2026-09-15T12:36:40-05:00 2025-12-31 842885766 ROMOLO & ASSOCIATES LLC 1700 W LUTHY DRIVE PEORIA IL 61615 990 2025-01-01 371117215 CENTRAL ILLINOIS CARPENTERS HEALTH AND WELFARE FUND CENT 2177321919 200 S MADIGAN DRIVE LINCOLN IL 62656 RON LAUDEL ADMINISTRATIVE MANAGER 2177321919 2026-09-15 1 KRISTIN ROMOLO CPA P01381270 3096822001 2026-09-09 2025 RON LAUDEL 200 S MADIGAN LINCOLN IL 62656 49881908 0 X CICHEALTH.ORG X 1982 IL HEALTH AND WELFARE PLAN 10 10 10 0 0 0 0 0 33562162 36097018 2821829 2831649 332719 312838 36716710 39241505 0 0 34777843 36521491 690175 769797 0 0 0 1764580 1733809 37232598 39025097 -515888 216408 74999470 81824164 4663758 6213891 70335712 75610273 TO PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS 0 0 TO PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS 0 0 0 0 0 0 0 0 0 1 1 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 1 0 0 1 71 0 10 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 1 0 0 0 X RON LAUDEL 2177321919 200 S MADIGAN LINCOLN IL 62656 RIKI DIAL TRUSTEE 0.00 X 0 0 0 JASON BREWER TRUSTEE 0.00 X 0 0 0 JEFF FUERST SECRETARY 0.00 X X 0 0 0 MATT WATCHINISKI TRUSTEE 0.00 X 0 0 0 MATT BENDER TRUSTEE 0.00 X 0 0 0 JEFF BORT TRUSTEE 0.00 X 0 0 0 JOSH ROBERTSON TRUSTEE 0.00 X 0 0 0 MIKE SUNLEY TRUSTEE 0.00 X 0 0 0 NICK HART TRUSTEE 0.00 X 0 0 0 WES ZOBRIST TRUSTEE 0.00 X 0 0 0 BRAD KULIFAY PAST ADMIN 40.00 X 0 0 0 RON LAUDEL ADMIN 40.00 X 11499 0 3487 11499 0 3487 0 0 0 0 ULLICO 2 MID AMERICA PLAZA SUITE 200 OAKBROOK TERRACE IL 60181 INSURANCE PROVIDER 989478 EXPRESS SCRIPTS ONE EXPRESS WAY ST LOUIS MO 63121 PRESCRIPTIONS 305128 CAVANAGH & O'HARA 2319 WEST JEFFERSON STREET SPRINGFIELD IL 62702 LEGAL 127856 WEX HEALTH INC 82 HOPMEADOW ST SUITE 220 SIMSBURY CT 06089 HEALTH REIMBURSEMENTS 109498 4 EMPLOYER CONTRIBUTIONS 900099 33991627 33991627 PARTICIPANT CONTRIBUTIONS 900099 2105391 2105391 36097018 2089150 2089150 11382902 10640403 742499 742499 742499 SERVICE FEE 900099 205456 205456 REIMBURSEMENT FROM RSF 900099 104783 104783 EXPENSE REIMBURSED 900099 1774 1774 825 825 312838 39241505 36409856 0 2831649 36521491 14985 404901 134171 162614 53126 120968 94982 77367 144407 157733 228869 52348 320 56815 32919 BCBS ADMINISTRATIVE FEE 452556 HRA ADMIN FEES 131170 MACRC ADMIN FEES 70356 DELTA DENTAL ADMIN FEES 48143 64856 39025097 11199487 9340464 3482149 5251470 102002 94462 1520064 1027159 498853 492905 55733625 62430903 3983354 4213960 74999470 81824164 1500459 2822878 349299 323013 2814000 3068000 4663758 6213891 X 70335712 75610273 70335712 75610273 74999470 81824164 216408 5058153 0 X 0 1 X 1 0 70014 70014 708635 344746 363889 741415 682413 59002 492905 POOLED SEPARATE ACCOUNT 4213960 F 4213960 CLAIMS INCURRED BUT NOT REPORTED 3068000 3068000 X 44222290 5058152 5058152 39164138 77367 77367 39241505 38693730 0 38693730 77367 254000 331367 39025097 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE, AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE DATED AUGUST 27, 1982, AND THE PLAN'S BOARD OF TRUSTEES BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE INTERNAL REVENUE CODE. THE TOTAL AMOUNTS OF INTEREST AND PENALTIES RECOGNIZED IN THE STATEMENTS OF CHANGES IN NET ASSETS AVAILABLE FOR BENEFITS AND THE TOTAL AMOUNTS OF INTEREST AND PENALTIES RECOGNIZED IN THE STATEMENTS OF NET ASSETS AVAILABLE FOR BENEFITS ARE $0. 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 TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2025 AND 2024, THERE ARE NO UNCERTAIN TAX 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 HAS NEVER HAD UNRELATED BUSINESS INCOME TAX (UBIT). FOR YEARS IN WHICH THE FORM 990-T HAS BEEN FILED, THOSE YEARS ARE OPEN FOR EXAMINATION FOR THREE YEARS FROM THE DATE OF THE FILING. ALL OTHER TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS INCURRED BUT NOT REPORTED 254,000. FORM 990, PART VI, SECTION B, LINE 11B THE AUDITOR PROVIDES THE COMPLETED FORM TO THE PLAN ADMINISTRATOR FOR REVIEW. ONCE THE PLAN ADMINISTRATOR HAS APPROVED THE FORM, SHE SIGNS FORM 8879-TE AND SENDS IT BACK TO THE AUDITOR, WHO THEN ELECTRONICALLY FILES THE RETURN. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST BOARD OF TRUSTEES SEE PART VII FOR LISTING SEE PART IV 2K COMMERCIAL CONSTRUCTION INC 4MC CORPORATION A & R SERVICES INC ACOUSTICAL CEILINGS LLC AFL-AGC BUILDING TRADES AGILE CONSTRUCTION SERVICES LL AL SMITH MECHANICAL LTD ALBERICI CONSTRUCTORS ALLIED CONSTRUCTION ALLIED POWER SERVICES LLC ALL-WALL COATINGS LLC AMERICAN IGLOO BUILDERS APCOM POWER INC API INC ASSOCIATED CONSTRUCTORS CO IN ATLANTIC PLANT MAINTENANCE AUPPERLE WILLIAM & SONS INC AZCO INC BABCOCK & WILCOX SOLAR ENERGY BARBER & DEATLEY INC BERGLUND CONSTRUCTION COMPANY BIG O SERVICES LLC BISHOP BROTHERS INC BORCHERS' DECORATING BRANDSAFWAY INDUSTRIES LLC BREWSTERS COMPANIES INC BRIESER CONSTRUCTION COMPANY BROCK INDUSTRIAL SERVICES BROEREN RUSSO CONSTRUCTIONIN BRUNSWICK BOWLING PRODUCTS LL BUDDY'S GROUND MAINTENANCE BUILDERS SALES & SERVICE CO BUILT UNITED LLC BYRNE & JONES CONSTRUCTION CE KORSGARD COMPANY CAD CONSTRUCTION CADEIRA GROUP (THE) CALIBER CONSTRUCTION COMPANY CALIBER FLOORS INC CARPENTERS H & W TRUST FUND CARPENTERS' H&W OF ST LOUIS CARPENTERS LOCAL #237 CARPENTERS LOCAL #243 CARPENTERS LOCAL #270 CARPET WEAVERS COMMERCIAL IN CASE BUILDING SOLUTIONS LLC CECO CONCRETE CONSTRUCTION LL CEILING PRO COMPANY CENTENNIAL CONTRACTORS CENTRAL CEILING SYSTEMS INC CENTRAL CONVEYOR CO CENTRAL IL COMMERCIAL FLOORING CENTRAL INDUSTRAIL LLC CHICAGO DC - ANNUITY CHICAGO DC - WELFARE CHICAGO SOUTHERN MW CONTRACTOR C-HILL CIVIL CONTRACTORS CHRISTY-FOLTZ CITY WATER LIGHT POWER-PMC CIVIL CONSTRUCTORS INC CLOYD BUILDERS INC CMF GROUP COLLINS & HERMANN INC COMMERCIAL BUILDERS CONCRETE BY WAGNER INC CONCRETE STRATEGIES LLC CONSTRUCTION IND FUND(ROCKFOR CONVEYING CONVENIENCE INC CORE CONSTRUCTION CORVAL CONTRACTORS COUNTRY BOYS CONSTRUCTION LLC COUNTRYSIDE CARPETS & INTERIO COUNTY CONTRACTORS CR MEYER AND SONS COMPANY CSD ENVIRONMENTAL SERVICES INC CUSHING'S COMMERCIAL CARPETS CUSTOM SERVICE CRANE INC D CONSTRUCTION D JOSEPH CONSTRUCTION CO DASHCOINC DBA RAINGUARD 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CONSTRUCTION INC WIES DRYWALL AND CONSTRUCTION WILEY INTERIORS WILLIAM CHARLES CONSTRUCTION C WILLIAMS BROS CONST INC WINGLE CONSTRUCTION WRIGHT-WAY INTERIOR SYS LLC WT BUILDERS ZELLER CONSTRUCTION GROUP INC ZENITH TECH INC ZOBRIST N & SONS INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV THIS PLAN IS A VEBA EXEMPT UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE. PER THE INSTRUCTIONS FOR SCHEDULE R, VEBA TRUSTS ARE ONLY REQUIRED TO LIST THE NAMES OF THE SPONSORING ORGANIZATIONS AND CONTRIBUTING EMPLOYERS ON SCHEDULE R. THE PLAN DOES NOT KNOW THE TAXABLE STATUS OF EVERY CONTRIBUTING EMPLOYER AND THEREFORE IS UNABLE TO SPLIT UP THE INFORMATION BETWEEN THE VARIOUS SECTIONS OF SCHEDULE R.