2023-12-15T11:24:07-06:00 2023-05-31 320043599 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CTR STE 700 WESTCHESTER IL 60154 990 2022-06-01 362150067 ADMINISTRATIVE DISTRICT COUNCIL 1 WELFARE FUND ADMI 6306178600 660 N INDUSTRIAL DRIVE 100 ELMHURST IL 60126 MICHAEL VOLPENTESTA TRUSTEE 6306178600 2023-12-15 1 MICHAEL VOLPENTESTA 999009999 0 DOUGLAS SCHWEGMAN P01456734 3123680500 2023-12-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICHAEL VOLPENTESTA 660 N INDUSTRIAL DRIVE 100 ELMHURST IL 60126 36953977 0 X N/A X 1950 IL PROVIDE HEALTH BENEFITS 12 6 14 0 0 0 329500 0 29282930 30352961 4230170 1973759 16333 33069 33858933 32359789 0 0 34238345 31130289 1877738 1878882 0 0 0 1219002 1308807 37335085 34317978 -3476152 -1958189 142003579 139295537 294277 325779 141709302 138969758 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE MEDICAL AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1164 0 1 14 1 0 0 0 0 0 0 0 0 0 0 X 12 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X MELODY NEYLAND - ADMINISTRATOR 6306178600 660 N INDUSTRIAL DRIVE SUITE 100 ELMHURST IL 60126 RICHARD LAUBER JR TRUSTEE 1.00 X 0 0 0 BERNIE VAN ETTEN TRUSTEE 1.00 X 0 0 0 MICHAEL PILOLLA TRUSTEE 1.00 X 0 0 0 JAMES ZUIDEMA TRUSTEE 1.00 X 0 0 0 FRANK DZIADUS TRUSTEE 1.00 X 0 0 0 AARON JANIK TRUSTEE 1.00 X 0 0 0 DWAYNE STEWART TRUSTEE 1.00 40.00 X 0 137231 99430 JACEK PROBOLA TRUSTEE 1.00 40.00 X 0 137506 99430 DOUGLAS JOHNSTON FIELD REP. / TRUSTEE 17.00 23.00 X 130092 10072 97161 DAN KUCZKOWSKI TRUSTEE 1.00 40.00 X 0 120821 99430 RUBEN COLLAZO TRUSTEE 1.00 40.00 X 0 194830 107342 MICHAEL VOLPENTESTA TRUSTEE 1.00 40.00 X 0 239108 113934 MILAN DIKLICH ADMINISTRATOR 17.00 23.00 X 182139 0 53948 312231 839568 670675 2 0 1 0 BLUECROSS BLUESHIELD OF IL 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 638668 NATIONAL INVESTMENT SERVICES 777 E WISCONSIN AVENUE MILWAUKEE WI 53202 INVESTMENT MANAGER 188286 SEGAL CONSULTING PO BOX 4092 CHURCH ST STATION NEW YORK NY 102614092 ACTUARIAL AND CONSULTING 133434 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORP CENTER WESTCHESTER IL 60154 ACCOUNTING FIRM 103932 4 CONTRACTOR CONTRIBUTIONS 900099 25450908 25450908 PRESCRIPTION DRUG REBATES 900099 2704714 2704714 REIMB. OF SHARED EXPENSES FROM RE 900099 997297 997297 RETIRED MEMBERS' CONTRIBUTIONS 900099 705675 705675 STOP-LOSS INSURANCE PROCEEDS 900099 128864 128864 365503 365503 30352961 1303422 1303422 5264525 4594188 670337 670337 670337 MISCELLANEOUS INCOME 900099 33069 33069 33069 32359789 30352961 0 2006828 31130289 238179 850655 354363 357338 78347 90995 95605 262497 224219 230042 166261 106542 17544 15391 17359 68790 FEES MANDATED BY ACA 13562 34317978 1911617 1790681 189320 137120 4977630 5736591 25230 25230 637836 554620 44253 83216 69701052 68076873 65154477 63445826 142003579 139295537 260040 302512 34237 23267 294277 325779 X 0 0 0 0 141709302 138969758 141709302 138969758 142003579 139295537 -1958189 -781355 0 X 0 1 X 1 0 226891 189354 37537 410945 365266 45679 83216 NIS CORE FIXED INCOME QP FUND 12012280 F NIS INTERMEDIATE FIXED INCOME QP FUND 26032286 F NIS HIGH YIELD QP FUND 2354834 F NIS TAR QP FUND 8196402 F WASHINGTON CAPITAL 14850024 F 63445826 X 30318640 -781355 -781355 31099995 262497 997297 1259794 32359789 33058184 0 33058184 262497 997297 1259794 34317978 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 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: ALLOCATED SHARED EXPENSES TO RELATED PLANS 997,297. PART XII, LINE 4B - OTHER ADJUSTMENTS: ALLOCATED SHARED EXPENSES TO RELATED PLANS 997,297. X 0 0 0 MICHAEL VOLPENTESTA TRUSTEE 0 186014 0 0 0 53094 0 88698 0 25236 0 353042 0 0 RUBEN COLLAZO TRUSTEE 0 157830 0 0 0 37000 0 82106 0 25236 0 302172 0 0 DOUGLAS JOHNSTON FIELD REP. / TRUSTEE 130092 8932 0 0 0 1140 71993 0 25168 0 227253 10072 0 0 JACEK PROBOLA TRUSTEE 0 124009 0 0 0 13497 0 74194 0 25236 0 236936 0 0 DWAYNE STEWART TRUSTEE 0 124010 0 0 0 13221 0 74194 0 25236 0 236661 0 0 MILAN DIKLICH ADMINISTRATOR 180000 0 0 0 2139 0 28780 0 25168 0 236087 0 0 0 DAN KUCZKOWSKI TRUSTEE 0 112736 0 0 0 8085 0 74194 0 25236 0 220251 0 0 ADMINISTRATIVE DISTRICT COUNCIL 1 OF ILLINOIS COMMON TRUSTEES / OFFICERS 106452 OFFICE LEASE 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES AND FUND ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARDS' REVIEW, THE FORM IS APPROVED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF THE TRUSTEES THAT THE EXISTENCE OF A POTENTIAL CONFLICT SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF FUND PERSONNEL TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES TO THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE ANNUALLY REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. FORM 990, PART VII, SECTION A, LINE 1A: THE ORGANIZATION'S ADMINISTRATOR IS ALSO THE ADMINISTRATOR OF TWO RELATED ENTITIES. THE REPORTING ORGANIZATION IS REIMBURSED BY THESE ENTITIES FOR THEIR ALLOCATED PORTION OF HIS SALARY, FRINGE BENEFITS AND PAYROLL TAXES. THE ORGANIZATION'S FIELD REPRESENTATIVE IS A SHARED EMPLOYEE OF SEVERAL RELATED ENTITIES. THE REPORTING ORGANIZATION IS REIMBURSED BY THESE ENTITIES FOR HIS ALLOCATED PORTION OF THE FIELD REPRESENTATIVE SALARY, FRINGE BENEFITS AND PAYROLL TAXES. FORM 990, PART VI, SECTION C, LINE 20: THE ORGANIZATION'S ADMINISTRATOR, MILAN DIKLICH, RETIRED EFFECTIVE JUNE 30, 2023 AND WAS REPLACED BY MELODY NEYLAND. 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