2019-10-31T09:28:13-05:00 2018-12-31 470900880 CALIBRE CPA GROUP PLLC 230 W MONROE ST SUITE 310 CHICAGO IL 60606 990 2018-03-01 362443112 WILL COUNTY LOCAL 174 CARPENTERS WELFARE FUND WILL 8157414737 1403 ESSINGTON ROAD STE 100 No 100 JOLIET IL 60435 GARY PERINAR TRUSTEE 8157414737 2019-10-30 1 Andy Hein P00499757 3126550037 38.100.43.100 2019-10-31 09:27:49 CD P 099BB351ED5C43DB8E4A0DD96B056B1430213725 099BB351ED5C43DB8E4A0DD96B056B1430213725 2018 2020-03-31 21:24:44Z X MEL GRAY JR 1403 ESSINGTON ROAD STE 100 No 100 JOLIET IL 60435 26424809 0 1 X N/A X 1960 IL TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS COVERED UNDER THE PLAN. X 6 1 15 0 0 0 0 0 17189985 13127850 473053 262577 0 0 17663038 13390427 0 0 14828534 13797380 219431 163293 0 0 0 1265633 1193794 16313598 15154467 1349440 -1764040 19326115 0 772063 0 18554052 0 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS COVERED UNDER THE PLAN. 0 0 TO PROVIDE MEDICAL, DENTAL, VISION AND LIFE BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 305 0 1 15 1 0 0 0 0 0 0 0 0 X 6 1 1 0 0 0 0 1 0 1 1 0 0 0 1 1 1 0 1 0 1 0 X KRISTINA GUASTAFERRI 8157414737 1403 ESSINGTON ROAD STE 100 JOLIET IL 60435 GARY PERINAR Sec./Treasurer 3.00 X X 2475 0 0 LARRY PERINAR Trustee 3.00 X 2475 0 0 GARY PERINAR JR Trustee 3.00 40.00 X 0 335979 146384 MEL GRAY JR Chairman 3.00 X X 2475 0 0 JAMES PASCH Trustee 3.00 X 2475 0 0 RICHARD BERTI Trustee 3.00 X 0 0 0 9900 335979 146384 0 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 60601 PPO ACCESS FEES 474590 ARNOLD & KADJAN 35 E WACKER DRIVE STE 600 CHICAGO IL 60601 LEGAL SERVICES 161577 2 EMPLOYER CONTRIBUTIONS 900099 11610159 11610159 MEMBER CONTRIBUTIONS 900099 1386142 1386142 MEDICARE D SUBSIDIES 900099 131549 131549 13127850 336393 336393 12960566 13034382 -73816 -73816 -73816 13390427 13127850 0 262577 13797380 8100 77322 32000 38272 7599 124675 217922 55195 63177 601686 49984 43742 6814 3619 21615 PCORI FEES 5365 15154467 1542054 0 253888 0 0 2060503 0 0 0 0 0 0 0 3619 0 15360700 0 0 0 0 105351 0 19326115 0 13072 758991 0 772063 0 X 0 0 0 0 18554052 0 18554052 0 19326115 0 X -1764040 -156279 -16633733 X X 0 1 X 1 0 0 X 13039422 -156279 -156279 13195701 63177 131549 194726 13390427 14959741 -131549 -131549 15091290 63177 63177 15154467 Part X, Line 2: The trust established under the Plan to hold the Plan's assets is intended to qualify pursuant to Section 501(c) 9 of the Internal Revenue Code (IRC), and, accordingly, the trust's net investment income is exempt from income taxes. The trust has obtained a favorable tax determination letter from the IRS, and the Plan sponsor believes that the trust, as amended, continues to qualify and to operate in accordance with applicable provisions of the IRC. U.S. GAAP require Plan management to evaluate tax positions taken by the Plan and recognize a tax liability (or asset) if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by taxing authorities. As of December 31, 2018, there were 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. At December 31, 2018, the Plan is no longer subject to income tax examinations for tax years prior to 2014. Part XI, Line 4b - Other Adjustments: MEDICARE D SUBSIDIES RECEIVED NET W/ CLAIMS ON F/S 131,549. Part XII, Line 2d - Other Adjustments: MEDICARE SUBSIDY RECEIVED NET W/CLAIMS ON F/S -131,549. 0 0 0 GARY PERINAR JR Trustee 0 331142 0 0 0 4837 0 123363 0 23021 0 482363 0 0 INVESTMENTS (COMMON STOCK, GOV OBLIGATIONS, CORP BONDS, MUTUAL FUNDS AND CASH EQUIVALENTS) 2018-12-31 14739512 QUOTED MARKET PRICES AND COMPARABLES 362229735 CHICAGO REGIONAL COUNCIL OF CARPENTERS WELFARE FUND 12 EAST ERIE STREET CHICAGO IL 60611 501(C)(9) RECEIVABLES (CONTRIBUTIONS, INV INCOME AND OTHER) 2018-12-31 1117626 BOOK VALUE 362229735 CHICAGO REGIONAL COUNCIL OF CARPENTERS WELFARE FUND 12 EAST ERIE STREET CHICAGO IL 60611 501(C)(9) CASH 2018-12-31 1248331 BOOK VALUE 362229735 CHICAGO REGIONAL COUNCIL OF CARPENTERS WELFARE FUND 12 EAST ERIE STREET CHICAGO IL 60611 501(C)(9) ACCOUNTS PAYABLE AND ACCRUED EXPENSES 2018-12-31 -471736 BOOK VALUE 362229735 CHICAGO REGIONAL COUNCIL OF CARPENTERS WELFARE FUND 12 EAST ERIE STREET CHICAGO IL 60611 501(C)(9) 1 0 0 0 1 0 0 1 0 Part I, Line 2e: Person(s) Involved: GARY PERINAR, JR. Part I, Line 2e: Explanation of Involvement: GARY PERINAR, JR. IS A TRUSTEE OF THE RECIPIENT ORGANIZATION, THE CHICAGO REGIONAL COUNCIL OF CARPENTERS WELFARE FUND. FORM 990, SCH N, PART 1, 5 PER THE MERGER AGREEMENT BETWEEN THE FILING ORGANIZATION AND THE RECIPIENT ORGANIZATION(THE CHICAGO REGIONAL COUNCIL OF CARPENTERS), AS OF THE EFFECTIVE DATE OF THE MERGER, THE CHICAGO REGIONAL COUNCIL OF CARPENTERS WILL ASSUME AND UNDERTAKE TO PAY ALL LIABILITEIS OF THE FILING ORGANIZATION. Form 990, Part VI, Section A, line 2 Line 2 explanation - GARY PERINAR SR HAS A FAMILY RELATIONSHIP WITH GARY PERINAR JR. AND LARRY PERINAR. GARY PERINAR JR. HAS A FAMILY RELATIONSHIP WITH GARY PERINAR SR. LARRY PERINAR HAS A FAMILY RELATIONSHIP WITH GARY PERINAR SR. Form 990, Part VI, Section A, line 7a Line 7a explanation - MEMBERS OF THE GOVERNING BODY REPRESENTING EMPLOYEES ARE APPOINTED BY THE UNITED BROTHERHOOD OF CARPENTERS LOCAL 174 UNION. MEMBERS OF THE GOVERNING BODY REPRESENTING EMPLOYERS ARE APPOINTED BY THE CONTRACTORS ASSOCIATION OF WILL & GRUNDY COUNTIES. Form 990, Part VI, Section B, line 11b THE TRUSTEES HAVE AUTHORIZED THE CHAIRMAN AND/OR SECRETARY TO REVIEW AND EXECUTE THE FORM 990 BEFORE IT IS FILED. Form 990, Part VI, Section B, line 12c THE ACTIVITIES OF THE TRUSTEES ARE GOVERNED BY THE TRUST DOCUMENT AND ERISA. BOTH ESTABLISH STANDARDS OF CONDUCT FOR PLAN FIDUCIARIES. THE TRUSTEES ARE REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST TO THE ENTIRE BOARD OF TRUSTEES. Form 990, Part VI, Section B, line 15b The Trust document states that the Trustees may be paid reasonable compenstaion for their services rendered except that any person so serving who already receives full time pay from an Employer or any Association of employers whose employees are participants in the Plan, or from a Union whose members are participants in such plan. Currently, 4 of the Trustees are retired individuals and receive compensation from the Plan in accordance with above. These trustees are compensated based on each meeting they attend at a flat rate previously approved by the entire governing body. Form 990, Part VI, Section C, line 19 A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE PLAN ADMINISTRATOR AND/OR THE U.S. DEPARTMENT OF LABOR. ALSO, FORM 5500 IS OPEN TO PUBLIC INSPECTION THROUGH THE U.S. DEPARTMENT OF LABOR. Form 990, Part XI, line 9: TRANSFER OF NET ASSET TO CHICAGO REGIONAL COUNCIL OF CARP WELFARE FUND -16,633,733. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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