2017-11-03T16:04:04-05:00 2016-12-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE SUITE 1200 WEST BETHESDA MD 20814 990 2016-01-01 237134462 INTERNATIONAL UNION OF OPERATING ENGINEERS & PIPELINE H&W FUND INTE 4108841440 10440 LITTLE PATUXENT PKY NO 700 COLUMBIA MD 21044 JAMES T CALLAHAN TRUSTEE 4108841440 2017-11-03 1 JOANN WOODSON CPA P01293745 2023319880 38.100.43.98 2017-11-03 17:03:27 ED P 8F72E301A453F475DDB880747CCED7D2AF7D6D45 3B9CE5223D124B7FF5649E204527236C262C7001 2016 2021-01-29 14:40:06Z JAMES T CALLAHAN 1125 17TH STREET NW WASHINGTON DC 20036 131464493 0 X N/A X 1971 DC TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES OF THE EMPLOYERS OBLIGATED TO CONTRIBUTE TO THE FUND UNDER COLLECTIVE BARGAINING AGREEMENTS WITH THE INTERNATIONAL UNION OF OPERATING ENGINEERS. 6 6 0 0 0 0 0 0 44946693 52184108 7320833 5107473 0 0 52267526 57291581 0 0 42535816 35524978 0 0 0 0 0 1646873 1530480 44182689 37055458 8084837 20236123 215029483 242027360 7588306 8056503 207441177 233970857 PROVIDE MEDICAL, DENTAL, AND OTHER BENEFITS TO MEMBERS OF THE INTERNATIONAL UNION OF OPERATING ENGINEERS, PERSUANT TO COLLECTIVE BARGAINING AGREEMENTS. 0 0 PROVIDED HEALTH & WELFARE 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 0 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 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ZENITH AMERICAN SOLUTIONS 4108841437 10440 LITTLE PATUXENT PARKWAY SUITE COLUMBIA MD 21044 X JAMES CALLAHAN TRUSTEE 1.00 X 0 0 0 MACK BENNETT TRUSTEE 1.00 X 0 0 0 MARK MAHER TRUSTEE 1.00 X 0 0 0 JEFFREY A COOLSAET TRUSTEE 1.00 X 0 0 0 CHARLES P JOYCE TRUSTEE 1.00 X 0 0 0 CHRISTOPHER T LEINES TRUSTEE 1.00 X 0 0 0 ROBERT WILDS TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 CAREFIRST 10455 MILL RUN CIR OWINGS MILLS MD 21117 CLAIMS PROCESSING 1277894 ZENITH ADMINISTRATORS INC 5565 STERRETT PLACE COLUMBIA MD 21044 FUND ADMINISTRATION 576126 WAGEWORKS 1100 PARK PL 4TH FLOOR SAN MATEO CA 94403 CLAIMS PROCESSING 259997 SAGE ADVISORY 5900 SOUTHWEST PARKWAY BLDG 1 AUSTIN TX 78735 INVESTMENT ADVISORY SERVICES 112181 DELTA DENTAL 1 DELTA DRIVE MECHANICSVILLE PA 17055 CLAIMS PROCESSING 101444 5 EMPLOYER CONTRIBUTIONS 900099 50861781 50861781 PARTICIPANT CONTRIBUTIONS 900099 1322327 1322327 52184108 4758165 4758165 74522220 74172912 349308 349308 349308 57291581 52184108 0 5107473 35524978 770814 4970 38135 203799 92092 77186 5768 4802 29168 TRANSITIONAL REINSURANC 289520 PCORI FEE 14226 37055458 8575374 9233738 4763248 7150204 14582 9723 201356933 224574835 319346 1058860 215029483 242027360 4616972 6605607 208302 117852 2763032 1333044 7588306 8056503 X 0 0 0 0 207441177 233970857 207441177 233970857 215029483 242027360 20236123 6293557 0 X X 0 1 X 1 0 0 DUE TO BROKER FOR PENDING TRANSACTION 1225015 SUSPENSE ACCOUNT 108029 1333044 X 63381339 6293557 6293557 57087782 203799 203799 57291581 36851659 0 36851659 203799 203799 37055458 PART X, LINE 2: THE PLAN FOLLOWS THE AUTHORITATIVE GUIDANCE RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES INCLUDED IN ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC INCOME TAXES. THESE PROVISIONS PROVIDE CONSISTENT GUIDANCE FOR THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBE A THRESHOLD OF "MORE LIKELY THAN NOT" FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE PLAN PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR THAT MAY HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. AS OF DECEMBER 31, 2016, THE STATUTE OF LIMITATIONS FOR TAX YEARS 2013 THROUGH 2015 REMAINS OPEN WITH THE U.S. FEDERAL JURISDICTION AND THE VARIOUS STATES AND LOCAL JURISDICTIONS IN WHICH THE PLAN FILES RETURNS. IT IS THE PLAN'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, IN UNRELATED BUSINESS INCOME TAX EXPENSE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO AND SIGNED BY THE TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C POTENTIAL CONFLICT OF INTEREST DISCLOSURES AND, IF NECESSARY OR APPROPRIATE, RECUSALS FROM EXERCISING FIDUCIARY AUTHORITY ARE MADE AT REGULAR BOARD OF TRUSTEES MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 AS AN ERISA-REGULATED EMPLOYEE WELFARE BENEFIT PLAN, THE FUND COMPLIES WITH ERISA REGARDING REPORTING AND DISCLOSURE OF ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND POLICIES. CERTAIN DOCUMENTS ARE DISTRIBUTED BY MAIL TO PARTICIPANTS AND BENEFICIARIES IN ACCORDANCE WITH ERISA. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES SELECTS THE FUND'S INDEPENDENT AUDITOR AND REVIEWS AND APPROVES THE AUDIT. 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