2022-10-17T16:08:16-05:00 2021-12-31 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2021-01-01 043194045 MIRA-GMP & ALLIED WORKERS INSURANCE TRUS MIRA 5133816886 525 VINE STREET 2325 CINCINNATI OH 45202 KIMBERLY WOOD CEO 5133816886 2022-10-17 1 KIMBERLY WOOD 999009999 J RYAN LINDSAY P01835061 3043459400 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z KIMBERLY WOOD 525 VINE ST SUITE 2325 CINCINNATI OH 45202 4524716 0 X N/A X 1993 OH TO MAINTAIN INSURANCE BENEFITS PROVIDED FOR UNDER A COLLECTIVE BARGAINING AGREEMENT BETWEEN MANUFACTURERS' INDUSTRIAL RELATIONS ASSOCIATION AND THE UNITED STEEL, PAPER AND FORESTRY, RUBBER, MANUFACTURING, ENERGY, ALLIED INDUSTRIAL AND SERVICE WORKERS INTERNATIONAL UNION 4 0 0 4 0 0 0 0 4832664 4269775 25071 10076 0 0 4857735 4279851 0 0 3326492 4513916 0 0 0 0 0 880667 841767 4207159 5355683 650576 -1075832 3705316 2928068 942801 1250856 2762515 1677212 X TO MAINTAIN INSURANCE BENEFITS PROVIDED FOR UNDER A COLLECTIVE BARGAINING AGREEMENT BETWEEN MANUFACTURERS' INDUSTRIAL RELATIONS ASSOCIATION AND THE UNITED STEEL, PAPER AND FORESTRY, RUBBER, MANUFACTURING, ENERGY, ALLIED INDUSTRIAL AND SERVICE WORKERS INTERNATIONAL UNION. 0 0 5355683 TO MAINTAIN INSURANCE BENEFITS PROVIDED FOR UNDER A COLLECTIVE BARGAINING AGREEMENT BETWEEN MANUFACTURERS' INDUSTRIAL RELATIONS ASSOCIATION AND THE UNITED STEEL, PAPER, AND FORESTRY, RUBBER, MANUFACTURING, ENERGY, ALLIED INDUSTRIAL AND SERVICE WORKERS INTERNATIONAL UNION. 5355683 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 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 1 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X KIMBERLY WOOD - AMERICAN BENEFIT CORPORATION 5133816886 525 VINE STREET SUITE 2325 CINCINNATI OH 45202 X JOHN BURKE TRUSTEE 2.00 X 0 0 0 ROBERT LEFERE TRUSTEE 2.00 X 0 0 0 EDWARD BEDOCS TRUSTEE 2.00 X 0 0 0 CLAUDE BEAUDIN TRUSTEE 2.00 X 0 0 0 0 0 0 0 0 0 0 CORESOURCE 5200 UPPER METRO PLACE DUBLIN OH 43017 ADMINISTRATION FEES 113199 1 EMPLOYER CONTRIBUTIONS 525100 3600945 3600945 PARTICIPANT CONTRIBUTI 525100 668830 668830 4269775 14941 14941 240000 244865 -4865 -4865 -4865 4279851 4264910 0 14941 4513916 34100 30227 15429 5459 120872 4192 2088 629400 5355683 1748192 956505 512690 242165 396126 684991 1047470 1043569 838 838 3705316 2928068 27600 42654 915201 1208202 942801 1250856 X 0 0 0 0 2762515 1677212 2762515 1677212 3705316 2928068 -1075832 -9471 0 X X 0 1 X 1 0 0 CLAIMS INCURRED BUT NOT REPORTED 1208202 1208202 X 4270380 -9471 -9471 4279851 0 4279851 5062682 0 5062682 293001 293001 5355683 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)9 OF THE INTERNAL REVENUE CODE (IRC), AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER DATED OCTOBER 17, 1994, FROM THE IRS, AND THE PLAN ADMINISTRATOR BELIEVES THAT THE TRUST, AS AMENDED, CONTINUTES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE IRC. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAM1NAT1ONS FOR YEARS PRIOR TO 2018. PART XII, LINE 4B - OTHER ADJUSTMENTS: INCURRED BUT NOT REPORTED GAIN/LOSS FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT HAS DELEGATED ADMINISTRATIVE DUTIES TO AN OUTSIDE THIRD-PARTY ADMINISTRATOR FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY PLAN MANAGEMENT, WHO REPORTS TO THE BOARD REGARDING THE COMPLETENESS AND ACCURACY OF THE TAX RETURN FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FORM 990 IV LINE 11B THE PROCESS HAS NOT CHANGED HAMILTON BRASS & ALUMINUM CAST COMPANY PO BOX 657 HAMILTON OH 45012 OH N/A C 0 OSCO INDUSTRIES INC 11TH AND CHILICOTHE STREETS PORTSMOUTH OH 45662 OH N/A C 0 PIONEER FOUNDRY COMPANY INC PO BOX 1425 JACKSON MI 49204 MI N/A C 0 UNITED BRONZE OF PITTSBURGH PO BOX 317 CREIGHTON PA 15030 PA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0