2019-04-15T12:49:48-05:00 2018-05-31 310800053 CLARK SCHAEFER HACKETT & CO 3166 N Republic Blvd Toledo OH 43615 990 2017-06-01 344442536 Union Construction Workers Health Plan UNIO 4192482401 P O Box 1330 Holland OH 43528 Brian Seeger Chairman 4192482401 2019-04-02 1 Lee D Wunschel P00088726 4198412848 2019-04-02 72.240.120.3 2019-04-02 10:57:17 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D41268BA6B9B48484F7675C44F2FADFB9D057250 2017 2019-02-21 02:37:17Z P O Box 1330 Holland OH 43528 61671705 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 0 0 0 0 0 0 26048248 27030201 1247855 1545964 5590 10224 27301693 28586389 0 0 19641934 23675133 0 0 0 0 0 1865055 1771116 21506989 25446249 5794704 3140140 53153845 56114307 18363460 34317192 34790385 21797115 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 0 0 0 1 1 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 Kevin Smith 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 Trust Company of Toledo Institutional Trustee 1.00 X 51176 0 0 51176 0 0 0 0 0 0 Northwestern Ohio Administrators 7142 Nightingale Dr Holland OH 43528 Administrative Mgr 1336953 Anthem 4361 Irwin Simpson Rd Mason OH 45040 Health Insurance 677007 Vision Services Plan PO Box 60000 San Francisco CA 94160 Vision Insurance 160724 3 Employer Contributions 900099 27030201 27030201 27030201 1462974 1462974 33168306 33085316 82990 82990 82990 Liquidated Damages 900099 10224 10224 10224 28586389 27030201 0 1556188 23675133 64007 28444 9527 8699 Administrative Expenses 1433418 Custodial Trust Fees 109409 Consultant 68506 Miscellaneous 38355 10751 25446249 3523815 4908200 3275678 587054 4905848 4306598 41262601 46131775 185903 180680 53153845 56114307 700835 431280 17662625 33885912 18363460 34317192 X 34790385 21797115 34790385 21797115 53153845 56114307 3140140 131506 -16264916 0 X X 0 1 X 1 0 0 IBNR 3181000 Reserve for Extended Eligibility 14439996 HRA/EAP Benefits 16264916 33885912 X 28608476 131506 131506 28476970 109419 109419 28586389 25378459 41629 41629 25336830 109419 109419 25446249 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 2014 through 2017 are subject to possible examination by the Internal Revenue Service. Part XII, Line 2d - Other Adjustments: Change in Estimated Future Benefits Change- Estimated Unpaid Claims Incurred 41,629. 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: No change from prior year. Form 990, Part XI, Line 8 The audited financial statements included a prior period adjustment to recognize the obligation related to the estimated value of HRA/EAP benefits available and to record the estimated future benefits based on participants' accumulated eligibility. BOILERMAKERS NATIONAL FUND BRICKLAYERS AND ALLIED CRAFTWO BRICKLAYERS INTERNATIONAL BRICKLAYERS JAC BRICKLAYERS LU 3OADC BRICKLAYERS LU 6-OH BRICKLAYERS LU#2 ALBANY NY BRICKLAYERS MICHIGAN BAC INTERMOUNTAIN IW LU 21 UTAH IRONWORKERS DC NEW ENGLAND IRONWORKERS DC SOUTHERN OHIO IRONWORKERS DISTRICT OF TN IRONWORKERS LOCAL 207 IRONWORKERS LOCAL 378 IRONWORKERS LOCAL 55 IRONWORKERS LOCAL NO 17 IRONWORKERS LU 25 MI IRONWORKERS LU 549 & 550 IRONWORKERS LU#798 ALABAMA IRONWORKERS TRI-STATE LU 393 IRONWORKERS WESTERN PA #3-772 IRONWRKRS JOINT APPRENTICE MO-KAN IRONWORKERS LU #10 OHIO BRICKLAYERS FUNDS PAINTER LU 7 APPR COMMITTEE PAINTERS DISTRICT COUNCIL #6 PAINTING INDUSTRY FUNDS PLUMBERS & PIPEFITTERS LU 636 ROOFERS LOCAL NO 134 SHEET METAL INT'L ASSOC SHEET METAL LU 110 SHEET METAL LU 292 SHEETMETAL LOCAL 36 SHEETMETAL LU33 JATC SHEETMETEL WKRS LU 33-ORGANIZATION SOUTHEASTERN IRONWORKERS PA SOUTHEASTERN IRONWORKERS LU 39 TEXAS IRONWORKERS FRINGE FNDS TWIN CITIES IRONWORKERS LU 512 AMERISEAL & RESTORATION LLC CROSS HTG CLG & SHTML GRP LLC HMR CONSTRUCTION LLC IDEAL CONTRACTING LLC IVY DEVELOPMENT AGENCY LLC KYLE SHERMAN EXCAVATING LLC MID OHIO STRUCTURES LLC NEWJAC INDUSTRIAL LLC PRO AIR SOLUTIONS LLC SEAWAY PAINTING LLC THE SELINSKY FORCE LLC THERMO-TECH SVCS LLC DBA VINTAGE HEATING & AIR TOLEDO DUCT CLEAN SERVICES LLC WEST WIND REINFORCING LLC WILLIAMS SPECIALTY SVCS LLC YOUNGSTOWN BRIDGE LLC A A BOOS & SON INC ACE STEEL ERECTION INC ADVANCED INDUSTRIAL SVCS LLC ADVANCED STEEL ERECTORS AERCO SANDBLASTING CO AIR CONCEPTS ALLIED FENCE BUILDERS INC ALLIED VENTILATION INC ALLSTATES REFRACTORY CONTRACTO AMERICAN FLOORING INSTALLERS ANESE MASONRY COMPANY APBN INC API INC APOLLON PAINTING CO APPLEGATE HEATING & AC ARCHITECTURAL ERECTORS INC ARMSTRONG STEEL ERECTORS INC ASSOCIATED GENERAL CONTRACTORS ATLANTIC PLANT MAINT ATSALIS BROTHERS PAINTING AUTOMATED ENTRANCE TECH AVALOTIS PAINTING CO B WILLIAM BUCHER INC BAKER CONSTRUCTION CO BARNHART CRANE & RIGGING BARTON MALOW CO BLACK & VEATCH BLACK SWAMP STEEL INC BLOOM ROOFING SYSTMES BRAND ENERGY SERVICES OF PGH BRENCAL CONTRACTORS INC BRESCOL BROTHERS INC BRIESER CONSTRUCTION CO BROCK INDUSTRIAL SERVICES LLC BUCKEYE STEEL ERECTORS INC C L RIECKHOFF CO INC CANTON ERECTORS INC CAPITAL CITY GROUP INC CEI SOUTHWEST INC CITY STEEL INC CMF GROUP INC COMMERCIAL COMFORT SYSTEMS INC COMMERCIAL CONSTRUCTION INC COMMERCIAL CONTRACTING COMMERCIAL FLOORING OF TOLEDO COMMERCIAL GLAZING SYS INC COMPLETE HEATING & AC COMTE CONSTRUCTION CO CONNELL INC CONRAD SCHMITT STUDIOS CONSOLIDATED RIGGERS COON CAULKING & RESTORATION INC CORE MECHANICAL INC CROWN CORR INC CUSTOM INTERIORS & ACOUSTICS DAY & ZIMMERMANN NPS DEARBORN MID-WEST CONVEYOR CO DEE CRAMER INC DELROSE CONSTRUCTION CO DEPENDABLE PAINTING CO DETROIT & VICINITY TROWEL TR DON R FRUCHEY INC DUNBAR MECHANICAL INC DURR SYSTEMS INC EAST COAST METAL SYSTEMS INC EDWARD L MYERS PAINTING EMPIRE REFRACTORY SVCS OF OHIO EMPIRE REFRACTORY SVCS OF INDIANA EMPIRE SOLUTIONS NA INC ENVIRO-AIRE INC EUGENIO PAINTING CO F & M TILE & TERRAZZO FABCON INC FLORAL CITY GLASS CO FLOYD'S RIGGING & MACHINERY MO FM SYLVAN INC FOREST CITY ERECTORS FOUNDATION STEEL FRED CHRISTEN & SONS CO FRISCHE-MULLIN INC FRY HVAC INC FUTURE FENCE COMPANY G & L CORPORATION GEM INDUSTRIAL INC GIFFIN INC GREAT LAKES CNCRET RESTORATION GRUNWELL-CASHERO CO H M WHITE CO INC HAGERMAN CONSTRUCTION CO HAMILTON INSULATION HAMON CUSTODIS INC HAYES MECHANICAL HENRY GURTZWEILER INC HENRY TEICHMANN INC HGI INC HOFFMAN & HARPST CO HOLGATE METAL FAB INC HOT TECH INC HOWARD PAINTING INC I O INTERIORS ICC GROUPILLINOIS CONSTRUCTOR ICC-INTERNATIONAL INDUSTRIAL INDOOR CLIMATE CONTROL INDUSTRIAL POWER SYST INLAND FIREBRICK LLC INTERNATIONAL MASONRY TRAINING INTERSTATE COMMERCIAL GLASS & J & B STEEL ERECTORS J L MECHANICAL SERVICES JOHN A PAPALAS & CO JOHN W MCDOUGALL CO JOHNSTONE MACHINERY MOVERS INC KALKREUTH ROOFING & SHEETMETAL KIRK BROS CO INC KOKOSING CONSTRUCTION CO LAKESIDE INTERIOR CONTRACTORS LEIDAL & HART MASON CONTR INC LENCYK MASONRY CO INC LIBBEY GLASS LILJA CORP LIMA PAINTING COMPANY M & M HEATING & COOLING INC M J WEIS ROOFING CO MANSUETTO N F & SONS MATRIX NORTH AMERICAN CONSTRUCTION MATRIX SVC INDUSTRIAL CONTRACTOR METAL DESIGNONE METAL DESIGN MID-AMERICAN GUNITE MIDWEST CONTRACTING INC MIDWEST STEEL INC MONROE GLASS COMPANY MOSSER CONSTRUCTION MULL IRON N B I CONSTR SERVICES INC NATIONAL ACID PROOFING NKC CONVEYOR INSTALL CO INC NORDMANN ROOFING COMPANY INC NORON INC NORTH COAST STEEL ERECTORS INC NORTHWEST CUSTOM MECHANICAL NORTHWESTERN OHIO ADMINI OCP CONTRACTORS ODLE PAINTING INC OHIO BLDG RESTORATION OHIO CONCRETE SAWING AND DRILL OKULEY HTNG & AC ON SITE STUDWELDING INC OVERHEAD DOOR OF TOLEDO P & W PAINTING CONTR INC PARTLAN LABADIE SHEET MTL CO PATRIOT GROUP CONSTRUCTION PCC MASONRY PHILLIPS BRICK CLEANING INC PIONEER FENCE CO INC PIQUA STEEL CO INC PLATINUM SCAFFOLDING SERVICES POLEY MASONRY CORP PRECAST SERVICES INC PREMIUM DOORS & MORE PSC INDSTL OUTSOURCING OF MI LLC R K PAINTING CO INC R L BONDY RAM CONSTRUCTION SERVICES RMF NOOTER INC ROEHRIG PAINTING ROOFERS JAC RUDOLPH-LIBBE RUHLIN CO S A STORER & SONS CO S A STORER-ICE AGREEMENT SCHAD BOILER SETTING CO SCHREIBER ROOFING CO SIEB PLUMBING & HEATING CO SIELER CONSTRUCTION INC SKYLINE PAINTING INC SPARTAN CONSTRUCTION CO SPERLING HTNG & VNTLTNG CO STRESCORE INC STUDER-OBRINGER INC THE SCHAEFER GROUP INC THOMPSON PLBG & HTG INC TM & G SERVICE MAINTENANCE TOLEDO CAISSON CORP TOLEDO FENCE & SUPPLY COMPANY TOLEDO MIRROR & GLASS CO TOLEDO TIN KNOCKERS TOTAL COMFORT SERVICES TRI STATE INDUSTRIAL FLOORS TRI STEEL INC TRISCO SYSTEMS INC TUTTLE CONSTRUCTION UCL INC UNITED ROOFING URS ENERGY - NEWPORT MI URS ENERGY & CONST INC V M SYSTEMS INC VALLEY INTERIOR SYSTEM VAN TASSEL CONSTRUCTION VENTCON CIN VIKING ERECTORS CORP VIMAS PAINTING CO INC WATERVILLE SHEET METAL WEIGAND CONSTRUCTION CO INC WHITE CONSTRUCTION CO CIN WOLFE'S ROOFING CO INC WOODRUFF CONTRACTING YOUNGSTOWN TILE & TERRAZZO CO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0