2015-11-05T16:44:20-06:00 2014-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 462400857 990 2014-01-01 350851694 ELECTRICAL WORKERS BENEFIT TRUST FUND ELEC 3179234577 1828 NORTH MERIDIAN STREET NO 103 INDIANAPOLIS IN 462021471 ROBERT CADWELL BENEFITS ADMINISTRATOR 3179234577 2015-10-15 1 CASSE TATE P01271193 3175802000 2015-10-15 2014 2016-03-07 17:11:31Z ROBERT CADWELL 1828 N MERIDIAN SUITE 103 INDIANAPOLIS IN 462021471 53165137 0 X N/A X 1949 IN THE FUND PROVIDES VARIOUS BENEFITS TO PARTICIPANTS AND ELIGIBLE DEPENDENTS 6 6 50 0 0 0 0 0 22013380 21879392 5902981 2955392 0 0 27916361 24834784 0 0 24939980 25251394 417732 479247 0 0 0 1404828 2060212 26762540 27790853 1153821 -2956069 114849602 116607777 115446345 129151268 -596743 -12543491 THE FUND PROVIDES MEDICAL AND WELFARE BENEFITS TO PARTICIPANTS AND ELIGIBLE DEPENDENTS. 0 0 THE FUND PROVIDES VARIOUS MEDICAL AND WELFARE BENEFITS TO PARTICIPANTS AND ELIGIBLE DEPENDENTS 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 737 0 1 50 1 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 IN X ROBERT CADWELL ELECTRICAL WORKERS 3179234577 1828 NORTH MERIDIAN STREET SUITE INDIANAPOLIS IN 462021471 X LARRY E VANTRIES TRUSTEE 1.00 X 0 0 0 JAMES TSAREFF TRUSTEE 1.00 X 0 0 0 BRIAN MILLER TRUSTEE 1.00 X 0 0 0 KEVIN SCHRADER TRUSTEE 1.00 X 0 0 0 STEVE MENSER TRUSTEE 1.00 X 0 0 0 KEVIN MARSHALL TRUSTEE 1.00 X 0 0 0 JEFF WHEELER ALTERNATE TRUSTEE 1.00 X 0 0 0 TED UPPOLE ALTERNATE TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 ANTHEM INSURANCE COMPANIES INC 220 VIRGINIA AVE INDIANAPOLIS IN 46204 MEDICAL NETWORK PROVIDER 1062834 UNITED HEALTHCARE 5975 CASTLE CREEK PKY N DR SUITE INDIANAPOLIS IN 46250 MEDICAL NETWORK PROVIDER 488342 2 CONTRIBUTION INCOME 525920 21879392 21879392 21879392 2334184 2334184 28951561 28330353 621208 621208 621208 24834784 22500600 0 2334184 25251394 339064 9359 84432 46392 37996 31063 46996 30789 12033 11471 2795 ANTHEM CONTRACT SERVICE 1062834 PRESCRIPTION DRUG EMPLO 514669 PROFESSIONAL FEES 203359 COMPUTER EXPENSE 52567 53640 27790853 351339 719404 2327443 1930152 135582 120138 17045 15444 112153775 113942777 114849602 116607777 64275 64395 15911 22304 115366159 129064569 115446345 129151268 X 0 0 0 0 -596743 -12543491 -596743 -12543491 114849602 116607777 -2956069 -8990679 0 X X 0 1 X 1 0 135582 120138 15444 15444 CLAIM RESERVES 12441000 POST RETIREMENT BENEFIT OBLIGATIONS 116623569 129064569 X 28936890 4232731 4232731 24704159 130625 130625 24834784 27185228 0 27185228 130625 475000 605625 27790853 PART X, LINE 2: PART IV, LINE 11F - THE FUND MAINTAINS A QUALIFIED TRUST UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE AND HAS RECEIVED A DETERMINATION LETTER FROM THE IRS DATED JANUARY 1974 THAT THE TRUST IS EXEMPT FROM FEDERAL INCOME TAX. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRE THE FUND'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND AND TO RECOGNIZE A TAX LIABILITY IF THE FUND HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER TAXING AUTHORITIES. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING AND REGULATORY AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROCESS. THE FUND ADMINISTRATOR BELIEVES THE FUND IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011. PART XII, LINE 4B - OTHER ADJUSTMENTS: DECREASE IN BENEFIT OBLIGATION OTHER THAN POST RETIREMENT BENEFIT OBLIGATION FORM 990, PART VI, SECTION B, LINE 11 PREPARER PRESENTED COMPLETED FORM 990 IN DRAFT FORM TO THE TRUSTEES. THE TRUSTEES APPROVED THE FORM 990 BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES REFER TO ANNUAL FORMS WHEN CONSIDERING TRANSACTIONS FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS OF DETERMINING THE COMPENSATION OF THE BENEFITS ADMNISTRATOR INCLUDES APPROVAL OF INDEPENDENT TRUSTEES, WHO CONSIDER COMPARABILITY OF WAGES WITH SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATION'S FORMS ARE AT THE ORGANIZATION'S OFFICES UPON REQUEST. FORM 990, PART XII, LINE 2C: FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PARK XI, LINE 9, CHANGES IN NET ASSETS: POST RETIREMENT BENEFIT OBLIGATIONS - SOP92-6 (13,223,410) UNREALIZED APPRECIATION/(DEPRECIATION) OF INVESTMENTS 4,232,731 TOTAL TO FORM 990, PART XI, LINE 9 (8,990,679)