2018-10-11T17:29:19-05:00 2017-12-31 721396621 CARR RIGGS & INGRAM LLC 3700 COLONNADE PARKWAY SUITE 300 BIRMINGHAM AL 35243 990 2017-01-01 630373544 RETAIL WHOLESALE & DEPARTMENT STORE INTL UNION & INDUSTRY HEALTH & BENEFIT FUND RETA 2052523586 1901 10TH AVENUE SOUTH BIRMINGHAM AL 352052601 SANDI MANTOOTH ADMINISTRATOR 2052523586 2018-10-09 1 DAVID COMPHER P00369019 2059337822 2018-10-09 64.128.246.202 2018-10-09 14:48:12 CD P 69204EDE5AE86F42C1D5B6C5BFD94983B085549F 9F4FB4BF8BCA925D53669AFBF0F657ACE60F138F 2017 2018-06-14 16:35:46Z SANDI MANTOOTH 1901 10TH AVENUE SOUTH BIRMINGHAM AL 352052601 48410503 0 X N/A X DEFINED BENEFIT HEALTH PLAN 1956 AL PROVIDES HEALTHCARE BENEFITS TO PLAN PARTICIPANTS AND THEIR DEPENDENTS 8 8 18 0 0 0 0 0 36208663 47599207 842423 811296 0 0 37051086 48410503 0 0 41139207 52215468 756262 705172 0 0 0 3654645 1522247 45550114 54442887 -8499028 -6032384 74707822 73400724 6878370 5587843 67829452 67812881 PROVIDES HEALTHCARE BENEFITS TO PLAN PARTICIPANTS AND THEIR DEPENDENTS. 0 0 PROVIDED HEALTH BENEFITS, INCLUDING DEATH BENEFITS, ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS, DISABILITY BENEFITS, HOSPITALIZATION, SURGICAL AND MEDICAL BENEFITS FOR EMPLOYEES OF THE EMPLOYERS, THEIR FAMILIES AND DEPENDENTS, AS DETERMINED BY THE TRUSTEES. 0 0 0 0 0 0 0 0 0 1 1 0 0 0 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 10 0 1 18 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 1 0 0 X SANDI MANTOOTH 2052523586 1901 10TH AVENUE SOUTH BIRMINGHAM AL 352052601 JOHN A WHITAKER TRUSTEE 5.00 X 0 0 0 DONALD R HOPKINS TRUSTEE 5.00 X 0 0 0 LENORE F MILLER TRUSTEE 5.00 X 0 0 0 STUART H APPELBAUM TRUSTEE 5.00 X 0 0 0 MARSUE D LANCASTER TRUSTEE 5.00 X 0 0 0 JACK C WURM JR TRUSTEE 5.00 X 0 0 0 SHANE M KEITH TRUSTEE 5.00 X 0 0 0 SANDI MANTOOTH FUND ADMINISTRATOR 40.00 X 86641 86641 0 86641 86641 0 0 0 1 0 BLUE CROSS BLUE SHIELD OF ALABAMA 450 RIVERCHASE PARKWAY EAST BIRMINGHAM AL 35298 CLAIMS ADMINISTRATION 1502575 FRIEDMAN & ANSPACH 1500 BROADWAY SUITE 2303 FLOWERY BRANCH NY 30542 LEGAL 173583 THE SEGAL COMPANY PO BOX 4125 NEW YORK NY 10261 ACTUARY 145710 CARR RIGGS AND INGRAM LLC 3700 COLONNADE PARKWAY STE 300 BIRMINGHAM AL 35243 ACCOUNTING 100436 4 EMPLOYER CONTRIBUTIONS 525100 47377797 47377797 COBRA INCOME 525100 218221 218221 CONVERSION INCOME 525100 3189 3189 47599207 811296 811296 48410503 48410503 0 0 52215468 86641 399668 67521 115875 35467 151817 73350 137138 156000 132922 66334 21415 59234 17668 99884 BLUE CROSS RETENTION 1502575 CHANGE IN HEALTH CLAIMS -896090 54442887 613048 1467242 2002632 239281 1196382 1512631 35773 125606 375795 350417 42056 25378 38707735 38049365 31300918 29282452 809278 2698769 74707822 73400724 6878370 5587843 6878370 5587843 X 0 0 0 0 67829452 67812881 67829452 67812881 74707822 73400724 -6032384 6015813 0 X 0 1 X 0 0 375795 350417 25378 25378 COMMON/COLLECTIVE TRUSTS 29282452 F 29282452 X 54289178 6015813 6015813 48273365 137138 137138 48410503 55201839 0 55201839 137138 -896090 -758952 54442887 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE FUND ADMINISTRATOR TO EVALUATE TAX POSITIONS TAKEN BY THE FUND AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE FUND HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS FOR OPEN TAX YEARS (GENERALLY THREE YEARS FROM THE DATE FILED); HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY TAX PERIOD. PART XII, LINE 4B - OTHER ADJUSTMENTS: BENEFITS PAYABLE AT BEGINNING OF YEAR BENEFITS PAYABLE AT END OF YEAR X X 0 0 0 SANDI MANTOOTH FUND ADMINISTRATOR 86641 86641 0 0 0 0 0 0 0 0 86641 86641 0 0 FORM 990, PART VI, SECTION B, LINE 11B NO REVIEW WAS OR WILL BE CONDUCTED BY THE GOVERNING BODY. THE FUND ADMINISTRATOR REVIEWS FORM 990 BEFORE FILING FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION FOR FUND ADMINISTRATOR IS BASED ON COMPENSATION FOR REGIONAL DIRECTORS FORM 990, PART VI, SECTION C, LINE 19 THE FUND MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST BY MAIL OR AT ITS OFFICE IN BIRMINGHAM, ALABAMA. RWDSIUI PENSION FUND 1901 10TH AVENUE SOUTH BIRMINGHAM AL 352052601 630394267 DEFINED BENEFIT PENSION FUND AL 401(A) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0