2015-11-10T15:33:41-06:00 2014-12-31 341087273 LublinSussman Group LLP 3166 N Republic Blvd Toledo OH 43615 990 2014-01-01 364513878 Int'l Brotherhood of Boilermakers Loc 85 Supplemental Welfare Plan and Trust INTL 4192482401 7142 Nightingale Drive No 1 Holland OH 43528 Tim Timmons Trustee 4192482401 2015-11-06 1 Lee D Wunschel P00088726 4198412848 2014 2016-03-07 17:11:31Z Tim Timmons 7142 Nightingale Drive No 1 Holland OH 43528 2616743 0 1 X n/a X 2003 OH The fund provides supplemental health benefits to eligible members of the International Brotherhood of Boilermakers Local 85. 8 8 0 0 0 0 0 0 620992 1493689 264519 328355 0 0 885511 1822044 0 0 779143 787212 0 0 0 0 0 86183 91599 865326 878811 20185 943233 8399434 9501991 4015 3428 8395419 9498563 The fund provides supplemental health benefits to eligible members of the International Brotherhood of Boilermakers Local 85. 0 0 Provides supplemental health benefits to eligible members of the International Brotherhood of Boilermakers Local 85. 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 0 0 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 Nick Madden 4192482401 7142 Nightingale Dr Suite 1 Holland OH 43528 X Shaun Murray Trustee 0.00 X 0 0 0 Tim Timmons Trustee 0.00 X 0 0 0 Tim Barker Trustee 0.00 X 0 0 0 Mike Schabel Trustee 0.00 X 0 0 0 Robert Dzierzak Trustee 0.00 X 0 0 0 Lyndon Coutcher Trustee 0.00 X 0 0 0 Daniel Brubaker Trustee 0.00 X 0 0 0 GJ Stuller Trustee 0.00 X 0 0 0 0 0 0 0 0 0 0 0 Employer Contributions 1493571 1493571 Liquidated damages 118 118 1493689 338184 338184 784870 794699 -9829 -9829 -9829 1822044 1822044 0 0 787212 10627 7815 5294 Investment Mgmnt Fees 39161 Administrative Fees 18042 Actuarial Fees 8500 Printing and Publicatio 2160 878811 36595 30687 133619 162500 8229220 9308804 8399434 9501991 4015 3428 4015 3428 X 0 0 0 0 0 1103143 8395419 9498563 8399434 9501991 943233 159910 0 X 0 1 X 1 0 0 X 1942794 159910 159910 1782884 39161 39161 1822045 839650 0 839650 39161 39161 878811 Part X, Line 2: The plan has determined that there are no uncertain tax positions that require disclosure in these financial statements under the FASB Accounting Standards Codification topic, Income Taxes. The tax years 2011 through 2014 are subject to possible examination by the Internal Revenue Service. Form 990, Part VI, Section B, line 11 Line 11a explanation - Each trustee is provided with a copy of the Form 990 either at the board meeting or via mail or email for their review and approval prior to the filing of the Form. Form 990, Part VI, Section B, line 12c The plan administrator and attorney follow up with each trustee to ensure that each completes the annual conflict of interest disclosure. Form 990, Part VI, Section C, line 19 All governing documents, policies and financial statements are available upon request to Northwestern Ohio Administrators, Inc, the plan administrator.