2017-01-26T17:11:25-06:00 2016-06-30 470900880 Calibre CPA Group PLLC 566 WEST LAKE STREET SUITE 300 CHICAGO IL 606611414 990 2015-07-01 362356062 SHEET METAL WORKERS LCL 265 WELFARE FUND SHEE 6306687260 205 ALEXANDRA WAY CAROL STREAM IL 60188 Charles Ruegge Trustee 6306687260 2017-01-26 1 Andy Hein P00499757 3126550037 2015 2021-01-29 14:40:06Z CHARLES RUEGGE 205 ALEXANDRA WAY CAROL STREAM IL 60188 82955721 0 X N/A X 1962 IL PROVIDE HEALTH, DENTAL, PRESCRIPTION DRUG, VISION AND DEATH BENEFITS COVERING SUBSTANTIALLY ALL PARTICIPATING PERSONS UNDER THE SHEET METAL WORKERS LOCAL 265 UNION'S COLLECTIVE BARGAINING AGREEMENT. 10 5 71 0 0 0 0 0 23559204 23895020 1513221 1136110 225192 271667 25297617 25302797 0 0 22293415 23880629 970190 976453 0 0 0 1618180 1456839 24881785 26313921 415832 -1011124 54730855 55404964 10515107 11499275 44215748 43905689 X PROVIDE HEALTH, DENTAL, PRESCRIPTION DRUG, VISION AND DEATH BENEFITS COVERING SUBSTANTIALLY ALL PARTICIPATING PERSONS UNDER THE SHEET METAL WORKERS LOCAL 265 UNION'S COLLECTIVE BARGAINING AGREEMENT. 0 0 PROVIDED ARE HEALTH (HOSPITAL, MAJOR MEDICAL, AND LONG TERM DISABILITY), DENTAL, VISION, AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS. PROVIDED ARE HEALTH (HOSPITAL, MAJOR MEDICAL, AND LONG TERM DISABILITY), DENTAL, VISION, AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS. 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 736 0 1 71 1 0 0 0 0 0 0 X 10 5 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X KEVIN SCHELL 6306687260 205 ALEXANDRA WAY CAROL STREAM IL 60188 GERALD PORTER FORMER TRUSTEE 3.00 40.00 X 0 51995 28793 KEVIN PRINCE TRUSTEE 3.00 40.00 X 0 126444 76652 JOHN BOSKE FORMER TRUSTEE 3.00 40.00 X 0 98007 46998 CHARLES RUEGGE TRUSTEE 3.00 40.00 X 0 147686 78167 PAT HUDGENS TRUSTEE 3.00 X 0 0 0 JOHN SHAW TRUSTEE 3.00 X 0 0 0 DON MORAN TRUSTEE 3.00 40.00 X 0 127376 74074 JOHN D'ANGELO TRUSTEE 3.00 X 0 0 0 JACK GENGLER TRUSTEE 3.00 X 0 0 0 KEN WIESBROOK TRUSTEE 3.00 X 0 0 0 JOHN DANIEL TRUSTEE 3.00 40.00 X 0 128737 72755 JOHN HOPP TRUSTEE 3.00 40.00 X 0 125919 72116 SCOTT WILLE ADMINISTRATOR 40.00 X 121240 0 44286 121240 806164 493841 1 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 60601 PPO ACCESS FEES 677299 1 EMPLOYER CONTRIBUTIONS 900099 21548214 21548214 EMPLOYEE CONTRIBUTIONS 900099 2346806 2346806 23895020 1384700 1384700 57404334 57652924 -248590 -248590 -248590 REIMB FROM AFFILIATES 900099 271667 271667 271667 25302797 24166687 0 1136110 23880629 523090 212990 176391 63982 53543 56985 147495 944863 78148 59842 60816 12852 7632 27581 TRANSITIONAL REINSURANC 7082 26313921 735413 694940 5273298 3414014 2126274 2118211 42321 43896 281723 254700 33257 27023 46297013 48832672 223279 274208 54730855 55404964 92452 51906 10422655 11447369 10515107 11499275 X 0 0 0 0 44215748 43905689 44215748 43905689 54730855 55404964 -1011124 701065 0 X X 0 1 X 1 0 48116 33151 14965 154325 144953 9372 79282 76596 2686 27023 CLAIMS PAYABLE 629300 EST LIAB FUT CLAIMS-FROM EXTNDED ELIG 8299600 EST LIAB FUT CLAIMS-INCURRED NOT REPORTE 2517300 ACCRUED PAYROLL TAXES AND WITHHOLDINGS 1169 11447369 X 25584700 701065 701065 24883635 147495 271667 419162 25302797 24870359 0 24870359 147495 1296067 1443562 26313921 Part X, Line 2: The trust established under the Plan to hold the Plan's assets is qualified pursuant to Section 501(c)(9) of the Internal Revenue Code as a tax-exempt organization. The Plan has obtained a favorable tax determination letter from the Internal Revenue Service, and the Plan Sponsor believes that the Plan, as amended, continues to qualify and to operate in accordance with applicable provisions of the Internal Revenue Code. Accounting principles generally accepted in the United States of America require plan management to evaluate tax positions taken by the plan and recognize a tax liability (or asset) if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the taxing authorities. As of June 30, 2016, there were no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. At June 30, 2016, the Plan is no longer subject to income tax examinations for years prior to the fiscal year ended June 30, 2013. Part XI, Line 4b - Other Adjustments: REIMB EXPENSES FROM AFFILIATED FUNDS 271,667. Part XII, Line 4b - Other Adjustments: REIMB. EXPENSES FROM AFFILIATED FUNDS 271,667. DEC IN CLAIMS PAYABLE AND IBNR 813,300. INC IN LIABILITY FOR EXTENDED ELIGIBILITY 211,100. X 0 0 0 KEVIN PRINCE TRUSTEE 0 117735 0 0 0 8709 0 52373 0 24279 0 203096 0 0 CHARLES RUEGGE TRUSTEE 0 132473 0 0 0 15213 0 53754 0 24413 0 225853 0 0 DON MORAN TRUSTEE 0 117735 0 0 0 9641 0 51595 0 22479 0 201450 0 0 JOHN DANIEL TRUSTEE 0 117735 0 0 0 11002 0 48384 0 24371 0 201492 0 0 JOHN HOPP TRUSTEE 0 117735 0 0 0 8184 0 47783 0 24333 0 198035 0 0 SCOTT WILLE ADMINISTRATOR 121240 0 0 0 0 0 24312 0 19974 0 165526 0 0 0 Form 990, Part VI, Section B, line 11 THE TRUSTEES HAVE AUTHORIZED THE FUND'S CHAIRMAN AND/OR SECRETARY TO REVIEW THE FORM 990 BEFORE IT IS FILED. Form 990, Part VI, Section B, line 12c PERSONS COVERED BY THE CONFLICT OF INTEREST POLICY WILL ANNUALLY DISCLOSE OR UPDATE TO THE BOARD OF TRUSTEES THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. FOR EACH INTEREST DISCLOSED TO THE BOARD OF TRUSTEES, THE TRUSTEES WILL DETERMINE WHETHER TO: (A) TAKE NO ACTION; (B) ASSURE FULL DISCLOSURE TO THE BOARD OF TRUSTEES AND OTHER INDIVIDUALS COVERED BY THIS POLICY; (C) ASK THE PERSON TO REFUSE FROM PARTICIPATION IN RELATED DISCUSSIONS OR DECISIONS WITHIN THE FUNDS; OR (D) ASK THE PERSON TO RESIGN FROM HIS OR HER POSITION IN THE FUND, OR IF THE PERSON REFUSES TO RESIGN, BECOME SUBJECT TO POSSIBLE REMOVAL IN ACCORDANCE WITH THE FUND'S REMOVAL PROCEDURES. THE ADMINISTRATIVE MANAGER WILL MONITOR PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND DISCLOSE THEM TO THE BOARD OF TRUSTEES IN ORDER TO DEAL WITH POTENTIAL OR ACTUAL CONFLICTS, WHETHER DISCOVERED BEFORE OR AFTER THE TRANSACTION HAS OCCURRED. Form 990, Part VI, Section C, line 19 A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE PLAN ADMINISTRATOR AND/OR THE US DEPARTMENT OF LABOR. ALSO, FORM 5500 IS OPEN TO PUBLIC INSPECTION THROUGH THE US DEPARTMENT OF LABOR. Form 990, Part XII, Line 2c THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SHEET METAL WORKERS LOCAL 265 PENSION 205 ALEXANDRA WAY CAROL STREAM IL 60188 366168611 PENSION FUND IL 401(A) 0 SHEET METAL WORKERS LOCAL 265 SRP 205 ALEXANDRA WAY CAROL STREAM IL 60188 363911499 ANNUITY FUND IL 401(A) 0 SHEET METAL WORKERS LOCAL 265 LMCC 2703 VAN BUREN STREET BELLWOOD IL 60104 364146794 LABOR MANAGEMENT COOPERATION COMMITTEE IL 501(c)(5) 0 SHEET METAL WORKERS LOCAL 265 ED 205 ALEXANDRA WAY CAROL STREAM IL 60188 366148078 TRAINING FUND IL 501(c)(5) 0 SHEET METAL WORKERS LOCAL 265 205 ALEXANDRA WAY CAROL STREAM IL 60188 362368182 LABOR UNION IL 501(c)(5) 0 ANTHONY ROOFING LTD AT MECHANICAL LLC CT MECHANICAL LLC DK METALS LTD HVAC FITTINGS LLC MACH MECHANICAL GROUP LLC MEP MECHANICAL SERVICES LLC MJ MECHANICAL LLC ADLER J L ROOFING ADMIRAL HEATING & VENTILATING ADVANCE MECHANICAL ADVANCE SHEET METAL CO AIR COMFORT CORP AIR DESIGN SYSTEMS INC AIR DUCT MFG & SUPPLY INC AIR FLOW CO INC AIR QUALITY INC AIR RITE HEATING & COOLING ALBERT J WAGNER & SON ALL AMERICAN ROOFING COINC ALLSTATE METAL FAB ALTHOFF INDUSTRIES INC AMBER MECHANICAL CONTR INC AMCO INC AMERICAN AIR MECH SERV INC AMS MECHANICAL SYSTEMS ANDERSON & SHAH ANDERSON MECHANICAL SYSTEMS ANY TEMPERATURE ANYTIME HEATING & AC INC AQI MECHANICAL SYSTEM ARCHITECTURAL PANEL SYSTEMS ARCO PRODUCTION I ARCO PRODUCTION II ARCO SUPPLY CO ARMBRUST PLUMBING & HEATING ARTLIP & SONS INC ATOMATIC MECHANICAL SERV INC B & B SHEET METAL BAM DECKING INC BEERY HEATING & COOLING INC BENNETT & BROSSEAU ROOFING INC BENNETT & BROSSEAU SHEET METAL BIEDRON HEATING & COOLING BLACKHAWK HVAC INC BLUE RIDGE HEATING & AIR BR PRODUCTIONS BRIGADIER ROOFING INC BSM ENTERPRISES INC BUILDERS HEATING INC BUTTERFIELD MECHANICAL SERVICE C & E HEATING C ACITELLI HTG & PIPING CON CAPITOL GLASS CAREY'S HEATING & AC INC CBI SERVICES INC CECCHIN PLUMBING & HEATING CENTURY CHUTE PW CHER-MAR COMPANY CHICAGO ROOF DECK CLIMATE MASTER MECH CLIMATEMP SERVICE GROUP COMBINED ROOFING INC COMBINED SERVICES HVAC COMPLETE MECH SERVICES CONTROLLED ENVIRONMENT TEST COTTAGE SHEET METAL INC CROWN CORR INC CROWTHER ROOFING & SM INC CRYSTAL LAKE MECHANICAL INC CYGNUS SERVICES INC DBA CSI IN D & B INSTALLERS INC D & L INSTALLATIONS INC D & L SHEET METAL INC DAHLMAN SHEET METAL DE LA ROSA HEATING & COOLING C DEKALB MECHANICAL DEKAYO CORPORATION DENNINGINC DEPUE MECHANICAL DODSON PLBG HTG & AIR DOUBLE R ERECTING DRS INSTALLERS INC EAST IOWA DECKS EDWARDS ENGINEERING INC ELENS & MAICHIN ROOFING & SM ELGIN SHEET METAL CO EMCOR SERVICES TEAM MECH ENTHALPY SYSYEM SERVICE ENVIRO MECHANICAL INC EXCEL MECHANICAL SERVICES EXCELLENCE & QUALITY ARCH SM FAITH MECHANICAL INC FEDERAL SIGNAL CORP FIRE N ICE HEATING & COOLING FITZPATRICK CO FLO-TECH MECHANICAL SYSTEMS GALAS HEATING & AC INC GENERAL REFRIGERATION SERVICE GENGLER-LOWNEY LASER WORKSINC GHC MECHANICAL INC GREAT LAKES HOTEL SUPPLY GREITERS MECHANICAL SERVICE GROSSE MECHANICAL GT MECHANICAL PROJECTS & DESIG HARTWIG P & H INC HILL MECHANICAL GROUP HOLOHAN HEATING & SHEET METAL HR STEWART INC HTH MECHANICAL SERVICES IDEAL MECHANICAL CORP INDEPENDENT TESTING & BALANCE INSTALL INC INSTITUTIONAL EQUIPMENT INC INSTITUTIONAL EQUIPMENT INCIOR INTERIOR CONCEPTS INC INTERNATIONAL TEST & BALANCE J & B MECHANICAL INC J & R INSTALLATION J M MECHANICAL SERVICES J&L INSTALLATIONS JAMESON SHEET METAL INC JD MECHANICAL INC JENNINGS KITCHEN SPECIALIST JENSENS PLB & HTG INC JONES ARCHITECTURAL METAL K&J HEATING & COOLING LANG MECHANICAL INC LANGLOIS ROOFING INC LEA HEATING & AC LEWIS TEST & BALANCE INC LOCKWOOD FURNACE CO LOESCHER HEATING & AIR CONDITI M & M SHEET METAL INC M K INDUSTRIES INC M&J'S COOLING INC MAJOR HEATING & COOLING MARTIN PETERSEN COMPANY MAY-AIRE HTG & AC INC MCCAULEY MECH MCDONOUGH MECHANICAL SERVICE MECHANICAL CONCEPTS MECHANICAL INC MECHANICAL TEST & BALANCE MEL-O-AIR HEATING MENDEL PLUMBING & HTG INC METAL EDGE INC METAL ERECTOR INC METAL MECHANICS INC METALMASTER ROOFMASTER MG MECHANICAL CONTRACTING INV MIDWEST MECHANICAL HOLDINGS CO MIDWEST MEP INC MIDWEST PARTITION INSTALLATION MILLER'S TOTAL COMFORT MORAN F E INC NATIONS ROOF NESTEROWICZ & ASSOC INC NORTH TOWN REFRIGERATION CORP NORTHWAY HC SHEET METAL IN O'HARE ENGINEERING O'NEIL R J O-B INDUSTRY INC OAK-TIN HEATING & COOLING INC OHARE MECHANICAL CONTRACTORS OLMEN R J CO PERELLA PETER & CO PERFORMANCE MECH CONTRACTOR POEHNER DILLMAN & MAHALIK PRAIRIE SERVICE GROUPINC PRECISION PIPING INC PRIDE MECHANICAL INC PRISM MECH INC PRO-FAB SHEET METAL INC PROGRESSIVE DYNAMICS INC QUALITY ERECTORS 1 INC QUICKSILVER MECHANICAL RAM MECHANICAL SERVICES INC RAPID HEATING & AIR COND REFRIGERATION UNLIMITED INC RGH HEATING & COOLING RICE MECHANICAL RJ KUHN PLUMBING HEATING & CLG RMC INC ROBERTS ENVIRONMENTAL CONTROL ROSS MECHANICAL GROUP INC RUDDY BROTHERS INC RUSH MECHANICAL S & S HTG & SHEET METAL INC S MECHANICAL INC SACHI CONSTRUCTION SCHEBLER COTHE SCHMIDT STEEL INC SEASON COMFORT CORP SERVICE MECHANICAL INDUSTRIES SHERMAN MECHANICAL INC SKIRMONT CONTRS INC SOUTH TOWN REFRIGERATION CORP SOUTHWEST MECHANICAL SPECIALIZED TESTING & BALANCIN STATE AUTOMATIC HTG & CLG STATE MECHANICAL SERVICES STEEL BUILDING SYSTEMS STERLING COMMERCIAL ROOFING IN STERLING INDUSTRIAL SERVICES STRAIGHT LINE ERECTORS INC STYLE RITE SULLIVAN ROOFING SUN MECHANICAL SYSTEM SUN RAY HTG INC TALAGA SHEET METAL CO TEMPCO HEATING & AC TEMPERATURE SERVICE CO TESSENDORF MECHANICAL IND INC THERM FLO INC THYBAR TISC TOP NOTCH SHEET METAL INC TOTAL MECH SERVICE COMP INC TRI CITY SHEET METAL TRIANGLE MECH SERVICES INC S TRICO MECH INC TUSCHALL ENGINEERING CO INC UBM MECHANICAL SERVICES UNITED BUILDING & ENERGY SERVI VP MECHANICAL WEST SUBURBAN HEATING & AIR WESTSIDE MECH DESIGNBUILD WESTSIDE MECHANICAL WHITED BROTHERS INC WIESBROOK SHEET METAL WINDY CITY STEEL CONTRACTION YENDOR INC DBA GENE MAY HTG YOUNGRENS INC 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0