2023-06-08T16:32:48-05:00 2022-07-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE STE 1200W BETHESDA MD 20814 990 2021-08-01 526038498 NATIONAL ASBESTOS WORKERS MEDICAL FUND FUND BOARD OF TRUSTEES NATI 8886322887 2010 N W 150TH AVENUE PEMBROKE PINES FL 33028 RON PIERSOL JR TRUSTEE 8886322887 2023-05-30 1 RON PIERSOL JR 999009999 JOSEPH M HERISHEN CPA P00361968 2023319880 2023-06-08 X 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z RON PIERSOL JR 2010 N W 150TH AVENUE PEMBROKE PINES FL 33028 183861481 0 X N/A X 1953 FL TO PROVIDE HEALTH AND WELFARE BENEFITS. 46 31 0 0 0 0 0 0 53674201 65712397 3475753 669329 2285862 1538794 59435816 67920520 0 0 54898875 55450815 0 0 0 0 0 4104835 3916874 59003710 59367689 432106 8552831 62876344 67405032 2684238 511987 60192106 66893045 PROVIDE MEDICAL BENEFITS TO MEMBERS OF THE NATIONAL ASBESTOS WORKERS MEDICAL FUND. 0 0 PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS UNDER A COLLECTIVELY BARGAINED AGREEMENT. 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 4159 0 1 0 0 0 0 0 0 0 0 0 0 0 X 46 31 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 1 0 0 0 X NEBA 8006322847 2010 N W 150TH AVENUE PEMBROKE PINES FL 33028 RON PIERSOL JR UNION TRUSTEE LOCAL 80 2.00 40.00 X 0 182260 0 RICHARD CHAMBERLAIN UNION TRUSTEE LOCAL 73 2.00 40.00 X 0 135444 0 STEVEN CARR UNION TRUSTEE LOCAL 37 2.00 40.00 X 0 116454 0 CHARLIE WOODY UNION TRUSTEE LOCAL 46 2.00 40.00 X 0 106204 0 TERRY BURKE UNION TRUSTEE LOCAL 8 2.00 40.00 X 0 81932 0 JOSHUA MEEHAN UNION TRUSTEE LOCAL 41 2.00 40.00 X 0 72432 0 ROGER BROWN UNION TRUSTEE LOCAL 94 2.00 40.00 X 0 72100 0 PHILLIP RAINWATER SR UNION TRUSTEE LOCAL 48 2.00 40.00 X 0 70756 0 DANIEL HUNNICUTT UNION TRUSTEE LOCAL 96 2.00 40.00 X 0 69748 0 LACY WOLF UNION TRUSTEE LOCAL 22 2.00 40.00 X 0 63180 0 JOE JOYNER UNION TRUSTEE LOCAL 90 2.00 40.00 X 0 57248 0 STEVE OVERBY UNION TRUSTEE LOCAL 69 2.00 40.00 X 0 22240 0 BRIAN FINEGAN UNION TRUSTEE LOCAL 51 2.00 40.00 X 0 18061 0 RICK HENDERSON UNION TRUSTEE LOCAL 64 2.00 40.00 X 0 1111 0 CHARLES MARTIN UNION TRUSTEE LOCAL 27 2.00 40.00 X 0 592 0 JAMES DIERSING EMPLOYER TRUSTEE LOCAL 8 2.00 40.00 X 0 0 0 JERAMY MCCOY UNION TRUSTEE LOCAL 10 2.00 40.00 X 0 0 0 WALTER JOHNS EMPLOYER TRUSTEE LOCAL 13 2.00 40.00 X 0 0 0 SAMUEL SCHULTZ UNION TRUSTEE LOCAL 15 2.00 40.00 X 0 0 0 KENT KRUSE EMPLOYER TRUSTEE LOCAL 15 2.00 40.00 X 0 0 0 JASON SMITH UNION TRUSTEE LOCAL 18 2.00 40.00 X 0 0 0 CARL SCHULTZ EMPLOYER TRUSTEE LOCAL 18 2.00 40.00 X 0 0 0 ROBERT GREIN EMPLOYER TRUSTEE LOCAL 22 2.00 40.00 X 0 0 0 JOEL HOBBS EMPLOYER TRUSTEE LOCAL 28 2.00 40.00 X 0 0 0 RICKY J JOHNSON UNION TRUSTEE LOCAL 28 2.00 40.00 X 0 0 0 JAMES GRIBBINS EMPLOYER TRUSTEE LOCAL 37 2.00 40.00 X 0 0 0 RODNEY HAMILTON EMPLOYER TRUSTEE LOCAL 41 2.00 40.00 X 0 0 0 GLENN CROUSE EMPLOYER TRUSTEE LOCAL 46 2.00 40.00 X 0 0 0 DAVID HEADRICK EMPLOYER TRUSTEE LOCAL 48 2.00 40.00 X 0 0 0 GREGORY PEDERSEN EMPLOYER TRUSTEE LOCAL 50 2.00 40.00 X 0 0 0 DANIEL POTEET UNION TRUSTEE LOCAL 50 2.00 40.00 X 0 0 0 MICHAEL HAYDEN EMPLOYER TRUSTEE LOCAL 51 2.00 40.00 X 0 0 0 BARRY MEAD UNION TRUSTEE LOCAL 55 2.00 40.00 X 0 0 0 WILLIAM CHURLY EMPLOYER TRUSTEE LOCAL 60 2.00 40.00 X 0 0 0 DONALD STANLEY UNION TRUSTEE LOCAL 60 2.00 40.00 X 0 0 0 R DEAN BURROWS EMPLOYER TRUSTEE LOCAL 69 2.00 40.00 X 0 0 0 MATT CALDWELL EMPLOYER TRUSTEE LOCAL 72 2.00 40.00 X 0 0 0 STEPHEN HUSBANDS EMPLOYER TRUSTEE LOCAL 73 2.00 40.00 X 0 0 0 DAN PATTERSON EMPLOYER TRUSTEE LOCAL 80 2.00 40.00 X 0 0 0 TIM BLALOCK EMPLOYER TRUSTEE LOCAL 85 & 86 2.00 40.00 X 0 0 0 BRYAN MATT BERLIN UNION TRUSTEE LOCAL 86 2.00 40.00 X 0 0 0 RONALD GOOD EMPLOYER TRUSTEE LOCAL 90 2.00 40.00 X 0 0 0 TONY GREEN EMPLOYER TRUSTEE LOCAL 92 2.00 40.00 X 0 0 0 DALE CULLUM UNION TRUSTEE LOCAL 92 2.00 40.00 X 0 0 0 TIM LEFTWICH EMPLOYER TRUSTEE LOCAL 94 2.00 40.00 X 0 0 0 LEO DAMARIS UNION TRUSTEE LOCAL 114 2.00 40.00 X 0 0 0 0 1069762 0 0 0 1 0 ST MARYS MEDICAL CENTER 5170 US ROUTE 60 HUNTINGTON WV 257052004 CLAIMS PROCESSED 1193247 INDIANA UNIVERSITY HEALTH INC 2201 RELIABLE PKWY CHICAGO IL 606860022 CLAIMS PROCESSED 770021 MARIETTA MEMORIAL HOSPITAL 807 FARSON ST STE 201A BELPRE OH 457141069 CLAIMS PROCESSED 723793 MEDCHECK CASTLETON 7150 CLEARVISTA DR INDIANAPOLIS IN 462561695 CLAIMS PROCESSED 641113 CAMDEN CLARK MEDICAL CENTER 800 GARFIELD AVE PARKERSBURG WV 261015340 CLAIMS PROCESSED 621497 69 EMPLOYER CONTRIBUTIONS 900099 58548921 58548921 PARTICIPANT CONTRIBUTIO 900099 7163476 7163476 65712397 1100014 1100014 115510276 115940961 -430685 -430685 -430685 PRESCRIPTION REBATES 900099 1294336 1294336 SECURITIES LITIGATION 900099 170284 170284 COBRA SUBSIDY 900099 47137 47137 27037 27037 1538794 67920520 66820506 0 1100014 55450815 1610584 184204 102797 176698 98013 130193 4133 87416 3617 312469 PPO FEES 1075931 DENTAL PREMIUM FEES 60435 BANK CHARGES 48555 PCORI FEES 20971 858 59367689 2474505 13369009 5250826 2120928 5228260 4364704 37315 32125 49885438 47518266 62876344 67405032 420281 395866 2263957 116121 2684238 511987 X 0 0 0 0 60192106 66893045 60192106 66893045 62876344 67405032 8552831 -1851892 0 X X 0 1 X 1 0 0 CONTRACTOR ESCROW 3619 DUE TO BROKER 112502 116121 X 65891930 -1851892 -1851892 67743822 176698 176698 67920520 59190991 0 59190991 176698 176698 59367689 PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS ADVISED THAT THE FUND QUALIFIES UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE AND IS, THEREFORE, NOT SUBJECT TO TAX UNDER PRESENT INCOME TAX LAWS. THE FUND ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH THE ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC INCOME TAXES. THESE PROVISIONS PROVIDE CONSISTENT GUIDANCE FOR THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBE A THRESHOLD OF "MORE LIKELY THAN NOT" FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE FUND PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED JULY 31, 2022 AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR THAT MAY HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. 0 0 0 RON PIERSOL JR UNION TRUSTEE LOCAL 80 0 95096 0 0 0 87164 0 0 0 0 0 182260 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE GOVERNING BODY PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY IS MONITORED IN THE SENSE THAT ALL ACTIONS BY THE TRUSTEES ARE EXPECTED TO CONFORM TO THEIR RESPONSIBILITIES, WHICH COUNSEL AND OTHER PROFESSIONAL KEEP APPRISED OF. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONS ANNUAL FINANCIAL DISCLOSURE STATEMENT FORM 5500 IS AVAILABLE FOR PUBLIC INSPECTION AT THE ERISA WEBSITE. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. NATIONAL ASBESTOS WORKERS PENSION FUND 2010 N W 150TH AVENUE PEMBROKE PINES FL 33028 526038497 PENSION FUND FL 401(A) 0 NATIONAL ASBESTOS WORKERS SUPPLEMENTAL PENSION FUND 2010 N W 150TH AVENUE PEMBROKE PINES FL 33028 520014815 SUPPLEMENTAL PENSION FUND FL 401(A) 0 A & W PLUMBLING & HEATING A&K INSULTION (CHAMPAIGN) A1 MECHANICAL INSULATION AAA INSULATION GROUP ABATEMENT & ENVIRONMENTAL SERVICES ACS INSULATION ACTION INSULATION ADVANCED ENERGY PROTECTION ADVANCED INDUSTRIAL ADVANCED NUCLEAR LLC ALL SERVICES INSULATION L ALL TEMP INSUL ALLIANCE SPECIALTIES INC ALLOYD ASBESTOS ABATEMENT ALLOYD INSULATION CO ALPHA MECHANICAL AMERICAN ENERGY CONTRACTO AMITY PARTNERS INC ANCHOR INSULATION LLC ANCHOR INSULATION OF CENTRAL FL INC APACHE INDUSTRIAL UNITED API INC ARGUS CONTRACTING ASHTON AND COMPANY INC ASTAR ABATEMENT INC ATLAS INDUSTRIES INC ATLAS SPECIALTY INSULATION ATS WELDING INC AUSTIN INSULATION BARRACUDA MECHANICAL INSU BESTWAY ENERGY SERVICES BESTWAY ENVIRONMENTAL SERVICES BHI SPECIALTY SERVICES BI STATE INSULATION BLAND INSULATION COMPANY BRAND SAFWAY IND BRAND SCAFFOLD RENTAL BRAND SERVICES INC BRANDON INSULATION BREEDING INSULATION CO BROCK INDUSTRIAL SERVICES BUDROVICH SPECIALTY GROUP BURGESS & BERRY BYROM'S THERMAL INSUL SYS CALDWELL INSULATION CAPITOL INSULATION CARDINAL INDUSTRIAL CB INSULATION INC CENTRAL MAINTENANCE & WELDING CHAMPION PAINTING SPECIAL CLAYS PERFORMANCE CONST L CNS CONSOLIDATED NUCLEAR SOCIETY COGBURN BROS INC COLUMBUS CENTRAL OHIO BUILDING CORNERSTONE SERVICES GR CTI AND ASSOCIATES DAVIS-HOUK MECHANICAL INC DAY & ZIMMERMAN DAY & ZIMMERMAN NPS DAY & ZIMMERMAN NPS TVA DAYBREAK INSULATION CO DIAMOND CONTRACTING INC DK CONSTRUCTION CO DKB INC E P I INSUL COMPANY ELITE ENVIRONMENTAL ENERFAB POWER & INDUSTRIAL ERG INC FARGO INSULATION CO FARWEST INSULATION CONTR FGH INSULATION CO FIT TIGHT COVERS INC FLUOR IDAHO LLC FRONTIER INC GEM GROUP GEO V HAMILTON GEYER FIRE GLOBAL SCAFFOLD CONSTRUCT GRAHAM INDUSTRIAL MAINTENANCE INC GRIBBINS INSULATION COMPANY GUBMK CONSTRUCTORS GULF COAST HAMILTON INSULATION INC HARTCO INSULATION (L 64) HEADRICK INSULATION HYATT INDUSTRIES IDAHO ENVIRONMENTAL COALITION INDUSTRIAL ENVIRONMENTAL INDUSTRIAL EQUIPMENT RENTAL INDUSTRIAL INSUL SUPPLY INSCO INSULATION MASTERS INC INTEGRATED CONSTRUCTION S INTERMOUNTAIN SPECIALTY CONTRACTING IREX CORPORATION TVA I-STAR ENERGY SOLUTIONS J & J GENERAL MAINT J & S INSULATION J AND R INSULATION JAX INSULATION & SOFT PACK JOHNSON THERMAL SOLUTIONS KARBER MECHANICAL INSUL KRUSE CORPORATION L & L MECHANICAL INS LAGCO INSULATION LIBERTY INSULATION LINIHAN INSULATION INC LMI LOUIS A ROSER COMPANY M & M INSULATION M & M MECHANICAL INSUL M & O INSULATION CO MACALJON MAGNUM MECHANICAL INSULATION MATHIAS FABRICATION MCABEE CONSTRUCTION INC MEREDITH INSULATION MIDLAND THERMAL INC MIDWEST INSULATION NATL ENVIRO CONTRACTING NELSON INSULATION CO NEW AGE INSULATION INC NEWTRON INC NORTHWEST INSULATION WORK NO SWEAT KC OHIO VALLEY INSUL PAE (APPLIED TECH DIVISION PARSONS SAVANNAH PAT'S INSULATION PEDERSEN INSULATION PERFORMANCE ABATEMENT PERFORMANCE CONTRACTING PLATINUM SPECIALTY SERVIC PRIME INC PRIME INSULATION PRO INSULATION PRO METALS DBA PRO INSULA R L BONDY RELIABLE INSULATION RELIANCE INSULATION CO ROY BLACKWELL ENTERPRISES S & M MECHANICAL INSULATION SAFWAY SERVICES SAVANNAH RIVER MISSION COMPLETION SAVANNAH RIVER NUCLEAR SO SAVANNAH RIVER REMED LLC SI THERMAL (LORMAR INSULATION) SOUTHERN ASB ABATEMENT CO SOUTHERN INSULATION SOUTHERN MECHANICAL INSUL SOUTHWEST MULTI-CRAFT LU SOUTHWEST SPECIALTY CONTR SPARTA INSULATION SPRINKMAN INSULATIONINC STAPLES INSULATION INC STRUCTSURE SCAFFOLD AND SUPERIOR INDUSTRIAL INSUL SUPERIOR INSULATION OF FL TECH INSULATION & SUPPLIES LLC THE EARLY CONSTRUCTION CO THE JAMAR COMPANY THERMAL DYNAMIX INSULATION THERMAL INDUSTRIAL INSUL THERMAL SOLUTIONS THERMAL SOLUTIONS OHIO THORNBURGH INSULATION TOLEDO MECHANICAL INSULAT TOVIN INSULATION CONCEPTS TRANSCO PRODUCTS TRIANGLE INSULATION TRIANGLE INSULATION TVA TRU-FIT PRODUCTS LLC UNITED MECHANICAL INSUL V SPECIALTY SERVICES VENTECH INSULATION INC VMI VALLEY MECHANICAL INS VOLUNTEER METAL SYSTEMS VULCAN ENVIRONMENTAL SERV VULCAN INDUSTRIAL WALSH INSULATION SERVICES WARREN INSULATION WATERS MECHANICAL INC WILLIAMS INSULATION WILLIAMS PLANT SERVICES WILLIAMS SPECIALTY SERVICE TVA WILLIAMS SPECIALTY SVCS WMC MECHANICAL WORLEY INDUSTRIAL SERVICES INC WRAP MASTERS INSULATION 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1