2025-10-14T12:46:18-05:00 2024-11-30 320043599 LEGACY PROFESSIONALS LLP 6800 FRANCE AVENUE SO SUITE 550 EDINA MN 55435 990 2023-12-01 237111727 PAINTERS AND ALLIED TRADES DISTRICT COUNCIL 82 HEALTH CARE FUND PAIN 9528540795 3001 METRO DRIVE 500 BLOOMINGTON MN 55425 JEFF STARK CHAIRMAN 9528540795 2025-10-14 1 0 ERIC C BAERTSCH P00964071 9528413950 2025-10-10 2023 2025-03-06 01:10:19Z JEFF STARK 3001 METRO DRIVE 500 BLOOMINGTON MN 55425 83093873 0 X N/A X 1961 MN TO PROVIDE HEALTH BENEFITS 9 4 40 0 0 0 0 0 41060893 41382796 1304022 2280448 2125 0 42367040 43663244 0 0 39411015 38934887 0 0 0 0 0 449021 444714 39860036 39379601 2507004 4283643 52468785 60608041 205110 199826 52263675 60408215 PAYMENT OF HEALTH CARE BENEFITS FOR ELIGIBLE PARTICIPANTS AND DEPENDENTS AS PROVIDED BY THE SUMMARY PLAN DESCRIPTION. 0 0 THE ENTITY IS DESIGNED TO PROVIDE HEALTH CARE AND RELATED BENEFITS TO COVERED PARTICIPANTS WORKING IN THE PAINTING, DRYWALL TAPING, AND OTHER RELATED TRADES THAT FALL WITHIN THE TERMS OF AGREEMENT WITH PAINTERS AND ALLIED TRADES DISTRICT COUNCIL 82 AND THE MINNESOTA PAINTING AND WALLCOVERING EMPLOYERS ASSOCIATION. 0 0 0 0 0 0 0 0 0 0 1 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 7 0 1 40 1 0 0 0 0 0 0 0 0 0 0 X 9 4 0 1 0 0 0 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X WILSON-MCSHANE CORPORATION 9528540795 3001 METRO DRIVE 500 BLOOMINGTON MN 55425 JORDAN FRY TRUSTEE 1.00 50.00 X 0 146182 89391 SCOTT PARKER TRUSTEE 1.00 50.00 X 0 135287 92327 CRAIG PECK TRUSTEE 1.00 50.00 X 0 148198 89998 BRADY NELSON TRUSTEE - ALTERNATE - PAST 1.00 50.00 X 0 0 0 TIM ANDREW TRUSTEE - ALTERNATE 1.00 X 0 0 0 CLARK ANDERSON TRUSTEE 1.00 X 0 0 0 JOHN NESSE TRUSTEE - ALTERNATE 1.00 X 0 0 0 JENNIFER LANG TRUSTEE 1.00 X 0 0 0 NICK NOWAK SECRETARY 1.00 X X 0 0 0 MICHAEL HOROVITZ TRUSTEE - ALTERNATE 1.00 X 0 0 0 MARTHA HENRICKSON TRUSTEE 1.00 X 0 0 0 JEFF STARK CHAIRMAN 1.00 60.00 X X 0 207221 102487 JON PIETZ TRUSTEE 1.00 50.00 X 0 147623 91199 CHAD FENNELL TRUSTEE - ALTERNATE 1.00 50.00 X 0 142589 83703 TADD TRATAR TRUSTEE - ALTERNATE 1.00 50.00 X 0 80268 59921 0 1007368 609026 0 0 1 0 WILSON-MCSHANE CORPORATION 3001 METRO DRIVE SUITE 500 BLOOMINGTON MN 55425 ADMINISTRATION/COMPLIANCE AUDITOR 1135200 BCBSMN INC 3400 YANKEE DRIVE EAGAN MN 55121 NETWORK ACCESS/PROVIDER SETTLEMENT FEE 700321 TEAM 3601 MINNESOTA DRIVE SUITE 400 EDINA MN 55435 EMPLOYEE ASSISTANCE PROGRAM 180000 THE MCKEOGH COMPANY 1001 CONSHOHOCKEN STATE ROAD SUITE WEST CONSHOHOCKEN PA 19428 ACTUARY 130376 4 EMPLOYER CONTRIBUTIONS - NET 900099 37826872 37826872 SELF PAY CONTRIBUTIONS 900099 1711260 1711260 PRESCRIPTION REBATES 900099 1103677 1103677 STOP - LOSS REIMBURSEMENTS 900099 580607 580607 SUBROGATION SETTLEMENTS 900099 138850 138850 21530 21530 41382796 1562273 1562273 40148804 39430629 718175 718175 718175 43663244 41382796 0 2280448 38934887 36345 142896 55950 72413 92066 9737 3025 5808 PCORI EXCISE TAX 16474 COALITION EXPENSE 10000 39379601 958192 1269322 5618000 8559612 4529779 3599394 37836091 43795259 3526723 3384454 52468785 60608041 71111 68207 133999 131619 205110 199826 X 0 0 0 0 52263675 60408215 52263675 60408215 52468785 60608041 4283643 3860897 0 X 0 1 X 1 0 0 LIMITED PARTNERSHIP AND LIMITED LIABILITY COMPANY INTEREST 3384454 F 3384454 X 47451728 3860897 3860897 43590831 72413 72413 43663244 39307188 0 39307188 72413 72413 39379601 PART X, LINE 2: THE PLAN IS REQUIRED TO EVALUATE ITS TAX POSITIONS AND DISCLOSE THE AMOUNT OF A TAX LIABILITY IF THE PLAN HAS TAKEN UNCERTAIN TAX POSITIONS 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. 0 0 0 JEFF STARK CHAIRMAN 0 207221 0 0 0 0 0 81907 0 20580 0 309708 0 0 JON PIETZ TRUSTEE 0 147623 0 0 0 0 0 69943 0 21256 0 238822 0 0 CRAIG PECK TRUSTEE 0 148198 0 0 0 0 0 69418 0 20580 0 238196 0 0 JORDAN FRY TRUSTEE 0 146182 0 0 0 0 0 68811 0 20580 0 235573 0 0 SCOTT PARKER TRUSTEE 0 135287 0 0 0 0 0 71747 0 20580 0 227614 0 0 CHAD FENNELL TRUSTEE - ALTERNATE 0 142589 0 0 0 0 0 62447 0 21256 0 226292 0 0 FORM 990, PART VI, SECTION A, LINE 3 ALTHOUGH THE TRUSTEES RETAIN ULTIMATE RESPONSIBILITY, THE TRUSTEES HAVE DELEGATED THE DAY TO DAY ADMINISTRATIVE DUTIES TO WILSON-MCSHANE CORPORATION AS THE THIRD PARTY ADMINISTRATOR OF THE FUND. FORM 990, PART VI, SECTION A, LINE 7A EMPLOYER TRUSTEES ARE SELECTED BY THE EMPLOYERS. UNION TRUSTEES ARE SELECTED BY THE UNION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PROVIDED TO, REVIEWED AND APPROVED BY THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE TRUSTEES REVIEW THE PLAN'S CONFLICT OF INTEREST POLICY ANNUALLY. IN ADDITION, TO ENSURE THE PLAN OPERATES IN A MANNER CONSISTENT WITH ITS PURPOSE AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX EXEMPT STATUS AND FIDUCIARY OBLIGATIONS, PERIODIC REVIEWS OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ARE CONDUCTED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AT THE THIRD PARTY ADMINISTRATOR'S OFFICE IN BLOOMINGTON, MINNESOTA. 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