2012-09-07T10:18:54-05:00 2011-10-31 CALIBRE CPA GROUP PLLC 20 N WACKER DR SUITE 556 CHICAGO IL 60606 990 2010-11-01 362261990 INTERNATIONAL BRTHD OF ELEC WRKRS & OUTSIDE CNTRCTRS HLTH & WLFR TR FD INTE 7084499004 4415 WEST HARRISON STREET NO 324 HILLSIDE IL 60162 WILLIAM T DIVANE 7084499004 2012-09-07 1 3129209400 2010 2016-02-24 21:20:13Z WILLIAM T DIVANE 4415 W HARRISON STREET SUITE 324 HILLSIDE IL 60162 24297813 0 X N/A X 1964 IL PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS OF IBEW LOCAL NO. 9 11 11 31 0 0 0 0 0 14762210 16425205 942998 1202921 0 0 15705208 17628126 0 0 9805720 11973190 259724 278583 0 0 0 916916 936829 10982360 13188602 4722848 4439524 55007042 58651451 610472 46075 54396570 58605376 PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS OF IBEW LOCAL NO. 9 0 0 PAYMENT OF HEALTH AND WELFARE BENEFITS TO OR ON BEHALF OF ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 1 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 0 0 1 0 0 0 1 1 0 1 31 1 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 1 0 X BECKY THAMES-SIMMONS 7084499004 4415 W HARRISON STREET SUITE 324 HILLSIDE IL 60162 WILLIAM T DIVANE 2.00 X 0 0 0 ROBERT W PIERSON 2.00 X 0 0 0 WILLIAM R DARNSTADT 2.00 X 0 0 0 JOHN C BURKARD 2.00 X 0 0 0 ART BURKE 2.00 X 0 0 0 FRANK LIZZADRO 2.00 X 0 0 0 GERALD R BYRNE 2.00 X 0 0 0 PAUL J KANE 2.00 X 0 0 0 WILLIAM NIESMAN 2.00 X 0 0 0 LOUIE S VENEZIANO 2.00 X 0 0 0 DANIEL J DIVANE IV 2.00 X 0 0 0 REBECCA THAMES-SIMMONS 12.00 X 144268 0 0 144268 0 0 1 0 0 0 0 EMPLOYER CONTRIBUTIONS 900099 15645365 15645365 REIMBURSED ADMIN EXP 900099 438632 438632 PARTICIPANTS CONTRIB 900099 341208 341208 16425205 1145395 1145395 6727213 6669687 57526 57526 57526 17628126 16425205 0 1202921 11973190 144268 48967 79907 5441 33704 100658 63518 65729 76550 127721 38526 14551 194318 47402 14734 CLAIMS PROCESSING FEES 159418 13188602 2145165 4832211 1570013 1396554 7250 8842 331110 192348 129298 138762 50637982 51967004 517334 308078 55007042 58651451 64825 45858 545647 217 610472 46075 X 0 0 0 0 54396570 58605376 54396570 58605376 55007042 58651451 X 4439524 -230718 X 0 0 0 55494 45895 9599 109976 84137 25839 165640 62316 103324 138762 DUE TO AFFILIATED PLANS 217 217 17628126 13188602 4439524 -230718 -230718 4208806 16895258 -230718 -230718 17125976 63518 438632 502150 17628126 12686452 0 12686452 63518 438632 502150 13188602 PART XII, LINE 4B - OTHER ADJUSTMENTS: ADMINISTRATIVE EXPENSE REIMBURSED BY RELATED PLANS 438,632. PART XIII, LINE 4B - OTHER ADJUSTMENTS: ADMINISTRATIVE EXPENSE REIMBURSED BY RELATED PLANS 438,632. FORM 990, PART VI, SECTION A, LINE 2 WILLIAM T. DIVANE, JR. IS THE UNCLE OF DANIEL J. DIVANE, IV. FORM 990, PART VI, SECTION B, LINE 11 THE CHAIRMAN AND SECRETARY OF THE BOARD OF TRUSTEES WILL REVIEW THE FORM 990 BEFORE SIGNING AND FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12 ALTHOUGH THE PLAN DOES NOT HAVE A FORMAL CONFLICT OF INTEREST POLICY, THE BOARD OF TRUSTEES ARE REQUIRED TO DISCLOSE ANNUALLY ANY CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15B THE CHAIRMAN AND SECRETARY DETERMINE THE KEY EMPLOYEES' EMPLOYMENT CONTRACT TERMS BASED ON MARKET DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC BY WRITTEN OR VERBAL REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -230,718. LOCAL NO 9 IBEW AND OUTSIDE CONTRACTORS AND MSECA APRNTSHP & JRNYMN TRG FD 4415 W HARRISON STREET SUITE 324 HILLSIDE IL 60162 362638779 APPRENTICE TRAINING IL 501(C)(5) BOARD OF TRUSTEES 0 LOCAL NO 9 IBEW AND OUTSIDE CONTRACTORS PENSION FUND 4415 W HARRISON STREET SUITE 324 HILLSIDE IL 60162 516077720 DEFINED BENEFIT PENSION IL 401(A) BOARD OF TRUSTEEES 0 LOCAL NO 9 IBEW AND OUTSIDE CONTRACTORS DEFIND CONTRIBUTION FUND 4415 W HARRISON STREET SUITE 324 HILLSIDE IL 60162 364301166 DEFINED CONTRIBUTION IL 401(A) BOARD OF TRUSTEEES 0 LOCAL NO 9 IBEW AND OUTSIDE CONTRACTORS SUPPLEMENTAL UNEMPLOYMENT FUND 4415 W HARRISON STREET SUITE 324 HILLSIDE IL 60162 320320610 SUPPLEMENTAL UNEMPLOYMENT IL 501(C)(17) BOARD OF TRUSTEES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0