2015-06-08T10:20:44-05:00 2014-12-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2014-01-01 596134297 INTERNATIONAL BRTHOOD OF ELECTRICAL WORKERS WELFARE FUND LOCAL 728 INTE 9542666322 2010 NW 150TH AVENUE NO 100 PEMBROKE PINES FL 33028 DAVID SVETLICK TRUSTEE 9542666322 2015-06-08 1 GREG WALLENBECKER P01451145 3123680500 2014 2016-02-25 16:41:14Z DAVID SVETLICK 2010 NW 150TH AVENUE NO 100 PEMBROKE PINES FL 33028 12690848 0 X N/A X 1976 FL PROVIDE HEALTH BENEFITS 9 6 0 0 0 0 0 0 5156627 8138568 176540 133373 484 556 5333651 8272497 0 0 6798255 5780977 0 0 0 0 0 511841 416695 7310096 6197672 -1976445 2074825 6561206 8586964 60627 45750 6500579 8541214 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS IN ACCORDANCE WITH THE PLAN DOCUMENT. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 1 94 0 1 0 0 0 0 0 0 0 0 0 X 9 6 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X NATIONAL EMPLOYEE BENEFITS ADMINISTRATORS INC 9542666322 2010 NW 150TH AVENUE SUITE 100 PEMBROKE PINES FL 33028 DAVID SVETLICK CHAIRMAN 1.00 40.00 X 0 119271 23941 JOHN L LOVELESS TRUSTEE 1.00 X 0 0 0 JAMES BOYLAN TRUSTEE 1.00 X 0 0 0 VINCENT FORTUNE TRUSTEE 1.00 2.00 X 0 1990 0 WILLIAM BARROW TRUSTEE 1.00 X 0 0 0 JUSTIN MCINTOSH PRESIDENT 1.00 2.00 X 0 16150 0 JONATHAN BORDEN TRUSTEE 1.00 X 0 0 0 KENNETH DELI TRUSTEE 1.00 X 0 0 0 JIM STUBBLEFIELD - PAST TRUSTEE 1.00 X 0 0 0 MIKE SPRINGSTEAD - NEW TRUSTEE 1.00 X 0 0 0 0 137411 23941 0 0 0 0 BLUE CROSS BLUE SHIELD 4101 PERCIVAL ROAD COLUMBIA SC 29229 PPO PROVIDER 363841 NATIONAL EMPLOYEE BENEFITS ADMINISTRATOR 2010 NW 105TH AVENUE SUITE 100 PEMBROKE PINES FL 33028 THIRD PARTY ADMINISTRATOR 117478 2 EMPLOYER CONTRIBUTIONS 900099 7993725 7993725 PARTICIPANT CONTRIB 900099 144843 144843 8138568 99071 99071 4452653 4418351 34302 34302 34302 MISCELLANEOUS 900099 556 556 556 8272497 8138568 0 133929 5780977 121436 71645 19000 25735 73677 10800 10392 1150 FEES MANDATED BY ACA 78238 BANK FEES 3267 MISCELLANEOUS 1355 6197672 1266730 1671817 796654 1023760 3064 2826 4134946 5528749 359812 359812 6561206 8586964 60627 45750 60627 45750 X 0 0 0 0 6500579 8541214 6500579 8541214 6561206 8586964 2074825 -34190 0 X 0 1 X 1 0 0 X 8212572 -34190 -34190 8246762 25735 25735 8272497 6171937 0 6171937 25735 25735 6197672 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. FORM 990, PART VI, SECTION A, LINE 3 THE BOARD OF TRUSTEES HAS DELEGATED THE DAY TO DAY ADMINISTRATIVE DUTIES TO NATIONAL EMPLOYEE BENEFITS ADMINISTRATORS, INC. AS THE THIRD PARTY ADMINISTRATOR OF THE FUND. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS PROVIDED, REVIEWED AND APPROVED BY THE ENTIRE BOARD OF TRUSTEES PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE FUND MAINTAINS A CONFLICT OF INTEREST POLICY. THE TRUSTEES MONITOR AND ENFORCE THE FUND'S COMPLIANCE WITH ASSISTANCE FROM THE FUND'S PROFESSIONALS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. 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