2018-10-11T10:12:05-05:00 2017-12-31 391531945 FREYBERG HINKLE ASHLAND POWERS & STOWELL 15420 W CAPITOL DR BROOKFIELD WI 530052621 990 2017-01-01 390859145 MILWAUKEE PAINTERS LOCAL UNION NO 781 HEALTH FUND MILW 4145773700 11270 WEST PARK PLACE NO 950 MILWAUKEE WI 53224 JEFF MEHRHOFF CHAIRMAN 4145773700 2018-10-08 1 THOMAS M POWERS CPA P00241729 2627846210 70.61.53.194 2018-10-08 10:15:40 CD P CCA3FFBDE7687CE42E9EA09D506C5024DA3E21F0 7456D36014A6CBF084659659171A6618C5CD14F2 2017 2018-06-14 16:35:46Z JEFF MEHRHOFF 11270 WEST PARK PLACE NO 950 MILWAUKEE WI 53224 24952478 0 X N/A X 1951 WI TO PROVIDE BENEFITS TO ELIGIBLE MEMBERS 8 4 30 0 0 0 0 0 7857026 10378284 563330 1238037 1776 0 8422132 11616321 0 0 7911135 8192619 0 0 0 0 0 1648061 2353608 9559196 10546227 -1137064 1070094 20756788 22247354 358950 364075 20397838 21883279 TO PROVIDE BENEFITS TO ELIGIBLE MEMBERS 0 0 PROVIDES ACCIDENT, HOSPITAL, MEDICAL, SURGICAL, DENTAL, VISION, MAJOR MEDICAL, DISABILITY, AND INSURANCE BENEFITS 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 7 0 1 30 1 0 0 0 0 0 0 0 0 X 8 4 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X JEFF MEHRHOFF 4145773700 11270 WEST PARK PLACE SUITE 950 MILWAUKEE WI 53224 JOHN R TOPP TRUSTEE 2.00 X 0 0 0 WILL STEVENS SECRETARY/TREASURER 2.00 X X 0 0 0 JEFF MEHRHOFF CHAIRMAN 2.00 50.00 X X 0 124542 64455 STEVE SCHREINER TRUSTEE 2.00 50.00 X 0 71588 56644 ANGELO MARRONE TRUSTEE 2.00 2.00 X 0 210 0 BRIAN BAUMGARTNER TRUSTEE 2.00 50.00 X 0 83770 52304 STAN POSTORNIO TRUSTEE 2.00 X 0 0 0 AMY OLSON TRUSTEE 2.00 X 0 0 0 0 280110 173403 0 0 1 0 UNITED HEALTHCARE INSURANCE COMPANY 10701 WEST RESEARCH DR MILWAUKEE WI 53226 CLAIMS ADMINISTRATION 477016 BENEFIT PLAN ADMINISTRATION OF WI 11270 WEST PARK PLACE SUITE 950 MILWAUKEE WI 53224 ADMINISTRATOR 381683 THE SEGAL COMPANY (MIDWEST) INC 3800 AMERICAN BOULEVARD WEST BLOOMINGTON MN 554314459 CONSULTANT 131606 3 EMPLOYER CONTRIBUTIONS 900099 10018645 10018645 EMPLOYEE CONTRIBUTIONS 900099 359639 359639 10378284 471943 471943 14102251 13336157 766094 766094 766094 11616321 10378284 0 1238037 8192619 47716 32186 71548 155531 16054 20711 16489 DENTAL PREMIUMS 758780 NETWORK FEES 491910 CLAIMS AND FUND ADMINIS 384794 STOP-LOSS PREMIUMS 242129 115760 10546227 584430 795646 309953 520749 1131077 1002915 71277 43083 18660051 19884961 20756788 22247354 186350 230575 172600 133500 358950 364075 X 0 0 0 0 20397838 21883279 20397838 21883279 20756788 22247354 1070094 415347 0 X X 0 1 X 1 0 0 CLAIMS PAYABLE 133500 133500 X 11960120 415347 415347 11544773 71548 71548 11616321 10513779 0 10513779 71548 -39100 32448 10546227 PART X, LINE 2: U.S GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE PLAN MANAGEMENT OF AN ORGANIZATION 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. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CURRENT YEAR CLAIMS PAYABLE -39,100. 0 0 0 JEFF MEHRHOFF CHAIRMAN 0 124542 0 0 0 0 0 0 0 64455 0 188997 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS REVIEWED BY THE CHAIRMAN AND SECRETARY/TREASURER PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12: THE TRUSTEES FOLLOW ERISA REQUIREMENTS REGARDING CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC INSPECTION COPIES OF THE FORM 990, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE BY REQUEST AT THE ORGANIZATION'S OFFICE. FORM 990, PART XII, LINE 2C NO CHANGE IN THE PROCESS FROM PRIOR YEAR FORM 990, SCHEDULE R, PARTS II-IV THE PLAN MADE A REASONABLE EFFORT TO OBTAIN THE TAX CLASSIFICATION FROM ALL CONTRIBUTING EMPLOYERS, BUT 12 OF THE CONTRIBUTING EMPLOYERS HAVE NOT YET RESPONDED TO THE REQUEST. AS THE RESPONSES ARE RECEIVED, THEY WILL BE ON FILE AT THE FUND OFFICE. INTERNATIONAL BROTHERHOOD OF PAINTERS AND ALLIED TRADES LOCAL #781 PAINTERS & ALLIED TRADES DISTRICT COUNCIL NO 7 IUPAT DISTRICT COUNCIL NO 7 JOINT APPRENTICESHIP AND TRAINING TRUST FUND IUPAT ALLIED TRADES GLAZIERS LOCAL UNION 1204 PAINTERS LOCAL 802 HEALTH FUND BOARD OF TRUSTEES OF MILWAUKEE PAINTERS LOCAL UNION NO 781 HEALTH FUND 11270 WEST PARK PLACE SUITE 950 MILWAUKEE WI 53224 390859145 PLAN SPONSOR AND PLAN ADMINISTRATOR WI 501(C)(9) 0 GORDON SOLUTIONS LLC JDR PAINTING APPLETON LATHING CORP B&D CONTRACTORS BALASCH PAINTING AND DECORATING BUILDING SERVICE INC CESARZ DRYWALL INC COMMON LINKS CONSTRUCTION CONRAD SCHMITT STUDIOS DAVCO DEVELOPMENT EAST MOLINE GLASS ED WEBER INC FIELDSTONE GLASS INC HERITAGE GLASS INC HESS SWEITZER PAINTING LLC HOME GLASS CO INC HOWARD GROTE & SONS INC JAHN & SONS INC KLEIN-DICKERT PEWAUKEE INC LEPPIN DRYWALL CORP THE LURIE COMPANIES INC MAY DECORATING II INC MICHIGAN STATE PAINTERS INS FUND NJ SCHAUB & SONS INC OMNI GLASS & PAINT INC PDC FACILITIES INC PFISTER LLC PORTA-PAINTING INC POSTORINO DECORATING INC PROGRAMMED PAINTING SERVICE INC RELIANT CONTRACT GLASS INC SANCHEZ PAINTING CONTRACTORS SERVICE PAINTING CORP SONAG COMPANY INC STATE PAINTING COMPANY SWANSON & YOUNGDALE INC THOMAS INDUSTRIAL COATING INC THOMAS A MASON CO INC WINGHART INC CREATIVE BUSINESS INTERIORS INC COATINGS UNLIMITED INC BEEN ACOUSTICS CORP (COMMERCIAL WALLS & CEILING) DUWE METAL PRODUCTS INC OLYMPIC WALL SYSTEMS INC PERMASTELLISA NORTH AMERICA CORP SCHNEIDERS-VETTER GLASS CO INC UNIVERSAL INC WALL-TECH INC WOODS CONSTRUCTION INC AETNA COATING INC ALL-TECH DECORATING CO ERA VALDIVIA CONTRACTORS INC HETZEL-SANFILIPPO INC LAKE CITY GLASS INC MIDWEST PRO PAINTING INC MILWAUKEE PLATE GLASS INC ROCK VALLEY GLASS OF ROCKFORD INC ROSS HARTRICK INC RP COATINGS INC SCHMELZER PAINT CO INC VALOE PLASTERING INC VER HALEN INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0