2015-05-15T08:22:55-05:00 2014-09-30 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2013-10-01 316068797 4TH DISTRICT IBEW HEALTH FUND 4THD 3045250331 3150 US ROUTE 60 ONA WV 25545 WILLIAM HAMILTON CHAIRMAN 3045250331 2015-05-11 1 DANNY F BLAIR P00958782 3043459400 2013 2016-02-25 16:41:14Z WILLIAM HAMILTON 3150 US ROUTE 60 ONA WV 25545 61149736 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 43466906 49870271 1882377 2553944 0 0 45349283 52424215 0 0 41957405 43709031 0 0 0 0 0 3429751 3562022 45387156 47271053 -37873 5153162 58954076 70602957 1672892 7095038 57281184 63507919 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 43709031 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. 43709031 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-TREASURER 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 41667877 41667877 PARTICIPANT DIRECT PMTS 525100 7387033 7387033 MEDICARE PART D SUBSIDIES 525100 815361 815361 49870271 1350079 1350079 9929386 8725521 1203865 1203865 1203865 52424215 51074136 0 1350079 43709031 43709031 69394 69394 26330 26330 254530 254530 24649 24649 ADMINISTRATION FEES 1280133 1280133 CLAIMS PAYING SERVICE 1244761 1244761 PRE-CERTIFICATIONS/CASE 211991 211991 ACTUARIAL AND CONSULTIN 144954 144954 305280 305280 47271053 43709031 3562022 0 493475 898745 4397744 4552990 54062857 65151222 58954076 70602957 1445190 6895954 227702 199084 1672892 7095038 X 0 0 0 0 57281184 63507919 57281184 63507919 58954076 70602957 5153162 1073573 0 X 0 1 X 0 0 0 53243258 1073573 1073573 52169685 254530 254530 52424215 47016523 0 47016523 254530 254530 47271053 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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