2017-07-12T14:52:22-05:00 2016-12-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2016-01-01 596134297 INTERNATIONAL BRTHOOD OF ELECTRICAL WORKERS WELFARE FUND LOCAL 728 INTE 9542666322 2010 NW 150TH AVENUE NO 100 PEMBROKE PINES FL 33028 DAVID SVETLICK TRUSTEE 9542666322 2017-07-12 1 GREG WALLENBECKER P01451145 3123680500 12.197.118.215 2017-07-12 14:49:41 CD P D56625F7C0621E1EB8BA8C5A7372C18F0F4BC985 C3168D624729577079CA47B99B0ED2C5793BD89E 2016 2021-01-29 14:40:06Z DAVID SVETLICK 2010 NW 150TH AVENUE NO 100 PEMBROKE PINES FL 33028 14242911 0 X N/A X 1976 FL PROVIDE HEALTH BENEFITS 8 6 0 0 0 0 0 0 8739553 7902034 84182 175653 232 0 8823967 8077687 0 0 8414157 8954826 0 0 0 0 0 409253 386172 8823410 9340998 557 -1263311 8625233 7323964 128776 83626 8496457 7240338 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS IN ACCORDANCE WITH THE PLAN DOCUMENT. 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 2 0 1 0 0 0 0 0 0 0 0 0 X 8 6 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X NATIONAL EMPLOYEE BENEFITS ADMINISTRATORS INC 9542666322 2010 NW 150TH AVENUE SUITE 100 PEMBROKE PINES FL 33028 DAVID SVETLICK CHAIRMAN 1.00 40.00 X 0 96178 0 JOHN L LOVELESS TRUSTEE - PAST 1.00 X 0 0 0 JAMES BOYLAN TRUSTEE 1.00 X 0 0 0 VINCENT FORTUNE TRUSTEE 1.00 X 0 0 0 WILLIAM BARROW TRUSTEE 1.00 X 0 0 0 JUSTIN MCINTOSH PRESIDENT 1.00 20.00 X 0 69973 0 JONATHAN BORDEN TRUSTEE 1.00 X 0 0 0 KENNETH DELI TRUSTEE - PAST 1.00 X 0 0 0 MIKE SPRINGSTEAD TRUSTEE - PAST 1.00 X 0 0 0 RICK SHAWBELL TRUSTEE 1.00 X 0 0 0 CARL TIRONE TRUSTEE 1.00 X 0 0 0 0 166151 0 0 0 0 0 CIGNA 900 COTTAGE GROVE ROAD BLOOMFIELD CT 06152 MEDICAL PROVIDER 825862 NATIONAL EMPLOYEE BENEFITS ADMINISTRATOR 2010 NW 105TH AVENUE SUITE 100 PEMBROKE PINES FL 33028 THIRD PARTY ADMINISTRATOR 131753 2 EMPLOYER CONTRIBUTIONS 900099 7771824 7771824 PARTICIPANT CONTRIB 900099 130210 130210 7902034 99806 99806 6241071 6165224 75847 75847 75847 8077687 7902034 0 175653 8954826 132887 74200 19400 25371 80799 7627 2206 1132 FEES MANDATED BY ACA 39690 RECIPROCAL TRANSFER FEE 2200 BANK FEES 660 9340998 0 1279597 1429203 25006 1282073 1749130 3002 3002 5551143 4267229 359812 0 8625233 7323964 71215 47668 57561 35958 128776 83626 X 0 0 0 0 8496457 7240338 8496457 7240338 8625233 7323964 -1263311 7192 0 X 0 1 X 1 0 0 FEES MANDATED BY ACA 35958 35958 X 8059508 7192 7192 8052316 25371 25371 8077687 9315627 0 9315627 25371 25371 9340998 PART X, LINE 2: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES. FORM 990, PART VI, SECTION A, LINE 3 THE BOARD OF TRUSTEES HAS DELEGATED THE DAY TO DAY ADMINISTRATIVE DUTIES TO NATIONAL EMPLOYEE BENEFITS ADMINISTRATORS, INC. AS THE THIRD PARTY ADMINISTRATOR OF THE FUND. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PROVIDED, REVIEWED AND APPROVED BY THE ENTIRE BOARD OF TRUSTEES PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE FUND MAINTAINS A CONFLICT OF INTEREST POLICY. THE TRUSTEES MONITOR AND ENFORCE THE FUND'S COMPLIANCE WITH ASSISTANCE FROM THE FUND'S PROFESSIONALS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. 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