2025-11-05T09:33:43-06:00 2024-12-31 470900880 CALIBRE CPA GROUP PLLC 230 W MONROE STREET SUITE 310 CHICAGO IL 60606 990 2024-01-01 362331071 AUTOMOBILE MECHANICS' LOCAL NO 701 UNION AND INDUSTRY WELFARE AUTO 7084820110 361 S FRONTAGE ROAD BURR RIDGE IL 605276393 JENNY EARTH-GILLUND ADMINISTRATOR 7084820110 2025-11-05 1 0 JOHN LEGGERO P01357710 3126550037 2025-11-03 2024 2025-03-06 01:10:19Z JENNY EARTH-GILLUND 361 S FRONTAGE ROAD BURR RIDGE IL 605276393 508940513 0 X N/A X 1956 IL TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 6 6 13 0 0 0 0 0 113261763 117406757 7199242 8021220 275955 160583 120736960 125588560 0 0 93772873 102091829 1487298 1438873 0 0 0 1447698 1491794 96707869 105022496 24029091 20566064 276532264 316878655 11973239 14064993 264559025 302813662 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 0 0 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR 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 9 0 1 13 1 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 X JENNY EARTH-GILLUND 7084820110 361 S FRONTAGE ROAD NO 100 BURR RIDGE IL 60527 X CHRIS KONECKI TRUSTEE 1.00 X 0 0 0 SAM CICINELLI TRUSTEE 1.00 X 0 0 0 RONALD FETTY TRUSTEE 1.00 X 0 0 0 ROBERT KEPPLER TRUSTEE 1.00 X 0 0 0 DAVID MASHEK TRUSTEE 1.00 X 0 0 0 MARK GRASSESCHI TRUSTEE 1.00 45.00 X 0 196059 73514 JENNY EARTH-GILLUND FUND ADMINISTRATOR 40.00 X 236077 0 55426 KRISTINE BENDY ACCOUNTING MANAGER/CONTROL 40.00 X 136396 0 45458 372473 196059 174398 2 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 60601 CLAIMS ADMINISTRATIVE SERVICES 2729327 PAYDHEALTH LLC 4001 MCEWEN RD STE 450 DALLAS TX 75244 CLAIMS MANAGEMENT 1117405 EMPIRX 155 CHESTNUT RIDGE ROAD SUITE 201 MONTVALE NJ 07645 CLAIMS MANAGEMENT 1104867 SOUTHWEST SERVICE ADMINISTRATORS 2550 W UNION HILLS DR UNIT 250 PHOENIX AZ 85027 CLAIMS MANAGEMENT 995008 VALENZ CARE 23048 N 15TH AVENUE PHOENIX AZ 85027 CLAIMS MANAGEMENT 589315 5 EMPLOYER CONTRIBUTIONS 900099 111342286 111342286 PRESCRIPTIONS REBATES 900099 2487380 2487380 PARTICIPANT CONTRIBUTI 900099 2021184 2021184 SUBROGATION RECOVERIES 900099 783488 783488 REIMBURSED SHARED EXPE 900099 772419 772419 117406757 9082090 9082090 382291083 383351953 -1060870 -1060870 -1060870 OTHER INCOME 900099 160583 160583 160583 125588560 117406757 0 8181803 102091829 291503 746546 129741 195056 76027 348460 163750 352208 168166 186437 134962 74721 13799 8692 40599 105022496 224714 20180 7105063 7522876 11777078 10774619 334415 328551 14556 5864 243241822 285585298 14136090 12896176 32941 73642 276532264 316878655 703879 827363 11269360 13237630 11973239 14064993 X 0 0 0 0 264559025 302813662 264559025 302813662 276532264 316878655 20566064 17688573 0 X X 0 1 X 1 0 7446 7446 0 326969 321105 5864 5864 FEES MANDATED BY ACA 38548 CLAIMS PAYABLE AND IBNR 13170000 DUE TO RELATED FUNDS - NET 29082 13237630 X 142152506 17688573 17688573 124463933 352208 772419 1124627 125588560 101960869 0 101960869 352208 2709419 3061627 105022496 PART X, LINE 2: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEES 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: REIMBURSEMENTS FROM PENSION FUND AND 401(K) PLAN 772,419. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENTS FROM PENSION FUND AND 401(K) PLAN 772,419. INCREASE (DECREASE) IN CLAIMS PAYABLE AND IBNR 1,937,000. X 0 0 0 JENNY EARTH-GILLUND FUND ADMINISTRATOR 236077 0 0 0 0 0 35094 0 20332 0 291503 0 0 0 MARK GRASSESCHI TRUSTEE 0 196059 0 0 0 0 0 53182 0 20332 0 269573 0 0 KRISTINE BENDY ACCOUNTING MANAGER/CONTROL 136396 0 0 0 0 0 25126 0 20332 0 181854 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE 990 HAS BEEN PROVIDED TO THE ADMINISTRATOR FOR HER REVIEW PRIOR TO SIGNING THE RETURN FORM 990, PART VI, SECTION B, LINE 15 SALARY POLICIES ARE SET BY THE BOARD OF TRUSTEES. ANNUAL SALARIES ARE REPORTED IN EMPLOYMENT CONTRACTS WHICH ARE REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE FORM 990 PART VII LINE 1A JENNY EARTH-GILLUND IS THE ADMINISTRATOR AND KRISTINE BENDY IS THE ACCOUNTING MANAGER/CONTROLLER OF THIS PLAN AND THE RELATED PENSION PLAN AND 401K PLAN. SALARY AND EMPLOYEE BENEFIT AMOUNTS ARE INITIALLY PAID FOR BY THIS PLAN AND REIMBURSED PERIODICALLY BY THE RELATED PLANS. FORM 990 PART XII LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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