2017-04-13T17:16:01-05:00 2016-06-30 341087273 LublinSussman Group LLP 3166 N Republic Blvd Toledo OH 43615 990 2015-07-01 316084151 IBEW Local 82 Health & Welfare IBEW 3047813921 3150 US Route 60 Ona WV 25545 Mike Gebhart Trustee 3047813921 2017-04-11 1 Lee D Wunschel P00088726 4198412848 2015 2021-01-29 14:40:06Z Mike Gebhart 3150 US Route 60 Ona WV 25545 16743309 0 X N/A X Emp Ben Plan 1967 OH To provide health, prescription and death benefits to covered members, retirees and dependents. 6 6 0 0 0 0 0 0 8467068 9468881 413747 274074 0 0 8880815 9742955 0 0 7865405 8541063 0 0 0 0 0 774395 877234 8639800 9418297 241015 324658 13777735 14462030 31567 141475 13746168 14320555 To provide health, prescription and death benefits to covered members, retirees and dependents. 0 0 Provided self funded health insurance benefits, as well as fully insured life and disability benefits and supplemental medicare coverage to eligible participants, dependents, and retirees of International Brotherhood of Electrical Workers Local 82. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X Ryan Jones 3047813921 3150 US Route 60 Ona WV 25545 X Jim A Fortkamp Employer Trustee 2.00 X 0 0 0 Jack Lohbeck Employer Trustee 2.00 X X 0 0 0 Curtis Evans Employer Trustee 2.00 X 0 0 0 Greg Gust Union Trustee 2.00 X 0 0 0 Michael Gebhart Union Trustee 2.00 X X 0 0 0 Mark Poeppelmeier Union Trustee 2.00 X X 0 0 0 0 0 0 0 0 0 0 American Benefit Corporation 3150 US Route 60 Ona WV 255459507 Plan Management and Operation 348480 Anthem (Well Point) 120 Monument Circle Indianapolis IN 26204 Medical Network Fees 286784 2 Employer Contribution 525100 8617315 8617315 Participant Contribution 525100 831339 831339 Deliquent Contribution Settlement 525100 20227 20227 9468881 284473 284473 6989955 7000354 -10399 -10399 -10399 9742955 9468881 0 274074 8541063 74657 23000 19923 73463 480 18075 12362 Claims Admin Fees 623744 Bank Fees 10360 Trustee Fees 8795 Printing 7385 4990 9418297 386859 1409328 542719 700638 821130 140313 11527456 12711322 13777735 14462030 31567 141475 31567 141475 X 0 0 0 0 13746168 14320555 13746168 14320555 13777735 14462030 324658 249729 0 X 0 1 X 1 0 0 X 9972761 249729 249729 9723032 19923 19923 9742955 9398374 0 9398374 19923 19923 9418297 Part X, Line 2: 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 Internal Revenue Service. The Plan Administrator has analyzed the tax positions taken by the plan, and has concluded that as of June 30,2016, 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 Administrator believes it is no longer subject to income tax examinations for years ended prior to June 30, 2013. Form 990, Part VI, Section B, line 11 The Form 990 is provided to the Board of Trustees to review prior to filing. Form 990, Part VI, Section B, line 12c Conflicts of interest are detailed in prohibited transactions under ERISA in addition, the Plan also has a seperate policy in place. The Plan's legal counsel continually monitors the Plan and its Trustees for possible conflicts of interest. A member of the Plan's legal counsel attends each meeting of the Trustees and monitor on an "as needed" basis for activity that could give rise to potential conflicts of interest. Form 990, Part VI, Section C, line 19 The Plan's Form 990 is available through various websites, such as Guidestar and the Form 5500 is available to the public through FREE ERISA and the Department of Labor websites. The Plan would also provide such information returns upon written request. Governing documents are not provided to the public. FORM 990, PART V, LINE 2A The Plan reports participants on Form W-3 related to disability payments, which are classified as benefit expense. The Trustees utilize a third party administrator for daily operations of the Plan as such, the Plan has no employees. IBEW Local 82 Defined Benefit Plan 6550 Poe Avenue Dayton OH 454142527 316127268 Pension Plan OH 501(c)(9) N/A N/A 0 IBEW Local 82 Defined Contributions Plan 6550 Poe Avenue Dayton OH 454142527 311119203 Pension Plan OH 501(c)(9) N/A N/A 0 IBEW Local 82 401 (K) Plan 6550 Poe Avenue Dayton OH 454142527 310329975 Pension Plan OH 501(c)(9) N/A N/A 0 IBEW 82 6550 Poe Avenue Dayton OH 454142527 319329975 Labor Union- Sponsoring Entity OH 501(c)(5) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0