2012-11-08T11:41:01-06:00 2011-12-31 420714325 MCGLADREY LLP 1001 LAKESIDE AVE SUITE 1400 CLEVELAND OH 441141152 990 2011-01-01 340753693 CLEVELAND BAKERS AND TEAMSTERS HEALTH AND WELFARE FUND CLEV 2167816858 9665 ROCKSIDE ROAD NO C VALLEY VIEW OH 44125 CARL PECORARO 2167816858 2012-11-07 1 ZACHARY FORTSCH P00052725 2165231900 2011 2016-02-24 21:20:13Z CARL PECORARO 9665 ROCKSIDE ROAD NO C VALLEY VIEW OH 44125 329682375 0 X N/A X 1952 OH TO PERFORM FUNCTIONS ASSOCIATED WITH ADMINISTERING A MULTI-EMPLOYER HEALTH & WELFARE PLAN. 14 14 21 0 0 0 0 0 51290526 56548086 1887995 2382643 704197 848926 53882718 59779655 0 0 50474485 54305647 1218259 1233208 0 0 0 1118661 1053927 52811405 56592782 1071313 3186873 100151263 76446193 35581562 10919932 64569701 65526261 TO PERFORM FUNCTIONS ASSOCIATED WITH ADMINISTERING A MULTI-EMPLOYER HEALTH & WELFARE PLAN ON BEHALF OF PARTICIPANTS AND THEIR DEPENDENTS. 0 0 TO PERFORM FUNCTIONS ASSOCIATED WITH ADMINISTERING A MULTI-EMPLOYER HEALTH & WELFARE PLAN ON BEHALF OF PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 0 0 1 8 0 1 21 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X CARL PECORARO CHAIRMAN 2167816858 9665 ROCKSIDE RD SUITE C VALLEY VIEW OH 44125 X X CARL PECORARO 5.00 X 0 0 0 TOM ZDANOWICZ 1.00 X 0 0 0 RAY BROWN 1.00 X 0 0 0 PAUL LABUDA 1.00 X 0 0 0 JIM FRANKLIN 1.00 X 0 0 0 PHIL LUKIC 1.00 X 0 0 0 ABE HERSKOVITZ 1.00 X 0 0 0 ALBERT R MIXON 1.00 X 0 0 0 EDWARD THOMAS 2.00 X 0 0 0 RAY HUBER 1.00 X 0 0 0 PAUL SCHWEBEL 1.00 X 0 0 0 MARILYN BROWN 1.00 X 0 0 0 ED WEINTRAUB 1.00 X 0 0 0 JEAN COLARIK 1.00 X 0 0 0 MICHAEL STANEK 1.00 X 0 0 0 THOMAS HEINEN 1.00 X 0 0 0 WES WEBBER 1.00 X 0 0 0 MARK SPONSELLER 1.00 X 0 0 0 MIKE GALASSI 1.00 X 0 0 0 TONY SLEE 1.00 X 0 0 0 0 0 0 0 0 0 0 TOWERS WATSON 1001 LAKESIDE AVE STE 1900 CLEVELAND OH 44114 ACTUARIAL AND BENEFIT CONSULTING 139580 WESTERN ASSET MANAGEMENT COMPANY 385 EAST COLORADO BLVD PASADENA CA 91101 INVESTMENT MANAGEMENT 137071 2 EMPLOYER CONTRIBUTIONS 900099 46026166 46026166 PARTICIPANTS CONTRIBUT 900099 5467751 5467751 RETIREE CONTRIBUTIONS 900099 4911204 4911204 COBRA PREMIUMS RECEIVE 900099 142965 142965 56548086 618348 618348 271667015 269902720 1764295 1764295 1764295 FORMULARY REBATES 900099 848926 848926 848926 59779655 57397012 0 2382643 54305647 786068 195483 189907 61750 145718 73930 323433 148399 130360 68733 45338 4575 27467 48961 EQUIPMENT RENT & MAINT 28727 AUTO EXPENSE 6267 DUES AND SUBSCRIPTIONS 2019 56592782 8088012 7874186 11417591 3845489 4068820 4568398 47179 47686 804543 731579 96462 72964 40957022 60029573 23425230 0 12050947 7897 100151263 76446193 24881562 219932 10700000 10700000 35581562 10919932 X 64569701 65526261 64569701 65526261 100151263 76446193 X 3186873 -2230313 X X 0 1 1 X 0 217731 217251 480 447425 419570 27855 139387 94758 44629 72964 ACCRUED TERM LIAB RESERVE ACCT 10700000 10700000 59779655 56592782 3186873 -2230313 -2230313 956560 57225909 -2230313 -2230313 59456222 323433 323433 59779655 56269349 0 56269349 323433 323433 56592782 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U.S. FEDERAL TAX AUTHORITIES. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS CIRCULATED TO ALL TRUSTEES TO REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ARE COVERED UNDER THE POLICY. A LIST OF ALL FINANCIAL TRANSACTIONS ARE REVIEWED AND APPROVED ON A QUARTERLY BASIS BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, LINE 1A, COLUMN B TIME DEVOTED TO POSITION IS AS NEEDED. HOURS PROVIDED ARE AVERAGES ESTIMATED FOR EACH TRUSTEE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -2,230,313. OVERSIGHT AND INDEPENDENT ACCOUNTANT SELECTION PROCESS FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.