2014-03-01T08:24:13-06:00 2013-05-31 391531945 FREYBERG HINKLE ASHLAND POWERS & STOWELL 15420 W CAPITOL DR BROOKFIELD WI 530052621 990 2012-06-01 396095127 FOX VALLEY SHEET METAL HEALTH FUND FOXV 2627981838 2201 SPRINGDALE ROAD WAUKESHA WI 531862855 NICHOLAS LIESCH 2627981838 2014-02-21 1 JAMES M ASHLAND CPA P00241858 2627846210 2012 2015-11-30 17:44:51Z NICHOLAS LIESCH 2201 SPRINGDALE ROAD WAUKESHA WI 531862855 12882037 0 X N/A X 1981 WI TO PROVIDE WELFARE BENEFITS, SUCH AS LIFE INSURANCE, ACCIDENTAL DEATH AND DISMEMBERMENT, LOSS OF TIME, DISABILITY, DENTAL, VISION, HOSPITAL, AND SURGICAL BENEFITS FOR UNION MEMBERS AND THEIR SPOUSE AND/OR DEPENDENTS 6 6 0 0 0 0 0 0 7974984 7728811 480369 495107 85845 53265 8541198 8277183 0 0 7449115 7268842 0 0 0 0 0 1425888 1481022 8875003 8749864 -333805 -472681 11414148 11375854 3396837 3664982 8017311 7710872 PROVIDE HEALTH AND WELFARE BENEFITS FOR PARTICIPANTS AND THEIR BENEFICIARIES. 0 0 8379016 TO PROVIDE HEALTH, LIFE, DENTAL, VISION, PRESCRIPTION DRUG, AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS, SPOUSES, AND DEPENDENTS. 8379016 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 241 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X SUZANNE TAZALLA 2627981838 2201 SPRINGDALE ROAD WAUKESHA WI 531862855 CHARLES SCHUSTER 1.00 X X 0 0 0 NICHOLAS LIESCH 1.00 X X 0 76527 16702 PATRICK LANDGRAF 1.00 X 0 108252 16474 PAUL HANSEN 1.00 X 0 3980 0 TOM FELDMANN 1.00 X 0 0 0 JEFFREY GAECKE 1.00 X 0 0 0 0 188759 33176 0 0 0 0 RELIASTAR LIFE INSURANCE COMPANY 20 WASHINGTON AVENUE SOUTH MINNEAPOLIS MN 55401 STOP LOSS, LIFE AND ACCIDENTAL DEATH & D 649966 UNITED HEALTH CARE INSURANCE COMPANY 10701 W RESEARCH DRIVE MILWAUKEE WI 53226 CLAIMS PROCESSING 235174 BENEFIT PLAN ADMINISTRATION 11270 WEST PARK PLACE SUITE 950 MILWAUKEE WI 53224 THIRD PARTY ADMINISTRATOR 149843 3 EMPLOYER CONTRIBUTIONS 900099 7430541 7430541 PARTICIPANT CONTRIBUTIONS 900099 282318 282318 STOP LOSS REIMBURSEMENTS 900099 15952 15952 7728811 289167 289167 4810794 4604854 205940 205940 205940 MEDICAL/SUBROGATION REFUNDS 900099 53265 53265 53265 8277183 7934751 0 342432 7268842 7268842 139575 139575 45972 45972 22358 22358 37125 37125 79716 79716 5562 5562 942 942 5793 5793 STOP LOSS PREMIUMS 636244 636244 PPO SERVICE ADMINISTRAT 236152 236152 HRA CLAIMS PAID 184124 184124 BANK CHARGES 23660 23660 63799 53654 10145 8749864 8379016 370848 0 255942 481908 260100 37119 638474 711912 8503 16237 10149581 10101985 101548 26693 11414148 11375854 160737 84282 3236100 3580700 3396837 3664982 X 0 0 0 0 8017311 7710872 8017311 7710872 11414148 11375854 -472681 166242 0 X X 0 1 X 1 0 0 BENEFIT CLAIMS PAYABLE AND IBNR 573700 ESTIMATED LIABILITY FOR FUTURE BENEFITS 3007000 3580700 X 8406300 166242 166242 8240058 37125 37125 8277183 8368139 0 8368139 37125 344600 381725 8749864 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLANS MANAGEMENT BELIEVES THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO MAY 31, 2010. PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN HEALTH CLAIMS PAYABLE 27,600. INCREASE IN ESTIMATED LIABILITY FOR FUTURE BENEFITS 317,000. FORM 990, PART VI, SECTION B, LINE 11 REVIEWED BY THE ADMINISTRATIVE MANAGER AND PRESENTED TO TRUSTEES FOR APPROVAL PRIOR TO SIGNING AND FILING. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ARE EXPECTED TO DISCLOSE ANY OWNERSHIP OR OTHER FINANCIAL RELATIONSHIPS THAT THEY HAVE WITH PARTIES THAT DEAL WITH THE PLAN. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST THROUGH THE PLAN OFFICE. PART XII, LINE 2C THE BOARD OF TRUSTEES REVIEWS AND APPROVES A DRAFT OF THE AUDITED FINANCIAL STATEMENTS AT THE MEETING. THESE ARE PRESENTED BY THE ACCOUNTANT TO THE BOARD. FORM 990, SCHEDULE R: THE PLAN MADE A REASONABLE EFFORT TO OBTAIN THE FEDERAL TAX CLASSIFICATION FROM ALL CONTRIBUTING EMPLOYERS BUT WAS UNABLE TO OBTAIN A RESPONSE FROM TWO EMPLOYERS. SHEET METAL WORKERS INTERNATIONAL ASSOCIATION LOCAL UNION NO 18 AFL-CIO 2201 SPRINGDALE ROAD WAUKESHA WI 53186 391419063 LABOR UNION WI 501(C)(5) N/A 0 SHEET METAL WORKERS LOCAL 18 & EAST CTRL WI SHEET METAL JRNYMN & APPR TRNG 2201 SPRINGDALE ROAD WAUKESHA WI 53186 391627344 APPRENTICESHIP TRAINING WI 501(C)(5) N/A 0 NATIONS ROOF AUGUST WINTER & SONS INC AZCO INC B&P MECHANICAL INC BASSETT MECHANICAL BAUMGART MECHANICAL BEST MECHANICAL CENTRAL HEATING SERVICE INC COENEN MECHANICAL EGI MECHANICAL INC FELDMANN INC FOREFRONT FOX CITIES SHEET METAL INC GARTMAN HEATING & AC GREAT LAKES MECHANICAL HURCKMAN MECHANICAL INDUSTRIAL VENTILATION INC J&B HVAC JAMAR COMPANY JOHNSON CONTROL MARX MECHANICAL INC MECHANICAL TECHNOLOGIES INC MUZA SHEET METAL CO STAINLESS SPECIALTIES TWEET GAROT MECHANICAL #1 VAL FAB INC VALLEY MECHANICAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0