2011-11-09T08:22:55-06:00 2010-12-31 BANSLEY AND KIENER LLP 8745 WEST HIGGINS ROAD SUITE 200 CHICAGO IL 606312704 990 2010-01-01 362226396 ROOFERS' UNIONS WELFARE TRUST FUND ROOF 8478271029 2340 S RIVER ROAD NO 305 DES PLAINES IL 60018 JULIE RACHAL 8478271029 2011-11-07 1 JOHN W SANEW III 3122632700 2010 2016-02-24 21:20:13Z RICHARD MATHIS 9838 W ROOSEVELT CHICAGO IL 60154 67477964 0 X N/A X 1950 IL PROVIDING HEALTH BENEFITS TO PARTICIPANTS 6 6 11 0 0 0 0 0 16985580 17635981 1613182 1057112 4469 14266 18603231 18707359 0 0 14959718 16650259 507312 592533 0 0 0 781263 715823 16248293 17958615 2354938 748744 47977926 51221603 18883754 18413149 29094172 32808454 NONE 0 0 ROOFERS' UNIONS WELFARE TRUST FUND PROVIDES MEDICAL, DENTAL, VISION, DEATH, AND DISABILITY BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 842 0 1 11 1 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 X JULIE RACHAL 8478271029 2340 S RIVER ROAD DES PLAINES IL 60018 X RICHARD MATHIS 1.50 X 0 0 0 GARY MENZEL 1.50 X 0 0 0 LAWRENCE GNAT 1.50 X 0 0 0 CHRISTOPHER CRONIN 1.50 X 0 0 0 WILLIAM LYNCH 1.50 X 0 0 0 WILLIAM O'BRIEN 1.50 X 0 0 0 ARTHUR LUCAS 1.50 X 0 0 0 JULIE RACHAL 40.00 X 100335 0 26980 100335 0 26980 1 0 0 0 SEGAL COMPANY 101 NORTH WACKER DRIVE SUITE 500 CHICAGO IL 60606 ACTUARIAL AND CONSULTING SERVICES 121156 BASYS 857 ELKRIDGE LANDING ROAD 7TH FLOO LINTHICUM MD 21090 COMPUTER CONSULTING 107158 2 EMPLOYER CONTRIBUTIONS 900099 17359363 17359363 SELF-PAY CONTRIBUTIONS 900099 141807 141807 COBRA CONTRIBUTIONS 900099 76312 76312 LIQUIDATED DAMAGES 900099 58499 58499 17635981 830456 830456 48997261 48770605 226656 226656 226656 MISCELLANEOUS 900099 14266 14266 14266 18707359 17650247 0 1057112 16650259 57292 320336 61881 123914 29110 102069 84404 40109 121156 150598 100702 71921 5395 8462 18320 HEALTH FAIR EXPENSE 7410 DUES 3319 REIMBURSED EXPENSES 1958 17958615 1521579 694510 3186058 1956812 1115641 1223160 49589 44241 194879 153880 17930 40999 41990557 46949062 96572 312819 47977926 51221603 367070 56850 18516684 18356299 18883754 18413149 X 0 0 0 0 29094172 32808454 29094172 32808454 47977926 51221603 X 748744 2965538 X X 0 1 0 X 0 28401 28401 0 116314 84900 31414 50164 40579 9585 40999 PREMIUMS PAYABLE 255999 CLAIMS INCURRED BUT NOT REPORTED 2603900 ACCUMULATED ELIGIBILITY 15496400 18356299 18707359 17958615 748744 2965538 -160385 2805153 3553897 21632788 2965538 2965538 18667250 40109 40109 18707359 18078891 0 18078891 40109 -160385 -120276 17958615 PART XI, LINE 8 - OTHER ADJUSTMENTS: DECREASE IN BENEFIT OBLIGATION PART XIII, LINE 4B - OTHER ADJUSTMENTS: DECREASE IN BENEFIT OBLIGATION FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY THE INDEPENDENT CPA AND IS REVIEWED AND APPROVED BY THE FUND MANAGER PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE FUND REQUIRES ALL TRUSTEES TO SIGN A "STATEMENT OF TRUSTEE" ANNUALLY. THIS FORM REQUIRES EACH TRUSTEE TO DETAIL ALL INTERESTS THEY HAVE IN COMPANIES WHICH COULD POTENTIALLY BE VENDORS WITH WHICH THE FUND COULD CONDUCT BUSINESS. ANY POTENTIAL CONFLICTS NOTED WILL BE ADDRESSED BY THE FUND MANAGER, WHO ALSO MAINTAINS THE SIGNED FORMS ON FILE. FORM 990, PART VI, SECTION B, LINE 15: THE BOARD OF TRUSTEES, ALL OF WHOM ARE NOT COMPENSATED BY THE ORGANIZATION, DETERMINES AND APPROVES THE SALARY OF THE FUND MANAGER. THE FUND MANAGER'S SALARY AND FRINGE BENEFITS ARE SHARED WITH THE ROOFERS UNIONS PENSION TRUST AND ROOFERS UNIONS RESERVE FUND. THE FUND MANAGER'S TOTAL COMPENSATION AND BENEFITS ARE LISTED IN PART VII. THESE AMOUNTS ARE ALLOCATED AMONG THE ORGANIZATION, ROOFERS PENSION TRUST AND ROOFERS RESERVE FUND. THE AMOUNT REPORTED ON PART IX, LINE 5 REPRESENTS THE AMOUNT OF THE FUND MANAGER'S TOTAL COMPENSATION ALLOCATED TO THE ORGANIZATION. COMPENSATION FOR ALL EMPLOYEES OF THE ORGANIZATION IS DETERMINED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990, FORM 5500 (WHICH INCLUDES AUDITED ANNUAL FINANCIAL STATEMENTS) AND SUMMARY ANNUAL REPORT AVAILABLE FOR INSPECTION UPON REQUEST. OTHER GOVERNING DOCUMENTS, INCLUDING THE CONFLICT OF INTEREST POLICY, ARE NOT MADE AVAILABLE TO THE PUBLIC. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII RICHARD MATHIS - 9838 WEST ROOSEVELT ROAD, WESTCHESTER, IL 60154. GARY MENZEL - 9838 WEST ROOSEVELT ROAD, WESTCHESTER, IL 60154. LAWRENCE GNAT - 9838 WEST ROOSEVELT ROAD, WESTCHESTER, IL 60154. CHRISTOPHER CRONIN - 16851 SOUTH LATHROP, HARVEY, IL 60426. WILLIAM LYNCH - 740 SOUTH LAKE STREET, AURORA, IL 60507. WILLIAM O'BRIEN - 621 WEST WASHINGTON STREET, WEST CHICAGO, IL 60185. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 2,965,538. FORM 990, PART XI, LINE 2C: THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE ORGANIZATION'S FINANCIAL STATEMENTS. THEY ARE ALSO IN CHARGE OF SELECTING AN INDEPENDENT ACCOUNTANT TO PERFORM THE AUDIT. ROOFERS' PENSION FUND 2340 S RIVER ROAD SUITE 305 DES PLAINES IL 60018 366485998 DEFINED BENEFIT PENSION PLAN COVERING ELIGIBLE MEMBERS IL 401(A) N/A 0 ROOFERS' RESERVE FUND 2340 S RIVER ROAD SUITE 305 DES PLAINES IL 60018 366129432 A COMPLEX TRUST COVERING ELIGIBLE MEMBERS IL N/A T 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0