2017-11-14T16:03:19-06:00 2016-12-31 381357951 PLANTE & MORAN PLLC 250 S High St Suite 100 Columbus OH 43215 990 2016-01-01 311732659 SEQUENT EMPLOYEE BENEFIT TRUST (VEBA) SEQU 6144365880 8415 PULSAR PLACE No 200 COLUMBUS OH 43240 DWIGHT SEELEY VP OF EMPLOYEE BENEFIT PROGRAMS 6144365880 2017-11-14 1 AMY CIMINELLO CPA P00796388 6148493000 2017-11-13 67.59.56.33 2017-11-14 11:56:49 ES P 1674A2254C8EB78FFC88BE4D5865C21DF24A8C7C 1674A2254C8EB78FFC88BE4D5865C21DF24A8C7C 2016 2017-02-10 21:41:12Z DWIGHT SEELEY 8415 PULSAR PLACE No 200 COLUMBUS OH 43240 13975950 0 X N/A X 1999 OH HEALTH AND WELFARE BENEFIT PLAN 5 5 0 0 0 0 0 0 10881436 13975950 0 0 19650 0 10901086 13975950 0 0 9216417 12402836 446542 0 0 0 0 665060 1904443 10328019 14307279 573067 -331329 3159832 2887492 1134780 1696172 2025052 1191320 ADMINISTERS A MULTI-EMPLOYER EMPLOYEE BENEFIT PLAN 0 0 ADMINISTERED MULTIPLE EMPLOYEE BENEFIT PROGRAMS FOR AN ESTIMATED 1,438 FULL-TIME EMPLOYEES, AT APPROXIMATELY 211 WORKSITES. THE TOTAL NUMBER OF INSURED INDIVIDUALS IS CLOSE TO 1,463. 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 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 8 0 1 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X DWIGHT SEELEY 6144365880 8415 PULSAR PLACE COLUMBUS OH 43240 JOHN E BOYER MEMBER TRUST OVERSIGHT COMMITTEE 1.00 X 0 0 0 JAMES CALDWELL MEMBER TRUST OVERSIGHT COMMITTEE 1.00 X 0 0 0 JONATHAN ALLISON MEMBER TRUST OVERSIGHT COMMITTEE 1.00 X 9000 0 0 MICHAEL STINZIANO MEMBER TRUST OVERSIGHT COMMITTEE 1.00 X 9000 0 0 ISABEL TOTH MEMBER TRUST OVERSIGHT COMMITTEE 1.00 X 0 0 0 CHAD EDDY MEMBER TRUST OVERSIGHT COMMITTEE 1.00 X 0 0 0 JEFF SMITH MEMBER TRUST OVERSIGHT COMMITTEE 1.00 X 0 0 0 DWIGHT SEELEY VP OF EMPLOYEE BENEFIT PROGRAMS 40.00 X 0 159050 0 18000 159050 0 0 0 1 0 MILLIMAN 1335 DUBLIN ROAD COLUMBUS OH 43215 ACTUARIAL SERVICES 130770 1 EMPLOYEE AND EMPLOYER CONTRIBUTIO 525100 13975950 13975950 13975950 13975950 13975950 0 0 X 12402836 71331 1833112 14307279 2983546 2612837 3286 101655 173000 173000 3159832 2887492 1134780 1696172 1134780 1696172 X 162435 162435 0 0 1862617 1028885 2025052 1191320 3159832 2887492 X -331329 -502403 X 0 0 0 0 INSURANCE DEPOSITS 173000 173000 13975950 0 13975950 0 13975950 14307279 0 14307279 0 14307279 X 0 0 0 DWIGHT SEELEY VP OF EMPLOYEE BENEFIT PROGRAMS 0 159050 0 0 0 0 0 0 0 0 0 159050 0 0 Form 990, Part VI, Section B, line 11b THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S OFFICERS BEFORE FILING. Form 990, Part VI, Section C, line 18 THE FORM 990 IS MADE AVAILABLE UPON REQUEST. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part IX, line 11g UMR, INC. - CLAIMS PROCESSING 908,721. SEQUENT, INC. - PLAN ADMINISTRATOR 453,270. MILLIMAN - CONSULTING (PENSION) 121,997. TFIF GROUP LLC - CONSULTING (PENSION) 90,000. PORTER WRIGHT MORRIS & ARTHUR, LLP - LEGAL 78,137. ANTHEM EAP - CLAIMS PROCESSING 42,422. BAILEY CAVALIERI, LLC - LEGAL 40,514. CONVEY COMPLIANCE SYSTEMS, LLC 32,652. SCHNEIDER DOWNS & CO., INC. - ACCOUNTING 18,571. JON ALLISON - TRUSTEE 9,000. MICHAEL STINZIANO - TRUSTEE 9,000. BAESMAN GROUP - COPYING 7,954. BOOKE SEMINARS 7,675. THOMPSON REUTERS 7,419. PLANTE & MORAN, PLLC 5,780. Form 990, Part XI, line 9: DECREASE IN BENEFIT OBLIGATION -502,403. eLum Technologies LLC Nikola Labs Inc Procuresafe Inc Ikove Venture Partners LLC The Ohio Wire Harness Inc Elemental Resources Ltd Sequent - MapVision USA LLC Sequent - Greater Columbus Sister Cities Air Control Inc Ackley Realty New Path International LLC Architecture Ohio Inc Media Images Inc Active Physical Therapy Inc Cleanserv Inc Prince of Peace Lutheran Church Select Association Management LLC Workforce Development Board of Central O Michael G Saribalas DO PA Columbus Metropolitan Club Inc Leadership Columbus Spicer Wealth Management Sequent - Treibacher Industrie AG Tuffy Auto Service Center Evans Farm Delaware LLC MetaMateria Technologies LLC On Site LLC ME Null Automotive LLC PriorAuthNow Inc Sawmill Baptist Church Gateway Film Foundation Gallagher and Dawsey Co LPA Grit Guard Inc Mobile-Shop Company LLC Ohio Society of Association Executives The Women's Fund of Central Ohio Inc Adams Financial Group Inc Sequent -- 1312983 Ontario Inc Willow Wood Animal Hospital Inc Neurotechnology Innovations Translator L The Gateway Theater LLC Mathews and Mathews Co LPA WebPresented LLC JadeTrack LLC Alisha A Gray and Clare E Tannehill Maca Crispin Iron & Metal Company LLC MRD Consulting LLC Post House LLC KSM International Ltd SafeWhite Inc Douglas R Schumacher MD LLC Traditions Painting and Property Restora CropZilla Software Inc Vivid Front LLC Bexley MotorCar Company Excel Health Solutions LLC Edison BioTechnology Center Inc Management Performance Intl Caption Labs LLC MWFC LLC OATS Management Company LLC Graham Legacy Enterprises LLC Digestive Associates of Ohio LLC The Ackley Organization Inc The Entrepreneurs Center Premier Office Movers LLC Clarivoy Regent Homes LLC Broad Street Financial Company Sequent --Legacy Leaders The Center for Healthy Families Inc Root Insurance Company Columbus Children's Theatre Grace Central Inc TableForce LTD EduSourced Inc Jason Brandon Insurance Agency Inc IntegreatHR Technologies C and F Real Estate LLC Aurora Exhibit Solutions Inc Integrated Pain Solutions Inc GNZZA LLC Chembar Inc Dublin Surgery Center Best Service Heating and Cooling The Jazz Arts Group of Columbus Principled Wealth Advisors LLC Elite Home Remodeling Inc Harrison Financial Group Inc Central Ohio Bag & Burlap Inc Central Point Partners LLC Auld Technologies LLC Rattleback Inc Amplified Spaces Inc Transmet Corporation Kennedy Cottrell Richards LLC Blaugrund Herbert Kessler Mil FoldedPak Inc Incare Health Solutions LLC A Kid Again Inc Celmark Development Group Inc Sequent - FunderMax GmbH Sequent Employee Welfare Benefit Trust American Association of Service Coordina IBOD Company Inc Vantage Point Logistics Inc Future PolyTech Samuel D Koon and Associates Ltd WE Davis Insurance Agency Inc Prostratus LLC Furniture Bank of Central Ohio Karis Inc Creative Jump Systems Inc Dr Dirk LLC J P Transportation Co Inc Lennonheads Salon and Spa Alpha and Omega Building Services LTD ALNI Ltd Compass Homes Inc After-School All-Stars Ohio Central Ohio Surgical Institute LLC IMPEX Logistics Inc Simple Holdings LLC Burt E Schear M D and Assoc Wilmington Church of Christ Sawmill Road Management Company LLC Capitol South Community Urban Redevelopm Cols Comm Clinical Onc Program Value Recovery Group Inc MarketSource Agency Network LLC Baker Services Inc Pelotonia LLC Innovative Hardware Inc DBA EPS Hello Health Inc Knape Industries Inc U-CO Industries Inc Greater Columbus Chamber of Commerce Knightsbridge Surgery Center LTD Sands Decker CPS LLC Trueperformance Inc Sequent HR Consulting Superior Plastics Inc Columbus Sign Company Rack Processing Michigan LLC Midway Structural Pipe and Supply Inc Savare Specialty Adhesives LLC The Ohio PIA Service Corp Buckeye Western Star Tracir Financial Services I Inc Ricart Financial Services Inc Eye Center of Columbus LLC Bry-Air Inc Evans Adhesive Corp LTD Rev1Ventures Logistics Partners Inc Industrial Ceramic Products Value Recovery Holdings LLC Sequent Inc Children's Hunger Alliance Ohio Orthopedic Surgery Institute LLC River Valley Credit Union Inc Rack Processing Company Inc Community Properties of Ohio SEQUENT INC 4700 LAKEHURST COURT DUBLIN OH 43016 311428576 EMPLOYER SERVICES OH C 0 COMMUNITY PROPERTIES OF OHIO 562281157 0 RACK PROCESSING COMPANY INC 310535048 0 RIVER VALLEY CREDIT UNION INC 310547898 0 OHIO ORTHOPEDIC SURGERY INSTITUTE LLC 431939917 0 CHILDREN'S HUNGER ALLIANCE 237303509 0 VALUE RECOVERY HOLDINGS LLC 311680268 0 INDUSTRIAL CERAMIC PRODUCTS 314215190 0 LOGISTICS PARTNERS INC 341835892 0 REV1VENTURES 311658220 0 EVANS ADHESIVE CORP LTD 510428942 0 BRY-AIR INC 310677989 0 EYE CENTER OF COLUMBUS LLC 010702725 0 RICART FINANCIAL SERVICES INC 311313713 0 TRACIR FINANCIAL SERVICES I INC 204951176 0 BUCKEYE WESTERN STAR 311284776 0 THE OHIO PIA SERVICE CORP 311452252 0 SAVARE SPECIALTY ADHESIVES LLC 550907139 0 MIDWAY STRUCTURAL PIPE AND SUPPLY INC 208815652 0 RACK PROCESSING MICHIGAN LLC 205243731 0 COLUMBUS SIGN COMPANY 310740538 0 SUPERIOR PLASTICS INC 311585777 0 SEQUENT HR CONSULTING 463078093 0 TRUEPERFORMANCE INC 311294564 0 SANDS DECKER CPS LLC 311602569 0 KNIGHTSBRIDGE SURGERY CENTER LTD 280650797 0 GREATER COLUMBUS CHAMBER OF COMMERCE 314152950 0 U-CO INDUSTRIES INC 310862418 0 KNAPE INDUSTRIES INC 310989627 0 HELLO HEALTH INC 262832842 0 INNOVATIVE HARDWARE INC DBA EPS 311328642 0 PELOTONIA LLC 900416888 0 BAKER SERVICES INC 310866119 0 MARKETSOURCE AGENCY NETWORK LLC 550886694 0 VALUE RECOVERY GROUP INC 208032919 0 COLS COMM CLINICAL ONC PROGRAM 311290751 0 CAPITOL SOUTH COMMUNITY URBAN REDEVELOPM 310868417 0 SAWMILL ROAD MANAGEMENT COMPANY LLC 311705139 0 WILMINGTON CHURCH OF CHRIST 310737111 0 BURT E SCHEAR M D AND ASSOC 310833325 0 SIMPLE HOLDINGS LLC 383990596 0 IMPEX LOGISTICS INC 311685550 0 CENTRAL OHIO SURGICAL INSTITUTE LLC 743059062 0 AFTER-SCHOOL ALL-STARS OHIO 311736272 0 COMPASS HOMES INC 311734264 0 ALNI LTD 352212919 0 ALPHA AND OMEGA BUILDING SERVICES LTD 201239136 0 LENNONHEADS SALON AND SPA 311298651 0 J P TRANSPORTATION CO INC 316043251 0 DR DIRK LLC 273520413 0 CREATIVE JUMP SYSTEMS INC 223497078 0 KARIS INC 311775242 0 FURNITURE BANK OF CENTRAL OHIO 311600869 0 PROSTRATUS LLC 810781986 0 WE DAVIS INSURANCE AGENCY INC 311300418 0 SAMUEL D KOON AND ASSOCIATES LTD 311542639 0 FUTURE POLYTECH 275079731 0 VANTAGE POINT LOGISTICS INC 462190696 0 IBOD COMPANY INC 473049829 0 AMERICAN ASSOCIATION OF SERVICE COORDINA 311670185 0 SEQUENT EMPLOYEE WELFARE BENEFIT TRUST 311732659 0 SEQUENT - FUNDERMAX GMBH 311428576 0 CELMARK DEVELOPMENT GROUP INC 320059684 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 SEQUENT INC P 460000 CASH