2019-03-29T12:41:28-05:00 2018-06-30 470900880 Calibre CPA Group PLLC 230 West Monroe St Ste 310 Chicago IL 60606 990 2017-07-01 362356062 SMART LOCAL 265 WELFARE FUND SHEE 6306687260 205 ALEXANDRA WAY CAROL STREAM IL 60188 John Daniel TRUSTEE 6306687260 2019-01-10 1 Andy Hein P00499757 3126550037 38.100.43.100 2019-03-29 12:41:13 CD P 883CF1A9781ABDA3268701484D9C94428E8D752B 099BB351ED5C43DB8E4A0DD96B056B1430213725 2017 2019-02-21 02:37:17Z JOHN DANIEL 205 ALEXANDRA WAY CAROL STREAM IL 60188 66470704 0 X N/A X 1962 IL PROVIDE HEALTH, DENTAL, PRESCRIPTION DRUG, VISION AND DEATH BENEFITS COVERING SUBSTANTIALLY ALL PARTICIPATING PERSONS UNDER THE SHEET METAL WORKERS LOCAL 265 UNION'S COLLECTIVE BARGAINING AGREEMENT. 10 5 77 0 0 0 0 0 24881289 25699162 1550918 1021452 234774 279518 26666981 27000132 0 0 25664642 24690696 887616 933748 0 0 0 1562575 1564011 28114833 27188455 -1447852 -188323 55542383 55057353 13176147 12783949 42366236 42273404 X PROVIDE HEALTH, DENTAL, PRESCRIPTION DRUG, VISION AND DEATH BENEFITS COVERING SUBSTANTIALLY ALL PARTICIPATING PERSONS UNDER THE SHEET METAL WORKERS LOCAL 265 UNION'S COLLECTIVE BARGAINING AGREEMENT. 0 0 PROVIDED ARE HEALTH (HOSPITAL, MAJOR MEDICAL, AND LONG TERM DISABILITY), DENTAL, VISION, AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS. PROVIDED ARE HEALTH (HOSPITAL, MAJOR MEDICAL, AND LONG TERM DISABILITY), DENTAL, VISION, AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 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 1 737 0 1 77 1 0 0 0 0 0 0 X 10 5 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X KEVIN SCHELL 6306687260 205 ALEXANDRA WAY CAROL STREAM IL 60188 KEVIN PRINCE FORMER TRUSTEE 3.00 40.00 X 0 81026 48373 CHARLES RUEGGE FORMER TRUSTEE 3.00 40.00 X 0 169579 86616 PAT HUDGENS TRUSTEE 3.00 X 0 0 0 JOHN SHAW TRUSTEE 3.00 X 0 0 0 DON MORAN TRUSTEE 3.00 40.00 X 0 135062 83892 JOHN D'ANGELO TRUSTEE 3.00 X 0 0 0 JACK GENGLER FORMER TRUSTEE 3.00 X 0 0 0 KEN WIESBROOK TRUSTEE 3.00 X 0 0 0 JOHN DANIEL TRUSTEE 3.00 40.00 X 0 138576 78325 JOHN HOPP TRUSTEE 3.00 40.00 X 0 132889 77463 BOB BAIER TRUSTEE 3.00 40.00 X 0 134269 77920 KEVIN GALASS TRUSTEE 3.00 40.00 X 0 132555 78266 CATHERINE TOJAGO TRUSTEE 3.00 X 0 0 0 KEVIN SCHELL ADMINISTRATOR 40.00 X 114582 0 47843 114582 923956 578698 1 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 60601 PPO ACCESS FEES 780913 1 EMPLOYER CONTRIBUTIONS 900099 23516146 23516146 EMPLOYEE CONTRIBUTIONS 900099 2183016 2183016 25699162 1461195 1461195 39030829 39470572 -439743 -439743 -439743 REIMB FROM AFFILIATES 900099 279518 279518 279518 27000132 25978680 0 1021452 24690696 483710 217397 158312 74329 53873 48744 148793 1045613 90791 67131 59218 3946 9846 28259 TRANSITIONAL REINSURANC 7797 27188455 620837 1248384 3057022 4280881 2062967 2258492 45724 59679 241358 205185 46020 36173 49451349 46935951 258464 237793 55542383 55057353 41930 47348 13134217 12736601 13176147 12783949 X 0 0 0 0 42366236 42273404 42366236 42273404 55542383 55057353 -188323 95491 0 X X 0 1 X 1 0 151765 142346 9419 89593 62839 26754 36173 CLAIMS PAYABLE 623000 EST LIAB FUT CLAIMS-FROM EXTNDED ELIG 9620700 EST LIAB FUT CLAIMS-INCURRED NOT REPORTE 2491900 ACCRUED PAYROLL TAXES AND WITHHOLDINGS 1001 12736601 X 26667311 95491 95491 26571820 148793 279519 428312 27000132 27147743 0 27147743 148793 -108081 40712 27188455 Part X, Line 2: The trust established under the Plan to hold the Plan's assets is qualified pursuant to Section 501(c)(9) of the Internal Revenue Code as a tax-exempt organization. The Plan has obtained a favorable tax determination letter from the Internal Revenue Service, and the Plan Sponsor believes that the Plan, as amended, continues to qualify and to operate in accordance with applicable provisions of the Internal Revenue Code. 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 organization has taken an uncertain position that more likely than not would not be sustained upon examination by the taxing authorities. As of June 30, 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 June 30, 2018, the Plan is no longer subject to income tax examinations for years prior to the fiscal year ended June 30, 2015. Part XI, Line 4b - Other Adjustments: REIMB EXPENSES FROM AFFILIATED FUNDS 279,519. Part XII, Line 4b - Other Adjustments: REIMB. EXPENSES FROM AFFILIATED FUNDS 279,519. DEC IN CLAIMS PAYABLE AND IBNR -409,800. INC IN LIABILITY FOR EXTENDED ELIGIBILITY 22,200. X 0 0 0 CHARLES RUEGGE FORMER TRUSTEE 0 152414 0 0 0 17165 0 61917 0 24699 0 256195 0 0 DON MORAN TRUSTEE 0 123275 0 0 0 11787 0 59408 0 24484 0 218954 0 0 JOHN DANIEL TRUSTEE 0 123275 0 0 0 15301 0 53774 0 24551 0 216901 0 0 JOHN HOPP TRUSTEE 0 123275 0 0 0 9614 0 52891 0 24572 0 210352 0 0 BOB BAIER TRUSTEE 0 123275 0 0 0 10994 0 53294 0 24626 0 212189 0 0 KEVIN GALASS TRUSTEE 0 121412 0 0 0 11143 0 53510 0 24756 0 210821 0 0 KEVIN SCHELL ADMINISTRATOR 114582 0 0 0 0 0 27891 0 19952 0 162425 0 0 0 Form 990, Part VI, Section B, line 11b THE TRUSTEES HAVE AUTHORIZED THE FUND'S CHAIRMAN AND/OR SECRETARY TO REVIEW THE FORM 990 BEFORE IT IS FILED. Form 990, Part VI, Section B, line 12c PERSONS COVERED BY THE CONFLICT OF INTEREST POLICY WILL ANNUALLY DISCLOSE OR UPDATE TO THE BOARD OF TRUSTEES THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. FOR EACH INTEREST DISCLOSED TO THE BOARD OF TRUSTEES, THE TRUSTEES WILL DETERMINE WHETHER TO: (A) TAKE NO ACTION; (B) ASSURE FULL DISCLOSURE TO THE BOARD OF TRUSTEES AND OTHER INDIVIDUALS COVERED BY THIS POLICY; (C) ASK THE PERSON TO REFUSE FROM PARTICIPATION IN RELATED DISCUSSIONS OR DECISIONS WITHIN THE FUNDS; OR (D) ASK THE PERSON TO RESIGN FROM HIS OR HER POSITION IN THE FUND, OR IF THE PERSON REFUSES TO RESIGN, BECOME SUBJECT TO POSSIBLE REMOVAL IN ACCORDANCE WITH THE FUND'S REMOVAL PROCEDURES. THE ADMINISTRATIVE MANAGER WILL MONITOR PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND DISCLOSE THEM TO THE BOARD OF TRUSTEES IN ORDER TO DEAL WITH POTENTIAL OR ACTUAL CONFLICTS, WHETHER DISCOVERED BEFORE OR AFTER THE TRANSACTION HAS OCCURRED. 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 US DEPARTMENT OF LABOR. ALSO, FORM 5500 IS OPEN TO PUBLIC INSPECTION THROUGH THE US DEPARTMENT OF LABOR. Form 990, Part XII, Line 2c THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SHEET METAL WORKERS LOCAL 265 PENSION 205 ALEXANDRA WAY CAROL STREAM IL 60188 366168611 PENSION FUND IL 401(A) 0 SHEET METAL WORKERS LOCAL 265 SRP 205 ALEXANDRA WAY CAROL STREAM IL 60188 363911499 ANNUITY FUND IL 401(A) 0 SHEET METAL WORKERS LOCAL 265 LMCC 2703 VAN BUREN STREET BELLWOOD IL 60104 364146794 LABOR MANAGEMENT COOPERATION COMMITTEE IL 501(c)(5) 0 SHEET METAL WORKERS LOCAL 265 ED 205 ALEXANDRA WAY CAROL STREAM IL 60188 366148078 TRAINING FUND IL 501(c)(5) 0 SHEET METAL WORKERS LOCAL 265 205 ALEXANDRA WAY CAROL STREAM IL 60188 362368182 LABOR UNION IL 501(c)(5) 0 1 SOURCE MECHANICAL INC A-1 ROOFING CO ADLER J L ROOFING ADMIRAL HEATING & VENTILATING ADVANCE MECHANICAL AIR COMFORT CORP AIR DUCT MFG & SUPPLY INC AIR FLOW CO INC AIR QUALITY INC AIR RITE HEATING & COOLING ALBERT J WAGNER & SON ALL AMERICAN ROOFING COINC ALLSTATE METAL FAB ALTHOFF INDUSTRIES INC AMBER MECHANICAL CONTR INC AMCO INC AMERICAN AIR MECH SERV INC AMS MECHANICAL SYSTEMS ANDERSON & SHAH ANDERSON MECHANICAL 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