2024-09-09T18:55:44-05:00 2023-12-31 320043599 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CTR STE 700 WESTCHESTER IL 60154 990 2023-01-01 350851694 ELECTRICAL WORKERS BENEFIT TRUST FUND ELEC 3179234577 1828 N MERIDIAN ST 103 INDIANAPOLIS IN 46202 DAVID RAY PLAN ADMINISTRATOR 3179234577 2024-09-09 1 0 ADAM SIMAGA P01649025 3123680500 2024-09-09 2023 2024-08-08 14:25:15Z DAVID RAY 1828 N MERIDIAN ST 103 INDIANAPOLIS IN 46202 87609209 0 X N/A X 1949 IN PROVIDE HEALTH BENEFITS 6 3 64 0 0 0 0 0 43317546 48687265 362777 4894459 135 0 43680458 53581724 0 0 37549254 36846116 619520 622018 0 0 0 802107 852874 38970881 38321008 4709577 15260716 158526300 187230122 406430 355042 158119870 186875080 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE HEALTH AND WELFARE, LONG-TERM DISABILITY AND DEATH BENEFIT TO MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 127 0 1 64 1 0 0 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 0 0 0 IN X DAVID RAY - PLAN ADMINISTRATOR 3179234577 1828 NORTH MERIDIAN STREET STE 103 INDIANAPOLIS IN 46202 JEFF WHEELER TRUSTEE 1.00 48.00 X 0 113264 70833 ANDREW WILLIAMS TRUSTEE 1.00 1.00 X 0 0 0 JIM TSAREFF TRUSTEE 1.00 1.00 X 0 0 0 TIM WHICKER TRUSTEE 1.00 1.00 X 0 0 0 LARRY VAN TRIES ALTERNATE TRUSTEE 1.00 1.00 X 0 0 0 CARL WILLIAMS TRUSTEE 1.00 1.00 X 0 1481 0 CHRIS GRIDER TRUSTEE 1.00 1.00 X 0 6886 3831 BLAKE ANDREWS ALTERNATE TRUSTEE 1.00 48.00 X 0 107484 68883 DAVID RAY PLAN ADMINISTRATOR 12.00 28.00 X 150867 0 77462 WHITNEY KING ASSISTANT PLAN ADMINISTRATOR 16.00 24.00 X 105868 0 64229 256735 229115 285238 2 0 1 0 SIERRA HEALTH AND LIFE INSURANCE CO INC 4316 RICE LAKE ROAD DULUTH MN 55811 HEALTH PROVIDER 1421053 ANTHEM INSURANCE COMPANIES INC 3075 VANDERCAR WAY CINCINNATI OH 45209 PPO NETWORK PROVIDER 1171359 ULLICO 8403 COLESVILLE ROAD SILVER SPRING MD 20901 STOP LOSS PROVIDER 286195 HELLO HEART 545 MIDDLEFIELD ROAD STE 260 MENLO PARK CA 94025 HEALTH PROVIDER 209328 DELTA DENTAL PLAN OF INDIANA INC PO BOX 30416 LANSING MI 48909 HEALTH PROVIDER 110958 5 EMPLOYER CONTRIBUTIONS 900099 44762481 44762481 PARTICIPANT CONTRIBUTIONS 900099 2788449 2788449 PRESCRIPTION REBATES 900099 1032945 1032945 SUBROGATION RECOVERIES 900099 65112 65112 STOP LOSS REFUNDS 900099 14713 14713 23565 23565 48687265 4100862 4100862 34821082 34027485 793597 793597 793597 53581724 48687265 0 4894459 36846116 67199 309580 105826 110480 28933 67113 39162 267895 90425 114327 107187 25313 5204 44657 44200 30645 PCORI FEES 16746 38321008 23529899 6245374 2968875 14318536 4307080 5999192 47268 72426 229083 163333 67203 65750 127605975 157286752 3242092 158526300 187230122 187064 149569 219366 205473 406430 355042 X 0 0 0 0 158119870 186875080 158119870 186875080 158526300 187230122 15260716 13494494 0 X 0 1 X 1 0 180000 158425 21575 49083 4908 44175 65750 X 66808323 13494494 13494494 53313829 267895 267895 53581724 38053113 0 38053113 267895 267895 38321008 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN, TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. X 0 0 0 DAVID RAY PLAN ADMINISTRATOR 146533 0 0 0 4334 0 50666 0 26796 0 228329 0 0 0 JEFF WHEELER TRUSTEE 0 112490 0 0 0 774 0 40432 0 30401 0 184097 0 0 BLAKE ANDREWS ALTERNATE TRUSTEE 0 106710 0 0 0 774 0 38482 0 30401 0 176367 0 0 WHITNEY KING ASSISTANT PLAN ADMINISTRATOR 105868 0 0 0 0 0 37287 0 26942 0 170097 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S ENTIRE GOVERNING BODY FOR ITS REVIEW AND APPROVAL BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ARE REQUIRED TO DISCLOSE TO THE PLAN ADMINISTRATOR THEIR INTERESTS WHICH MAY GIVE RISE TO CONFLICTS OF INTERESTS OR THE APPEARANCE OF CONFLICT OF INTEREST ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. IBEW 481 SUPPLEMENTAL UNEMPLOYMENT BENEFIT PLAN 1828 N MERIDIAN STREET INDIANAPOLIS IN 46202 474203459 PROVIDES SUPPLEMENTAL UNEMPLOYMENT BENEFITS TO PARTICIPANTS IN 501(C)(9) N/A 0 INDIANA ELECTRICAL WORKERS PENSION TRUST FUND 1828 N MERIDIAN STREET INDIANAPOLIS IN 46202 351102579 PROVIDES PENSION BENEFITS TO PARTICIPANTS IN 401A N/A 0 IBEW LOCAL UNION 481 DEFINED CONTRIBUTION PLAN AND TRUST 1828 N MERIDIAN STREET INDIANAPOLIS IN 46202 351501496 PROVIDES PENSION BENEFITS TO PARTICIPANTS IN 401A N/A 0 IBEW LOCAL UNION 481 1828 N MERIDIAN STREET INDIANAPOLIS IN 46202 350289840 LABOR UNION IN 501(C)(5) N/A 0 INDIANAPOLIS ELECTRICAL JATC 1751 S LAWNDALE AVENUE INDIANAPOLIS IN 46241 351004324 TRAINING FUND IN 501(C)(3) LINE 2 N/A 0 INDIANA PLAN FOR EQUAL EMPLOYMENT CONTRIBUTING EMPLOYER 0 SHAMBAUGH & SON LP CONTRIBUTING EMPLOYER 0 0 ATEC ELECTRICAL CONTRACTORS CONTRIBUTING EMPLOYER 0 ADVANTAGE ELECTRIC SERVICES LL CONTRIBUTING EMPLOYER 0 ALDRIDGE ELECTRIC INC CONTRIBUTING EMPLOYER 0 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