2018-01-16T12:40:36-06:00 2017-02-28 310800053 CLARK SCHAEFER HACKETT & CO 3166 N Republic Blvd Toledo OH 43615 990 2016-03-01 316029682 Ohio Conference of Teamsters and Industry Health and Welfare Trust OHIO 4192543322 435 South Hawley Street Toledo OH 43609 David Tuttle Trustee 4192543322 2018-01-11 1 Lee D Wunschel P00088726 4198412848 2018-01-11 72.240.120.3 2018-01-11 08:18:56 ES P 7C08B671D5A9C989CE1A1E89D2E51074795245E8 0E7E028A4CD9EC821749C9EB847D37F42ACB1111 2016 2021-01-29 14:40:06Z 435 South Hawley Street Toledo OH 43609 103416785 0 X n/a X 1959 OH Voluntary Employee Benefit Association 7 7 5 0 0 0 0 0 35464943 38519525 2477415 2612892 33990 67637 37976348 41200054 0 0 36510854 41088321 273670 405471 0 0 0 934929 952830 37719453 42446622 256895 -1246568 97011022 97681468 6400639 7030654 90610383 90650814 Voluntary Employee Benefit Association 0 0 Provision of health, life, dental, vision and temporary disability benefits for enrolled members of collective bargaining units and their eligible dependents. 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 473 0 1 5 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X Ken Lochtefeld 4192543322 435 South Hawley Street Toledo OH 43609 X Brian Van Matre Trustee 0.00 X 0 0 0 Travis Bornstein Trustee 0.00 X 0 0 0 David Tuttle Trustee 0.00 X 0 0 0 Patrick Darrow Trustee 0.00 X 0 0 0 James D Gilmore Trustee 0.00 X 0 0 0 James W Bishop Trustee 0.00 X 0 0 0 Chuck Collinson Trustee 0.00 X 0 0 0 Huntington Bank Institutional Trustee 0.00 X 0 0 0 Trust Company of Toledo Institutional Trustee 0.00 X 0 0 0 0 0 0 0 0 0 0 Medical Mutual of Ohio 2060 East Ninth St Cleveland OH 44115 Administrator 927341 Forty Four Corporation 435 S Hawley Toledo OH 43609 Rent & Shared Exp 500326 MetLife 177 South Commons Drive Aurora IL 60504 Administrator 302456 Dearborn National 1020 31st St Downers Grove IL 60515 Life Insurance 268474 United Healthcare 5901 Lincoln Drive Edina MN 55436 Administrator 222576 9 Employer Contribution 900099 38519525 38519525 38519525 2451798 2451798 62377825 62216731 161094 161094 161094 Admin Fee Income 900099 60955 60955 Misc. Income 900099 6682 6682 67637 41200054 38519525 0 2680529 41088321 301197 68677 35597 138243 46835 20934 38039 6308 15186 19563 Trust Agent Fee 172222 Computer Expense 136044 Reinsurance Program 132732 Benefit Consulting Fee 102550 124174 42446622 160877 1846 2568475 2892995 30790 32038 217731 171965 56949 45766 94193931 94708823 97011022 97681468 197639 346654 6203000 6684000 6400639 7030654 X 0 0 0 0 90610383 90650814 90610383 90650814 97011022 97681468 -1246568 1286999 0 X 0 1 X 1 0 217731 171965 45766 45766 Prescription Drug Claims 148464 Health Claims Payable 1088736 Claims Incurred/ Not Reported 4948800 Extended Liability Reserve 498000 6684000 X 42487053 1286999 1286999 41200054 0 41200054 41965622 0 41965622 481000 481000 42446622 Part X, Line 2: The Plan has determined that there are no uncertain tax positions that require disclosure in these financial statements under the FASB Accounting Standards Codification topic Income Taxes. The tax years 2013 through 2016 are subject to possible examination by the Internal Revenue Service. Part XII, Line 4b - Other Adjustments: Increase in Benefit Obligation 481,000. Part I Line 1 Provision of health, life, dental, vision and temporary disability benefits for enrolled members of collective bargaining units and their eligible dependents Form 990, Part VI, Section A, line 8b Line 9 explanation - Line 8b is not applicable as the organization does not have a committeee with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b Line 11a explanation - All trustees are provided with a draft copy of the 990 for their review. After approval has been given by each of the trustees, the 990 is filed. Form 990, Part VI, Section B, line 12c Conflicts of interest are monitored by the board at the board meetings as issues are brought before the board. Completion of conflict of interest disclosures forms are addressed on the board meeting agenda. Form 990, Part VI, Section C, line 19 The organization provides its governing documents, conflict of interest policy, and financial statements to the public upon request at the Union office. Local Union No 114 Teamsters Local No 1224 Van Wert County Sheriff Teamsters Local No 357 Van Wert County Correstional Facility Monclova Township City of Waterville Teamsters Local No 20 Downtown Toledo Parking Authority Forty Four Corporation Genacross Lutheran Services Warehouse Associates LP LB&B Joint Venture AH Jamra Company Airgas USA LLC Allied Building Products American Steel Treating Baker-Shinkler Ready Mix Bimbo Bakeries USA Coate Concrete Products Commerce Paper Cousins Waste Control East Manufactiuring Corp Genesis Healthcare LLC Harvard Maintenance Inc HDT Company Inc Healthcare Services Group Heidelberg Distribution Jim White Honda Kuhlman Corporation Lafarge Corporation Marysville Releasing Matheson Tri Gas Mosser Construction Nash Finch Co National Materials Recycling Nissen Coal Company Inc NuCentury Textiles Services Omnisource Orbis Corporation PEPSI Americas PEPSI Cola Bottlers Inc Republic Waste Services St Mary's Truck Superior Dist Co The Linde Group The Sygma Network TMS International LLC Toledo Shredding Turner Vault Company Veolia Water Waste Management of Ohio Watehouse Associates Inc Wayne Lumber Company Westview Concrete Willis Day Storage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0