2018-03-17T10:22:09-05:00 2017-06-30 470900880 Calibre CPA Group PLLC 230 West Monroe St Ste 310 Chicago IL 60606 990 2016-07-01 366117757 MISC WHSMENS LOCAL 781 H & W FUND MISC 8472989999 747 CHURCH ROAD BUILDING D ELMHURST IL 60126 paul j stripling Trustee 8472989999 2018-03-17 1 corey bilkey P00499751 3126550037 38.100.43.100 2018-03-17 10:22:00 CD P DD2F5A6855584BEFBC68452237D9336111CE352F DD2F5A6855584BEFBC68452237D9336111CE352F 2016 2021-01-29 14:40:06Z Paul J Stripling 747 CHURCH ROAD BUILDING D ELMHURST IL 60126 16522935 0 X N/A X 1960 IL To provide health benefits and death benefits to eligible participants and covered dependents. 4 2 0 0 0 0 0 0 7772752 8382872 343208 421258 29010 22669 8144970 8826799 0 0 6772763 6978535 0 0 0 0 0 535117 808927 7307880 7787462 837090 1039337 18489995 19678010 787053 807200 17702942 18870810 To provide health benefits and death benefits to eligible participants and covered dependents. 0 0 The Plan is maintained pursuant to a number of collective bargaining agreements and provides for employee death, disability, medical, hospitalization, surgical, prescription, dental, vision, and mental health benefits. 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 0 0 0 0 0 0 1 0 0 1 1 0 1 0 1 0 0 0 0 0 0 X 4 2 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X Paul J Stripling 8472989999 747 CHURCH ROAD BUILDING D ELMHURST IL 60126 David Abramson Management Trustee 1.00 X 0 0 0 Brian Greenburg Management Trustee 1.00 X 0 0 0 Paul J Stripling Labor Trustee 6.00 40.00 X 0 142151 30991 Tracy L Treadwell Labor Trustee 2.00 40.00 X 0 101304 30991 0 243455 61982 0 0 1 0 blue cross blue shield 300 e randolph st chicago IL 60601 ppo network provider 285445 Group Administrators Ltd 915 National Parkway Suite F Schaumburg IL 60173 Third party administrator 144608 bronswick reicin pollack ltd 2150 e lake cook rd suite 430 buffalo grove IL 60089 accountant 109216 3 Employer contributions 525100 8341902 8341902 Employee contributions 525100 40970 40970 8382872 405531 405531 7711863 7696136 15727 15727 15727 Interest and liquidated damages - 525100 22669 22669 22669 8826799 8405541 0 421258 6978535 46084 99867 65074 514445 41958 8280 10487 236 9172 ACA fees and assessment 13324 7787462 898577 1480136 462553 441501 469608 405822 8624 51402 1180 866 551 314 9100714 14417889 7315334 2553359 234034 327587 18489995 19678010 34888 14194 752165 793006 787053 807200 X 0 0 0 0 17702942 18870810 17702942 18870810 18489995 19678010 1039337 128531 0 X X 0 1 X 1 0 1180 866 314 314 ASB Allegiance RE Fund 861388 F PIMCO Loan Interest and Credit Offshore Fund 1691971 F 2553359 Claims payable and claims incurred but not reported 790407 Due to affiliated organization 2599 793006 X 8890256 128531 128531 8761725 65074 65074 8826799 7682342 0 7682342 65074 40046 105120 7787462 Part X, Line 2: The Plan has analyzed the tax positions taken by the Plan, and has concluded that as of June 30, 2017, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Plan is subject to routine audits by taxing jurisdictions; however there are currently no audits for any tax periods in progress. The Plan believes it is no longer subject to income tax examinations for years prior to the year ended June 30, 2014. Part XII, Line 4b - Other Adjustments: Change in claims incurred but not reported 40,046. 0 0 0 Paul J Stripling Labor Trustee 0 140238 0 0 0 1913 0 0 0 30991 0 173142 0 0 Form 990, Part VI, Section A, line 2 Management Trustee David Abramson and Management Trustee Brian Greenburg have a business relationship. Form 990, Part VI, Section A, line 8b There are no committees other than the governing body. Form 990, Part VI, Section B, line 11b The Trustees of the Fund reviewed the Form 990 in detail with the preparer prior to its filing. Form 990, Part VI, Section B, line 12c Each Trustee will be required to state annually that he has reviewed the policy and does not have any conflicts or, if there is a conflict,the Trustee is required to indicate what it is. Form 990, Part VI, Section C, line 19 The Fund's governing documents, conflict of interest policy and audited financial statements are made available upon request from the Fund's office. Form 990, Part XII, LIne 2c The process has not changed from the prior year. misc warehousemen local 781 union 747 church rd elmhurst IL 60126 361757753 labor union IL 501(c)(5) 0 m & m glass services meiko warehouse midland warehouse glass america midwest nemeth glass illinos inc patson inc rl perlow steel corp rapid displays richwell inc sunnyside corp rosebud farms allied die casting ashland cold storage nexeo solutions bear stewart corp berkshire refrigerated warehousing c&J auto parts certified automotive batory foods chicagoland quad cities express american president lines famous lubricants freeway ford truck sales fulton market cold storage gerber glass and trim glass and mirror america western slate hampshire lang ice 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0