2014-01-31T16:44:46-06:00 2013-05-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2012-06-01 510210922 NATIONAL ROOFERS UNION & EMPLOYERS JOINT HEALTH & WELFARE FUND NATI 3034264984 PO BOX 21240 DENVER CO 80221 JOHN PLESCIA 3034264984 2014-01-31 1 CRAIG RESCH P00844633 3123680500 2012 2015-11-30 17:44:51Z JOHN PLESCIA PO BOX 21240 DENVER CO 80221 12729901 0 X N/A X 1976 CO TO PROVIDE HEALTH BENEFITS 6 0 10 0 0 0 0 0 6539907 6431902 447515 489785 4041 11231 6991463 6932918 0 0 5514735 5779845 0 0 0 0 0 477067 413840 5991802 6193685 999661 739233 10152006 11349409 40963 7333 10111043 11342076 PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 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 2 0 1 10 1 0 0 0 0 0 0 0 0 0 0 X 6 0 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X FRINGE BENEFIT SERVICES INC 3034264984 PO BOX 21240 DENVER CO 80221 KINSEY ROBINSON 1.00 35.00 X 0 294934 45129 JOHN PLESCIA 1.00 X 0 0 0 DENNIS CONWAY 1.00 X 0 0 0 MARK REEVES 1.00 X 0 0 0 PAUL BLASKI 1.00 35.00 X 0 148628 38735 DOUG ZIEGLER 1.00 18.00 X 0 52793 15610 0 496355 99474 0 0 1 0 FRINGE BENEFIT SERVICES INC 7010 N BROADWAY SUITE 106 DENVER CO 80221 THIRD PARTY ADMINISTRATOR 210415 CIGNA PO BOX 644546 PITTSBURGH PA 15264 MEDICAL PPO PROVIDER 199310 2 EMPLOYER CONTRIBUTIONS 900099 6297772 6297772 PARTICIPANT CONTRIB 900099 80297 80297 PRESCRIPTION REBATES 900099 53833 53833 6431902 374004 374004 5912764 5796983 115781 115781 115781 MISCELLANEOUS REVENUE 900099 11231 11231 11231 6932918 6431902 0 501016 5779845 181572 63063 44354 22672 69500 8161 15011 5251 MISCELLANEOUS 4256 6193685 131254 222163 887452 602763 580762 552095 3091 3569 8335071 9180362 214376 788457 10152006 11349409 40963 7333 40963 7333 X 0 0 0 0 10111043 11342076 10111043 11342076 10152006 11349409 739233 491800 0 X 0 1 X 1 0 0 BUSINESS DEVELOPMENT COMPANY INVESTMENT FUND 566485 F ULLICO COMMINGLED MORTGAGE ACCOUNT 221972 F 788457 X 7402046 491800 491800 6910246 22672 22672 6932918 6171013 0 6171013 22672 22672 6193685 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM 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. 0 0 0 KINSEY ROBINSON 0 189754 0 0 0 105180 0 19924 0 25205 0 340063 0 0 PAUL BLASKI 0 132828 0 0 0 15800 0 10204 0 28531 0 187363 0 0 FORM 990, PART VI, SECTION A, LINE 3 WHILE THE BOARD OF TRUSTEES RETAINS THE ULTIMATE RESPONSIBILITY, THEY HAVE DELEGATED THE DAY TO DAY MANAGEMENT DUTIES TO FRINGE BENEFITS SERVICES, INC. AS THIRD PARTY ADMINISTRATOR OF THE FUND. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS PROVIDED TO AND REVIEWED BY THE ORGANIZATION'S ENTIRE GOVERNING BODY BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C FUND PERSONNEL HAVE THE CONTINUING RESPONSIBILITY TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. IN ANY DETERMINATION BY THE TRUSTEES OF A CONFLICT OF INTEREST, THE PERSON WITH THE CONFLICT OF INTEREST SHALL BE EXCLUDED FROM THE DISCUSSION AND DETERMINATION OF SUCH CONFLICT. DISCLOSURE OF A CONFLICT OF INTEREST SHOULD BE MADE TO THE ADMINISTRATIVE MANAGER, WHO SHALL BRING THE MATTER TO THE ATTENTION OF THE TRUSTEES OR A DULY CONSTITUTED COMMITTEE THEREOF. DISCLOSURE INVOLVING TRUSTEES SHOULD BE MADE TO THE CHAIRMAN OF THE BOARD OF TRUSTEES, WHO SHALL BRING THESE MATTERS TO THE TRUSTEES OR A DULY CONSTITUTED COMMITTEE THEREOF. THE TRUSTEES OR A DULY CONSTITUTED COMMITTEE THEREOF SHALL DETERMINE WHETHER A CONFLICT EXISTS AND, IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR AND REASONABLE TO THE FUND. THE DECISION OF THE TRUSTEES OR A DULY CONSTITUTED COMMITTEE THEREOF ON THESE MATTERS WILL REST IN THEIR SOLE DISCRETION, AND THEIR CONCERN SHALL BE THE WELFARE OF THE PLAN AND THE ADVANCEMENT OF ITS PURPOSE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 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