2024-05-03T15:54:21-05:00 2023-06-30 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE STE 1200W BETHESDA MD 20814 990 2022-07-01 521863202 ASBESTOS WORKERS LOCAL UNION NO 80 SUPPLEMENTAL MEDICAL PLAN ASBE 8886322887 2010 N W 150TH AVENUE 200 PEMBROKE PINES FL 33028 RON PIERSOL TRUSTEE 8886322887 2024-05-01 1 RON PIERSOL 999009999 0 JOSEPH M HERISHEN CPA P00361968 2023319880 2024-05-03 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RON PIERSOL 2010 N W 150TH AVENUE 200 PEMBROKE PINES FL 33028 1898613 0 X N/A X 1994 WV PROVISION OF MEDICAL, WEEKLY ACCIDENT & SICKNESS AND RETIREE HEALTH INSURANCE BENEFITS TO MEMBERS OF ASBESTOS WORKERS LOCAL UNION NO. 80. 6 6 0 0 0 0 0 0 1333361 1235498 357632 219878 0 0 1690993 1455376 0 0 1880014 1570994 0 0 0 0 0 101653 108805 1981667 1679799 -290674 -224423 9067074 9368956 1640 168 9065434 9368788 PROVISION OF MEDICAL, WEEKLY ACCIDENT & SICKNESS AND RETIREE HEALTH INSURANCE BENEFITS TO MEMBERS OF ASBESTOS WORKERS LOCAL UNION NO. 80. 0 0 ACTIVITIES DURING THE PERIOD CONSISTED OF ACCUMULATING AND INVESTING FUNDS TO PROVIDE MEDICAL, WEEKLY ACCIDENT AND SICKNESS AND RETIREE HEALTH INSURANCE BENEFITS TO UNION MEMBERS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 X CARDAY ASSOCIATES INC 4108729500 7130 COLUMBIA GATEWAY DR COLUMBIA MD 21046 MARK ATRIP TRUSTEE - EMPLOYER 1.00 X 0 0 0 DAN PATTERSON TRUSTEE - EMPLOYER 1.00 X 0 0 0 RYAN PATTERSON TRUSTEE - EMPLOYER 1.00 X 0 0 0 RON PIERSOL JR TRUSTEE - UNION 1.00 X 0 97429 0 J TODD MOTZ TRUSTEE - UNION 1.00 X 0 90550 0 NATE GARDNER TRUSTEE - UNION 1.00 X 0 5950 0 0 193929 0 0 0 0 0 0 CONTRIBUTIONS 1235498 1235498 1235498 108115 108115 555000 443237 111763 111763 111763 1455376 1347261 0 108115 1570994 60000 7379 15162 16200 1862 3613 INSURANCE EXPENSE 3901 BANK CHARGES 688 1679799 147859 125142 98036 62120 780 1466 8820399 9180228 9067074 9368956 1640 168 1640 168 X 9065434 9368788 0 0 0 0 9065434 9368788 9067074 9368956 -224423 527777 0 X X 1 X 1 X 1 0 0 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION. THE PLAN ADMINISTRATOR IS NOT AWARE OF ANY UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE TPA. THE TPA DISTRIBUTES THE 990 TO THE MEMBERS OF THE BOARD OF TRUSTEES FOR FINAL APPROVAL BEFORE FILING. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC MARK ATRIP - 4998 STATE ROUTE 34, P.O. BOX 806, WINFIELD, WV 25213. DAN PATTERSON - 4998 STATE ROUTE 34, P.O. BOX 806, WINFIELD, WV 25213. RYAN PATTERSON - 4998 STATE ROUTE 34, P.O. BOX 806, WINFIELD, WV 25213. RON PIERSOL, JR - 4998 STATE ROUTE 34, P.O. BOX 806, WINFIELD, WV 25213. J. TODD MOTZ - 4998 STATE ROUTE 34, P.O. BOX 806, WINFIELD, WV 25213. NATE GARDNER - 4998 STATE ROUTE 34, P.O. BOX 806, WINFIELD, WV 25213. PART XII -LINE 2 (C) - COMMITTEE REVIEW THE FUND'S BOARD OF TRUSTEES REVIEWS THE ANNUAL FISCAL YEAR END AUDIT; INCLUDING AN ANNUAL PRESENTATION BY THE CERTIFIED PUBLIC ACCOUNTANT. INTL ASSOCIATON OF HEAT & FROST INSULATORS & ALLIED WORKERS LOCAL 80 7901 STATE ROUTE 34 WINFIELD WV 25213 550381053 0 ASBESTOS WORKERS LOCAL UNION NO 80 SUPPLEMENTAL PENSION FUND 7130 COLUMBIA GATEWAY DRIVE STE A COLUMBIA MD 21046 521863206 0 GEORGE V HAMILTON INC RIVER AVE MCKEES ROCKS PA 15136 250926783 0 INDUST ENVIRONMENTAL INC 645 FENWICK LANE SPRINGFIELD KY 40069 611118908 0 UNITED CONSTRUCTION CO PO BOX 4859 PARKERSBURG WV 26104 550676159 0 JJ WHITE INC 5500 BINGHAM ST PHILADELPHIA PA 18120 231216160 0 MT STATE MECH INSUL INC PO BOX 112 BRIDGEPORT WV 26330 270949580 0 ADVANCED ENERGY SOLUTIONS PO BOX 1110 PARKERSBURG WV 26102 263750705 0 BURNHAM INDUSTRIAL CORP 3229 BABCOCK BLVD PITTSBURGH PA 15237 251476695 0 RE KRAMIG INC 323 S WAYNE AVE CINCINNATI OH 45215 205344587 0 THERMAL SOLUTIONS INC 9329 COUNTY RD 107 PROCTORVILLE OH 45669 550772752 0 ASTAR ABATEMENT INC PO BOX 13533 SISSONVILLE WV 25360 550730985 0 PERFORMANCE ABATEMENT SVC 16400 COLLEGE BLVD LENEXA KS 66219 561552573 0 EPI INSULATION CO INC PO BOX 1794 PARKERSBURG WV 26102 311376738 0 ASTAR INC PO BOX 13533 SISSONVILLE WV 25360 550729862 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0