2016-02-10T16:25:23-06:00 2015-05-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2014-06-01 362150067 ADMINISTRATIVE DISTRICT COUNCIL 1 WELFARE FUND ADMI 6306178600 660 N INDUSTRIAL DRIVE NO 100 ELMHURST IL 60126 JAMES ALLEN TRUSTEE 6306178600 2016-02-10 1 CRAIG RESCH P00844633 3123680500 2014 2016-08-17 19:52:53Z JAMES ALLEN 660 N INDUSTRIAL DRIVE NO 100 ELMHURST IL 60126 45038924 0 X N/A X 1950 IL PROVIDE HEALTH BENEFITS 12 6 24 0 0 0 0 0 22020326 24885737 4430878 4062583 13573 20443 26464777 28968763 0 0 23150461 22067119 2354159 2346218 0 0 0 1489865 1445720 26994485 25859057 -529708 3109706 124021411 128443935 367778 555327 123653633 127888608 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE MEDICAL AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1251 0 1 24 1 0 0 0 0 0 0 0 0 X 12 6 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X MILAN DIKLICH - ADMINISTRATOR 6306178600 660 N INDUSTRIAL DRIVE SUITE 100 ELMHURST IL 60126 JAMES ALLEN TRUSTEE 1.00 40.00 X 0 203294 84353 MICHAEL LOWERY TRUSTEE 1.00 40.00 X 0 167805 78813 TIMOTHY AIKENS TRUSTEE 1.00 40.00 X 0 135705 74380 GREG POSCH TRUSTEE 1.00 40.00 X 0 134639 74380 JOSEPH GAGLIARDO TRUSTEE 1.00 40.00 X 0 132273 72845 RUBEN COLLAZO TRUSTEE - NEW 1.00 40.00 X 0 62392 43722 RICHARD LAUBER SR TRUSTEE 1.00 X 0 0 0 RICHARD LAUBER JR TRUSTEE 1.00 X 0 0 0 BERNIE VAN ETTEN TRUSTEE 1.00 X 0 0 0 MICHAEL PILOLLA TRUSTEE 1.00 X 0 0 0 JAMES ZUIDEMA TRUSTEE 1.00 X 0 0 0 FRANK DZIADUS TRUSTEE - NEW 1.00 X 0 0 0 MILAN DIKLICH ADMINISTRATOR 19.00 21.00 X 146552 0 35400 DOUGLAS JOHNSTON FIELD REPRESENTATIVE 40.00 X 112466 0 76459 NICK MARINOPOULOS FIELD REPRESENTATIVE 40.00 X 107666 0 74582 WILLIAM MCINTYRE FIELD REPRESENTATIVE 40.00 X 107666 0 74582 474350 836108 689516 4 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 626170 LEGACY PROFESSIONALS LLP 311 S WACKER DR STE 4000 CHICAGO IL 60606 AUDITOR AND PAYROLL COMPLIANCE AUDITOR 115408 THE SEGAL COMPANY PO BOX 4092 CHURCH ST STATION NEW YORK NY 10261 ACTUARY/CONSULTANT 110773 3 CONTRACTOR CONTRIBUTIONS 900099 21939829 21939829 REIMB. OF SHARED EXPENSES FROM RE 900099 1243316 1243316 RETIRED MEMBERS' CONTRIBUTIONS 900099 689185 689185 PARTICIPANT CONTRIBUTIONS 900099 283270 283270 PRESCRIPTION DRUG REBATES 900099 210384 210384 519753 519753 24885737 2630279 2630279 17502465 16070161 1432304 1432304 1432304 MISCELLANEOUS INCOME 900099 20443 20443 20443 28968763 24885737 0 4083026 22067119 172323 1207230 449991 411999 104675 163559 123659 89905 159207 256726 137516 111374 51493 5835 49198 81226 FEES MANDATED BY ACA 209436 MEMBERSHIP DUES 3836 MISCELLANEOUS 1895 DOCUMENT SCANNING 855 25859057 2556637 1294515 11247357 67663 3902999 4435495 21558 25171 566981 463670 142172 103311 106150688 111641650 10876130 124021411 128443935 367778 491391 63936 367778 555327 X 0 0 0 0 123653633 127888608 123653633 127888608 124021411 128443935 3109706 1125269 0 X 0 1 X 1 0 374917 345913 29004 192064 117757 74307 103311 GROSVENOR INSTITUTIONAL PARNTERS, LTD. 5316710 F POINTER OFFSHORE FUND III, LTD. 5559420 F 10876130 X 28760811 1125269 1125269 27635542 89905 1243316 1333221 28968763 24525836 0 24525836 89905 1243316 1333221 25859057 PART X, LINE 2: PART X: 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 LIMITATIONS EXPIRES. PART XI, LINE 4B - OTHER ADJUSTMENTS: ALLOCATED SHARED EXPENSES TO RELATED PLANS 1,243,316. PART XII, LINE 4B - OTHER ADJUSTMENTS: ALLOCATED SHARED EXPENSES TO RELATED PLANS 1,243,316. X 0 0 0 JAMES ALLEN TRUSTEE 0 162333 0 0 0 40961 0 64021 0 20332 0 287647 0 0 MICHAEL LOWERY TRUSTEE 0 137738 0 0 0 30067 0 58481 0 20332 0 246618 0 0 TIMOTHY AIKENS TRUSTEE 0 118059 0 0 0 17646 0 54048 0 20332 0 210085 0 0 GREG POSCH TRUSTEE 0 118059 0 0 0 16580 0 54048 0 20332 0 209019 0 0 JOSEPH GAGLIARDO TRUSTEE 0 115021 0 0 0 17252 0 52901 0 19944 0 205118 0 0 MILAN DIKLICH ADMINISTRATOR 140192 0 0 0 6360 0 15700 0 19700 0 181952 0 0 0 DOUGLAS JOHNSTON FIELD REPRESENTATIVE 99716 0 0 0 12750 0 52560 0 23899 0 188925 0 0 0 NICK MARINOPOULOS FIELD REPRESENTATIVE 94916 0 0 0 12750 0 50683 0 23899 0 182248 0 0 0 WILLIAM MCINTYRE FIELD REPRESENTATIVE 94916 0 0 0 12750 0 50683 0 23899 0 182248 0 0 0 ADMINISTRATIVE DISTRICT COUNCIL 1 OF ILLINOIS COMMON TRUSTEES / OFFICERS 105974 OFFICE LEASE 0 FORM 990, PART VI, SECTION A, LINE 2 RICHARD LAUBER, SR., TRUSTEE IS THE FATHER OF RICHARD LAUBER, JR., TRUSTEE. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES AND FUND ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARDS' REVIEW, THE FORM IS APPROVED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF THE TRUSTEES THAT THE EXISTENCE OF A POTENTIAL CONFLICT SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF FUND PERSONNEL TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES TO THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE ANNUALLY REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. FORM 990, PART VII, SECTION A, LINE 1A: THE ORGANIZATION'S ADMINISTRATOR IS ALSO THE ADMINISTRATOR OF TWO OTHER ENTITIES. THE REPORTING ORGANIZATION IS REIMBURSED BY THESE ENTITIES FOR THEIR ALLOCATED PORTION OF HIS SALARY, FRINGES AND TAXES. 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