2011-03-11T12:07:30-06:00 2010-07-31 Legacy Professionals LLP 311 S Wacker Drive Ste 4000 Chicago IL 60606 990 2009-08-01 596152618 PLUMBERS & PIPEFITTERS LOCAL UNION NO 803 HEALTH AND WELFARE FUND PLUM 9045380100 8875 LIBERTY RIDGE DRIVE JACKSONVILLE FL 32256 bernard horne 9045380100 2011-03-11 1 3123680500 2009 2016-02-24 21:20:13Z bernard horne 8875 LIBERTY RIDGE DRIVE JACKSONVILLE FL 32256 2875022 0 X N/A X 1965 FL PROVIDE HEALTH BENEFITS 8 8 0 0 0 0 0 2137725 1955022 43429 44663 319 0 2181473 1999685 0 2111334 2239844 0 0 0 153559 153945 2264893 2393789 -83420 -394104 5192254 5226923 18949 27814 5173305 5199109 PROVIDE health benefits 0 0 THE FUND PROVIDES HEALTH, VISION, AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS 0 0 0 0 0 0 0 0 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 1 0 0 1 305 0 1 0 0 0 0 0 0 0 0 0 0 0 0 8 8 0 1 0 0 0 0 0 1 0 0 0 1 1 0 1 0 1 0 0 0 X NATIONAL EMPLOYEE BENEFIT ADMINISTR 9045380100 8875 LIBERTY RIDGE DRIVE SUITE 101 JACKSONVILLE FL 32256 X BERNARD HORNE 1.00 X 0 0 0 LINTON HARTLEY JR 1.00 X 0 0 0 DAVID GARLINGTON 1.00 X 0 0 0 Robert Towe 1.00 X 0 0 0 GARY MONSON 1.00 X 0 0 0 JOSEPH PAGE 1.00 X 0 0 0 AUDIE BAILEY 1.00 X 0 0 0 mark rentfrow 1.00 X 0 0 0 0 0 0 0 0 0 0 ADVENTIST HEALTH SYSTEM SUNBELT 601 EAST ROLLINS STREET ORLANDO FL 32803 HEALTHCARE PROVIDER 379582 ORLANDO REGIONAL HEALTHCARE SYSTEM PO BOX 91-7311 ORLANDO FL 32891 HEALTHCARE PROVIDER 143770 cigna health care 1111 Market street chattanooga TN 37402 benefit administration fees 118735 3 EMPLOYER CONTRIBUTIONS 900099 1809924 1809924 PARTICIPANT AND RETIRE 900099 122106 122106 COBRA SUBSIDY 900099 22992 22992 1955022 920000 875337 44663 44663 44663 1999685 1955022 0 44663 2239844 50004 8053 17481 28594 26600 16432 2795 3986 2393789 302904 526521 104909 291390 2054 2054 4782387 4406958 5192254 5226923 18949 27814 18949 27814 X 5173305 5199109 0 0 0 0 5173305 5199109 5192254 5226923 X 0 1 1 X 0 0 oppenheimer core fixed income sit 4406958 F 4406958 1999685 2393789 -394104 419908 419908 25804 2390999 419908 419908 1971091 28594 28594 1999685 2365195 0 2365195 28594 28594 2393789 Part X: Description of Uncertain Tax Positions Under FIN 48: the plan files form 990, return of the organization exempt from income tax and form 5500, annual return/report of employee benefit plan. the plan's returns are subject to examination by the internal revenue service until the applicable statute of limitation expires. Form 990, Part VI, Section A, line 3 The fund delegated control over day-to-day management duties to national employee benefits administrators, inc., a third party administrator. Form 990, Part VI, Section A, line 8b The fund does not have a segregated committee with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11 the form 990 is provided, reviewed and approved by the board of trustees prior to filing. Form 990, Part VI, Section B, line 12c THE FUND IS REQUIRED BY THE EMPLOYEE RETIREMENT INCOME SECURITY ACT TO DISCLOSE ANY CONFLICTS OF INTEREST. THE TRUSTEES MONITOR AND ENFORCE THE FUND'S COMPLIANCE WITH ERISA WITH ASSISTANCE FROM THE FUND'S PROFESSIONALS Form 990, Part VI, Section C, line 19 The fund makes governing documents and financial statements available upon request. Plumbers & Pipefitters Local 803 Pension Fund 8875 liberty ridge drive jacksonville FL 32256 596228172 provide pension benefits to eligible employees FL 401(a) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0