2019-04-08T18:11:18-05:00 2018-05-31 362152389 BANSLEY AND KIENER LLP 8745 W HIGGINS RD STE 200 CHICAGO IL 606312704 990 2017-06-01 366126628 GLAZING EMPLOYERS & GLAZIERS UNION LOCAL NO 27 HEALTH AND WELFARE FUND GLAZ 7044439000 4225 LAWNDALE AVENUE LYONS IL 60534 MICHAEL MABUS CHAIRMAN 7044439000 2019-04-01 1 HELEN L CHRONOWSKI P01434263 3122632700 70.91.97.105 2019-04-01 13:32:09 CD P DB7C289F650893BBEDA887F95C303FA939536E0A C0320249A2B7961A30F629468477DE9414C79D2D 2017 2019-02-21 02:37:17Z MICHAEL MABUS 4225 LAWNDALE AVENUE LYONS IL 60534 40337370 0 X N/A X 1957 IL TO PROVIDE HOSPITALIZATION, MEDICAL AND OTHER RELATED BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 8 0 12 0 0 0 0 0 14131938 14193525 323036 358653 0 0 14454974 14552178 0 0 11008265 10993954 0 0 0 0 0 387916 416268 11396181 11410222 3058793 3141956 19528608 23098110 10861322 11226508 8667286 11871602 TO PROVIDE HOSPITALIZATION, MEDICAL AND OTHER RELATED BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 0 0 TO PROVIDE HOSPITALIZATION, MEDICAL AND OTHER RELATED BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 4 0 1 12 1 0 0 0 0 0 0 X 8 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X STEWART C MILLER & CO INC 2197696944 2111 WEST LINCOLN HIGHWAY MERRILLVILLE IN 46410 MICHAEL MABUS CHAIRMAN 2.00 X 0 4000 0 THOMAS HILL SECRETARY 2.00 X 0 0 0 MATTHEW SHAPIRO TRUSTEE 0.50 X 0 0 0 MICHAEL O'DONNELL TRUSTEE 0.50 X 0 3300 0 DANIEL NAUGHTON TRUSTEE 0.50 X 0 0 0 MICHAEL COOK TRUSTEE 0.50 X 0 14155 0 BRIAN FILIPIAK TRUSTEE 0.50 X 0 0 0 STEVEN MABUS TRUSTEE 0.50 X 3044 460 2591 3044 21915 2591 0 0 0 0 BLUE CROSS BLUE SHIELD 300 E RANDOLPH CHICAGO IL 60601 HEALTH CARE PROVIDER 477291 ARNOLD KADJAN 203 N LASALLE ST SUITE 1650 CHICAGO IL 60601 LEGAL SERVICES 157044 2 EMPLOYER CONTRIBUTIONS 900099 14089364 14089364 EMPLOYEE CONTRIBUTIONS 900099 104161 104161 14193525 411003 411003 25732842 25785192 -52350 -52350 -52350 14552178 14141175 0 411003 10993954 49512 165544 43059 58876 48216 28375 13118 6810 PCORI FEES 2758 11410222 85578 1714489 1628168 1476398 5978 4820 17731073 19806682 77811 95721 19528608 23098110 122800 104487 10738522 11122021 10861322 11226508 X 0 0 0 0 8667286 11871602 8667286 11871602 19528608 23098110 3141956 62360 0 X X 0 1 X 1 0 0 DUE TO AFFILIATED ORGANIZATION 17393 CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 1315628 ACCUMULATED ELIGIBILITY CREDITS 9789000 11122021 14555662 62360 62360 14493302 58876 58876 14552178 10959127 0 10959127 58876 392219 451095 11410222 PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN BENEFIT OBLIGATION FORM 990, PART VI, SECTION A, LINE 2 MICHAEL MABUS AND STEVEN MABUS - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO OTHER COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN INDEPENDENT CPA AND IS REVIEWED AND APPROVED BY THE FUND REPRESENTATIVE PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AND FORM 5500 (WHICH INCLUDES AUDITED ANNUAL FINANCIAL STATEMENTS) AND SUMMARY ANNUAL REPORT AVAILABLE FOR INSPECTION UPON REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S BOARD OF TRUSTEES ASSUMES THE RESPONSIBILITIES FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. THERE HAS BEEN NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. GLAZIERS UNION LOCAL NO 27 PENSION & RETIREMENT PLAN 4225 LAWNDALE AVE LYONS IL 60534 366034076 DEFINED BENEFIT PLAN IL 0 GLAZIERS UNION LOCAL NO 27 OF THE BROTHERHOOD OF PAINTERS AND ALLIED TRADES 4225 LAWNDALE AVE LYONS IL 60534 361135330 LABOR UNION IL 501(C)5 0 BOARD OF TRUSTEES GLAZING EMPLOYERS& GLAZIERS UNION LOCAL NO27 WELFARE FUND 4225 LAWNDALE AVE LYONS IL 60534 366126628 PLAN SPONSOR AND ADMINISTRATOR IL 0 ACCURATE GLASS INC ACTION CAULKING & SEALANTS ACTIVE GLASS CO INC ALL NEW GLASS INC ALLIANCE GLASS & METAL INC ALUMITAL CORP ARLINGTON GLASSMIRROR CO ASSA ABLOY ENTRANCE SYS INC AUTOMATED PED ACCESS INC BUILDERS GLASS & MIRROR INC C A D CONTRACT GLAZING INC CALVIN & CO INC CAPITOL GLASSARCH METALS INC CARDINAL GLASS CO-ROCKFORD CARDINAL GLASS OF DE KALB CAULKING CO CENTERLINE GLASS & METAL INC CHI CUSTOM DECORATIVE INC CHICAGO HGTS GLASS INC CHRISTOPHER GLASSALUM INC CLEAR STORY GLASS INC CLIFTON ARCH GLASS & METAL COMMERCIAL GLAZING INC CONTRACT MIRROR & SUPPLY CO CURTIS GLASS CO D & M ARCH METALS INC DE KALB CONTRACT GLAZING INC DES PLAINES GLASS CO DREHOBL ART GLASS CO EAST MOLINE GLASS CO ELITE CUSTOM BUILDERS EURO ARCH PRODUCTS INC FRONTRUNNER GLASS & METAL INC GATEWAY GLAZING INC GEORGE'S NW GLASS INC GLASS CONCEPTS LLC GLASS DESIGNERS INC GLASS MGMT SVC GLASS SOLUTIONS INC GLAZIERS LOCAL UNION 27-APPR HARMON INC (W S A INC) IL ARCH GLASS & ALUM LLC IL CONTRACT GLAZING INC JANECYK CONSTR CO INC JONIC GLASS INC K P G ENTERPRISES INC LAKE SHORE GLASS & MIRROR LAZZARO CO INC M T H INDUSTRIES MADDEN GLASS INC MARK INDUSTRIES LTD MCHENRY CO GLASS & MIRROR INC METRO GLASS & MIRROR INC MEYER GLASS & MIRROR CO INC MIDWEST ARCH GLASS NAT'L RETAIL INSTALLATION CORP NORTHERN GLASS INC OAKTON ARCHITECTURAL GLASS LL OLDCASTLE BLDG ENVELOPE OXFORD ERECTORS INC PAINTERS DIST COUNCIL 14 PAULWIN ASSOC INC PETERSON GLASS CO PRECISION WALL SYS INC PRISM GLAZING INC R W S INC RELIANT CONTRACT GLASS INC RETAIL STOREFRONT GROUP RIGGIO-BORON LTD ROCK VALLEY GLASS OF ROCKFORD SCHAAF GLASS CO SHOWERSCAPES INC SKY FAB INC SKYLIGHT CONSULT OF AMERICA SUPER SKY CONSTR INC SUPERIOR GLASS & MIRROR INC SUPERIOR GLASS SOLUTIONS INC TRIUMPH RESTORATION INC TROUT GLASS & MIRROR INC UNITED GLASS INC VALLEY GLASS CO WOOD RIVER GLASS CO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 FORM 990, SCHEDULE R, PART IV THE ORGANIZATION IS A MULTIEMPLOYER COLLECTIVELY BARGAINED EMPLOYEE BENEFIT PLAN THAT IS SUBJECT TO THE PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). THE ORGANIZATION HAS MADE A REASONABLE EFFORT TO PROVIDE INFORMATION REQUIRED. ALL CONTRIBUTING EMPLOYERS OF THE ORGANIZATION ARE LISTED IN PART IV OF SCHEDULE R.