2019-07-09T11:05:20-05:00 2018-08-31 341667340 PACKER THOMAS 6601 WESTFORD PLACE SUITE 101 CANFIELD OH 44406 990 2017-09-01 340755508 TEAMSTERS LOCAL NO 377 HEALTH & WELFARE FUND TEAM 3302700453 33 FITCH BLVD AUSTINTOWN OH 44515 RALPH COOK TRUSTEE 3302700453 2019-06-14 1 THOMAS J ANNESS CPA P00172345 3305339777 72.23.5.147 2019-06-14 13:53:47 ED P 3DF8CC953E7F939060A1E50D8467AC74853B587E A4853772297C4B43B9FAF6F0DE00E3C21B779488 2017 2019-02-21 02:37:17Z RALPH COOK 33 FITCH BLVD AUSTINTOWN OH 44515 8053515 0 X N/A X 1958 OH TO PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS. 6 6 2 0 0 0 0 0 7298442 7158762 65396 85383 98746 680169 7462584 7924314 0 0 6270709 7028231 85900 548 0 0 0 372435 297104 6729044 7325883 733540 598431 4419467 5093827 25417 21050 4394050 5072777 TO PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS. 0 0 THE ORGANIZATION PROVIDES HEALTHCARE, RETIREMENT, AND DEATH BENEFITS TO ITS ELIGIBLE MEMBERS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 X RALPH COOK 3302700453 33 FITCH BLVD AUSTINTOWN OH 44515 X RALPH SAM COOK UNION TRUSTEE 0.50 X 0 0 0 RICHARD SANDBERG UNION TRUSTEE 0.50 X 0 0 0 KEN SABO UNION TRUSTEE 0.50 X 0 0 0 JOSEPH KEROLA EMPLOYER TRUSTEE 0.50 X 0 0 0 EDWARD SIKOS EMPLOYER TRUSTEE 0.50 X 0 0 0 JOSEPH VILLANO EMPLOYER TRUSTEE 0.50 X 0 0 0 0 0 0 0 0 0 0 ANTHEM P O BOX 5700 CLEVELAND OH 44101 CONTRACT ADMINISTRATION 168779 BENESYS 700 TOWER DRIVE TROY MI 48098 BENEFIT CONSULTING 149094 2 HEALTH BENEFIT CONTRIB 900099 7158762 7158762 7158762 73345 73345 141239 129201 12038 12038 12038 INSURANCE STOP-LOSS RE 900099 677404 677404 OTHER INCOME 900099 2765 2765 680169 7924314 7838931 0 85383 7028231 548 149094 21685 23733 5251 56173 16251 1221 21361 PCORI FEES 2335 7325883 1244518 1792505 586470 547508 147081 147991 4776 4535 2434995 2599423 1627 1865 4419467 5093827 25417 21050 25417 21050 X 0 0 0 0 4394050 5072777 4394050 5072777 4419467 5093827 598431 80296 0 X X 0 1 X 1 0 0 8004610 80296 80296 7924314 0 7924314 7325883 0 7325883 0 7325883 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS DISTRIBUTED TO ALL TRUSTEES FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICIES ARE MAINTAINED AT THE PRINCIPAL OFFICE OF THE FUND AND ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: OVERSIGHT COMMITTEE OF THE AUDIT/AUDITOR: THE ORGANIZATION'S PROCESS FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. ABLE SERVICES OH 0 ABL WHOLESALE DISTRIBUTING OH 0 ARTHUR LEWIS STEEL OH 0 AUSTINTOWN TOWNSHIP ROAD OH 0 BFI OF YOUNGSTOWN OH 0 CANFIELD TOWNSHIP OH 0 ASHTABULA METRO HOUSING OH 0 AIRGAS OH 0 CITY CONCRETE OH 0 HEARN PAPER COMPANY OH 0 HUBBARD TOWNSHIP OH 0 MCDONALD STEEL OH 0 R L LIPTON DISTRIBUTING OH 0 LORDSTOWN OF OHIO OH 0 M & M PLUS OH 0 MAHAN PACKING CO OH 0 P I & I TRUCKING OH 0 PEPSI COLA BOTTLERS OH 0 PINNEY DOCK & TRANSPORT OH 0 RHIEL SUPPLY CO OH 0 ROTH BROTHERS OH 0 TRI COUNTY WHOLESALE DISTRIBUTORS OH 0 UPSCO OH 0 UNITED FREEZER & STORAGE OH 0 WARREN CONCRETE & SUPPLY OH 0 YOUNGSTOWN WHOLESALE GROCERY OH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0