2014-02-04T14:20:30-06:00 2012-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 462400857 990 2012-01-01 350851694 ELECTRICAL WORKERS BENEFIT TRUST FUND ELEC 3179234577 1828 NORTH MERIDIAN STREET NO 103 INDIANAPOLIS IN 462021471 ROBERT CADWELL 3179234577 2014-01-23 1 PATRICK R BRAUER P01046592 3175802000 2014-01-23 2012 2016-03-07 17:11:31Z ROBERT CADWELL 1828 N MERIDIAN SUITE 103 INDIANAPOLIS IN 462021471 63987738 0 X N/A X 1949 IN THE FUND PROVIDES VARIOUS BENEFITS TO PARTICIPANTS AND ELIGIBLE DEPENDENTS 6 6 8 0 0 0 0 0 22450264 22100282 3104628 3531448 0 0 25554892 25631730 0 0 23707817 25557466 384670 381626 0 0 0 1171259 1177924 25263746 27117016 291146 -1485286 101163621 107140495 128727196 138119382 -27563575 -30978887 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 1 705 0 1 8 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 1.00 X 0 0 0 JAMES TSAREFF 1.00 X 0 0 0 BRIAN MILLER 1.00 X 0 0 0 KEVIN SCHRADER 1.00 X 0 0 0 SEAN SEYFERTH 1.00 X 0 0 0 STEPHEN MENSER 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 690080 PNC BANK 1900 E 9TH ST FLOOR 13 CLEVELAND OH 44114 CUSTODIAL AND INVESTMENT MANAGEMENT 119258 2 CONTRIBUTION INCOME 525920 22100282 22100282 22100282 3081290 3081290 38806166 38356008 450158 450158 450158 25631730 22100282 0 3531448 25557466 265732 7250 71387 37257 41097 29738 74266 30789 12940 4289 8400 ANTHEM CONTRACT SERVICE 690080 PROFESSIONAL FEES 206178 OTHER EXPENSE 36609 COMPUTER EXPENSE 30352 13186 27117016 1336063 2421650 2416587 2456196 122967 108943 13606 14024 97397365 102248625 101163621 107140495 65072 34699 30879 22771 128631245 138061912 128727196 138119382 X 0 0 0 0 -27563575 -30978887 -27563575 -30978887 101163621 107140495 -1485286 -1930026 0 X X 0 1 X 1 0 122967 108943 14024 14024 CLAIM RESERVES 11709000 POST RETIREMENT BENEFIT OBLIGATIONS 126352912 138061912 X 31103113 5590641 5590641 25512472 119258 119258 25631730 25087758 0 25087758 119258 1910000 2029258 27117016 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: PART IV, LINE 11F - THE FUND IS SUBJECT TO THE PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). THE FUND MAINTAINS A QUALIFIED TRUST UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE AND IS, THEREFORE, EXEMPT FROM FEDERAL INCOME TAX. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRE 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 PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FUND AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN, OR EXPECTED TO BE TAKEN, THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 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 PLAN ADMINISTRATOR BELIEVES THE FUND IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2009. 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: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PARK XI, LINE 5, CHANGES IN NET ASSETS: POST RETIREMENT BENEFIT OBLIGATIONS - SOP92-6 -7,520,667 UNREALIZED APPRECIATION/(DEPRECIATION) OF INVESTMENTS 5,590,641 TOTAL TO FORM 990, PART XI, LINE 9 -1,930,026