2022-03-29T14:45:21-05:00 2021-05-31 310800053 CLARK SCHAEFER HACKETT & CO 1656 Henthorne Dr Suite 400 Maumee OH 43537 990 2020-06-01 344442536 Union Construction Workers Health Plan UNIO 4192482401 P O Box 1330 Holland OH 43528 Jamie Peppers Chairman 4192482401 2022-03-19 1 Jamie Peppers 999009999 Michael D Nyitrai P01799376 4198412848 2022-03-19 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z P O Box 1330 Holland OH 43528 56806817 0 X N/A X 1952 OH The fund provides health benefits for eligible members of the contruction trade unions covered by the fund. 10 10 36 0 0 0 0 0 31828399 28046169 1928710 2155709 5582 26247 33762691 30228125 0 0 29066674 30845083 0 0 0 0 0 1777149 1920833 30843823 32765916 2918868 -2537791 64972151 66553570 43706543 45183416 21265608 21370154 The fund provides health benefits for eligible members of the construction trade unions covered by the fund. 0 0 The fund provides health benefits for eligible members of the construction trade unions covered by the fund. 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 1 228 0 1 36 1 1 1 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Stacie J Ralph 4192482401 7142 Nightingale Dr Holland OH 43528 Corey Beaubien Trustee 0.00 X 0 0 0 Gregory Myers Trustee 0.00 X 0 0 0 Brian Seeger Trustee 0.00 X 0 0 0 Kenneth Gabel Trustee 0.00 X 0 0 0 Eric Kahle Trustee 0.00 X 0 0 0 Jamie Peppers Trustee 0.00 X 0 0 0 Michael Kujawa Trustee 0.00 X 0 0 0 Matt Aberl Trustee 0.00 X 0 0 0 Michelle Scherer Trustee 0.00 X 0 0 0 Josh Hughes Trustee 0.00 X 0 0 0 Trust Company of Toledo Institutional Trustee 1.00 X 51576 0 0 51576 0 0 0 0 0 0 Northwestern Ohio Administrators 7142 Nightingale Dr Holland OH 43528 Administrative Mgr 1425216 Anthem 4361 Irwin Simpson Rd Mason OH 45040 Health Insurance 956270 2 Employer Contributions 900099 28046169 28046169 28046169 1605459 1605459 27128942 26578692 550250 550250 550250 Class Action Settlement 900099 24711 24711 Liquidated Damages 900099 1536 1536 26247 30228125 28072416 0 2155709 30845083 64087 24583 677 8187 Administrative Expenses 1558578 Custodial Trust Fees 147526 Consultant 93478 Miscellaneous 15329 8388 32765916 9574158 6680516 5303380 5862723 4031435 4621243 45845534 49189078 217644 200010 64972151 66553570 691840 383470 43014703 44799946 43706543 45183416 X 21265608 21370154 21265608 21370154 64972151 66553570 -2537791 2642337 0 X X 0 1 X 1 0 0 IBNR 3189500 Reserve for Extended Eligibility 16257900 HRA/EAP Benefits 25352546 44799946 X 32722936 2642337 2642337 30080599 147526 147526 30228125 30833147 0 30833147 1932769 1932769 32765916 Part X, Line 2: The Plan has determined that there are no uncertain tax positions that require disclosure in these financial statements under the FASB Accounting Standards Codification topic, Income Taxes. The tax years 2017 through 2020 are subject to possible examination by the Internal Revenue Service. Part XII, Line 4b - Other Adjustments: Investment Expenses 147,526. Change in Estimated Future Benefits 1,785,243. Form 990, Part VI, Section B, line 11b Line 11a explanation - Each trustee is provided with a draft copy of the 990 for their review and approval prior to the filing of the form. Form 990, Part VI, Section B, line 12c The plan administrator and attorney follow up with each trustee to ensure that each completes the annual conflict of interest disclosure. Form 990, Part VI, Section C, line 19 All governing documents, policies and finanical statements are available upon request to Northwestern Ohio Administrators, Inc., the plan administrator. Form 990 Part XII, Line 2C The process has not changed from the prior year. ASSOCIATED GENERAL CONTRACTORS BRICKLAYERS AND ALLIED CRAFTWO BRICKLAYERS INTERNATIONAL BRICKLAYERS JAC BRICKLAYERS LU 5 OHIO BRICKLAYERS MICHIGAN BAC BRICKLAYERS OF WESTERN PA #9 FTIOR PAINTER LU 7 APPR COMMI IRONWORKERS DC SOUTHERN OHIO IRONWORKERS LOCAL 1 IRONWORKERS LOCAL 207 IRONWORKERS LOCAL 55 IRONWORKERS LOCAL NO 17 IRONWORKERS LOCAL UNION 167 IRONWORKERS LOCAL UNION 397 IRONWORKERS LU 25 MI IRONWORKERS LU 549 & 550 IRONWORKERS WESTERN PA #3-772 IRONWRKRS JOINT APPRENTICE MO-KAN IRONWORKERS LU #10 OHIO BRICKLAYERS FUNDS PAINTERS DISTRICT COUNCIL #6 PAINTING INDUSTRY FUNDS ROOFERS JAC ROOFERS LOCAL NO 134 SHEET METAL INT'L ASSOC SHEET METAL LOCAL 33 SHEET METAL LU 85 SHEET METAL WORKERS LU 292 SHEET METAL WORKERS LU 33 SHEETMETAL LU33 JATC SOUTHEASTERN IRONWORKERS SOUTHEASTERN IRONWORKERS LU 39 TRI COUNTY BUILDING LOCAL 33 ADVANCED INDUSTRIAL SVCS LLC ALLIED POWER SERVICES MICHIGAN AMERISEAL & RESTORATION LLC ARC UNION SERVICES LLC BROCK INDUSTRIAL SERVICES LLC CORROSION RESISTANCE LTD CROSS HTG CLG & SHTML GRP LLC EDCO CONTRACTING LLC EVERS STEEL CONSTRUCTION HAYES MECHANICAL HEAVENLY BALANCING LLC HMR CONSTRUCTION LLC INLAND FIRE BRICK LLC IVY DEVELOPMENT AGENCY LLC KYLE SHERMAN EXCAVATING LLC M & M HEATING & COOLING LLC NPSG GLOBAL LLC PERRY PAINTING & RESTORATION PSC INDSTL OUTSOURCING OF MI L ROYAL-WEST ROOFING THE SELINSKY FORCE LLC THERMO-TECH SERVICES LLC TRIGEN INDUSTRIAL SERVICES WOODRUFF CONTRACTING YOUNGSTOWN BRIDGE LLC 360 CONSTRUCTION A A BOOS & SON INC ADVANCED STEEL ERECTORS AIR CONCEPTS ALLSTATES REFRACTORY CONTRACTO AMERICAN BRIDGE CO AMERICAN FLOORING INSTALLERS ANESE MASONRY COMPANY APACHE INDUSTRIAL UNITED INC APBN INC API INC APPLEGATE HEATING & AC ARMSTRONG STEEL ERECTORS INC ASSEMBLERS INC ATLAS PAINTING COMPANY ATSALIS BROTHERS PAINTING AVALOTIS PAINTING CO AVON LAKE SHEET METAL B STEEL ERECTORS DBA AKRON ERE B WILLIAM BUCHER INC BARNHART CRANE & RIGGING BARTON MALOW CO BEAVER CONSTRUCTORS INC BLACK SWAMP STEEL INC BLOOM ROOFING SYSTEMS BRAND ENERGY SERVICES OF PGH BRESCOL BROTHERS INC BRICKLAYERS LU 3OADC BUCKEYE STEEL ERECTORS INC CAPITAL CITY GROUP INC CAPP STEEL ERECTORS INC CHAMPION PAINTING SPECIALTY SE CHARDON CONCRETE INC CITY STEEL INC CMF GROUP INC COMMERCIAL COMFORT SYSTEMS INC COMMERCIAL CONSTRUCTION INC COMMERCIAL CONTRACTING COMMERCIAL FLOORING OF TOLEDO COMMERCIAL GLAZING SYS INC COMTE CONSTRUCTION CO CONSOLIDATED RIGGERS COON CAULKING & RESTORATION IN CORE MECHANICAL INC CUSTOM INTERIORS & ACOUSTICS D'ALOISIO MASONRY & CONSTR IN DAY & ZIMMERMANN NPS DEARBORN MID-WEST CONVEYOR CO DELROSE CONSTRUCTION CO DELVENTHAL COMPANY DEPENDABLE PAINTING CO DETROIT & VICINITY TROWEL TR DON R FRUCHEY INC DUFFEY CONCRETE CUTTING DUNBAR MECHANICAL INC EAST COAST METAL SYSTEMS INC EDWARD L MYERS PAINTING EDWARDS GLASS CO EMPIRE REFRACTORY SVCS OF OHIO EMPIRE REFRACTORY SVS OF INDI EMPIRE SOLUTIONS NA INC ENVIRO-AIRE INC F & M TILE & TERRAZZO F D THOMAS INC FLATROCK BRIDGE GROUP FLORAL CITY GLASS CO FLOYD'S RIGGING & MACHINERY MO FOUNDATION STEEL FRED CHRISTEN & SONS CO FRY HVAC INC FUTURE FENCE COMPANY G & L CORPORATION GEM INDUSTRIAL INC GIFFIN INC GREAT LAKES CNCRET RESTORATION GRUNWELL-CASHERO CO HALKER DRYWALL INC HAMON CUSTODIS INC HEIMBROCK INC HENRY GURTZWEILER INC HENRY TEICHMANN INC HGI INC HOFFMAN & HARPST CO HOHL INDUSTRIAL SERVICES INC HOLGATE METAL FAB INC HOOSIER CRANE SERVICE CO HOT TECH INC HOWARD PAINTING INC I O INTERIORS ICC-INTERNATIONAL INDUSTRIAL C INDOOR CLIMATE CONTROL INDUSTRIAL POWER SYST INTERSTATE COMMERCIAL GLASS & J L MECHANICAL SERVICES J T THORPE & SON INC K L E CONSTRUCTION CO KAUFMAN ENGINEERED SYSTEMS KOKOSING CONSTRUCTION CO KOKOSING INDUSTRIAL INC LAKESIDE INTERIOR CONTRACTORS LEIDAL & HART MASON CONTR INC LIBBEY GLASS LILJA CORP LIMA PAINTING COMPANY M & M HEATING & COOLING INC M J WEIS ROOFING CO MADISON HEIGHTS GLASS CO INC MAY PAINTING COMPANY MICHELS PIPELINE CONST INC MID-AMERICAN GUNITE MIDEAST MACHINERY MOVERS INC MIDWEST CONTRACTING INC MIDWEST STEEL INC MOSSER CONSTRUCTION N B I CONSTR SERVICES INC NILES INDUSTRIAL COATINGS NORDMANN ROOFING COMPANY INC NORON INC NORTHWEST CUSTOM MECHANICAL NORTHWESTERN OHIO ADMINI OCP CONTRACTORS OHIO BLDG RESTORATION OKULEY HTNG & AC ON SITE STUDWELDING INC OVERHEAD DOOR OF TOLEDO OVERHEAD ROOFING & SHEET METAL P & W PAINTING CONTR INC PETERSON GLASS COMPANY PIONEER FENCE CO INC PIQUA STEEL CO INC R K PAINTING CO INC R L BONDY R W MEAD & SONS INC RAM CONSTRUCTION SERVICES RESCH'S TILE INC RMF NOOTER INC ROEHRIG PAINTING RUDOLPH-LIBBE S A STORER & SONS CO S A STORER-ICE AGREEMENT SAFESPAN PLATFORM SYSTEMS INC SAMPSON PAINTING SCHREIBER ROOFING CO SEAWAY PAINTING LLC SHEETMETAL WKRS LU33-ORGANIZAT SIEB PLUMBING & HEATING CO SIELER CONSTRUCTION INC SPARTAN CONSTRUCTION CO SPERLING HTNG & VNTLTNG CO STEVENS PAINTON CORP STRAHM DIV OF SGI INC STRESCORE INC STRUCTURAL COATINGS INC STRUCTURAL SERVICES INC STUDER-OBRINGER INC SUBURBAN MNTNS & CONSTR THE K COMPANY THE SCHAEFER GROUP INC THOMARIOS PAINTING CO INC THOMPSON PLBG & HTG INC TOLEDO CAISSON CORP TOLEDO FENCE & SUPPLY COMPANY TOLEDO MECHANICAL INSULATION TOLEDO TIN KNOCKERS(RL HUESTON TOTAL COMFORT SERVICES TRI STATE INDUSTRIAL FLOORS TRIPLE T TILE TRISCO SYSTEMS INC TUTTLE CONSTRUCTION UNITED ROOFING V M SYSTEMS INC VALLEY INTERIOR SYSTEM VAN TASSEL CONSTRUCTION VIKING ERECTORS CORP WALBRIDGE EQUIPMENT WATERVILLE SHEET METAL WEIGAND CONSTRUCTION CO INC WIEDENBEIN ENTERPRISES INC WOLFE'S ROOFING CO INC WOLVERINE STEEL ERECTORS WOODS CONSTRUCTION INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0