2013-11-04T14:32:02-06:00 2012-12-31 208078757 SALTER & COMPANY LLC 4600 EAST-WEST HIGHWAY SUITE 300 BETHESDA MD 208143415 990 2012-01-01 541008445 BRICKLAYERS LOCAL 1 OF MD VA AND DC HEALTH AND WELFARE FUND BRIC 3018398800 6009 OXON HILL ROAD NO 416 OXON HILL MD 20745 SCOTT GARVIN 3018398800 2013-11-04 1 PETER P OSMAN CPA P00366693 3018307400 2013-10-30 X 2012 2016-02-25 16:41:14Z SCOTT GARVIN 6009 OXON HILL ROAD NO 416 OXON HILL MD 20745 13285767 0 X WWW.GEMGROUP.COM X 1950 MD PROVIDE HEALTH BENEFITS TO UNION MEMBERS. 14 14 0 0 0 0 0 0 5763876 5813618 500227 467140 193452 165003 6457555 6445761 0 0 6533167 5736951 0 0 0 0 0 710691 683062 7243858 6420013 -786303 25748 10136439 10143660 161918 121299 9974521 10022361 PROVIDE HEALTH BENEFITS TO UNION MEMBERS. 0 0 PROVIDING OF HEALTH BENEFITS TO MEMBERS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 1 680 0 1 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X GEMGROUP INC 3018398800 6009 OXON HILL RD 416 OXON HILL MD 20745 X THOMAS MCQUAID 1.00 X 0 0 0 PETE BRYANT 1.00 X 0 0 0 TOM GARCIA 1.00 X 0 0 0 SCOTT GARVIN 1.00 X 0 0 0 SCOTT PRITCHETT 1.00 X 0 0 0 TODD BUCKNER 1.00 X 0 0 0 THOMAS FORD 1.00 X 0 0 0 MIKE MANTUA 1.00 X 0 0 0 THOMAS STRUNGE 1.00 X 0 0 0 ROY HOLT 1.00 X 0 0 0 BARRY FRENCH 1.00 X 0 0 0 TERRY OVERSTREET 1.00 X 0 0 0 PAT HURLEY 1.00 X 0 0 0 EDDIE WELLS 1.00 X 0 0 0 0 0 0 0 0 0 0 SAV-RX 224 NORTH PARK AVE FREMONT NE 68025 PRESCRIPTIONS 1500936 GEMGROUP 1200 3 GATEWAY CENTER PITTSBURGH PA 15222 TPA 346686 THE JOHNS HOPKINS HOSPITAL 1800 ORLEANS ST BALTIMORE MD 21287 CLAIMS 153798 HOLY CROSS HOSPITAL OF SILVER SPRING 1500 FOREST GLEN RD SILVER SPRING MD 20910 CLAIMS 126690 SEGAL COMPANY 1920 N STREET NW WASHINGTON DC 20036 ACTUARIAL 100854 5 EMPLOYER CONTRIB. 525100 4666508 4666508 EMPLOYEE SELF-PAY 525100 988630 988630 MEDICARE PART D REIMB 525100 158480 158480 5813618 277107 277107 7030039 6840006 190033 190033 190033 ACCESS FEE REIMB 525100 144846 144846 ERRP RECEIPTS 525100 20157 20157 165003 6445761 6168654 0 277107 5736951 27837 18777 42620 7500 66965 14876 6619 THIRD PARTY ADMINISTRAT 290520 BENEFITS CONSULTING 100854 NETWORK ACCESS FEES 77122 UTILIZATION REVIEW 29372 6420013 147024 340818 328962 374423 584006 660147 3542 2151 9072905 8766121 10136439 10143660 161918 121299 161918 121299 X 9974521 10022361 0 0 0 0 9974521 10022361 10136439 10143660 25748 22092 0 X X 0 1 X 1 0 0 X 6266753 22092 22092 6244661 42620 158480 201100 6445761 6218913 0 6218913 42620 158480 201100 6420013 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: 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. THE PLAN ADMINISTRATOR IS NOT AWARE OF ANY UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS AS OF DECEMBER 31, 2012. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2009. PART XI, LINE 4B - OTHER ADJUSTMENTS: MEDICARE PART D REIMB PART XII, LINE 4B - OTHER ADJUSTMENTS: MEDICARE PART D REIMB FORM 990, PART VI, SECTION B, LINE 11 ALL TRUSTEES ARE PROVIDED A COPY OF THE COMPLETED FORM BEFORE IT IS FILED. FORM 990, PART VI, SECTION C, LINE 19 PARTICIPANTS CAN REVIEW THE FUND'S DOCUMENTS AT THE FUND OFFICE. PART XI, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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