2017-02-13T17:04:08-06:00 2016-06-30 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2015-07-01 361033970 ELECTRICAL INSURANCE TRUSTEES ELEC 3127825442 221 NORTH LASALLE STREET NO 200 CHICAGO IL 60601 MR KENNETH BAUWENS CHAIRMAN 3127825442 2017-02-13 1 CRAIG RESCH P00844633 3123680500 2015 2021-01-29 14:40:06Z MR KENNETH BAUWENS 221 NORTH LASALLE STREET NO 200 CHICAGO IL 60601 430521851 0 X WWW.FUNDOFFICE.ORG X 1930 IL PROVIDE MEDICAL BENEFITS TO PLAN PARTICIPANTS. 10 5 23 0 0 0 0 0 200002407 213896782 10993283 8730857 0 0 210995690 222627639 0 0 176134830 183854889 2824197 2743706 0 0 0 7028982 5817328 185988009 192415923 25007681 30211716 538102827 567231441 21322611 23467630 516780216 543763811 PROVIDE MEDICAL BENEFITS TO PLAN PARTICIPANTS. 0 0 PROVIDE MEDICAL, DEATH, DISABILITY AND UNEMPLOYMENT BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS IN ACCORDANCE WITH PROVISIONS OF THE PLAN. 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 15 0 1 23 1 0 0 0 0 0 0 0 0 X 10 5 0 0 0 0 0 1 0 1 1 0 0 1 0 0 1 1 1 0 X MR SEAN P MADIX FUND ADMINISTRATOR 3127825442 221 N LASALLE ST CHICAGO IL 60601 JOHN P DALTON TRUSTEE 5.00 20.00 X 0 23449 0 CHRISTOPHER N MCCORMICK TRUSTEE 5.00 1.00 X 0 16698 0 KEVIN CONNOLLY TRUSTEE 5.00 40.00 X 0 133623 60759 MARIO MILLER TRUSTEE 5.00 40.00 X 0 134023 60759 DONALD FINN TRUSTEE 5.00 40.00 X 0 192765 60759 KEVIN M O'SHEA TRUSTEE 5.00 X 0 0 0 STEVEN DIAMOND TRUSTEE 5.00 X 0 0 0 MICHAEL R WALSDORF TRUSTEE 5.00 X 0 0 0 KENNETH BAUWENS TRUSTEE 5.00 X 0 0 0 JACK BLOCK TRUSTEE 5.00 X 0 0 0 SEAN MADIX EXECUTIVE DIRECTOR 45.00 X 307265 0 107562 LORI SELJAN DIRECTOR OF ACCOUNTING 45.00 X 107517 0 45506 DANIEL SHEFFIELD DIRECTOR OF INFORMATION SYSTEMS 45.00 X 118985 0 51756 PETER KIM DIRECTOR OF INFORMATION SYSTEMS(PAST) 45.00 X 111131 0 12215 644898 500558 399316 4 0 1 0 BLUE CROSSBLUE SHIELD OF ILLINOIS 300 E RANDOLPH CHICAGO IL 60601 MEDICAL CLAIMS PROCESSOR 6006353 CIGNA BEHAVIORAL HEALTH PO BOX 1450 NW 7307 MINNEAPOLIS MN 55485 MEMBER ASSISTANCE PROGRAM 593714 CVS CAREMARK ONE CVS DRIVE WOONSOCKET RI 02895 PRESCRIPTION CLAIMS PROCESSOR 573365 LEGACY PROFESSIONALS LLP 311 SOUTH WACKER DRIVE SUITE 4000 CHICAGO IL 60606 AUDITING, PAYROLL COMPLIANCE AUDITS 457910 MERCER HEALTH BENEFITS LLC 155 NORTH WACKER DRIVE SUITE 1500 CHICAGO IL 60606 ACTUARY 358592 5 EMPLOYER CONTRIBUTIONS 900099 200331905 200331905 PRESCRIPTION DRUG REBATES 900099 7363402 7363402 REIMBURSED SHARED EXPENSES 900099 3220622 3220622 MEDICARE PART D SUBSIDY 900099 2231545 2231545 COBRA CONTRIBUTIONS 900099 749308 749308 213896782 11129236 11129236 205495833 207894212 -2398379 -2398379 -2398379 222627639 213896782 0 8730857 183854889 316988 1219221 656000 439053 112444 434386 577960 783499 972119 931968 547197 10140 24908 47437 394927 FEES MANDATED BY ACA 1012778 PERSONNEL-RELATED EXPEN 58020 MISCELLANEOUS EXPENSES 21989 192415923 -662564 -162118 67212092 70538950 18951024 20408109 557850 197540 4438105 3476571 75574 961534 451968851 475287426 538102827 567231441 2665513 3115649 535625 573895 18121473 19778086 21322611 23467630 X 0 0 0 0 516780216 543763811 516780216 543763811 538102827 567231441 30211716 -3228121 0 X 0 1 X 1 0 458435 457067 1368 3979670 3019504 960166 961534 INVESTMENT IN EIT INSURANCE MASTER TRUST 475287426 F 475287426 DUE TO RELATED ENTITIES - NET 19418086 FEES MANDATED BY ACA 360000 19778086 X 215395397 -3228121 -3228121 218623518 783499 3220622 4004121 222627639 188411802 0 188411802 783499 3220622 4004121 192415923 PART X, LINE 2: THE INDIVIDUAL PLANS FILE FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN, WITH THE INTERNAL REVENUE SERVICE (IRS). THE PLANS' RETURNS ARE SUBJECT TO EXAMINATION UNTIL THE APPLICABLE STATUTE OF LIMITATIONS EXPIRES. THE TRUST FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX. THE TRUST'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATIONS EXPIRES. PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED SHARED EXPENSES REPORTED NET ON FINANCIAL STATEMENTS 3,220,622. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED SHARED EXPENSES REPORTED NET ON FINANCIAL STATEMENTS 3,220,622. X X X 0 0 0 KEVIN CONNOLLY TRUSTEE 0 133623 0 0 0 0 0 31879 0 28880 0 194382 0 0 MARIO MILLER TRUSTEE 0 134023 0 0 0 0 0 31879 0 28880 0 194782 0 0 DONALD FINN TRUSTEE 0 192765 0 0 0 0 0 31879 0 28880 0 253524 0 0 SEAN MADIX EXECUTIVE DIRECTOR 293675 0 0 0 13590 0 88642 0 18920 0 414827 0 0 0 LORI SELJAN DIRECTOR OF ACCOUNTING 107517 0 0 0 0 0 26966 0 18540 0 153023 0 0 0 DANIEL SHEFFIELD DIRECTOR OF INFORMATION SYSTEMS 118985 0 0 0 0 0 33576 0 18180 0 170741 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE EXECUTIVE COMMITTEE OF THE ELECTRICAL CONTRACTORS ASSOCIATION APPOINTS THE MANAGEMENT TRUSTEES. THE PRESIDENT OF LOCAL UNION 134 IBEW APPOINTS THE UNION TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE 990 WAS PROVIDED TO THE ENTIRE GOVERNING BODY PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE DETERMINES COMPENSATION FOR TOP MANAGEMENT AND HIGHEST COMPENSATED EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, SCHEDULE J, PART II, COLUMN B (III): OTHER REPORTABLE COMPENSATION INCLUDES AUTOMOBILE AND LIFE INSURANCE REIMBURSMENTS PURSUANT TO A WRITTEN EMPLOYMENT AGREEMENT. FORM 990, SCHEDULE J, PART II, COLUMN C: RETIREMENT AND OTHER DEFERRED COMPENSATION INCLUDES THE INCREASE IN THE PRESENT VALUE OF A DEFINED BENEFIT PENSION PLAN AS DETERMINED BY THE FUND'S ACTUARY. FORM 990, SCHEDULE J, PART II, COLUMN D: NON-TAXABLE BENEFITS INCLUDE THE VALUE OF HEALTH AND WELFARE PREMIUMS PAID ON BEHALF OF THE INDIVIDUALS. FORM 990, PART XII, LINE 2B THE ELECTRICAL INSURANCE TRUSTEES INSURANCE FUND FOR ELECTRICAL CONTRACTORS, THE ELECTRICAL INSURANCE TRUSTEES INSURANCE FUND FOR COMMUNICATION EMPLOYERS, THE ELECTRICAL INSURANCE TRUSTEES INSURANCE FUND FOR OTHER PARTICIPATING EMPLOYERS, THE ELECTRICAL INSURANCE TRUSTEES SUPPLEMENTAL UNEMPLOYMENT BENEFIT PLAN AND THE THE ELECTRICAL INSURANCE TRUSTEES SUPPLEMENTAL UNEMPLOYMENT BENEFIT PLAN FOR COMMUNICATION MEMBERS ALL OPERATE UNDER ONE TRUST AGREEMENT. EACH OF OF THESE PLANS ISSUE SEPARATE AUDITED FINANCIAL STATEMENTS. ALL FIVE PLANS ARE REPORTED ON THIS FORM 990 ON A CONSOLIDATED BASIS. ELEC CONTR ASSC OF CITY OF CHGO&LOCAL 134 JT PEN TST #2 221 N LASALLE SUITE 200 CHICAGO IL 60601 516030753 PROVIDE PENSION BENEFITS IL 401(A) 0 ELEC CONT ASSC OF CITY OF CHGO&LOCAL 134 JT PEN TST #5 221 N LASALLE SUITE 200 CHICAGO IL 60601 516030753 PROVIDE PENSION BENEFITS IL 401(A) 0 ELECTRICAL INSURANCE TRUSTEES EMPLOYEES' RETIREMENT PLAN 221 N LASALLE SUITE 200 CHICAGO IL 60601 361033970 PROVIDE PENSION BENEFITS IL 401(A) 0 ELECTRICAL INSURANCE TRUSTEES EMPLOYEES 401K PLAN 221 N LASALLE CHICAGO IL 60601 361033970 PROVIDE PENSION BENEFITS IL 401(A) 0 IBEW LOCAL UNION 134 CONTRIBUTING EMPLOYER 0 ELEC JNT APPR&TRNG TRST CONTRIBUTING EMPLOYER 0 ELECTRICAL CONTRACTORS ASSOCIATION CONTRIBUTING EMPLOYER 0 CHICAGO & COOK COUNTY BLDG & CONST TRADES COUNCIL CONTRIBUTING EMPLOYER 0 175 JACKSON L L C CONTRIBUTING EMPLOYER 0 44 ELECTRIC CONTRIBUTING EMPLOYER 0 A & C ELECTRIC COMPANY INC CONTRIBUTING EMPLOYER 0 A & F ELECTRICAL SERVICES CO CONTRIBUTING EMPLOYER 0 A & M POWER ELECTRIC INC 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