2019-03-06T16:25:58-06:00 2018-04-30 320043599 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CENTER STE 700 WESTCHESTER IL 60154 990 2017-05-01 340751987 TRI-COUNTY BUILDING TRADES HEALTH FUND TRI- 2488139800 700 TOWER DRIVE NO 300 TROY MI 48098 JERRY DURIEUX TRUSTEE 2488139800 2019-03-06 1 ERIC WALLIN P01630474 3123680500 12.235.239.120 2019-03-06 16:26:10 CS P 37090C45B3870022332458D1F1643B1C3667E4D9 DBF743AF1216C3B70D6C9C598EE47CA4DBC4F1E6 2017 2019-02-21 02:37:17Z JERRY DURIEUX 700 TOWER DRIVE NO 300 TROY MI 48098 20225761 0 X N/A X 1953 OH TO PROVIDE HEALTH BENEFITS 6 6 60 0 0 0 0 0 17905512 19227972 518267 497789 0 0 18423779 19725761 0 0 19392930 18175853 0 0 0 0 0 526501 490182 19919431 18666035 -1495652 1059726 22506755 23266685 951962 206359 21554793 23060326 HEALTH BENEFIT FUND 0 0 TO PROVIDE HEALTH CARE, DEATH AND DISABILITY BENEFITS, DENTAL, VISION, PRESCRIPTION DRUG AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 351 0 1 60 1 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 0 0 X MARY WEIR 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 X JERRY DURIEUX TRUSTEE 1.00 X 0 0 0 SCOTT MAZZULLI TRUSTEE 1.00 X 0 0 0 DAVE LARSON TRUSTEE 1.00 X 0 0 0 AARON HALL TRUSTEE 1.00 X 0 0 0 MATT FOX TRUSTEE 1.00 X 0 0 0 SETH ABRAHAM TRUSTEE - NEW 1.00 X 0 0 0 JOHN TRIFONOFF TRUSTEE - PAST 1.00 X 0 0 0 0 0 0 0 0 0 0 ANTHEM BLUE CROSS AND BLUE SHIELD PO BOX 659803 SAN ANTONIO TX 78265 PREFERRED PROVIDER ORGANIZATION FEES 521855 BENESYS INC 700 TOWER DR TROY MI 48098 ADMINISTRATION 409699 2 EMPLOYER CONTRIBUTIONS 900099 16608485 16608485 PARTICIPANT CONTRIBUTIONS 900099 2240264 2240264 SASMI CONTRIBUTIONS 900099 379223 379223 19227972 497789 497789 500000 500000 0 19725761 19227972 0 497789 18175853 174557 69240 11400 35000 66499 100321 10334 15961 FEES MANDATED BY ACA 5666 MISCELLANOUS 1204 18666035 1110314 1706270 924668 606099 2807249 2700728 4704 17664524 18248884 22506755 23266685 951962 73955 98253 0 34151 951962 206359 X 0 0 0 0 21554793 23060326 21554793 23060326 22506755 23266685 1059726 175989 269818 0 X 0 1 X 1 0 0 DUE TO BROKER 34151 34151 X 19866750 175989 175989 19690761 35000 35000 19725761 18631035 0 18631035 35000 35000 18666035 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION A, LINE 3 WHILE THE BOARD OF TRUSTEES RETAINS THE ULTIMATE AUTHORITY, THEY HAVE DELEGATED THE DAY TO DAY MANAGEMENT OF DUTIES TO BENESYS, INC. AS THE THIRD PARTY ADMINISTRATOR OF THE FUND. FORM 990, PART VI, SECTION A, LINE 8B THE FUND HAS NO COMMITTEES TO WHICH IT HAS DELEGATED THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND PROVIDED TO THE ADMINISTRATOR OF THE PLAN. THE ADMINISTRATOR HAS BEEN GIVEN THE AUTHORITY BY THE BOARD OF TRUSTEES TO REVIEW THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. SUBSEQUENTLY A COPY OF THE FORM IS PROVIDED TO THE ENTIRE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES MEETS MONTHLY AND ADDRESSES ANY ISSUES THAT MAY ARISE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE OFFICE OF THE FUND. FORM 990, PART XI, LINE 8 PRIOR PERIOD ADJUSTMENTS: RESTATEMENT OF PRIOR PERIOD CONTRIBUTIONS RECEIVABLE: (471,695) RESTATEMENT OF PRIOR PERIOD ACCOUNTS PAYABLE AND ACCRUED EXPENSES: 437,512 RESTATEMENT OF PRIOR PERIOD HRA PAYABLE: 304,001 _________ TOTAL 269,818 SMW LU# 033 APP ED CONTRIBUTING EMPLOYER 0 SMW LU# 033 JATC-CLEVELAND CONTRIBUTING EMPLOYER 0 SMW LU# 033 NORTHERN OHIO CONTRIBUTING EMPLOYER 0 SMW WHG DISTRICT LMCC INC CONTRIBUTING EMPLOYER 0 WEST VIRGINIA SMW JATP CONTRIBUTING EMPLOYER 0 ADVANCED COMFORT SYSTEMS INC CONTRIBUTING EMPLOYER 0 ADVANCED INDUSTRIAL SERVICES CONTRIBUTING EMPLOYER 0 ADVANCED ROOFING SYSTEMS INC CONTRIBUTING EMPLOYER 0 AIR COMFORT INC CONTRIBUTING EMPLOYER 0 AIR SYSTEMS SHEET METAL CONTRIBUTING EMPLOYER 0 ALL COMFORT HTG & AC CONTRIBUTING EMPLOYER 0 ALPHA INDOOR ENVIRONMENT CONTRIBUTING EMPLOYER 0 AVON LAKE SHEET METAL CONTRIBUTING EMPLOYER 0 BECKERS HEATING & AC INC CONTRIBUTING EMPLOYER 0 BEST COMM ENERGY SERVICES CONTRIBUTING EMPLOYER 0 BOVA CORP 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EMPLOYER 0 HRANEC SHEET METAL CONTRIBUTING EMPLOYER 0 HUDSON HEATING CO CONTRIBUTING EMPLOYER 0 HVAC SYSTEMS LLC CONTRIBUTING EMPLOYER 0 HYBRID HEATING & COOLING LLC CONTRIBUTING EMPLOYER 0 IMPERIAL HTG & CLG INC CONTRIBUTING EMPLOYER 0 JACOBS INDUSTRIAL SERV INC CONTRIBUTING EMPLOYER 0 JOHNSONS PLUMBING & HEATING CO CONTRIBUTING EMPLOYER 0 K M T METAL SYSTEMS CONTRIBUTING EMPLOYER 0 KEBCO PRECISION FAB INC CONTRIBUTING EMPLOYER 0 KENT WELDING INC CONTRIBUTING EMPLOYER 0 KUCERA PLUMBING CONTRIBUTING EMPLOYER 0 LAW HEATING AND COOLING CONTRIBUTING EMPLOYER 0 LESLIE PHARES ELEC HTG CONTRIBUTING EMPLOYER 0 LUXURY HEATING CO CONTRIBUTING EMPLOYER 0 MCKAMISH INC CONTRIBUTING EMPLOYER 0 MECKLENBURG RFG & SM CO CONTRIBUTING EMPLOYER 0 MEPVET LLC CONTRIBUTING EMPLOYER 0 METAL CONSTRUCTION SYSTEMS CONTRIBUTING EMPLOYER 0 METAL DESIGN LLC CONTRIBUTING EMPLOYER 0 METAL MASTERS INC CONTRIBUTING EMPLOYER 0 MICHAEL FABRICATORS CONTRIBUTING EMPLOYER 0 MINNOTTE CONTRACTING CORP CONTRIBUTING EMPLOYER 0 MORRISON INC CONTRIBUTING EMPLOYER 0 MOUNTAIN AIR SHEET METAL CONTRIBUTING EMPLOYER 0 MURPHY CONSTRUCTION & E CONTRIBUTING EMPLOYER 0 MURRAY SHEET METAL CO CONTRIBUTING EMPLOYER 0 N F MANSUETTO & SONS CONTRIBUTING EMPLOYER 0 NIMEN SHEET METAL INC CONTRIBUTING EMPLOYER 0 NITRO ELECTRIC CO INC CONTRIBUTING EMPLOYER 0 NORTHERN OHIO ROOFING CONTRIBUTING EMPLOYER 0 OHIO FABRICATORS INC CONTRIBUTING EMPLOYER 0 OHIO-WEST VA EXCAVATING CONTRIBUTING EMPLOYER 0 ONTARIO MECHNICAL LLC CONTRIBUTING EMPLOYER 0 PERFORMANCE CONTRACTING INC CONTRIBUTING EMPLOYER 0 PRECISION AIR BALANCE CO INC CONTRIBUTING EMPLOYER 0 PRO AIR SOLUTIONS LLC CONTRIBUTING EMPLOYER 0 PROFESSIONAL BALANCE CONTRIBUTING EMPLOYER 0 R & D HEATING & SHEET METAL CONTRIBUTING EMPLOYER 0 R G SMITH CO INC CONTRIBUTING EMPLOYER 0 RAY ROOFING & SUPPLY INC CONTRIBUTING EMPLOYER 0 RGT SERVICES CONTRIBUTING EMPLOYER 0 ROTH BROS INC CONTRIBUTING EMPLOYER 0 SAFCO HEATING & COOLING CONTRIBUTING EMPLOYER 0 SCHENERLEIN & SLIGAR CONTRIBUTING EMPLOYER 0 SCHMID MECHANICAL INC CONTRIBUTING EMPLOYER 0 SHAFFNER HEANEY ASSOCIATION CONTRIBUTING EMPLOYER 0 SHEET METAL CRAFTERS CONTRIBUTING EMPLOYER 0 SIBLEY INC CONTRIBUTING EMPLOYER 0 SMITH & OBY COMPANY CONTRIBUTING EMPLOYER 0 STEERS HEATING & COOLING INC CONTRIBUTING EMPLOYER 0 STONEGATE CONSTRUCTION CONTRIBUTING EMPLOYER 0 STUART MCMUNN COMPANY CONTRIBUTING EMPLOYER 0 T H MARTIN INC CONTRIBUTING EMPLOYER 0 TEMA ROOFING SERVICES CONTRIBUTING EMPLOYER 0 THE K COMPANY CONTRIBUTING EMPLOYER 0 TOLEDO TIN KNOCKERS CONTRIBUTING EMPLOYER 0 TRI STATE ROOFING & SM CONTRIBUTING EMPLOYER 0 UNITED CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 VERANTIS COPORATION CONTRIBUTING EMPLOYER 0 W G TOMKO INC CONTRIBUTING EMPLOYER 0 W R DRAKE CO CONTRIBUTING EMPLOYER 0 W W HEATING & AC CONTRIBUTING EMPLOYER 0 WAINO SHEET METAL INC CONTRIBUTING EMPLOYER 0 WHEELER SHEET METAL INC CONTRIBUTING EMPLOYER 0 WRIGHT HEATING CO CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1