2023-09-18T16:05:21-05:00 2022-12-31 320043599 LEGACY PROFESSIONALS LLP 222 INDIANAPOLIS BLVD SUITE 103 SCHERERVILLE IN 46375 990 2022-01-01 350911491 LAKE COUNTY INDIANA NECA-IBEW HEALTH AND BENEFIT PLAN LAKE 2198454433 7200 MISSISSIPPI STREET 300 MERRILLVILLE IN 46410 FELIPE HERNANDEZ TRUSTEE 2198454433 2023-09-18 1 FELIPE HERNANDEZ 999009999 0 ADAM SIMAGA P01649025 3123680500 2023-09-18 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z FELIPE HERNANDEZ 7200 MISSISSIPPI STREET 300 MERRILLVILLE IN 46410 60941207 0 X N/A X 1952 IN PROVIDE HEALTH BENEFITS 8 6 52 0 0 0 0 0 22243131 21973176 777505 -2851649 8118 19322 23028754 19140849 0 0 20733354 19945830 340191 325768 0 0 0 379000 412578 21452545 20684176 1576209 -1543327 55187331 104442539 533179 236957 54654152 104205582 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS AND LIFE INSURANCE TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS IN ACCORDANCE WITH PLAN PROVISIONS. 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 0 0 0 0 0 0 0 0 1 0 0 1 7 0 1 52 1 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 IN X PATRICK KEENAN FUNDS MGR 2198454433 7200 MISSISSIPPI STREET MERRILLVILLE IN 46410 JOREE RICHARDS TRUSTEE 1.00 50.00 X 0 157149 64388 FELIPE HERNANDEZ TRUSTEE 1.00 40.00 X 0 128630 64388 ED SHIKANY TRUSTEE 1.00 X 0 0 0 TOM CORSIGLIA TRUSTEE 1.00 X 0 0 0 RICK ANDERSON TRUSTEE 1.00 X 0 0 0 WILLIAM B WALTON JR TRUSTEE 1.00 X 0 0 0 ALEC DAVIS TRUSTEE 1.00 X 0 0 0 DAN WALDROP TRUSTEE 1.00 X 0 0 0 0 285779 128776 0 0 1 0 MAGNACARE ONE PENN PLAZA SUITE 4512 NEW YORK NY 10119 PROVIDES ADMINISTRATIVE SERVICES FOR THE 508637 1 EMPLOYER/RECIP CONTRIB. 900099 17783008 17783008 SUBSIDIZED RETIREE CONT 900099 2207097 2207097 PARTICIPANT CONTRIBUTIONS 900099 1082745 1082745 STOP LOSS & REINSURANCE 900099 426289 426289 PRESCRIPTION DRUG REBATES 900099 425919 425919 48118 48118 21973176 1633342 1633342 37315367 41800358 -4484991 -4484991 -4484991 OTHER INCOME 900099 19322 19322 19322 19140849 21973176 0 -2832327 X 19945830 186271 64499 58747 16251 68143 54802 112960 42354 81517 19792 10760 1944 10481 FEES MANDATED BY ACA 9825 20684176 411602 351132 12013621 6177390 2703057 8854407 69925 4305 29753 25254 5925 4499 39672201 44489090 44250716 311000 311000 55187331 104442539 163070 178620 370109 58337 533179 236957 X 0 0 0 0 54654152 104205582 54654152 104205582 55187331 104442539 X -1543327 -6208248 57303005 X 0 1 X 1 0 29753 25254 4499 4499 BNY MELLON BROAD MARKET STOCK INDEX FUND 28347217 F BNY MELLON ACWI US INDEX FUND 7761444 F BGO DIVERSIFIED US PROPERTY FUND 8142055 F 44250716 X 12819641 -6208248 -6208248 19027889 112960 112960 19140849 20571216 0 20571216 112960 112960 20684176 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. 0 0 0 JOREE RICHARDS TRUSTEE 0 152758 0 0 0 4391 0 37931 0 26457 0 221537 0 0 FELIPE HERNANDEZ TRUSTEE 0 124440 0 0 0 4190 0 37931 0 26457 0 193018 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE PLAN DOES NOT HAVE ANY COMMITTEES WHO HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 IS PROVIDED TO THE FUND MANAGER AND CERTAIN TRUSTEES OF THE FUND. THE FUND MANAGER AND TRUSTEES REVIEW THE FORM AND DISCUSS ANY MATTERS OF UNCERTAINTY. UPON FULLY UNDERSTANDING THE COMPLETED FORM 990, THE FORM IS APPROVED AND ELECTRONICALLY SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE PLAN ADOPTED THE CONFLICT OF INTEREST POLICY IN 2011. TRUSTEES ARE REQUIRED TO DISCLOSE TO THE FUND ADMINISTRATOR THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTERESTS OR THE APPEARANCE OF CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO ANY PARTICIPANT OF THE FUND WHO COMES INTO THE FUND OFFICE AND REQUESTS TO SEE THEM. FORM 990, PART IX, LINE 7,8,9,10 LOCAL 697 IBEW & ELECTRICAL INDUSTRY PENSION FUND, WHICH IS A RELATED PARTY TO THE FILER, PAYS THE FRINGE BENEFITS, SALARIES AND ANY RELATED TAXES FOR SEVERAL RELATED FUNDS INCLUDING THE FILER. IN TURN, THE PENSION FUND ALSO FILES THE RELATED TAX FORMS (W-2S) FOR THESE EXPENSES. THE RELATED FUNDS REIMBURSE THE PENSION FUND FOR THEIR INDIVIDUAL SHARES OF THESE EXPENSES. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS FROM LAKE COUNTY INDIANA NECA IBEW H&B PLAN P TRUST 57,303,005. LAKE COUNTY & INDIANA NECA-IBEW H&B PLAN P TRUST 7200 MISSISSIPPI ST STE 300 MERRILLVILLE IN 46410 352143298 PROVIDES SUBSIDY FOR REQUIRED SELF-PAYMENTS FOR RETIREE WELFARE BENEFITS IN 501(C)(9) N/A 0 LOCAL 697 IBEW & ELECTRICAL INDUSTRY PENSION FUND 7200 MISSISSIPPI ST STE 300 MERRILLVILLE IN 46410 516133048 PROVIDES PENSION BENEFITS TO MEMBERS IN 401A N/A 0 IBEW & ELECTRICAL INDUSTRY LOCAL 697 MONEY PURCHASE PLAN 7200 MISSISSIPPI ST STE 300 MERRILLVILLE IN 46410 351773526 PROVIDES PENSION BENEFITS TO MEMBERS IN 401A N/A 0 SCHOOL CITY OF HAMMOND CONTRIBUTING EMPLOYER 0 NW IN BLDG & CONST TRADES CONTRIBUTING EMPLOYER 0 THE INDIANA PLAN FOR EQUAL EMPLOYMENT INC CONTRIBUTING EMPLOYER 0 EAST CHICAGO SCHOOLS CONTRIBUTING EMPLOYER 0 IBEW LOCAL 697 SUB FUND 7200 MISSISSIPPI ST STE 300 MERRILLVILLE IN 46410 030545014 PROVIDES SUPPLEMENTAL UNEMPLOYMENT BENEFITS IN 501(C)(9) 0 IBEW LOCAL 697 UNION 7200 MISSISSIPPI ST STE 200 MERRILLVILLE IN 46410 350415488 LABOR UNION IN 501(C)(5) 0 LOCAL 697 IBEW APPRENTICE 7200 MISSISSIPPI ST STE 100 MERRILLVILLE IN 46410 351001586 PROVIDES APPRENTICE TRAINING IN 501(C)(3) 0 BASE ELECTRICAL SERVICES CONTRIBUTING EMPLOYER 0 0 A & E ELECTRIC CO INC CONTRIBUTING EMPLOYER 0 A PLUS DATACOMM INC CONTRIBUTING EMPLOYER 0 ADVANCED COMMUNICATIONS INC CONTRIBUTING EMPLOYER 0 ADVENT SYSTEMS INC CONTRIBUTING EMPLOYER 0 AMS MECHANICAL SYSTEMS CONTRIBUTING EMPLOYER 0 ATN TECHNOLOGY INC CONTRIBUTING EMPLOYER 0 AUSTGEN'S ELECTRIC INC CONTRIBUTING EMPLOYER 0 BELLSOM ELECTRIC CONTRIBUTING EMPLOYER 0 BERRY ELECTRIC CONTRACTING CO CONTRIBUTING EMPLOYER 0 BLOCK ELECTRIC CO CONTRIBUTING EMPLOYER 0 ACMS GROUP INC CONTRIBUTING EMPLOYER 0 CIRCLE R ELECTRIC INC CONTRIBUTING EMPLOYER 0 ABCO ELECTRICAL CONST & DESIGN CONTRIBUTING EMPLOYER 0 COMMUNICATION CO OF SOUTH BEND CONTRIBUTING EMPLOYER 0 CONTINENTAL ELECTRIC CO INC CONTRIBUTING EMPLOYER 0 CREDENT QUALITY ELECTRIC CO CONTRIBUTING EMPLOYER 0 EMCORHYRE ELECTRIC CO CONTRIBUTING EMPLOYER 0 ESCO COMMUNICATIONS INC CONTRIBUTING EMPLOYER 0 FLUOR CONSTRUCTORS INTERNATIONAL CONTRIBUTING EMPLOYER 0 GRAND KAHN CONTRIBUTING EMPLOYER 0 GREAT LAKES ELECTRICAL MAINT CONTRIBUTING EMPLOYER 0 GREEN LIGHT ELECTRIC LLC CONTRIBUTING EMPLOYER 0 H & T ELECTRICAL SERVICES INC CONTRIBUTING EMPLOYER 0 H M M SYSTEMS INC CONTRIBUTING EMPLOYER 0 H P DEVELOPMENT INC CONTRIBUTING EMPLOYER 0 HARTMANN ELECTRIC CO CONTRIBUTING EMPLOYER 0 HAVEL BROTHERS INC CONTRIBUTING EMPLOYER 0 HERRMAN & GOETZ INC CONTRIBUTING EMPLOYER 0 JAN ELECTRIC LLC CONTRIBUTING EMPLOYER 0 JOLEN ELECTRIC CONTRIBUTING EMPLOYER 0 KW CONSTRUCTION SERVICES CONTRIBUTING EMPLOYER 0 L & S ELECTRIC CO INC CONTRIBUTING EMPLOYER 0 LONG ELECTRIC CO INC CONTRIBUTING EMPLOYER 0 LOCAL 697 FEDERAL CREDIT UNION CONTRIBUTING EMPLOYER 0 M J ELECTRIC LLC CONTRIBUTING EMPLOYER 0 MARTELL ELECTRIC LLC CONTRIBUTING EMPLOYER 0 MEADE ELECTRIC COMPANY INC CONTRIBUTING EMPLOYER 0 MEANY ELECTRIC OF INDIANA CONTRIBUTING EMPLOYER 0 MIDWESTERN ELECTRIC INC CONTRIBUTING EMPLOYER 0 NEW AGE TELECOM INC CONTRIBUTING EMPLOYER 0 M B HERZOG ELECTRIC INC CONTRIBUTING EMPLOYER 0 PALOS ELECTRIC CO CONTRIBUTING EMPLOYER 0 PIONEER SIGN INC CONTRIBUTING EMPLOYER 0 PRECISION CONTROL SYSTEMS INC CONTRIBUTING EMPLOYER 0 SARGENT ELECTRIC COMPANY CONTRIBUTING EMPLOYER 0 SCHNEIDER ELEC BLDGS AMERICAS CONTRIBUTING EMPLOYER 0 SWENEY ELECTRIC COMPANY INC CONTRIBUTING EMPLOYER 0 AMBER MECHANICAL CONTRACTORS INC CONTRIBUTING EMPLOYER 0 TECH ELECTRONICS OF IL LLC CONTRIBUTING EMPLOYER 0 THE STATE GRP INDS (USA) LTD CONTRIBUTING EMPLOYER 0 TK ELECTRIC LLC CONTRIBUTING EMPLOYER 0 TRI-ELECTRONICS INC CONTRIBUTING EMPLOYER 0 VIDEOTEC CORPORATION II CONTRIBUTING EMPLOYER 0 AUSTIN ELECTRIC INC CONTRIBUTING EMPLOYER 0 AZCO INC CONTRIBUTING EMPLOYER 0 COMMUNICATION ZONE INC CONTRIBUTING EMPLOYER 0 CONTINENTAL ELEC CO INC-OFFICE CONTRIBUTING EMPLOYER 0 BELLSOM ELECTRIC-OFFICE CONTRIBUTING EMPLOYER 0 EMCORJWPHYRE ELECTRIC OFFICE CONTRIBUTING EMPLOYER 0 HAYES MECHANICAL CONTRIBUTING EMPLOYER 0 BRITE ELECTRIC INC CONTRIBUTING EMPLOYER 0 HUSTON ELECTRIC INC CONTRIBUTING EMPLOYER 0 H P DEVELOPMENT INC - 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