2022-11-09T09:10:38-06:00 2021-12-31 131578842 BUCHBINDER TUNICK & CO LLP ONE PENN PLAZA SUITE 3200 NEW YORK NY 101190215 990 2021-01-01 362376645 CENTRAL STATES JOINT BOARD HEALTH AND WELFARE TRUST FUND CENT 3127380822 245 FENCL LANE HILLSIDE IL 60162 MARK SPANO TRUSTEE 3127380822 2022-11-08 1 MARK SPANO 999009999 P01366109 2126955003 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MARK SPANO 245 FENCL LANE HILLSIDE IL 60162 119598566 0 X N/A X 1955 IL TO PROVIDE MEDICAL AND DENTAL BENEFITS TO ELIGIBLE PARTICIPANTS. 7 6 11 0 0 0 0 0 64318371 59582840 2946481 3099004 2251201 2788214 69516053 65470058 0 0 64969015 61091322 562866 519472 0 0 0 1916757 1779013 67448638 63389807 2067415 2080251 72640787 76841141 458428 400470 72182359 76440671 TO PROVIDE MEDICAL AND DENTAL BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 PROVIDING MEDICAL AND DENTAL BENEFITS TO APPROXIMATELY 4,900 ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 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 1 196 0 1 11 1 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X THE ORGANIZATION 3127380822 245 FENCL LANE HILLSIDE IL 60162 MARK SPANO CHAIRMAN/TRUSTEE 0.30 X 0 185214 63406 BENNY CASTRO TRUSTEE 0.30 X 0 124835 14952 GARY FAIRHEAD TRUSTEE 0.30 X 0 0 0 SHELLY ROSEN TRUSTEE 0.30 X 0 0 0 NORMAN SOEP TRUSTEE 0.30 X 0 0 0 ANTHONY IORI TRUSTEE 0.30 X 0 169648 61472 LYNETTE ALLEN PLAN MANAGER 40.00 X 73811 0 34677 PHILIP SITKOWSKI PRIOR TRUSTEE 0.30 X 0 80543 39555 CRISTINA RAMIREZ PRIOR TRUSTEE 0.30 X 0 80056 34598 73811 640296 248660 0 1 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 60601 NETWORK ADMINISTRATION 2369365 MEDICAL COST MANAGEMENT 105 WEST ADAMS SUITE 2200 CHICAGO IL 60603 UTILIZATION REVIEW 196012 ALPER SERVICES LLC 410 NORTH MICHIGAN AVE 12TH FLOOR CHICAGO ID 60611 INVESTMENT SERVICES 122204 JOHNSON AND KROL LLC 311 S WACKER DRIVE SUITE 1050 CHICAGO IL 60606 LEGAL SERVICES 109995 4 EMPLOYER CONTRIBUTIONS 900099 59279134 59279134 PARTICIPANT CTRB. 900099 303706 303706 59582840 1712417 1712417 55515095 54128508 1386587 1386587 1386587 REBATES 900099 2788214 2788214 2788214 65470058 63757641 0 1712417 61091322 73811 163760 262938 18963 104526 85176 260124 139018 72882 31137 109937 538 9983 351781 ALLOCATED EXPENSES 290846 CASE MANAGEMENT 212800 CLAIMS PROCESSING 81925 PCORI FEES 28340 63389807 7356871 5254091 1749885 3836724 85253 92734 413397 396124 27256 17273 53726131 55977339 9695391 11662980 72640787 76841141 98227 95403 360201 305067 458428 400470 X 0 0 0 0 72182359 76440671 72182359 76440671 72640787 76841141 2080251 2178061 0 X X 0 1 X 1 0 413397 396124 17273 17273 POST INTERMEDIATE TERM HIGH YIELD FUND, L.P. 11662980 F 11662980 CONTRIBUTIONS REC IN ADVANCE 50012 DUE TO BROKER FOR PENDING TRADES 203575 DUE TO RELATED ORGANIZATIONS 51480 305067 67387995 2178061 2178061 65209934 260124 260124 65470058 63129683 0 63129683 260124 260124 63389807 0 0 0 MARK SPANO CHAIRMAN/TRUSTEE 0 185214 0 0 0 0 0 0 0 63406 0 248620 0 0 ANTHONY IORI TRUSTEE 0 169648 0 0 0 0 0 0 0 61472 0 231120 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE FUND HAS NO SUBCOMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S BOARD OF TRUSTEES REVIEWS THE 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AND CAN BE EXAMINED AT THE FUND OFFICE. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. 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