2014-02-04T16:39:41-06:00 2013-06-30 470900880 Calibre CPA Group PLLC 566 WEST LAKE STREET SUITE 300 CHICAGO IL 606611414 990 2012-07-01 362356062 SHEET METAL WORKERS LCL 265 WELFARE FUND SHEE 6306687260 205 ALEXANDRA WAY CAROL STREAM IL 60188 John Boske 6306687260 2014-02-14 1 Andy Hein P00499757 3126550037 2012 2015-11-30 17:44:51Z JOHN BOSKE 205 ALEXANDRA WAY CAROL STREAM IL 60188 144437322 0 X N/A X 1962 IL PROVIDE HEALTH, DENTAL, PRESCRIPTION DRUG, VISION AND DEATH BENEFITS COVERING SUBSTANTIALLY ALL PARTICIPATING PERSONS UNDER THE SHEET METAL WORKERS LOCAL 265 UNION'S COLLECTIVE BARGAINING AGREEMENT. 10 10 77 0 0 0 0 0 22938147 22422282 1871313 1602250 227057 218014 25036517 24242546 0 0 20938027 20121644 905626 910771 0 0 0 1397267 1486082 23240920 22518497 1795597 1724049 50007421 50514082 11250565 10435578 38756856 40078504 X PROVIDE HEALTH, DENTAL, PRESCRIPTION DRUG, VISION AND DEATH BENEFITS COVERING SUBSTANTIALLY ALL PARTICIPATING PERSONS UNDER THE SHEET METAL WORKERS LOCAL 265 UNION'S COLLECTIVE BARGAINING AGREEMENT. 0 0 PROVIDED ARE HEALTH (HOSPITAL, MAJOR MEDICAL, AND LONG TERM DISABILITY), DENTAL, VISION, AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS. PROVIDED ARE HEALTH (HOSPITAL, MAJOR MEDICAL, AND LONG TERM DISABILITY), DENTAL, VISION, AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS. 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 1 776 0 1 77 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X SCOTT WILLIE 6306687260 205 ALEXANDRA WAY CAROL STREAM IL 60188 GERALD PORTER 3.00 40.00 X 0 111732 64633 KEVIN PRINCE 3.00 40.00 X 0 110232 67760 JOHN BOSKE 3.00 40.00 X 0 139241 70885 CHARLES RUEGGE 3.00 40.00 X 0 113128 66782 PAT HUDGENS 3.00 X 0 0 0 JOHN SHAW 3.00 X 0 0 0 DON MORAN 3.00 40.00 X 0 111536 68633 JOHN D'ANGELO 3.00 X 0 0 0 JACK GENGLER 3.00 X 0 0 0 KEN WIESBROOK 3.00 X 0 0 0 SCOTT WILLE 40.00 X 119589 0 40032 119589 585869 378725 1 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 60601 PPO ACCESS FEES 432710 THE SEGAL COMPANY 101 N WACKER DR STE 500 CHICAGO IL 60606 CONSULTING/ACTUARIAL 111541 2 EMPLOYER CONTRIBUTIONS 900099 18067653 18067653 EMPLOYEE CONTRIBUTIONS 900099 4354629 4354629 22422282 1221824 1221824 120575202 120194776 380426 380426 380426 REIMB FROM AFFILIATES 900099 218014 218014 218014 24242546 22640296 0 1602250 20121644 492013 168364 189289 61105 80184 57629 139982 945655 111861 46565 61648 3696 10326 28536 22518497 4143537 5819651 1591746 1651061 41956 41210 283907 251082 41604 32825 43974840 42772420 213738 196915 50007421 50514082 37665 41685 11212900 10393893 11250565 10435578 X 0 0 0 0 38756856 40078504 38756856 40078504 50007421 50514082 1724049 -402401 0 X X 0 1 X 1 0 48116 27256 20860 154390 142545 11845 81401 81281 120 32825 CLAIMS PAYABLE 486400 EST LIAB FUT CLAIMS-FROM EXTNDED ELIG 7961300 EST LIAB FUT CLAIMS-INCURRED NOT REPORTE 1945500 ACCRUED PAYROLL TAXES AND WITHHOLDINGS 693 10393893 X 23482149 -402401 -402401 23884550 357996 357996 24242546 22980201 0 22980201 -461704 -461704 22518497 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The trust established under the Plan to hold the Plan's assets is qualified pursuant to Section 501(c)(9) of the Internal Revenue Code as a tax-exempt organization. The Plan has obtained a favorable tax determination letter from the Internal Revenue Service, and the Plan Sponsor believes that the Plan, as amended, continues to qualify and to operate in accordance with applicable provisions of the Internal Revenue Code. Accounting principles generally accepted in the United States of America require plan management to evaluate tax positions taken by the plan and recognize a tax liability (or asset) if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the taxing authorities. As of June 30, 2013, there were no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. At June 30, 2013, the Plan is no longer subject to income tax examinations for years prior to the fiscal year ended June 30, 2010. Part XI, Line 4b - Other Adjustments: REIMB EXPENSES FROM AFFILIATED FUNDS 218,014. INVESTMENT MANAGEMENT FEES 139,982. Part XII, Line 4b - Other Adjustments: REIMB. EXPENSES FROM AFFILIATED FUNDS 218,014. INVESTMENT MANAGEMENT FEES 139,982. DEC IN CLAIMS PAYABLE AND IBNR -351,900. DEC IN LIABILITY FOR EXTENDED ELIGIBILITY -467,800. X 0 0 0 GERALD PORTER 0 103060 0 0 0 8672 0 42164 0 22469 0 176365 0 0 KEVIN PRINCE 0 103060 0 0 0 7172 0 45146 0 22614 0 177992 0 0 JOHN BOSKE 0 126706 0 0 0 12535 0 47816 0 23069 0 210126 0 0 CHARLES RUEGGE 0 103060 0 0 0 10068 0 44229 0 22553 0 179910 0 0 DON MORAN 0 103060 0 0 0 8476 0 45972 0 22661 0 180169 0 0 SCOTT WILLE 119589 0 0 0 0 0 21784 0 18248 0 159621 0 0 0 Form 990, Part VI, Section B, line 11 THE TRUSTEES HAVE AUTHORIZED THE FUND'S CHAIRMAN AND/OR SECRETARY TO REVIEW THE FORM 990 BEFORE IT IS FILED. Form 990, Part VI, Section B, line 12c PERSONS COVERED BY THE CONFLICT OF INTEREST POLICY WILL ANNUALLY DISCLOSE OR UPDATE TO THE BOARD OF TRUSTEES THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. FOR EACH INTEREST DISCLOSED TO THE BOARD OF TRUSTEES, THE TRUSTEES WILL DETERMINE WHETHER TO: (A) TAKE NO ACTION; (B) ASSURE FULL DISCLOSURE TO THE BOARD OF TRUSTEES AND OTHER INDIVIDUALS COVERED BY THIS POLICY; (C) ASK THE PERSON TO REFUSE FROM PARTICIPATION IN RELATED DISCUSSIONS OR DECISIONS WITHIN THE FUNDS; OR (D) ASK THE PERSON TO RESIGN FROM HIS OR HER POSITION IN THE FUND, OR IF THE PERSON REFUSES TO RESIGN, BECOME SUBJECT TO POSSIBLE REMOVAL IN ACCORDANCE WITH THE FUND'S REMOVAL PROCEDURES. THE ADMINISTRATIVE MANAGER WILL MONITOR PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND DISCLOSE THEM TO THE BOARD OF TRUSTEES IN ORDER TO DEAL WITH POTENTIAL OR ACTUAL CONFLICTS, WHETHER DISCOVERED BEFORE OR AFTER THE TRANSACTION HAS OCCURRED. Form 990, Part VI, Section C, line 19 A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE PLAN ADMINISTRATOR AND/OR THE US DEPARTMENT OF LABOR. ALSO, FORM 5500 IS OPEN TO PUBLIC INSPECTION THROUGH THE US DEPARTMENT OF LABOR. Form 990, Part XII, Line 2c THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SHEET METAL WORKERS LOCAL 265 PENSION 205 ALEXANDRA WAY CAROL STREAM IL 60188 366168611 PENSION FUND IL 401(A) 0 SHEET METAL WORKERS LOCAL 265 SRP 205 ALEXANDRA WAY CAROL STREAM IL 60188 363911499 ANNUITY FUND IL 401(A) 0 SHEET METAL WORKERS LOCAL 265 LMCC 2703 VAN BUREN STREET BELLWOOD IL 60104 364146794 LABOR MANAGEMENT COOPERATION COMMITTEE IL 501(c)(5) 0 SHEET METAL WORKERS LOCAL 265 ED 205 ALEXANDRA WAY CAROL STREAM IL 60188 366148078 TRAINING FUND IL 501(c)(5) 0 SHEET METAL WORKERS LOCAL 265 205 ALEXANDRA WAY CAROL STREAM IL 60188 362368182 LABOR UNION IL 501(c)(5) 0 AERO TESTING & BALANCE SYSTEMS AFFORDABLE COMFORT CONST AIR COMFORT CORP AIR DESIGN SYSTEMS INC AIR DUCT MFG & SUPPLY INC AIR FLOW CO INC AIR QUALITY INC AIR RITE HEATING & COOLING ALL AMERICAN ROOFING COINC ALLSTATE METAL FAB ALTHOFF INDUSTRIES INC AMBER MECHANICAL CONTR INC AMCO INC AMERICAN AIR MECH SERV INC AMS MECHANICAL SYSTEMS ANDERSON & SHAH ANDERSON MECHANICAL SYSTEMS ANTHONY ROOFING LTD ANY TEMPERATURE 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