2016-03-30T14:40:01-05:00 2015-06-30 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2014-07-01 362145881 SHEET METAL WORKERS LOCAL 73 WELFARE FUND SHEE 7084497373 4530 W ROOSEVELT ROAD HILLSIDE IL 60162 ROCCO TERRANOVA TRUSTEE 7084497373 2016-03-30 1 RONALD BASTIAN P01455196 3123680500 2014 2016-08-17 19:52:53Z ROCCO TERRANOVA 4530 W ROOSEVELT ROAD HILLSIDE IL 60162 154280013 0 X WWW.SM73FUNDS.ORG X 1950 IL PROVIDE HEALTH BENEFITS 6 3 71 0 0 0 0 0 45159146 48192170 3206906 1888952 330 1902 48366382 50083024 0 0 37820167 40916986 1516548 1512799 0 0 0 1485467 1692729 40822182 44122514 7544200 5960510 91176279 99952135 2143826 3375871 89032453 96576264 PROVISION OF HEALTH BENEFITS TO MEMBERS. 0 0 TO PROVIDE HEALTH, DENTAL AND LIFE BENEFITS TO ELIGIBLE PARTICIPANTS AND BENEFICIARIES. 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 1 135 0 1 71 1 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 1 0 X JOSEPH OHM 7084497373 4530 W ROOSEVELT ROAD HILLSIDE IL 60162 ROCCO TERRANOVA TRUSTEE 3.00 40.00 X 0 224779 116849 DAN AHERN TRUSTEE 3.00 40.00 X 0 154574 93346 MIKE VITTORIO TRUSTEE 3.00 40.00 X 0 167834 97694 JOHN DELANO TRUSTEE 3.00 X 0 0 0 JOHN P HARMON SR TRUSTEE 3.00 X 0 0 0 JAMES S BILLARD TRUSTEE 3.00 X 0 0 0 JOSEPH OHM ADMINISTRATOR 40.00 X 178219 0 59908 178219 547187 367797 1 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH CHICAGO IL 60601 PPO PROVIDER 1422824 FRANCZEK REDELET 300 S WACKER SUITE 3400 CHICAGO IL 60606 LEGAL 210021 GREGORIO & ASSOCIATES 2 NORTH LASALLE STREET SUITE 1650 CHICAGO IL 60602 LEGAL 136717 DELTA DENTAL 801 OGDEN AVENUE LISLE IL 60532 DENTAL PROVIDER 134391 SEGAL 101 NORTH WACKER DRIVE SUITE 500 CHICAGO IL 60606 ACTUARIAL 124540 5 EMPLOYER CONTRIBUTIONS 900099 40382235 40382235 RETIREE CONTRIBUTIONS 900099 5631624 5631624 MEDICARE PT. D REBATES 900099 1203666 1203666 REIMBURSED ADMINISTRAT 900099 688980 688980 COBRA CONTRIBUTIONS AN 900099 285665 285665 48192170 1946436 1946436 104139505 104196989 -57484 -57484 -57484 OTHER REVENUE 900099 1902 1902 1902 50083024 48192170 0 1890854 40916986 265782 806330 267552 79606 93529 486158 76504 235156 211891 214375 76838 161163 13152 7057 24874 FEES MANDATED BY ACA 176404 COALITION MEMBERSHIP FE 9157 44122514 388742 1306914 17555517 14897558 2961000 3232785 65447 93616 590977 565375 22537 25602 69063894 79001789 1119142 1393871 91176279 99952135 113474 79054 2030352 3296817 2143826 3375871 X 0 0 0 0 89032453 96576264 89032453 96576264 91176279 99952135 5960510 1583301 0 X 0 1 X 1 0 590977 565375 25602 25602 DEPOSITS - NON BARGAINED PLAN 351786 DUE TO BROKER 2163798 FEES MANDATED BY ACA 33142 DUE TO RELATED ORGANIZATIONS 432091 DEFERRED INCOME - PREPID NONBARGAINED CONTRIBUTIONS 316000 3296817 X 50742189 1583301 1583301 49158888 235156 688980 924136 50083024 43198378 0 43198378 235156 688980 924136 44122514 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 PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED ADMINISTRATIVE EXPENSES 688,980. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED ADMINISTRATIVE EXPENSES 688,980. 0 0 0 ROCCO TERRANOVA TRUSTEE 0 222304 0 0 0 2475 0 94183 0 22666 0 341628 0 0 DAN AHERN TRUSTEE 0 152249 0 0 0 2325 0 70680 0 22666 0 247920 0 0 MIKE VITTORIO TRUSTEE 0 164781 0 0 0 3053 0 75028 0 22666 0 265528 0 0 JOSEPH OHM ADMINISTRATOR 178219 0 0 0 0 0 22095 0 37813 0 238127 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES THAT HAVE 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 WHO REVIEW AND APPROVE THE RETURN BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH THE POLICIES ARE REVIEWED AND MONITORED THROUGH DISCUSSION AT THE TRUSTEES' MEETINGS. FORM 990, PART VI, SECTION B, LINE 15B THE SALARY OF THE FUND ADMINISTRATOR IS DETERMINED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO PARTICIPANTS AT THE FUND OFFICE UPON THEIR REQUEST. FORM 990, PART VII, LINE 1A THE ADMINISTRATOR OF THE PLAN IS ALSO THE ADMINISTRATOR OF THE RELATED PENSION PLAN. THE REPORTING ORGANIZATION INITIALLY PAYS THE ADMINISTRATOR'S SALARY AND BENEFITS. AMOUNTS ARE REIMBURSED PERIODICALLY BASED ON AN ALLOCATION APPROVED BY THE TRUSTEES. 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