2023-11-03T08:32:12-05:00 2023-02-28 320043599 LEGACY PROFESSIONALS LLP 222 INDIANAPOLIS BLVD STE 103 SCHERERVILLE IN 46375 990 2022-03-01 350940329 BRICKLAYERS UNION LOCAL NO 6 OF INDIANA WELFARE FUND INDI 2197693376 7985 MARSHALL STREET MERRILLVILLE IN 46410 ROBERT PUZA FUND MANAGER 2197693376 2023-11-03 1 ROBERT PUZA 999009999 0 DAVID ZABRECKY P01460569 2198361065 2023-11-03 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROBERT PUZA 7985 MARSHALL STREET MERRILLVILLE IN 46410 8608761 0 X N/A X 1954 IN TO PROVIDE HEALTH AND WELFARE BENEFITS AND LIFE INSURANCE COVERAGE FOR PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 10 8 8 0 0 0 0 0 4091823 4128671 240689 176639 0 0 4332512 4305310 0 0 3471325 3354020 176785 185118 0 0 0 194022 225772 3842132 3764910 490380 540400 11685696 11318815 107978 105185 11577718 11213630 HEALTH BENEFIT FUND. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS AND LIFE INSURANCE COVERAGE FOR PARTICIPANTS AND THEIR ELIGIBLE 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 3 0 1 8 1 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 IN X ROBERT PUZA 2197693376 7985 MARSHALL STREET MERRILLVILLE IN 46410 JEREMY RIVAS TRUSTEE - PAST 1.00 40.00 X 0 48873 48972 ANTHONY ARENS TRUSTEE 1.00 1.00 X 0 0 0 PATRICK CLARK TRUSTEE 1.00 1.00 X 0 0 0 JEFFREY COLVIN TRUSTEE 1.00 1.00 X 0 0 0 CHRIS DOOLIN TRUSTEE 1.00 1.00 X 0 0 0 JEFFREY CAVINDER TRUSTEE 1.00 40.00 X 0 88802 54363 ROBERT ZEMAITIS TRUSTEE 1.00 1.00 X 0 0 0 TIM WHITE TRUSTEE 1.00 1.00 X 0 0 0 JASON BARNARD TRUSTEE 1.00 1.00 X 0 0 0 TIM KAPITAN TRUSTEE 1.00 1.00 X 0 0 0 DONALD SUMMAR TRUSTEE - NEW 1.00 1.00 X 0 45896 30064 ROBERT PUZA FUND MANAGER 20.00 20.00 X 0 82939 54330 0 266510 187729 0 0 0 0 ANTHEM 220 VIRGINIA AVE INDIANAPOLIS IN 46204 PPO NETWORK PROVIDER 140388 1 EMPLOYER CONTRIBUTIONS 900099 3900028 3900028 PARTICIPANT/RETIREE CONTRIBUTIONS 900099 228643 228643 4128671 222542 222542 4257548 4303451 -45903 -45903 -45903 4305310 4128671 0 176639 3354020 69128 53505 34731 19599 8155 36113 39309 9000 68266 7906 24170 7775 9963 1175 14488 CONTRIBUTION PROCESSING 6338 FEES MANDATED BY ACA 1269 3764910 122750 271300 312285 126898 477812 474508 18604 19488 22819 17479 0 5340 10754245 9454305 966976 11685696 11318815 98312 95131 8248 9158 1418 896 107978 105185 X 0 0 0 0 11577718 11213630 11577718 11213630 11685696 11318815 540400 -904488 0 X 0 1 X 1 0 22819 17479 5340 5340 LIMITED PARTNERSHIP 966976 F 966976 DUE TO RELATED PENSION FUND 896 896 X 3391822 -904488 -904488 4296310 9000 9000 4305310 3755910 0 3755910 9000 9000 3764910 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. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES FOR THEIR REVIEW AND APPROVAL BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE PLAN HAS A CONFLICT OF INTEREST POLICY TO HELP ENSURE THAT ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED AND ADDRESSED ON A TIMELY BASIS. IT IS THE DUTY OF THE FUND TRUSTEES AND EMPLOYEES TO IDENTIFY ACTUAL OR POTENTIAL CONFLICTS. IN CONNECTION WITH AN ACTUAL OR POTENTIAL CONFLICT, THE PARTY-IN-INTEREST (OR ANY INTERESTED PARTY) WILL IMMEDIATELY DISCLOSE TO THE BOARD OF TRUSTEES THE EXISTENCE OF SUCH CONFLICT WITH DETAILED AND SPECIFIC FACTS. UPON DISCLOSURE, THE BOARD OF TRUSTEES WILL MEET FOR DISCUSSION AND A LEGAL OPINION IS SOUGHT WHETHER THERE IS, IN FACT, A CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. FORM 990, PAGE 1, LINE 5 AND PAGE 10 LINES 5 AND 7 THIS ENTITY SHARES EMPLOYEES WITH BRICKLAYERS UNION LOCAL NO. 6 OF INDIANA PENSION FUND. THE PAYROLL TAX FILINGS AND FORMS W-2 FOR THESE WAGES ARE FILED BY THE PENSION FUND. THE WELFARE FUND'S SHARE OF SALARY EXPENSE FOR THESE EMPLOYEES APPEAR ON PAGE 10. THE NUMBER OF PARTICIPANTS REPORTED ON W-3 FOR PART V QUESTION 2A REPRESENTS THE NUMBER OF PARTICIPANTS WHO RECEIVED THIRD PARTY SICK PAY FROM THIS FUND DURING THE YEAR. BRICKLAYERS UNION LOCAL NO6 OF INDIANA PENSION FUND 7985 MARSHALL STREET MERRILLVILLE IN 46410 516113680 PROVIDE RETIREMENT BENEFITS TO MEMBERS OR THEIR BENEFICIARIES IN 401(A) N/A 0 BAC LOCAL 4 INKY 8455 MOLLER ROAD INDIANAPOLIS IN 46268 351938121 LABOR UNION IN 501(C)(5) N/A 0 BAC LOCAL 4 INKY APPRENTICE AND TRAINING PROGRAM CONTRIBUTING EMPLOYER 0 ABLE MASONRY DEVELOPMENT CONTRIBUTING EMPLOYER 0 ACMS GROUP INC CONTRIBUTING EMPLOYER 0 ACTION CAULKING CONTRIBUTING EMPLOYER 0 ADAMS MASONRY INC CONTRIBUTING EMPLOYER 0 ADVANTAGE INDUSTRIAL SYSTEMS CONTRIBUTING EMPLOYER 0 AMEX NOOTER LLC CONTRIBUTING EMPLOYER 0 ART MOSAIC & TILE CONTRIBUTING EMPLOYER 0 BARTON MALOW CONTRIBUTING EMPLOYER 0 BASIC BROTHERS INC CONTRIBUTING EMPLOYER 0 BELDON INTERIORS INC CONTRIBUTING EMPLOYER 0 BERGLUND CONSTRUCTION COMPANY CONTRIBUTING EMPLOYER 0 BEST BRICKWASHING INC CONTRIBUTING EMPLOYER 0 BISCO REFRACTORIES INC CONTRIBUTING EMPLOYER 0 BRUNO'S TUCKPOINTING INC CONTRIBUTING EMPLOYER 0 BULLEY & ANDREWS MASONRY CONTRIBUTING EMPLOYER 0 C & S MASONRY RESTORATIONS LLC CONTRIBUTING EMPLOYER 0 CCI FLOORING INC CONTRIBUTING EMPLOYER 0 COBA TILE CONTRIBUTING EMPLOYER 0 COLVIN MASONRY INC CONTRIBUTING EMPLOYER 0 CREATIVE ERECTORS CONTRIBUTING EMPLOYER 0 CUSTOM MASONRY RESTORATION INC CONTRIBUTING EMPLOYER 0 DESCO FLOOR SYSTEMS CONTRIBUTING EMPLOYER 0 EBBEN MASONRY INC CONTRIBUTING EMPLOYER 0 EMPIRE REFRACTORY SERVICES INC CONTRIBUTING EMPLOYER 0 FABCON INC CONTRIBUTING EMPLOYER 0 FLUOR CONSTRUCTORS INTERNATIONAL INC CONTRIBUTING EMPLOYER 0 FOSBEL INC CONTRIBUTING EMPLOYER 0 GARIUP CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 GLASSROCK PRODUCTS INC CONTRIBUTING EMPLOYER 0 GOUGH INC CONTRIBUTING EMPLOYER 0 HARBISON-WALKER REFRACTORIES CO CONTRIBUTING EMPLOYER 0 HAYES COMMERCIAL LLC CONTRIBUTING EMPLOYER 0 HOOSIER BROTHERS INC CONTRIBUTING EMPLOYER 0 ICC COMMONWEALTH CORP CONTRIBUTING EMPLOYER 0 INDIANA REFRACTORIES INC CONTRIBUTING EMPLOYER 0 INTEGRAL FLOORING SYSTEMS INC CONTRIBUTING EMPLOYER 0 INTERIOR FINISHES INC CONTRIBUTING EMPLOYER 0 IWANSKI-PYZIK MASONRY AND BUILDERS INC CONTRIBUTING EMPLOYER 0 J & E DUFF INC CONTRIBUTING EMPLOYER 0 J W SEALANTS INC CONTRIBUTING EMPLOYER 0 JOE'S MASONRY CONTRIBUTING EMPLOYER 0 KAUFMANN-GALLAGHER WATERPROOFING INC CONTRIBUTING EMPLOYER 0 KINGSTON TILE COMPANY LTD CONTRIBUTING EMPLOYER 0 KNIOLA'S INDUSTRIAL SERVICE CONTRIBUTING EMPLOYER 0 KORELLIS ROOFING INC CONTRIBUTING EMPLOYER 0 KRAWN CONSTRUCTION LLC CONTRIBUTING EMPLOYER 0 KWIATKOWSKI MASONRY INC CONTRIBUTING EMPLOYER 0 L & S MASONRY INC CONTRIBUTING EMPLOYER 0 LARSON-DANIELSON CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 LAURIE FLOORS INC CONTRIBUTING EMPLOYER 0 MARK 1 RESTORATION COMPANY CONTRIBUTING EMPLOYER 0 MASTER TILE INC CONTRIBUTING EMPLOYER 0 MIDWEST REFRACTORY INSTALLATION CONTRIBUTING EMPLOYER 0 MIDWEST TILE & INTERIORS CONTRIBUTING EMPLOYER 0 MORRISON CONSTRUCTION COMPANY INC CONTRIBUTING EMPLOYER 0 MULLER SURFACES CONTRIBUTING EMPLOYER 0 NATIONAL MACHINERY & CONV CONTRIBUTING EMPLOYER 0 ONEX CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 PAUL'S CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 PIAZZA & MANNERINO MASONRY INC CONTRIBUTING EMPLOYER 0 RAM CONSTRUCTION SERVICES OF MICHIGAN INC CONTRIBUTING EMPLOYER 0 RAMCORP INC CONTRIBUTING EMPLOYER 0 RD MASONRY CONTRIBUTING EMPLOYER 0 REFTECH INTERNATIONAL REFRACTORIES CONTRIBUTING EMPLOYER 0 RESTOREWORKS CONTRIBUTING EMPLOYER 0 ROGERS & SONS CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 SOUTHWEST REFRACTORY OF TEXAS CONTRIBUTING EMPLOYER 0 SSSI INC CONTRIBUTING EMPLOYER 0 T & K MASONRY INC CONTRIBUTING EMPLOYER 0 THORPE AND SON CONTRIBUTING EMPLOYER 0 TOTAL MILL SERVICES INC CONTRIBUTING EMPLOYER 0 TREV TILE CONTRIBUTING EMPLOYER 0 UNITED CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 UNLIMITED MASONRY CONTRIBUTING EMPLOYER 0 WILLIAMS REFRACTORY CONTRIBUTING EMPLOYER 0 ZIOLKOWSKI CONSTRUCTION COMPANY CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0