401k Plan data: I.B.E.W. LOCAL 1430 WELFARE FUND plan

I.B.E.W. LOCAL 1430 WELFARE FUND 401k Plan overview

Plan Name	I.B.E.W. LOCAL 1430 WELFARE FUND
Plan identification number	501

I.B.E.W. LOCAL 1430 WELFARE FUND Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision

401k Sponsoring company profile

BOARD OF TRUSTEES OF LOCAL 1430 WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name: BOARD OF TRUSTEES OF LOCAL 1430 WELFARE FUND

Employer identification number (EIN): 131835737

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan I.B.E.W. LOCAL 1430 WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01
501 2022-01-01
501 2021-01-01
501 2020-01-01
501 2020-01-01
501 2019-01-01
501 2018-01-01
501 2017-01-01 ANDREW FAIR JORDAN EL-HAG 2018-10-10
501 2016-01-01 ANDREW FAIR JORDAN EL-HAG 2017-10-16
501 2015-01-01 ANDREW FAIR JORDAN EL-HAG 2016-10-13
501 2014-01-01 ANDREW FAIR JORDAN EL-HAG 2015-10-14
501 2013-01-01 JORDAN EL-HAG
501 2012-01-01 JORDAN EL-HAG MARCELLO ESPOSITO 2013-10-14
501 2011-01-01 JORDAN EL-HAG MARCELLO ESPOSITO 2012-09-11
501 2010-01-01 JORDAN EL-HAG MARCELLO ESPOSITO 2011-09-09
501 2009-01-01 SHAWN WATERMAN MARCELLO ESPOSITO 2010-10-08

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01
501	2022-01-01
501	2021-01-01
501	2020-01-01
501	2020-01-01
501	2019-01-01
501	2018-01-01
501	2017-01-01	ANDREW FAIR	JORDAN EL-HAG	2018-10-10
501	2016-01-01	ANDREW FAIR	JORDAN EL-HAG	2017-10-16
501	2015-01-01	ANDREW FAIR	JORDAN EL-HAG	2016-10-13
501	2014-01-01	ANDREW FAIR	JORDAN EL-HAG	2015-10-14
501	2013-01-01	JORDAN EL-HAG
501	2012-01-01	JORDAN EL-HAG	MARCELLO ESPOSITO	2013-10-14
501	2011-01-01	JORDAN EL-HAG	MARCELLO ESPOSITO	2012-09-11
501	2010-01-01	JORDAN EL-HAG	MARCELLO ESPOSITO	2011-09-09
501	2009-01-01	SHAWN WATERMAN	MARCELLO ESPOSITO	2010-10-08

Plan Statistics for I.B.E.W. LOCAL 1430 WELFARE FUND

401k plan membership statisitcs for I.B.E.W. LOCAL 1430 WELFARE FUND

Measure Date Value
2023: I.B.E.W. LOCAL 1430 WELFARE FUND 2023 401k membership
Total participants, beginning-of-year 2023-01-01 273
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 300
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 300
Number of employers contributing to the scheme 2023-01-01 65
2022: I.B.E.W. LOCAL 1430 WELFARE FUND 2022 401k membership
Total participants, beginning-of-year 2022-01-01 116
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 273
Total of all active and inactive participants 2022-01-01 273
Number of employers contributing to the scheme 2022-01-01 65
2021: I.B.E.W. LOCAL 1430 WELFARE FUND 2021 401k membership
Total participants, beginning-of-year 2021-01-01 122
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 116
Total of all active and inactive participants 2021-01-01 116
Number of employers contributing to the scheme 2021-01-01 15
2020: I.B.E.W. LOCAL 1430 WELFARE FUND 2020 401k membership
Total participants, beginning-of-year 2020-01-01 208
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 122
Total of all active and inactive participants 2020-01-01 122
Number of employers contributing to the scheme 2020-01-01 15
2019: I.B.E.W. LOCAL 1430 WELFARE FUND 2019 401k membership
Total participants, beginning-of-year 2019-01-01 206
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 208
Total of all active and inactive participants 2019-01-01 208
2018: I.B.E.W. LOCAL 1430 WELFARE FUND 2018 401k membership
Total participants, beginning-of-year 2018-01-01 178
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 205
Number of retired or separated participants receiving benefits 2018-01-01 1
Total of all active and inactive participants 2018-01-01 206
Number of employers contributing to the scheme 2018-01-01 21
2017: I.B.E.W. LOCAL 1430 WELFARE FUND 2017 401k membership
Total participants, beginning-of-year 2017-01-01 178
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 178
Total of all active and inactive participants 2017-01-01 178
2016: I.B.E.W. LOCAL 1430 WELFARE FUND 2016 401k membership
Total participants, beginning-of-year 2016-01-01 207
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 178
Number of retired or separated participants receiving benefits 2016-01-01 178
Total of all active and inactive participants 2016-01-01 356
Number of employers contributing to the scheme 2016-01-01 13
2015: I.B.E.W. LOCAL 1430 WELFARE FUND 2015 401k membership
Total participants, beginning-of-year 2015-01-01 333
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 207
Total of all active and inactive participants 2015-01-01 207
2014: I.B.E.W. LOCAL 1430 WELFARE FUND 2014 401k membership
Total participants, beginning-of-year 2014-01-01 329
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 330
Number of retired or separated participants receiving benefits 2014-01-01 3
Total of all active and inactive participants 2014-01-01 333
Number of employers contributing to the scheme 2014-01-01 30
2013: I.B.E.W. LOCAL 1430 WELFARE FUND 2013 401k membership
Total participants, beginning-of-year 2013-01-01 387
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 326
Number of retired or separated participants receiving benefits 2013-01-01 3
Total of all active and inactive participants 2013-01-01 329
Number of employers contributing to the scheme 2013-01-01 35
2012: I.B.E.W. LOCAL 1430 WELFARE FUND 2012 401k membership
Total participants, beginning-of-year 2012-01-01 319
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 382
Number of retired or separated participants receiving benefits 2012-01-01 5
Total of all active and inactive participants 2012-01-01 387
Number of employers contributing to the scheme 2012-01-01 39
2011: I.B.E.W. LOCAL 1430 WELFARE FUND 2011 401k membership
Total participants, beginning-of-year 2011-01-01 322
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 312
Number of retired or separated participants receiving benefits 2011-01-01 7
Total of all active and inactive participants 2011-01-01 319
Number of employers contributing to the scheme 2011-01-01 37
2010: I.B.E.W. LOCAL 1430 WELFARE FUND 2010 401k membership
Total participants, beginning-of-year 2010-01-01 271
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 316
Number of retired or separated participants receiving benefits 2010-01-01 6
Total of all active and inactive participants 2010-01-01 322
Number of employers contributing to the scheme 2010-01-01 41
2009: I.B.E.W. LOCAL 1430 WELFARE FUND 2009 401k membership
Total participants, beginning-of-year 2009-01-01 290
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 266
Number of retired or separated participants receiving benefits 2009-01-01 5
Total of all active and inactive participants 2009-01-01 271
Number of employers contributing to the scheme 2009-01-01 35

Measure	Date	Value
2023: I.B.E.W. LOCAL 1430 WELFARE FUND 2023 401k membership
Total participants, beginning-of-year	2023-01-01	273
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	300
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	300
Number of employers contributing to the scheme	2023-01-01	65
2022: I.B.E.W. LOCAL 1430 WELFARE FUND 2022 401k membership
Total participants, beginning-of-year	2022-01-01	116
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	273
Total of all active and inactive participants	2022-01-01	273
Number of employers contributing to the scheme	2022-01-01	65
2021: I.B.E.W. LOCAL 1430 WELFARE FUND 2021 401k membership
Total participants, beginning-of-year	2021-01-01	122
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	116
Total of all active and inactive participants	2021-01-01	116
Number of employers contributing to the scheme	2021-01-01	15
2020: I.B.E.W. LOCAL 1430 WELFARE FUND 2020 401k membership
Total participants, beginning-of-year	2020-01-01	208
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	122
Total of all active and inactive participants	2020-01-01	122
Number of employers contributing to the scheme	2020-01-01	15
2019: I.B.E.W. LOCAL 1430 WELFARE FUND 2019 401k membership
Total participants, beginning-of-year	2019-01-01	206
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	208
Total of all active and inactive participants	2019-01-01	208
2018: I.B.E.W. LOCAL 1430 WELFARE FUND 2018 401k membership
Total participants, beginning-of-year	2018-01-01	178
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	205
Number of retired or separated participants receiving benefits	2018-01-01	1
Total of all active and inactive participants	2018-01-01	206
Number of employers contributing to the scheme	2018-01-01	21
2017: I.B.E.W. LOCAL 1430 WELFARE FUND 2017 401k membership
Total participants, beginning-of-year	2017-01-01	178
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	178
Total of all active and inactive participants	2017-01-01	178
2016: I.B.E.W. LOCAL 1430 WELFARE FUND 2016 401k membership
Total participants, beginning-of-year	2016-01-01	207
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	178
Number of retired or separated participants receiving benefits	2016-01-01	178
Total of all active and inactive participants	2016-01-01	356
Number of employers contributing to the scheme	2016-01-01	13
2015: I.B.E.W. LOCAL 1430 WELFARE FUND 2015 401k membership
Total participants, beginning-of-year	2015-01-01	333
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	207
Total of all active and inactive participants	2015-01-01	207
2014: I.B.E.W. LOCAL 1430 WELFARE FUND 2014 401k membership
Total participants, beginning-of-year	2014-01-01	329
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	330
Number of retired or separated participants receiving benefits	2014-01-01	3
Total of all active and inactive participants	2014-01-01	333
Number of employers contributing to the scheme	2014-01-01	30
2013: I.B.E.W. LOCAL 1430 WELFARE FUND 2013 401k membership
Total participants, beginning-of-year	2013-01-01	387
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	326
Number of retired or separated participants receiving benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	329
Number of employers contributing to the scheme	2013-01-01	35
2012: I.B.E.W. LOCAL 1430 WELFARE FUND 2012 401k membership
Total participants, beginning-of-year	2012-01-01	319
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	382
Number of retired or separated participants receiving benefits	2012-01-01	5
Total of all active and inactive participants	2012-01-01	387
Number of employers contributing to the scheme	2012-01-01	39
2011: I.B.E.W. LOCAL 1430 WELFARE FUND 2011 401k membership
Total participants, beginning-of-year	2011-01-01	322
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	312
Number of retired or separated participants receiving benefits	2011-01-01	7
Total of all active and inactive participants	2011-01-01	319
Number of employers contributing to the scheme	2011-01-01	37
2010: I.B.E.W. LOCAL 1430 WELFARE FUND 2010 401k membership
Total participants, beginning-of-year	2010-01-01	271
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	316
Number of retired or separated participants receiving benefits	2010-01-01	6
Total of all active and inactive participants	2010-01-01	322
Number of employers contributing to the scheme	2010-01-01	41
2009: I.B.E.W. LOCAL 1430 WELFARE FUND 2009 401k membership
Total participants, beginning-of-year	2009-01-01	290
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	266
Number of retired or separated participants receiving benefits	2009-01-01	5
Total of all active and inactive participants	2009-01-01	271
Number of employers contributing to the scheme	2009-01-01	35

Financial Data on I.B.E.W. LOCAL 1430 WELFARE FUND

Measure	Date	Value
2023 : I.B.E.W. LOCAL 1430 WELFARE FUND 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2023-12-31	$120,867
Total unrealized appreciation/depreciation of assets	2023-12-31	$120,867
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$289,674
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-12-31	$392,269
Total income from all sources (including contributions)	2023-12-31	$3,926,460
Total of all expenses incurred	2023-12-31	$4,070,299
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-12-31	$3,377,979
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-12-31	$3,758,733
Value of total assets at end of year	2023-12-31	$2,649,978
Value of total assets at beginning of year	2023-12-31	$2,896,412
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-12-31	$692,320
Total dividends received (eg from common stock, registered investment company shares)	2023-12-31	$44,021
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-12-31	No
Was this plan covered by a fidelity bond	2023-12-31	Yes
Value of fidelity bond cover	2023-12-31	$500,000
If this is an individual account plan, was there a blackout period	2023-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-12-31	No
Contributions received from participants	2023-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2023-12-31	$273,965
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2023-12-31	$320,905
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2023-12-31	$270,520
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2023-12-31	$344,094
Other income not declared elsewhere	2023-12-31	$2,839
Administrative expenses (other) incurred	2023-12-31	$555,520
Liabilities. Value of operating payables at end of year	2023-12-31	$14,075
Liabilities. Value of operating payables at beginning of year	2023-12-31	$38,898
Total non interest bearing cash at end of year	2023-12-31	$40
Total non interest bearing cash at beginning of year	2023-12-31	$40
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Value of net income/loss	2023-12-31	$-143,839
Value of net assets at end of year (total assets less liabilities)	2023-12-31	$2,360,304
Value of net assets at beginning of year (total assets less liabilities)	2023-12-31	$2,504,143
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-12-31	No
Were any leases to which the plan was party in default or uncollectible	2023-12-31	No
Investment advisory and management fees	2023-12-31	$5,250
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-12-31	$1,629,227
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-12-31	$1,714,339
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2023-12-31	$579,858
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2023-12-31	$663,986
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2023-12-31	$663,986
Expenses. Payments to insurance carriers foe the provision of benefits	2023-12-31	$3,341,456
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2023-12-31	No
Has the plan failed to provide any benefit when due under the plan	2023-12-31	No
Contributions received in cash from employer	2023-12-31	$3,758,733
Employer contributions (assets) at end of year	2023-12-31	$166,888
Employer contributions (assets) at beginning of year	2023-12-31	$197,142
Income. Dividends from common stock	2023-12-31	$44,021
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-12-31	$36,523
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2023-12-31	No
Liabilities. Value of benefit claims payable at end of year	2023-12-31	$5,079
Liabilities. Value of benefit claims payable at beginning of year	2023-12-31	$9,277
Did the plan have assets held for investment	2023-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-12-31	No
Opinion of an independent qualified public accountant for this plan	2023-12-31	Unqualified
Accountancy firm name	2023-12-31	WEAVER
Accountancy firm EIN	2023-12-31	750786316
2022 : I.B.E.W. LOCAL 1430 WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$-382,472
Total unrealized appreciation/depreciation of assets	2022-12-31	$-382,472
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$392,269
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$79,699
Total income from all sources (including contributions)	2022-12-31	$2,989,054
Total of all expenses incurred	2022-12-31	$3,923,048
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$3,279,521
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$3,262,282
Value of total assets at end of year	2022-12-31	$2,896,412
Value of total assets at beginning of year	2022-12-31	$3,517,836
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$643,527
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$41,125
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Administrative expenses professional fees incurred	2022-12-31	$126,750
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$1,145
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$320,905
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$15,204
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$344,094
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$65,429
Other income not declared elsewhere	2022-12-31	$68,119
Administrative expenses (other) incurred	2022-12-31	$511,527
Liabilities. Value of operating payables at end of year	2022-12-31	$38,898
Liabilities. Value of operating payables at beginning of year	2022-12-31	$10,998
Total non interest bearing cash at end of year	2022-12-31	$40
Total non interest bearing cash at beginning of year	2022-12-31	$107,346
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-933,994
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,504,143
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$3,438,137
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$5,250
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$1,714,339
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$3,320,686
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$663,986
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$3,239,266
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$3,261,137
Employer contributions (assets) at end of year	2022-12-31	$197,142
Employer contributions (assets) at beginning of year	2022-12-31	$74,600
Income. Dividends from common stock	2022-12-31	$41,125
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$40,255
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2022-12-31	No
Liabilities. Value of benefit claims payable at end of year	2022-12-31	$9,277
Liabilities. Value of benefit claims payable at beginning of year	2022-12-31	$3,272
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	BUCHBINDER TUNICK & CO LLC
Accountancy firm EIN	2022-12-31	131578842
2021 : I.B.E.W. LOCAL 1430 WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2021-12-31	$144,758
Total unrealized appreciation/depreciation of assets	2021-12-31	$144,758
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$79,699
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$83,119
Total income from all sources (including contributions)	2021-12-31	$1,665,171
Total of all expenses incurred	2021-12-31	$1,985,753
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,433,907
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,366,944
Value of total assets at end of year	2021-12-31	$3,517,836
Value of total assets at beginning of year	2021-12-31	$3,841,838
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$551,846
Total interest from all sources	2021-12-31	$64,355
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Administrative expenses professional fees incurred	2021-12-31	$108,925
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$8,015
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$15,204
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$10,079
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$65,429
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$65,517
Other income not declared elsewhere	2021-12-31	$89,114
Administrative expenses (other) incurred	2021-12-31	$439,921
Liabilities. Value of operating payables at end of year	2021-12-31	$10,998
Liabilities. Value of operating payables at beginning of year	2021-12-31	$5,659
Total non interest bearing cash at end of year	2021-12-31	$107,346
Total non interest bearing cash at beginning of year	2021-12-31	$95,823
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$-320,582
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$3,438,137
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$3,758,719
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$3,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$3,320,686
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$3,681,573
Interest earned on other investments	2021-12-31	$64,355
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$1,404,372
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$1,358,929
Employer contributions (assets) at end of year	2021-12-31	$74,600
Employer contributions (assets) at beginning of year	2021-12-31	$34,496
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$29,535
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2021-12-31	No
Liabilities. Value of benefit claims payable at end of year	2021-12-31	$3,272
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$11,943
Assets. Value of buildings and other operty used in plan operation at end of year	2021-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2021-12-31	$19,867
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	BUCHBINDER TUNICK & CO LLP
Accountancy firm EIN	2021-12-31	131578842
2020 : I.B.E.W. LOCAL 1430 WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2020-12-31	$245,490
Total unrealized appreciation/depreciation of assets	2020-12-31	$245,490
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$83,119
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$15,144
Total income from all sources (including contributions)	2020-12-31	$4,036,742
Total of all expenses incurred	2020-12-31	$3,794,542
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$3,219,838
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$3,714,148
Value of total assets at end of year	2020-12-31	$3,841,838
Value of total assets at beginning of year	2020-12-31	$3,531,663
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$574,704
Total interest from all sources	2020-12-31	$77,104
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$117,730
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$10,079
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$11,137
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$65,517
Administrative expenses (other) incurred	2020-12-31	$453,974
Liabilities. Value of operating payables at end of year	2020-12-31	$5,659
Liabilities. Value of operating payables at beginning of year	2020-12-31	$2,024
Total non interest bearing cash at end of year	2020-12-31	$95,823
Total non interest bearing cash at beginning of year	2020-12-31	$55,560
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$242,200
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$3,758,719
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$3,516,519
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$3,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$3,681,573
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$3,358,979
Interest earned on other investments	2020-12-31	$77,104
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$3,156,860
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$3,714,148
Employer contributions (assets) at end of year	2020-12-31	$34,496
Employer contributions (assets) at beginning of year	2020-12-31	$86,120
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$62,978
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-12-31	No
Liabilities. Value of benefit claims payable at end of year	2020-12-31	$11,943
Liabilities. Value of benefit claims payable at beginning of year	2020-12-31	$13,120
Assets. Value of buildings and other operty used in plan operation at end of year	2020-12-31	$19,867
Assets. Value of buildings and other operty used in plan operation at beginning of year	2020-12-31	$19,867
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
2019 : I.B.E.W. LOCAL 1430 WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$294,142
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$294,142
Total unrealized appreciation/depreciation of assets	2019-12-31	$294,142
Total unrealized appreciation/depreciation of assets	2019-12-31	$294,142
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$15,144
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$15,144
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$38,778
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$38,778
Total income from all sources (including contributions)	2019-12-31	$4,349,382
Total income from all sources (including contributions)	2019-12-31	$4,349,382
Total of all expenses incurred	2019-12-31	$3,993,455
Total of all expenses incurred	2019-12-31	$3,993,455
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$3,382,628
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$3,382,628
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,969,968
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,969,968
Value of total assets at end of year	2019-12-31	$3,531,663
Value of total assets at end of year	2019-12-31	$3,531,663
Value of total assets at beginning of year	2019-12-31	$3,199,370
Value of total assets at beginning of year	2019-12-31	$3,199,370
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$610,827
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$610,827
Total interest from all sources	2019-12-31	$85,272
Total interest from all sources	2019-12-31	$85,272
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Administrative expenses professional fees incurred	2019-12-31	$127,158
Administrative expenses professional fees incurred	2019-12-31	$127,158
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$5,000,000
Value of fidelity bond cover	2019-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$11,137
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$11,137
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$10,115
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$10,115
Administrative expenses (other) incurred	2019-12-31	$480,669
Administrative expenses (other) incurred	2019-12-31	$480,669
Liabilities. Value of operating payables at end of year	2019-12-31	$2,024
Liabilities. Value of operating payables at end of year	2019-12-31	$2,024
Liabilities. Value of operating payables at beginning of year	2019-12-31	$24,631
Liabilities. Value of operating payables at beginning of year	2019-12-31	$24,631
Total non interest bearing cash at end of year	2019-12-31	$55,560
Total non interest bearing cash at end of year	2019-12-31	$55,560
Total non interest bearing cash at beginning of year	2019-12-31	$162,498
Total non interest bearing cash at beginning of year	2019-12-31	$162,498
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$355,927
Value of net income/loss	2019-12-31	$355,927
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$3,516,519
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$3,160,592
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$3,160,592
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$3,000
Investment advisory and management fees	2019-12-31	$3,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$3,358,979
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$3,358,979
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,979,565
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,979,565
Interest earned on other investments	2019-12-31	$85,272
Interest earned on other investments	2019-12-31	$85,272
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$3,318,504
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$3,318,504
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$3,969,968
Contributions received in cash from employer	2019-12-31	$3,969,968
Employer contributions (assets) at end of year	2019-12-31	$86,120
Employer contributions (assets) at end of year	2019-12-31	$86,120
Employer contributions (assets) at beginning of year	2019-12-31	$27,325
Employer contributions (assets) at beginning of year	2019-12-31	$27,325
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$64,124
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$64,124
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	No
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$13,120
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$13,120
Liabilities. Value of benefit claims payable at beginning of year	2019-12-31	$14,147
Liabilities. Value of benefit claims payable at beginning of year	2019-12-31	$14,147
Assets. Value of buildings and other operty used in plan operation at end of year	2019-12-31	$19,867
Assets. Value of buildings and other operty used in plan operation at end of year	2019-12-31	$19,867
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-12-31	$19,867
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-12-31	$19,867
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Accountancy firm name	2019-12-31	COSTAROTHBORT LLC
Accountancy firm name	2019-12-31	COSTAROTHBORT LLC
Accountancy firm EIN	2019-12-31	465286678
Accountancy firm EIN	2019-12-31	465286678
2018 : I.B.E.W. LOCAL 1430 WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2018-12-31	$-92,659
Total unrealized appreciation/depreciation of assets	2018-12-31	$-92,659
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$38,778
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$21,871
Total income from all sources (including contributions)	2018-12-31	$3,835,336
Total loss/gain on sale of assets	2018-12-31	$251
Total of all expenses incurred	2018-12-31	$4,070,729
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$3,494,165
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$3,852,332
Value of total assets at end of year	2018-12-31	$3,199,370
Value of total assets at beginning of year	2018-12-31	$3,417,856
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$576,564
Total interest from all sources	2018-12-31	$75,412
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$114,800
Was this plan covered by a fidelity bond	2018-12-31	No
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Participant contributions at beginning of year	2018-12-31	$17,119
Assets. Other investments not covered elsewhere at end of year	2018-12-31	$2,979,565
Assets. Other investments not covered elsewhere at beginning of year	2018-12-31	$2,996,561
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$10,115
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$9,943
Administrative expenses (other) incurred	2018-12-31	$458,764
Liabilities. Value of operating payables at end of year	2018-12-31	$24,631
Liabilities. Value of operating payables at beginning of year	2018-12-31	$2,616
Total non interest bearing cash at end of year	2018-12-31	$162,498
Total non interest bearing cash at beginning of year	2018-12-31	$335,359
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-235,393
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$3,160,592
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$3,395,985
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$3,000
Interest earned on other investments	2018-12-31	$75,412
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$3,405,365
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$3,852,332
Employer contributions (assets) at end of year	2018-12-31	$27,325
Employer contributions (assets) at beginning of year	2018-12-31	$39,007
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$88,800
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Liabilities. Value of benefit claims payable at end of year	2018-12-31	$14,147
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$19,255
Assets. Value of buildings and other operty used in plan operation at end of year	2018-12-31	$19,867
Assets. Value of buildings and other operty used in plan operation at beginning of year	2018-12-31	$19,867
Did the plan have assets held for investment	2018-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Aggregate proceeds on sale of assets	2018-12-31	$251
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	No
Opinion of an independent qualified public accountant for this plan	2018-12-31	Unqualified
Accountancy firm name	2018-12-31	COSTAROTHBORT LLC
Accountancy firm EIN	2018-12-31	465286678
2017 : I.B.E.W. LOCAL 1430 WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$150,038
Total unrealized appreciation/depreciation of assets	2017-12-31	$150,038
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$21,871
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$111,892
Total income from all sources (including contributions)	2017-12-31	$3,668,798
Total loss/gain on sale of assets	2017-12-31	$712
Total of all expenses incurred	2017-12-31	$3,663,205
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$3,103,245
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$3,454,019
Value of total assets at end of year	2017-12-31	$3,417,856
Value of total assets at beginning of year	2017-12-31	$3,502,284
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$559,960
Total interest from all sources	2017-12-31	$64,029
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$113,738
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$750,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$25,020
Participant contributions at end of year	2017-12-31	$17,119
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$2,996,561
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$2,921,781
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$9,943
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$10,288
Administrative expenses (other) incurred	2017-12-31	$443,222
Liabilities. Value of operating payables at end of year	2017-12-31	$2,616
Liabilities. Value of operating payables at beginning of year	2017-12-31	$37,407
Total non interest bearing cash at end of year	2017-12-31	$335,359
Total non interest bearing cash at beginning of year	2017-12-31	$525,235
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$5,593
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$3,395,985
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$3,390,392
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$3,000
Interest earned on other investments	2017-12-31	$64,029
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$2,961,682
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$3,428,999
Employer contributions (assets) at end of year	2017-12-31	$39,007
Employer contributions (assets) at beginning of year	2017-12-31	$25,113
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$141,563
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Liabilities. Value of benefit claims payable at end of year	2017-12-31	$19,255
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$74,485
Assets. Value of buildings and other operty used in plan operation at end of year	2017-12-31	$19,867
Assets. Value of buildings and other operty used in plan operation at beginning of year	2017-12-31	$19,867
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Aggregate proceeds on sale of assets	2017-12-31	$712
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	COSTAROTHBORT LLC
Accountancy firm EIN	2017-12-31	465286678
2016 : I.B.E.W. LOCAL 1430 WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$83,521
Total unrealized appreciation/depreciation of assets	2016-12-31	$83,521
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$111,892
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$123,224
Total income from all sources (including contributions)	2016-12-31	$3,380,981
Total of all expenses incurred	2016-12-31	$4,156,934
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$3,466,816
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$3,219,494
Value of total assets at end of year	2016-12-31	$3,502,284
Value of total assets at beginning of year	2016-12-31	$4,289,569
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$690,118
Total interest from all sources	2016-12-31	$68,443
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$117,379
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$750,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$8,057
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$2,921,781
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$1,566,957
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$10,288
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$15,150
Other income not declared elsewhere	2016-12-31	$9,523
Administrative expenses (other) incurred	2016-12-31	$562,050
Liabilities. Value of operating payables at end of year	2016-12-31	$37,407
Liabilities. Value of operating payables at beginning of year	2016-12-31	$25,107
Total non interest bearing cash at end of year	2016-12-31	$525,235
Total non interest bearing cash at beginning of year	2016-12-31	$225,704
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-775,953
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$3,390,392
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,166,345
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$10,689
Interest earned on other investments	2016-12-31	$68,443
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$70,569
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$70,569
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$2,887,619
Asset value of US Government securities at beginning of year	2016-12-31	$1,131,368
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$3,211,437
Employer contributions (assets) at end of year	2016-12-31	$25,113
Employer contributions (assets) at beginning of year	2016-12-31	$151,088
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$579,197
Asset. Corporate debt instrument debt (other) at beginning of year	2016-12-31	$1,108,866
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$74,485
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$98,117
Assets. Value of buildings and other operty used in plan operation at end of year	2016-12-31	$19,867
Assets. Value of buildings and other operty used in plan operation at beginning of year	2016-12-31	$19,867
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	COSTAROTHBORT LLC
Accountancy firm EIN	2016-12-31	465286678
2015 : I.B.E.W. LOCAL 1430 WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$-112,355
Total unrealized appreciation/depreciation of assets	2015-12-31	$-112,355
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$123,224
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$79,356
Total income from all sources (including contributions)	2015-12-31	$3,637,177
Total of all expenses incurred	2015-12-31	$4,095,531
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$3,525,200
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$3,625,163
Value of total assets at end of year	2015-12-31	$4,289,569
Value of total assets at beginning of year	2015-12-31	$4,704,055
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$570,331
Total interest from all sources	2015-12-31	$124,369
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$114,756
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$750,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$6,759
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$1,566,957
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$681,395
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$15,150
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$25,223
Administrative expenses (other) incurred	2015-12-31	$439,886
Liabilities. Value of operating payables at end of year	2015-12-31	$25,107
Liabilities. Value of operating payables at beginning of year	2015-12-31	$5,877
Total non interest bearing cash at end of year	2015-12-31	$225,704
Total non interest bearing cash at beginning of year	2015-12-31	$190,487
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-458,354
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,166,345
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,624,699
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$15,689
Interest earned on other investments	2015-12-31	$124,369
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$70,569
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$75,353
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$75,353
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$3,003,544
Asset value of US Government securities at end of year	2015-12-31	$1,131,368
Asset value of US Government securities at beginning of year	2015-12-31	$1,199,394
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$3,618,404
Employer contributions (assets) at end of year	2015-12-31	$151,088
Employer contributions (assets) at beginning of year	2015-12-31	$110,724
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$521,656
Asset. Corporate debt instrument debt (other) at end of year	2015-12-31	$1,108,866
Asset. Corporate debt instrument debt (other) at beginning of year	2015-12-31	$1,353,283
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2015-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-12-31	$1,048,329
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$98,117
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$73,479
Assets. Value of buildings and other operty used in plan operation at end of year	2015-12-31	$19,867
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-12-31	$19,867
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	COSTAROTHBORT CPAS LLC
Accountancy firm EIN	2015-12-31	465286678
2014 : I.B.E.W. LOCAL 1430 WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$219,053
Total unrealized appreciation/depreciation of assets	2014-12-31	$219,053
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$79,356
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$66,641
Total income from all sources (including contributions)	2014-12-31	$4,434,948
Total of all expenses incurred	2014-12-31	$4,585,939
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$3,974,871
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$4,106,948
Value of total assets at end of year	2014-12-31	$4,704,055
Value of total assets at beginning of year	2014-12-31	$4,842,331
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$611,068
Total interest from all sources	2014-12-31	$108,947
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$108,734
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$750,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$21,830
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$681,395
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$25,223
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$19,775
Administrative expenses (other) incurred	2014-12-31	$476,645
Liabilities. Value of operating payables at end of year	2014-12-31	$5,877
Liabilities. Value of operating payables at beginning of year	2014-12-31	$7,054
Total non interest bearing cash at end of year	2014-12-31	$190,487
Total non interest bearing cash at beginning of year	2014-12-31	$182,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-150,991
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,624,699
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,775,690
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$25,689
Interest earned on other investments	2014-12-31	$108,947
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$75,353
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$180,814
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$180,814
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$3,368,943
Asset value of US Government securities at end of year	2014-12-31	$1,199,394
Asset value of US Government securities at beginning of year	2014-12-31	$1,493,015
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$4,085,118
Employer contributions (assets) at end of year	2014-12-31	$110,724
Employer contributions (assets) at beginning of year	2014-12-31	$239,271
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$605,928
Asset. Corporate debt instrument debt (other) at end of year	2014-12-31	$1,353,283
Asset. Corporate debt instrument debt (other) at beginning of year	2014-12-31	$1,678,242
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$1,048,329
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-12-31	$1,029,318
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$73,479
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$59,587
Assets. Value of buildings and other operty used in plan operation at end of year	2014-12-31	$19,867
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-12-31	$19,867
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	COSTAROTHBORT LLC
Accountancy firm EIN	2014-12-31	465286678
2013 : I.B.E.W. LOCAL 1430 WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$137,781
Total unrealized appreciation/depreciation of assets	2013-12-31	$137,781
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$66,641
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$435,081
Total income from all sources (including contributions)	2013-12-31	$4,739,369
Total loss/gain on sale of assets	2013-12-31	$-50,246
Total of all expenses incurred	2013-12-31	$4,839,125
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$4,255,298
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$4,556,204
Value of total assets at end of year	2013-12-31	$4,842,331
Value of total assets at beginning of year	2013-12-31	$5,310,527
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$583,827
Total interest from all sources	2013-12-31	$95,630
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$103,300
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$750,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$44,884
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$19,775
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$19,887
Administrative expenses (other) incurred	2013-12-31	$451,395
Liabilities. Value of operating payables at end of year	2013-12-31	$7,054
Liabilities. Value of operating payables at beginning of year	2013-12-31	$6,766
Total non interest bearing cash at end of year	2013-12-31	$182,029
Total non interest bearing cash at beginning of year	2013-12-31	$411,147
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-99,756
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,775,690
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,875,446
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$29,132
Interest earned on other investments	2013-12-31	$95,628
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$180,814
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$38,702
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$38,702
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$2
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$3,663,917
Asset value of US Government securities at end of year	2013-12-31	$1,493,015
Asset value of US Government securities at beginning of year	2013-12-31	$2,695,681
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$4,511,320
Employer contributions (assets) at end of year	2013-12-31	$239,271
Employer contributions (assets) at beginning of year	2013-12-31	$259,517
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$591,381
Asset. Corporate debt instrument debt (other) at end of year	2013-12-31	$1,678,242
Asset. Corporate debt instrument debt (other) at beginning of year	2013-12-31	$1,068,228
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2013-12-31	$1,029,318
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$797,498
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$59,587
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$428,315
Assets. Value of buildings and other operty used in plan operation at end of year	2013-12-31	$19,867
Assets. Value of buildings and other operty used in plan operation at beginning of year	2013-12-31	$19,867
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Aggregate proceeds on sale of assets	2013-12-31	$400,000
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$450,246
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	COSTAROTHBORT LLC
Accountancy firm EIN	2013-12-31	465286678
2012 : I.B.E.W. LOCAL 1430 WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$112,922
Total unrealized appreciation/depreciation of assets	2012-12-31	$112,922
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$435,081
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$54,933
Total income from all sources (including contributions)	2012-12-31	$4,487,754
Total loss/gain on sale of assets	2012-12-31	$150,705
Total of all expenses incurred	2012-12-31	$4,519,918
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$3,981,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$4,114,841
Value of total assets at end of year	2012-12-31	$5,310,527
Value of total assets at beginning of year	2012-12-31	$4,962,543
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$537,925
Total interest from all sources	2012-12-31	$88,171
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$21,115
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$78,722
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$750,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$56,253
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$19,887
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$99,470
Administrative expenses (other) incurred	2012-12-31	$432,968
Liabilities. Value of operating payables at end of year	2012-12-31	$6,766
Liabilities. Value of operating payables at beginning of year	2012-12-31	$9,265
Total non interest bearing cash at end of year	2012-12-31	$411,147
Total non interest bearing cash at beginning of year	2012-12-31	$459,521
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-32,164
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,875,446
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$4,907,610
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$26,235
Interest earned on other investments	2012-12-31	$13,386
Income. Interest from US Government securities	2012-12-31	$26,631
Income. Interest from corporate debt instruments	2012-12-31	$48,130
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$38,702
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$53,079
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$53,079
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$24
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$3,343,547
Asset value of US Government securities at end of year	2012-12-31	$2,695,681
Asset value of US Government securities at beginning of year	2012-12-31	$693,164
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$4,058,588
Employer contributions (assets) at end of year	2012-12-31	$259,517
Employer contributions (assets) at beginning of year	2012-12-31	$166,740
Income. Dividends from common stock	2012-12-31	$21,115
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$638,446
Asset. Corporate debt instrument debt (other) at end of year	2012-12-31	$1,068,228
Asset. Corporate debt instrument debt (other) at beginning of year	2012-12-31	$2,777,078
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$797,498
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$693,624
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$428,315
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$45,668
Assets. Value of buildings and other operty used in plan operation at end of year	2012-12-31	$19,867
Assets. Value of buildings and other operty used in plan operation at beginning of year	2012-12-31	$19,867
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$21,405,331
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$21,254,626
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	LAWRENCE S. FISCHER, CPA
Accountancy firm EIN	2012-12-31	522326815
2011 : I.B.E.W. LOCAL 1430 WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$10,961
Total unrealized appreciation/depreciation of assets	2011-12-31	$10,961
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$54,933
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$83,615
Total income from all sources (including contributions)	2011-12-31	$4,220,975
Total loss/gain on sale of assets	2011-12-31	$190,883
Total of all expenses incurred	2011-12-31	$3,918,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$3,384,450
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,923,782
Value of total assets at end of year	2011-12-31	$4,962,543
Value of total assets at beginning of year	2011-12-31	$4,679,284
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$533,550
Total interest from all sources	2011-12-31	$78,229
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$17,120
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$71,477
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$750,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$65,271
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$99,470
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$124,717
Administrative expenses (other) incurred	2011-12-31	$433,890
Liabilities. Value of operating payables at end of year	2011-12-31	$9,265
Liabilities. Value of operating payables at beginning of year	2011-12-31	$17,116
Total non interest bearing cash at end of year	2011-12-31	$459,521
Total non interest bearing cash at beginning of year	2011-12-31	$479,236
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$302,975
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$4,907,610
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$4,595,669
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$28,183
Interest earned on other investments	2011-12-31	$11,709
Income. Interest from US Government securities	2011-12-31	$27,894
Income. Interest from corporate debt instruments	2011-12-31	$38,624
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$53,079
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$214,211
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$214,211
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$2
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$2,783,126
Asset value of US Government securities at end of year	2011-12-31	$693,164
Asset value of US Government securities at beginning of year	2011-12-31	$2,257,071
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$3,858,511
Employer contributions (assets) at end of year	2011-12-31	$166,740
Employer contributions (assets) at beginning of year	2011-12-31	$136,463
Income. Dividends from common stock	2011-12-31	$17,120
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$601,324
Asset. Corporate debt instrument debt (other) at end of year	2011-12-31	$2,777,078
Asset. Corporate debt instrument debt (other) at beginning of year	2011-12-31	$756,151
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$693,624
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$691,568
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$45,668
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$66,499
Assets. Value of buildings and other operty used in plan operation at end of year	2011-12-31	$19,867
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-12-31	$19,867
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$17,913,196
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$17,722,313
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	LAWRENCE S. FISCHER, CPA
Accountancy firm EIN	2011-12-31	522326815
2010 : I.B.E.W. LOCAL 1430 WELFARE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$33,816
Total unrealized appreciation/depreciation of assets	2010-12-31	$33,816
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$83,615
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$430,766
Total income from all sources (including contributions)	2010-12-31	$3,667,493
Total loss/gain on sale of assets	2010-12-31	$75,104
Total of all expenses incurred	2010-12-31	$3,818,136
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$3,308,559
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$3,423,464
Value of total assets at end of year	2010-12-31	$4,575,646
Value of total assets at beginning of year	2010-12-31	$4,843,623
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$509,577
Total interest from all sources	2010-12-31	$119,727
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$15,382
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$63,165
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$750,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$29,413
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$21,079
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$116,809
Administrative expenses (other) incurred	2010-12-31	$412,517
Liabilities. Value of operating payables at end of year	2010-12-31	$17,116
Liabilities. Value of operating payables at beginning of year	2010-12-31	$14,593
Total non interest bearing cash at end of year	2010-12-31	$479,236
Total non interest bearing cash at beginning of year	2010-12-31	$888,547
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-150,643
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$4,492,031
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$4,412,857
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$33,895
Interest earned on other investments	2010-12-31	$9,494
Income. Interest from US Government securities	2010-12-31	$54,363
Income. Interest from corporate debt instruments	2010-12-31	$55,860
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$214,211
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$33,049
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$33,049
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$10
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$2,741,912
Asset value of US Government securities at end of year	2010-12-31	$2,257,071
Asset value of US Government securities at beginning of year	2010-12-31	$1,977,986
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$3,394,051
Employer contributions (assets) at end of year	2010-12-31	$136,463
Employer contributions (assets) at beginning of year	2010-12-31	$131,437
Income. Dividends from preferred stock	2010-12-31	$80
Income. Dividends from common stock	2010-12-31	$15,302
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$566,647
Asset. Corporate debt instrument debt (other) at end of year	2010-12-31	$756,151
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$1,071,704
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$691,568
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$604,224
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$66,499
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$416,173
Assets. Value of buildings and other operty used in plan operation at end of year	2010-12-31	$19,867
Assets. Value of buildings and other operty used in plan operation at beginning of year	2010-12-31	$19,867
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$37,897,532
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$37,822,428
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	LAWRENCE S. FISCHER, CPA
Accountancy firm EIN	2010-12-31	522326815

Form 5500 Responses for I.B.E.W. LOCAL 1430 WELFARE FUND

2023: I.B.E.W. LOCAL 1430 WELFARE FUND 2023 form 5500 responses
2023-01-01	Type of plan entity	Multi-employer plan
2023-01-01	Submission has been amended	Yes
2023-01-01	Plan is a collectively bargained plan	Yes
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: I.B.E.W. LOCAL 1430 WELFARE FUND 2022 form 5500 responses
2022-01-01	Type of plan entity	Multi-employer plan
2022-01-01	Plan is a collectively bargained plan	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: I.B.E.W. LOCAL 1430 WELFARE FUND 2021 form 5500 responses
2021-01-01	Type of plan entity	Multi-employer plan
2021-01-01	Plan is a collectively bargained plan	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: I.B.E.W. LOCAL 1430 WELFARE FUND 2020 form 5500 responses
2020-01-01	Type of plan entity	Multi-employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	Plan is a collectively bargained plan	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: I.B.E.W. LOCAL 1430 WELFARE FUND 2019 form 5500 responses
2019-01-01	Type of plan entity	Multi-employer plan
2019-01-01	Plan is a collectively bargained plan	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: I.B.E.W. LOCAL 1430 WELFARE FUND 2018 form 5500 responses
2018-01-01	Type of plan entity	Multi-employer plan
2018-01-01	Plan is a collectively bargained plan	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: I.B.E.W. LOCAL 1430 WELFARE FUND 2017 form 5500 responses
2017-01-01	Type of plan entity	Multi-employer plan
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: I.B.E.W. LOCAL 1430 WELFARE FUND 2016 form 5500 responses
2016-01-01	Type of plan entity	Multi-employer plan
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: I.B.E.W. LOCAL 1430 WELFARE FUND 2015 form 5500 responses
2015-01-01	Type of plan entity	Multi-employer plan
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: I.B.E.W. LOCAL 1430 WELFARE FUND 2014 form 5500 responses
2014-01-01	Type of plan entity	Multi-employer plan
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: I.B.E.W. LOCAL 1430 WELFARE FUND 2013 form 5500 responses
2013-01-01	Type of plan entity	Multi-employer plan
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: I.B.E.W. LOCAL 1430 WELFARE FUND 2012 form 5500 responses
2012-01-01	Type of plan entity	Multi-employer plan
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: I.B.E.W. LOCAL 1430 WELFARE FUND 2011 form 5500 responses
2011-01-01	Type of plan entity	Multi-employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: I.B.E.W. LOCAL 1430 WELFARE FUND 2010 form 5500 responses
2010-01-01	Type of plan entity	Multi-employer plan
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: I.B.E.W. LOCAL 1430 WELFARE FUND 2009 form 5500 responses
2009-01-01	Type of plan entity	Multi-employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )

Policy contract number

1124081 000

Policy instance

Insurance contract or identification number	1124081 000
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

C-4308

Policy instance

Insurance contract or identification number	C-4308
Insurance policy start date	2022-08-01
Insurance policy end date	2023-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	POOLED AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )

Policy contract number

1124081 000

Policy instance

Insurance contract or identification number	1124081 000
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $93,718
Total amount of fees paid to insurance company	USD $60,297
Welfare Benefit Premiums Paid to Carrier	USD $3,222,907
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $93,718
Amount paid for insurance broker fees	60297

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

C-4308

Policy instance

Insurance contract or identification number	C-4308
Insurance policy start date	2021-08-01
Insurance policy end date	2022-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	POOLED AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )

Policy contract number

1124081 000

Policy instance

Insurance contract or identification number	1124081 000
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $36,694
Total amount of fees paid to insurance company	USD $24,463
Welfare Benefit Premiums Paid to Carrier	USD $1,398,911
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $36,694
Amount paid for insurance broker fees	24463

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

C-4308

Policy instance

Insurance contract or identification number	C-4308
Insurance policy start date	2020-08-01
Insurance policy end date	2021-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	POOLED AD&D
Welfare Benefit Premiums Paid to Carrier	USD $8,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )

Policy contract number

210E1GY62-67

Policy instance

Insurance contract or identification number	210E1GY62-67
Insurance policy start date	2020-02-01
Insurance policy end date	2021-01-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $3,114,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

C-4308

Policy instance

Insurance contract or identification number	C-4308
Insurance policy start date	2020-08-01
Insurance policy end date	2021-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	POOLED AD&D
Welfare Benefit Premiums Paid to Carrier	USD $43,438
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )

Policy contract number

210E1GY62-67

Policy instance

Insurance contract or identification number	210E1GY62-67
Number of Individuals Covered	206
Insurance policy start date	2019-02-01
Insurance policy end date	2020-01-31
Total amount of commissions paid to insurance broker	USD $139,207
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $3,322,555
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $139,207

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

C-4308

Policy instance

Insurance contract or identification number	C-4308
Insurance policy start date	2018-08-01
Insurance policy end date	2019-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	POOLED AD&D
Welfare Benefit Premiums Paid to Carrier	USD $16,134
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

C-4308

Policy instance

Insurance contract or identification number	C-4308
Number of Individuals Covered	198
Insurance policy start date	2017-08-01
Insurance policy end date	2018-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	POOLED AD&D
Welfare Benefit Premiums Paid to Carrier	USD $28,285
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

IH2684

Policy instance

Insurance contract or identification number	IH2684
Number of Individuals Covered	435
Insurance policy start date	2018-02-01
Insurance policy end date	2019-01-31
Total amount of commissions paid to insurance broker	USD $136,165
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $3,423,795
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $136,165

OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

IH2684

Policy instance

Insurance contract or identification number	IH2684
Number of Individuals Covered	435
Insurance policy start date	2017-02-01
Insurance policy end date	2018-01-31
Total amount of commissions paid to insurance broker	USD $120,061
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $3,014,017
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $120,061
Insurance broker name	VINCENT SOMBROTTO

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )

Policy contract number

G000AKZZ

Policy instance

Insurance contract or identification number	G000AKZZ
Number of Individuals Covered	16
Insurance policy start date	2017-03-01
Insurance policy end date	2018-03-01
Total amount of commissions paid to insurance broker	USD $1,457
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $9,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,457
Insurance broker organization code?	3
Insurance broker name	THE WHITMORE GROUP

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

C-4308

Policy instance

Insurance contract or identification number	C-4308
Number of Individuals Covered	198
Insurance policy start date	2016-08-01
Insurance policy end date	2017-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	POOLED AD&D
Welfare Benefit Premiums Paid to Carrier	USD $14,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	DGH LIMITED

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

G-3019

Policy instance

Insurance contract or identification number	G-3019
Insurance policy start date	2014-08-01
Insurance policy end date	2015-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $16,116
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	DONALD G. HAMM DGH LIMITED

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

C-4308

Policy instance

Insurance contract or identification number	C-4308
Insurance policy start date	2014-08-01
Insurance policy end date	2015-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	POOLED AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	DGH LIMITED

EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )

Policy contract number

210E1GC96

Policy instance

Insurance contract or identification number	210E1GC96
Number of Individuals Covered	234
Insurance policy start date	2015-05-01
Insurance policy end date	2016-04-30
Total amount of commissions paid to insurance broker	USD $116,324
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $2,908,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $116,324
Insurance broker name	VINCENT SOMBROTTO

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )

Policy contract number

G000AKZZ

Policy instance

Insurance contract or identification number	G000AKZZ
Insurance policy start date	2015-03-01
Insurance policy end date	2016-03-01
Total amount of commissions paid to insurance broker	USD $1,366
Total amount of fees paid to insurance company	USD $291
Welfare Benefit Premiums Paid to Carrier	USD $9,108
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,366
Amount paid for insurance broker fees	291
Insurance broker organization code?	3
Insurance broker name	THE WHITMORE GROUP

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )

Policy contract number

G000AKZZ

Policy instance

Insurance contract or identification number	G000AKZZ
Number of Individuals Covered	30
Insurance policy start date	2014-03-01
Insurance policy end date	2015-03-01
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,971
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1971
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3
Insurance broker name	THE WHITMORE GROUP

EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )

Policy contract number

210E1GC96

Policy instance

Insurance contract or identification number	210E1GC96
Number of Individuals Covered	234
Insurance policy start date	2014-05-01
Insurance policy end date	2015-04-30
Total amount of commissions paid to insurance broker	USD $129,220
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Welfare Benefit Premiums Paid to Carrier	USD $3,230,524
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $129,220
Insurance broker name	VINCENT SOMBROTTO

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

C-4308

Policy instance

Insurance contract or identification number	C-4308
Number of Individuals Covered	261
Insurance policy start date	2013-08-01
Insurance policy end date	2014-07-31
Total amount of commissions paid to insurance broker	USD $589
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	POOLED AD&D
Welfare Benefit Premiums Paid to Carrier	USD $22,037
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $589
Additional information about fees paid to insurance broker	FULLFILLMENT OF COMMISSION AGREEMENT
Insurance broker organization code?	3
Insurance broker name	DGH LIMITED

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

G-3019

Policy instance

Insurance contract or identification number	G-3019
Number of Individuals Covered	261
Insurance policy start date	2013-08-01
Insurance policy end date	2014-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	DONALD G. HAMM DGH LIMITED

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

C-4308

Policy instance

Insurance contract or identification number	C-4308
Number of Individuals Covered	261
Insurance policy start date	2012-08-01
Insurance policy end date	2013-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	POOLED AD&D
Welfare Benefit Premiums Paid to Carrier	USD $1,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

G-3019

Policy instance

Insurance contract or identification number	G-3019
Number of Individuals Covered	261
Insurance policy start date	2012-08-01
Insurance policy end date	2013-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	DONALD G. HAMM DGH LIMITED

EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )

Policy contract number

210E1GC96

Policy instance

Insurance contract or identification number	210E1GC96
Number of Individuals Covered	384
Insurance policy start date	2012-05-01
Insurance policy end date	2013-04-30
Total amount of commissions paid to insurance broker	USD $210,917
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Welfare Benefit Premiums Paid to Carrier	USD $3,515,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $210,917
Insurance broker name	VINCENT SOMBROTTO & MICHAEL VILLANO

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )

Policy contract number

G000AKZZ

Policy instance

Insurance contract or identification number	G000AKZZ
Number of Individuals Covered	29
Insurance policy start date	2012-03-01
Insurance policy end date	2013-03-01
Total amount of commissions paid to insurance broker	USD $1,821
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Welfare Benefit Premiums Paid to Carrier	USD $12,142
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,821
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3
Insurance broker name	THE WHITMORE GROUP LTD

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

C-4308

Policy instance

Insurance contract or identification number	C-4308
Number of Individuals Covered	308
Insurance policy start date	2011-08-01
Insurance policy end date	2012-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	POOLED AD&D
Welfare Benefit Premiums Paid to Carrier	USD $2,277
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )

Policy contract number

430560

Policy instance

Insurance contract or identification number	430560
Number of Individuals Covered	9
Insurance policy start date	2012-01-01
Insurance policy end date	2012-02-29
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $50
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $333
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	50
Insurance broker organization code?	3
Insurance broker name	THE D B L CENTER LTD

THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )

Policy contract number

430560

Policy instance

Insurance contract or identification number	430560
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $417
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,084
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	417
Insurance broker organization code?	3
Insurance broker name	THE D B L CENTER LTD

EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )

Policy contract number

210E1GC96

Policy instance

Insurance contract or identification number	210E1GC96
Number of Individuals Covered	318
Insurance policy start date	2011-05-01
Insurance policy end date	2012-04-30
Total amount of commissions paid to insurance broker	USD $180,054
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $180,054
Insurance broker name	VINCENT SOMBROTTO & MICHAEL VILLANO

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

G-3019

Policy instance

Insurance contract or identification number	G-3019
Number of Individuals Covered	308
Insurance policy start date	2011-08-01
Insurance policy end date	2012-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	DONALD G. HAMM DGH LIMITED

EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )

Policy contract number

210E1GC96

Policy instance

Insurance contract or identification number	210E1GC96
Number of Individuals Covered	318
Insurance policy start date	2010-02-01
Insurance policy end date	2011-04-30
Total amount of commissions paid to insurance broker	USD $182,863
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Welfare Benefit Premiums Paid to Carrier	USD $3,119,575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

G-3019

Policy instance

Insurance contract or identification number	G-3019
Number of Individuals Covered	284
Insurance policy start date	2010-08-01
Insurance policy end date	2011-07-31
Total amount of commissions paid to insurance broker	USD $1,050
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

C-4308

Policy instance

Insurance contract or identification number	C-4308
Insurance policy start date	2010-08-01
Insurance policy end date	2011-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	POOLED AD&D
Welfare Benefit Premiums Paid to Carrier	USD $2,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )

Policy contract number

430560

Policy instance

Insurance contract or identification number	430560
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )

Policy contract number

430560

Policy instance

Insurance contract or identification number	430560
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

G-3019

Policy instance

Insurance contract or identification number	G-3019
Number of Individuals Covered	276
Insurance policy start date	2009-08-01
Insurance policy end date	2010-07-31
Total amount of commissions paid to insurance broker	USD $1,018
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,018
Additional information about fees paid to insurance broker	FULFILLMENT OF COMMISSION AGREEMENT
Insurance broker organization code?	3
Insurance broker name	DONALD G. HAMM DGH LIMITED

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )

Policy contract number

C-4308

Policy instance

Insurance contract or identification number	C-4308
Number of Individuals Covered	276
Insurance policy start date	2009-08-01
Insurance policy end date	2010-07-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	POOLED AD&D
Welfare Benefit Premiums Paid to Carrier	USD $2,008
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )

Policy contract number

430560

Policy instance

Insurance contract or identification number	430560
Number of Individuals Covered	7
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $214
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $214
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	THE D B L CENTER LTD

THE STANDARD LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 89009 )

Policy contract number

430560

Policy instance

Insurance contract or identification number	430560
Number of Individuals Covered	29
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $2,174
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,174
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	THE D B L CENTER LTD

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Company Name:	BOARD OF TRUSTEES OF LOCAL 1430 WELFARE FUND
Employer identification number (EIN):	131835737
NAIC Classification:	524140