2017-11-14T09:54:18-06:00 2016-12-31 470900880 CALIBRE CPA GROUP PLLC 19615 S LAGRANGE ROAD MOKENA IL 60448 990 2016-01-01 362331071 AUTOMOBILE MECHANICS' LOCAL NO 701 UNION AND INDUSTRY WELFARE AUTO 7084820110 361 S FRONTAGE ROAD NO 100 BURR RIDGE IL 60527 STEVE BUKOVAC ADMINISTRATOR 7084820110 2017-11-14 1 CHARLES DIGIOVANNI P00284901 7089957180 2017-11-13 38.100.43.100 2017-11-14 09:52:14 CS P DD2F5A6855584BEFBC68452237D9336111CE352F DD2F5A6855584BEFBC68452237D9336111CE352F 2016 2017-02-10 21:41:12Z STEVE BUKOVAC 361 S FRONTAGE ROAD NO 100 BURR RIDGE IL 60527 427172359 0 X N/A X 1956 IL PROVIDE HEALTH BENEFITS. 6 4 19 0 0 0 0 0 62623100 66042558 4659310 8275772 71182 69448 67353592 74387778 0 0 70757752 93050525 2395834 2345107 0 0 0 6443257 1831398 79596843 97227030 -12243251 -22839252 188763697 176489568 5216104 14570519 183547593 161919049 TO PROVIDE HEALTH AND WELFARE BENEFITS 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 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 1 157 0 1 19 1 0 0 0 0 0 0 X 6 4 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 X STEVE BUKOVAC 7084820110 361 S FRONTAGE ROAD NO 100 BURR RIDGE IL 60527 X CHRIS KONECKI TRUSTEE 1.00 X 0 0 0 SAM CICINELLI TRUSTEE 1.00 45.00 X 0 155892 40149 ARMADO ARREOLA TRUSTEE 1.00 45.00 X 0 138063 38492 RONALD FETTY TRUSTEE 1.00 X 0 0 0 ROBERT KEPPLER TRUSTEE 1.00 X 0 0 0 DAVID MASHEK TRUSTEE 1.00 X 0 0 0 STEVE BUKOVAC FUND ADMINISTRATOR 40.00 X 233274 0 35141 JEANINE EARTH ASSISTANT ADMINISTRATOR 40.00 X 122405 0 29597 355679 293955 143379 2 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 60601 CLAIMS ADMINISTRATIVE SERVICES 2892324 MEDICAL COST MANAGEMENT GROUP 200 WEST MONROE STREET SUITE 1850 CHICAGO IL 60606 CLAIMS MANAGEMENT 445237 FRANCZEK RADELET 300 SOUTH WACKER DRIVE SUITE 3400 CHICAGO IL 60606 LEGAL SERVICES 379182 BENEFITS MANAGEMENT GROUP 1520 KENSINGTON ROAD OAK BROOK IL 60523 CLAIMS MANAGEMENT 377057 PROFESSIONAL BENEFIT ADMINISTRATORS 900 JORIE BLVD 250 OAK BROOK IL 60523 CLAIMS MANAGEMENT 346930 5 EMPLOYER CONTRIBUTIONS 900099 62246184 62246184 PARTICIPANT CONTRIBUTI 900099 1352871 1352871 PRESCRIPTIONS REBATES 900099 1230408 1230408 REIMBURSED SHARED EXPE 900099 909448 909448 SUBROGATION RECOVERIES 900099 303647 303647 66042558 5121839 5121839 355938514 352784581 3153933 3153933 3153933 OTHER INCOME 900099 69448 69448 69448 74387778 65738911 0 8648867 93050525 420417 813734 863534 146285 101137 536752 94220 394898 231385 338173 105777 65180 4000 19053 41960 97227030 623392 564357 4432827 5965587 5932622 7429373 608689 573216 54526 35473 112604397 152299090 65046170 10094251 69763 101437 188763697 176489568 1046329 182133 4169775 14388386 5216104 14570519 X 0 0 0 0 183547593 161919049 183547593 161919049 188763697 176489568 -22839252 1210708 0 X X 0 1 X 1 0 6790 3395 3395 601899 569821 32078 35473 LIMITED PARTNERSHIPS 427812 F COMMON COLLECTIVE TRUSTS 9666439 F 10094251 DUE TO BROKER - NET 3833429 DEFERRED COMPENSATIONS PLAN 89161 FEES MANDATED BY ACA 342703 DUE TO RELATED FUNDS - NET 222393 MEDICAL AND DENTAL CLAIMS PAYABLE AND IBNR 9276700 PRESCRIPTION CLAIMS PAYABLE 624000 14388386 X 74294140 1210708 1210708 73083432 394898 909448 1304346 74387778 86021984 0 86021984 394898 10810148 11205046 97227030 PART X, LINE 2: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEES BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES. PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENTS FROM PENSION FUND AND 401(K) PLAN 909,448. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENTS FROM PENSION FUND AND 401(K) PLAN 909,448. INCREASE IN MEDICAL AND DENTAL CLAIMS PAYABLE AND IBNR 9,276,700. INCREASE IN PRESCRIPTION CLAIMS PAYABLE 624,000. X 0 0 0 SAM CICINELLI TRUSTEE 0 153221 0 0 0 2671 0 30431 0 9718 0 196041 0 0 ARMADO ARREOLA TRUSTEE 0 134642 0 0 0 3421 0 28774 0 9718 0 176555 0 0 STEVE BUKOVAC FUND ADMINISTRATOR 233274 0 0 0 0 0 25423 0 9718 0 268415 0 0 0 JEANINE EARTH ASSISTANT ADMINISTRATOR 122405 0 0 0 0 0 19879 0 9718 0 152002 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE 990 HAS BEEN PROVIDED TO THE ADMINISTRATOR FOR HIS REVIEW. THE SIGNING TRUSTEE OF THE FUND ALSO REVIEWS THE FORM 990 BEFORE SIGNING AND FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 15 SALARY POLICIES ARE SET BY THE BOARD OF TRUSTEES. SALARIES ARE ANNUALLY REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE FORM 990 PART VII LINE 1A STEVE BUKOVAC IS THE ADMINISTRATOR AND JENNY EARTH IS THE ASSISTANT ADMINISTRATOR OF THIS PLAN AND THE RELATED PENSION PLAN AND 401K PLAN. SALARY AND EMPLOYEE BENEFIT AMOUNTS ARE INITIALLY PAID FOR BY THIS PLAN AND REIMBURSED PERIODICALLY BY THE RELATED PLANS. PART IX LINE 4 BENEFITS PAID TO OR FOR MEMBERS IN PRIOR YEARS, THE PLAN DID NOT ACCRUE BENEFITS PAYABLE AT YEAR END. IN 2016, THE ENTIRE ACCRUAL AT YEAR END OF $9,900,700 WAS RECORDED AS AN EXPENSE AND A LIABILITY. FORM 990 PART XII LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR AUTOMOBILE MECHANICS LOCAL 701 PENSION FUND 361 S FRONTAGE ROAD SUITE 100 BURR RIDGE IL 60527 366042061 PROVIDES PENSION BENEFITS TO MEMBERS IL 501(A) N/A 0 INTERNATIONAL ASSOCIATION OF MACHINISTS AUTOMOBILE MECHANICS UNION LOCAL 70 450 GUNDERSEN DRIVE CAROL STREAM IL 60188 CONTRIBUTING EMPLOYER IL 501(C)(5) 0 MECHANICS LOCAL 701 TRAINING FUND 450 GUNDERSEN DRIVE CAROL STREAM IL 60188 CONTRIBUTING EMPLOYER IL 0 AUTOMOBILE MECHANICS LOCAL NO 701 UNION AND INDUSTRY WELFARE FUND 361 S FRONTAGE ROAD SUITE 100 BURR RIDGE IL 60527 CONTRIBUTING EMPLOYER IL 501(A) 0 MECHANICS LOCAL 701 DEFINED CONTRIBUTION 401K PLAN 361 S FRONTAGE ROAD SUITE 100 BURR RIDGE IL 60527 471959684 PROVIDES TERM OR SUPP PENSION BENEFITS TO EMPLOYEE SPOUSES OR BENEFICIARIES IL N/A 0 ABERDEEN AUTO CONTRIBUTING EMPLOYER 0 0 ADVANCED DSS WASTE MIDWEST LLC CONTRIBUTING EMPLOYER 0 0 ATLAS FIRST ACCESS ACQUIS LLC CONTRIBUTING EMPLOYER 0 0 BIG RIGS 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WILSON AUTOMOTIVE GROUP CORP CONTRIBUTING EMPLOYER 0 WILSON C J MAZDA CONTRIBUTING EMPLOYER 0 WOODY BUICK GMC CONTRIBUTING EMPLOYER 0 WORLD KIA OF JOLIET CONTRIBUTING EMPLOYER 0 YRCINC CONTRIBUTING EMPLOYER 0 ZIMMERMAN FORD LM INC CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 1 AUTOMOBILE MECHANICS LOCAL 701 PENSION FUND Q 863300 BASED ON TIME WORKED FOR FUND MECHANICS LOCAL 701 DEFINED CONTRIBUTION 401K PLAN Q 46148 BASED ON TIME WORKED FOR FUND