2018-07-24T08:39:58-05:00 2017-09-30 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2016-10-01 316068797 4TH DISTRICT IBEW HEALTH FUND 4THD 3045250331 3150 US ROUTE 60 ONA WV 25545 WILLIAM HAMILTON CHAIRMAN 3045250331 2018-07-24 1 J RYAN LINDSAY P01835061 3043459400 2016 2022-09-23 18:48:47Z WILLIAM HAMILTON 3150 US ROUTE 60 ONA WV 25545 96985833 0 X N/A X 1961 WV TO PROVIDE HEALTH AND INSURANCE BENEFITS TO MEMBERS BY PAYMENT OF CLAIMS FOR HEALTH, ACCIDENT, SICKNESS, DENTAL AND LIFE INSURANCE FOR MEMBERS AND THEIR DEPENDENTS. 8 8 0 0 0 0 0 0 52521658 52524032 1487106 2444100 0 0 54008764 54968132 0 0 50637330 52685493 0 0 0 0 0 4051352 4190423 54688682 56875916 -679918 -1907784 64372881 64514656 1112947 1663195 63259934 62851461 TO PROVIDE HEALTH AND INSURANCE BENEFITS TO MEMBERS BY PAYMENT OF CLAIMS FOR HEALTH, ACCIDENT, SICKNESS, DENTAL AND LIFE INSURANCE FOR MEMBERS AND THEIR DEPENDENTS. 0 0 52685493 TO PROVIDE HEALTH AND INSURANCE BENEFITS TO MEMBERS BY PAYMENT OF CLAIMS FOR HEALTH, ACCIDENT, SICKNESS, DENTAL AND LIFE INSURANCE FOR MEMBERS AND THEIR DEPENDENTS. 52685493 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 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X AMERICAN BENEFIT CORPORATION 3045250331 3150 US ROUTE 60 ONA WV 25545 X DANA JOE SAMPLES EMPLOYEE TRUSTEE 0.00 X 0 0 0 WILLIAM HAMILTON EMPLOYEE TRUSTEE/CHAIRMAN 0.00 X 0 0 0 JIM GILLETTE EMPLOYEE TRUSTEE 0.00 X 0 0 0 TROY FERRELL EMPLOYEE TRUSTEE 0.00 X 0 0 0 STEVEN ALLRED EMPLOYER TRUSTEE 0.00 X 0 0 0 TED BRADY EMPLOYER TRUSTEE/SECRETARY 0.00 X 0 0 0 JOHN FRANTZ EMPLOYER TRUSTEE 0.00 X 0 0 0 CURTIS MICHAEL EVANS EMPLOYER TRUSTEE 0.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 525100 45409203 45409203 PARTICIPANT DIRECT PMTS 525100 6405134 6405134 MEDICARE PART D SUBSIDIES 525100 709695 709695 52524032 1244263 1244263 43217538 42017701 1199837 1199837 1199837 54968132 53723869 0 1244263 52685493 114663 49860 303985 15655 ADMINISTRATION FEES 1501560 CLAIMS PAYING SERVICE 1427966 ACTUARIAL AND CONSULTIN 305143 PRE-CERTIFICATIONS/CASE 208564 263027 56875916 101176 0 4962030 5604377 59309675 58910279 64372881 64514656 870130 1420287 242817 242908 1112947 1663195 X 0 0 0 0 63259934 62851461 63259934 62851461 64372881 64514656 -1907784 1499311 0 X 0 1 X 0 0 0 56163458 1499311 1499311 54664147 303985 303985 54968132 56571931 0 56571931 303985 303985 56875916 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE BOARD OF TRUSTEES' CHAIRMAN AND SECRETARY BEFORE THEY SIGN AND FILE THE 990 FORM. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ATTEND MEETING ON FIDUCIARY RESPONSIBILITIES. THE BOARD OF TRUSTEES FUNCTIONS AS A WHOLE; NO INDIVIDUAL TRUSTEE CAN ACT ALONE. FORM 990, PART VI, SECTION C, LINE 19 THE FUND MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 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