2014-11-13T12:40:59-06:00 2013-12-31 131578842 BUCHBINDER TUNICK & COMPANY LLP 6720-A ROCKLEDGE DRIVE SUITE 510 BETHESDA MD 20817 990 2013-01-01 135590515 MEBA MEDICAL AND BENEFITS PLAN MEBA 4105479111 1007 EASTERN AVENUE BALTIMORE MD 212024345 H M AINLEY TRUSTEE EDWARD F HANLEY, TRUSTEE 4105479111 2014-11-13 1 JOHN ZIMMERMAN P01049106 2402001400 2014-11-11 2013 2015-11-30 17:44:51Z H M AINLEY TRUSTEE 1007 EASTERN AVE BALTIMORE MD 212024345 123678308 0 X WWW.MEBAPLANS.ORG/PR02.HTM X 1950 MD EMPLOYEE BENEFIT PLAN 12 12 76 0 0 0 0 0 34089009 33415241 4847053 2688821 5615479 3836114 44551541 39940176 0 0 34098167 32457986 6639478 4871057 0 0 0 1387348 1494070 42124993 38823113 2426548 1117063 76084369 81040457 1378237 1536539 74706132 79503918 TO PROVIDE MEDICAL, DEATH AND DISMEMBERMENT, DENTAL, OPTICAL, ANNUAL DIAGNOSTIC EXAMS, DISABILITY, HEARING AIDS, WAGE INSURANCE, LEGAL AID AND CERTAIN OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 PROVIDED MEDICAL BENEFITS TO APPROXIMATELY 3,500 ACTIVE AND RETIRED PARTICIPANTS. PROVIDED FOR THE OPERATING COSTS OF 2 DIAGNOSTIC MEDICAL CENTERS AND FOR PARTICIPANT TRAVEL TO THOSE MEDICAL CENTERS. PROVIDED ADDITIONAL BENEFITS FOR APPROXIMATELY 3,500 ACTIVE AND RETIRED PARTICIPANTS IN THE WAY OF INSURANCE, LEGAL AID AND MEDICARE PREMIUM REIMBURSEMENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 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 1 180 0 1 76 1 0 0 0 0 0 0 X 12 12 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X ALLEN SZYMCZAK ADMINISTRATOR 4105479111 1007 EASTERN AVENUE BALTIMORE MD 212024345 BLANKERSHIP MARK TRUSTEE 2.00 X 0 0 0 CAMERON MICHAEL ALTERNATE TRUSTEE 2.00 X 0 0 0 COLE WILLIAM ALTERNATE TRUSTEE 2.00 X 0 0 0 DORN ROBERT ALTERNATE TRUSTEE 2.00 X 0 0 0 FISHER PHILLIP ALTERNATE TRUSTEE 2.00 X 0 0 0 GILL TIMOTHY ALTERNATE TRUSTEE 2.00 X 0 0 0 GUERRA CHRIS TRUSTEE 2.00 X 0 0 0 HANLEY EDWARD SECRETARY - TRUSTEE 2.00 X 0 0 0 JABLONSKI STEVE ALTERNATE TRUSTEE 2.00 X 0 0 0 JEWELL MICHAEL CHAIRMAN - TRUSTEE 2.00 X 0 0 0 LINCOLN JONATHAN TRUSTEE 2.00 X 0 0 0 MCHUGH WILLIAM ALTERNATE TRUSTEE 2.00 X 0 0 0 MOSES DALE TRUSTEE 2.00 X 0 0 0 NORM GAUSLOW ALTERNATE TRUSTEE 2.00 X 0 0 0 CRAFT JACK TRUSTEE 2.00 X 0 0 0 NASHIF DAVE TRUSTEE 2.00 X 0 0 0 NOLAN DAVE TRUSTEE 2.00 X 0 0 0 STEPHENS ROBERT TRUSTEE 2.00 X 0 0 0 SULLIVAN JOHN TRUSTEE 2.00 X 0 0 0 VAN LOO WILLIAM TRUSTEE 2.00 X 0 0 0 RICH DOHERTY ALTERNATE TRUSTEE 2.00 X 0 0 0 MIKE DUNKLIN ALTERNATE TRUSTEE 2.00 X 0 0 0 DUNCAN BALLENGER ALTERNATE TRUSTEE 2.00 X 0 0 0 SZYMCZAK ALLEN ADMINISTRATOR 9.00 X 213661 0 38964 GILCHRIST ANN CONTROLLER 6.00 X 126348 0 27345 KOHRN BRUCE PHYSICIAN 40.00 X 106817 0 29478 FABELLA SANDRA ASSISTANT CONTROLLER 10.00 X 123588 0 32064 GILLOGLY NORMA PHYSICIAN 40.00 X 111959 0 29669 BUCKALEW BARRY INTERNAL AUDITOR 40.00 X 113355 0 22858 795728 0 180378 6 0 1 0 CAREFIRST BLUECROSS BLUESHIELD 10455 MILL RUN CIR OWING MILLS MD 21117 CLAIMS PROCESSING 998398 GORDON FEINBLATT LLC 233 EAST REDWOOD STREET BALTIMORE MD 21202 LEGAL FEES AND EXPENSES 345649 MORGAN LEWIS & BOCKIUS LLP 1701 MARKET STREET PHILADELPHIA PA 19103 LEGAL FEES AND EXPENSES 239540 THE SEGAL COMPANY 333 WEST 34TH STREET NEW YORK NY 10001 ACTUARY/CONSULTING 126593 4 EMPLOYER CONTRIBUTIONS 900099 26482685 26482685 PARTICIPANT CONTRIBUTI 900099 6737411 6737411 EMPLOYER CONTRIBUTIONS 900099 195145 195145 33415241 1174905 1174905 85252048 83738132 1513916 1513916 1513916 REIMBURSED ADMINISTRAT 900099 3328327 3328327 MEDICARE PART D REBATE 900099 507787 507787 3836114 39940176 38765271 0 1174905 32457986 255492 2756917 446702 1091826 320120 482012 46900 188255 157895 247086 88772 116282 5156 45163 36979 MISCELLANEOUS 79500 DUES AND SUBSCRIPTIONS 70 38823113 1776650 1858118 686689 1380859 6373855 7592126 28163 42885 1533609 1423234 105319 110375 36300316 49978831 30813377 20077263 76084369 81040457 501187 509068 877050 1027471 1378237 1536539 X 0 0 0 0 74706132 79503918 74706132 79503918 76084369 81040457 1117063 3680723 0 X 0 1 X 1 0 1004192 1003814 378 251449 221569 29880 277968 197851 80117 110375 MEBA MASTER TRUST FOR ERISA PLANS 1652038 F MELLON GLBAL ALPHA I 6991526 F MELLON EB TEMPORARY INVESTMENT 15 F RUSSELL 1000 VALUE INDEX 11433684 F 20077263 CONTRIBUTION RECEIVED IN ADVANCE 239612 DUE TO RELATED PARTY 106505 DUE TO BROKERS 681354 1027471 39596530 3680723 3680723 35915807 188255 3836114 4024369 39940176 34798744 0 34798744 188255 3836114 4024369 38823113 PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENT OF ADMINISTRATIVE EXPENSES NET AGAINST EXPENSES MEDICARE PART D REBATES NET AGAINST EXPENSES PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENT OF ADMINISTRATIVE EXPENSES NET AGAINST EXPENSES MEDICARE PART D REBATES NET AGAINST EXPENSES X 0 0 0 SZYMCZAK ALLEN ADMINISTRATOR 213661 0 0 0 0 0 22132 0 16832 0 252625 0 0 0 GILCHRIST ANN CONTROLLER 126348 0 0 0 0 0 10513 0 16832 0 153693 0 0 0 FABELLA SANDRA ASSISTANT CONTROLLER 123588 0 0 0 0 0 15232 0 16832 0 155652 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE PLAN IS A JOINTLY ADMINISTERED MULTI-EMPLOYER BENEFIT PLAN. UNION TRUSTEES ARE APPOINTED BY THE SPONSORING UNION. EMPLOYER TRUSTEES ARE APPOINTED BY CONTRIBUTING EMPLOYERS BASED ON THE HIGHEST TOTALS OF CUMULATIVE MAN DAYS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE PLAN'S ADMINISTRATOR WITH THE ASSISTANCE OF THE PLAN'S PROFESSIONALS AND IS PROVIDED TO THE PLAN'S BOARD OF TRUSTEES PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE INDIVIDUALS LISTED ON PAGE 7 OF THE FORM 990 ARE COVERED INDIVIDUALS UNDER THE POLICY. EACH COVERED INDIVIDUAL IS INFORMED OF HIS OR HER OBLIGATIONS UNDER THE POLICY. THE BOARD OF TRUSTEES MONITORS AND ENFORCES COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY BY PROVIDING ANNUAL REMINDERS TO COVERED INDIVIDUALS, BY REQUESTING ANNUAL WRITTEN DISCLOSURE BY COVERED INDIVIDUALS AND BY EDUCATING NEWLY COVERED INDIVIDUALS ABOUT THE POLICY. DURING 2013, NO POTENTIAL CONFLICTS WERE REPORTED OR EVALUATED. IN THE EVENT THAT A POTENTIAL CONFLICT WERE REPORTED, IT WOULD BE REVIEWED BY THE ORGANIZATION'S LEGAL COUNSEL, BOARD OF TRUSTEES AND OFFICERS, BUT WOULD EXCLUDE ANY WHO WERE INVOLVED IN THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE ADMINISTRATOR'S SALARY IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS, BENEFICIARIES, THE SPONSORING UNION, AND CONTRIBUTING EMPLOYERS AS REQUIRED BY ERISA. ERISA DOES NOT REQUIRE THAT THE PLAN MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC AND THE PLAN DOES NOT DO SO. 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