2018-10-13T09:35:08-05:00 2017-12-31 320043599 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CENTER STE 700 WESTCHESTER IL 60154 990 2017-01-01 366110305 PLUMBERS & PIPEFITTERS LOCAL 23 UA HEALTH & WELFARE FUND PLUM 8153978350 4525 BOEING DRIVE ROCKFORD IL 611092934 TIMOTHY HUFF TRUSTEE 8153978350 2018-10-13 1 RONALD BASTIAN P01455196 3123680500 12.235.239.120 2018-10-13 09:35:45 CD P D458F851A7B76F6041B1E5C0FC4AE3DB83C9F751 DBF743AF1216C3B70D6C9C598EE47CA4DBC4F1E6 2017 2018-06-14 16:35:46Z TIMOTHY HUFF 4525 BOEING DRIVE ROCKFORD IL 611092934 61027356 0 X N/A X 1957 IL PROVIDE HEALTH BENEFITS 8 5 27 0 0 0 0 0 8251746 9336008 833640 1910849 0 37 9085386 11246894 0 0 7400132 8754809 84865 87186 0 0 0 618977 637249 8103974 9479244 981412 1767650 32757277 35421457 151454 127091 32605823 35294366 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE HEALTH CARE, LIFE, DENTAL, VISION, PRESCRIPTION DRUG AND DISABILITY BENEFITS FOR ELIGIBLE PARTICIPANTS AND/OR THEIR DEPENDENTS IN ACCORDANCE WITH THE PLAN DOCUMENT AND SCHEDULE OF BENEFITS. 0 0 0 0 0 0 0 1 0 1 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 0 0 0 1 0 0 1 142 0 1 27 1 0 0 0 0 0 0 0 0 0 0 X 8 5 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 X TIMOTHY HUFF 8153978350 4525 BOEING DRIVE ROCKFORD IL 611092934 RICHARD BECK CHAIRMAN 1.00 52.00 X 0 153246 99115 DARRYLL RUSSELL TRUSTEE 1.00 X 0 0 0 TIMOTHY HUFF TRUSTEE 1.00 48.00 X 0 131943 87840 DAVID NELSON SECRETARY TREASURER 1.00 X 0 0 0 EUGENE MEAD TRUSTEE 1.00 X 0 0 0 JAMES ZWEEP TRUSTEE 1.00 X 0 0 0 BRIAN HELM TRUSTEE 1.00 X 0 0 0 ROBERT WOODEN TRUSTEE 1.00 48.00 X 0 130857 87840 0 416046 274795 0 0 1 0 SAV RX 224 N PARK AVE FREMONT NE 68025 BENEFIT PROVIDER 822672 ACTIVATE HEALTHCARE LLC 2010 N DAMEN AVE CHICAGO IL 60647 CLINIC ADMINISTRATOR 406468 BENEFIT MANAGEMENT GROUP INC 903 COMMEERCE DRIVE SUITE 304 OAKBROOK IL 60523 ADMINISTRATIVE FEES 285514 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH ST CHICAGO IL 60601 PPO PROVIDER 265532 4 EMPLOYER CONTRIBUTIONS 900099 8301891 8301891 PARTIC AND RETIREE CONTRIBUTIONS 900099 803220 803220 PRESCRIPTION DRUG REBATES 900099 220177 220177 SUBROGATION 900099 10720 10720 9336008 847656 847656 50843655 49780462 1063193 1063193 1063193 MISCELLANEOUS 900099 37 37 37 11246894 9336008 0 1910886 8754809 41419 20179 14695 10893 285514 48969 25537 93534 40219 42175 2329 11709 6684 61552 8281 BANK FEES 4881 MISCELLANEOUS EXPENSE 2941 FEES MANDATED BY THE AC 2924 9479244 862011 1065968 604605 632428 1087500 1003569 28441 6123 109621 451300 95454 4430 355846 30192608 32221452 0 4132 32757277 35421457 151454 127091 151454 127091 X 0 0 0 0 32605823 35294366 32605823 35294366 32757277 35421457 1767650 920893 0 X 0 1 X 1 0 1 14537 17692595 17659628 47504 0 344471 66576 277895 106829 28878 77951 355846 X 12074253 920893 920893 11153360 93534 93534 11246894 9385710 0 9385710 93534 93534 9479244 PART IV, LINE 2B: THE PLAN SERVES AS A CONDUIT TO COLLECT REMITTANCES ON BEHALF OF AFFILIATED BENEFIT FUNDS AND ORGANIZATIONS. SUCH REMITTANCES ARE INTIALLY RECEIVED THROUGH A LOCKBOX HELD BY THE PLAN. AMOUNTS ARE HELD BY THE PLAN IN THE LOCKBOX UNTIL DISBURSEMENT TO THE AFFILIATED ENTITY IS MADE. 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. 0 0 0 RICHARD BECK CHAIRMAN 0 151494 0 0 0 1752 0 76492 0 22623 0 252361 0 0 TIMOTHY HUFF TRUSTEE 0 128222 0 0 0 3721 0 67027 0 20813 0 219783 0 0 ROBERT WOODEN TRUSTEE 0 128222 0 0 0 2635 0 67027 0 20813 0 218697 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE SECRETARY TREASURER AND THIRD PARTY ADMINISTRATOR FOR THEIR REVIEW, APPROVAL AND SIGNATURE PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 THE HEALTH AND WELFARE FUND MAKES GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ROCKFORD PIPE TRADES INDUSTRY PENSION FUND 4525 BOEING DRIVE ROCKFORD IL 61109 376123990 PROVIDE PENSION BENEFITS IL 401(A) N/A NOT APPLICABLE 0 PLUMBERS & PIPEFITTES LOCAL 23 UA TRAINING FUND 4525 BOEING DRIVE ROCKFORD IL 61109 366109329 APPRENTICE AND JOURNEYMEN TRAINING IL 501(C)5 N/A NOT APPLICABLE 0 ROCKFORD PIPE TRADES INDUSTRY 401(K) PLAN 4525 BOEING DRIVE ROCKFORD IL 61109 391951674 PROVIDE SAVINGS AND RETIREMENT BENEFITS IL 401(A) N/A NOT APPLICABLE 0 UNITED ASSOCIATION OF PLUMBERS & PIPEFITTERS LOCAL 23 4525 BOEING DRIVE ROCKFORD IL 61109 362118228 LABOR UNION IL 501(C)5 N/A NOT APPLICABLE 0 ABITUA SEWER WATER & PLUMBING INC CONTRIBUTING EMPLOYER 0 ALL-FIVE CONCRETE CUTTERS CONTRIBUTING EMPLOYER 0 AIR COMFORT CORPORATION CONTRIBUTING EMPLOYER 0 ALPHA CONTROLS & SERVICES CONTRIBUTING EMPLOYER 0 AREA MECHANICAL INC CONTRIBUTING EMPLOYER 0 AUTOMATIC ENVIRONMENTAL CONTRIBUTING EMPLOYER 0 AUTOMATIC FIRE SYSTEMS INC CONTRIBUTING EMPLOYER 0 BOLD MECHANICAL CONTRIBUTING EMPLOYER 0 BRECKE MECHANICAL CONTRACTORS CONTRIBUTING EMPLOYER 0 CBI SERVICES LLC CONTRIBUTING EMPLOYER 0 CERONI PIPING CO CONTRIBUTING EMPLOYER 0 CFMVR TESCO CONTRIBUTING EMPLOYER 0 CHICAGO CUT CONCRETE CUTTING CONTRIBUTING EMPLOYER 0 CLIMATE PROS INC CONTRIBUTING EMPLOYER 0 COMMERCIAL MECHANICAL INC CONTRIBUTING EMPLOYER 0 AZCO INC CONTRIBUTING EMPLOYER 0 COMMERCIAL REFRIGERATION CONTRIBUTING EMPLOYER 0 CONSOLIDATED MECHANICAL CONTRIBUTING EMPLOYER 0 DAHME MECHANICAL INDUSTRIES INC CONTRIBUTING EMPLOYER 0 DESIGN PLUMBING & PIPING CONTRIBUTING EMPLOYER 0 CONTI CORPORATION CONTRIBUTING EMPLOYER 0 DESIGN PLUMBING RESIDENTIAL CONTRIBUTING EMPLOYER 0 EWING DOHERTY MECHANICAL CONTRIBUTING EMPLOYER 0 FAITH MECHANICAL INC CONTRIBUTING EMPLOYER 0 FIVE STAR PLUMBING CO CONTRIBUTING EMPLOYER 0 FM SYLVAN INC CONTRIBUTING EMPLOYER 0 GEOSTAR MECHANICAL INC CONTRIBUTING EMPLOYER 0 ENTEC SERVICES INC CONTRIBUTING EMPLOYER 0 FELLOW BROS MECHANICAL INC CONTRIBUTING EMPLOYER 0 HAYES MECHANICAL CONTRIBUTING EMPLOYER 0 JOHN E GREEN CO CONTRIBUTING EMPLOYER 0 HARTWIG PLUMBING & HEATING CONTRIBUTING EMPLOYER 0 HONEYWELL INC CONTRIBUTING EMPLOYER 0 HUSSMANN CORPORATION CONTRIBUTING EMPLOYER 0 JB CONTRACTING CORP CONTRIBUTING EMPLOYER 0 APTIM SERVICES LLC CONTRIBUTING EMPLOYER 0 JOHNSON CONTROLS INC CONTRIBUTING EMPLOYER 0 KELLENBERGER PLUMBING & UNDERGROUND CONSTRUCTION CONTRIBUTING EMPLOYER 0 KS ENERGY SERVICES LLC CONTRIBUTING EMPLOYER 0 LEE N' SONS PLUMBING INC CONTRIBUTING EMPLOYER 0 LOESCHER HEATING & AC CONTRIBUTING EMPLOYER 0 MCT SERVICES LLC CONTRIBUTING EMPLOYER 0 MECHANICAL INC - ILLINOIS FAB SHOP CONTRIBUTING EMPLOYER 0 MIDWEST MECHANICAL INDUST (BYRON) CONTRIBUTING EMPLOYER 0 MILLER ENGINEERING COMPANY CONTRIBUTING EMPLOYER 0 MODERN PIPING INC CONTRIBUTING EMPLOYER 0 MO-ST PLUMBING & MECHANICAL CONTRIBUTING EMPLOYER 0 NELSON CARLSON MECH CONTR CONTRIBUTING EMPLOYER 0 NORTHERN MECHANICAL INC CONTRIBUTING EMPLOYER 0 PCI ENERGY SERVICES LLC CONTRIBUTING EMPLOYER 0 PEARSON PLUMBING & HTG - H&W HRA ONLY CONTRIBUTING EMPLOYER 0 SERVICE CONCEPTS CONTRIBUTING EMPLOYER 0 SERVICE PLUMBING - RESIDENTIAL CONTRIBUTING EMPLOYER 0 PORTZEN CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 TOTAL PLUMBING & HEATING CONTRIBUTING EMPLOYER 0 TRANE COMPANY CONTRIBUTING EMPLOYER 0 TOBIN BROTHERS INC CONTRIBUTING EMPLOYER 0 WAGNER-MEINERT LLC CONTRIBUTING EMPLOYER 0 TRANE US INC CONTRIBUTING EMPLOYER 0 TCJ MECHANICAL INC CONTRIBUTING EMPLOYER 0 ALLIED POWER LLC CONTRIBUTING EMPLOYER 0 ALTHOFF INDUSTRIES INC CONTRIBUTING EMPLOYER 0 AMALGAMATED SERVICES INC CONTRIBUTING EMPLOYER 0 AMS MECHANICAL SYSTEMS CONTRIBUTING EMPLOYER 0 API PLUMBING CONTRIBUTING EMPLOYER 0 MMC MECHANICAL CONTRACTORS INC CONTRIBUTING EMPLOYER 0 RJ O'NEIL INC CONTRIBUTING EMPLOYER 0 RIDGE PLUMBING CO INC CONTRIBUTING EMPLOYER 0 SIEMENS WESTINGHOUSE GENE CONTRIBUTING EMPLOYER 0 SOUTHWEST MECHANICAL INC CONTRIBUTING EMPLOYER 0 TRITON TEST BALANCE DESIGN CONTRIBUTING EMPLOYER 0 UNIVERSAL PIPING INC CONTRIBUTING EMPLOYER 0 VEHICLE LIFTS & MECHANICAL CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 FORM 990, SCHEDULE R, PART IV THE SPONSORING ORGANIZATION OF THE FUND IS THE JOINT BOARD OF TRUSTEES.