INTERNATIONAL BROTHERHOOD OF TEAMSTERS-710 HEALTH & WELFARE FUN: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
INTERNATIONAL BROTHERHOOD OF TEAMSTERS-710 HEALTH & WELFARE FUN (EIN 36-2153764)
Tax period
2018-02-01 to 2019-01-31
Filed
2019-10-05
IRS object ID
201922789349300502
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-10-05T11:49:15-05:00ReturnTs
Tax Period End2019-01-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470900880PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CALIBRE CPA GROUP PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line119615 S LAGRANGE ROADAddressLine1Txt
CityMOKENACityNm
State AbbreviationILStateAbbreviationCd
ZIP60448ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-02-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362153764EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INTERNATIONAL BROTHERHOOD OF TEAMSTERSBusinessNameLine1Txt
Business Name Line2710 HEALTH & WELFARE FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlINTEBusinessNameControlTxt
Phone7732542500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19000 W 187TH STREETAddressLine1Txt
CityMOKENACityNm
State AbbreviationILStateAbbreviationCd
ZIP60448ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSAMUEL PILGERPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone7732542500PhoneNum
Signature2019-10-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLES DIGIOVANNIPreparerPersonNm
PTINP00284901PTIN
Phone7089957180PhoneNum
Preparation2019-08-01PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.100.43.100IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-10-05IPDt
IP Tm11:48:58IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id099BB351ED5C43DB8E4A0DD96B056B1430213725AtSubmissionCreationDeviceId
At Submission Filing Device Id099BB351ED5C43DB8E4A0DD96B056B1430213725AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-01-14 16:20:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSAMUEL PILGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19000 W 187TH STREETAddressLine1Txt
CityMOKENACityNm
State AbbreviationILStateAbbreviationCd
ZIP60448ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$123,960,883GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1950FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH BENEFITS TO THE ELIGIBLE PARTICIPANTS AND DEPENDENTS OF INTERNATIONAL BROTHERHOOD OF TEAMSTERS 710 HEALTH & WELFARE FUND.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$52,431,173PYProgramServiceRevenueAmt
CY Program Service Revenue$52,813,093CYProgramServiceRevenueAmt
PY Investment Income$2,234,608PYInvestmentIncomeAmt
CY Investment Income$1,508,246CYInvestmentIncomeAmt
PY Other Revenue$9,240PYOtherRevenueAmt
CY Other Revenue$21,822CYOtherRevenueAmt
PY Total Revenue$54,675,021PYTotalRevenueAmt
CY Total Revenue$54,343,161CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$50,151,381PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$53,478,747CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$980,478PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,350,056CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$847,904PYOtherExpensesAmt
CY Other Expenses$1,075,905CYOtherExpensesAmt
PY Total Expenses$51,979,763PYTotalExpensesAmt
CY Total Expenses$55,904,708CYTotalExpensesAmt
PY Revenues Less Expenses$2,695,258PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,561,547CYRevenuesLessExpensesAmt
Total Assets BOY$96,761,552TotalAssetsBOYAmt
Total Assets EOY$93,965,158TotalAssetsEOYAmt
Total Liabilities BOY$10,088,655TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,602,242TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$86,672,897NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$84,362,916NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH BENEFITS TO THE ELIGIBLE PARTICIPANTS AND DEPENDENTS OF INTERNATIONAL BROTHERHOOD OF TEAMSTERS 710 HEALTH & WELFARE FUND.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTO PROVIDE HEALTH, LIFE, TEMPORARY DISABILITY, ACCIDENTAL DEATH AND DISMEMBERMENT, PRESCRIPTION DRUGS, DENTAL AND VISION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document888IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee14EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRIAN O'MALLEYPersonNm
Phone7732542500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19000 W 187TH STREETAddressLine1Txt
CityMOKENACityNm
State AbbreviationILStateAbbreviationCd
ZIP60448ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SAMUEL D PILGER
SECRETARY TREASURER/TRUSTE1.00Yes (X)$0$0$0
GARY CALDWELL
TRUSTEE1.00Yes (X)$0$0$0
BERNARD T SHERLOCK
TRUSTEE1.00Yes (X)$0$127,700$49,84045.00
DANIEL HOYER
FORMER TRUSTEE1.00Yes (X)$0$0$0
THOMAS N CONELIAS
FRMR CHAIRMAN/TRUSTEE1.00Yes (X)$0$0$0
DELMAR SCHAEFER
TRUSTEE1.00Yes (X)$0$149,761$49,84045.00
MICHAEL J CALES
CHAIRMAN/TRUSTEE1.00Yes (X)$0$165,557$49,84045.00
BRIAN O'MALLEY
ADMINISTRATOR25.00$329,988$0$48,12025.00Yes (X)
MICHAEL O'MALLEY
ASST ADMINISTRATOR25.00$101,621$0$48,12025.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$431,609TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$443,018TotReportableCompRltdOrgAmt
Total Other Compensation$245,760TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BLUE CROSS BLUE SHIELD
300 E RANDOLPHCHICAGOIL60601BENEFIT CONTRACT ADMINISTRATOR$1,687,860
MORGAN LEWIS BOCKUS LLP
PO BOX 8500 S-6050PHILADELPHIAPA19178LEGAL$137,495
CALIBRE CPA GROUP PLLC
7501 WISCONSIN AVE STE 1200WBETHESDAMD20814ACCOUNTANT$101,027
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$52,093,631$52,093,631
RETIREE CONTRIBUTIONS900099$294,049$294,049
PARTICIPANT CONTRIBUTI900099$283,850$283,850
CLAIMS REFUNDS AND SET900099$141,563$141,563
FieldValueIRS element (for citing)
Total Program Service Revenue$52,813,093TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,050,240TotalRevenueColumnAmt
Exclusion$2,050,240ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$69,075,728SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$69,617,722SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$541,994SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$541,994TotalRevenueColumnAmt
Exclusion-$541,994ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$21,822TotalRevenueColumnAmt
Related Or Exempt Func Income$21,822RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$21,822OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,343,161TotalRevenueColumnAmt
Related Or Exempt Func Income$52,834,915RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,508,246ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$53,478,747TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$189,055TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$474,730TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$497,607TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$145,502TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$43,162TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$187,216TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$99,065TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$125,992TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$96,694TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$151,358TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$146,097TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$133,750TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$31,118TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,723TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$83,892TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$55,904,708TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,504,408BOYAmt
EOY$1,597,094EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,219,401BOYAmt
EOY$5,108,840EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,405,029BOYAmt
EOY$4,979,895EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,330,236BOYAmt
EOY$1,018,437EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$672,763LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$639,300LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$40,666BOYAmt
EOY$33,463EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$82,765,174BOYAmt
EOY$80,795,419EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,496,638BOYAmt
EOY$432,010EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$96,761,552BOYAmt
EOY$93,965,158EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$97,388BOYAmt
EOY$124,306EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,991,267BOYAmt
EOY$9,477,936EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,088,655BOYAmt
EOY$9,602,242EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$86,672,897BOYAmt
EOY$84,362,916EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$86,672,897BOYAmt
EOY$84,362,916EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$96,761,552BOYAmt
EOY$93,965,158EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,561,547ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$748,434NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$118,313OtherCostOrOtherBasisAmt
Depreciation$112,086DepreciationAmt
Book Value$6,227BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$554,450OtherCostOrOtherBasisAmt
Depreciation$527,214DepreciationAmt
Book Value$27,236BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$33,463TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
LIABILITY FOR LOSS ON SECURITIES LENDING$252,076
LIABILITY TO RETURN CASH COLLATERAL HELD FOR SECURITIES ON LOAN$432,010
CLAIMS AND INS PREMIUMS PAYABLE$93,018
DUE TO RELATED FUND$146,414
DUE TO BROKER$105,193
STOP/LOSS REFUND PAYABLE$142,243
CLAIMS PAYABLE/IBNR$8,306,982
FieldValueIRS element (for citing)
Total Liability$9,477,936TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$53,468,735TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$748,434NetUnrealizedGainsInvstAmt
Revenue Not Reported-$748,434RevenueNotReportedAmt
Revenue Subtotal$54,217,169RevenueSubtotalAmt
Investment Expenses Not Incld$125,992InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$125,992RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$54,343,161TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$55,138,473TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$55,138,473ExpensesSubtotalAmt
Investment Expenses Not Incld2$125,992InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$640,243OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$766,235ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$55,904,708TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEES BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INCREASE IN CLAIMS AND PREMIUMS PAYABLE 45,445. INCREASE IN CLAIMS INCURRED BUT NOT REPORTED 594,798. INCREASE IN PRESCRIPTION BENEFITS PAYABLE DECREASE IN DENTAL FEES PAYABLE

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BERNARD T SHERLOCK
TRUSTEE$0$104,000$0$2,500$0$21,200$0$26,926$0$22,914$0$177,540$0$0
DELMAR SCHAEFER
TRUSTEE$0$138,000$0$2,500$0$9,261$0$26,926$0$22,914$0$199,601$0$0
MICHAEL J CALES
CHAIRMAN/TRUSTEE$0$150,000$0$2,500$0$13,057$0$26,926$0$22,914$0$215,397$0$0
BRIAN O'MALLEY
ADMINISTRATOR$329,988$0$0$0$0$0$13,507$13,507$10,553$10,553$354,048$24,060$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMICHAEL O'MALLEYPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionEMPLOYEERelationshipDescriptionTxt
Transaction$150,830TransactionAmt
TransactionMICHAEL O'MALLEY IS AN EMPLOYEE OF THE PLAN. THE PLAN PAYS MICHAEL O'MALLEY A SALARY AND CONTRIBUTES TO EMPLOYEE BENEFIT PLANS ON HIS BEHALF. MICHAEL O'MALLEY IS A FAMILY MEMBER OF A CURRENT KEY EMPLOYEE OF THE PLAN.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PROVIDED TO THE ADMINISTRATOR AND IS MADE AVAILABLE TO THE TRUSTEES PRIOR TO FILING. THE FORM IS SIGNED AND FILED AFTER THIS REVIEW.
FORM 990, PART VI, SECTION B, LINE 15SALARIES ARE REVIEWED PERIODICALLY BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE.
FORM 900 PART XII; LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
IB OF T LOCAL NO 710 PENSION FUND
9000 W 187TH STREETMOKENAIL60448362377656PROVIDE RETIREMENT, DISABILITY AND DEATH BENEFITSIL501(A)N/A0
EMPLOYEES PENSION PLAN OF IB OF T UNION LOCAL 710 H&W FUND
9000 W 187TH STREETMOKENAIL60448362153764PROVIDE RETIREMENT, DISABILITY AND DEATH BENEFITSIL501(A)N/A0
IB OF T LOCAL UNION NO 710
9000 W 187TH STREETMOKENAIL60448361460890LABOR ORGANIZATIONIL501(C)(5)N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (35 entries)

ARKANSAS BEST FRT-GE
AURORA PACKING CO D
BREAKTHRU BEVERAGE G
CASSENS TRANSPORT CO
CITY FOODS
CND TRANSPORTATION
CPC LOGISTICS INC
DAILY MEAT SUPPLY I
FOUR STAR FOODS INC
GUARINO WHOLESALE I
HEBDING TRANSPORT I
HOFMEISTER JOHN AND
JACK COOPER TRANSPOR
KALUZNY BROTHERS IN
L AND L PROVISION
LINCOLN PROVISIONS I
MAHONEY ENVIRONMENTA
MARTIN BROWERGSF
MONDELEZ GLOBAL LLC
MORREALE JOHN R I
NEALEY FOODS
OFFICE OF THE TRUSTE
PACIFIC RAIL SERVICE
RANDOLPH PACKING CO
ROSE PACKING COMPANY
SOUTHERN GLAZIERS WI
STEINBACH PROVISION
STOCK YARDS CHICAGO
SYSCO CHICAGO INC
USF HOLLAND INC
VANEK INC
VANEK INC - FLATBED
WHITE CASTLE SYSTEM
WICHITA PACKING COMP
YRC WORLDWIDE
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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