2023-03-14T16:11:30-05:00 2022-04-29 341322309 CIUNI & PANICHI INC 25201 CHAGRIN BLVD 200 CLEVELAND OH 441225683 990 2022-01-01 346535474 WELFARE FUND OF LOCAL - 293 WELF 2167399489 5505 VALLEY BELT ROAD UNIT D INDEPENDENCE OH 441311447 MICHAEL H ZEMLA CHAIRMAN 2167399489 2023-03-08 1 MICHAEL ZEMLA 999009999 0 JEFFREY R SPENCER CPA P01367852 2168317171 2023-03-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X MICHAEL H ZEMLA 5505 VALLEY BELT ROAD UNIT D INDEPENDENCE OH 441311447 10354428 0 X N/A X 1951 OH TO PROVIDE HEALTH & WELFARE (CONTINUED ON SCHEDULE O)(SICK, ACCIDENT, MEDICAL, DENTAL, PRESCRIPTION, VISION, & DEATH) BENEFITS TO ELIGIBLE MEMBERS OF CONTRIBUTING EMPLOYERS. X 7 7 1 0 0 0 9500 0 17093573 5504538 43644 79106 0 0 17146717 5583644 0 0 17457844 4595448 101035 26321 0 0 0 175652 145955 17734531 4767724 -587814 815920 3150234 0 0 0 3150234 0 PROVIDED HEALTH & WELFARE (SICK, ACCIDENT, MEDICAL, DENTAL, PRESCRIPTION, VISION, & DEATH) BENEFITS TO ELIGIBLE EMPLOYEES OF CONTRIBUTING EMPLOYERS. 0 0 PROVIDED HEALTH & WELFARE (SICK, ACCIDENT, MEDICAL, DENTAL, PRESCRIPTION, VISION, & DEATH) BENEFITS TO ELIGIBLE EMPLOYEES OF CONTRIBUTING EMPLOYERS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 0 0 0 X MICHAEL H ZEMLA 2167399489 5505 VALLEY BELT RD INDEPENDENCE OH 441311447 X BRUCE OSBORNE JR UNION TRUSTEE 5.00 40.00 X 0 0 0 THOMAS TYRRELL UNION TRUSTEE 5.00 40.00 X 0 0 0 MICHAEL H ZEMLA CHAIRMAN 10.00 40.00 X 0 0 0 DENNY BENVENUTO EMPLOYER-TRUSTEE 1.00 X 0 0 0 LEN GANLEY EMPLOYER-TRUSTEE 1.00 X 0 0 0 KEVIN SCHROEDER EMPLOYER-TRUSTEE 1.00 X 0 0 0 JAMES STEIGEL EMPLOYER-TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 900099 5451390 5451390 INDIVIDUAL CONTRIBUTIONS 900099 53148 53148 5504538 6154 6154 4843736 4770784 72952 72952 72952 5583644 5504538 0 79106 4595448 10000 5255 11066 538 52635 3070 23212 5354 2760 FIDUCIARY LIABILITY INS 40161 CONTRACT RENEWAL 14830 TAXES - FEDERAL EXCISE 3395 4767724 118027 0 1043917 0 0 0 0 0 0 0 0 0 0 0 0 0 1988290 0 0 0 0 3150234 0 0 0 X 0 0 0 0 3150234 0 3150234 0 3150234 0 X 815920 -175704 -3790450 X X 0 1 X 0 0 0 X 5404870 -175704 -175704 5580574 3070 3070 5583644 4764654 0 4764654 3070 3070 4767724 PART X, LINE 2: THE VEBA TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED MARCH 31, 1972, STATING THAT TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED FOR THE PERIOD JANUARY 1, 2022 THROUGH APRIL 29, 2022 AND THE YEAR ENDED DECEMBER 31, 2021 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. THE MODIFIED CASH BASIS OF ACCOUNTING REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. NET ASSETS 2022-04-29 3783522 BOOK VALUE OF NET ASSETS 340753693 CLEVELAND BAKERS AND TEAMSTERS HEALTH AND WELFARE FUND 9665 ROCKSIDE ROAD SUITE C VALLEY VIEW OH 44125 501(C)(9) 0 0 0 0 1 1 1 1 0 FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEES EXIST. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATION PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CONVERSION FROM MODIFIED CASH BASIS TO CASH BASIS OF ACCT: ACCOUNTS PAYABLE -6,928. TRANSFER TO CLEVELAND BAKERS AND TEAMSTERS HEALTH AND WELFARE FUND -3,783,522. FORM 990, PART XII, LINE 1, ACCOUNTING METHOD USED TO PREPARE FORM 990: MODIFIED CASH BASIS FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: THE BOARD OF TRUSTEES OF THE PLAN APPROVED A MERGER AGREEMENT EFFECTIVE APRIL 29, 2022 TO MERGE THE PLAN'S NET ASSETS INTO THE CLEVELAND BAKERS AND TEAMSTERS HEALTH AND WELFARE FUND (THE "CBT PLAN"). IN ACCORDANCE WITH THE MERGER AGREEMENT, THE CBT PLAN SHALL BE THE SOLE SURVIVING PLAN AND THE PLAN SHALL CEASE TO EXIST AS A SEPARATE LEGAL ENTITY. THE PLAN'S NET ASSETS OF $3,783,522 WERE TRANSFERRED TO THE CBT PLAN ON APRIL 29, 2022. TEAMSTERS LOCAL NO 293 PENSION PLAN 5505 VALLEY BELT ROAD UNIT D INDEPENDENCE OH 441311447 510151830 PENSION PLAN FOR LABOR UNION OH 401 0 TEAMSTERS UNION LOCAL 293 5505 VALLEY BELT ROAD UNIT D INDEPENDENCE OH 441311447 340090940 LABOR UNION OH 501(C)(5) 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 TEAMSTERS UNION LOCAL 293 K 2760 FAIR MARKET VALUE