 701 PENSION FUND 361 S FRONTAGE ROAD SUITE 100 BURR RIDGE IL 60527 366042061 PROVIDES PENSION BENEFITS TO MEMBERS IL 501(A) N/A 0 INTERNATIONAL ASSOCIATION OF MACHINISTS AUTOMOBILE MECHANICS UNION LOCAL 70 450 GUNDERSEN DRIVE CAROL STREAM IL 60188 CONTRIBUTING EMPLOYER IL 501(C)(5) 0 MECHANICS LOCAL 701 TRAINING FUND 450 GUNDERSEN DRIVE CAROL STREAM IL 60188 CONTRIBUTING EMPLOYER IL 501(C)(3) 0 AUTOMOBILE MECHANICS LOCAL NO 701 UNION AND INDUSTRY WELFARE FUND 361 S FRONTAGE ROAD SUITE 100 BURR RIDGE IL 60527 CONTRIBUTING EMPLOYER IL 501(C)(9) 0 MECHANICS LOCAL 701 DEFINED CONTRIBUTION 401K PLAN 361 S FRONTAGE ROAD SUITE 100 BURR RIDGE IL 60527 471959684 PROVIDES TERM OR SUPP PENSION BENEFITS TO EMPLOYEE SPOUSES OR BENEFICIARIES IL 501(A) N/A 0 ABERDEEN AUTO CONTRIBUTING EMPLOYER 0 0 ADVANCED DSS WASTE MIDWEST LLC CONTRIBUTING EMPLOYER 0 0 ATLAS FIRST ACCESS ACQUIS LLC CONTRIBUTING 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CONTRIBUTING EMPLOYER 0 SOUTH OAK DODGE INC CONTRIBUTING EMPLOYER 0 SOUTHERN GLAZER'S WINE AND SPI CONTRIBUTING EMPLOYER 0 STANDARD EQUIPMENT CO CONTRIBUTING EMPLOYER 0 STASEK BILL CHEVROLETINC CONTRIBUTING EMPLOYER 0 STENCILS & STRIPES UNLIMITED CONTRIBUTING EMPLOYER 0 STROM ROY REFUSE REMOVAL SRVC CONTRIBUTING EMPLOYER 0 SULLIVAN BUICK GMCINC CONTRIBUTING EMPLOYER 0 SUMMIT TANK & EQUIPMENT CO INC CONTRIBUTING EMPLOYER 0 SUNRISE CHEVROLET INC CONTRIBUTING EMPLOYER 0 SUTTON FORD CONTRIBUTING EMPLOYER 0 SWANSON CONTRACTING CO CONTRIBUTING EMPLOYER 0 T & S TOOL SALES INC CONTRIBUTING EMPLOYER 0 TAL-MAR CUSTOM METAL CONTRIBUTING EMPLOYER 0 TAL-MAR CUSTOM METAL FAB INC CONTRIBUTING EMPLOYER 0 TDS TOOLS CONTRIBUTING EMPLOYER 0 THE NEW ROGERS PONTIAC CONTRIBUTING EMPLOYER 0 THOESEN PETE TRACTOR & EQPT CONTRIBUTING EMPLOYER 0 TOOL CRIBMATCO TOOLS CONTRIBUTING EMPLOYER 0 TOYOTA OF NAPERVILLE INC CONTRIBUTING EMPLOYER 0 TRAILMEX SERVICES INC CONTRIBUTING EMPLOYER 0 TRI-TOWN SERVICE INC 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CONTRIBUTING EMPLOYER 0 WEST SERVICETRANS SERVICE CONTRIBUTING EMPLOYER 0 WESTERN AVENUE NISSAN CONTRIBUTING EMPLOYER 0 WESTFIELD FORD INC CONTRIBUTING EMPLOYER 0 WIGBOLDY EXCAVATING INC CONTRIBUTING EMPLOYER 0 WILKINS HYUNDAI CONTRIBUTING EMPLOYER 0 WILLE BROTHERS COMPANY CONTRIBUTING EMPLOYER 0 ZEIGLER FORD OF NORTH RIVERSIDE CONTRIBUTING EMPLOYER 0 WOODY BUICK GMC CONTRIBUTING EMPLOYER 0 WORLD KIA OF JOLIET CONTRIBUTING EMPLOYER 0 YRCINC CONTRIBUTING EMPLOYER 0 ZEIGLER LINCOLNWOOD CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 1