2013-07-12T12:26:21-05:00 2012-11-30 391531945 FREYBERG HINKLE ASHLAND POWERS & STOWELL 15420 W CAPITOL DR BROOKFIELD WI 530052621 990 2011-12-01 390979166 UNITED FOOD & COMMERICAL WORKERS UNIONS & EMPLOYERS HEALTH PLAN UNIT 4144762523 2100 NORTH MAYFAIR ROAD MILWAUKEE WI 53226 JOHN EIDEN 4144762523 2013-07-12 1 JAMES M ASHLAND CPA P00241858 2627846210 2011 2016-02-24 21:20:13Z JOHN EIDEN 2001 N MAYFAIR RD MILWAUKEE WI 53226 12039560 0 X N/A X 1960 WI HEALTH PLAN 7 0 0 0 0 0 0 0 6954096 5702401 0 0 26564 19936 6980660 5722337 0 0 4395758 5105016 0 0 0 0 0 824299 674386 5220057 5779402 1760603 -57065 4238388 4246933 518581 584191 3719807 3662742 NONE 0 0 4327039 ACCIDENT, HEALTH, LOSS-OF-TIME, DENTAL, LIFE, VISION CARE BENEFIT PAYMENTS TO PARTICIPANTS. 813805 PRESCRIPTION DRUG PROGRAM BENEFITS PAID ON BEHALF OF PARTICIPANTS. LIFE INSURANCE BENEFITS PAID ON BEHALF OF PARTICIPANTS. 5140844 0 0 0 0 0 0 0 0 0 0 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 0 1 118 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X ZENITH AMERICAN SOLUTIONS 4144762523 2100 N MAYFAIR ROAD MILWAUKEE WI 53226 X JOHN EIDEN 0.00 X X 0 0 0 GRANT WITHERS 0.00 X 0 0 0 PAUL BUTERA 0.00 X 0 0 0 MARK CULOTTA 0.00 X 0 0 0 CHAD WHITESIDE 0.00 X 0 0 0 DARREN HORNDASCH 0.00 X X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 525100 5687101 5687101 SELF-PAY CONTRIBUTIONS 525100 15300 15300 5702401 6317223 6317223 0 0 PRESCRIPT PROG REBATE 525100 16211 16211 WITHDRAWAL LIABILITY 525100 3725 3725 19936 5722337 5722337 0 0 5105016 5105016 450717 450717 50343 50343 23100 23100 1500 1500 15283 15283 1224 1224 13129 13129 CONSULTANT FEES 48930 48930 COST CONTAINMENT PROGRA 34895 34895 BANK SERVICE FEES 10859 10859 FIELD AUDIT FEES 10615 10615 13791 933 12858 5779402 5140844 638558 0 42464 4131421 81247 77747 41747 37765 4072930 4238388 4246933 196182 214191 322399 370000 518581 584191 X 0 0 0 0 3719807 3662742 3719807 3662742 4238388 4246933 -57065 0 X X 0 1 1 X 0 0 CLAIMS PAYABLE 370000 370000 5722337 5779402 -57065 -57065 5720837 0 5720837 1500 1500 5722337 5730301 0 5730301 1500 47601 49101 5779402 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE THE MANAGEMENT OF AN ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND TO RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. PLAN MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF NOVEMBER 30, 2012 THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PLAN MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR CLOSED YEARS FOR WHICH THE STATUTE OF LIMITATIONS HAS EXPIRED. PART XIII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN CURRENT YEAR CLAIMS PAYABLE FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE FUND'S RECORDKEEPER. THEY REVIEW IT AND APPROVE IT, THEN PRESENT THE FORM 990 TO THE BOARD OF TRUSTEES FOR REVIEW AND FILING APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THEY ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, THE PLAN'S FINANCIAL STATEMENTS, AND FOR THE SELECTION OF AN INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.