2026-07-15T15:23:17-05:00 2025-12-31 320043599 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CTR STE 700 WESTCHESTER IL 60154 990 2025-01-01 362376645 CENTRAL STATES JOINT BOARD HEALTH & WELFARE TRUST FUND CENT 3127380822 245 FENCL LANE HILLSIDE IL 60162 MARK SPANO CHAIRMAN 3127380822 2026-07-15 1 BRANDON WOLBER P01460460 3123680500 2026-07-15 2025 2025-03-06 01:10:19Z MARK SPANO 245 FENCL LANE HILLSIDE IL 60162 282141028 0 X N/A X 1955 IL TO PROVIDE MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 5 0 11 0 0 0 0 0 65861058 73751467 4408083 3042642 36212 6751 70305353 76800860 0 0 64120403 73636056 582101 566869 0 0 0 1496323 1289661 66198827 75492586 4106526 1308274 80834468 85345726 1225307 108262 79609161 85237464 TO PROVIDE MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE MEDICAL AND PRESCRIPTION DRUG BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 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 1 428 0 1 11 1 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 X ANTHONY IORI 3127380822 245 FENCL LANE HILLSIDE IL 60162 X PHILIP SITKOWSKI TRUSTEE - PAST 1.00 40.00 X 0 87711 51975 ANTHONY IORI TRUSTEE / FUND ADMINISTRAT 1.00 50.00 X 0 204889 183397 MARK SPANO CHAIRMAN 1.00 50.00 X 0 216054 30726 GARY FAIRHEAD TRUSTEE - PAST 1.00 X 0 0 0 NORMAN SOEP TRUSTEE 1.00 X 0 0 0 SHELDON ROSEN TRUSTEE 1.00 X 0 0 0 CARL WHALING TRUSTEE - NEW 1.00 40.00 X 0 82920 42818 0 591574 308916 0 0 1 0 OPTUM RX 11000 OPTUM CIR EDEN PRAIRIE MN 55344 PPO NETWORK PROVIDER 17151185 BLUE CROSS BLUE SHIELD OF IL 300 EAST RANDOLPH STREET CHICAGO IL 60601 PPO NETWORK PROVIDER 2120193 VALENZ CARE 23048 N 15TH AVE PHOENIX AZ 85027 UTILIZATION REVIEW 216800 MILLIMAN INC 500 YGNACIO VALLEY ROAD SUITE 498 WALNUT CREEK CA 94596 ACTUARIAL SERVICES 123856 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CENTER SUITE WESTCHESTER IL 60154 ACCOUNTING/AUDITING SERVICES 100778 5 EMPLOYER CONTRIBUTIONS 900099 66666756 66666756 PRESCRIPTION REBATES 900099 6801761 6801761 PARTICIPANT CONTRIBUTIONS 900099 282950 282950 73751467 1620609 1620609 206762201 205340168 1422033 1422033 1422033 OTHER 900099 6751 6751 6751 76800860 73751467 0 3049393 73636056 19632 306580 161316 51658 27683 66208 101278 256325 123856 56480 114657 116762 5513 2430 143039 ALLOCATED SHARED EXPENS 250242 PCORI FEES 30168 DUES AND SUBSCRIPTIONS 22703 75492586 1892581 -47518 2364504 3393594 3904979 7438265 94775 96527 413397 413397 2430 0 48100793 48675679 24474406 25789179 80834468 85345726 151232 90075 1074075 18187 1225307 108262 X 0 0 0 0 79609161 85237464 79609161 85237464 80834468 85345726 1308274 4320029 0 X X 0 1 X 1 0 413397 413397 0 0 BOYD WATTERSON STATE GOVERNMENT FUND, L.O 5705963 F NIS HIGH YIELD QP FUND, LLC 1091383 F NIS TOTAL ABSOLUTE RETURN QP FUND 1757078 F NIS INTERMEDIATE FIXED INCOME QP FUND 17234755 F 25789179 DUE TO RELATED ORGANIZATION 18187 18187 X 80864564 4320029 4320029 76544535 256325 256325 76800860 75236261 0 75236261 256325 256325 75492586 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 0 0 0 ANTHONY IORI TRUSTEE / FUND ADMINISTRAT 0 204889 0 0 0 0 0 163765 19632 0 19632 368654 0 0 MARK SPANO CHAIRMAN 0 216054 0 0 0 0 0 12726 0 18000 0 246780 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE FUND HAS NO SUBCOMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATIONS INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT AND PROVIDED TO THE FUND ADMINISTRATOR AND CONTROLLER FOR REVIEW AND APPROVAL PRIOR TO ITS FILING. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1B: THE ORGANIZATION'S FUND ADMINISTRATOR IS ALSO THE ADMINISTRATOR OF SEVERAL OTHER ENTITIES. ANNUALLY, REIMBURSEMENTS ARE EXCHANGED BETWEEN THE ORGANIZATIONS FOR EACH ORGANIZATIONS ALLOCATED PORTION OF THEIR SALARY, FRINGE BENEFITS, AND PAYROLL TAXES. THE AVERAGE HOURS PER WEEK REPORTED IN LINE 1A IN THE WEEKLY AMOUNT DEDICATED TO ALL ENTITIES. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. MIDWEST PENSION PLAN 245 FENCL LANE HILLSIDE IL 60162 366512748 TO PROVIDE PENSION BENEFITS TO MEMBERS, CONTRIBUTING EMPLOYER IL 401(A) NOT APPLICABLE NOT APPLICABLE 0 CENTRAL STATES JOINT BOARD AFL-CIO 245 FENCL LANE HILLSIDE IL 60162 362224162 LABOR ORGANIZATION, CONTRIBUTING EMPLOYER IL 501(C)(5) NOT APPLICABLE NOT APPLICABLE 0 PLASTIC WORKERS UNION LOCAL NO 18 INT'L UNION OF ALLIED NOVELTY & PRODUCTIO 245 FENCL LANE HILLSIDE IL 60162 366075986 LABOR ORGANIZATION, CONTRIBUTING EMPLOYER IL 501(C)(5) NOT APPLICABLE NOT APPLICABLE 0 CHEMICAL AND PRODUCTION WORKERS UNION LOCAL NO 30 IUAN&PW AFL-CIO 245 FENCL LANE HILLSIDE IL 60162 161699247 LABOR ORGANIZATION, CONTRIBUTING EMPLOYER IL 501(C)(5) NOT APPLICABLE NOT APPLICABLE 0 3 WON CONTRIBUTING EMPLOYER 0 A & H PLUMBING HEATING CONTRIBUTING EMPLOYER 0 A HEALTHY SMILE CONTRIBUTING EMPLOYER 0 A SCHOENEMAN CONTRIBUTING EMPLOYER 0 ACME INDUSTRIAL CO CONTRIBUTING EMPLOYER 0 ADVANCED BOILER SYSTEMS CONTRIBUTING EMPLOYER 0 AEM BILLING 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SPONGE CUSHION CONTRIBUTING EMPLOYER 0 SRW CONTRIBUTING EMPLOYER 0 STINGRAY MECHANICAL CONTRIBUTING EMPLOYER 0 STUTZ CO CONTRIBUTING EMPLOYER 0 TH RYAN CONTRIBUTING EMPLOYER 0 TESCO CONTRIBUTING EMPLOYER 0 THE LEVY GROUP CONTRIBUTING EMPLOYER 0 TOTAL WOMEN'S HEALTHCARE CONTRIBUTING EMPLOYER 0 TRELLEBORG SEALING SOLUT CONTRIBUTING EMPLOYER 0 TRI-MARK WORKFORCE - D CONTRIBUTING EMPLOYER 0 TRI-MARK WORKFORCE - W CONTRIBUTING EMPLOYER 0 TWENTY FOUR 7 EXPEDITED CONTRIBUTING EMPLOYER 0 UCAL SYSTEMS INC CONTRIBUTING EMPLOYER 0 UNITY MANUFACTURING CO CONTRIBUTING EMPLOYER 0 UNIVERSAL BRUSH COMPANY CONTRIBUTING EMPLOYER 0 URBAN CARE LLC CONTRIBUTING EMPLOYER 0 URIEL PHARMACY CONTRIBUTING EMPLOYER 0 VAN NORMAN MOLDING CONTRIBUTING EMPLOYER 0 VESUVIUS USA CONTRIBUTING EMPLOYER 0 WEBER STEPHEN CONTRIBUTING EMPLOYER 0 WEBER STEPHENS - HUNTLEY CONTRIBUTING EMPLOYER 0 WEBER WAREHOUSE & DIST CONTRIBUTING EMPLOYER 0 WERTHEIMER BOX CONTRIBUTING EMPLOYER 0 WEST SUBURBAN EYE CONTRIBUTING EMPLOYER 0 WOLIN 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