2018-02-22T10:14:00-06:00 2017-04-30 341322309 CIUNI & PANICHI INC 25201 CHAGRIN BLVD 200 CLEVELAND OH 441225683 990 2016-05-01 450593187 OHIO CARPENTERS' HEALTH FUND OHIO 6142362440 1909 ARLINGTON LANE COLUMBUS OH 43228 MARY WEIR PLAN MANAGER 6142362440 2018-02-17 1 DAVID M REAPE CPA P00068117 2168317171 23.249.107.226 2018-02-17 14:12:21 ES P C00EE52BD9B79D9837D539EE11915714A7C88F3C E3171D1C1AB861A5146A893AD62EDB053523907A 2016 2021-01-29 14:40:06Z DON CRANE 1909 ARLINGTON LANE COLUMBUS OH 43228 1547290371 0 X N/A X 2008 OH THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN COVERING ELIGIBLE MEMBERS OF VARIOUS LOCAL UNIONS OF THE OHIO AND VICINITY REGIONAL COUNCIL OF CARPENTERS, PRIMARILY IN OHIO, WHICH WAS MERGED INTO THE INDIANA/KENTUCKY REGIONAL COUNCIL OF CARPENTERS. THE PLAN PROVIDES HEALTH, VACATION, DENTAL, VISION, PRESCRIPTION DRUG, AND DEATH BENEFITS TO ITS MEMBERS. 19 19 0 0 0 0 0 0 116608073 116607352 3883137 5390733 0 0 120491210 121998085 0 0 134356103 125882512 19076 6846 0 0 0 7236715 8238364 141611894 134127722 -21120684 -12129637 158808993 146790687 4632459 3722257 154176534 143068430 X THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN COVERING ELIGIBLE MEMBERS OF VARIOUS LOCAL UNIONS OF THE OHIO AND VICINITY REGIONAL COUNCIL OF CARPENTERS, PRIMARILY IN OHIO, WHICH WAS MERGED INTO THE INDIANA/KENTUCKY REGIONAL COUNCIL OF CARPENTERS. THE PLAN PROVIDES HEALTH, VACATION, DENTAL, VISION, PRESCRIPTION DRUG, AND DEATH BENEFITS TO APPROXIMATELY 12,000 MEMBERS. 0 0 134127722 THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN COVERING ELIGIBLE MEMBERS OF VARIOUS LOCAL UNIONS OF THE OHIO AND VICINITY REGIONAL COUNCIL OF CARPENTERS, PRIMARILY IN OHIO, WHICH WAS MERGED INTO THE INDIANA/KENTUCKY REGIONAL COUNCIL OF CARPENTERS. THE PLAN PROVIDES HEALTH, VACATION, DENTAL, VISION, PRESCRIPTION DRUG, AND DEATH BENEFITS TO APPROXIMATELY 12,000 MEMBERS. 134127722 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 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X BENESYS INC 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 X MIKE GIBSON TRUSTEE 1.00 X 0 0 0 JASON CLARK TRUSTEE 1.00 X 0 0 0 MARK MOEN TRUSTEE 1.00 X 0 0 0 MARK MCGRIFF TRUSTEE 1.00 X 0 0 0 DWAYNE KEE TRUSTEE 1.00 X 0 0 0 JOE MILLER TRUSTEE 1.00 X 0 0 0 DONALD CRANE SECRETARY 1.00 X 0 0 0 AARON HALL TRUSTEE 1.00 X 0 0 0 JAMES MELARAGNO TRUSTEE 1.00 X 0 0 0 RICHARD FOUTS TRUSTEE 1.00 X 0 0 0 KEVIN REILLY CHAIRMAN 1.00 X 0 0 0 DAVID GIORGI TRUSTEE 1.00 X 0 0 0 TIM LINVILLE TRUSTEE 1.00 X 0 0 0 KEN LYONS TRUSTEE 1.00 X 0 0 0 JIM FOX TRUSTEE 1.00 X 0 0 0 JOE BEISCHEL TRUSTEE 1.00 X 0 0 0 ANDREW GOETZ TRUSTEE 1.00 X 0 0 0 PAM HEPBURN TRUSTEE 1.00 X 0 0 0 JIM LAWLER TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 MEDICAL MUTUAL 23700 COMMERCE PARK BEACHWOOD OH 44122 INSURANCE 2592963 BENESYS 6100 OAK TREE BLVD 190 CLEVELAND OH 44131 ADMINISTRATIVE AND IT SERVICES 657840 CONSUMER LIFE INSURANCE 2060 E 9TH ST CLEVELAND OH 44115 INSURANCE 597043 MEDCO CONTAINMENT LIFE INSURANCE 50 WEST BOARD STREET SUITE 1800 COLUMBUS OH 43215 INSURANCE 355113 DELTA DENTAL 1300 E 9TH ST 1703 CLEVELAND OH 44114 INSURANCE 308558 7 EMPLOYER CONTRIBUTIONS 900099 103619293 103619293 MEMBER CONTRIB-HEALTH 900099 16512714 16512714 LESS:RECIPROCITY TRANSFERS 900099 -3524655 -3524655 116607352 3841336 3841336 1426841683 1425292286 1549397 1549397 1549397 121998085 116607352 0 5390733 125882512 6846 133912 67789 215987 933920 12522 37886 MEDICAL NETWORK FEES 4903091 PREMIUMS FOR INSURANCE 597043 TRANSITIONAL REINSURANC 502178 COLLECTION EXPENSE 487922 346114 134127722 8217855 9121834 13671638 12223705 304399 29898 136615101 125415250 158808993 146790687 3155345 2476311 1477114 1245946 4632459 3722257 X 154176534 143068430 154176534 143068430 158808993 146790687 -12129637 1021533 0 X 0 1 X 1 0 0 UNREMITTED FRINGE BENEFIT CONTRIBUTIONS COLLECTED 1245946 1245946 X 122803631 1021533 1021533 121782098 215987 215987 121998085 133911735 0 133911735 215987 215987 134127722 PART X, LINE 2: THE VOLUNTARY EMPLOYEE BENEFICIARY ASSOCIATION (VEBA) TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED MARCH 24, 2011, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN FISCAL 2017 OR 2016 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 IS SENT TO THE PLAN ADMINISTRATOR WHO REVIEWS THE RETURN AND CONSULTS WITH THE PREPARER ON ANY QUESTIONS. ONCE ALL OF THE QUESTIONS ARE ANSWERED, THE PLAN ADMINISTRATOR PRESENTS THE FORM 990 TO THE TRUSTEES AND EXPLAINS THE PROPOSED FILING. THE TRUSTEES WILL DISCUSS ANY QUESTIONS WITH THE PLAN ADMINISTRATOR BEFORE GIVING THEIR APPROVAL TO ADOPT AND FILE THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C YEARLY DISCLOSURES ARE MADE AND PRESENTED TO THE TRUSTEES FOR REVIEW AND CONFIRMATION. THE PROCESS IS REFLECTED IN THE MINUTES OF THE TRUSTEE'S MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATIVE COMMITTEE REVIEWS AND MAKES SALARY DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC 3611 CHESTER AVE CLEVELAND OH 441144622 203330679 TO PROCESS EMPLOYER CONTRIBUTIONS TO BENEFIT PLANS OH 501(C)(5) 0 OHIO CARPENTERS' ANNUITY PLAN 3611 CHESTER AVE CLEVELAND OH 441144622 341778747 TO PROVIDE RETIREMENT BENEFITS OH 401(A) 0 OHIO CARPENTERS' PENSION PLAN 3611 CHESTER AVE CLEVELAND OH 441144622 346574360 TO PROVIDE RETIREMENT BENEFITS OH 401(A) 0 INDIANA KENTUCKY OHIO REGIONAL COUNCIL OF CARPENTERS 771 GREENWOOD SPRINGS DR GREENWOOD IN 46143 351074694 LABOR ORGANIZATION OH 501(C)(5) 0 JOINT BOARD OF TRUSTEES OHIO CARPENTERS' SUPP BENEFIT FUND 3611 CHESTER AVE CLEVELAND OH 441144622 341927123 MULTI-EMPLOYER BENEFIT PLAN OH 401(A) 0 2D CONSTRUCTION LLC 3D CONSTRUCTION LLC 74 INSTALLATIONS LLC A & O CONSTRUCTION SOLUTIONS LLC ADVANTAGE INDUSTRIAL SYSTEMS LLC ALEX ANDRIETTE BUILDERS LLC ALLARD EXCAVATION LLC AMW INSTALL LLC AQUARIUS MARINE LLC ATLAS INDUSTRIAL CONTRACTORS LLC BARTRAM CONSTRUCTION LLC BBL CARLTON LLC BERLE 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PLASTERING COMPANY OWENS FLOORING COMPANY OZANNE CONSTRUCTION CO INC PACER WALLS & CEILINGS PALA CONSTRUCTION CORPORATION PANZICA CONSTRUCTION COMPANY PARAMOUNT BUILDERS PARILLO BUILDERS INC PARKER CORPORATION PARKERSBURG TILE CO PARKS DRILLING COMPANY PARKWAY GENERAL CONTR INC PARSONS CONCRETE CONTRACTORS INC PARSONS CONTRACTING PASADENA BUILDERS PATELLA CARPET & TILE CENTER PATRICK CONSTRUCTION INC PATRIOT CONSTRUCTION SERVICES PATRIOT INDUSTRIAL CONTR SVCS PAULS CONCRETE INC PAVLIK'S CUSTOM MILLWORK INC PB FABRICATION & MECHAN CONTR PC CONTRACTING INC PEERLESS CONCRETE PERFORMANCE CONTRACTING INC PERK COMPANY PERKINSCARMACK CONSTRUCTION PETERSON CONSTRUCTION CO PETERSON INDUSTRIAL PETERSON INDUSTRIAL SCAFFOLDING PETROSKY BROTHERS CONST INC PHOENIX CEMENT INC PIERCE CONSTRUCTION PIONEER PIPE INC PIQUA STEEL CO PLATFORM CEMENT INC PLATT CONSTRUCTION COMPANY PM CONSTRUCTION & ENGINEERING POWER GENERATION SERVICE POWER TECHNIQUES INC PRECISION COMPANY DBA PRECISION COOLING TOWERS PRECISION ENVIRONMENTAL PRECISION INSTALLATIONS INC PRESTIGE INTERIORS PRO SERVICES INC PROCRAFT FLOORING INC PROTECTIVE COATINGS INC PROVENZALE CONSTR CO INC PRUITT CONSTRUCTION PULLMAN SST INC PULVERIZER MAINTENANCE AND REPAIR INC PULVERIZER SERVICES INC QUALITY INTERIORS INC QUALITY OVERHEAD DOOR QUEEN CITY ACOUSTICAL INC QUEST CONSTRUCTION INC QUINTANA & SONS INC R & B CONTRACTING INC R & I CONSTRUCTION INC R & R CARPET R & W FIXTURE SERVICING CO R B JERGENS R G SMITH COMPANY INC R G SMITH OF DOVER #3 R G SMITH OF MANSFIELD #4 R J BEISCHEL BUILDING CO R M HUFFMAN COMPANY RA JOSEPH CONSTRUCTION INC RC CONSTRUCTION CO & SON INC RAKO INTERIOR DESIGN INC RAY MC CREARY CONSTRUCTION RAY ROOFING & SUPPLY INC RC GENERAL CONTRACTORS REGENCY CONSTR SERVICES INC RENAISSANCE MANAGEMENT RESCO PRODUCTS INC RGI INTERNATIONAL - DBA GFAB RICHARD GOETTLE INC RIEN CONSTRUCTION COMPANY RIVERSIDE CONSTRUCTION SERVICES RL HILL MANAGEMENT RMF NOOTER INC RMH CONCRETE & FOUNDATIONS ROBERTS SERVICE GROUP ROCK RIVER CONSTRUCTION LTD ROETZEL CONSTRUCTION INC ROGERS DISPLAY INC ROSEMA CORPORATION RUDOLPH LIBBE RUHLIN COMPANY RUSSELL CONSTRUCTION CO RUSSELL FLOORING COMPANY RYAN CARPET SALES & SERVICE S & B FLOOR COVERING S & J FORD CONSTRUCTION S & S CONSTRUCTION MGMT S & S DUMP & DIG INC S & S INTERIORS INC SM FOX CONSTRUCTION INC ST COTTER TURBINE SERVICES SAUER GROUP INC SCAFFOLD DESIGN & ERECTION CO INC SCHALK BROTHERS INC SCHERRER ENG & CONST INC SCHLEIS FLOOR COVERING SCHMIDT CABINET CO INC SCHNABEL FOUNDATION COMPANY SCHUMACHER CONSTRUCTION CO SCHUMACHER DUGAN CONST C SCS CONSTRUCTION SERVICES SEASON CONTRACTORS INC SEATING INSTALLATION GROUP SEESE & SVEDA CONST CO INC SHELDON-GANTT INC SHELLY & SANDS INC SHOOK CONSTRUCTION CO SIBLEY INC SIELER CONSTRUCTION INC SIEMENS GENERATION SERVICES SIGMAN CLADDING INC SIMAKAS COMPANY INC SIMMONS BROTHERS CORPORATION SKILLED TRADES SERVICES SMITH CONSTRUCTION GROUP SMOOT CONSTRUCTION SOLID PLATFORMS INC SOLID ROCK CONSTRUCTION SONNY WARTON SORENSEN GROSS CONSTRUCTION CO INC SOUTHERN CABINETRY INC SOUTHERN MARINE CONSTR CO SOUTHERN SYSTEMS INC SPECIAL INSTALLATIONS SPENCE BROTHERS SPIEKER COMPANY SPORTS SYSTEMS UNLIMITED CORP SRD BUILDERS CORPORATION SSSI INC DBA SONGER STEEL STANDARD CONTRACTING & ENGRG STANDARD FLOOR COVERING STANLEY MILLER CONSTRUCTION CO STATE GROUP INDUSTRIAL USA LTD STEDMAN FLOOR COMPANY STERLING BOILER & MECHANICAL STETSON CONVENTION SERVICES STEVENS ENGINEERS & CONSTRUCT STEWART CONSTRUCTION INC STITLE CONSTRUCTION CORP STRAHM DIVISION OF SGI INC STRAIT-LINE CONSTRUCTION INC STRANO CONSTRUCTION STUDER-OBRINGER INC STUMPF CONSTRUCTION INC SUBURBAN MAINTENANCE & CONST SUMMIT INTERIOR CONSTR INC SUPERIOR ERECTION COMPANY T & D INTERIORS T ALLEN INC TAB STOREFORCE INC TAYLOR BROS CONST CO INC TEEMOK CONSTRUCTION INC TENNESSEE VALLEY IND CORP TERRACE CONSTRUCTION CO INC TESAR INDUSTRIAL CONTRACTORS THE BOLDT COMPANY THE COMPANY INC THE DOTSON COMPANY INC THE JOSEPH A JEFFRIES CO INC THE LATHROP COMPANY THE LIBERTY TEXTILE COMPANY THE SCHAEFER GROUP INC THE SHERWIN-WILLIAMS COMPANY THERMAL CONTROL INSULATIONLLC THOMARIOS THOMAS PALLOTTA & SONS INC TITAN MECHANICAL INC TKF CONVEYOR SYSTEMS DIV OF FEDERAL EQUIPMENT TOLEDO CAISSON CORP TOM MAYLE & SONS TRAICHAL CONSTRUCTION COMPANY TRI STATE INDUSTRIAL FLOORS INC TRI-K CONSTRUCTION INC TRI-STATE BLG CONST TC TRI-STATE INSTALLATION TRI-STATE INTERIORS LTD TRITON CONSTRUCTION TROPF INC TRUMBULL-GREAT LAKES-RUHLIN A JOINT VENTURE TURNER CONSTRUCTION TUTTLE CONSTRUCTION INC TWIN RIVERS CONSTRUCTION CO UBC NATIONAL JOB CORP TRAINING FUND INC UNION INDUSTRIAL CONTRACTORS UNITED CONSTRUCTION CO INC UNITED CONTRACTORS OF NE OHIO UNITED FOUNDATIONS INC UNITED GLASS & PANEL SYSTEMS UNIVERSAL CONTRACTING IN UNIVERSAL DEVELOPERS UNIVERSAL INSTALLATIONS PLUS UNIVERSAL PLANT SERVICES URS ENERGY & CONSTRUCTION USA ROOFING INC UTTER CONSTRUCTION INC VALLEY ACOUSTICS INC VALLEY INTERIORS SYSTEMS VAN TASSEL CONSTRUCTION CORP VASTA CONSTRUCTION CO INC VEC INC VECTOR INTERIORS INC VELOTTA BRIDGE VENDRICK CONSTRUCTION INC VERNON NAGEL INC VILLANO CONSTRUCTION CO INC VIP RESTORATION INC VISIONARY INTERIORS INC VMI CONSTRUCTION W B FOSSON & SONS W E DOWNIE COMPANY W SOULE & COMPANY WB BECHERER INC WALBRIDGE EQUIPMENT INSTAL WALLER URBAN ENTERPRISES WALSH CONSTRUCTION CO OF ILL WALTER'S CARPENTRY INC WALTERS CONSTRUCTION COMPANY WARREN CITY SCHOOLS WAYNE LUMBER COMPANY WEIFFENBACH MARBLE & TILE CO WEIGAND CONSTR CO INC WEITHMAN BROTHERS INC WEITZ INDUSTRIAL WELTY BUILDING CO LTD WENGER CORPORATION WES MARTIN INTERIORS INC WEST POINT MASONRY INC WESTERN INDUSTRIAL CONTRACTORS WESTERN RESERVE INTERIORS WESTERN WATERPROOFING CO WHITE CONSTRUCTION INC WHITT'S WELDING AND PIPELINE INC WILLIAMS BROTHERS BLDRS INC WILLIAMSON BUILDERS INC WISE CONSTRUCTION CO INC WISE SERVICES INCORPORATED WM J SHAFFER ASSOC INC WOHLLEB-SOCIE COMPANY WOJCIECHOWSKI CONSTRUCTION INC WOODS CONSTRUCTION INC YOUNGSTOWN CITY SCHOOLS YOUNGSTOWN METRO HOUSING AUTH YOUR TILE CENTER INC ZSR CONTRACTING AND RESTORATION 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC Q OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC N OHIO CARPENTERS' ANNUITY PLAN N OHIO CARPENTERS' PENSION PLAN N OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC O OHIO CARPENTERS' PENSION PLAN Q