2015-04-11T13:20:57-05:00 2014-05-31 362152389 BANSLEY AND KIENER LLP 8745 W HIGGINS RD STE 200 CHICAGO IL 606312704 990 2013-06-01 366126628 GLAZING EMPLOYERS & GLAZIERS UNION LOCAL NO 27 HEALTH AND WELFARE FUND GLAZ 7044439000 4225 LAWNDALE AVENUE LYONS IL 60534 MICHAEL MABUS CHAIRMAN 7044439000 2015-04-01 1 PAUL A MERKEL P00420901 3122632700 2013 2016-03-07 17:11:31Z MICHAEL MABUS 4225 LAWNDALE AVENUE LYONS IL 60534 29005149 0 X N/A X 1957 IL TO PROVIDE HOSPITALIZATION, MEDICAL AND OTHER RELATED BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 7 0 9 0 0 0 0 0 8384088 9208640 228857 104945 0 0 8612945 9313585 0 0 8733905 10129596 0 0 0 0 0 347814 341360 9081719 10470956 -468774 -1157371 9398693 9116906 7173960 7960435 2224733 1156471 TO PROVIDE HOSPITALIZATION, MEDICAL AND OTHER RELATED BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 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 0 0 0 1 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 1 0 0 1 3 0 1 9 1 0 0 0 0 0 0 X 7 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X STEWART C MILLER & CO INC 2197696944 2111 WEST LINCOLN HIGHWAY MERRILLVILLE IN 46410 ALFRED SHAPIRO CHAIRMAN 2.00 X 0 0 0 MICHAEL MABUS SECRETARY 2.00 X 0 2800 0 THOMAS HILL TRUSTEE 0.50 X 0 0 0 MICHAEL O'DONNELL TRUSTEE 0.50 X 0 3010 0 DANIEL NAUGHTON TRUSTEE 0.50 X 0 0 0 MICHAEL COOK TRUSTEE 0.50 X 0 13545 0 MICHAEL OHM TRUSTEE 0.50 X 0 2152 0 0 21507 0 0 0 0 0 BLUE CROSS BLUE SHIELD 300 E RANDOLPH CHICAGO IL 60601 HEALTH CARE PROVIDER 458237 ARNOLD KADJAN 203 N LASALLE ST SUITE 1650 CHICAGO IL 60601 LEGAL SERVICES 158244 2 EMPLOYER CONTRIBUTIONS 900099 9089798 9089798 EMPLOYEE CONTRIBUTIONS 900099 118842 118842 9208640 215379 215379 19581130 19691564 -110434 -110434 -110434 9313585 9208640 0 104945 10129596 166744 43651 26931 76442 9420 8823 9349 10470956 24507 11331 918441 842175 4063 13282 8316524 8199818 135158 50300 9398693 9116906 38745 28768 7135215 7931667 7173960 7960435 X 0 0 0 0 2224733 1156471 2224733 1156471 9398693 9116906 -1157371 89109 0 X X 0 1 X 1 0 0 DUE TO AFFILIATED ORGANIZATION 911 CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 949756 ACCUMULATED ELIGIBILITY CREDITS 6981000 7931667 9375763 89109 89109 9286654 26931 26931 9313585 9643012 0 9643012 26931 801013 827944 10470956 PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN BENEFIT OBLIGATION FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO OTHER COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD 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 RESPONSIBILITIES FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. THERE HAS BEEN NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. GLAZIERS UNION LOCAL NO 27 PENSION & RETIREMENT PLAN 4225 LAWNDALE AVE LYONS IL 60534 366034076 DEFINED BENEFIT PLAN IL 0 GLAZIERS UNION LOCAL NO 27 OF THE BROTHERHOOD OF PAINTERS AND ALLIED TRADES 4225 LAWNDALE AVE LYONS IL 60534 361135330 LABOR UNION IL 501(C)5 0 BOARD OF TRUSTEES GLAZING EMPLOYERS& GLAZIERS UNION LOCAL NO27 WELFARE FUND 4225 LAWNDALE AVE LYONS IL 60534 366126628 PLAN SPONSOR AND ADMINISTRATOR IL 0 ACCURATE GLASS INC 814 KAY ST UNIT C ADDISON IL 60101 IL ACTION CAULKING & SEALANTS 625 EXECUTIVE DR WILLOWBROOK IL 60527 IL ACTIVE GLASS CO INC 1530 LANDMEIER RD ELK GRV VILLAGE IL 60007 IL ALLIANCE GLASS & METAL INC 646 FORESTWOOD DR C ROMEOVILLE IL 60446 IL ALUMITAL CORP 1401 E HIGGINS RD ELK GRV VILLAGE IL 60007 IL AMERICAN GLASS & METAL CORP 4400 S EDEN RD STOCKTON IL 61085 IL ARCH GLASS & ALUMINUM 100 N DIXIELAND ROAD ROGERS AR 72756 AR ARIS ARCH LLC 5015 E MICHIGAN AVE KALAMAZOO MI 49048 MI ARLINGTON GLASSMIRROR CO 4547 N MILWAUKEE AVE CHICAGO IL 60630 IL ART 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ASSOC INC 2801 OLD HIGGINS RD ELK GRV VILLAGE IL 60007 IL PERMASTEELISA CLADDING TECH 123 DAY HILL RD WINDSOR CT 06095 CT PETERSON GLASS CO 5535 N MILWAUKEE AVE CHICAGO IL 60630 IL PRECISION WALL SYS INC 3801 S MAIN ST SOUTH BEND IN 46614 IN PRISM GLAZING INC 30W460 ARBOR LN WEST CHICAGO IL 60185 IL QUINT G INC 725 SCHNEIDER DR 4 SOUTH ELGIN IL 60177 IL R W S INC 3900 W 159TH PL MARKHAM IL 60426 IL RAREFORM ARCH PRODUCTS LLC 1908 JANKE DR NORTHBROOK IL 60062 IL RELIANT CONTRACT GLASS INC 6117 COMMERCIAL RD CRYSTAL LAKE IL 60014 IL RETAIL STOREFRONT GROUP P O BOX 1070 LEEDS AL 35094 AL ROCK VALLEY GLASS OF ROCKFORD 1398 HUNTWOOD DR CHERRY VALLEY IL 61016 IL SCENIC GLASS INSTALLATION CORP 2 SHORE TERR BARNEGAT NJ 08005 NJ SCHAAF GLASS CO 7212 W 90TH ST BRIDGEVIEW IL 60455 IL SCHNEIDERS-VETTER GLASS CO 2224 S 162ND ST NEW BERLIN WI 53151 WI SHUGART OF TEXAS 2703 LILAC ST PASADENA TX 77503 TX SKYLIGHT CONSULT OF AMERICA 520 JOHNSON RD MOORESVILLE IN 46158 IN SUPER SKY CONSTR INC 10301 N ENTERPRISE DR MEQUON WI 53092 WI SUPERIOR GLASS & MIRROR INC 725 SCHNEIDER DR 4 SOUTH ELGIN IL 60177 IL TRAINOR GLASS CO 760 IN HWY 212 MICHIGAN CITY IN 46360 IN TRIUMPH RESTORATION INC 18822 S 82ND AVE MOKENA IL 60448 IL TROUT GLASS & MIRROR INC 1579 S CALUMET RD CHESTERTON IN 46304 IN UNITED GLASS INC 6820 SHINGLE CREEK PKWY BROOKLYN CTR MN 55430 MN VALLEY GLASS CO 1630 COMMERCE DR BOURBONNAIS IL 60914 IL WAUKEGANGURNEE GLASS INC 1200 N ESTES DEPT 200 GURNEE IL 60031 IL WERNTZ J W SUPPLY 1002 KERR ST SOUTH BEND IN 46601 IN WOOD RIVER GLASS CO 243 S 6TH ST WOOD RIVER IL 62095 IL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 FORM 990, SCHEDULE R, PART IV THE ORGANIZATION IS A MULTIEMPLOYER COLLECTIVELY BARGAINED EMPLOYEE BENEFIT PLAN THAT IS SUBJECT TO THE PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). THE ORGANIZATION HAS MADE A REASONABLE EFFORT TO PROVIDE INFORMATION REQUIRED. ALL CONTRIBUTING EMPLOYERS OF THE ORGANIZATION ARE LISTED IN PART IV OF SCHEDULE R.