2016-08-09T09:47:46-05:00 2015-09-30 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2014-10-01 316068797 4TH DISTRICT IBEW HEALTH FUND 4THD 3045250331 3150 US ROUTE 60 ONA WV 25545 WILLIAM HAMILTON CHAIRMAN 3045250331 2016-08-09 1 J RYAN LINDSAY P01835061 3043459400 2014 2016-12-15 16:53:06Z WILLIAM HAMILTON 3150 US ROUTE 60 ONA WV 25545 62383192 0 X N/A X 1961 WV TO PROVIDE HEALTH AND INSURANCE BENEFITS TO MEMBERS BY PAYMENT OF CLAIMS FOR HEALTH, ACCIDENT, SICKNESS, DENTAL AND LIFE INSURANCE FOR MEMBERS AND THEIR DEPENDENTS. 8 8 0 0 0 0 0 0 49870271 50780551 2553944 2530718 0 0 52424215 53311269 0 0 43709031 48184064 0 0 0 0 0 3562022 3794855 47271053 51978919 5153162 1332350 70602957 63610820 7095038 2076714 63507919 61534106 TO PROVIDE HEALTH AND INSURANCE BENEFITS TO MEMBERS BY PAYMENT OF CLAIMS FOR HEALTH, ACCIDENT, SICKNESS, DENTAL AND LIFE INSURANCE FOR MEMBERS AND THEIR DEPENDENTS. 0 0 48184064 TO PROVIDE HEALTH AND INSURANCE BENEFITS TO MEMBERS BY PAYMENT OF CLAIMS FOR HEALTH, ACCIDENT, SICKNESS, DENTAL AND LIFE INSURANCE FOR MEMBERS AND THEIR DEPENDENTS. 48184064 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X AMERICAN BENEFIT CORPORATION 3045250331 3150 US ROUTE 60 ONA WV 25545 X DANA JOE SAMPLES EMPLOYEE TRUSTEE 0.00 X 0 0 0 WILLIAM HAMILTON EMPLOYEE TRUSTEE/CHAIRMAN 0.00 X 0 0 0 JIM GILLETTE EMPLOYEE TRUSTEE 0.00 X 0 0 0 TROY FERRELL EMPLOYEE TRUSTEE 0.00 X 0 0 0 STEVEN ALLRED EMPLOYER TRUSTEE 0.00 X 0 0 0 TED BRADY EMPLOYER TRUSTEE/SECRETARY 0.00 X 0 0 0 JOHN FRANTZ EMPLOYER TRUSTEE 0.00 X 0 0 0 CURTIS MICHAEL EVANS EMPLOYER TRUSTEE 0.00 X 0 0 0 JOHN GINGELL ACTUARY 0.00 X 0 0 0 FRANCOISE PRICE ACTUARY 0.00 X 0 0 0 MICHAEL LEDBETTER ATTORNEY 0.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 525100 44016101 44016101 PARTICIPANT DIRECT PMTS 525100 6087337 6087337 MEDICARE PART D SUBSIDIES 525100 677113 677113 50780551 1558937 1558937 10043704 9071923 971781 971781 971781 53311269 51752332 0 1558937 48184064 48184064 74838 74838 42610 42610 285165 285165 34569 34569 ADMINISTRATION FEES 1374444 1374444 CLAIMS PAYING SERVICE 1331631 1331631 ACTUARIAL AND CONSULTIN 207489 207489 PRE-CERTIFICATIONS/CASE 193428 193428 250681 250681 51978919 48184064 3794855 0 898745 1820 4552990 5151561 65151222 58457439 70602957 63610820 6895954 1829102 199084 247612 7095038 2076714 X 0 0 0 0 63507919 61534106 63507919 61534106 70602957 63610820 1332350 -3306163 0 X 0 1 X 0 0 0 49719941 -3306163 -3306163 53026104 285165 285165 53311269 51693754 0 51693754 285165 285165 51978919 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE BOARD OF TRUSTEES' CHAIRMAN AND SECRETARY BEFORE THEY SIGN AND FILE THE 990 FORM. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ATTEND MEETING ON FIDUCIARY RESPONSIBILITIES. THE BOARD OF TRUSTEES FUNCTIONS AS A WHOLE; NO INDIVIDUAL TRUSTEE CAN ACT ALONE. FORM 990, PART VI, SECTION C, LINE 19 THE FUND MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINAICIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 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