2016-03-08T10:41:10-06:00 2015-04-30 341322309 CIUNI & PANICHI INC 25201 CHAGRIN BLVD 200 CLEVELAND OH 441225683 990 2014-05-01 450593187 OHIO CARPENTERS' HEALTH FUND OHIO 6142362440 1909 ARLINGTON LANE COLUMBUS OH 43228 DON CRANE CHAIRMAN 6142362440 2016-03-08 1 DAVID M REAPE CPA P00068117 2168317171 2014 2016-08-17 19:52:53Z DON CRANE 1909 ARLINGTON LANE COLUMBUS OH 43228 294275204 0 X N/A X 2008 OH THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN COVERING ELIGIBLE MEMBERS OF VARIOUS LOCAL UNIONS OF THE OHIO AND VICINITY REGIONAL COUNCIL OF CARPENTERS, PRIMARILY IN OHIO, WHICH WAS MERGED INTO THE INDIANA/KENTUCKY REGIONAL COUNCIL OF CARPENTERS. THE PLAN PROVIDES HEALTH, VACATION, DENTAL, VISION, PRESCRIPTION DRUG, AND DEATH BENEFITS TO ITS MEMBERS. 20 20 0 20 0 0 0 0 105478432 112988356 6864657 9607143 0 0 112343089 122595499 0 0 96880646 114654804 8788 22876 0 0 0 5879594 7252738 102769028 121930418 9574061 665081 185852428 181978907 5613744 3077421 180238684 178901486 X THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN COVERING ELIGIBLE MEMBERS OF VARIOUS LOCAL UNIONS OF THE OHIO AND VICINITY REGIONAL COUNCIL OF CARPENTERS, PRIMARILY IN OHIO, WHICH WAS MERGED INTO THE INDIANA/KENTUCKY REGIONAL COUNCIL OF CARPENTERS. THE PLAN PROVIDES HEALTH, VACATION, DENTAL, VISION, PRESCRIPTION DRUG, AND DEATH BENEFITS TO APPROXIMATELY 12,000 MEMBERS. 0 0 121442154 THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN COVERING ELIGIBLE MEMBERS OF VARIOUS LOCAL UNIONS OF THE OHIO AND VICINITY REGIONAL COUNCIL OF CARPENTERS, PRIMARILY IN OHIO, WHICH WAS MERGED INTO THE INDIANA/KENTUCKY REGIONAL COUNCIL OF CARPENTERS. THE PLAN PROVIDES HEALTH, VACATION, DENTAL, VISION, PRESCRIPTION DRUG, AND DEATH BENEFITS TO ITS MEMBERS. 121442154 0 0 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X BENESYS INC 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 X MIKE GIBSON TRUSTEE 1.00 X 0 0 0 BOB ELLIOTT TRUSTEE 1.00 X 0 0 0 MARK MOEN TRUSTEE 1.00 X 0 0 0 MARK MCGRIFF TRUSTEE 1.00 X 0 0 0 DAVE MEIER TRUSTEE 1.00 X 0 0 0 JOE MILLER TRUSTEE 1.00 X 0 0 0 DONALD CRANE TRUSTEE 1.00 X 0 0 0 AARON HALL TRUSTEE 1.00 X 0 0 0 JAMES MELARAGNO TRUSTEE 1.00 X 0 0 0 DOUG REFFITT CHAIRMAN 1.00 X 0 0 0 KEVIN REILLY SECRETARY 1.00 X 0 0 0 DAVID GIORGI TRUSTEE 1.00 X 0 0 0 TIM LINVILLE TRUSTEE 1.00 X 0 0 0 KEN LYONS TRUSTEE 1.00 X 0 0 0 JIM FOX TRUSTEE 1.00 X 0 0 0 JOE BEISCHEL TRUSTEE 1.00 X 0 0 0 ANDREW GOETZ TRUSTEE 1.00 X 0 0 0 PAM HEPBURN TRUSTEE 1.00 X 0 0 0 PATRICK LAYTON TRUSTEE 1.00 X 0 0 0 JIM LAWLER TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 MEDICAL MUTUAL 23700 COMMERCE PARK BEACHWOOD OH 44122 INSURANCE 3070272 BENESYS 6100 OAK TREE BLVD 190 CLEVELAND OH 44131 ADMINISTRATIVE AND IT SERVICES 744903 CONSUMER LIFE INSURANCE 2060 E 9TH ST CLEVELAND OH 44115 INSURANCE 369054 DELTA DENTAL 1300 E 9TH ST 1703 CLEVELAND OH 44114 INSURANCE 286755 MEDCO CONTAINMENT LIFE INSURANCE 50 WEST BOARD STREET SUITE 1800 COLUMBUS OH 43215 INSURANCE 246426 8 EMPLOYER CONTRIBUTIONS 900099 99335421 99335421 MEMBER CONTRIB-HEALTH 900099 16856680 16856680 LESS:RECIPROCITY TRANSFERS 900099 -3203745 -3203745 112988356 3840358 3840358 177446490 171679705 5766785 5766785 5766785 122595499 112988356 0 9607143 114654804 22876 170725 65310 244132 796470 300 7271 26500 20790 35455 MEDICAL NETWORK FEES 3655771 TRANSITIONAL REINSURANC 1031012 COLLECTION EXPENSE 536992 PREMIUMS FOR INSURANCE 369054 292956 121930418 11669007 4738439 16740246 16913493 24016 278435 0 0 0 0 8477288 7103705 148941871 152944835 185852428 181978907 2807407 394339 2806337 2683082 5613744 3077421 X 180238684 178901486 180238684 178901486 185852428 181978907 665081 -2002278 0 X 0 1 X 1 0 0 CORPORATE DEBT SECURITIES 22268650 F GOVERNMENT AND RELATED DEB SECURITIES 37038778 F MUTUAL AND EXCHANGE TRADED FUNDS 83774724 F SHORT TERM INVESTMENT FUNDS 9862683 F 152944835 UNREMITTED FRINGE BENEFIT CONTRIBUTIONS COLLECTED 1197324 DUE TO BROKERS FOR SECURITIES PURCHASED 1485758 2683082 X 120349088 -2002278 -2002278 122351366 244132 244132 122595498 121686286 0 121686286 244132 244132 121930418 PART X, LINE 2: THE VOLUNTARY EMPLOYEE BENEFICIARY ASSOCIATION (VEBA) TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC), AND ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS), AND PLAN MANAGEMENT BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE IRC. HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN FISCAL 2015 OR 2014 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. 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 IRS. 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 FISCAL YEARS PRIOR TO APRIL 30, 2012. FORM 990, PART VI, SECTION B, LINE 11 THE COMPLETED FORM 990 IS SENT TO THE PLAN ADMINISTRATOR WHO REVIEWS THE RETURN AND CONSULTS WITH THE PREPARER ON ANY QUESTIONS. ONCE ALL OF THE QUESTIONS ARE ANSWERED, THE PLAN ADMINISTRATOR PRESENTS THE FORM 990 TO THE TRUSTEES AND EXPLAINS THE PROPOSED FILING. THE TRUSTEES WILL DISCUSS ANY QUESTIONS WITH THE PLAN ADMINISTRATOR BEFORE GIVING THEIR APPROVAL TO ADOPT AND FILE THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C YEARLY DISCLOSURES ARE MADE AND PRESENTED TO THE TRUSTEES FOR REVIEW AND CONFIRMATION. THE PROCESS IS REFLECTED IN THE MINUTES OF THE TRUSTEE'S MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATIVE COMMITTEE REVIEWS AND MAKES SALARY DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC 3611 CHESTER AVE CLEVELAND OH 441144622 203330679 TO PROCESS EMPLOYER CONTRIBUTIONS TO BENEFIT PLANS OH 501(C)(5) 0 OHIO CARPENTERS' ANNUITY PLAN 3611 CHESTER AVE CLEVELAND OH 441144622 341778747 TO PROVIDE RETIREMENT BENEFITS OH 401(A) 0 OHIO CARPENTERS' PENSION PLAN 3611 CHESTER AVE CLEVELAND OH 441144622 346574360 TO PROVIDE RETIREMENT BENEFITS OH 401(A) 0 INDIANA KENTUCKY OHIO REGIONAL COUNCIL OF CARPENTERS 771 GREENWOOD SPRINGS DR GREENWOOD IN 46143 351074694 LABOR ORGANIZATION OH 501(C)(5) 0 JOINT BOARD OF TRUSTEES OHIO CARPENTERS' SUPP BENEFIT FUND 3611 CHESTER AVE CLEVELAND OH 441144622 341927123 MULTI-EMPLOYER BENEFIT PLAN OH 401(A) 0 2D CONSTRUCTION LLC 3D CONSTRUCTION LLC 74 INSTALLATIONS LLC ADIRONDACK SERVICE LLC ADIRONDACK SERVICE LLC ADVANTAGE INDUSTRIAL SYSTEMS LLC ALEX ANDRIETTE BUILDERS LLC AMW INSTALL LLC AQUARIUS MARINE LLC ATACCON LLC BARTRAM CONSTRUCTION LLC BBL CARLTON LLC BERLE CUSTOM CARPENTRY LLC BRAND 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INC MILLENNIUM CONCRETE CONST CO MILLER BROS CONSTRUCTION INC MILLWRIGHT INDUSTRIAL SERVICES MILLWRIGHT LOCAL #1755 MILLWRIGHT LOCAL 1755 JATC MILLWRIGHTPILEDRIVERS LU 1090 MINK CONSTRUCTION CO MINNOTTE CONTRACTING CORP MJR CONSTR (M RIVERA CONST) MODERN DAY CONSTR MOES ACOUSTICS INC MONARCH CONSTRUCTION COMPANY MORRISON CONSTRUCTION CO MORRISON'S PLUMBING INC MOSSER CONSTRUCTION MURPHY CONTRACTING CO MYERS MACHINERY MOVERS INC NAGELE MANUFACTURING COMPANY NATIONAL STEEL ERECT NATIONAL STEEL ERECT NATIONWIDE INSTALL SERVICE NEIGHBORGALL CONSTRUCTION NELLO CONSTRUCTON NERONE & SONS INC NET QUEST SERVICES INC NEUMEYER ENVIORNMENTAL SERVICE NEW VISION CONSTRUCTION SVRCS NEWELL MACHINERY IN NICHOLSON CONSTR CO NITRO ELECTRIC COMPANY INC NKC CONVEYOR INSTALL CO INC NORMAN ECKINGER NORRIS BROTHERS COMPANY INC NORTH AMERICAN CEMENT CO INC NORTH COAST CONCRETE INC NORTHEAST INTERIOR SYSTEMS INC NORTHEAST OHIO INTERIORS INC NORTHERN FLOORING SPECIALISTS NORTHWEST OHIO CARPENTERS N-POWELL COMPANY INC NRC INC NSC INC NYMAN CONSTRUCTION COMPANY NYMAN CONSTRUCTION COMPANY OBERLIN COLLEGE OCP CONTRACTORS INC OCP CONTRACTORS INC OHIO BRIDGE CORPORATION OHIO BRIDGE STRIPPING INC OHIO CARPENTERS JOINT APPR & TRGNENWSCSW OHIO CARPENTERS JOINT APPR & TRGNENWSCSW OHIO DISPLAYS INC OHIO-WEST VIRGINIA EXCAV OK INTERIORS CORP ONEX CONSTRUCTION INC OPPENHEIM CONSTRUCTION CO INC ORBIT MOVERS & ERECTORS INC OREN PLASTERING COMPANY OVERHEAD CONVEYER CO OWENS FLOORING COMPANY OZANNE CONSTRUCTION CO INC PALA CONSTRUCTION CORPORATION PANZICA CONSTRUCTION COMPANY PARAMOUNT BUILDERS PARILLO BUILDERS INC PARKER CONSTRUCTION GROUP PARKER CORPORATION PARKERSBURG TILE CO PARKS DRILLING COMPANY PARKWAY GENERAL CONTR INC PARSONS CONCRETE CONTRACTORS INC PARSONS CONTRACTING PASADENA BUILDERS PATELLA CARPET & TILE CENTER PATRICK CONSTRUCTION INC PATRIOT CONSTRUCTION SERVICES PATRIOT CONSTRUCTION SERVICES PATRIOT INDUSTRIAL CONTR SVCS PAULS CONCRETE INC PAVLIK'S CUSTOM MILLWORK INC PB FABRICATION & 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MILLWRIGHT SERVICE R & W FIXTURE SERVICING CO R & W FIXTURE SERVICING CO R B JERGENS R G SMITH COMPANY INC R G SMITH OF DOVER #3 R G SMITH OF MANSFIELD #4 R J BEISCHEL BUILDING CO R M HUFFMAN COMPANY RA JOSEPH CONSTRUCTION INC RC CONSTRUCTION CO & SON INC RAKO INTERIOR DESIGN INC RAM ACOUSTICAL CORP RAMUNNO BUILDERS INC RAY MC CREARY CONSTRUCTION RAY ROOFING & SUPPLY INC RBE INC RC GENERAL CONTRACTORS RED LETTER CONSTRUCTION INC REGENCY CONSTR SERVICES INC RESCO PRODUCTS INC RGI INTERNATIONAL - DBA GFAB RHECORS GENERAL CONT INC RICHARD GOETTLE INC RIEN CONSTRUCTION COMPANY RIESGRAFS INSTALL CO INC RIVERSIDE CONSTRUCTION SERVICES RL HILL MANAGEMENT RL HILL MANAGEMENT RMF NOOTER INC RMH CONCRETE & FOUNDATIONS ROBERTS SERVICE GROUP ROBINS & MORTON ROETZEL CONSTRUCTION INC ROGER KREPS DRYWALL INC ROGERS DISPLAY INC ROSEMA CORPORATION ROSEMA CORPORATION ROSEMA CORPORATION RSL INSTALLATION RUDOLPH LIBBE RUHLIN COMPANY RUSS & COMPANY INC RUSS & COMPANY INC RUSSELL CONSTRUCTION CO RUSSELL FLOORING COMPANY RYAN CARPET SALES & SERVICE S & B FLOOR COVERING S & J FORD CONSTRUCTION S & S CONSTRUCTION MGMT S & S CONSTRUCTION MGMT S & S DUMP & DIG INC S & S INTERIORS INC SM FOX CONSTRUCTION INC SANAT INDUSTRIAL CONSTRUCTION SAUER GROUP INC SCAFFOLD DESIGN & ERECTION CO INC SCAFFOLD KING RENTALS INC SCAFFOLD KING RENTALS INC SCHAEDLER ENTERPRISES INC SCHAEDLER ENTERPRISES INC SCHALK BROTHERS INC SCHERRER ENG & CONST INC SCHERRER ENG & CONST INC SCHLEIS FLOOR COVERING SCHLEIS FLOOR COVERING SCHMIDT CABINET CO INC SCHNABEL FOUNDATION COMPANY SCHUMACHER CONSTRUCTION CO SCHUMACHER DUGAN CONST C SCS CONSTRUCTION SERVICES SCS CONSTRUCTION SERVICES SCT CONSTRUCTION CO SEASON CONTRACTORS INC SEESE & SVEDA CONST CO INC SEESE & SVEDA CONST CO INC SELA FLOOR COVERING SHELDON-GANTT INC SHELLY & SANDS INC SHOOK CONSTRUCTION CO SHOOK CONSTRUCTION CO SHOULDICE INDUSTRIAL MANUFACTURERS AND CONTRACTORS SHOULDICE INDUSTRIAL MANUFACTURERS AND CONTRACTORS SIBLEY INC SIELER CONSTRUCTION INC SIEMENS 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& CONST SUMMIT INTERIOR CONSTR INC SUPERIOR ERECTION COMPANY SWANK CONSTRUCTION SYSTEMS PROFESSIONALS INC T & D INTERIORS T ALLEN INC TAB STOREFORCE INC TAYLOR BROS CONST CO INC TCI ARCHITECTSENGINEERSCONTRACTOR INC TED BOLLE MILLWORK INC TEEMOK CONSTRUCTION INC TENNESSEE VALLEY IND CORP TENNESSEE VALLEY IND CORP TENNESSEE VALLEY IND CORP TERRACE CONSTRUCTION CO INC TESAR INDUSTRIAL CONTRACTORS THE BUILDERS ASSOCIATION OF E OH & W PA THE COMPANY INC THE DOTSON COMPANY INC THE FLOOR SHOP INC THE JOSEPH A JEFFRIES CO INC THE LATHROP COMPANY THE LIBERTY TEXTILE COMPANY THE SCHAEFER GROUP INC THE SHERWIN-WILLIAMS COMPANY THOMARIOS THOMAS R O'SHEA INC TKF CONVEYOR SYSTEMS DIV OF FEDERAL EQUIPMENT TOLEDO CAISSON CORP TOM MAYLE & SONS TRAICHAL CONSTRUCTION COMPANY TRI STATE INDUSTRIAL FLOORS INC TRIPLE A BUILDERS TRIPLE A BUILDERS TRI-STATE BLG CONST TC TRI-STATE INSTALLATION TRITON CONSTRUCTION TROPF INC TROUTMAN CONSTRUCTION TROUTMAN CONSTRUCTION TROUTMAN CONSTRUCTION TRUMBULL CORPORATION TURNER CONSTRUCTION TUTTLE CONSTRUCTION INC UBC NATIONAL JOB CORP TRAINING FUND INC UNION INDUSTRIAL CONTRACTORS UNITED CONSTRUCTION CO INC UNITED CONTRACTORS OF NE OHIO UNITED FLOORING INC UNITED FOUNDATIONS INC UNITED GLASS & PANEL SYSTEMS UNIVERSAL CONTRACTING IN UNIVERSAL INSTALLATIONS PLUS UNIVERSAL PLANT SERVICES URS ENERGY & CONSTRUCTION USA ROOFING INC UTTER CONSTRUCTION INC VALLEY ACOUSTICS INC VALLEY INTERIORS SYSTEMS VAN TASSELL CONSTRUCTION CORP VASTA CONSTRUCTION CO INC VECTOR INTERIORS INC VELOTTA COMPANY VENDRICK CONSTRUCTION INC VERNON NAGEL INC VILLANO CONSTRUCTION CO INC VIP RESTORATION INC VISIONARY INTERIORS INC VNL CONTRACTING INC W B FOSSON & SONS W B FOSSON & SONS W E DOWNIE COMPANY W E DOWNIE COMPANY W SOULE & COMPANY WB BECHERER INC WALBRIDGE EQUIPMENT INSTAL WALBRIDGE EQUIPMENT INSTAL WALGREEN COMPANY-JEROME WALGREEN COMPANY-JEROME WALLER URBAN ENTERPRISES WALSH CONSTRUCTION WALSH CONSTRUCTION WALSH CONSTRUCTION CO OF ILL WALTER'S CARPENTRY INC WALTERS CONSTRUCTION COMPANY WARREN CITY SCHOOLS WARREN CITY SCHOOLS WAYNE CONCRETE CO INC WAYNE LUMBER COMPANY WEIFFENBACH MARBLE & TILE CO WEIGAND CONSTR CO INC WEITHMAN BROTHERS INC WENGER CORPORATION WES MARTIN INTERIORS INC WESEX CORPORATION WESEX CORPORATION WEST POINT MASONRY INC WESTERN INDUSTRIAL CONTRACTORS WESTERN RESERVE INTERIORS WESTERN WATERPROOFING CO WHITT'S WELDING AND PIPELINE INC WHITT'S WELDING AND PIPELINE INC WILLIAMS BROTHERS BLDRS INC WILLIAMS CONCRETE CONSTCOINC WILLIAMSON BUILDERS INC WILLSON BUILDERS INC WISE CONSTRUCTION CO INC WISE CONSTRUCTION CO INC WISE SERVICES INCORPORATED WISE SERVICES INCORPORATED WM HUTRAS GENERAL CONTRACTOR WM HUTRAS GENERAL CONTRACTOR WM HUTRAS GENERAL CONTRACTOR WM J SHAFFER ASSOC INC WOHLLEB-SOCIE COMPANY WOJCIECHOWSKI CONSTRUCTION INC WOODS CONSTRUCTION INC YOUNGSTOWN CITY SCHOOLS YOUNGSTOWN METRO HOUSING AUTH YOUR TILE CENTER INC ZSR CONTRACTING AND RESTORATION 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC Q OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC N OHIO CARPENTERS' ANNUITY PLAN N OHIO CARPENTERS' PENSION PLAN N OHIO & VICINITY CARPENTERS' FRINGE BENEFITS FUNDS INC O OHIO CARPENTERS' PENSION PLAN Q