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AND THE UNION. 0 0 PARTICIPANT HEALTH, LIFE AND DENTAL INSURANCE WITH 1444 MEMBERS BENEFITING FROM PLAN. 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 1 0 0 29 1 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X STEAMFITTERS OFFICE ADMINISTRATOR 4025923753 C/O BENESYS INC BENEFIT PLAN ADMIN OMAHA NE 68144 GARY DIXON TRUSTEE 2.00 52.00 X 0 0 126193 THOMAS MCNEIL TRUSTEE 1.00 X 0 0 0 ALEX JAMBOR TRUSTEE 1.00 X 0 0 0 BRETT DEHART TRUSTEE 2.00 52.00 X 0 0 0 0 0 126193 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 900099 21001347 21001347 SELF-PAY CONTRIBUTIONS 900099 1574191 1574191 MEDICARE PART D SUBSIDY 900099 358856 358856 22934394 976372 976372 5271152 5291247 -20095 -20095 -20095 23890671 23890671 0 0 283807 118915 76888 45964 92958 24536 8731 HEALTH CLAIMS PAID 18402681 THIRD PARTY CLAIMS ADMI 861660 DEATH BENEFIT AND STOP- 528969 OTHER CLAIMS ADMIN EXPE 21551 19930 20486590 1210983 1939114 1795645 2274842 30673134 30978755 522507 765512 34202269 35958223 725484 1161774 725484 1161774 X 0 0 0 0 33476785 34796449 33476785 34796449 34202269 35958223 3404081 -2084417 0 X 0 0 0 0 21760290 -2084417 -2084417 23844707 45964 45964 23890671 20440626 0 20440626 45964 45964 20486590 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE GOVERNING BOARD OF TRUSTEES REVIEWS THE FORM 990 AT THEIR BOARD MEETING BY EXAMINING THE FORM AND MAKING INQUIRIES AS NECESSARY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION ALLOWS FOR INSPECTION OF THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AT ITS OFFICE. THE ORGANIZATION DOES NOT HAVE A CONFLICT OF INTEREST POLICY. 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