2014-01-08T11:56:44-06:00 2013-05-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2012-06-01 362150067 ADMINISTRATIVE DISTRICT COUNCIL 1 WELFARE FUND ADMI 6306178600 660 N INDUSTRIAL DRIVE NO 100 ELMHURST IL 60126 JAMES ALLEN 6306178600 2014-01-08 1 CRAIG RESCH P00844633 3123680500 2012 2015-11-30 17:44:51Z JAMES ALLEN 660 N INDUSTRIAL DRIVE NO 100 ELMHURST IL 60126 61620117 0 X N/A X 1950 IL PROVIDE HEALTH BENEFITS 9 4 25 0 0 0 0 0 22765527 22914532 2938357 1392645 13726 7323 25717610 24314500 0 0 22168867 22422825 2064377 2199358 0 0 0 1493209 1505802 25726453 26127985 -8843 -1813485 118891236 122458311 478997 372004 118412239 122086307 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE MEDICAL AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 0 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 1275 0 1 25 1 0 0 0 0 0 0 0 0 X 9 4 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X MILAN DIKLICH - ADMINISTRATOR 6306178600 660 N INDUSTRIAL DRIVE SUITE 100 ELMHURST IL 60126 JAMES ALLEN 1.00 40.00 X 0 179138 71363 RICHARD LAUBER SR 1.00 0.00 X 0 0 0 JOSEPH GAGLIARDO 1.00 40.00 X 0 103284 61182 BERNIE VAN ETTEN 1.00 0.00 X 0 0 0 MICHAEL LOWERY 1.00 40.00 X 0 150046 66665 TIMOTHY AIKENS 1.00 40.00 X 0 103511 61359 GREG POSCH 1.00 40.00 X 0 102132 61182 AL ESCHE 1.00 0.00 X 0 0 0 MICHAEL PILOLLA 1.00 0.00 X 0 0 0 RICHARD LAUBER JR 1.00 0.00 X 0 0 0 LAUREL SCOTTI 19.00 21.00 X 135314 0 42432 135314 638111 364183 1 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 699752 WURTS ASSOCIATES 999 THIRD AVENUE SUITE 4200 SEATTLE WA 98104 INVESTMENT CONSULTANT 173855 LEGACY PROFESSIONALS LLP 311 S WACKER DR STE 4000 CHICAGO IL 60606 AUDITOR AND PAYROLL COMPLIANCE AUDITOR 130324 THE SEGAL COMPANY PO BOX 4092 CHURCH ST STATION NEW YORK NY 10261 ACTUARY/CONSULTANT 104078 4 CONTRACTOR CONTRIBUTIONS 900099 19105186 19105186 REIMB. OF SHARED EXPENSES FROM RE 900099 1144155 1144155 STOP-LOSS INSURANCE PROCEEDS 900099 759290 759290 RETIRED MEMBERS' CONTRIBUTIONS 900099 713578 713578 PARTICIPANT CONTRIBUTIONS 900099 360248 360248 832075 832075 22914532 897247 897247 37801015 37305617 495398 495398 495398 MISCELLANEOUS INCOME 900099 7323 7323 7323 24314500 22914532 0 1399968 22422825 180655 1129960 379830 403290 105623 243081 130324 237299 152837 284254 140774 146310 13023 12319 61004 73862 MEMBERSHIP DUES 5226 MISCELLANEOUS 3109 DOCUMENT SCANNING 2380 26127985 192034 91137 2696054 4282588 3278155 4283283 20000 20600 523747 349293 202826 174454 13968313 11912904 98533854 101693345 118891236 122458311 478997 372004 478997 372004 X 0 0 0 0 118412239 122086307 118412239 122086307 118891236 122458311 -1813485 5487553 0 X 0 1 X 1 0 356579 274305 82274 167168 74988 92180 174454 SSGA S&P 500 INDEX SEC LENDING FUND 12058174 F SSGA U.S. AGGREGATE BOND INDEX SEC LENDING FUND 50298102 F SSGA COMMON AND COLLECTIVE FUNDS 14333943 F SSGA INTERMEDIATE U.S. GOVT BOND INDEX SEC LENDING FUND 25003126 F 101693345 X 28420599 5487553 5487553 22933046 237299 1144155 1381454 24314500 24746531 0 24746531 237299 1144155 1381454 26127985 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: PART X: 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 LIMITATIONS EXPIRES. PART XI, LINE 4B - OTHER ADJUSTMENTS: ALLOCATED SHARED EXPENSES TO RELATED PLANS 1,144,155. PART XII, LINE 4B - OTHER ADJUSTMENTS: ALLOCATED SHARED EXPENSES TO RELATED PLANS 1,144,155. X 0 0 0 JAMES ALLEN 0 176873 0 0 0 2265 0 53261 0 18102 0 250501 0 0 JOSEPH GAGLIARDO 0 101014 0 0 0 2270 0 43538 0 17644 0 164466 0 0 MICHAEL LOWERY 0 148297 0 0 0 1749 0 48563 0 18102 0 216711 0 0 TIMOTHY AIKENS 0 101014 0 0 0 2497 0 43715 0 17644 0 164870 0 0 GREG POSCH 0 101014 0 0 0 1118 0 43538 0 17644 0 163314 0 0 LAUREL SCOTTI 135314 0 0 0 0 0 22568 0 19864 0 177746 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 RICHARD LAUBER, SR., TRUSTEE IS THE FATHER OF RICHARD LAUBER, JR., TRUSTEE. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES AND FUND ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARDS' REVIEW, THE FORM IS APPROVED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF THE TRUSTEES THAT THE EXISTENCE OF A POTENTIAL CONFLICT SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF FUND PERSONNEL TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES TO THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE ANNUALLY REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. FORM 990, PART VII, SECTION A, LINE 1A: THE ORGANIZATION'S ADMINISTRATOR IS ALSO THE ADMINISTRATOR OF TWO OTHER ENTITIES. THE REPORTING ORGANIZATION IS REIMBURSED BY THESE ENTITIES FOR THEIR ALLOCATED PORTION OF HER SALARY, FRINGES AND TAXES. 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