2015-08-31T14:12:35-05:00 2014-10-31 470900880 Calibre CPA Group PLLC 566 West Lake St Suite 300 Chicago IL 60661 990 2013-11-01 362261990 LOCAL UNION NO 9 IBEW & OUTSIDE CONTRACTORS HEALTH & WELFARE TRUST FUND INTE 7084499004 One Westbrook Corporate Center No 430 Westchester IL 60154 Art Burke TRUSTEE 7084499004 2015-08-31 1 Joseph Pierson P00189462 3126650037 2013 2016-03-07 17:11:31Z Art Burke One Westbrook Corporate Center Suite 430 Westchester IL 60154 42502488 0 X N/A X 1964 IL To provide health and welfare benefits to individuals working under a Collective Bargaining Agreement between IBEW Local No. 9 and the Middle States Electrical Contractors Association 11 6 28 0 1637173 0 0 0 19991494 22696657 1622698 3729715 0 0 21614192 26426372 0 0 11954630 12561787 528387 533060 0 0 0 870679 1184123 13353696 14278970 8260496 12147402 80112808 90032692 3079716 539682 77033092 89493010 To provide health and welfare benefits to individuals working under a Collective Bargaining Agreement between IBEW Local No. 9 and the Middle States Electrical Contractors Association 0 0 Payment of health and welfare benefits to or on behalf of eligible participants and their dependents. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 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 1 0 0 1 1 0 1 28 1 0 0 0 0 0 0 X 11 6 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 1 0 X Becky Thames-Simmons 7084499004 One Westbrook Corporate Center Westchester IL 60154 William T Divane Trustee 2.00 X 0 0 0 Robert W Pierson Trustee 2.00 X 0 152098 67039 William R Darnstadt Trustee 2.00 X 0 0 0 John C Burkard Trustee 2.00 X 0 139373 62761 Art Burke Trustee 2.00 X 0 0 0 Frank Lizzadro Trustee 2.00 X 0 0 0 JOHN D DOWLING Trustee 2.00 X 0 141274 59171 JOSEPH NOTARO Trustee 2.00 X 0 137411 56419 William Niesman Trustee 2.00 X 0 139643 59171 Louie S Veneziano Trustee 2.00 X 0 0 0 Daniel J Divane IV Trustee 2.00 X 0 0 0 Rebecca Thames-Simmons Administrator 10.00 X 159385 0 0 159385 709799 304561 1 0 1 0 Sav-Rx Presciption Services 224 North Park Ave Freemont NE 68025 Contract Administration 194711 The Segal Company 101 North Wacker Drive Suite 500 Chicago IL 60606 Actuarial 166490 2 Employer Contributions 900099 21972550 21972550 Reimbursed Admin Exp 900099 490885 490885 Participants Contrib 900099 233222 233222 22696657 1637173 1637173 18168658 16076116 2092542 2092542 2092542 26426372 24789199 1637173 0 12561787 159385 248282 97595 27798 196782 286767 73064 110446 55057 457 9768 49125 207303 Claims processing fees 194771 Repairs and maintenance 583 14278970 4111831 1954292 1788045 2663941 18989 20699 382181 191591 113232 190590 71847188 84665095 2233523 538075 80112808 90032692 147755 233639 2931961 306043 3079716 539682 X 0 0 0 0 77033092 89493010 77033092 89493010 80112808 90032692 12147402 312516 0 X 0 0 0 24686 1543 23143 86260 63739 22521 271235 126309 144926 190590 Due to affiliated plans 306043 306043 Part XI, Line 4b - Other Adjustments: Reimbursed admin expenses Part XII, Line 4b - Other Adjustments: Reimbursed admin expenses 0 0 0 Robert W Pierson Trustee 0 0 0 0 0 152098 0 37743 0 29296 0 219137 0 0 John C Burkard Trustee 0 0 0 0 0 139373 0 33465 0 29296 0 202134 0 0 JOHN D DOWLING Trustee 0 0 0 0 0 141274 0 33465 0 25706 0 200445 0 0 JOSEPH NOTARO Trustee 0 0 0 0 0 137411 0 30713 0 25706 0 193830 0 0 William Niesman Trustee 0 0 0 0 0 139643 0 33465 0 25706 0 198814 0 0 Rebecca Thames-Simmons Administrator 159385 0 0 0 0 0 0 0 0 0 159385 0 0 0 Form 990, Part VI, Section A, line 2 William T. Divane, Jr. is the uncle of Daniel J. Divane, IV. Form 990, Part VI, Section B, line 11 The draft filing is made available to all Board of Trustees via a secure website Form 990, Part VI, Section B, line 15b The Chairman and Secretary determine the administrator's employment contract terms based on market data and by consulting an outside benefits consulting firm. Form 990, Part VI, Section C, line 19 Copies are provided upon written or verbal request, free of charge, either hard copy or electronic (whichever the requestor prefers) Local No 9 IBEW and Outside Contractors and MSECA Aprntshp & Jrnymn Trg Fd One Westbrook Corporate Center Suit Westchester IL 60154 362638779 Apprentice training IL 501(c)(5) N/A 0 Local No 9 IBEW and Outside Contractors Pension Fund One Westbrook Corporate Center Suit Westchester IL 60154 516077720 Defined benefit pension IL 401(a) N/A 0 Local No 9 IBEW and Outside Contractors Defind Contribution Fund One Westbrook Corporate Center Suit Westchester IL 60154 364301166 Defined contribution IL 401(a) N/A 0 Local No 9 IBEW and Outside Contractors Supplemental Unemployment Fund One Westbrook Corporate Center Suit Westchester IL 60154 320320610 Supplemental unemployment IL 501(c)(17) N/A 0 LOCAL NO 9 INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS 4415 W Harrison Street Suite 3330 HILLSIDE IL 60162 361264200 INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS IL 501(c)(5) N/A 0 G4S TECHNOLOGIES 1200 LANDMARK CENTER STE 1300 OMAHA NE 68102 431965877 ELECTRICAL CONTRACTOR DE N/A M J ELECTRIC LLC 200 W FRANK PIPP DR IRON MOUNTAIN MI 49801 205565796 ELECTRICAL CONTRACTOR DE N/A MTS TITAN ELECTRIC LLC 401 E NORTH AVE VILLA PARK IL 60181 203123347 ELECTRICAL CONTRACTOR IL N/A OVERHEAD LINES LLC PO BOX 907 BELLEVILLE MI 48112 320275957 ELECTRICAL CONTRACTOR MI N/A QUANTUM CROSSINGS 111 E WACKER DR STE 990 CHICAGO IL 60601 364456428 ELECTRICAL CONTRACTOR IL 0 0 SPE UTILITY CONTRACTORS LLC 4400 DOVE RD PORT HURON MI 48060 383580550 ELECTRICAL CONTRACTOR MI N/A VALLEY HYDRO-EXCAVATION LLC W1902 TOWN HALL RD CAMPBELLSPORT WI 53010 743083212 ELECTRICAL CONTRACTOR WI N/A WILLIAM CHARLES ELECTRIC LLC 5290 NIMTZ RD LOVES PARK IL 61111 264202582 ELECTRICAL CONTRACTOR IL N/A ALDRIDGE ELECTRIC 844 E ROCKLAND RD LIBERTYVILLE IL 60048 362355856 ELECTRICAL CONTRACTOR IL C 0 ANCHOR MECHANICAL 215 S ABERDEEN CHICAGO IL 60607 364248861 eLECTRICAL CONTRACTOR IL C 0 ASPLUNDH CONSTRUCTION CORP 708 BLAIR MILL RD WILLOW GROVE PA 19090 112536791 ELECTRICAL CONTRACTOR PA C 0 BARTON ELECTRIC 247 STATE RT 160 TRENTON IL 66293 371349019 ELECTRICAL CONTRACTOR IL C 0 BBC ELECTRIC 5467 HWY 43 SOUTH JOPLIN MO 64804 710889613 ELECTRICAL CONTRACTOR MO C 0 BORE-IT CORPORATION 7329 MCCONNELL AVE LOWELL IN 46356 352040710 ELECTRICAL CONTRACTOR IN C 0 BROWN TRAFFIC PRODUCTS 736 FEDERAL ST SUITE 2312 DAVENPORT IA 52803 362656899 ELECTRICAL CONTRACTOR IA C 0 CCS UTILITIES 3214 S STATE ST LOCKPORT IL 60441 264550982 ELECTRICAL CONTRACTOR IL C 0 CITY LIGHTS LTD 9993 VIRGINIA AVE CHICAGO RIDGE IL 60415 363835589 ELECTRICAL CONTRACTOR IL C 0 CJ DRILLING INC 19N041 GALLIGAN RD DUNDEE IL 60018 364530237 ELECTRICAL CONTRACTOR IL C 0 CONTRACTORS POWER & LIGHT CO 901 N WILLIAMS ST THORNTON IL 60476 363369480 ELECTRICAL CONTRACTOR DE C 0 DIVANE BROS ELECTRIC CO 2424 N 25TH AVE FRANKLIN PARK IL 60131 362066660 ELECTRICAL CONTRACTOR IL C 0 DND ELECTRIC INC 2255 CHURCH RD AURORA IL 60502 861068782 ELECTRICAL CONTRACTOR IL C 0 EDWARD ELECTRIC COMPANY PO BOX 665 HILLSIDE IL 60162 364456184 ELECTRICAL CONTRACTOR IL C 0 ELMUND AND NELSON COMPANY 1510 SHELDON DRIVE ELGIN IL 60120 362758453 ELECTRICAL CONTRACTOR IL C 0 FOX ELECTRICAL CONTRACTING INC 716 PINE STREET NEW LENOX IL 60451 364275448 ELECTRICAL CONTRACTOR IL C 0 G&G ELECTRIC 566 WATERFORD DR OSWEGO IL 60543 364411093 ELECTRICAL CONTRACTOR IL C 0 GREAT LAKES ELECTRICAL MAINTENANCE INC 3817 HAYES ST GARY IN 46408 352023494 ELECTRICAL CONTRACTOR IL C 0 GROUNDHOG UTILITY CONSTRUCTION INC 51 MONACO DR ROSELLE IL 60172 352209246 ELECTRICAL CONTRACTOR IL C 0 H&H ELECTRIC CO 2830 COMMERCE ST FRANKLIN PARK IL 60131 363981256 ELECTRICAL CONTRACTOR IL C 0 HAWK ENTERPRISES INC 1850 E NORTH ST CROWN POINT IN 46307 621339540 ELECTRICAL CONTRACTOR IN C 0 HECKER AND COMPANY INC 250 INDUSTRIAL LANCE WHEELING IL 60090 362491281 ELECTRICAL CONTRACTOR DE C 0 HENKELS & MCCOY INC 985 JOLLY RD BLUE BELL PA 19422 231535602 ELECTRICAL CONTRACTOR PA C 0 HOME TOWNE ELECTRIC INC 35220 N RT 83 LAKE VILLA IL 60046 363861169 ELECTRICAL CONTRACTOR IL C 0 HOOPER CORPORATION 2030 PENNSYLVANIA AVE MADISON WI 53704 396050676 ELECTRICAL CONTRACTOR WI C 0 HORIZON CONTRACTORS INC 1355 W FULTON ST CHICAGO IL 60607 364075822 ELECTRICAL CONTRACTOR IL C 0 HYDRO-EXC INC 8248 WRIGHT STREET MERRILLVILLE IN 46410 200287698 ELECTRICAL CONTRACTOR IN C 0 INDEPENDENT MECHANICAL INC 4155 NORTH KNOX AVE CHICAGO IL 60641 361260050 ELECTRICAL CONTRACTOR IL C 0 INTREN INC 18202 W UNION RD UNION IL 60180 363772971 ELECTRICAL CONTRACTOR IL C 0 J F ELECTRIC INC 100 LAKEFRONT PARKWAY EDWARDSVILLE IL 62025 370913537 ELECTRICAL CONTRACTOR IL C 0 JOHN BURNS CONSTRUCTION COMPANY 17601 SOUTHWEST HIGHWAY ORLAND PARK IL 60462 360857310 ELECTRICAL CONTRACTOR IL C 0 L&S CONSTRUCTION SERVICES 359B W SUPERIOR CHICAGO IL 60654 362050500 ELECTRICAL CONTRACTOR IL C 0 LECOM INC 29377 HOOVER RD WARREN MI 48093 382321119 ELECTRICAL CONTRACTOR MI C 0 MEADE ELECTRIC CO INC 9550 W 55TH ST STE A MCCOOK IL 60525 361460460 ELECTRICAL CONTRACTOR IL C 0 MICHELS CORPORATION PO BOX 128 BROWNSVILLE WI 53006 390970311 ELECTRICAL CONTRACTOR WI C 0 MIDWESTERN ELECTRIC COMPANY INC 15550 S KEDZIE AVE MARKHAM IL 60428 364006458 ELECTRICAL CONTRACTOR IL C 0 MP SYSTEMS INC DBA PIEPERLINE 5070 N 35TH ST MILWAUKEE WI 53209 391924295 ELECTRICAL CONTRACTOR WI C 0 MZI ELECTRIC INC 2251 W GRAND AVE CHICAGO IL 60612 261305212 ELECTRICAL CONTRACTOR IL C 0 NATIONAL TECHNOLOGIES NTI 2740 BEVERLY DR UNIT D AURORA IL 60502 271094894 ELECTRICAL CONTRACTOR IL C 0 PAR ELECTRIC CONTRACTORS INC 4770 N BELLEVIEW AVE STE 300 KANSAS CITY MO 64117 440591890 ELECTRICAL CONTRACTOR MO C 0 PIEPER ELECTRIC INC 5070 N 35TH ST MILWAUKEE WI 53209 390972052 ELECTRICAL CONTRACTOR IL C 0 PINNER ELECTRIC INC 650 E ELM AVE LAGRANGE IL 60525 363828063 ELECTRICAL CONTRACTOR IL C 0 PMI SYSTEMS INC 1890 SUNCAST LANE BATAVIA IL 60510 205941958 ELECTRICAL CONTRACTOR IL C 0 PRYSMIAN CONSTRUCTION SERVICES 5 HOLLYWOOD CT SOUTH PLAINFIELD NJ 07080 223152072 ELECTRICAL CONTRACTOR SC C 0 RAG'S ELECTRIC 16244 BLUFF RD LEMONT IL 60439 205012784 ELECTRICAL CONTRACTOR IL C 0 RATHJE ENTERPRISES INC DBA BODINE ELECTRIC OF DECATUR PO BOX 976 DECATUR IL 62525 371152236 ELECTRICAL CONTRACTOR IL C 0 SONOMA CONSTRUCTION SERVICE INC 9610 W 194TH ST MOKENA IL 60449 260177997 ELECTRICAL CONTRACTOR IL C 0 TARGET ELECTRIC INC 4147 W 166TH ST OAK FOREST IL 60452 363555264 ELECTRICAL CONTRACTOR IL C 0 TAYLOR ELECTRIC 7811 S STONY ISLAND AVE CHICAGO IL 60649 362791520 ELECTRICAL CONTRACTOR IL C 0 THORNE ELECTRIC PO BOX 321 WHEATON IL 60187 363168413 ELECTRICAL CONTRACTOR IL C 0 TRI-TECH ELECTRIC IN 1320 ENTERPRISE DR ROMEOVILLE IL 60446 363357549 ELECTRICAL CONTRACTOR IL C 0 UTILITY DYNAMICS CORP 23 COMMERCE DR OSWEGO IL 60543 362776022 ELECTRICAL CONTRACTOR IL C 0 VAN-MACK ELECTRIC CO INC 2433 REEVES RD JOLIET IL 60436 262749518 ELECTRICAL CONTRACTOR IL C 0 WESTERN UTILITY CABLE INC 2565 PALMER AVE UNIVERSITY PARK IL 60484 364149583 ELECTRICAL CONTRACTOR IL C 0 WESTERN UTILITY ELECTRIC 2565 PALMER AVE UNIVERSITY PARK IL 60484 264739695 ELECTRICAL CONTRACTOR IL C 0 XTREME POWERLINE CONSTRUCTION 922 7TH ST PORT HURON MI 48060 208378756 ELECTRICAL CONTRACTOR MI C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0