2023-03-14T16:10:55-05:00 2022-04-30 341322309 CIUNI & PANICHI INC 25201 CHAGRIN BLVD 200 CLEVELAND OH 441225683 990 2021-05-01 450593187 OHIO CARPENTERS' HEALTH FUND OHIO 6142362440 1909 ARLINGTON LANE COLUMBUS OH 43228 MARY WEIR PLAN MANAGER 6142362440 2023-02-27 1 MARY WEIR 999009999 JEFFREY R SPENCER CPA P01367852 2168317171 2023-02-27 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z KEVIN REILLY 1909 ARLINGTON LANE COLUMBUS OH 43228 206740787 0 X N/A X 2008 OH THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN COVERING (CONTINUED ON SCHEDULE O)ELIGIBLE MEMBERS OF VARIOUS LOCAL UNIONS OF THE OHIO AND VICINITY REGIONAL COUNCIL OF CARPENTERS, PRIMARILY IN OHIO, WHICH WAS MERGED INTO THE INDIANA/KENTUCKY REGIONAL COUNCIL OF CARPENTERS. THE PLAN PROVIDES HEALTH, VACATION, DENTAL, VISION, PRESCRIPTION DRUG, AND DEATH BENEFITS TO ITS MEMBERS. 22 22 0 22 0 0 0 0 132200395 137429534 5878026 2754373 0 342017 138078421 140525924 0 0 116815333 119801165 0 0 0 0 0 11503518 12200491 128318851 132001656 9759570 8524268 161138110 159685153 5756103 5947713 155382007 153737440 X THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN COVERING ELIGIBLE MEMBERS OF VARIOUS LOCAL UNIONS OF THE OHIO AND VICINITY REGIONAL COUNCIL OF CARPENTERS, PRIMARILY IN OHIO, WHICH WAS MERGED INTO THE(CONTINUED ON SCHEDULE O)INDIANA/KENTUCKY REGIONAL COUNCIL OF CARPENTERS. THE PLAN PROVIDES HEALTH, VACATION, DENTAL, VISION, PRESCRIPTION DRUG, AND DEATH BENEFITS TO APPROXIMATELY 12,000 MEMBERS. 0 0 132001656 137771551 THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN COVERING ELIGIBLE MEMBERS OF VARIOUS LOCAL UNIONS OF THE OHIO AND VICINITY REGIONAL COUNCIL OF CARPENTERS, PRIMARILY IN OHIO, WHICH WAS MERGED INTO THE INDIANA/KENTUCKY REGIONAL COUNCIL OF CARPENTERS. THE PLAN PROVIDES HEALTH, VACATION, DENTAL, VISION, PRESCRIPTION DRUG, AND DEATH BENEFITS TO APPROXIMATELY 12,000 MEMBERS. 132001656 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X BENESYS INC 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 X JOE BEISCHEL TRUSTEE 1.00 X 0 0 0 BRAD BURKHEAD TRUSTEE 1.00 X 0 0 0 JASON CLARK TRUSTEE 1.00 X 0 0 0 DONALD CRANE SECRETARY 1.00 X X 0 0 0 KEVIN ENNIS TRUSTEE 1.00 X 0 0 0 JIM FOX TRUSTEE 1.00 X 0 0 0 ANDREW GOETZ TRUSTEE 1.00 X 0 0 0 AARON HALL TRUSTEE 1.00 X 0 0 0 PAM HEPBURN TRUSTEE 1.00 X 0 0 0 ANTHONY HOLBROOK TRUSTEE 1.00 X 0 0 0 WILLIAM KARKOFF TRUSTEE 1.00 X 0 0 0 MIKE KWIATKOWSKI TRUSTEE 1.00 X 0 0 0 JIM LAWLER TRUSTEE 1.00 X 0 0 0 ART LINDROSE TRUSTEE 1.00 X 0 0 0 TIM LINVILLE TRUSTEE 1.00 X 0 0 0 KEN LYONS TRUSTEE 1.00 X 0 0 0 JAMES MELARAGNO TRUSTEE 1.00 X 0 0 0 JOSEPH PITTMAN TRUSTEE 1.00 X 0 0 0 KEVIN REILLY CHAIRMAN 1.00 X X 0 0 0 DAN SIVERTSON TRUSTEE 1.00 X 0 0 0 ANTONIO DI TOMMASO TRUSTEE 1.00 X 0 0 0 TROY WOODYARD TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 ANTHEM BLUE CROSS AND BLUE SHIELD 1351 WM HOWARD TAFT RD CINCINNATI OH 45026 INSURANCE 3916541 MEDCO CONTAINMENT LIFE INSURANCE 50 WEST BOARD ST STE 1800 COLUMBUS OH 43215 INSURANCE 1390236 ULLICO 8403 COLESVILLE RD SILVER SPRING MD 20910 INSURANCE 1046202 BENESYS 6100 OAK TREE BLVD 190 CLEVELAND OH 44131 ADMINISTRATIVE AND IT SERVICES 718150 CONSUMERS LIFE INSURANCE 2060 E 9TH ST CLEVELAND OH 44115 INSURANCE 601972 7 EMPLOYERS' CONTRIBUTIONS 900099 122654910 122654910 PARTICIPANTS' CONTRIB 900099 20199729 20199729 LESS: RECIPROCITY TRANS 900099 -5425105 -5425105 137429534 3247195 3247195 65722041 66214863 -492822 -492822 -492822 COBRA SUBSIDY 900099 342017 342017 342017 140525924 137771551 0 2754373 119801165 109466 65313 222301 915384 457506 12317 58937 MED NET & REPRICING FEE 8327705 STOP LOSS INS PREMIUMS 1046202 PREMS FOR LIFE & AD&D 601972 COLLECTION EXPENSE 288340 95048 132001656 8474386 10736881 11346571 12274206 13711347 16612440 248917 147843 127356889 119913783 161138110 159685153 4459773 4544950 1296330 1402763 5756103 5947713 X 155382007 153737440 155382007 153737440 161138110 159685153 8524268 -10168835 0 X X 0 1 X 1 0 0 UNRPROCESSED FRINGE BENEFIT CONTRIBUTIONS COLLECTED 1402763 1402763 X 130134788 -10168835 -10168835 140303623 222301 222301 140525924 131779355 0 131779355 222301 222301 132001656 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 24, 2011, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED DURING THE YEARS ENDED APRIL 30, 2022 AND 2021 FOR UNRELATED BUSINESS TAXABLE INCOME. THE PLAN AND 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 TRUST WAS TAX-EXEMPT AS OF THE FINANCIAL STATEMENT DATE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE 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. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 IS SENT TO THE PLAN ADMINISTRATOR WHO REVIEWS THE RETURN AND CONSULTS WITH THE PREPARER ON ANY QUESTIONS. ONCE ALL OF THE QUESTIONS ARE ANSWERED, THE PLAN ADMINISTRATOR PRESENTS THE FORM 990 TO THE TRUSTEES AND EXPLAINS THE PROPOSED FILING. THE TRUSTEES WILL DISCUSS ANY QUESTIONS WITH THE PLAN ADMINISTRATOR BEFORE GIVING THEIR APPROVAL TO ADOPT AND FILE THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C YEARLY DISCLOSURES ARE MADE AND PRESENTED TO THE TRUSTEES FOR REVIEW AND CONFIRMATION. THE PROCESS IS REFLECTED IN THE MINUTES OF THE TRUSTEES' MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATIVE COMMITTEE REVIEWS AND MAKES SALARY DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC 3611 CHESTER AVE CLEVELAND OH 441144622 203330679 TO PROCESS EMPLOYER CONTRIBUTIONS TO BENEFIT PLANS OH 501(C)(5) 0 OHIO CARPENTERS' ANNUITY PLAN 3611 CHESTER AVE CLEVELAND OH 441144622 341778747 TO PROVIDE RETIREMENT BENEFITS OH 401(A) 0 OHIO CARPENTERS' PENSION PLAN 3611 CHESTER AVE CLEVELAND OH 441144622 346574360 TO PROVIDE RETIREMENT BENEFITS OH 401(A) 0 INDIANA KENTUCKY OHIO REGIONAL COUNCIL OF CARPENTERS 771 GREENWOOD SPRINGS DR GREENWOOD IN 46143 351074694 LABOR ORGANIZATION OH 501(C)(5) 0 2D CONSTRUCTION LLC 3D CONSTRUCTION LLC 74 INSTALLATIONS LLC ADVANTAGE INDUSTRIAL SYSTEMS LLC AEI INTERIORS LLC ALLARD EXCAVATION LLC ALLIED POWER SERVICES MICHIGAN LLC AMBOY CONTRACTORS LLC AMW INSTALL LLC ATLAS INDUSTRIAL CONTRACTORS LLC BARTRAM CONSTRUCTION LLC BERLE CUSTOM CARPENTRY LLC BLUEGRASS INSTALLERS LLC BRANDSAFWAY INDUSTRIES LLC BRANDSAFWAY SERVICES LLC BRETT SULZENER BUILDERS LLC BRIGADIER CONSTRUCTION SERVICES LLC BROWN 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RYAN CARPET SALES & SERVICE S & B FLOOR COVERING S & J FORD CONSTRUCTION S & S DUMP & DIG INC S & S INTERIORS INC SM FOX CONSTRUCTION INC ST COTTER TURBINE SERVICES SAUER GROUP INC SCAFFOLD DESIGN & ERECTION CO INC SCHALK BROTHERS INC SCHLEIS FLOOR COVERING SCHNABEL FOUNDATION COMPANY SCHUMACHER CONSTRUCTION CO SCHUMACHER DUGAN CONST C SCS CONSTRUCTION SERVICES SEASON CONTRACTORS INC SHARON CONSTRUCTION MANGMT SHELLY & SANDS INC SHOOK CONSTRUCTION CO SHOULDICE INDUSTRIAL MANUFACTURERS AND CONTRACTORS SIBLEY INC SIELER CONSTRUCTION INC SIEMENS GENERATION SERVICES DBA SIEMENS ENERGY GE SILMAN CONSTRUCTION SIMAKAS COMPANY INC SIMMONS BROTHERS CORPORATION SITELINE INTERIOR CARPENTRY INC SIWEK CONSTRUCTION COMPANY SKEENS EXCAVATING INC SKILLED TRADES SERVICES SLACK CONSTRUCTORS SMITH CONSTRUCTION GROUP SMOOT CONSTRUCTION SOLID PLATFORMS INC SOUTHERN MARINE CONSTR CO SPECIAL INSTALLATIONS SPIEKER COMPANY SPORTS SYSTEMS UNLIMITED CORP SRD BUILDERS CORPORATION SSCC INC SSSI INC DBA SONGER STEEL STANDARD CONTRACTING & ENGRG STANLEY MILLER CONSTRUCTION CO STEDMAN FLOOR COMPANY STERLING BOILER & MECHANICAL STEVENS ENGINEERS & CONSTRUCT STEWART CONSTRUCTION INC STITLE CONSTRUCTION CORP STRAHM DIVISION OF SGI INC STRAIGHTLINE INTERIORS STRAIT-LINE CONSTRUCTION INC STRANO CONSTRUCTION STRUCTURAL SERVICES INC STUDEBAKER ELECTRIC IN STUDER-OBRINGER INC STUMPF CONSTRUCTION INC SUBURBAN MAINTENANCE & CONST SUMMIT INTERIOR CONSTR INC SUPERIOR CONSTR CO-CARP SYSTEMS ENTERPRISE CORPORATION T & D INTERIORS T ALLEN INC TOS CONSTRUCTION TAYLOR BROS CONST CO INC TEDCO CONSTRUCTION CORPORATION TEEMOK CONSTRUCTION INC TESAR INDUSTRIAL CONTRACTORS THE BOLDT COMPANY THE COMPANY INC THE DOTSON COMPANY INC THE JOSEPH A JEFFRIES CO INC THE LATHROP COMPANY THE SCHAEFER GROUP INC THOMARIOS THOMAS CONSTRUCTION INC TITAN INDUSTRIAL SERVICES INC TITAN MECHANICAL INC TOLEDO CAISSON CORP TOM BROWN PERFORMANCE FLOORS INC TRAICHAL CONSTRUCTION COMPANY TRI STATE INDUSTRIAL FLOORS INC TRI-AMERICA CONTRACTORS INC TRICROSSING INSTALLATION SERVICES TRI-K CONSTRUCTION INC TRI-STATE BLG CONST TC TRI-STATE INSTALLATION TRI-STATE INTERIORS LTD TRITON CONSTRUCTION TSG INTERIORS TUNGSTEN ENTERPRISES INC TURNER CONSTRUCTION TUTTLE CONSTRUCTION INC UBC NATIONAL JOB CORP TRAINING FUND INC UNION INDUSTRIAL CONTRACTORS UNITED BROTHERHOOD OF CAR UNITED CONSTRUCTION CO INC UNITED CONTRACTORS OF NE OHIO UNITED GLASS & PANEL SYSTEMS UNIVERSAL CONTRACTING IN UNIVERSAL INSTALLATIONS PLUS UNIVERSAL PLANT SERVICES URS ENERGY & CONSTRUCTION USA ROOFING INC VALLEY ACOUSTICS INC VALLEY INTERIORS SYSTEMS VAN TASSEL CONSTRUCTION CORP VASTA CONSTRUCTION CO INC VEC INC VENDRICK CONSTRUCTION INC VERNON NAGEL INC VMI CONSTRUCTION VMI GROUP INC VOLKER & ASSOCIATES W E DOWNIE COMPANY WB BECHERER INC WAI CONSTRUCTION GROUP WALBRIDGE EQUIPMENT INSTAL WALSH CONSTRUCTION CO OF ILL WALTER'S CARPENTRY INC WATER WORKS CONSTRUCTION WEIFFENBACH MARBLE & TILE CO WEIGAND CONSTR CO INC WEITZ INDUSTRIAL WELTY BUILDING CO LTD WENGER CORPORATION WES MARTIN INTERIORS INC WESTERN INDUSTRIAL CONTRACTORS WESTERN RESERVE INTERIORS WILLIAMS BROTHERS BLDRS INC WISE CONSTRUCTION CO INC WM J SHAFFER ASSOC INC WOJCIECHOWSKI CONSTRUCTION INC WOODS CONSTRUCTION INC WORLEY INDUSTRIAL SERVICES YOUR TILE CENTER INC ZSR CONTRACTING AND RESTORATION 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC Q OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC N OHIO CARPENTERS' ANNUITY PLAN N OHIO CARPENTERS' PENSION PLAN N OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC O OHIO CARPENTERS' PENSION PLAN Q