2012-03-13T16:04:32-05:00 2011-02-28 BANSLEY & KIENER LLP 8745 W HIGGINS RD CHICAGO IL 60631 990 2010-03-01 366069119 TEAMSTERS LOCAL 727 HEALTH AND WELFARE FUND TEAM 7736850340 5940 W MONTROSE CHICAGO IL 60634 THOMAS J MORIARTY 7736850340 2012-03-03 1 PAUL MERKEL 3122632700 2012-03-03 2010 2016-02-24 21:20:13Z THOMAS J MORIARTY 5940 W MONTROSE CHICAGO IL 60634 36270305 0 X N/A X 1961 IL TO PROVIDE HEALTH AND WELFARE BENEFITS TO ALL ELIGIBLE MEMBERS OF TEAMSTERS LOCAL 727 AND THEIR DEPENDENTS. 8 6 0 0 0 0 0 0 30591947 30579277 -1612781 2480260 36922 28782 29016088 33088319 0 0 27303759 31145144 813696 834122 0 0 0 614355 556552 28731810 32535818 284278 552501 57719371 64125084 13527120 15791681 44192251 48333403 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ALL ELIGIBLE MEMBERS OF TEAMSTERS LOCAL 727 AND THEIR DEPENDENTS. 0 0 PROVIDE HEALTH AND WELFARE BENEFITS TO ALL ELIGIBLE MEMBERS OF TEAMSTERS LOCAL 727 AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 1 1 0 0 1 0 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 0 1 799 0 1 0 1 0 0 0 0 0 0 X 8 6 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 X WILLIAM COLI FUND ADMINISTRATOR 7736850340 5940 W MONTROSE CHICAGO IL 60634 X JOHN COLI 3.00 X 0 0 0 THOMAS J MORIARITY 2.50 X 0 36000 0 CARL TOMINBERG 2.50 X 0 0 0 GREG YOUMANS 3.00 X 0 21000 0 ROBERT SHEEHY 3.00 X 0 0 0 JOSEPH COLI 2.50 X 0 0 0 JOHN T COLI JR 2.50 X 0 0 0 STEPHANIE BRINSON 2.50 X 0 0 0 WILLIAM COLI 35.00 X 0 180037 54361 BENEDICT AFFETTO 20.00 X 0 101538 38662 ROBERT MACARTHUR 26.00 X 0 101538 38662 MELVIN PRYOR 30.00 X 0 101538 38662 0 541651 170347 0 0 1 0 BLUE CROSS BLUE SHIELD 300 E RANDOLPH CHICAGO IL 60601 CLAIMS ACCESS FEES 1084025 ELITE ADMINISTRATION AND INSURANCE GROUP 1300 W HIGGINS ROAD SUITE 208 PARK RIDGE IL 60068 CLAIMS ADMINISTRATOR 529871 BANSLEY AND KIENER LLP 8745 W HIGGINS SUITE 200 CHICAGO IL 60631 ACCOUNTING FEES 245325 3 EMPLOYER CONTRIBUTIONS 900099 29547132 29547132 PAYROLL AUDIT COLLECTI 900099 832989 832989 PARTICIPANT CONTRIBUIT 900099 199156 199156 30579277 2427847 2427847 3234399 3181986 52413 52413 52413 COBRA SUBSIDY INCOME 900099 28782 28782 28782 33088319 30608059 0 2480260 31145144 183955 405768 143551 57716 43132 78634 247828 18671 27103 54843 16061 30332 6752 29825 ADMINISTRATIVE EXPENSES 42464 MEMBERSHIP FEES 4039 32535818 261189 0 7152460 5410215 3221730 3649303 39775 25401 164840 139253 32339 25587 33354497 37696128 12987495 16099352 669886 1219098 57719371 64125084 120999 117797 13406121 15673884 13527120 15791681 X 0 0 0 0 44192251 48333403 44192251 48333403 57719371 64125084 X 552501 3588651 X X 0 1 0 X 0 43162 23801 19361 121678 115452 6226 25587 COMERICA MID CAP INDEX FUND 1378364 F COMERICA SMALL CAP INDEX FUND 590814 F COMERICA LARGE CAP INDEX FUND 14130174 F 16099352 DUE TO RELATED ORGANIZATIONS 236295 CLAIMS INCURRED BUT NOT REPORTED 3200000 ACCUMULATED ELIGIBILITY 11894000 CASH OVERDRAFT 343589 15673884 33088319 32535818 552501 3588651 1894000 5482651 6035152 36658299 3588651 3588651 33069648 18671 18671 33088319 30623147 0 30623147 18671 1894000 1912671 32535818 PART XI, LINE 8 - OTHER ADJUSTMENTS: INCREASE IN BENEFIT OBLIGATIONS 1,894,000. PART XIII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN BENEFIT OBLIGATIONS 1,894,000. X 0 0 0 WILLIAM COLI 0 157083 0 6154 0 16800 0 0 0 54361 0 234398 0 247128 FORM 990, PART VI, SECTION A, LINE 2 THERE IS A FAMILY RELATIONSHIP BETWEEN JOHN T. COLI, JOHN T. COLI JR., JOSEPH COLI, AND WILLIAM COLI. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO SUBCOMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF TRUSTEES GIVES AUTHORITY TO WILLIAM COLI, FUND MANAGER, TO REVIEW THE FORM 990 AND APPROVE THE FILING. THE BOARD OF TRUSTEES IS PRESENTED WITH THE FINAL FORM 990 AFTER FILING. PART VII, SECTION A, COLUMN E AND F: THE BOARD OF TRUSTEES APPROVES THE SALARY AND ANY INCREASE ANNUALLY FOR THE FUND MANAGER. THE FUND MANAGER'S SALARY IS PAID BY THE RELATED TEAMSTERS LOCAL UNION NO. 727 PENSION FUND (PENSION FUND) AND IS SHARED WITH THE THE RELATED TEAMSTERS LOCAL UNION NO. 727 LEGAL AND EDUCATIONAL ASSISTANCE FUND (LEGAL AND EDUCATION FUND) AND TEAMSTERS LOCAL UNION NO. 727 HEALTH AND WELFARE FUND (REPORTING FUND). TOTAL COMPENSATION FOR THE FUND MANAGER IS ALLOCATED BETWEEN THESE RELATED BENEFIT FUNDS. TOTAL ALLOCATED COMPENSATION FOR THE FUND MANAGER TO THE REPORTING FUND IS INCLUDED IN PART IX, LINE 5. THE PENSION FUND PAYS THOMAS J. MORIARTY AND GREG YOUMANS FOR SERVICES PROVIDED TO THE RELATED FUNDS. THE COMPENSATION IS ALLOCATED AMONG THE REPORTING FUND, PENSION FUND AND LEGAL AND EDUCATION FUND. TOTAL ALLOCATED COMPENSATION TO THE REPORTING FUND IS INCLUDED IN PART IX, LINE 5. FORM 990, PART VI, SECTION C, LINE 19 THE BOARD OF TRUSTEES WILL MAKE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS UPON REQUEST. ESTIMATED AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS PART VII, SECTION A, COLUMN B JOHN T. COLI - 1.5 HOURS LEGAL AND EDUCATION; 4 HOURS PENSION JOHN T. COLI, JR. - 0.5 HOURS LEGAL AND EDUCATION; 2.5 HOURS PENSION JOSEPH COLI - 0.5 HOURS LEGAL AND EDUCATION; 2.5 HOURS PENSION STEPHANIE BRINSON - 0.5 HOURS LEGAL AND EDUCATION; 2.5 HOURS PENSION THOMAS MORIARTY - 2.5 HOURS LEGAL AND EDUCATION; 2.5 HOURS PENSION CARL TOMINBERG - 0.5 HOURS LEGAL AND EDUCATON; 2.5 HOURS PENSION GREGORY YOUMANS - 1 HOUR LEGAL AND EDUCATION; 4 HOURS PENSION ROBERT SHEEHY - 0.8 HOURS LEGAL AND EDUCATION; 2.5 HOURS PENSION BENEDICT AFFETTO - 13 HOURS LEGAL AND EDUCATION; 13 HOURS PENSION ROBERT MACARTHUR - 11 HOURS LEGAL AND EDUCATION; 13 HOURS PENSION MELVIN PRYOR - 8 HOURS LEGAL AND EDUCATION; 12 HOURS PENSION WILLIAM COLI - 1 HOUR LEGAL AND EDUCATION; 12 HOURS PENSION CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 3,588,651. PART XI, LINE 2C THE FUND MANAGER IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THE BOARD OF TRUSTEES SELECTS THE INDEPENDENT ACCOUNTANT. TEAMSTERS LOCAL UNION NO 727 PENSION FUND 5940 W MONTROSE AVE CHICAGO IL 60634 366102397 DEFINED BENEFIT PLAN IL 401(A) N/A 0 TEAMSTERS LOCAL UNION NO 727 LEGAL AND EDUCATION FUND 5940 W MONTROSE AVE CHICAGO IL 60634 363429967 LEGAL AND EDUCATION ASSISTANCE FUND IL 501(C)(9) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 THIS RETURN IS BEING FILED BETWEEN MARCH 1, 2012 AND MARCH 30, 2012, AS DIRECTED BY THE IRS IN NOTICE 2012-4, BECAUSE ELECTRONIC FILING WAS NOT AVAILABLE JANUARY 1, 2012 THROUGH FEBRUARY 29, 2012. WE REQUEST THAT PENALTIES BE WAIVED BECAUSE IT WOULD BE INEQUITABLE TO IMPOSE A PENALTY ON US DUE TO THE UNUSUAL CIRCUMSTANCES REQUIRING US TO DELAY THE FILING OF THIS RETURN.