2014-10-29T14:41:37-05:00 2013-12-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2013-01-01 366066988 LINE CONSTRUCTION BENEFIT FUND LINE 8003237268 2000 SPRINGER DRIVE LOMBARD IL 60148 MARK PELLERITO CHAIRMAN 8003237268 2014-10-29 1 CRAIG RESCH P00844633 3123680500 2013 2015-11-30 17:44:51Z MARK PELLERITO 2000 SPRINGER DRIVE LOMBARD IL 60148 842321806 0 X WWW.LINECO.ORG X 1963 IL HEALTH AND WELFARE FUND 18 10 78 0 0 0 0 0 317518228 356301167 20105456 24755581 7251 0 337630935 381056748 0 0 283143944 319460674 5421875 6157177 0 0 0 3548670 3948252 292114489 329566103 45516446 51490645 672476141 739838422 7085082 9082925 665391059 730755497 PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE MEMBERS. 0 0 PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE MEMBERS. 0 0 0 0 0 0 0 0 0 1 1 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 11877 0 1 78 1 0 0 0 0 0 0 0 0 X 18 10 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 1 1 1 0 X KEVIN CHESNIAK 8003237268 2000 SPRINGER DRIVE LOMBARD IL 60148 JAMES W WHITE TRUSTEE 3.00 40.00 X 0 97312 19331 MARK PELLERITO - CHAIRMAN TRUSTEE 3.00 0.00 X 0 0 0 JAMES BELL TRUSTEE 3.00 40.00 X 0 106535 30714 MIKE BYRD TRUSTEE 3.00 40.00 X 0 134453 0 JOSEPH TUCCI TRUSTEE 3.00 0.00 X 0 0 0 CHRISTINA ERNST TRUSTEE 3.00 0.00 X 0 0 0 HENRY STANSKI JR TRUSTEE 3.00 40.00 X 0 142924 0 EA PASTOR TRUSTEE 3.00 0.00 X 0 0 0 ROBERT STUART TRUSTEE 3.00 40.00 X 0 123181 48292 JIM BATES TRUSTEE 3.00 40.00 X 0 133491 35917 JODY SHEA TRUSTEE 3.00 0.00 X 0 0 0 BRYAN STAGE TRUSTEE 3.00 40.00 X 0 122667 33515 DARRAN AYRES TRUSTEE 3.00 0.00 X 0 0 0 MICHAEL TROUTMAN TRUSTEE 3.00 0.00 X 0 0 0 TRAVIS ERI TRUSTEE 3.00 0.00 X 0 0 0 MARK CUNNINGHAM TRUSTEE - NEW 3.00 40.00 X 0 23000 3703 RHETT JACKSON TRUSTEE - NEW 3.00 0.00 X 0 0 0 RANDY WILLIAMS TRUSTEE - NEW 3.00 0.00 X 0 0 0 JOEL BELL TRUSTEE - PAST 3.00 40.00 X 0 142626 31532 ROBERT ASHER TRUSTEE - PAST 3.00 0.00 X 0 0 0 TIM SOULE TRUSTEE - PAST 3.00 0.00 X 0 0 0 KEVIN CHESNIAK ADMINISTRATOR 40.00 0.00 X 230000 0 53320 JEFFREY MARSHALL IT DIRECTOR 40.00 0.00 X 113867 0 33753 JEAN HAYMAN CLAIMS OPERATIONS MANAGER 40.00 0.00 X 139318 0 32001 KATHLYN HAMES DATA PROCESSING MANAGER 40.00 0.00 X 106074 0 31712 GERALYN HAMES CLAIMS PROCESSOR 40.00 0.00 X 101404 0 32381 690663 1026189 386171 5 0 1 0 BLUECROSS BLUESHIELD OF ILLINOIS 300 E RANDOLPH CHICAGO IL 60601 PPO PROVIDER 12043126 VALUE OPTIONS 240 CORPORATE BLVD NORFOLK VA 23502 MENTAL HEALTH SERVICES 1506467 MEDICAL COST MANAGMENT 105 W ADAMS SUITE 2200 CHICAGO IL 60603 HOSPITAL UTILIZATION REVIEW 1033491 VISION SERVICE PLAN 2111 E HIGHLAND AVE PHOENIX AZ 85016 VISION BENEFIT PROVIDER 358494 DENTAL NETWORK OF AMERICA 701 E 22ND ST SUITE 300 LOMBARD IL 60148 DENTAL BENEFIT PROVIDER 306765 19 EMPLOYER CONTRIBUTIONS 900099 337342839 337342839 PARTICIPANT CONTRIBUTI 900099 11655827 11655827 PRESCRIPTION DRUG REBA 900099 6354191 6354191 MEDICARE PART D SUBSID 900099 948310 948310 356301167 11386347 11386347 474634292 461265058 13369234 13369234 13369234 381056748 356301167 0 24755581 319460674 283320 4032416 875218 635606 330617 62468 155534 891604 505635 1026859 607125 299167 167542 109045 108182 DOCUMENT IMAGING 15091 329566103 16679222 8844268 21090128 29902169 35739916 33027152 396043 482474 1339988 421522 677750 918466 398108343 402863161 197145701 262965780 2639038 834952 672476141 739838422 1152013 1549880 1177516 2385446 4755553 5147599 7085082 9082925 X 0 0 0 0 665391059 730755497 665391059 730755497 672476141 739838422 X 51490645 10242777 3631016 X 0 1 X 1 0 12932 6806 6126 1327056 414716 912340 918466 HEDGE FUNDS OF FUNDS 118415280 F COMMON AND COLLECTIVE EQUITY FUNDS 144550500 F 262965780 RECIPROCITY CONTRIBUTIONS PAYABLE 1951756 COLLATERAL HELD FOR SECURITIES ON LOAN 239753 SECURITIES LENDING COLLATERAL DEFICIT PAYABLE 721363 DUE TO BROKER - PENDING INVESTMENT TRADES 2234727 5147599 X 390407921 10242777 10242777 380165144 891604 891604 381056748 328674499 0 328674499 891604 891604 329566103 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 LIMITATIONS EXPIRE. X X 0 0 0 ROBERT STUART TRUSTEE 0 120946 0 0 0 2235 0 32645 0 15647 0 171473 0 0 JIM BATES TRUSTEE 0 133491 0 0 0 0 0 0 0 35917 0 169408 0 0 BRYAN STAGE TRUSTEE 0 122667 0 0 0 0 0 33515 0 0 0 156182 0 0 JOEL BELL TRUSTEE - PAST 0 142626 0 0 0 0 0 0 0 31532 0 174158 0 0 KEVIN CHESNIAK ADMINISTRATOR 215000 0 15000 0 0 0 43720 0 9600 0 283320 0 0 0 JEAN HAYMAN CLAIMS OPERATIONS MANAGER 124318 0 15000 0 0 0 22401 0 9600 0 171319 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE COMPLETED FORM 990 WAS PROVIDED TO AND REVIEWED BY THE ENTIRE BOARD OF TRUSTEES PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATOR'S ANNUAL BASE SALARY IS ESTABLISHED UNDER AN EMPLOYMENT CONTRACT WHILE HIS ANNUAL BONUS IS DETERMINED BY THE ORGANIZATION'S BUDGET COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S PLAN BOOKLET IS AVAILABLE ON THE ORGANIZATION'S WEBSITE. THE OTHER GOVERNING POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS FROM IBEW LOCAL 51 SUPPL HW FUND EIN:83-0477723 3,631,016. 4TH DISTRICT IBEW HEALTH FUND CONTRIBUTING EMPLOYER 0 ALASKA ELEC HEALTH & WELFARE CONTRIBUTING EMPLOYER 0 AMERICAN LINE BUILDERS CHAPTER CONTRIBUTING EMPLOYER 0 CALIFORNIA - NEVADA J A T C CONTRIBUTING EMPLOYER 0 CANTON ELECTRICAL WELFARE FUND CONTRIBUTING EMPLOYER 0 CEDAR RAPIDS ELEC WRKRS H & W CONTRIBUTING EMPLOYER 0 CENTRAL CA ELEC WRKS H & W CONTRIBUTING EMPLOYER 0 CENTRAL TEXAS BENEFIT TRUST CONTRIBUTING EMPLOYER 0 DAKOTAS & W MINN H & W FUND CONTRIBUTING EMPLOYER 0 EIGHTH DIST ELEC BENEFIT FUND CONTRIBUTING EMPLOYER 0 ELEC & IBEW LOCAL 22 H & W CONTRIBUTING EMPLOYER 0 ELEC WELFARE TRUST FUND (#26) CONTRIBUTING EMPLOYER 0 ELEC WORKERS BENFEIT FUND #369 CONTRIBUTING EMPLOYER 0 ELEC WRKRS HEALTH & WELFARE CONTRIBUTING EMPLOYER 0 FLORIDA ELECTRICAL WORKERS CONTRIBUTING EMPLOYER 0 HAWAII ELEC HEALTH & WELFARE CONTRIBUTING EMPLOYER 0 IBEW #640 & ARIZ H & W FUND CONTRIBUTING EMPLOYER 0 IBEW 271 NECA H & BENEFIT FUND CONTRIBUTING EMPLOYER 0 IBEW H & W TRUST SW WASHINGTON CONTRIBUTING EMPLOYER 0 IBEW LOCAL 1 HEALTH & WELFARE CONTRIBUTING EMPLOYER 0 IBEW LOCAL 100 H & W TRUST CONTRIBUTING EMPLOYER 0 IBEW LOCAL 124 HEALTH & WELFAR CONTRIBUTING EMPLOYER 0 IBEW LOCAL 1249 INSURANCE FUND CONTRIBUTING EMPLOYER 0 IBEW LOCAL 126 HEALTH & WELFAR CONTRIBUTING EMPLOYER 0 IBEW LOCAL 129 HEALTH & WELFAR CONTRIBUTING EMPLOYER 0 IBEW LOCAL 150 WELFARE FUND CONTRIBUTING EMPLOYER 0 IBEW LOCAL 269 H & W FUND CONTRIBUTING EMPLOYER 0 IBEW LOCAL 347 H & W FUND CONTRIBUTING EMPLOYER 0 IBEW LOCAL 351 WELFARE FUND CONTRIBUTING EMPLOYER 0 IBEW LOCAL 38 H & W FUND CONTRIBUTING EMPLOYER 0 IBEW LOCAL 595 H & W TRUST CONTRIBUTING EMPLOYER 0 IBEW LOCAL 654 WELFARE FUND CONTRIBUTING EMPLOYER 0 IBEW LOCAL UNION 102 WELFARE CONTRIBUTING EMPLOYER 0 IBEW LOCAL UNION 712 WELFARE CONTRIBUTING EMPLOYER 0 IBEW LOCAL UNION 90 BENEFIT CONTRIBUTING EMPLOYER 0 IBEW LOCAL UNION 94 H & W FUND CONTRIBUTING EMPLOYER 0 IBEWNECA LOCAL 1579 HEALTH PL CONTRIBUTING EMPLOYER 0 IBEW-NECA HEALTH & WELFARE CONTRIBUTING EMPLOYER 0 INLAND EMPIRE ELEC WRKRS CONTRIBUTING EMPLOYER 0 INLAND EMPIRE IBEW-NECA HLTH CONTRIBUTING EMPLOYER 0 J A T C N W LINE CONSTRUCTION CONTRIBUTING EMPLOYER 0 JOINT WELFARE FUND LOCAL 164 CONTRIBUTING EMPLOYER 0 KERN COUNTY ELEC H & W FUND CONTRIBUTING EMPLOYER 0 LAKE CTY IND NECA-IBEW H & W CONTRIBUTING EMPLOYER 0 LOCAL 1049 HEALTH & WELFARE CONTRIBUTING EMPLOYER 0 LOCAL 17 HEALTH & WELFARE FUND CONTRIBUTING EMPLOYER 0 LOCAL 191 IBEW H & W FUND CONTRIBUTING EMPLOYER 0 LOCAL 212 IBEW H & W PLAN CONTRIBUTING EMPLOYER 0 LOCAL 226 IBEW H & W FUND CONTRIBUTING EMPLOYER 0 LOCAL 292 FRINGE BENEFIT PLAN CONTRIBUTING EMPLOYER 0 LOCAL 3 PENSION HOSP BENEFIT CONTRIBUTING EMPLOYER 0 LOCAL 309 HEALTH & WELFARE FND CONTRIBUTING EMPLOYER 0 LOCAL 332 HEALTH & WELFARE FUN CONTRIBUTING EMPLOYER 0 LOCAL 357 ELEC H & W FUND CONTRIBUTING EMPLOYER 0 LOCAL 400 IBEW WELFARE FUND CONTRIBUTING EMPLOYER 0 LOCAL 461 HEALTH & WELFARE FUN CONTRIBUTING EMPLOYER 0 LOCAL 666 BENEFIT TRUST FUND CONTRIBUTING EMPLOYER 0 LOCAL 701 IBEW WELFARE FUND CONTRIBUTING EMPLOYER 0 LOCAL 728 ELEC WELFARE FUND CONTRIBUTING EMPLOYER 0 LOCAL 903 HEALTH & WELFARE CONTRIBUTING EMPLOYER 0 LOCAL 915 CO FIRST BENEFITS CONTRIBUTING EMPLOYER 0 LOCAL 995 HEALTH & WELFARE PLN CONTRIBUTING EMPLOYER 0 LOCAL UNION #1002 IBEW CONTRIBUTING EMPLOYER 0 LOCAL UNION #108 IBEW CONTRIBUTING EMPLOYER 0 LOCAL UNION #111 IBEW CONTRIBUTING EMPLOYER 0 LOCAL UNION #1116 IBEW CONTRIBUTING EMPLOYER 0 LOCAL UNION #126 TELEDATA CONTRIBUTING EMPLOYER 0 LOCAL UNION #1319 IBEW CONTRIBUTING EMPLOYER 0 LOCAL UNION #1393 IBEW CONTRIBUTING EMPLOYER 0 LOCAL UNION #145 IBEW CONTRIBUTING EMPLOYER 0 LOCAL UNION #1525 IBEW CONTRIBUTING EMPLOYER 0 LOCAL UNION #160 IBEW CONTRIBUTING EMPLOYER 0 LOCAL UNION #175 IBEW CONTRIBUTING EMPLOYER 0 LOCAL UNION #196 IBEW CONTRIBUTING EMPLOYER 0 LOCAL UNION #2 IBEW CONTRIBUTING EMPLOYER 0 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