2026-02-18T10:52:43-06:00 2025-04-30 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2024-05-01 340751987 TRI-COUNTY BUILDING TRADES HEALTH FUND TRI- 3045250331 9200 US ROUTE 60 ONA WV 25545 SCOTT MAZZULLI CHAIRMAN 3045250331 2026-02-12 1 1 J RYAN LINDSAY P01835061 3043459400 2024 2025-03-06 01:10:19Z SCOTT MAZZULLI 9200 US ROUTE 60 ONA WV 25545 64462345 0 X SHEETMETALWORKERS33BENEFITFUNDS.ORG X 1953 OH TO PROVIDE HEALTH BENEFITS. 6 6 0 0 0 0 0 0 25702881 26742823 -338954 3120068 0 0 25363927 29862891 0 0 20086370 22042794 0 0 0 0 0 1543389 1851076 21629759 23893870 3734168 5969021 34546746 39894479 86289 160024 34460457 39734455 HEALTH BENEFIT FUND 0 0 23893870 TO PROVIDE MEDICAL, PRESCRIPTION DRUG, DENTAL, VISION, DEATH, DISABILITY AND AD&D BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 23893870 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 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X AMERICAN BENEFIT CORPORATION 3045250331 9200 US ROUTE 60 ONA WV 25545 X JERRY DURIEUX CHAIRMAN 1.00 X X 0 0 0 AARON HALL SECRETARY 1.00 X X 0 0 0 JACOB GEOPFERT TRUSTEE 1.00 X 0 0 0 SCOTT MAZZULLI TRUSTEE 1.00 X 0 0 0 JOE STELLA TRUSTEE 1.00 X 0 0 0 NUJE FRUEBD TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 SEIRRA HEALTH AND LIFE INSURANCE COMPANY PO BOX 778729 CHICAGO IL 60677 MEDICARE SUPPLEMENTAL 921820 STEALTH PARTNER GROUP PO BOX 949572 ATLANTA GA 303949572 STOPLOSS 581792 COMMUNITY INSURANCE COMPANY 3075 VANDERCAR WAY CINCINNATI OH 45209 BENEFIT ADMINISTRATION 552183 AMERICAN BENEFIT CORPORATION 9200 US ROUTE 60 ONA WV 25545 PLAN ADMINISTRATION 432646 PAYDHEALTH LLC PO BOX 840557 LOS ANGELES CA 90084 INSURANCE SERVICES 383934 5 EMPLOYER CONTRIBUTIONS 900099 24982723 24982723 PARTICIPANT CONTRIBUTIONS 900099 1393129 1393129 SASMI CONTRIBUTIONS 900099 366971 366971 26742823 1199730 1199730 36519792 34599454 1920338 1920338 1920338 29862891 28663161 0 1199730 22042794 22042794 1463289 1463289 88809 88809 20593 20593 40206 40206 132228 132228 93661 93661 2314 2314 300 300 PCORI FEE 9676 9676 23893870 23893870 0 0 102377 196285 7640921 928958 3102071 3857563 23701377 34911673 34546746 39894479 86289 160024 86289 160024 X 0 0 0 0 34460457 39734455 34460457 39734455 34546746 39894479 5969021 -695023 0 X X 0 1 X 1 0 0 29127662 -695023 -695023 29822685 40206 40206 29862891 23853664 0 23853664 40206 40206 23893870 FORM 990, PART VI, SECTION A, LINE 3 WHILE THE BOARD OF TRUSTEES RETAINS THE ULTIMATE AUTHORITY, THEY HAVE DELEGATED THE DAY-TO-DAY MANAGEMENT OF DUTIES TO AMERICAN BENEFIT CORPORATION, A THIRD PARTY ADMINISTRATOR. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND PROVIDED TO THE THIRD PARTY ADMINISTRATOR OF THE PLAN FOR REVIEW PRIOR TO SIGNATURE BY A TRUSTEE AND SUBMISSION OF THE FORM. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES MEETS REGULALY AND ADDRESSES ANY CONFLICTS THAT MAY ARISE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE OFFICE OF THE PLAN. FORM 990, PART XII, LINE 2C: NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR.