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SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS WELFARE FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS WELFARE FUND (EIN 36-6158494)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-08
IRS object ID
201132209349301658
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-08T16:18:36-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEGACY PROFESSIONALS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1311 S WACKER DRIVE STE 4000AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN366158494EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN TEAMSTERS OF NORTHERN ILLINOISBusinessNameLine1
Business Name Line2WELFARE FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSUBUNameControl
Phone6302935218Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11171 COMMERCE DR UNIT 1AddressLine1
CityWEST CHICAGOCity
StateILState
ZIP Code60185ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK KENNEDYName
TitleTRUSTEETitle
Phone6302935218Phone
Date Signed2011-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3123680500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK KENNEDYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11171 COMMERCE DR UNIT 1AddressLine1
CityWEST CHICAGOCity
StateILState
ZIP Code60185ZIPCode
FieldValueIRS element (for citing)
Gross Receipts51229874GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1951YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH BENEFITSActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees129TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year50356608ProgramServiceRevenuePriorYear
Program Service Revenue CY48226214ProgramServiceRevenueCY
Investment Income Prior Year1054139InvestmentIncomePriorYear
Investment Income Current Year1232394InvestmentIncomeCurrentYear
Other Revenue Prior Year1879OtherRevenuePriorYear
Other Revenue Current Year3805OtherRevenueCurrentYear
Total Revenue Prior Year51412626TotalRevenuePriorYear
Total Revenue Current Year49462413TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year52089322BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY48684525BenefitsPaidToMembersCY
Salaries Etc Prior Year967521SalariesEtcPriorYear
Salaries Etc Current Year892220SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year965138OtherExpensePriorYear
Other Expenses Current Year863194OtherExpensesCurrentYear
Total Expenses Prior Year54021981TotalExpensesPriorYear
Total Expenses Current Year50439939TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2609355RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-977526RevenuesLessExpensesCY
Total Assets BOY104604873TotalAssetsBOY
Total Assets EOY105146325TotalAssetsEOY
Total Liabilities BOY88815TotalLiabilitiesBOY
Total Liabilities EOY86676TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY104516058NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY105059649NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH BENEFITSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096740NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees129NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOSE COLIN - FUND MANAGERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6302930390TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11171 COMMERCE DR UNIT 1AddressLine1
CityWEST CHICAGOCity
StateILState
ZIP Code60185ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
PHILLIP STANOCH
TRUSTEE1.00X000
MARK KENNEDY
TRUSTEE2.00X000
RICH GIERUT
TRUSTEE1.00X000
WILLIAM BRACH
TRUSTEE1.00X000
DOMINIC ROMANAZZI
TRUSTEE2.00X000
ROGER KOHLER
TRUSTEE1.00X000
JOSE COLIN
FUND MANAGER40.00011055224055X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs110552TotalReportableCompFrmRltdOrgs
Total Other Compensation24055TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS BLUE SHIELD
300 EAST RANDOLPH STREETCHICAGOIL60601PPO NETWORK PROVIDER1534818
PROVENA HOSPITALS
75 REMITTANCE DRIVECHICAGOIL60675MEDICAL PROVIDER163427
METROPOLITAN LIFE INSURANCE COMPANY
DEPT CH 10579PALATINEIL60055DENTAL NETWORK PROVIDER133263
MEDCARE MANAGEMENT
2090 PALM BEACH LAKES BLVD 900WEST PALM BEACHFL33409MEDICAL REVIEW132799
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIB.9000993988680739886807
PARTIC & RETIREE CONT90009959257705925770
COBRA SUBSIDY90009919894641989464
EARLY RETIREE REINS.900099424173424173
FieldValueIRS element (for citing)
Total Program Service Revenue48226214TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1140754TotalRevenueColumn
Exclusion$1,140,754ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1859101Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1767461Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities91640Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column91640TotalRevenueColumn
Exclusion$91,640ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column3805TotalRevenueColumn
Exclusion$3,805ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3805TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column49462413TotalRevenueColumn
Related Or Exempt Function Income48226214RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,236,199ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total48684525Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total536584Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total115332Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total155475Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total84829Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total125129Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total90970Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total97931Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total53653Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total143350Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total33940Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total165346Total

Travel Travel

FieldValueIRS element (for citing)
Total2484Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13000Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total87590Total

Insurance Insurance

FieldValueIRS element (for citing)
Total41972Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS EXPENSEDescription
Total7829Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total50439939Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2840487BOY
EOY4684732EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4369717BOY
EOY5661318EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY367156BOY
EOY244844EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY12878BOY
EOY14649EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis452076LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec288297LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY232722BOY
EOY163779EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY63480844BOY
EOY58481286EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY33301069BOY
EOY35895717EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY104604873BOY
EOY105146325EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY69790BOY
EOY72894EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19025BOY
EOY13782EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY88815BOY
EOY86676EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY104516058BOY
EOY105059649EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY104516058BOY
EOY105059649EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY104604873BOY
EOY105146325EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-977526ReconcilationRevenueExpenses
Reconcilation Other Changes1521117ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis452076OtherCostOrOtherBasis
Depreciation288297Depreciation
Book Value163779BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings163779TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionPRUDENTIAL TRUST COMPANYDescription
Book Value35895717BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities35895717TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS PENSION FUNDDescription
Amount$13,782Amount
FieldValueIRS element (for citing)
Total Of Amounts13782TotalOfAmounts
Total Revenue49462413TotalRevenue
Total Expenses50439939TotalExpenses
Excess Or Deficit For Year-977526ExcessOrDeficitForYear
Net Unrealized GL On Investments1521117NetUnrealizedGLOnInvestments
Total Adjustments1521117TotalAdjustments
Excess Or Deficit Per FS543591ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt50885599TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1521117NetUnrealizedGainsInvestments
Revenue Not Rptd F9901521117RevenueNotRptdF990
Revenue Subtotal49364482RevenueSubtotal
Investment Expenses Not Included97931InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt97931RevenueNotRptdOnFinStmt
Total Revenue Per Form99049462413TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt50342008TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal50342008ExpensesSubtotal
Investment Expenses Not Included297931InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt97931ExpensesNotRptdOnFinStmt
Total Expenses Per Form99050439939TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM 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 LIMITATION EXPIRES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING.
THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES AND EMPLOYEES OF THE HEALTH AND WELFARE FUND. THE BOARD OF TRUSTEES MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY.FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD OF TRUSTEES APPROVES COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL (OFFICER), THE FUND MANAGER, WHO OVERSEES THE ORGANIZATIONS DAILY OPERATIONS. THE FUND MANAGER IS PAID BY THE THE RELATED PENSION FUND AND AN ESTIMATED AMOUNT IS ALLOCATED TO THE WELFARE FUND AND REIMBURSED BACK TO THE PENSION FUND BASED ON ESTIMATED TIME SPENT WORKING FOR THE RESPECTIVE FUNDS. THE APPROVAL IS DOCUMENTED IN THE ORGANIZATIONS MINUTES. TRUSTEES OF THE ORGANIZATION ARE NOT COMPENSATED.FORM 990, PART VI, SECTION B, LINE 15A
THE HEALTH AND WELFARE FUND MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS HOME OFFICE, UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 1,521,117.FORM 990, PART XI, LINE 5:
THE NUMBER OF EMPLOYEES REPORTED ON FORM W-3, TRANSMITTAL OF WAGE AND TAX STATEMENTS, FILED FOR THE CALENDAR YEAR ENDING WITH OR WITHIN THE YEAR COVERED BY THIS RETURN INCLUDES BOTH EMPLOYEES OF THE FUND OFFICE AND PARTICIPANTS OF THE FUND THAT HAVE RECEIVED DISABILITY PAYMENTS DURING THE YEAR.FORM 990, PART V, LINE 2A

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS PENSION FUNDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11171 COMMERCE DRIVE UNIT 1AddressLine1
CityWEST CHICAGOCity
StateILState
ZIP Code60185ZIPCode
FieldValueIRS element (for citing)
EIN366155778EIN
Primary ActivitiesDEFINED BENEFIT PENSION PLANPrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section401(A)ExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NOT APPLICABLEBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS PENSION FUND
J117120
SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS PENSION FUND
M49221
SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS PENSION FUND
N581088
SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS PENSION FUND
O635551