2020-08-21T13:08:00-05:00 2019-12-31 320043599 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CENTER WESTCHESTER IL 60154 990 2019-01-01 366158494 SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS WELFARE FUND SUBU 6302935218 1171 COMMERCE DR UNIT 1 WEST CHICAGO IL 60185 MARK KENNEDY TRUSTEE 6302935218 2020-08-21 1 COLIN THOMPSON P01460524 3123680500 2020-08-06 12.235.239.120 2020-08-21 13:07:54 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 013BD4BEA457AB31DE8385915B9401809CC4B7ED 2019 2020-11-19 02:30:22Z MARK KENNEDY 1171 COMMERCE DR UNIT 1 WEST CHICAGO IL 60185 101844511 0 X WWW.SUBURBANTEAMSTERS.COM X 1951 IL PROVIDE HEALTH BENEFITS 6 0 153 0 0 0 0 0 62065140 66083058 2181521 6390568 729 7474 64247390 72481100 0 0 65408561 65238195 1106171 1126488 0 0 0 1140295 1233530 67655027 67598213 -3407637 4882887 122632480 133856552 402674 181125 122229806 133675427 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR 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 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 684 0 1 153 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1 0 0 X JOSE COLIN - FUND MANAGER 6302930390 1171 COMMERCE DR UNIT 1 WEST CHICAGO IL 60185 X MARK KENNEDY TRUSTEE 2.00 2.00 X 0 0 0 THOMAS FLYNN TRUSTEE 1.00 65.00 X 0 162882 43648 WILLIAM BRACH TRUSTEE 1.00 1.00 X 0 0 0 DOMINIC ROMANAZZI TRUSTEE 2.00 40.00 X 0 158941 51248 TIMOTHY CUSTER TRUSTEE 1.00 65.00 X 0 128690 55615 RITCH DEMBINSKY TRUSTEE 1.00 1.00 X 0 0 0 JOSE COLIN FUND MANAGER 15.00 25.00 X 0 151322 34133 SUE SELIMOS WELFARE OPERATIONS MANAGER 36.00 4.00 X 0 115432 34133 0 717267 218777 0 0 1 0 MED CARE HEALTH MANAGEMENT CORPORATION 1107 S MANNHEIM ROAD WESTCHESTER IL 60154 BENEFIT CONSULTANT 142581 PRESENCE CENTRAL AND SUBURBAN HOSPITALS 32815 COLLECTION CENTER DRIVE CHICAGO IL 60693 MEDICAL SERVICES 141727 PRUDENTIAL FINANCIAL 2 GATEWAY CENTER NEWARK NJ 07102 INVESTMENT MANAGER 135534 ADVOCATE HEALTH & HOSPITALS 3075 HIGHLAND PARKWAY DOWNERS GROVE IL 60515 MEDICAL SERVICES 104088 4 EMPLOYER CONTRIBUTIONS 900099 59824136 59824136 PARTIC & RETIREE CONTRIBUTIONS 900099 4905851 4905851 PRESCRIPTION REBATES 900099 1353071 1353071 66083058 1265464 1265464 34488515 29363411 5125104 5125104 5125104 MISCELLANEOUS 900099 7474 7474 7474 72481100 66083058 0 6398042 65238195 69546 595852 154108 209202 97780 134686 155167 312688 97928 157661 84276 176671 1018 13881 16851 59154 PCORI FEES 23549 67598213 4235788 5056649 647799 365978 6343296 6304442 19614 40604 123802 20026 639337 571263 84925 68074 39595691 38904763 71581565 83096016 122632480 133856552 96256 119055 306418 62070 402674 181125 X 0 0 0 0 122229806 133675427 122229806 133675427 122632480 133856552 4882887 6562734 0 X 0 1 X 1 0 639337 571263 68074 68074 CREDOS FLOATING RATE FUND, L.P. 14110622 F INSTITUTIONAL ALL CAP EQUITY FUND 22300200 F IR&M SHORT FUND LLC 11325409 F PGIM CORE CONSERVATIVE BOND FUND 24842890 F U.S. REAL ESTATE INVESTMENT FUND LLC 10516895 F 83096016 DUE TO SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS PENSION FUND 62070 62070 X 78731146 6562734 6562734 72168412 312688 312688 72481100 67285525 0 67285525 312688 312688 67598213 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. 0 0 0 THOMAS FLYNN TRUSTEE 0 142482 0 0 0 20400 0 24163 0 19485 0 206530 0 0 DOMINIC ROMANAZZI TRUSTEE 0 131104 0 2637 0 25200 0 32834 0 18414 0 210189 0 0 TIMOTHY CUSTER TRUSTEE 0 109215 0 0 0 19475 0 36130 0 19485 0 184305 0 0 JOSE COLIN FUND MANAGER 0 151322 0 0 0 0 0 14633 0 19500 0 185455 0 0 SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS PENSION PLAN AFFILIATED PENSION PLAN 99543 RENT EXPENSE 0 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 FORM 990 IS PROVIDED TO THE CHAIRMAN OF THE BOARD OF TRUSTEES AND THE FUND MANAGER FOR THEIR REVIEW AND APPROVAL PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES AND EMPLOYEES OF THE HEALTH AND WELFARE FUND. THE BOARD OF TRUSTEES MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF TRUSTEES APPROVES COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL (OFFICER), THE FUND MANAGER, WHO OVERSEES THE ORGANIZATIONS DAILY OPERATIONS. THE FUND MANAGER IS INITIALLY PAID BY THE RELATED PENSION FUND AND AN AMOUNT IS ALLOCATED TO THE WELFARE FUND AND REIMBURSED BACK TO THE PENSION FUND BASED ON TIME SPENT WORKING FOR THE RESPECTIVE FUNDS. APPROVAL IS DOCUMENTED IN THE ORGANIZATIONS MINUTES. TRUSTEES OF THE ORGANIZATION ARE NOT COMPENSATED. FORM 990, PART VI, SECTION C, LINE 19 THE HEALTH AND WELFARE FUND MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS HOME OFFICE, UPON REQUEST. FORM 990, PART VII, LINE 1A THE ORGANIZATION'S ADMINISTRATOR IS ALSO THE ADMINSITRATOR OF THE RELATED PENSION FUND. REIMBURSEMENTS ARE DISBURSED BETWEEN THE TWO ORGANIZATIONS FOR THEIR ALLOCATED PORTION OF HIS SALARY, FRINGE BENEFITS, AND PAYROLL TAXES. FORM 990, PART V, LINE 2A THE NUMBER OF EMPLOYEES REPORTED ON FORM W-3, TRANSMITTAL OF WAGE AND TAX STATEMENTS, FILED FOR THE CALENDAR YEAR ENDING WITH OR WITHIN THE YEAR COVERED BY THIS RETURN INCLUDES PARTICIPANTS OF THE FUND THAT HAVE RECEIVED DISABILITY PAYMENTS DURING THE YEAR. 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