2015-11-09T12:37:39-06:00 2014-12-31 320043599 LEGACY PROFESSIONALS LLP 222 INDIANAPOLIS BOULEVARD SUITE 103 SCHERERVILLE IN 46375 990 2014-01-01 356327302 IRONWORKERS LOCAL 395 TRUST FUND IRON 2197696944 2111 WEST LINCOLN HIGHWAY MERRILLVILLE IN 46410 JEFFREY CHIDESTER CHAIRMAN 2197696944 2015-11-09 1 RENEE SPECK P00201492 3123680500 2014 2016-04-25 22:37:26Z JEFFREY CHIDESTER 2111 WEST LINCOLN HIGHWAY MERRILLVILLE IN 46410 42169445 0 X N/A X 1977 IN PROVIDE HEALTH BENEFITS 4 2 64 0 0 0 0 0 16371904 15660952 1306175 1304316 4806 0 17682885 16965268 0 0 15518478 15576799 0 0 0 0 0 555817 678756 16074295 16255555 1608590 709713 50555545 52548446 307187 411794 50248358 52136652 TO PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE HEALTH, LIFE, ACCIDENTAL DEATH & DISMEMBERMENT, DENTAL, AND VISION BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 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 1 472 0 1 64 1 0 0 0 0 0 0 0 0 X 4 2 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X STEWART C MILLER INC 2197696944 2111 W LINCOLN HIGHWAY MERRILLVILLE IN 46410 JEFFREY CHIDESTER UNION TRUSTEE 2.00 40.00 X 0 137854 51652 DOUGLAS STRAYER UNION TRUSTEE - PAST 2.00 40.00 X 0 66925 51652 STEVE MICHAELS EMP TRUSTEE 1.00 X 0 0 0 SAMUEL TIPTON EMP TRUSTEE 1.00 X 0 0 0 RON WARE JR UNION TRUSTEE - NEW 2.00 40.00 X 0 75682 51652 0 280461 154956 0 0 1 0 BENISTAR PO BOX 36029 NEWARK NJ 07188 MEDICARE PREMIUM FEE 1448451 ANTHEM BLUE CROSS BLUE SHIELD 220 VIRGINIA AVE INDIANAPOLIS IN 46204 FEE FOR PROVIDING PPO ACCESS 453513 STEWART C MILLER & CO INC 2111 WEST LINCOLN HIGHWAY MERRILLVILLE IN 46410 PROVIDES ADMINISTRATIVE SERVICES 334372 3 EMPLOYER CONTRIB. 900099 13375134 13375134 PARTICIPANT CONTRIB. 900099 1713350 1713350 PRESCRIPTION REBATES 900099 420035 420035 STOP-LOSS RECOVERY PROC 900099 128134 128134 SUBROGATION INCOME 900099 24299 24299 15660952 1343628 1343628 25164865 25204177 -39312 -39312 -39312 16965268 15660952 0 1304316 15576799 118703 9475 30921 243033 48508 63578 11709 12668 AFFORDABLE CARE ACT - P 140161 16255555 5901407 5614010 1314386 1553929 9812 13756 43145786 45159366 184154 207385 50555545 52548446 224432 278348 82755 133446 307187 411794 X 0 0 0 0 50248358 52136652 50248358 52136652 50555545 52548446 709713 1178581 0 X 0 1 X 1 0 0 DUE TO BROKER 133446 133446 X 17900816 1178581 1178581 16722235 243033 243033 16965268 16012522 0 16012522 243033 243033 16255555 PART X, LINE 2: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES. 0 0 0 JEFFREY CHIDESTER UNION TRUSTEE 0 137854 0 0 0 0 0 33322 0 18330 0 189506 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE BOARD OF TRUSTEES HAS DELEGATED THE DAY TO DAY MANAGEMENT DUTIES TO STEWART C. MILLER, INC., AS THIRD PARTY ADMINISTRATOR OF THE FUND. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING. THE TRUSTEES REVIEW THE FORM AND UPON FULLY UNDERSTANDING THE COMPLETED FORM 990, THE FORM IS APPROVED AND SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO ANY PARTICIPANT IN THE PLAN WHO COMES INTO THE FUND OFFICE AND REQUESTS TO SEE THEM. 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