2014-06-11T12:43:16-05:00 2013-07-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2012-08-01 596152618 PLUMBERS & PIPEFITTERS LOCAL UNION NO 803 HEALTH AND WELFARE FUND PLUM 9045380100 8657 BAYPINE ROAD BUILDING 5 NO 200 JACKSONVILLE FL 32256 BERNARD HORNE 9045380100 2014-06-11 1 GREG WALLENBECKER P01451145 3123680500 2012 2015-11-30 17:44:51Z BERNARD HORNE 8657 BAYPINE ROAD BUILDING 5 NO 200 JACKSONVILLE FL 32256 4156859 0 X N/A X 1965 FL PROVIDE HEALTH BENEFITS 7 6 0 0 0 0 0 0 2647201 2579865 259348 183736 0 0 2906549 2763601 0 0 3046572 2803533 0 0 0 0 0 184959 325001 3231531 3128534 -324982 -364933 5369496 4945390 20433 122133 5349063 4823257 PROVIDE HEALTH BENEFITS 0 0 THE FUND PROVIDES HEALTH, VISION, AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS 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 1 299 0 1 0 0 0 0 0 0 0 0 0 X 7 6 0 1 0 0 0 0 0 1 0 0 0 1 1 0 1 0 1 0 0 0 X NATIONAL EMPLOYEE BENEFIT ADMINISTR 9045380100 8657 BAYPINE ROAD BUILDING 5 SUITE JACKSONVILLE FL 32256 BERNARD HORNE 1.00 X 0 0 0 DAVID GARLINGTON 1.00 X 0 0 0 TIM MILES 1.00 X 0 0 0 GARY MONSON 1.00 X 0 0 0 PAUL V JONES 1.00 X 0 0 0 AUDIE BAILEY 1.00 X 0 0 0 BRAD GRABILL 1.00 X 0 79067 0 CHARLES V NEWARK 1.00 X 0 0 0 0 79067 0 0 0 0 0 CATAMARAN 2441 WARRENVILLE RD STE 610 LISLE IL 605323542 PRESCRIPTION BENEFIT PROVIDER 648352 ORLANDO REGIONAL HEALTHCARE SYSTEM PO BOX 91-7311 ORLANDO FL 328917311 HEALTHCARE PROVIDER 433912 ADVENTIST HEALTH SYSTEM SUNBELT 601 EAST ROLLINS STREET ORLANDO FL 32803 HEALTHCARE PROVIDER 364658 CIGNA HEALTH CARE 1111 MARKET STREET CHATTANOOGA TN 37402 BENEFIT ADMINISTRATION FEES 119866 4 EMPLOYER CONTRIBUTIONS 900099 2427599 2427599 PARTICIPANT & RETIREE CONTRIBUTIO 900099 152266 152266 2579865 192789 192789 1384205 1393258 -9053 -9053 -9053 2763601 2579865 0 183736 2803533 47484 14205 17547 27933 185087 19884 1825 7692 3344 3128534 465237 443557 154832 307089 327619 2054 2579 4595116 4016803 5369496 4945390 20433 29623 0 92510 20433 122133 X 0 0 0 0 5349063 4823257 5349063 4823257 5369496 4945390 -364933 -160873 0 X 0 1 X 1 0 0 DUE TO BROKER 92510 92510 X 2574795 -160873 -160873 2735668 27933 27933 2763601 3100601 0 3100601 27933 27933 3128534 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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. FORM 990, PART VI, SECTION A, LINE 3 WHILE THE TRUSTEES RETAIN THE ULTIMATE RESPONSIBILITY, THEY HAS DELEGATED CONTROL OVER DAY-TO-DAY MANAGEMENT DUTIES TO NATIONAL EMPLOYEE BENEFITS ADMINISTRATORS, INC., A THIRD PARTY ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 8B THE FUND DOES NOT HAVE A SEGREGATED COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED, THROUGHLY REVIEWED AND APPROVED BY THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE FUND IS REQUIRED BY THE EMPLOYEE RETIREMENT INCOME SECURITY ACT TO DISCLOSE ANY CONFLICTS OF INTEREST. THE TRUSTEES MONITOR AND ENFORCE THE FUND'S COMPLIANCE WITH ERISA WITH ASSISTANCE FROM THE FUND'S PROFESSIONALS FORM 990, PART VI, SECTION C, LINE 19 THE FUND MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. PLUMBERS & PIPEFITTERS LOCAL 803 PENSION FUND 8657 BAYPINE ROAD BUILDING 5 STE 20 JACKSONVILLE FL 32256 596228172 PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS FL 401(A) N/A 0 UA LOCAL 803 CONTRIBUTING EMPLOYER 0 ADLER MECHANICAL INC CONTRIBUTING EMPLOYER 0 AIRSTRON INC CONTRIBUTING EMPLOYER 0 CARRIER CORPORATION CONTRIBUTING EMPLOYER 0 CELSIUS CONTRACTORS INC CONTRIBUTING EMPLOYER 0 CENTRAL FLORIDA MECHANICAL SERVICES CONTRIBUTING EMPLOYER 0 FLORIDA MECHANICAL CONTRIBUTING EMPLOYER 0 HILL YORK SERVICE CORP CONTRIBUTING EMPLOYER 0 HONEYWELL INC CONTRIBUTING EMPLOYER 0 IRVINE MECHANICAL CONTRIBUTING EMPLOYER 0 JOHN J KIRLIN SPECIAL PROJECTS LLC CONTRIBUTING EMPLOYER 0 JOHNSON CONTROLS INC CONTRIBUTING EMPLOYER 0 JPI MECHANICAL SERVICES INC CONTRIBUTING EMPLOYER 0 KINETIC SYSTEMS INC CONTRIBUTING EMPLOYER 0 KIRLIN FLORIDA LLC CONTRIBUTING EMPLOYER 0 MDI SERVICES LLC CONTRIBUTING EMPLOYER 0 MECHANICAL SERVICES INC CONTRIBUTING EMPLOYER 0 P&G MECHANICAL CONTRIBUTING EMPLOYER 0 PAGE PIPING INC CONTRIBUTING EMPLOYER 0 SAUER GROUP INC CONTRIBUTING EMPLOYER 0 SIEMENS BUILDING TECH INC CONTRIBUTING EMPLOYER 0 SHUMATE MECHANICAL CONTRIBUTING EMPLOYER 0 SYSTEM TECH SERVICES INC CONTRIBUTING EMPLOYER 0 THERMETRICS CORP CONTRIBUTING EMPLOYER 0 TRANSCAM MECHANICAL CONTRIBUTING EMPLOYER 0 TRANSLOGIC CORP CONTRIBUTING EMPLOYER 0 WW GAY MECHANICAL CONTRIBUTING EMPLOYER 0 WALT DISNEY WORLD CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PLUMBERS & PIPEFITTERS LOCAL 803 PENSION FUND S 93450 COST