2016-11-15T10:31:25-06:00 2015-12-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2015-01-01 362125291 CHICAGO GRAPHIC ARTS HEALTH AND WELFARE FUND CHIC 6304720622 1520 KENSINGTON ROAD NO 200 OAK BROOK IL 60523 MARGE KUSMIDER TRUSTEE 6304720622 2016-11-15 1 RONALD BASTIAN P01455196 3123680500 2015 2017-02-10 21:41:12Z MARGE KUSMIDER 1520 KENSINGTON ROAD NO 200 OAK BROOK IL 60523 15664032 0 X N/A X 1948 IL PROVIDE HEALTH BENEFITS 6 3 0 0 0 0 0 0 11978190 12711830 835515 596160 654 0 12814359 13307990 0 0 12869107 10163401 0 0 0 0 0 1247165 1208216 14116272 11371617 -1301913 1936373 26813655 28445109 242248 393935 26571407 28051174 TO PROVIDE HEALTH, DENTAL AND LIFE BENEFITS TO ELIGIBLE PARTICIPANTS AND BENEFICIARIES. 0 0 TO PROVIDE HEALTH, DENTAL AND LIFE BENEFITS TO ELIGIBLE PARTICIPANTS AND BENEFICIARIES. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 198 0 1 0 0 0 0 0 0 0 0 0 X 6 3 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 0 0 0 X BENEFITS MANAGEMENT GROUP INC 6304720622 1520 KENSINGTON ROAD SUITE 200 OAKBROOK IL 60523 PAUL A MANCILLAS JR TRUSTEE 1.00 45.00 X 0 99153 18103 WILLIAM KAUCHER TRUSTEE 1.00 X 0 0 0 MICHAEL CONSOLINO TRUSTEE 1.00 45.00 X 0 75703 16552 MARGE KUSMIDER TRUSTEE 1.00 X 0 0 0 THOMAS SOMMERS TRUSTEE 1.00 X 0 0 0 PAUL MOSEN TRUSTEE 1.00 X 0 0 0 0 174856 34655 0 0 0 0 BENEFITS MANAGEMENT GROUP INC 1520 KENSINGTON ROAD STE 200 OAKBROOK IL 60523 THIRD PARTY ADMINISTRATOR 648053 BLUE CROSS BLUE SHIELD 300 E RANDOLPH ST CHICAGO IL 60601 MEDICAL PPO PROVIDER 308256 MERCER HEALTH & BENEFITS 155 NORTH WACKER DRIVE SUITE 1500 CHICAGO IL 60606 CONSULTING 170308 3 EMPLOYER CONTRIBUTIONS 900099 9321106 9321106 RETIREE CONTRIBUTIONS 900099 2027475 2027475 PRESCRIPTION DRUG REBATES 900099 1338032 1338032 PARTICIPANT CO-PAY CONTRIBUTIONS 900099 25217 25217 12711830 603205 603205 2348997 2356042 -7045 -7045 -7045 13307990 12711830 0 596160 10163401 648053 98959 78179 40341 177708 67893 3725 9111 FEES MANDATED BY ACA 84247 11371617 378068 1463264 89412 61860 1514429 1637103 6807 6911 24797927 25250868 27012 25103 26813655 28445109 242248 393935 242248 393935 X 0 0 0 0 26571407 28051174 26571407 28051174 26813655 28445109 1936373 -456606 0 X 0 1 X 1 0 0 X 12811043 -456606 -456606 13267649 40341 40341 13307990 11331276 0 11331276 40341 40341 11371617 PART X, LINE 2: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES. FORM 990, PART VI, SECTION A, LINE 3 THE PLAN IS ADMINISTERED AND MANAGED BY BENEFITS MANAGEMENT GROUP, INC., A THIRD PARTY ADMINISTRATOR AS DIRECTED BY THE BOARD OF TRUSTEES. THERE HAS BEEN NO CHANGE IN THE CURRENT YEAR. FORM 990, PART VI, SECTION A, LINE 8B PLAN HAS NO COMMITTEE'S WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES WHICH REVIEWS AND APPROVES THE RETURN BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE TRUSTEES EXPECT PERSONS INVOLVED WITH THE PLAN TO FULLY DISCLOSE ANY RELATIONSHIPS WITH OTHER PARTIES THAT DEAL WITH THE PLAN. ANNUAL DISCLOSURE OF CONFLICT OF INTEREST IS MONITORED AT REGULAR CONVENED BOARD OF TRUSTEE MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S OFFICE. DISTRICT COUNCIL 4 GCCIBT CONTRIBUTING EMPLOYER 0 GRAPHIC COMMUNICATIONS CONFERENCE OF THE IBT NATIONAL PENSION FUND CONTRIBUTING EMPLOYER 0 THE INTER-LOCAL PENSION FUND OF THE GRAPHIC COMMUNICATIONS CONFERENCE OF IB CONTRIBUTING EMPLOYER 0 ALLEGRA COAL CITY CONTRIBUTING EMPLOYER 0 AMERICAN MEDICAL ASSOCIATION CONTRIBUTING EMPLOYER 0 BELL LITHO INC CONTRIBUTING EMPLOYER 0 BOND BROTHERS & COMPANY INC CONTRIBUTING EMPLOYER 0 BUHL PRESS INC CONTRIBUTING EMPLOYER 0 CARDINAL COLORPRINT CORP CONTRIBUTING EMPLOYER 0 CHICAGO PRESS CORP CONTRIBUTING EMPLOYER 0 CHICAGO SUN TIMES INC CONTRIBUTING EMPLOYER 0 CLUTCH STUDIOS CONTRIBUTING EMPLOYER 0 DELANEY PRINTING COMPANY INC CONTRIBUTING EMPLOYER 0 FORT DEARBORN COMPANY CONTRIBUTING EMPLOYER 0 GENERAL LOOSE LEAF BINDERY CO CONTRIBUTING EMPLOYER 0 HOMAN BINDERYCHICAGO PRESS CONTRIBUTING EMPLOYER 0 KEVRON PRINTING & MAILING CONTRIBUTING EMPLOYER 0 LITHOGRAPHIC INDUSTRIES INC CONTRIBUTING EMPLOYER 0 MARQUARDT PRINTING COMPANY CONTRIBUTING EMPLOYER 0 NORTH SHORE PRINTERS INC CONTRIBUTING EMPLOYER 0 PRINTING SPECIALTIES INC CONTRIBUTING EMPLOYER 0 PROGRESS PRINTING CORP CONTRIBUTING EMPLOYER 0 REMKE PRINTING INC CONTRIBUTING EMPLOYER 0 REPRO GRAPHICS CONTRIBUTING EMPLOYER 0 REXAM BEVERAGE CAN COMPANY CONTRIBUTING EMPLOYER 0 RIDER DICKERSON INC CONTRIBUTING EMPLOYER 0 SCHAWK INC CONTRIBUTING EMPLOYER 0 SCHIELE GRAPHICS INC CONTRIBUTING EMPLOYER 0 SG360 CONTRIBUTING EMPLOYER 0 SOMMERS & FAHRENBACH INC CONTRIBUTING EMPLOYER 0 WILLERT COMPANY CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1