2013-11-11T09:36:39-06:00 2012-12-31 131578842 BUCHBINDER TUNICK & CO LLP ONE PENN PLAZA SUITE 5335 NEW YORK NY 101190215 990 2012-01-01 362376645 CENTRAL STATES JOINT BOARD HEALTH AND WELFARE TRUST FUND CENT 3127380822 1950 WEST ERIE STREET CHICAGO IL 60622 STEVE TORELLO 3127380822 2013-11-06 1 P01366109 2126955003 2012 2016-02-25 16:41:14Z STEVE TORELLO 1950 WEST ERIE STREET CHICAGO IL 60622 85762337 0 X N/A X 1955 IL TO PROVIDE MEDICAL AND DENTAL BENEFITS TO ELIGIBLE PARTICIPANTS. 10 10 13 0 0 0 0 0 37402935 47848487 3295805 3755179 401896 306089 41100636 51909755 0 0 35007526 51284290 647543 650271 0 0 0 1576097 1508308 37231166 53442869 3869470 -1533114 70793838 68946485 1399057 569521 69394781 68376964 TO PROVIDE MEDICAL AND DENTAL BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 PROVIDING MEDICAL AND DENTAL BENEFITS TO APPROXIMATELY 7,800 ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 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 1 183 0 1 13 1 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X THE ORGANIZATION 3127380822 1950 WEST ERIE STREET CHICAGO IL 60622 X STEVE TORELLO 0.30 X 0 131321 40425 MARK SPANO 0.30 X 0 156788 46865 MICHAEL FLYNN 0.30 X 0 66345 26287 BENNY CASTRO 0.30 X 0 99693 31095 JOHN MILLER 0.30 X 0 0 0 GARY FAIRHEAD 0.30 X 0 0 0 ROBERT WILSON 0.30 X 0 0 0 SHELLY ROSEN 0.30 X 0 0 0 NORMAN SOEP 0.30 X 0 0 0 FRANK OLVERA 0.30 X 0 81059 29548 ANTHONY IORI 40.00 X 74000 38842 11475 74000 574048 185695 0 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 60601 NETWORK ADMINISTRATION 2611268 MEDICAL COST MANAGEMENT 105 WEST ADAMS SUITE 2200 CHICAGO IL 60603 UTILIZATION REVIEW 215235 2 EMPLOYER CONTRIBUTIONS 900099 47497922 47497922 PARTICIPANT CTRB. 900099 350565 350565 47848487 2642259 2642259 34965502 33852582 1112920 1112920 1112920 REBATES AND SUBSIDIES 900099 241287 241287 SUNDRY 900099 64802 64802 306089 51909755 49267496 0 2642259 51284290 84896 286383 194162 49257 35573 63218 70000 288854 112825 41371 103118 21761 34253 77203 ALLOCATED EXPENSES 402365 CASE MANAGEMENT 215235 CLAIMS PROCESSING 63472 DATA PROCESSING 14633 53442869 3477677 4157689 1320449 891468 51041 60454 445627 242362 237518 203265 65707153 63633609 70793838 68946485 509928 110115 0 889129 459406 1399057 569521 X 0 0 0 0 69394781 68376964 69394781 68376964 70793838 68946485 -1533114 515297 0 X X 0 1 X 1 0 6747 6747 0 122775 122775 0 316105 112840 203265 203265 DUE TO BROKER FOR PENDING TRADES 25282 DUE TO RELATED ORGANIZATIONS 20804 CONTRIBUTIONS REC IN ADVANCE 413320 459406 52136198 515297 515297 51620901 288854 288854 51909755 53154015 0 53154015 288854 288854 53442869 0 0 0 STEVE TORELLO 0 131321 0 0 0 0 0 0 0 40425 0 171746 0 0 MARK SPANO 0 156788 0 0 0 0 0 0 0 46865 0 203653 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE FUND HAS NO SUBCOMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S BOARD OF TRUSTEES REVIEWS THE 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AND CAN BE EXAMINED AT THE FUND OFFICE. FORM 990, PART VII, SECTION A, COLUMN F: THE FUND CONTRIBUTES TO THE CENTRAL STATES JOINT BOARD STAFF PENSION PLAN WHICH IS A DEFINED BENEFIT PENSION PLAN. THE AMOUNT MADE ON BEHALF OF THE PLAN MANAGER IS UNABLE TO BE DETERMINED. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. MIDWEST PENSION PLAN 1950 WEST ERIE STREET CHICAGO IL 60622 366512748 TO PROVIDE PENSION BENEFITS TO MEMBERS IL 401(A) 0 CENTRAL STATES JOINT BOARD AFL-CIO 0 4 U HAIR AND SPA 0 A & H 0 AALL SERVICE AGENCY 0 ABDALLAH KARAM MD 0 ABRAMSON & MAGIDSON PA 0 ACE SANDBLAST 0 ACORN METAL SERVICE 0 ACTIVE GRINDING AND MFG CO 0 ADCO- LITHO-LINE 0 ADCO- LITHO-LINE 0 ADMINISTRATIVE RETIREMENT SERVICES INC 0 ADVANCED BOILER CONTROL 0 ADVANCED HEALTHCARE 0 ADVANCED RADIOLOGY ONCOLOGY CTR 0 ADVANCED VEIN & LASER CTR 0 AG MANUFACTURING 0 ALL STAR AUTOMOTIVE 0 ALLEGNA PRINT & IMAGING 0 ALLEN WOODS & ASSOC 0 ALLSTATE APPRAISAL LP 0 AMERICAN FINANCIAL FUNDING 0 AMERICAN METALCRAFT 0 AMERICAN NAME PLATE 0 AMERICAN PLATING & MFG CO 0 AMS EARTH MOVERS INC 0 ANDY'S JAZZ CLUB 0 ANGELS GRACE HOSPICE LLC 0 ANTHONY MARKIEWICZ 0 APOLLO PLASTICS 0 APPLE CANYON LAKE PROPERTY OWNERS ASSOC 0 ARENA AUTO AUCTION 0 ARMBRUST PAPER 0 ARONOFF ROSEN & HUNT 0 ARONSON GEIMAN & POSNER 0 ARTISTIC STITCHES 0 ASSOCIATED HEALTHCARE ADVISORS 0 ASSOCIATES ROOFING & WATERPROOFING 0 AUDIOLOGY ASSOCIATES OF S FLORIDA 0 AUGIE'S EXCAVATING INC 0 AUSTGEN ELECTRIC INC 0 AUTOMATED LIGHTING DESIGN INC 0 AUTOMATIC ANODIZING 0 AYOTTE DECKER LLC 0 B & R REPAIR 0 BICC SYSTEMS INC 0 BARSTEEL CORP 0 BESCO AIR INC 0 BETTER CONTAINER 0 BMW PLUMBING INC 0 BOB KORVAS AGENCY 0 BOONE VALLEY IMPLEMENT INC 0 BORKUSLAW 0 BRAKE & WHEEL PARTS IND 0 BRANDENBURGER PLUMBING 0 BRIGHT STAR NORTH 0 BRIS INDUSTRIAL 0 BRONKO'S OF CROWN POINT 0 BROOKFORD LLC 0 BROOKSIDE LAWN CORP 0 BUILDERS SUPPLY COMPANY 0 BULL CLINIC 0 BUSINESS MACHINE AGENTS 0 BUY RIGHT QUALITY 0 C & R AUTO SERVICE INC 0 CALEEL PRACTICE MGMT 0 CALLEN MFG 0 CAPITOL BUSINESS SYSTEMS 0 CARDINAL CABLING 0 CASTLE GROUP HEALTHCARE 0 CAVANAGH LAW GROUP 0 CAWLEY CHICAGO 0 CENTAL FLORIDA SALES 0 CENTRAL ILLINOIS ASPHALT 0 CENTRAL SHEET METAL PRODUCT 0 CENTURY PLATING CO 0 CHAR-MAC ASSISTED LIVING 0 CHEMCO 0 CHEMCOATERS 0 CHEMTECH SERVICES INC 0 CHESTER FARM SERVICE CORP 0 CHICAGO ANODIZING 0 CHICAGO MAILING TUBE 0 CHICAGO POWDERED METAL 0 CHICAGO RIDGE RADIOLOGY 0 CHICAGO STEEL 0 CIRCUIT WORKS CO 0 CITY OF CLARION 0 CLINTON ACCOUNTING SVC 0 COLDWELL BANKER HONIG-BELL 0 COLIN LANDSCAPES 0 COLORS FOR PLASTICS 0 COM-CO INC 0 CONTINENTAL AUTOMATIC TRANSMISSION SERVICE CO 0 COON VALLEY COMM 0 COONEY & CORSO 0 CORNHUSKER HOSPITALITY II 0 COVENANT CARE SERVICES 0 CRAFTSMAN PLATING 0 CREATIVE ADVERTISING 0 CREATIVE PARTNERS INC 0 CRESCENT CARDBOARD 0 CSLL RESTAURANT CORP 0 CUNNINGHAM INS AGENCY 0 DALLAS & DALLAS CO 0 DANIEL COHN PA 0 DANIEL CREANEY COMPANY 0 DARRYL HARRIS INC 0 DEERFIELD ELECTRICAL CONTRACTORS 0 DEGROATE PETROLEUM SVC 0 DELLWOOD TIRE Y AUTO SUPPLY CO 0 DEPENDABLE LABOR INC 0 DIAMOND PHYSICAL THERAPY 0 DICARLO INC 0 DIRECLOGIX CORP 0 DOMINIC ANDRIACCHI DPM 0 DR LINDA GROENE 0 DS&P INSURANCE 0 DURABILT FENCE 0 DYNAMIC SYSTEM SOLUTIONS 0 E GORNELL & SONS INC 0 E&C CUSTOM PLASTICS EXTRU 0 EARTHWISE ENVIROMENTAL 0 EAST RIVER REDERAL CREDIT UNION 0 EASTLAND CHIROPRACTIC CTR 0 ECHOLS & ASSOCIATIONS PC 0 EDSAL MFG COMPANY 0 ELITE MANAGEMENT 0 ENCOMPASS PHYSICIANS 0 ENSZNEIMER & ASSOCIATES 0 ENVIRONMENTAL CONTRACT SERVICES INC 0 ERGADOO 0 ETCHESON SPA & POOL 0 EYE SPECIALIST 0 FAMILY EYECARE OF BOLINGBROOK 0 FARMERS UNION OIL CO 0 FC&C 0 FEDERAL- MOGUL 0 FILTRATION CORP OF AMERICA 0 FINANCIAL OF FARMINGTON 0 FIRST BAPTIST CHURCH 0 FIRSTCO DEVELOPMENT 0 FIXTURE HARDWARE CO 0 FOCUSCOPE INC 0 FRANK J PETRAGLIA & ASSOC 0 FRANKLIN LEGAL 0 FRESH EXPRESS CHIQUITA BRAND 0 FRIGID FLUID CO 0 G 3 CONSTRUCTION GROUP 0 GAIM ENGINEERING 0 GARDEN COURT II 0 GARRELTS & SONS INC 0 GERSTEN & ASSOCIATES 0 GLEN GEORGE FUNERAL HOME 0 GLENWOOD VILLAGE PET HOSPITAL 0 GLOBAL MATERIAL TECHNOLOGIES 0 GLOBAL SALES & MARKETING SOLUTIONS LLC 0 GMT INC 0 GOING PLACES LLC 0 GOLD COAST MEDICAL 0 GREAT DANE TRAILERS 0 GREGOR JONSSON INC 0 H & H ELECTRIC COMPANY 0 H GROUP BENEFITS INC 0 HAHN FINANCIAL GROUP INC 0 HANDI-FOIL CORP 0 HANSON COUNTY OIL PROD 0 HARD ROCK CONCRETE CUTTERS INC 0 HARLEM AUTO PARTS & PAINT SUPPLIES 0 HAROLD J KRINSKY DDS LTD 0 HARVEY ANESTHESIOLOGISTS 0 HENRY COUNTY SENIOR CENTER 0 HFI FLUID POWER PRODUCTS 0 HIGH HOPES LEARNING CTR 0 HIGHLAND METAL INC 0 HIGHLAND TRADING GROUP 0 HIRSCH MANAGEMENT CO 0 HODGES BROTHERS LUMBER 0 HOME PRODUCTS INT'L INC 0 HOUSING GRANT ALLIANCE 0 HTP ASSOCIATES 0 I DESIGN SALON 0 ICL INTERIOR ARCHITECT 0 IDEAL MOTORS INC 0 IDILUS LLC 0 INLAND ARTS & GRAPHICS INC 0 INNOVATIVE MARKETING SOLUTIONS 0 INSURANCE SUPPORT SYSTEMS 0 INTEGRITY BENEFITS 0 JC LIN INC 0 JC RAMSEDELL ENVIRO SVC 0 JACKSON TERRACE MGMT 0 JAMES A BAIRD DPM PC 0 JAMES R NEUMEISTER DDS 0 JENSEN PLATING WORKS INC 0 JIFFY METAL PRODUCTS 0 JM INNOVATIONS 0 JOHN REEL FARM 0 JOSEPH T SNYDER & ASSOCIATES 0 JOY LUTHERAN CHURCH 0 JR MANAGEMENT SERVICES 0 KALUZNA INC 0 KARLTON INVESTMENTS 0 KENNETH L STEIN MD SC 0 KINDELSPIRE'S AUTO SUPPLY 0 KIWI CODERS CORP 0 KOHLER HEALTHCARE 0 LA-CO INDUSTRIES INC 0 LAKE MI MOBILE DOCTORS PC 0 LAKELAND PLASTICS INC 0 LANDMARK MANAGEMENT SVC 0 LAROSA DEVELOPMENT CORP 0 LARSON OIL & DISTRIBUTING 0 LAW OFFICE OF MICHAEL PRESSMAN 0 LAW OFFICES OF JAN WEISS 0 LEGACY VISION PLANS 0 LEWIS PLASTICS CO INC 0 LIFE FITNESS 0 LIVING WATER COMM CHURCH 0 LNN INC 0 LOFARO & REISER 0 LOSCH 0 M&R DELIVERY 0 M&R ELECTRONICS SYSTEM 0 M&S SECURITY 0 MAIN STREET GOURMET BAKERY 0 MANOR TOOL & MFG CO 0 MAPLE TREE ACADEMY 0 MARCIA SMITH & ASSOCIATES 0 MARGO TRANSPORT INC 0 MARKOFF KRASNY LLC 0 MAX-TORQUE LTD 0 MAYFAIR GAMES 0 MCGOVERN & GREENE LLP 0 MCSHANE'S BUSINESS TECH INC 0 MCSHANE'S INC 0 MEDCO PLUMBING 0 MEDICAL CARE SPECIALIST 0 MEDICAL CLAIMS SPECIALISTS 0 MEDICAL CTR OF PALM BEACHES 0 MERCURY METAL PRODUCTS 0 MICHAEL LEWIS CO 0 MIDSTATE COLLISION REPAIR 0 MIDWAY LINES OF ILLINOIS 0 MIDWEST BENEFITS SOLUTIONS LLC 0 MIDWEST COMMUNICATION INC 0 MIDWEST DRILL FOUNDATIONS & ENGINEERING INC 0 MIDWEST EYE CENTER SC 0 MIDWEST PENSION 0 MILLER BROACH INC 0 MILTON INDUSTRIES CORP 0 MLT SALES INC 0 MONSON & SONS 0 MONTERREY SECURITY 0 MOTHERWAY & NAPLETON 0 MUTUAL MED INSURANCE SVC 0 NAPLETON AUTO WERKS INC 0 NAPLETON DEALERSHIP GRP 0 NATIONAL HEALTHCARE INC 0 NATURAL ESTHETIC SMILES 0 NELSON INSURANCE 0 NEPHROLOGY SPECIALISTS SC 0 NETBIZKIDZ LLC 0 NEW LEAF CONSULTING SVC 0 NEW STAR JEWELERS 0 NEWMAN GUARANTY TITLE 0 NEXTAGE REALTY INTERNATIONAL LLC 0 NO ENGRAVING (HOLMEN) 0 NO ENGRAVING CORP 0 NO ENGRAVING CORP 0 NORTH AMERICA LUTHERAN CHURCH 0 NORTH DALLAS SHEET METAL 0 NORTH SHORE ASSOCIATES 0 NORTH SURBURBAN GASTROENTEROLOGY ASSOC 0 NORTHERN PRINT NETWORK 0 NUMERIC LLC 0 OBL FINANCIAL SVC INC 0 OMAHA EMERGENCY PHYSICIANS 0 ONE WAY OUT LLC 0 ORTHASSIST 0 ORTHOPEDIC ASSOCIATES 0 OWS INC 0 P & L SCREW PRODUCTS 0 PANAGOS SALVER & COOK LLP 0 PARADIGM BENEFITS 0 PAWSITIVELY LOVE 0 PERFECTION SPRING & STAMPING 0 PETE'S MARKETPLACE INC 0 PETER VIENNE DO 0 PHOENIX ELECTRIC 0 PHYSICIANS OF NORTH SHORE 0 PLASTIC CAPACITORS 0 PLASTICS GROUP INC 0 POLO JEWELERS 0 POLOR ICE COMPANY 0 PRESSMORE INC 0 PRINTING SERVICES INC 0 PRO TIRE & AUTOMOTIVE 0 PROGRESSIVE MEDICAL CTR 0 PRP WINE INTERNATIONAL 0 PTC ALLIANCE 0 QUALITY PAYROLL SERVICES 0 R&S DISTRIBUTING 0 RAC REFRIGERATION SYSTEMS 0 RACO INDUSTRIAL CORP 0 RAMSDELL F&M LTD 0 REEDER & VERMAAT INC 0 RENZ ADDICTION COUNSELING CTR 0 REPUBLIC PACKAGING CO 0 RETINA CONSULTANTS 0 RHG INC 0 RICHARDSON SEATING CO 0 RIGBY GROUP 0 RIVER TRAILS TRANSIT LINES INC 0 ROCKINGHAM VENTURE INC 0 ROHRER GRAPHICS ART INC 0 ROLAND JOHNSON CO 0 ROSATI'S PIZZA OF WHEATON 0 ROSATIS MCHENRY 0 ROWLEY MEMORIAL MANSONIC HOME 0 ROYAL OAKS CORPORATION 0 RWE MANAGEMENT CO 0 SI JACOBSON II 0 SALEM GROUP 0 SALVATORE'S 0 SANIBEL & CAPTIVA ISLAND 0 SCHAUMBURG MAZDA 0 SCHECHINGER SEED COMPANY 0 SCHULTZ INSURANCE AGENCY 0 SCOTT R BECKMAN INC 0 SD INDUSTRIES 0 SECURE CLOUD SYSTEMS LLC 0 SELN RUG INC 0 SEPIA 0 SEROE INSURANCE AGENCY 0 SHAW PHARMACY 0 SHELDON GRAIN LTD 0 SHELLE JEWELERS 0 SHEPPARD MEDICAL 0 SHS DEVELOPMENT 0 SIGMATRON INTERNATIONAL INC 0 SIMON PRODUCTS 0 SMALL ASSEMBLIES 0 SMITH MAZURE DIRECTOR WILKINS YOUNG & YAGERMAN 0 SOLAR SERVICE INC 0 SOMA MEDICAL CLINIC 0 SPIN INK 0 SPONGE CUSHION 0 ST LOUIS PACKAGING 0 STAR CONTRACTORS 0 STEEL BUILDING SYSTEMS CO 0 STERLING BAY CO 0 STEWART & SEGAL 0 STINGRAY MECHANICAL SVC 0 STL GRAPHICS 0 STUTZ CO 0 SUBURBAN MEDICAL ASSOCIATES 0 SULLY'S HOUSE 0 TALCOTT FOOT & ANKLE SPEC 0 TARGET CORP 0 TAYLOR PLUMBING 0 TERRA TRACE ENVIRONMENTAL SVCS INC 0 THE FONTANA GROUP CPA PC 0 THE HOUSE GUESTS LLC 0 THE IRVING PRESS 0 THE WESTON GROUP LLC 0 THEO E OBRIG INC 0 TIGER HEALTHCARE LLC 0 TOTAL WOMEN'S HEATH CARE 0 TRAINOR TRUCKING 0 TRELLEBORG SEALING SOLUTION 0 TRI-MARK MARLINN SUPPLY 0 TRICO AG SERVICES INC 0 TWO MUSKETEERS 0 UNITY MANUFACTURING CO 0 UNIVERSAL BRUSH COMPANY 0 VAN NORMAN MOLDING 0 VANGUARD HEALTH & WELLNESS 0 VEINS WITHOUT SURGERY 0 VESUVIUS USA 0 VHP INC 0 VOLUME SERVICE 0 W W FISH COMPANY 0 WEBER STEPHEN 0 WEBER STEPHENS (HUNTLEY) 0 WEIDNER CUSTOM CARPENTRY 0 WERTHEIMER BOX 0 WESTBROOK CHRISTIAN CHURCH 0 WESTERN IOWA CO-OP 0 WESTGATE 0 WHITE STOKES MFG LLC 0 WILLOWBROOK MEDICAL CTR 0 WILSON TAYLOR 0 WORLD CHICAGO 0 WRK MANAGEMENT 0 ACME INDUSTRIAL CO 0 ALFA LAVAL INC 0 AMTEC PRECISION PRODUCTS 0 ANDERSON DIE CASTING 0 BENEFITS & PAYROLL INC 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 CENTRAL STATES JOINT BOARD AFL-CIO K 80898 CENTRAL STATES JOINT BOARD AFL-CIO O 191836 CENTRAL STATES JOINT BOARD AFL-CIO P 210529