2024-08-14T07:38:01-05:00 2023-12-31 831819454 VRAKAS ADVISORS LLC 6309 60TH STREET SUITE 200 KENOSHA WI 53144 990 2023-01-01 391604675 PIONEER PRODUCTS INC EMPLOYEE HEALTH & WELFARE TRUST PION 2626336304 1917 SOUTH MEMORIAL DRIVE RACINE WI 53403 THOMAS SCHAEFER TRUSTEE 2626336304 2024-08-13 1 1 PETER J SINSKY P00031015 2627970400 2023 2024-08-08 14:25:15Z THOMAS SCHAEFER 1917 SOUTH MEMORIAL DRIVE RACINE WI 53403 1068443 0 X N/A X 1988 WI THE ORGANIZATION IS CREATED TO PROVIDE FUNDS FOR THE PAYMENT OF HEALTH CARE BENEFITS TO EMPLOYEES OF PIONEER PRODUCTS, INC., A WISCONSIN BUSINESS CORPORATION. BENEFITS TO BE PROVIDED INCLUDE GROUP TERM LIFE INSURANCE, ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE, SHORT-TERM DISABILITY AND MEDICAL BENEFITS. ALL OF THESE BENEFITS ARE DESCRIBED IN THE "SUMMARY PLAN DESCRIPTION" DOCUMENTS OF THE ORGANIZATION. THE ORGANIZATION WILL PAY THE PREMIUMS FOR THE INSURED PORTION OF THE PLAN, AND WILL DELIVER PAYMENT DIRECTLY TO MEMBERS UNDER THE SELF-INSURED PORTION OF THE PLAN. 2 0 0 0 0 0 0 0 1667731 1068443 0 0 0 0 1667731 1068443 0 0 1667731 1068443 0 0 0 0 0 0 0 1667731 1068443 0 0 0 0 0 0 0 0 X THE COMPANY DESIRES TO PROMOTE HEALTH AND EFFICIENCY OF ITS EMPLOYEES. THE COMPANY FROM TIME TO TIME ADOPTS HEATH CARE AND WELFARE PLANS FOR THE BENEFIT OF ITS EMPLOYEES. THE COMPANY DESIRES TO FUND THE BENEFITS PROVIDED FOR SUCH PLANS BY MEANS OF A VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION. 0 0 TO PROVIDE HEALTH CARE BENEFITS FOR THE COMPANY EMPLOYEES THROUGH A VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION. 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 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 2 0 0 1 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 X THOMAS SCHAEFER 2626336304 1917 SOUTH MEMORIAL DRIVE RACINE WI 53403 X THOMAS SCHAEFER TRUSTEE 1.00 X 0 0 0 JEFF MAINLAND TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 0 HEALTH BENEFIT CONTRIB 525100 1068443 1068443 1068443 1068443 1068443 0 0 1068443 1068443 0 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 OPERATIONAL MANAGEMENT IS DELEGATED TO THE HUMAN RESOURCE PERSONNEL. FORM 990, PART VI, SECTION A, LINE 7A THE TRUSTEES ARE THE GOVERNING BODY OF THE ORGANIZATION AND ALSO DIRECTORS OF THE PLAN SPONSOR. FORM 990, PART VI, SECTION A, LINE 7B THE TRUSTEES HAVE DELEGATED THE GOVERNANCE DECISIONS TO THE HUMAN RESOURCE PERSONNEL. FORM 990, PART VI, SECTION A, LINE 8A THE HUMAN RESOURCE PERSONNEL MAKE THE DECISIONS OF THE PLAN/TRUST. THEY SEEK GUIDANCE ON ISSUES FROM PROFESSIONAL ADVISORS IF NEEDED. FORM 990, PART VI, SECTION A, LINE 8B THE HUMAN RESOURCE PERSONNEL MAKE THE DAY TO DAY DECISIONS OF THE PLAN/TRUST. FORM 990, PART VI, SECTION B, LINE 11B THE HUMAN RESOURCE PERSONNEL REVIEW FORM 990 BEFORE FILING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. PIONEEER PRODUCTS INC 1917 S MEMORIAL DRIVE RACINE WI 53403 391078454 MANUFACTURING WI N/A S 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 RELATED COMPANY ON SCHEDULE R PART IV Q 1068443 CASH PAYMENT RELATED COMPANY ON SCHEDULE R PART IV S 1068443 CASH PAYMENT