2016-09-15T16:58:00-05:00 2015-12-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2015-01-01 366110305 PLUMBERS & PIPEFITTERS LOCAL 23 UA HEALTH & WELFARE FUND PLUM 8153978350 4525 BOEING DRIVE ROCKFORD IL 611092934 RICHARD BECK TRUSTEE 8153978350 2016-09-15 1 RONALD BASTIAN P01455196 3123680500 2015 2017-02-10 21:41:12Z RICHARD BECK 4525 BOEING DRIVE ROCKFORD IL 611092934 44196114 0 X N/A X 1957 IL PROVIDE HEALTH BENEFITS 8 5 14 0 0 0 0 0 7420998 7651487 1152905 901550 63 143 8573966 8553180 0 0 6820166 6248353 74277 79234 0 0 0 596029 598037 7490472 6925624 1083494 1627556 29750670 31043076 178732 352941 29571938 30690135 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 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 1 205 0 1 14 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 RICHARD BECK 8153978350 4525 BOEING DRIVE ROCKFORD IL 611092934 RICHARD BECK CHAIRMAN - NEW/ SEC-TREASURER - PAST 1.00 52.00 X 0 146645 96129 DARRYLL RUSSELL TRUSTEE 1.00 X 0 0 0 TIMOTHY HUFF TRUSTEE 1.00 48.00 X 0 126596 85240 PHIL CROME TRUSTEE - PAST 1.00 X 0 0 0 DAVID NELSON TRUSTEE - PAST/ SEC-TREASURER - NEW 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 CHAIRMAN - PAST/ TRUSTEE - NEW 1.00 X 0 0 0 ROBERT WOODEN TRUSTEE - NEW 1.00 48.00 X 0 125081 85240 0 398322 266609 0 0 1 0 SAV RX 224 N PARK AVE FREMONT NE 68025 BENEFIT PROVIDER 888859 BENEFIT MANAGEMENT GROUP INC 903 COMMEERCE DRIVE SUITE 304 OAKBROOK IL 60523 ADMINISTRATIVE FEES 295681 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH ST CHICAGO IL 60601 PPO PROVIDER 171786 3 EMPLOYER CONTRIBUTIONS 900099 6644247 6644247 PARTIC AND RETIREE CONTRIBUTIONS 900099 839806 839806 PRESCRIPTION DRUG REBATES 900099 160551 160551 SUBROGATION INCOME 900099 6883 6883 7651487 732540 732540 35811944 35642934 169010 169010 169010 MISCELLANEOUS 900099 143 143 143 8553180 7651487 0 901693 6248353 37436 19315 14096 8387 278960 34880 27934 87774 44442 38969 10470 8732 406 7723 FEES MANDATED BY THE AC 52419 BANK FEES 4846 MISCELLANEOUS EXPENSE 482 6925624 850085 562116 819086 784350 917773 1152717 5787 5679 54765 54213 958 552 27156981 28537662 29750670 31043076 133760 142910 44972 210031 178732 352941 X 0 0 0 0 29571938 30690135 29571938 30690135 29750670 31043076 1627556 -509359 0 X 0 1 X 1 0 1 0 11680279 11640558 39721 0 9832 9832 0 44933 44381 552 552 DUE TO BROKER 210031 210031 X 7956047 -509359 -509359 8465406 87774 87774 8553180 6837850 0 6837850 87774 87774 6925624 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: 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. 0 0 0 RICHARD BECK CHAIRMAN - NEW/ SEC-TREASURER - PAST 0 146645 0 0 0 0 0 73897 0 22232 0 242774 0 0 TIMOTHY HUFF TRUSTEE 0 126596 0 0 0 0 0 64786 0 20454 0 211836 0 0 ROBERT WOODEN TRUSTEE - NEW 0 125081 0 0 0 0 0 64786 0 20454 0 210321 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 11 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 ACTION PLUMBING CO INC CONTRIBUTING EMPLOYER 0 ALL-FIVE CONCRETE CUTTERS CONTRIBUTING EMPLOYER 0 ALTHOFF INDUSTRIES INC CONTRIBUTING EMPLOYER 0 AMS MECHANICAL SYSTEMS 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 CERONI PIPING CO CONTRIBUTING EMPLOYER 0 CFMVR TESCO CONTRIBUTING EMPLOYER 0 COMMERCIAL MECHANICAL INC CONTRIBUTING EMPLOYER 0 COMMERCIAL REFRIGERATION CONTRIBUTING EMPLOYER 0 DAHME MECHANICAL INDUSTRIES INC CONTRIBUTING EMPLOYER 0 DESIGN PLUMBING & PIPING CONTRIBUTING EMPLOYER 0 FIVE STAR PLUMBING CO CONTRIBUTING EMPLOYER 0 GEOSTAR MECHANICAL INC 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 JOHNSON CONTROLS INC CONTRIBUTING EMPLOYER 0 KELLENBERGER PLUMBING & UNDERGROUND CONSTRUCTION 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 - STANDARD CONTRIBUTING EMPLOYER 0 MIDWEST MECHANICAL INDUST (BYRON) CONTRIBUTING EMPLOYER 0 MILLER ENGINEERING COMPANY CONTRIBUTING EMPLOYER 0 MO-ST PLUMBING & MECHANICAL CONTRIBUTING EMPLOYER 0 NELSON CARLSON MECH CONTR CONTRIBUTING EMPLOYER 0 NORTHERN IL SERVICE CONTRIBUTING EMPLOYER 0 NORTHERN MECHANICAL INC CONTRIBUTING EMPLOYER 0 NPL CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 PCI ENERGY SERVICES LLC CONTRIBUTING EMPLOYER 0 PEARSON PLUMBING & HTG - H&W HRA ONLY CONTRIBUTING EMPLOYER 0 SERVICE PLUMBING CONTRIBUTING EMPLOYER 0 SIEMENS WESTINGHOUSE GENE CONTRIBUTING EMPLOYER 0 STONE & WEBSTER CONST INC CONTRIBUTING EMPLOYER 0 TOTAL PLUMBING & HEATING CONTRIBUTING EMPLOYER 0 TRANE COMPANY CONTRIBUTING EMPLOYER 0 TRU-TEMP MECHANICAL INC CONTRIBUTING EMPLOYER 0 CLIMATE PROS INC CONTRIBUTING EMPLOYER 0 SERVICE CONCEPTS CONTRIBUTING EMPLOYER 0 ALPHA CONTROLS & SERVICES CONTRIBUTING EMPLOYER 0 ALLYN CORP CONTRIBUTING EMPLOYER 0 ANOTHER PLUMBING COMPANY LLC CONTRIBUTING EMPLOYER 0 COMMERCIAL IRRIGATION & TURF INC CONTRIBUTING EMPLOYER 0 COMMERCIAL REFRIGERATION OF CENTRAL IL CONTRIBUTING EMPLOYER 0 DAY & ZIMMERMANN NPS CONTRIBUTING EMPLOYER 0 GRAYCOR INDUST CONST INC CONTRIBUTING EMPLOYER 0 INDEPENDENT MECHANICAL INDUSTRIES INC CONTRIBUTING EMPLOYER 0 MMC MECHANICAL CONTRACTORS INC CONTRIBUTING EMPLOYER 0 MODERN PIPING INC CONTRIBUTING EMPLOYER 0 MVP PLUMBING CORP CONTRIBUTING EMPLOYER 0 AIR TEMPERATURE SERVICES CONTRIBUTING EMPLOYER 0 CB&I SERVICES CONTRIBUTING EMPLOYER 0 COMMERCIAL AIR INC CONTRIBUTING EMPLOYER 0 CONSOLIDATED MECHANICAL CONTRIBUTING EMPLOYER 0 EMCOR SERVICES TEAM MECHANICAL CONTRIBUTING EMPLOYER 0 GLADE PLUMBING & HEATING COMPANY CONTRIBUTING EMPLOYER 0 GT MECHANICAL PROJECTS & DESIGN INC CONTRIBUTING EMPLOYER 0 H & H INDUSTRIES INC CONTRIBUTING EMPLOYER 0 HEAT-CO MECHANICAL INC CONTRIBUTING EMPLOYER 0 KS ENERGY SERVICES LLC CONTRIBUTING EMPLOYER 0 MCCAULEY MECHANICAL CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 RYAN & ASSOCIATES INC CONTRIBUTING EMPLOYER 0 TERRY PLUMBING COMPANY CONTRIBUTING EMPLOYER 0 TESTONE MECHANICAL INC CONTRIBUTING EMPLOYER 0 WAGNER-MEINERT LLC CONTRIBUTING EMPLOYER 0 WELD TECH SERVICES CORP 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.