2016-03-02T10:11:14-06:00 2015-04-30 362152389 BANSLEY AND KIENER LLP 8745 W HIGGINS RD STE 200 CHICAGO IL 606312704 990 2014-05-01 510245220 CHICAGO PAINTERS AND DECORATORS WELFARE FUND CHIC 6309603322 18861 90TH AVE - SUITE A MOKENA IL 60448 ANDREW PERCH TRUSTEE 6309603322 2016-03-02 1 PAUL A MERKEL P00420901 3122632700 2014 2016-08-17 19:52:53Z ANDREW PERCH 18861 90TH AVE - SUITE A MOKENA IL 60448 143784711 0 X N/A X 1953 IL TO PROVIDE HOSPITALIZATION, MEDICAL, AND OTHER RELATED BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 6 0 0 0 0 0 0 0 39627915 37928207 17388285 976711 12609 22944 57028809 38927862 0 0 38308446 40668461 0 0 0 0 0 1919467 2344124 40227913 43012585 16800896 -4084723 56845429 58562903 24937899 29029472 31907530 29533431 SEE BELOW 0 0 TO PROVIDE HOSPITALIZATION, MEDICAL AND OTHER RELATED BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 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 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X JILL HEGARTY 6309603322 18861 90TH AVENUE SUITE A MOKENA IL 60448 MARTIN TEW TRUSTEE 2.00 45.00 X 0 0 0 DONALD STEADMAN TRUSTEE 2.00 45.00 X 0 0 0 TERRENCE FITZMAURICE TRUSTEE 2.00 45.00 X 0 221755 76194 ANDREW PERCH TRUSTEE 2.00 45.00 X 0 131149 64456 HUGO MANZO TRUSTEE 2.00 45.00 X 0 131758 64456 ANTHONY BOCHNIAK TRUSTEE 2.00 45.00 X 0 0 0 0 484662 205106 0 0 1 0 ARNOLD AND KADJAN 203 N LASALLE ST STE 1650 CHICAGO IL 60601 LEGAL AND COLLECTION 780917 BLUE CROSS BLUE SHIELD 300 E RANDOLPH CHICAGO IL 60601 HEALTH CARE PROVIDER 773390 ZENITH-AMERICAN 18861 90TH AVE STE A MOKENA IL 60448 THIRD PARTY ADMINISTRATOR 530156 AETNA HEALTH INSURANCE 7400 CAMPUS ROAD NEW ALBANY OH 43054 HEALTH CARE PROVIDER 291215 PREFERRED NETWORK ACCCESS 1510 75ST 250 DARIEN IL 60561 HEALTH CARE PROVIDER 129585 5 EMPLOYER CONTRIBUTIONS 900099 35090360 35090360 EMPLOYEE CONTRIBUTIONS 900099 2837847 2837847 37928207 804775 804775 105028785 104856849 171936 171936 171936 MEDICARE REIMBURSEMENT 900099 22944 22944 22944 38927862 37951151 0 976711 40668461 509396 343791 88230 153972 107280 133642 1898 9022 40612 COLLECTION FEES 570379 TRANSITIONAL REINSURANC 370950 MISCELLANEOUS 8890 PATIENT CENTERED OUTCOM 6062 43012585 3697356 4326790 3982987 1119286 2430911 3177241 226762 264310 29968522 32227921 16164581 17094093 374310 353262 56845429 58562903 142662 171220 24795237 28858252 24937899 29029472 X 0 0 0 0 31907530 29533431 31907530 29533431 56845429 58562903 -4084723 1710624 0 X X 0 1 X 1 0 0 COMMON TRUST FUNDS 17094093 F 17094093 EMPLOYER BONDS PAYABLE 197289 DUE TO BROKER FOR SECURITIES PURCHASED 173039 CLAIMS AND PREMIUMS PAYABLE 889000 CLAIMS INCURRED, NOT REPORTED 3966000 ACCRUED ELIGIBILITY 19499000 COBRA BENEFITS 2491000 DUE TO RELATED ORGANIZATIONS 1398836 ACCRUED TRANSITIONAL REINSURANCE FEE 244088 28858252 40484514 1710624 1710624 38773890 153972 153972 38927862 38713613 0 38713613 153972 4145000 4298972 43012585 PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN CHANGES IN BENEFIT OBLIGATIONS 4,145,000. 0 0 0 TERRENCE FITZMAURICE TRUSTEE 0 217705 0 0 0 4050 0 52700 0 23494 0 297949 0 0 ANDREW PERCH TRUSTEE 0 130754 0 0 0 395 0 40962 0 23494 0 195605 0 0 HUGO MANZO TRUSTEE 0 130754 0 0 0 1004 0 40962 0 23494 0 196214 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO OTHER COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY AN INDEPENDENT CPA AND IS REVIEWED AND APPROVED BY THE FUND REPRESENTATIVE PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AND FORM 5500 (WHICH INCLUDES AUDITED ANNUAL FINANCIAL STATEMENTS) AND SUMMARY ANNUAL REPORT AVAILABLE FOR INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 2C THE ORGANIZATION'S BOARD OF TRUSTEES ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. THERE HAS BEEN NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. CHICAGO PAINTERS AND DECORATORS DEFERRED SAVINGS PLAN 18861 90TH AVE STE A MOKENA IL 60448 366162468 PLAN SPONSOR AND ADMINISTRATOR IL 501(C)(9) 0 PAINTERS DISTRICT COUNCIL NO 14 1456 WEST ADAMS STREET CHICAGO IL 60607 361593286 UNION IL 501(C)(5) 0 BOARD OF TRUSTEES OF CHICAGO PAINTERS WELFARE FUND 18861 90TH AVE STE A MOKENA IL 60448 510245220 WELFARE FUND IL 501(C)(9) 0 CHICAGO PAINTERS AND DECORATORS RETIREE WELFARE FUND 18861 90TH AVE STE A MOKENA IL 60448 901034518 RETIREE WELFARE FUND IL 501(C)(9) 0 CHICAGO AREA DRYWALL JOINT APPRENTICE TRAINING TRUST 18861 90TH AVE MOKENA IL 60448 362836849 TRAINING FUND IL 501(C)(5) 0 CHICAGO AREA PAINTING JOINT APPRENTICE TRAINING TRUST 1101 TAFT AVE BERKLEY IL 60163 362337329 TRAINING FUND IL 501(C)(5) 0 CHICAGO PAINTERS AND DECORATORS INDUSTRY ADVANCEMENT FUND 8700 W BRYN MAWR STE 7405 CHICAGO IL 60631 363606364 INDUSTRY ADVANCEMENT FUND IL 501(C)(6) 0 CHICAGO PAINTERS AND TAPERS COOPERATION AND EDUCATION TRUST FUND 18861 90TH AVE MOKENA IL 60448 363778556 FOSTERING COOPERATION BETWEEN EMPLOYEES AND EMPLOYERS IL 501(C)(6) 0 PAINTERS DISTRICT COUNCIL NO 14 SCHOLARSHIP FUND 18861 90TH AVE MOKENA IL 60448 363778587 SCHOLARSHIP FUND IL 501(C)(9) 0 CHICAGO PAINTERS AND DECORATORS PENSION FUND 18861 90TH AVE MOKENA IL 60448 516030238 PENSION FUND IL 401A 0 DRYWALL EDUCATION AND SCHOLARSHIP FUND 18861 90TH AVE MOKENA IL 60448 364001040 SCHOLARSHIP FUND IL 501(C)(9) 0 DISTRICT COUNCIL NO 14 METAL POLISHERS 401(K) RETIREMENT PLAN 18861 90TH AVE MOKENA IL 60448 800967624 401K PLAN IL 401(K) 0 PAINTERS LOCAL 147 300 S ASHLAND AVE CHICAGO IL 60607 360843820 UNION IL 501(C)(5) 0 2 B DECORATING SERVICES INC 400 CONDO ASSOCIATION THE 69 WWASHINGTON MGMT CO A GRAMER PTG & DEC SERVICE AC BROWN CONSTR CO INC ACCURATE BRANDING CORP ACE METAL REFINISHERS ACTION PAINTING CO INC AIRTITE INTERIORS INC ALCA INC ALL AMERICAN PTG & DEC INC ALL TECH DECORATING COMPANY ALLIANCE DRYWALL & ACOUSTICAL ALLPORT CONSTRUCTION CORP ALUMITEC LTD AM-COAT PAINTING INC ANNING-JOHNSON COMPANY APRIL DECORATING INC ARC ELECTRO REFINISHER INC ARCHITEC MILWRK & FURNITURE SV ARGENT SERVICES LLC ARNO DECORATING INC ARNOLD & KADJAN ART STUDIOS INC ASCHER BROTHERS CO INC ASHLAUR CONSTRUCTION INC ASHLAUR CONSTRUCTION INC ASI SIGNAGE INNOVATIONS ASPEN COMMERCIAL PAINTING INC ATLANTIC PAINTING CO INC AVALOTIS PAINTING COMPANY INC B5 INSTALLATIONS BEAR CONSTRUCTION COMPANY BENEDETTO PAINTING CO INC BERNHARD WOODWORK LTD BILLBOARDS INC BISMARCK HOTEL CORP BRAND ENERGY SERVICES LLC BRIESER CONSTRUCTION CO BROCK INDUSTRIAL SERVICES LLC BROOKDALE DEC BROOKWOOD BUILDERS INC BURKS BROS DRYWALL INC BURTON STREET CORP C & W PAINTING INC C C L CORPORATION C D DRYWALL SERVICES INC C L COATINGS LLC CALIBER CONSTRUCTION CO CALUMET DEC SERVICE INC CANNON SLINE INDUSTRIAL INC CAPITOL DECORATING INC CARLSON & CO FO CAZEL & ELLIOTT INC CELTIC COMMERCIAL PAINTING LLC CENTRAL PAINTING INC CHAKRA INC CHAMPION DRYWALL CHICAGO HEIGHTS CONSTR CO CHICAGO METAL MAINTENANCE CLARION CONSTRUCTION INC CLASSIC TOUCH PAINTING INC COMMERCIAL CONSTRUCTION INC COMPRO PTG & DEC SERVICE CONFORTI CONSTR SERVICES INC CONRAD SCHMITT STUDIOS INC CONTINENTAL PTG & DEC INC COPPER CONSTRUCTION CORNERSTONE BUILDING MAINT COSGROVE CONSTRUCTION INC COTE DECORATING COMPANY COURTHOUSE DEVELOPMENT INC CREATION CARPENTRY COMPANY INC CROWN PAINTING INC D & M CONSTRUCTION SERVICES D B M SERVICES INC DAS CONSTRUCTION INC DES PAINTING INC DANIEL DECORATING INC DEASY ENTERPRISES INC DELGAR CONSTRUCTION CO INC DELTA PAINTING INC DEMOS PAINTING & DECORATING DENCO INTERIORS LLC DENK & ROCHE BUILDERS INC DEPAUL UNIVERSITY DESTINY SERVICES INC DIAMOND DECORATING DIAMOND SIGN & DESIGN LTD DIAZ INTERIOR CONTRACTORS DOHERTY CONSTRUCTION INC DRAKE HOTEL HILTON DRIVE CONSTRUCTION DURANGO PAINTING DURANGO PAINTING INC DVM PAINTING DYNAMIC CONSTRUCTION EAGLE PAINTING & MAINTENANCE EDWARDS DECORATING CORP EMCO INTERIORS INC ENBEE PAINTING & DEC INC ERA VALDIVIA CONTRACTOR INC ESCARPITA CONSTRUCTION CO INC ESPINOZA DECORATING INC ESQUIVEL CONSTRUCTION INC EVERGREENE PTG STUDIOS INC EXCEPTIONAL PAINTING & DEC INC EXCLUSIVE CONST SERVICE INC EXHIBIT GROUPCHICAGO EXPRESS CONTRACTING INC F C I CONSTRUCTION INC FIRST LOOK DESIGN INC FIVE STAR DECORATING INC FLEXIBLE INTERIORS FOX PAINTING & REMODELING FRED BROBERG CORP FREEMAN DECORATING COMPANY G & O PAINTING & DEC COINC G C ZARNAS & CO INC GL BAILEY INC GP MAINTENANCE SERVICES INC GALOMEX GEHRETT PLUMBING INC GLADSTONE PAINTING GOLDEN EAGLES ARCHITECTURAL GREENWOOD DECORATING INC GREG SIGNS H & H BUILDERS INC H & P CONTRACTOR INC H & S DECORATING INC HM WITT & CO HARD SURFACE FINISHERS HDS II INC HERNER-GEISSLER WOODWORK CORP HESTER DECORATING CO INC HIGHLAKE CONSTRUCTION CORP HILTON HOTEL CHICAGO HOGAN CP INC HOLT CONSTRUCTION HOMEOWNERS ASSOCIATION HOMES BY HEINTZ INC HUNTER DRYWALL & TAPING INC HYATT REGENCY CHICAGO HYLAND-NOLAN PLASTERING CONTR ICARUS PAINTING CO INC IDEAL PTG & DECORATING IMPERIAL WOODWORKING COMPANY INDEPENDENT MECHANICAL IND INTER OCEAN-CABINET COMPANY INTERNATIONAL DECORATORS INC INTERPAINT DECORATING IRELAND LTD PAINTING CONTRAC J & M DECORATING INC J C ANDERSON INC J F CARPENTRY SERVICES INC J M C CONSTRUCTION INC J N A CONSTRUCTION INC JP PHILLIPS INC JAMES D AHERN CO JAMES MC HUGH CONSTRUCTION CO JANECYK CONSTRUCTION COMPANY JANOTA PNTG & DECORATING JC'S UNITED BUILDING MAINT INC JDM LLC JESSE'S SIGNS & MURALS JETCO LTD JEWEL CONSTRUCTION CO INC JOHANSON DECORATING LLC JOHN A EBY & SONS JOHN J HEITKOTTER INC JORE-HARD SURFACE FINISHER INC JOSEPH WOODWORKING INC K & E PTG & DECORATING INC K & J PAINTING LLC K D K DECORATORS KATHERINE FRANK CREATIVE INC KIM INTERIORS INC KINGDOM COMMUNITY CONSTRUCTION KLECKNER INTERIOR SYSTEMS INC KNUDSEN CONSTRUCTION INC KOLE CONSTRUCTION CO INC L J MORSE CONSTRUCTION LAKESIDE RESTORATION LAKEWOOD CARPENTRY LANEE DECORATING LTD LANKFORD CONSTRUCTION CO INC LEE QUIGLEY COMPANY LEGEND CONSTRUCTION SERVICES I LEOPARDO COMPANIES INC LETTERMEN SIGNAGE LEVY COMPANY THE LINN INTERIOR CONSTRUCTION CO LOHRE PAINTING CO INC M P M CONTRACTORS INC MJB DECORATING INC MACK CONSTRUCTION SERVICES LLC MADISON COATINGS INC MAGNUM CONSTRUCTION SERVICES MARIN BROTHERS INC MARKET CONTRACTING SERVICES MARKHAM DIVISION 9 INC MARS GRAPHICS MATAN'S DECORATING SERVICE MAXCOR INCORPORATED MAY DECORATING II INC MC GUINESS DECORATING INC MC NULTY BROS NON COLLECTIVE MERIDIENNE CORP METAL MAINTENANCE INC METRO FAIR & EXPO AUTHORITY MIDWEST DECORATING INC MIDWEST PRO PAINTING INC MIDWEST SIGNATURE BLDG SVCS MILLARD MAINTENANCE MON DAN INC MORFIN CONSTR GENERAL CARP MR G'S ENTERPRISE INC MSM SOLUTIONS INC N A LOGAN INC NA FAVIA BUILDERS INC NI SPANOS INC NAPERVILLE-CHGO-ILL-PTG& DEC NATIONAL DEC SERV INC NATIONAL PAINTING INC NAVY PIER INC NEDROW DECORATING INC NEW ERA PAINTING INC NIKOLAS PAINTING CONTRS INC NILES INDUSTRIAL COATINGS LLC O'CONNELL PTG & DEC O'HARA JT INC O'HARE HILTON HILTON HOTELS O'MALLEY INSTALLATIONS OPC CONSTRUCTION ODLE PAINTING INC OLYMPIC SIGNS ON TIME CONSTRUCTION INC OOSTERBAAN & SONS COMPANY ORNELAS CONSTRUCTION CO P & S PAINTING INC PACIFIC PAINT PALAZZO PAINTING INC PALMER HOUSE HILTON PANGERE CORPORATION (THE) PANIAGUA GROUP INC PARENTI & RAFFAELLI LTD PATRICK PAINTING LLC PAUL BORG CONSTRUCTION CO INC PCI - TEMPUS PEAK CONTRACTING & CONSULTING PECOVER DECORATING INC PEPPER CONSTRUCTION COMPANY PINNACLE DECORATING INC PINTO BROS CONSTRUCTION INC PINTO CONSTRUCTION CO LTD POWER CONTR & ENGINEERING CORP PREFORM TRAFFIC CONTROL INC PRIME BUILDERS LLC PRISM PAINTING COMPANY PRO SERVICES OF IL INC PROCACCIO PAINTING CO INC PRODIGY CONSTRUCTION LLC PROFESSIONAL DEC & PTG INC PROGRAMMED PAINTING SERVICE PYRAMID PAINTING & DEC INC R E S CONSTRUCTION INC R M SELLERGREN & ASSOC INC R P COATINGS INC REED ILL CORP REGAL DECORATING INC REGENCY DEC SERVICE INC RG CONSTRUCTION SERVICES INC RIGGIO BORON LTD RIGID CONSTRUCTION INC RITZ-CARLTON HOTEL OF CHICAGO RIVER ROSE INC ROCK-IT DRYWALL SERVICE INC ROCKWELL GROUP INC RODGERS CONSTRUCTION CORP ROOSEVELT UNIVERSITY S E I COATINGS LLC SANDOVAL & SONS CO SCACCIA DECORATING CO SCOTTCO PAINTING SEAWAY PAINTING LLC SELLENTIN PAINTING INC SERVICE DRYWALL & DEC INC SHAMROCK DECORATING SHANAHAN DRYWALL SERVICE INC SIGN CONCEPTS SIGN PAINTERS LOCAL 830 SKYLINE DECORATING INC SMART INTERIORS SMITH PAINTING SERVICES INC SOFY'S CONSTRUCTION LLC SOLDIER FIELD JOINT VENTURE SOUTHLAND CUSTOM DEC INC SOUTSOS DECORATING CO SPRAY SPECIALISTS STAN'S PAINTING & DEC INC STAR & CREST DECOR CORP STONE & WEBSTER CONSTRUCTION STUART DEAN CO SUN INDUSTRIAL PTG COMPANY SUPERIOR EXHIBIT & DESIGNS INC T C H CONSTRUCTION INC T-I MICHIGAN STATE PAINTERS T-I NW INDIANA PAINTERS HW T-I PAINTERS DC #30 TNT CONSTRUCTION INC TECORP INC TEMPORARY PAINTING ACCOUNT THE STONE & METAL GROUP THORNE ASSOCIATES INC THREE D ENTERPRISES INC TIDAL CONSTRUCTION SERV INC TIFFINY DECORATING CO TOUCAN SIGNS TOUCH-UP SPECIALISTS TPL SIGN SERVICE TRIANGLE DECORATING CO TRICOR CARPENTRY TRIPAR DRYWALL INC TURNER INDUSTRIAL MAINTENANCE ULTIMATE SIGNS INC UPTOWN PAINTING & DECOR INC VAN BRUGGEN SIGNS VERNATE CONSTRUCTION INC VERNATE CONSTRUCTION INC VISION INTERIOR VISION PTG & DEC SVCS INC W K MEYER CONSTRUCTION CORP WALL-TECH INC WALLFORMS INCORPORATED WESTSIDE REALTY WILLIAM HUBER CABINET WORKS WILLIAMS POWER CORPORATION WOODBRIDGE CONST & CARPENTRY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 CHICAGO PAINTERS AND DECORATORS RETIREE WELFARE FUND R 8199921 ACTUAL RECEIPTS FORM 990, SCHEDULE R PART IV: THE ORGANIZATION IS A MULTI-EMPLOYER COLLECTIVELY BARGAINED EMPLOYEE BENEFIT PLAN THAT IS SUBJECT TO THE PROVISIONS OF THE EMPLOYER RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). AS REQUIRED, ONLY THE NAMES OF THE CONTRIBUTING EMPLOYERS OF THE ORGANIZATIONS ARE LISTED IN PART IV OF SCHEDULE R.