2025-12-11T10:46:28-06:00 2025-07-31 351327464 SACKRIDER & COMPANY INC 1925 Wabash Ave Terre Haute IN 47807 990 2024-08-01 350917610 Mid Central Operating Engineers Health & Welfare Fund MIDC 8122324384 1100 Poplar Street Terre Haute IN 47807 Cheryl Cottrell Administrator 8122324384 2025-12-05 1 0 Craig A Todd CPA P00593406 8122329492 2024 2025-03-06 01:10:19Z 1100 Poplar Street Terre Haute IN 47807 185427982 0 X www.midcentral.org X 1954 IN To provide health and welfare benefits to members. 8 8 88 0 0 0 0 0 138138548 144686140 5157870 8755834 0 0 143296418 153441974 0 0 105899016 110124544 1607273 1684678 0 0 0 11984131 15655801 119490420 127465023 23805998 25976951 219343729 252058582 2989575 3362121 216354154 248696461 To provide health and welfare benefits to members. 0 0 127450585 144686140 Administration of group insurance plan covering active and retired members and dependents of Locals 841, 318, 103, and 649 - International Union of Operating Engineers. 127450585 0 0 0 0 0 0 0 0 0 1 0 0 0 1 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 1 185 0 1 88 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 IN X Cheryl Cottrell Administrator 8122324384 1100 Poplar Street Terre Haute IN 47807 X Robert Rood Trustee 2.00 X 0 0 0 Jay Elders Chairman 2.00 X X 0 0 0 Steve Scott Vice Chairman 2.00 X X 0 0 0 Darren Smith Trustee 2.00 X 0 0 0 Steve Crider Trustee 2.00 X 0 0 0 James Bruner Asst. Sec/Treas 2.00 X X 0 0 0 Holly Adams Sec/Treas 2.00 X X 0 0 0 Brian Gilham Trustee 2.00 X 0 0 0 Cheryl Cottrell Executive Admin 40.00 X 129845 0 54964 129845 0 54964 1 0 1 0 OptumRx 9900 Bren Rd East Minnetonka MN 55343 RX Benefit Mgt. 23717590 Anthem Insurance Company 220 Virginia Avenue Indianapolis IN 46204 PPO 3030301 Proctor Hospital PO Box 843151 Kansas City MO 64184 Inpatient Services 623416 Pekin Memorial Hospital PO Box 843151 Kansas City MO 64184 Inpatient Services 106030 4 Contributions 900099 143304995 143304995 Clinic rebates 900099 507952 507952 Other additions 900099 499757 499757 Liquidated damages 900099 335924 335924 Reimbursed expenses 900099 37512 37512 144686140 6720527 6720527 34021315 31986008 2035307 2035307 2035307 153441974 144686140 0 8755834 110124544 110124544 893286 893286 247780 247780 456456 456456 87156 87156 139408 139408 108473 108473 537514 537514 192384 192384 43080 43080 23656 23656 28877 14439 14438 31940 31940 29449 29449 Aetna Fees 4315553 4315553 Clinic Rx 3070175 3070175 Anthem benefit administ 3030301 3030301 Clinic Service Fees 2788778 2788778 1316213 1316213 127465023 127450585 14438 0 5321062 1776152 44140002 66352415 15448643 18046063 1370739 956837 426736 413902 153995882 165458646 11404 11404 219343729 252058582 880029 745101 2109546 2617020 2989575 3362121 X 0 0 0 0 216354154 248696461 216354154 248696461 219343729 252058582 X 25976951 6365356 0 X 0 1 X 0 0 7500 7500 898197 529692 368505 465042 427145 37897 413902 Due to other funds 2617020 2617020 X 158761864 6365356 6365356 152396508 537514 507952 1045466 153441974 126419557 0 126419557 537514 507952 1045466 127465023 Part X, Line 2: Financial statement footnote 11 addresses uncertain tax positions. The plan administrator has analyzed the tax positions taken by the plan and has concluded 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. Part XI, Line 4b - Other Adjustments: Clinic Rebates 507,952. Part XII, Line 4b - Other Adjustments: Clinic Rebates 507,952. X 0 0 0 Cheryl Cottrell Executive Admin 129845 0 0 0 0 0 0 0 54964 0 184809 0 0 0 Part I, Line 3 On an annual basis, the board of trustees reviews and approves the Executive Administrator's performance and salary. Form 990, Part VI, Section B, line 11b Line 11b Explanation - All Trustees do not review the annual Form 990; however, the Administrator does review the Form 990 upon its completion prior to it being filed with the IRS. Additionally, the signing officer reviews prior to signing and submitting to the IRS. Form 990, Part VI, Section B, line 15a Annually, the board of trustees reviews the job performance of the Fund's administrator, and through majority vote of the trustees, determines the compensation level for the administrator for the next fiscal year. Form 990, Part VI, Section C, line 19 On an annual basis, the Fund has prepared the summary annual report (SAR) that is available to the general public. The SAR is available at the Fund office during normal business hours or upon request. Additionally, the annual audited financial statements are available for review upon request. Form 990, Part XI, Line 2c A committee has not been established to oversee the financial statement audit. The full board assumes responsibility for oversight of the audit and by majority vote, approves the plan auditors annually. See Sch R Part IV See Sch R Part IV See Sch R Part IV IN 47807 IN See Sch R Part IV See Sch R Part IV See Sch R Part IV IN 47807 IN 1 WAY SERVICE INC 3033 BOURKE ST DETROIT MI 48238 MI 3 PHASE LINE CONSTRUCTION DBA 3P UTILITY SERVICES ROCHESTER NH 03837 NH 360 FENCING LLC 710 N GRAND AVE JOHNSTON CITY IL 62951 IL 3D COMPANY INC 7240 N STATE RD 3 MUNCIE IN 47303 IN 611 BORING & EXCAVATING LLC 12900 N 1775TH RD TEUTOPOLIS IL 62467 IL 618 CIVIL CONTRACTING LLC 514 COUNTRY CLUB RD CENTRALIA IL 62801 IL A & A CONCRETE LLC 3107 N LINCOLN AVENUE URBANA IL 61802 IL A & B DRILLING INC 1339 E 700 N HUNTINGTON IN 46750 IN A & R SERVICES INC 711 KETTERING PARK DR URBANA IL 61803 IL A & W PLUMBING 11 ALIANCE AVE MURPHYSBORO IL 62966 IL A A A QUEEN BEE CONST INC 8585 HICKORY HILL TRAIL MOORESVILLE IN 46158 IN A CRANE RENTAL LLC 200 WASHINGTON AVENUE DRAVOSBURG PA 15034 PA ALL MASONRY CONSTRUCTION CO INC 1425 S 55TH CT CICERO IL 60804 IL ANJ ELECTRIC INC P O BOX 343 MORTON IL 61550 IL ABCO ELECTRICAL 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