2015-05-07T12:33:03-05:00 2014-06-30 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2013-07-01 361033970 ELECTRICAL INSURANCE TRUSTEES ELEC 3127825442 221 NORTH LASALLE STREET NO 200 CHICAGO IL 60601 MR KENNETH BAUWENS CHAIRMAN 3127825442 2015-05-07 1 CRAIG RESCH P00844633 3123680500 2013 2016-02-25 16:41:14Z MR KENNETH BAUWENS 221 NORTH LASALLE STREET NO 200 CHICAGO IL 60601 615349246 0 X N/A X 1930 IL PROVIDE MEDICAL BENEFITS TO PLAN PARTICIPANTS. 10 5 24 0 0 0 0 0 187271542 184134912 7454885 11511699 0 0 194726427 195646611 0 0 173950800 169280879 2691343 2873645 0 0 0 5122517 5224655 181764660 177379179 12961767 18267432 488309066 519236995 17512033 15747490 470797033 503489505 PROVIDE MEDICAL BENEFITS TO PLAN PARTICIPANTS. 0 0 PROVIDE MEDICAL, DEATH, DISABILITY AND UNEMPLOYMENT BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS IN ACCORDANCE WITH PROVISIONS OF THE PLAN. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 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 15 0 1 24 1 0 0 0 0 0 0 0 0 X 10 5 0 0 0 0 0 1 0 1 1 0 0 1 0 0 1 1 1 0 X MR SEAN P MADIX FUND ADMINISTRATOR 3127825442 221 N LASALLE ST CHICAGO IL 60601 TERRY ALLEN TRUSTEE 5.00 40.00 X 0 162669 55312 JOHN P DALTON TRUSTEE 10.00 40.00 X 0 21175 0 CHRISTOPHER N MCCORMICK TRUSTEE 5.00 1.00 X 0 15500 0 KEVIN CONNOLLY TRUSTEE 5.00 40.00 X 0 125140 55312 MARIO MILLER TRUSTEE 5.00 40.00 X 0 125140 55312 WILLIAM T DIVANE JR TRUSTEE (PAST) 10.00 X 0 0 0 KEVIN M O'SHEA TRUSTEE 5.00 X 0 0 0 STEVEN DIAMOND TRUSTEE 5.00 X 0 0 0 MICHAEL R WALSDORF TRUSTEE 5.00 X 0 0 0 KENNETH BAUWENS TRUSTEE 5.00 X 0 0 0 JACK BLOCK TRUSTEE (NEW) 5.00 X 0 0 0 SEAN MADIX FUND ADMINISTRATOR 45.00 X 285459 0 96538 PETER KIM DIRECTOR OF INFORMATION SY 45.00 X 134475 0 55826 419934 449624 318300 2 0 1 0 BLUE CROSSBLUE SHIELD OF ILLINOIS 300 E RANDOLPH CHICAGO IL 60601 MEDICAL CLAIMS PROCESSOR 5837454 CIGNA BEHAVIORAL HEALTH PO BOX 1450 NW 7307 MINNEAPOLIS MN 55485 MEMBER ASSISTANCE PROGRAM 586636 CVS CAREMARK ONE CVS DRIVE WOONSOCKET RI 02895 PRESCRIPTION CLAIMS PROCESSOR 516083 LEGACY PROFESSIONALS LLP 311 SOUTH WACKER DRIVE SUITE 4000 CHICAGO IL 60606 AUDITING, PAYROLL COMPLIANCE AUDITS, CLA 416775 AMALGATRUST ONE WEST MONROE STREET CHICAGO IL 60603 INVESTMENT MANAGEMENT 407066 17 EMPLOYER CONTRIBUTIONS 900099 172323723 172323723 PRESCRIPTION DRUG REBATES 900099 5946753 5946753 REIMBURSED SHARED EXPENSES 900099 2699342 2699342 MEDICARE PART D SUBSIDY 900099 2188518 2188518 COBRA CONTRIBUTIONS 900099 976576 976576 184134912 9198416 9198416 422015918 419702635 2313283 2313283 2313283 195646611 184134912 0 11511699 169280879 295940 1218190 822400 424026 113089 445189 563424 711916 1073907 945201 528110 10680 62202 421655 447077 MISCELLANEOUS EXPENSES 15294 177379179 185913 -140686 118046815 113129263 15991447 17887254 160192 536593 3572524 3257748 700179 314776 353224126 387509795 394 0 488309066 519236995 2204845 2374372 432000 466770 14875188 12906348 17512033 15747490 X 0 0 0 0 470797033 503489505 470797033 503489505 488309066 519236995 18267432 14425040 0 X 0 1 X 1 0 458435 455243 3192 3114089 2802505 311584 314776 INVESTMENT IN EIT INSURANCE MASTER TRUST 387509795 F 387509795 DUE TO RELATED ENTITIES 12906348 12906348 X 206660393 14425040 14425040 192235353 711916 2699342 3411258 195646611 173967921 0 173967921 711916 2699342 3411258 177379179 PART X, LINE 2: THE INDIVIDUAL PLANS FILE FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN, WITH THE INTERNAL REVENUE SERVICE (IRS). THE PLANS' RETURNS ARE SUBJECT TO EXAMINATION UNTIL THE APPLICABLE STATUTE OF LIMITATIONS EXPIRES. THE TRUST FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX. THE TRUST'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATIONS EXPIRES. PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED SHARED EXPENSES REPORTED NET ON FINANCIAL STATEMENTS 2,699,342. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED SHARED EXPENSES REPORTED NET ON FINANCIAL STATEMENTS 2,699,342. X X X 0 0 0 TERRY ALLEN TRUSTEE 0 156649 0 0 0 6020 0 27126 0 28186 0 217981 0 0 KEVIN CONNOLLY TRUSTEE 0 125140 0 0 0 0 0 27126 0 28186 0 180452 0 0 MARIO MILLER TRUSTEE 0 125140 0 0 0 0 0 27126 0 28186 0 180452 0 0 SEAN MADIX FUND ADMINISTRATOR 273342 0 0 0 12117 0 78940 0 17598 0 381997 0 0 0 PETER KIM DIRECTOR OF INFORMATION SY 134475 0 0 0 0 0 39926 0 15900 0 190301 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE EXECUTIVE COMMITTEE OF THE ELECTRICAL CONTRACTORS ASSOCIATION APPOINTS THE MANAGEMENT TRUSTEES. THE PRESIDENT OF LOCAL UNION 134 IBEW APPOINTS THE UNION TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE 990 WAS PROVIDED TO THE ENTIRE GOVERNING BODY PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE DETERMINES COMPENSATION FOR TOP MANAGEMENT AND HIGHEST COMPENSATED EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, SCHEDULE J, PART II, COLUMN B (III): OTHER REPORTABLE COMPENSATION INCLUDES AUTOMOBILE AND LIFE INSURANCE REIMBURSMENTS PURSUANT TO A WRITTEN EMPLOYMENT AGREEMENT. FORM 990, SCHEDULE J, PART II, COLUMN C: RETIREMENT AND OTHER DEFERRED COMPENSATION INCLUDES THE INCREASE IN THE PRESENT VALUE OF A DEFINED BENEFIT PENSION PLAN AS DETERMINED BY THE FUND'S ACTUARY. FORM 990, SCHEDULE J, PART II, COLUMN D: NON-TAXABLE BENEFITS INCLUDE THE VALUE OF HEALTH AND WELFARE PREMIUMS PAID ON BEHALF OF THE INDIVIDUALS. 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