2012-03-14T12:20:05-05:00 2011-04-30 DELOITTE TAX LLP 127 PUBLIC SQUARE SUITE 3300 CLEVELAND OH 441141291 990 2010-05-01 450593187 OHIO CARPENTERS' HEALTH FUND OHIO 2163616190 3611 CHESTER AVENUE CLEVELAND OH 441144622 LYNN A HOELTING 2163616190 2012-03-14 1 DIANE NOWAK 2165891300 2010 2016-02-24 21:20:13Z LYNN A HOELTING 3611 CHESTER AVENUE CLEVELAND OH 441144622 339518246 0 X N/A X 2008 OH THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN COVERING ELIGIBLE MEMBERS OF VARIOUS LOCAL UNIONS OF THE OHIO AND VICINITY REGIONAL COUNCIL OF CARPENTERS, PRIMARILY IN OHIO. THE PLAN PROVIDES HEALTH, VACATION, DENTAL, VISION, PRESCRIPTION DRUG, AND DEATH BENEFITS TO ITS MEMBERS. 18 18 0 0 0 0 0 0 83651585 86355315 13046704 8756990 0 286808 96698289 95399113 0 0 75813896 73666974 0 0 0 0 0 11000248 9295094 86814144 82962068 9884145 12437045 138618064 143545496 14063567 6553954 124554497 136991542 X THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN COVERING ELIGIBLE MEMBERS OF VARIOUS LOCAL UNIONS OF THE OHIO AND VICINITY REGIONAL COUNCIL OF CARPENTERS, PRIMARILY IN OHIO. THE PLAN PROVIDES HEALTH, VACATION, DENTAL, VISION, PRESCRIPTION DRUG, AND DEATH BENEFITS TO ITS MEMBERS. 0 0 82962068 95399113 THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN COVERING ELIGIBLE MEMBERS OF VARIOUS LOCAL UNIONS OF THE OHIO AND VICINITY REGIONAL COUNCIL OF CARPENTERS, PRIMARILY IN OHIO. THE PLAN PROVIDES HEALTH, VACATION, DENTAL, VISION, PRESCRIPTION DRUG, AND DEATH BENEFITS TO ITS MEMBERS. 82962068 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 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 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 0 X LYNN A HOELTING 2163616190 3611 CHESTER AVENUE CLEVELAND OH 441144622 ROBERT PETO 1.00 X 0 0 0 CHARLES A IZZO 1.00 X 0 0 0 BERNARD E WEIR JR 1.00 X 0 0 0 STEVEN KASARNICH 1.00 X 0 0 0 RONALD ROTHENBUHLER 1.00 X 0 0 0 TERRY LAVORINI 1.00 X 0 0 0 DONALD CRANE 1.00 X 0 0 0 AARON HALL 1.00 X 0 0 0 JAMES MELARAGNO 1.00 X 0 0 0 DOUG REFFITT 1.00 X 0 0 0 KEVIN REILLY 1.00 X 0 0 0 CHARLES M STEPHENSON 1.00 X 0 0 0 HERB ADAMS 1.00 X 0 0 0 SCOTT MAROUS 1.00 X 0 0 0 DARRYL HINKLE 1.00 X 0 0 0 JOE BEISCHEL 1.00 X 0 0 0 MARK COMBS 1.00 X 0 0 0 GARY HAAS 1.00 X 0 0 0 C WAYNE WALDRON 14.00 X 0 133971 37596 ROGER NEWMAN 17.50 X 0 125589 37596 JOE IVAN 40.00 X 0 106548 37596 R BYRON WALLACE 5.30 X 0 169156 37596 0 535264 150384 0 1 1 0 ROTATORI BENDER CO 800 LENDER BUILDING CLEVELAND OH 44114 LEGAL 181620 MELLON CONSULTANTS 500 PLAZA DRIVE SECAUCUS NJ 07096 ACTUARIAL 169097 VORYS SATER SEYMOUR & PEASE PO BOX 73487 CLEVELAND OH 44193 LEGAL 155320 DELOITTE & TOUCHE LLP PO BOX 7247-6446 PHILADELPHIA PA 19170 AUDIT 107729 4 EMPLOYER CONTRIBUTIONS 900099 69384365 69384365 MEMBER CONTRIBUTIONS - 900099 15422903 15422903 MEMBER CONTRIBUTIONS - 900099 3163651 3163651 EARLY RETIREE REINSURA 900099 915545 915545 LESS: RECIPROCITY TRAN 900099 -2531149 -2531149 86355315 3680787 3680787 249195336 244119133 5076203 5076203 5076203 OTHER REVENUE 900099 286808 286808 286808 95399113 95399113 0 0 73666974 73666974 1877170 1877170 570540 570540 165908 165908 154382 154382 368928 368928 829536 829536 46604 46604 118572 118572 56307 56307 77615 77615 PREMIUMS PAID FOR MEDIC 3190029 3190029 MEDICAL NETWORK AND REP 1641654 1641654 PREMIUMS PAID FOR LIFE 197849 197849 82962068 82962068 0 0 13746354 13518207 9494032 9116066 457241 33387 710832 653631 66667 57201 5736063 9169968 109117707 111650667 138618064 143545496 851258 1000972 13212309 5552982 14063567 6553954 X 117444912 130654564 7109585 6336978 124554497 136991542 138618064 143545496 12437045 0 X 0 0 0 710832 653631 57201 57201 CORPORATE DEBT SECURITIES 12169625 F GOVERNMENT AND RELATED DEBT SECURITIES 39992991 F MUTUAL AND EXCHANGE TRADED FUNDS 50441563 F SHORT TERM INVESTMENT FUNDS 9046488 F 111650667 UNREMITTED FRINGE BENEFITS CONTRIBUTIONS COLLECTED 5552982 5552982 0 0 0 C WAYNE WALDRON 0 133971 0 0 0 0 0 0 0 37596 0 171567 0 0 ROGER NEWMAN 0 125589 0 0 0 0 0 0 0 37596 0 163185 0 0 R BYRON WALLACE 0 169156 0 0 0 0 0 0 0 37596 0 206752 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE COMPLETED FORM 990 IS SENT TO THE PLAN ADMINISTRATOR WHO REVIEWS THE RETURN AND CONSULTS WITH THE PREPARER ON ANY QUESTIONS. ONCE ALL THE QUESTIONS ARE ANSWERED, THE PLAN ADMINISTRATOR PRESENTS THE FORM 990 TO THE TRUSTEES AND EXPLAINS THE PROPOSED FILING. THE TRUSTEES WILL DISCUSS ANY QUESTIONS WITH THE PLAN ADMINISTRATOR BEFORE GIVING THEIR APPROVAL TO ADOPT AND FILE THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C YEARLY DISCLOSURES ARE MADE AND PRESENTED TO THE TRUSTEES FOR REVIEW AND CONFIRMATION. THE PROCESS IS REFLECTED IN THE MINUTES OF THE TRUSTEE'S MEETING. FORM 990, PART VI, SECTION B, LINE 15 ADMINISTRATIVE COMMITTEE REVIEWS AND MAKES SALARY DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENT ARE AVAILABLE UPON REQUEST. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII CHARLES A. IZZO - 18440 CRANWOOD PARKWAY, WARRENSVILLE HEIGHTS, OH 44114. JOE IVAN - 6821 YOUNGSTOWN-WARREN RD., STE. 240, NILES, OH 44446. TERRY LAVORINI - POST OFFICE BOX 339, ST. CLAIRSVILLE, OH 43950. AARON HALL - 2181 AKRON-PENINSULA ROAD, AKRON, OH 44313. JAMES MELARAGNO - 3840 FISHER ROAD, COLUMBUS, OH 43228. KEVIN REILLY - 1327 YOUNGSTOWN-KINGSVILLE ROAD, VIENNA, OH 44473. CHARLES M. STEPHENSON - 2926 CHESTER AVENUE, CLEVELAND, OH 44114. SCOTT MAROUS - 1702 JOSEPH LLYOD PARKWAY, WILLOUGHBY, OH 44094. JOE BEISCHEL - 5655 CENTER HILL AVENUYE, CINCINNATI, OH 45232. MARK COMBS - 475 W. FUNDERBURG ROAD, FAIRBORN, OH 45324. GARY HAAS - 6494 LATCHA ROAD, WALBRIDGE, OH 43465. OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC 3611 CHESTER AVENUE CLEVELAND OH 441144622 203330679 TO PROCESS EMPLOYER CONTRIBUTIONS TO BENEFIT PLANS OH 501(C)(5) 0 OHIO CARPENTERS' ANNUITY PLAN 3611 CHESTER AVENUE CLEVELAND OH 441144622 341778747 TO PROVIDE RETIREMENT BENEFITS OH 401(A) 0 OHIO CARPENTERS' PENSION PLAN 3611 CHESTER AVENUE CLEVELAND OH 441144622 346574360 TO PROVIDE RETIREMENT BENEFITS OH 401(A) 0 OHIO & VICINITY REGIONAL COUNCIL OF CARPENTERS 3615 CHESTER AVENUE CLEVELAND OH 441144622 341956495 LABOR ORGANIZATION OH 501(C)(5) 0 JOINT BOARD OF TRUSTEES OHIO CARPENTERS' SUPP BENEFIT FUND 3611 CHESTER AVENUE CLEVELAND OH 441144622 341927123 MULTIEMPLOYER BENEFIT PLAN OH 401(A) 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC P 1359000 OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC M OHIO CARPENTERS' ANNUITY PLAN M OHIO CARPENTERS' PENSION PLAN M OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC N