2011-11-04T17:48:54-05:00 2010-12-31 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE SUITE 4000 CHICAGO IL 60606 990 2010-01-01 362331071 AUTOMOBILE MECHANICS' LOCAL NO 701 UNION AND INDUSTRY WELFARE AUTO 7084820110 500 WEST PLAINFIELD ROAD COUNTRYSIDE IL 60525 ROBERT KEPPLER 7084820110 2011-11-04 1 3123680500 2010 2016-03-07 17:11:31Z ROBERT KEPPLER 500 WEST PLAINFIELD ROAD COUNTRYSIDE IL 60525 475558302 0 X N/A X 1956 IL PROVIDE HEALTH BENEFITS 6 6 46 0 0 0 0 0 75652385 73361596 5631619 8362113 104087 33258 81388091 81756967 0 0 61357381 57595595 3177809 3200235 0 0 0 4503043 4388892 69038233 65184722 12349858 16572245 159141483 182017491 14302261 15755080 144839222 166262411 TO PROVIDE HEALTH AND WELFARE BENEFITS. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 1 1 0 1 1 1 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 5 0 1 46 1 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1 1 0 X STEVE BUKOVAC ADMINISTRATOR 7084820110 500 WEST PLAINFIELD ROAD COUNTRYSIDE IL 60525 X DENNIS JAWOR 1.00 X 0 0 0 SAM CICINELLI 1.00 X 0 0 0 ARMANDO ARREOLA 1.00 X 0 0 0 RONALD FETTY 1.00 X 0 0 0 MACK MCCALLUM 1.00 X 0 0 0 ROBERT KEPPLER 1.00 X 0 0 0 MICHAEL RICHARDSON 1.00 X 0 0 0 DONALD ALCOTT 40.00 X 102724 0 27427 STEVE BUKOVAC 40.00 X 100206 0 10518 202930 0 37945 2 1 0 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 60601 CLAIMS ADMINISTRATIVE SERVICES 2340081 ARNOLD AND KADJAN 19 W JACKSON BLVD CHICAGO IL 60604 LEGAL SERVICES 373062 NATIONAL INVESTMENT SERVICES 777777 EAST WISCONSIN AVE SUITE 23 MILWAUKEE WI 53202 INVESTMENT MANAGER 194159 THE SEGAL COMPANY 101 NORTH WACKER DRIVE SUITE 500 CHICAGO IL 60606 ACTUARIAL SERVICES 145469 INTECH INVESTMENT MANAGEMENT LLC 525 OKEECHOBEE BLVD SUITE 1800 WEST PALM BEACH FL 33401 INVESTMENT MANAGER 113554 5 EMPLOYER CONTRIB 900099 64475886 64475886 PARTICIPANT CONTRIB 900099 5545493 5545493 REIMB SHARED EXPENSES 900099 1003315 1003315 PRESCRIPTION REBATES 900099 868718 868718 MEDICARE PART D 900099 601793 601793 866391 866391 73361596 4473825 4473825 397689623 393801335 3888288 3888288 3888288 MISC INCOME 900099 95264 95264 COLLATERAL (DEFICIENCY 900099 -62006 -62006 33258 81756967 70021379 0 11735588 57595595 240875 1621398 823791 365250 148921 380059 113692 356219 2760775 452303 80 179960 16407 33883 23638 DOCUMENT FILMING 47807 TEMPORARY SERVICES 17331 MISCELLANEOUS 6738 65184722 3697 -25427 36560951 14404598 6069750 6836017 5260 7425 652590 557335 97020 95255 100993457 132263682 3369678 15126983 12041670 13308958 159141483 182017491 207442 294886 14094819 15460194 14302261 15755080 X 0 0 0 0 144839222 166262411 144839222 166262411 159141483 182017491 X 16572245 4850944 X 0 1 1 X 0 652590 557335 95255 95255 MUTUAL FUND 8034272 F HEDGE FUND 7092711 F 15126983 COLLATERAL HELD FOR SECURITIES ON LOAN 13308958 13308958 DEFERRED PARTICIPANT CONTRIBUTIONS 1495 COLLATERAL HELD FOR SECURITIES ON LOAN 15407744 DUE TO BROKER 50955 15460194 81756967 65184722 16572245 4850944 4850944 21423189 85248377 4850944 4850944 80397433 356219 1003315 1359534 81756967 63825188 0 63825188 356219 1003315 1359534 65184722 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FORM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATIONS EXPIRES. PART XII, LINE 4B - OTHER ADJUSTMENTS: SHARED ADMIN EXPENSE REIMBURSEMENT 1,003,315. PART XIII, LINE 4B - OTHER ADJUSTMENTS: SHARED ADMIN EXPENSE REIMBURSEMENT 1,003,315. X 0 0 0 DONALD ALCOTT 102724 0 0 0 0 0 18247 0 9180 0 130151 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE 990 HAS BEEN PROVIDED TO THE BOARD OF TRUSTEES (GOVERNING BODY) FOR THEIR REVIEW. THE SIGNING TRUSTEE OF THE FUND REVIEWS THE FORM 990 BEFORE SIGNING AND FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 15 SALARY POLICIES ARE SET BY THE BOARD OF TRUSTEES. SALARIES ARE ANNUALLY REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 4,850,944. FORM 990 PART VII LINE 1A: DON ALCOTT IS THE RETIRED ADMINISTRATOR OF THIS PLAN AND THE RELATED PENSION PLAN. SALARY AND EMPLOYEE BENEFIT AMOUNTS ARE INITIALLY PAID FOR BY THIS PLAN AND REIMBURSED PERIODICALLY BY THE RELATED PENSION PLAN. STEVE BUKOVAC IS THE ADMINISTRATOR OF THIS PLAN AND THE RELATED PENSION PLAN. SALARY AND EMPLOYEE BENEFIT AMOUNTS ARE INITIALLY PAID FOR BY THIS PLAN AND REIMBURSED PERIODICALLY BY THE RELATED PENSION PLAN. AUTOMOBILE MECHANICS LOCAL 701 PENSION FUND 500 WEST PLAINFIELD ROAD COUNTRYSIDE IL 60525 366042061 PROVIDES PENSION BENEFITS TO MEMBERS IL 401A N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 AUTOMOBILE MECHANICS LOCAL 701 PENSION FUND J 179960 BASED ON AMOUNT OF SPACE USAGE AUTOMOBILE MECHANICS LOCAL 701 PENSION FUND P 1003315 BASED ON TIME WORKED FOR FUND