2014-11-05T08:21:32-06:00 2013-12-31 550526247 WILSON KOZICKI & GWYNN PLLC 32 TWENTIETH STREET SUITE 300 WHEELING WV 26003 990 2013-01-01 300002072 WV-OH SUPPLEMENTAL HEALTH PLAN WV-O 3045250331 3150 US ROUTE 60 ONA WV 25545 JOHN D GALLOWAY CPA ADMINISTRATOR 3047813928 2014-11-03 NANCY J GWYNN CPA P01447261 3042322280 2014-11-03 2013 2015-11-30 17:44:51Z JOHN CLARKE 82 BURKHAM COURT WHEELING WV 26003 1938215 0 X NA X 2001 WV PROVIDING SUPPLEMENTAL HEALTH PREMIUMS AND WEEKLY DISABILITY BENEFITS TO ELIGIBLE MEMBERS 12 12 41 12 0 0 0 0 712530 844183 198271 203759 0 0 910801 1047942 0 0 630636 779582 0 0 0 0 0 72488 50105 703124 829687 207677 218255 3993970 3998982 114147 15251 3879823 3983731 TO PROVIDE SUPPLEMENTAL HEALTH PREMIUMS & WEEKLY DISABILITY BENEFITS TO ELIGIBLE MEMBERS OF PARTICIPATING INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS (IBEW) UNIONS 0 0 715417 THE PROVISION OF SUPPLEMENTAL HEALTH INSURANCE PREMIUMS FOR ELIGIBLE MEMBERS OF THE PARTICIPATING LOCAL IBEW UNIONS 64165 THE PROVISION OF SUPPLEMENTAL DISABILITY BENEFITS TO ELIGIBLE MEMBERS OF PARTICIPATING IBEW LOCAL UNIONS 779582 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 1 41 1 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X AMERICAN BENEFIT CORPORATION 3045250331 3150 US ROUTE 60 ONA WV 25545 X TROY FERRELL TRUSTEE 1.00 X 0 0 0 SHANE FERGUSON TRUSTEE 1.00 X 0 0 0 DANA JOE SAMPLES TRUSTEE 1.00 X 0 0 0 LYNFORD LOVELL TRUSTEE 1.00 X 0 0 0 WILLIAM HAMILTON TRUSTEE 1.00 X 0 0 0 ROBERT A KUBOVICZ TRUSTEE 1.00 X 0 0 0 STEVEN ALLRED TRUSTEE 1.00 X 0 0 0 JEFF WILLIAMSON TRUSTEE 1.00 X 0 0 0 JAMES BANE TRUSTEE 1.00 X 0 0 0 BRIAN DAMANT TRUSTEE 1.00 X 0 0 0 JOHN CLARKE BOARD CHARIMAN 1.00 X 0 0 0 DAVID K ROGERS SECRETARY / TREASURER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 525100 844183 844183 844183 144127 144127 949905 890273 59632 59632 59632 1047942 1047942 0 0 779582 20593 3885 11511 10059 2414 BANK SERVICES CHARGES 1643 829687 244771 159046 70627 94173 44245 68640 3612034 3663303 12959 5929 9334 7891 3993970 3998982 114147 15251 114147 15251 X 0 0 0 0 3879823 3983731 3879823 3983731 3993970 3998982 218255 -114347 0 X 0 1 X 1 0 0 923536 -114347 -114347 1037883 10059 10059 1047942 819628 0 819628 10059 10059 829687 Form 990, Part VI, Section A, line 3 THE TRUSTEES FOR THE FUND ENGAGED AMERICAN BENEFIT CORPORATION TO PROVIDE ADMINISTRATIVE SERVICES FOR THE PLAN EFFECTIVE 1/1/2007. Form 990, Part VI, Section B, line 11 THE ORGANIZATION'S FORM 990 IS PREPARED ANNUALLY BY AN INDEPENDENT ACCOUNTING FIRM. THE FIRM SENDS A DRAFT TO THE ONE OR MORE MEMBERS OF THE GOVERNING BODY TO BE DISTRIBUTED TO THE REMAINING MEMBERS BEFORE THE FORM IS SIGNED BY AN AUTHORIZED MEMBER AND FILED WITH THE APPROPRIATE TAX AUTHORITIES. Form 990, Part VI, Section C, line 19 THIS 990 IS ALWAYS PUBLICALLY AVAILABLE THROUGH GUIDESTAR.COM; HOWEVER, THE PLAN'S GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE ONLY AVAILABLE UPON REQUEST TO INTERESTED PARTIES. SCHEDULE R, PART II , III & IV SCHEDULE R, PARTS II- IV. CONTRIBUTING EMPLOYERS AND ALL OTHER NECESSARY INFORMATION IS MAINTAINED WITHIN THE ORGANIZATION AND IS AVAILABLE UPON REQUEST FOR ANY INTERESTED PARTY. SEE SCHEDULE O SEE SCHEDULE O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0