2015-02-12T11:08:04-06:00 2014-06-30 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2013-07-01 362145881 SHEET METAL WORKERS LOCAL 73 WELFARE FUND SHEE 7084497373 4530 W ROOSEVELT ROAD HILLSIDE IL 60162 ROCCO TERRANOVA TRUSTEE 7084497373 2015-02-12 1 RONALD BASTIAN P00748397 3123680500 2013 2016-02-25 16:41:14Z ROCCO TERRANOVA 4530 W ROOSEVELT ROAD HILLSIDE IL 60162 225963060 0 X WWW.SM73FUNDS.ORG X 1950 IL PROVIDE HEALTH BENEFITS 6 3 79 0 0 0 0 0 44260213 45159146 2317412 3206906 2310 330 46579935 48366382 0 0 38268297 37820167 1495664 1516548 0 0 0 1513727 1485467 41277688 40822182 5302247 7544200 85778501 91176279 8498729 2143826 77279772 89032453 PROVISION OF HEALTH BENEFITS TO MEMBERS. 0 0 TO PROVIDE HEALTH, DENTAL AND LIFE BENEFITS TO ELIGIBLE PARTICIPANTS AND 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 89 0 1 79 1 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 1 0 X JOSEPH OHM 7084497373 4530 W ROOSEVELT ROAD HILLSIDE IL 60162 ROCCO TERRANOVA TRUSTEE 3.00 40.00 X 0 222881 112673 DAN AHERN TRUSTEE 3.00 40.00 X 0 149284 89086 MIKE VITTORIO TRUSTEE 3.00 40.00 X 0 163328 93524 JOHN DELANO TRUSTEE 3.00 X 0 0 0 JOHN P HARMON SR TRUSTEE 3.00 X 0 0 0 JAMES S BILLARD TRUSTEE 3.00 X 0 0 0 JOSEPH OHM ADMINISTRATOR 40.00 X 169630 0 61187 169630 535493 356470 1 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH CHICAGO IL 60601 PPO PROVIDER 1391680 GREGORIO & ASSOCIATES 2 NORTH LASALLE STREET SUITE 1650 CHICAGO IL 60602 LEGAL 141825 FRANCZEK REDELET 300 S WACKER SUITE 3400 CHICAGO IL 60606 LEGAL 133399 DELTA DENTAL 801 OGDEN AVENUE LISLE IL 60532 DENTAL PROVIDER 133327 BICC 17W733 BUTTERFIELD ROAD SUITE G OAK BROOK TERRACE IL 60181 COMPUTER PROGRAMMER 118078 6 EMPLOYER CONTRIBUTIONS 900099 36100393 36100393 RETIREE CONTRIBUTIONS 900099 6359003 6359003 MEDICARE PT. D REBATES 900099 1439139 1439139 REIMBURSED ADMINISTRAT 900099 763733 763733 COBRA CONTRIBUTIONS AN 900099 496878 496878 45159146 1299850 1299850 179503734 177596678 1907056 1907056 1907056 OTHER REVENUE 900099 330 330 330 48366382 45159146 0 3207236 37820167 249901 801758 95571 276122 93196 271682 73835 233914 207200 229618 96925 178359 3095 8297 22645 FEES MANDATED BY ACA 150954 COALITION MEMBERSHIP FE 8943 40822182 616969 388742 15530542 17555517 2772000 2961000 77320 65447 583566 561029 27116 22537 65794638 69063894 959916 1119142 85778501 91176279 140556 113474 8358173 2030352 8498729 2143826 X 0 0 0 0 77279772 89032453 77279772 89032453 85778501 91176279 7544200 4208481 0 X 0 1 X 1 0 583566 561029 22537 22537 DEPOSITS - NON BARGAINED PLAN 342317 DUE TO BROKER 1522562 FEES MANDATED BY ACA 150954 DUE TO RELATED ORGANIZATIONS 14519 2030352 X 51577216 4208481 4208481 47368735 233914 763733 997647 48366382 39824535 0 39824535 233914 763733 997647 40822182 PART X, LINE 2: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE 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: REIMBURSED ADMINISTRATIVE EXPENSES 763,733. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED ADMINISTRATIVE EXPENSES 763,733. 0 0 0 ROCCO TERRANOVA TRUSTEE 0 222881 0 0 0 0 0 90871 0 21802 0 335554 0 0 DAN AHERN TRUSTEE 0 149284 0 0 0 0 0 67284 0 21802 0 238370 0 0 MIKE VITTORIO TRUSTEE 0 163328 0 0 0 0 0 71722 0 21802 0 256852 0 0 JOSEPH OHM ADMINISTRATOR 169630 0 0 0 0 0 23675 0 37512 0 230817 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES WHO REVIEW AND APPROVE THE RETURN BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH THE POLICIES ARE REVIEWED AND MONITORED THROUGH DISCUSSION AT THE TRUSTEES' MEETINGS. FORM 990, PART VI, SECTION B, LINE 15B THE SALARY OF THE FUND ADMINISTRATOR IS DETERMINED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO PARTICIPANTS AT THE FUND OFFICE UPON THEIR REQUEST. FORM 990, PART VII, LINE 1A THE ADMINISTRATOR OF THE PLAN IS ALSO THE ADMINISTRATOR OF THE RELATED PENSION PLAN. THE REPORTING ORGANIZATION INITIALLY PAYS THE ADMINISTRATOR'S SALARY AND BENEFITS. AMOUNTS ARE REIMBURSED PERIODICALLY BASED ON AN ALLOCATION APPROVED BY THE TRUSTEES. 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