2011-08-10T11:07:15-07:00 2010-12-31 Levinson Simon Hein & Bilkey PC 566 West Lake Street Suite 300 Chicago IL 606611414 990 2010-06-01 362307077 LOCAL UNION 422 WELFARE FUND LOCA 8157250278 2114 S I-80 FRONTAGE ROAD JOLIET IL 60436 JOHN KUSZYNSKI 2011-08-10 HOWARD SIMON 3126550037 2010 2016-02-24 21:20:13Z X 25280575 false false X N/A X 1949 IL TO PROVIDE HEALTH AND DEATH BENEFITS X 6 6 13 0 0 9443797 4961018 720585 530851 0 10164382 5491869 0 10965771 6048868 2703 788 0 0 630809 348726 11599283 6398382 -1434901 -906513 12985967 0 1145043 0 11840924 0 TO PROVIDE HEALTH AND DEATH BENEFITS false false THE PLAN PROVIDES HEALTH CARE BENEFITS (HOSPITAL, SURGICAL, MAJOR MEDICAL, DENTAL, VISION, DISABILITY AND LIFE INSURANCE) TO COVERED EMPLOYEES WHO WORK THE QUALIFYING PERIOD PER PLAN REQUIREMENTS TO ALL ELIGIBLE MEMBERS AT YEAR END. false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false false false false false false false false false true false false true false false false false true 392 0 true 13 true false false false false false false false false false false false false false false false X 6 6 false true false false false false false true false false false false false true true true false true false false false false X TOM NIXON 8157250278 2114 S I-80 FRONTAGE RD JOLIET IL JOLIET IL 60436 X THOMAS NIXON 3.00 X 0 0 0 RICK CRONHOLM 3.00 X 0 0 0 MICHAEL BROWN 3.00 X 0 0 0 JOSEPH STRONG 3.00 X 0 0 0 BART SINGLETARY 3.00 X 0 0 0 BW SELF 3.00 X 0 0 0 0 false false false OBA MIDWEST 333 PIERCE ROAD STE 410 ITASCA IL 60143 THIRD-PARTY ADMIN. 157981 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 60601 CLAIMS PAYOR 310992 ARNOLD & KADJAN 203 N LASALLE SUITE 1650 CHICAGO IL 60601 LEGAL SERVICES 183328 3 0 MEDICARE SUBSIDY PART D 900099 42561 42561 EMPLOYERS' CONTRIBUTION 900099 4378622 4378622 EMPLOYEES' CONTRIBUTION 900099 396028 396028 COBRA SUBSIDY CONT. 900099 143807 143807 4961018 216039 216039 0 0 0 20103518 19788706 314812 314812 314812 0 0 0 0 5491869 4961018 530851 0 0 0 6048868 0 0 0 0 0 788 95550 89414 18111 0 0 14135 31828 0 23451 0 0 2177 18368 0 0 0 0 1340 29614 REIMBURSED EXPENSES - UNION 24738 0 6398382 0 0 0 1221161 0 1037263 0 0 1494744 0 0 0 0 0 33396 0 43355 43355 1340 0 7637801 0 1485754 0 0 0 74508 0 12985967 0 66443 1078600 1145043 0 X 11840924 11840924 0 12985967 0 X -906513 -10934411 X false true true X false false 43355 43355 5491869 6398382 -906513 -60482 -10873929 -10934411 -11840924 5374691 -60482 -60482 5435173 56696 56696 5491869 6341686 6341686 56696 56696 6398382 Part XIII, Line 4b Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S CHANGE IN BENEFIT OBLIGATIONS $0 INVESTMENT MANAGEMENT FEES $14135 MEDICARE PART D SUBSIDY $42561 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S INVESTMENT MANAGEMENT FEES $14135 MEDICARE PART D SUBSIDY $42561 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances CHANGE IN BENEFIT OBLIGATIONS $1078600 TRANS OF ASSETS TO LOCALS 597 & 130 $ -11952529 ALL ASSETS TRANSFERRED TO: 2010-12-31 4665763 Actual Proceeds 364026252 PLUMBERS LOCAL 130 WELFARE FUND 1340 WEST WASHINGTON BLDVD CHICAGO OC 501(C)(9) 2010-12-31 7286766 Actual Proceeds 362141703 45 NORTH OGDEN AVENUE CHICAGO IL 60607 501(C)(9) false false false false true false false true false false Sch N, Part III, Additional Information TOM NIXON WILL CONTINUE AS AN EMPLOYEE OF LOCAL UNION 597 CHICAGO PIPE FITTERS AND JOE STRONG WILL CONTINUE AS AN EMPLOYEE OF LOCAL UNION 130 UPON COMPLETION OF THE MERGER. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available 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 U.S. DEPARTMENT OF LABOR. ALSO, FORM 5500 IS OPEN TO THE PUBLIC INSPECTION THROUGH THE U.S. DEPARTMENT OF LABOR. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts THE TRUSTEES ARE GOVERNED BY THE TRUST DOCUMENT AND HAVE A FIDUCIARY RESPONSIBILITY UNDER ERISA TO ADMINSTER THE PLAN IN THE BEST INTEREST OF THE MEMBERSHIP. THE U.S. DEPARTMENT OF LABOR REQUIRES ALL LABOR TRUSTEES TO REPORT ON FORM LM-30 POTENTIAL SITUATIONS WHERE THERE MAY BE CONFLICTS OF INTEREST. THIS INFORMATION IS OPEN TO THE PUBLIC. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process THE TRUSTEES AUTHORIZE THE FUND'S THIRD-PARTY ADMINISTRATOR AND A DESIGNATED TRUSTEE TO REVIEW THE FORM 990 BEFORE IT IS FILED. Form 990, Part VI, Line 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company OBA MIDWEST OF ITASCA IS THE THIRD PARTY ADMINISTRATOR HIRED TO ADMINISTER THE FUND'S DAY-TO-DAY OPERATIONS. PLUMBERS & PIPEFITTERS LOCAL 422 PENSION 2114 I-80 S FRONTAGE ROAD JOLIET IL 60436 362942793 PENSION FUND IL 401 (A) NA false false false false false false false false false false false false false false false false false false false