2016-01-27T13:24:23-06:00 2015-06-30 470900880 Calibre CPA Group PLLC 566 WEST LAKE STREET SUITE 300 CHICAGO IL 606611414 990 2014-07-01 362356062 SHEET METAL WORKERS LCL 265 WELFARE FUND SHEE 6306687260 205 ALEXANDRA WAY CAROL STREAM IL 60188 Charles Ruegge Trustee 6306687260 2016-01-26 1 Andy Hein P00499757 3126550037 2014 2016-04-25 22:37:26Z CHARLES RUEGGE 205 ALEXANDRA WAY CAROL STREAM IL 60188 98785714 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 67 0 0 0 0 0 22577174 23559204 1637445 1513221 221355 225192 24435974 25297617 0 0 19007966 22293415 950877 970190 0 0 0 1351699 1618180 21310542 24881785 3125432 415832 54371656 54730855 9888317 10515107 44483339 44215748 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 1 689 0 1 67 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 SCOTT WILLE 6306687260 205 ALEXANDRA WAY CAROL STREAM IL 60188 GERALD PORTER Trustee 3.00 40.00 X 0 123011 71393 KEVIN PRINCE TRUSTEE 3.00 40.00 X 0 121156 74415 JOHN BOSKE Trustee 3.00 40.00 X 0 156247 78238 CHARLES RUEGGE Trustee 3.00 40.00 X 0 123904 72692 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 120468 74639 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 SCOTT WILLE ADMINISTRATOR 40.00 X 119863 0 43843 119863 644786 415220 1 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 60601 PPO ACCESS FEES 664186 1 EMPLOYER CONTRIBUTIONS 900099 21042787 21042787 EMPLOYEE CONTRIBUTIONS 900099 2516417 2516417 23559204 1329033 1329033 73672285 73488097 184188 184188 184188 REIMB FROM AFFILIATES 900099 225192 225192 225192 25297617 23784396 0 1513221 22293415 515373 209660 180294 64863 49596 48157 145667 918734 95150 51357 63219 3114 8120 28579 TRANSITIONAL REINSURANC 206487 24881785 735413 5807116 5273298 1769989 2126274 40926 42321 280325 247068 32330 33257 46502890 46297013 218405 223279 54371656 54730855 40197 92452 9848120 10422655 9888317 10515107 X 0 0 0 0 44483339 44215748 44483339 44215748 54371656 54730855 415832 -683423 0 X X 0 1 X 1 0 48116 31210 16906 154325 139624 14701 77884 76234 1650 33257 CLAIMS PAYABLE 466700 EST LIAB FUT CLAIMS-FROM EXTNDED ELIG 8088500 EST LIAB FUT CLAIMS-INCURRED NOT REPORTE 1866600 ACCRUED PAYROLL TAXES AND WITHHOLDINGS 855 10422655 X 24243335 -683423 -683423 24926758 370859 370859 25297617 23936426 0 23936426 945359 945359 24881785 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, 2015, 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, 2015, the Plan is no longer subject to income tax examinations for years prior to the fiscal year ended June 30, 2012. Part XI, Line 4b - Other Adjustments: REIMB EXPENSES FROM AFFILIATED FUNDS 225,192. INVESTMENT MANAGEMENT FEES 145,667. Part XII, Line 4b - Other Adjustments: REIMB. EXPENSES FROM AFFILIATED FUNDS 225,192. INVESTMENT MANAGEMENT FEES 145,667. DEC IN CLAIMS PAYABLE AND IBNR -36,800. INC IN LIABILITY FOR EXTENDED ELIGIBILITY 611,300. X 0 0 0 GERALD PORTER Trustee 0 113623 0 0 0 9388 0 47066 0 24327 0 194404 0 0 KEVIN PRINCE TRUSTEE 0 113623 0 0 0 7533 0 50195 0 24220 0 195571 0 0 JOHN BOSKE Trustee 0 141644 0 0 0 14603 0 53611 0 24627 0 234485 0 0 CHARLES RUEGGE Trustee 0 113623 0 0 0 10281 0 48487 0 24205 0 196596 0 0 DON MORAN Trustee 0 113623 0 0 0 6845 0 50375 0 24264 0 195107 0 0 SCOTT WILLE ADMINISTRATOR 119863 0 0 0 0 0 23906 0 19937 0 163706 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 HVAC FITTINGS LLC MEP MECHANICAL SERVICES LLC METAL DESIGN LLC MJ MECHANICAL LLC ADLER J L ROOFING ADVANCE MECHANICAL ADVANCE SHEET METAL CO ADVANCED VENTILATION TECH INC AIR COMFORT CORP AIR DUCT MFG & SUPPLY INC AIR FLOW CO INC AIR QUALITY INC AIR RITE HEATING & COOLING AIR SUPPLY AC & HTG INC ALBERT J WAGNER & SON ALL AMERICAN ROOFING COINC ALLSTATE METAL FAB 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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 WIESBROOK SHEET METAL WILLIAMS PLANT SERVICES 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