2016-04-18T09:45:25-05:00 2015-06-30 364409576 BRONSWICK REICIN POLLACK LTD 2150 E LAKE COOK ROAD SUITE 430 BUFFALO GROVE IL 600891862 990 2014-07-01 366117757 MISC WHSMENS LOCAL 781 H & W FUND MISC 8472989999 747 CHURCH ROAD BUILDING D NO 1 ELMHURST IL 60126 PAUL J STRIPLING TRUSTEE 8472989999 2016-04-18 1 JEFFREY D BRONSWICK P00440208 8478089800 2016-04-14 2014 2016-08-17 19:52:53Z PAUL J STRIPLING 747 CHURCH ROAD BUILDING D ELMHURST IL 60126 23611513 0 X N/A X 1960 IL TO PROVIDE HEALTH BENEFITS AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS. 4 4 0 0 0 0 0 0 6868023 6905547 374034 420177 74847 65302 7316904 7391026 0 0 7890854 6013721 0 0 0 0 0 559037 580135 8449891 6593856 -1132987 797170 16672141 17039254 1029684 511739 15642457 16527515 TO PROVIDE HEALTH BENEFITS AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS. 0 0 THE PLAN IS MAINTAINED PURSUANT TO A NUMBER OF COLLECTIVE BARGAINING AGREEMENTS AND PROVIDES FOR EMPLOYEE DEATH, DISABILITY, MEDICAL, HOSPITALIZATION, SURGICAL, PRESCRIPTION, DENTAL AND VISION BENEFITS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 X 4 4 1 0 0 0 1 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X PAUL J STRIPLING 8472989999 747 CHURCH ROAD BUILDING D NO 1 ELMHURST IL 60126 X EARL ABRAMSON MANAGEMENT TRUSTEE 1.00 X 0 0 0 DAVID ABRAMSON MANAGEMENT TRUSTEE 1.00 X 0 0 0 PAUL J STRIPLING LABOR TRUSTEE 6.00 X 0 0 0 TRACY L TREADWELL LABOR TRUSTEE 2.00 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD OF ILLINOIS 300 EAST RANDOLPH STREET CHICAGO IL 60601 PPO NETWORK PROVIDER 265490 BRONSWICK REICIN POLLACKLTD 2150 E LAKE COOK ROADSUITE 430 BUFFALO GROVE IL 60089 AUDITING 138095 GROUP ADMINISTRATORS LTD 915 NATIONAL PARKWAY SUITE F SCHAUMBURG IL 60173 THIRD PARTY ADMINISTRATOR 132430 3 EMPLOYER PREMIUM CONTRIBUTIONS 525100 6843195 6843195 EMPLOYEE COBRA CONTRIBUTIONS 525100 62352 62352 6905547 398904 398904 16241760 16220487 21273 21273 21273 INTEREST DELINQUENT CONTRIBUTIONS 525100 63778 63778 LIQUIDATED DAMAGES DELINQ.CONTRIB 525100 1524 1524 65302 7391026 6970849 0 420177 6013721 37434 127837 59590 30689 9084 8939 367 8362 INSURANCE ADMINISTRATIO 121171 TRANSITIONAL REINSURANC 76598 INSURANCE CONSULTANTS 59150 ADMINISTRATIVE EXPENSES 14711 26203 6593856 227621 969890 105919 194393 456228 250299 9023 2235 3540 2304 1603 1236 15581555 13785232 1513813 290192 322156 16672141 17039254 66275 50343 963409 461396 1029684 511739 X 0 0 0 0 15642457 16527515 15642457 16527515 16672141 17039254 X 797170 -12112 100000 X X 0 1 X 1 0 3540 2304 1236 1236 PIMCO COLLECTIVE TRUST 1513813 F 1513813 CLAIMS PAYABLE AND CLAIMS IBNR 456660 DUE TO AFFILIATED ORGANIZATION 4736 461396 FORM 990, PAGE 3, PART IV, ITEM 12 - AUDITED FINANCIAL STATEMENTS THE FUND DID RECEIVE AN AUDITED FINANCIAL STATEMENT IN ACCORDANCE WITH GAAP. THE FUND'S AUDITED FINANCIAL STATEMENT IS NOT REQUIRED TO BE PREPARED IN ACCORDANCE WITH SFAS 117. THEREFORE, THE FUND ANSWERED "NO" TO THIS QUESTION AND IS NOT REQUIRED TO COMPLETE PARTS XI,XII AND XIII OF SCHEDULE D. NOTE THAT ON FORM 990,PAGE 12,PART XII, LINE 2B, THE FUND ANSWERED "YES" BECAUSE THE FUND'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTANT IN ACCORDANCE WITH GAAP. FORM 990, PART VI, SECTION A, LINE 2 MANAGEMENT TRUSTEE EARL ABRAMSON AND MANAGEMENT TRUSTEE DAVID ABRAMSON HAVE A FAMILY AND BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 THE PARTICIPANTS OF THE FUND ARE CONSIDERED THE MEMBERS. THE HEALTH AND DEATH BENEFITS PROVIDED TO THE PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS ARE PAID FROM THE FUND'S INCOME AND/OR ASSETS. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES OTHER THAN THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE TRUSTEES OF THE FUND REVIEWED THE FORM 990 IN DETAIL WITH THE PREPARER PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH TRUSTEE WILL BE REQUIRED TO STATE ANNUALLY THAT HE HAS REVIEWED THE POLICY AND DOES NOT HAVE ANY CONFLICTS OR , IF THERE IS A CONFLICT,THAT THE TRUSTEE IS REQUIRED TO INDICATE WHAT IT IS. FORM 990, PART VI, SECTION C, LINE 19 THE FUND'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST FROM THE FUND'S OFFICE. FORM 990, PART XI, LINE 9: REDUCTION IN DOUBTFUL ACCOUNTS RESERVE 100,000.