2023-01-12T13:48:02-06:00 2022-02-28 310800053 CLARK SCHAEFER HACKETT & CO 1656 HENTHORNE DR SUITE 400 MAUMEE OH 43537 990 2021-03-01 316029682 OHIO CONFERENCE OF TEAMSTERS AND INDUSTRY HEALTH AND WELFARE TRUST OHIO 4192543322 435 SOUTH HAWLEY STREET TOLEDO OH 43609 PATRICK DARROW TRUSTEE 4192543322 2023-01-09 1 PATRICK DARROW 999009999 JANE E PFEIFER P00014949 4198412848 2023-01-09 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z 435 SOUTH HAWLEY STREET TOLEDO OH 43609 403377783 0 X N/A X 1959 OH VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 6 6 7 0 0 0 0 0 38148324 39386258 3367117 4973319 28769 164837 41544210 44524414 0 0 36201286 43894778 384422 471754 0 0 0 686339 715706 37272047 45082238 4272163 -557824 114724784 108867542 6518877 5277271 108205907 103590271 VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 0 0 PROVISION OF HEALTH, LIFE, DENTAL, VISION AND TEMPORARY DISABILITY BENEFITS FOR ENROLLED MEMBERS OF COLLECTIVE BARGAINING UNITS AND THEIR ELIGIBLE DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 1 364 0 1 7 1 1 1 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X DANIELA JANCESKI 4192543322 435 SOUTH HAWLEY STREET TOLEDO OH 43609 MARK SCHMIEHAUSEN TRUSTEE 0.00 X 0 0 0 TRAVIS BORNSTEIN TRUSTEE 0.00 X 0 0 0 PATRICK DARROW TRUSTEE 0.00 X 0 0 0 TERRENCE SCHAEFER TRUSTEE 0.00 X 0 0 0 EDMUND SZCZESNY TRUSTEE 0.00 X 0 0 0 TOM CROFT TRUSTEE 0.00 X 0 0 0 JOHN MITCHELL TRUSTEE 0.00 X 0 0 0 HUNTINGTON BANK INSTITUTIONAL TRUSTEE 1.00 X 70719 0 0 TRUST COMPANY OF TOLEDO INSTITUTIONAL TRUSTEE 1.00 X 28719 0 0 DANIELA JANCESKI ADMINISTRATIVE MANAGER 40.00 X 156780 0 31241 256218 0 31241 1 0 1 0 MEDICAL MUTUAL OF OHIO 2060 EAST NINTH ST CLEVELAND OH 44115 ADMINISTRATOR 715521 FORTY FOUR CORPORATION 435 S HAWLEY TOLEDO OH 43609 RENT & SHARED EXP 439477 DEARBORN NATIONAL 1020 31ST ST DOWNERS GROVE IL 60515 LIFE INSURANCE 294735 METLIFE 177 SOUTH COMMONS DRIVE AURORA IL 60504 ADMINISTRATOR 281613 MESSER LLC 6744 CO RD 10 DELTA OH 43515 REFUND 247105 8 EMPLOYER CONTRIBUTION 900099 39386258 39386258 39386258 2185729 2185729 361640959 358853369 2787590 2787590 2787590 MISC. INCOME 900099 108952 108952 ADMIN FEE INCOME 900099 55885 55885 164837 44524414 39551095 0 4973319 43894778 355528 73152 43074 55998 46698 192650 73944 27243 15683 21143 21317 EQUIPMENT RENTAL AND MA 87298 BENEFIT CONSULTING FEE 82787 PRINTING 39225 COMPUTER EXPENSE 37275 14445 45082238 322745 1761486 3127552 3825292 37981 36591 310457 196062 111772 114395 111124734 103129778 114724784 108867542 161877 164849 6357000 5112422 6518877 5277271 X 0 0 0 0 108205907 103590271 108205907 103590271 114724784 108867542 -557824 -4057812 0 X X 0 1 X 0 0 13598 13345 253 247198 163680 83518 49661 19037 30624 114395 CLAIMS INCURRED/ NOT REPORTED 4706702 EXTENDED LIABILITY RESERVE 405720 5112422 40273952 -4057812 -192650 -4250462 44524414 0 44524414 46134166 0 46134166 -1051928 -1051928 45082238 PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT ADVISORY FEE -192,650. PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN BENEFIT OBLIGATION -1,244,578. INVESTMENT ADVISORY FEE 192,650. 0 0 0 DANIELA JANCESKI ADMINISTRATIVE MANAGER 156780 0 0 0 0 0 0 0 0 31241 156780 31241 0 0 PART I LINE 1 PROVISION OF HEALTH, LIFE, DENTAL, VISION AND TEMPORARY DISABILITY BENEFITS FOR ENROLLED MEMBERS OF COLLECTIVE BARGAINING UNITS AND THEIR ELIGIBLE DEPENDENTS FORM 990, PART VI, SECTION A, LINE 8B LINE 9 EXPLANATION - LINE 8B IS NOT APPLICABLE AS THE ORGANIZATION DOES NOT HAVE A COMMITTEEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B LINE 11A EXPLANATION - ALL TRUSTEES ARE PROVIDED WITH A DRAFT COPY OF THE 990 FOR THEIR REVIEW. AFTER APPROVAL HAS BEEN GIVEN BY EACH OF THE TRUSTEES, THE 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTEREST ARE MONITORED BY THE BOARD AT THE BOARD MEETINGS AS ISSUES ARE BROUGHT BEFORE THE BOARD. COMPLETION OF CONFLICT OF INTEREST DISCLOSURES FORMS ARE ADDRESSED ON THE BOARD MEETING AGENDA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST AT THE UNION OFFICE. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. FORTY FOUR CORPORATION CITY OF WATERVILLE GENACROSS LUTHERAN SERVICES FOUNDATION IBT LOCAL 2750 LOCAL NO 20 MONCLOVA TOWNSHIP SYLVANIA TOWNSHIP TEAMSTERS LOCAL NO 114 TEAMSTERS LOCAL NO 1224 TEAMSTERS LOCAL NO 357 VAN WERT CO CORRECTIONAL FACILITY VAN WERT CO SHERIFF VAN WERT SHERIFF DISPATCH LB&B JOINT VENTURE WAREHOUSE ASSOCIATES LP AH JAMRA COMPANY ALLIED BUILDING PRODUCTS AMERICAN STEEL TREATING INC AVALON TRANSPORTATION SERVICES INC BAKER SHINDLER READY MIX BEERCO BELL VAULT AND MONUMENT BIMBO BAKERIES USA INC BUCKEYE SWEEPING INC COATE CONCRETE PRODUCT COUSINS WASTE CONTROL DW DICKEY & SON INC EAST MANUFACTURING CORP HARVARD MAINTENANCE INC HEALTHCARE SERVICES GROUP HEIDELBERG DISTRIBUTING COMPANY HOWARD L BOWERS CONTRACTING COMPANY INC JAMES WHITE CONSTRUCTION JIM WHITE HONDA KUHLMAN CORPORATION LAFARGE CORPORATION MARYSVILLE RELEASING MESSER NORTH AMERICA INC MOSSER CONSTRUCTION INC NATIONAL MATERIALS RECYCLING NISSEN COAL COMPANY INC NU CENTURY TEXTILES SERVICES OMNISOURCE PEPSI BEVERAGES COMPANY REPUBLIC WASTE SERVICES SKLD PERRYSBURG SPARTAN NASH ST MARYS TRUCKING CO SYGMA NETWORK-WAREHOUSING TOLEDO SHREDDING UNITED DAIRY VEOLIA WATER WAREHOUSE ASSOCIATES WASTE MANAGEMENT OF OHIO WAYNE LUMBER COMPANY INC WEIR-COVE MOVING & STORAGE CO WEIRTON CONSTRUCTION CO WEIRTON LUMBER COMPANY WILLIS DAY STORAGE COMPANY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0