TY 2013 Form 990

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	0	1	288,397
2	Savings and temporary cash investments .........		2
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	9,947,632	4	10,348,751
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............		8
9	Prepaid expenses and deferred charges ..........	48,689	9	45,188
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,637,492
b	Less: accumulated depreciation .....	10b	4,459,057	261,142	10c	178,435
11	Investments—publicly traded securities ..........	25,015,958	11	29,847,853
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	0	15	429,014
16	Total assets. Add lines 1 through 15 (must equal line 34)......	35,273,421	16	41,137,638
	17	Accounts payable and accrued expenses .........	154,695	17	1,811,012
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	11,584,000	25	11,946,000
26	Total liabilities. Add lines 17 through 25.........	11,738,695	26	13,757,012
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............		27
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........	0	30	0
31	Paid-in or capital surplus, or land, building or equipment fund .....	0	31	0
32	Retained earnings, endowment, accumulated income, or other funds	23,534,726	32	27,380,626
33	Total net assets or fund balances ...........	23,534,726	33	27,380,626
34	Total liabilities and net assets/fund balances ........	35,273,421	34	41,137,638

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

LOCAL 25 SEIU WELFARE FUND

Employer identification number

36-2857218

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	60,669			60,669
b	Buildings ................	3,931,932		3,839,192	92,740
c	Leasehold improvements ............
d	Equipment ................
e	Other .................		644,891	619,865	25,026
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					178,435

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
CLAIMS INCURRED BUT NOT REPORTED		8,292,000
CLAIMS PAYABLE		3,225,000
ACCUMULATED ELIGIBILITY CREDITS		429,000






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		11,946,000
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	110,992,085
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	-141,207
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	-141,207
3	Subtract line 2e from line 1.....................			3	111,133,292
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	62,709
b	Other (Describe in Part XIII.) ...........	4b	2,620
c	Add lines 4a and 4b.......................			4c	65,329
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	111,198,621

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	106,784,185
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................			2e	0
3	Subtract line 2e from line 1.....................			3	106,784,185
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	62,709
b	Other (Describe in Part XIII.) ............	4b	364,620
c	Add lines 4a and 4b.......................			4c	427,329
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	107,211,514

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN ADMINISTRATOR TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY FOR ANY UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAX AUTHORITIES; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX YEARS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES THE THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2011.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	ADMINISTRATIVE EXPENSE REIMBURSEMENTS 2,620.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	INCREASE IN PLAN'S BENEFIT OBLIGATIONS 362,000. ADMINISTRATIVE EXPENSE REIMBURSEMENTS 2,620.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

LOCAL 25 SEIU WELFARE FUND

Employer identification number

36-2857218

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)THOMAS BALANOFFTRUSTEE	(i) (ii)	0 207,519	0 0	0 6,365	0 33,520	0 10,437	0 257,841	0 0
(2)JAMES MCARDLEFUND MANAGER	(i) (ii)	197,860 0	0 0	0 0	40,091 0	0 0	237,951 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

LOCAL 25 SEIU WELFARE FUND

Employer identification number

36-2857218

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF THE FORM 990 WHICH IS PREPARED BY THE AUDITOR IS REVIEWED BY THE FUND MANAGER PRIOR TO FILING WITH THE IRS AND IS THEN SIGNED BY A MEMBER OF THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES IS PRESENTED WITH A FINAL COPY OF FORM 990 THAT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12	UNDER THE CONFLICT OF INTEREST POLICY, EMPLOYEES AND TRUSTEES ARE REQUIRED TO REPORT CONFLICTS OF INTEREST BEFORE ANY TRANSACTION IS CONSUMMATED. IT IS THE RESPONSIBILITY OF THE EMPLOYEES AND TRUSTEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES TO THE TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15A	THE BOARD OF TRUSTEES, ALL OF WHOM ARE NOT COMPENSATED BY THE ORGANIZATION, DETERMINE AND APPROVE THE SALARY OF THE FUND MANAGER. THE FUND MANAGER'S SALARY AND BENEFITS ARE SHARED WITH THE LOCAL 25 SEIU AND PARTICIPATING EMLOYERS' PENSION TRUST. THE FUND MANAGER'S TOTAL COMPENSATION, LISTED ON PAGE 7 AND ON SCHEDULE J, IS ALLOCATED BETWEEN THE ORGANIZATION AND THE LOCAL 25 SEIU AND PARTICIPATING EMPLOYERS' PENSION TRUST.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS FORMS 990 AND 5500 AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR INTERNAL POLICIES AVAILABLE TO THE PUBLIC.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED. THE SELECTION OF THE INDEPENDENT AUDITOR IS MADE BY THE BOARD OF TRUSTEES. THE FUND MANAGER OVERSEES THE AUDIT.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

LOCAL 25 SEIU WELFARE FUND

Employer identification number

36-2857218

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) SERVICE EMPLOYEES' LOCAL NO 1 111 EAST WACKER DRIVE 25TH FLOOR CHICAGO,IL60601 36-0899855	LABOR UNION	IL	501(C)(5)		N/A		No
(2) BUILDING OWNERS AND MANAGERS ASSOCIATION OF CHICAGO 115 S LASALLE STREET SUITE 2300 CHICAGO,IL60603 36-0852810	TRADE ASSOCIATION	IL	501(C)(6)		N/A		No
(3) BOARD OF TRUSTEES LOCAL 25 SEIU WELFARE FUND 111 EAST WACKER DRIVE 25TH FLOOR CHICAGO,IL60601 36-2857218	PLAN SPONSOR AND ADMINISTRATOR	IL			N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) 240 E ILLINOIS
(2) DTZ UGL UNICCO
(3) QUADRANGLE HOUSE CND ASSC
(4) UNITED BLDG MTCE INC
(5) A & R JANITORIAL SRVCS
(6) KCR MAINTENANCE
(7) CHICAGOLAND MAINT SYS INC
(8) ZRS MANAGEMENT
(9) CRESCENT CLEANING CO
(10) HARD SURFACE FINISHERS
(11) TRIAD CONSULTING SERVICES
(12) COAST AT LAKESHORE EAST
(13) EUREST SRVCS - KIMCO
(14) EUREST SERVICES
(15) DNA CLEANING INC
(16) KLEAN - KO INC
(17) TOLEDO BUILDING SERVICES
(18) RELATED MANAGEMENT CO
(19) MILLARD GROUP INC
(20) GDI OMNI INC
(21) PARKVIEW RIVEREAST COND
(22) STAR DETECTIVE & SEC
(23) SCRUB INC
(24) UNITED MAINTENANCE CO
(25) C-R ADLAKE LTD PARTNERSHP
(26) ANCHOR MECHANICAL INC
(27) ABLE BUILDING MAINTENANCE
(28) NATIONWIDE JANITORIAL SVS
(29) PHOENIX RISING MGMNT GRP
(30) 399 FULLERTON CORP
(31) 20TH CENTURY SERVICES NY
(32) DANMARK SECURITY LLC
(33) ZENITH FACILITY SERVICES
(34) LBR CONSOLIDATED BLDG SER
(35) GLOBETROTTERS INT'L INC
(36) ADMIRAL SECURITY SERV
(37) UNI-MAX MANAGEMENT CORP
(38) PROFESSIONAL CLNG CO INC
(39) EBM INC
(40) SKYLINE BLDG SVCS INC
(41) ABM JANITORIAL SERVICES
(42) S&A CLEANING SERVICES
(43) KARD DBA DEPENDABLE
(44) WE'RE CLEANING
(45) WE CLEAN INC
(46) MULTISYSTEM BLDG MAINT
(47) MIDWAY BUILDING SERV LTD
(48) A1A PROFESSIONAL CLNG & S
(49) BP NAPERVILLE EUREST SER
(50) MB FINANCIAL BANK
(51) BMS OF CHICAGO LLC
(52) CUSTODIAL PLUS LLC
(53) SODEXO INC
(54) JACKSON MGMNT & INVESTMTS
(55) TWIN CLEANING PROF INC
(56) PREFERRED BLDG SERVICES
(57) A & G CLEANING SERVICES
(58) JALMEX INC
(59) MERIDIAN MGMNT CORP
(60) LAB CORP
(61) ECO CLEAN MAINTENANCE
(62) TOTAL MAINTENANCE MGMT
(63) ARAMARK - 2145 SHERIDAN
(64) CHICAGOLAND MGMT & REALTY
(65) ARAMARK - INDIAN PR
(66) ARAMARK - BOEING
(67) ARAMARK - JAMES ALLEN
(68) ARAMARK - GEN BRD PENSION
(69) HARVARD MAINTENANCE
(70) HARVARD PROTECT
(71) ARAMARK - NU
(72) DURASHINE INC
(73) THE PARK MONROE
(74) PARK LINCOLN LLC
(75) LINCOLN PARK 2550 CND ASC
(76) 210 N WELLS LLC
(77) LEFT BANK AT KINZIE STATI
(78) COURTHOUSE DEVELOPMENT
(79) LIEBERMAN MGT SERVICES
(80) SERVICE MASTER CHGO
(81) MAC PROPERTY MGMNT LLC
(82) VARGAS GROUP LTD
(83) ABSOLUTE JAN SERV INC
(84) MAINT ENGINEERING GSF
(85) INTER UNION OPER ENG L150
(86) CHICAGO MANAGEMENT PERSON
(87) CMC & MAINTENANCE INC
(88) TOTAL FACILITY MAINT INC
(89) T & T MAINTENANCE
(90) BOYE JANITORIAL SERVICES
(91) SHORELINE TOWER CONDO
(92) CMS SOURCING SOLUTIONS
(93) RJB PROPERTIES INC
(94) SECURITY PARTNERS INTL
(95) DIVERSE FAC SOLUTIONS
(96) CWS MTCE CO
(97) UNION HEALTH SERVICE
(98) ROOSEVELT UNIVERSITY
(99) LEGUM & NORMAN MID-WEST
(100) 1200 N LAKE SHORE DR CA
(101) CLORICA MANAGEMENT CORP
(102) EDDYSTONE CONDO ASSOC
(103) A & A MAINTENANCE
(104) UNIVERSITY PARK CONDO
(105) MCCAFFERY WRT LOYOLA
(106) COMMONWEALTH PLAZA CONDO
(107) FIRST COMMUNITY MNGMNT
(108) UNIVERSAL PROTECTION SERV
(109) 1300 N LAKE SHORE DR
(110) LOGISTICS
(111) LIEBERMAN MANAGEMENT
(112) G4S SECURE SOLUTIONS USA
(113) 5000 EAST END CONDO ASSOC
(114) SECURAMERICA LLC
(115) TOWER RESIDENCES CONDO
(116) LEASING MANAGEMENT
(117) 1212 LAKE SH CONDO ASSOC
(118) FARRELLY BLDG SRVCS INC
(119) 600 N FAIRBANKS CONDO ASS
(120) TIARA HOMEOWNERS ASSOC
(121) WHELAN SECURITY OF IL INC
(122) CHICAGO FIVE-O
(123) 535 N MICHIGAN CONDO
(124) BERGER REALTY GROUP
(125) CHANDLER CONDO ASSOC
(126) 2300 N LINCOLN PK WEST LL
(127) CITY COLLEGES OF CHICAGO
(128) GUARDSMARK LLC
(129) 110 E DELAWARE CORP
(130) MERCHANDISE MART PROP INC
(131) BURNHAM PARK PLAZA CONDO
(132) GRANVILLE BEACH CONDO
(133) CHESTNUT TOWERS
(134) WEST SIDE REALTY-L#705
(135) DRAKE TOWER APARTMENTS
(136) INTER CAPITAL REALTY CO
(137) 899 S PLYMOUTH CONDO
(138) 1110 LAKE SHORE CONDO
(139) NEAR NORT PROPERTY
(140) WATERTON RESIDENTIAL
(141) 3600 N LAKE SHORE CONDO
(142) DRAPER & KRAMER
(143) SDI SECURITY INC
(144) TITAN SEC SERV INC
(145) ELM AT CLARK CONDO ASSOC
(146) 100 E HURON CONDO ASSOC
(147) CITYFRONT CHICAGO LLC
(148) KAM SECURITY SERVICES
(149) 1350 N LSD ASSOCIATION
(150) PARK SHORE CONDO ASSOC
(151) SECURITAS USA SUBURBAN
(152) SECURITAS USA INC
(153) IMPERIAL TOWERS
(154) MARC REALTY
(155) PRAIRIE POINTE CONDO ASSN
(156) FACT FINDERS GROUP INC
(157) UNITED NETWORK BUREAU
(158) METROPOLITAN PLACE
(159) PREMIER SECURITY
(160) 33 W JACKSON BLVD CA
(161) AMERICAN PREMIER SECURITY
(162) ANDREWS INTERNATIONAL
(163) ONE E SCHILLER CONDO
(164) 1335 ASTOR COOP BLDG INC
(165) DCH MANAGEMENT
(166) GCA SERVICES GROUP
(167) CITYVIEW CONDOMINIUM
(168) 10 E DELAWARE PLACE CONDO
(169) DEARBORN TOWERS CA
(170) GRAND PLAZA
(171) DELAWARE PLACE CONDO ASSO
(172) DIGBY'S DET & SEC AGENCY
(173) PALMOLIVE BLDG CONDO ASSN
(174) RAS SERVICES INC
(175) SKYTECH ENTERPRISES LTD
(176) SMITH MAINTENANCE CO
(177) SHORELINE PARK
(178) 2625 N CLARK ST PRIV RES
(179) V TOWER'S CONDO ASSOC
(180) 175 E DELAWARE PLACE
(181) 1420 SHERIDAN CONDO CORP
(182) STRATFORD CONDO ASSOC
(183) 400 N LASALLE CONDO ASSOC
(184) GOLD COAST GALLERIA CONDO
(185) COMMUNITY SPECIALISTS
(186) HOLLYWOOD TWRS SUDLER
(187) COMMUNITY SPECIALISTS
(188) COMMUNITY SPECIALISTS
(189) SKYBRIDGE CONDO ASSN
(190) HB-AM INC
(191) PERFORMANCE CLEAN
(192) 2100 CABRINI LPKINZIE PR
(193) IL FEDERAL SAV & LOAN
(194) RITCHIE TOWER CONDO
(195) CATHOLIC CHARITIES
(196) 3150 N SHERIDAN CA
(197) DRAPER & KRAMER
(198) 30 W OAK
(199) RES OF 41 E 8TH ST CA
(200) PIPEFITTERS ASSOC
(201) MUSEUM POINTE CONDOMINIUM
(202) ONE MUSEUM PARK EAST
(203) 1111 S WABASH CONDO ASSOC
(204) BURR OAK BOWL
(205) MUSEUM PARK TOWER II
(206) IBEW LOCAL 134
(207) HERMITAGE CONDO ASSOC
(208) RIVER PLZA CONDO ASSOC
(209) JEWISH COMMUNITY CENTERS
(210) THE STATE PARKWAY CONDO
(211) METROPOLITAN PROP AMERICA
(212) JEWISH FED OF METRO CHGO
(213) CONGREGATION RODFEI ZEDEK
(214) NEWPORT CONDOMINIUM
(215) HABITAT COMPANY
(216) WIRTZ REALTY
(217) KINZIE PARK TOWER
(218) 1630 SHERIDAN BLDG
(219) TRANSPORTATION BLDG
(220) 2800 LAKE SHORE ASSOC
(221) 601 CONDO ASSOC
(222) EHC LLC
(223) ARAMARK - MCCORMICK
(224) NEWBERRY PLAZA CONDO ASSC
(225) HARBOR HS CONDO ASSOC
(226) MILLENNIUM CENTRE CONDO
(227) 4300 N MARINE DR CONDO
(228) 1010 LAKE SHORE ASSOC
(229) JAMES KILMER CONDO ASSOC
(230) 1130 S MICHIGAN PRTNRSHIP
(231) THE BARRY CONDOMINIUM INC
(232) 3950 N LK SHORE DR CONDO
(233) 3550 CONDO ASSOCIATION
(234) 1660 N LASALLE CONDO
(235) ONE EAST SCOTT CONDO
(236) 5455 EDGEWATER PLZA CA
(237) PARK ASTOR CONDO
(238) MICHIGAN BUILDING CORP
(239) 209 EAST LAKE SHORE DR CO
(240) RESIDENCES AT RIVER BEN
(241) THE BRISTOL CONDO
(242) 840 N LAKE SHORE DR CONDO
(243) AQUA AT LAKESHORE EAST
(244) GOETHE-ASTOR INC
(245) 2020 LINCOLN PARK CONDO
(246) 990 N LSD HOMEOWNERS ASSO
(247) DRAPER & KRAMER
(248) DRAPER & KRAMER
(249) 50 E BELLEVUE CONDO ASSOC
(250) RIVERVIEW CONDO ASSOC
(251) THE CHICAGOAN
(252) CARLYLE APARTMENTS
(253) 100 E WALTON CONDO ASSOC
(254) WELLS STREET TOWER CA
(255) DRAPER & KRAMER
(256) PARK NEWBERRY CONDO ASSOC
(257) LINCOLN PARK TOWER CA
(258) DRAPER & KRAMER
(259) CAMBRIDGE MANOR
(260) COMMUNITY SPECIALISTS
(261) 199 E LAKE SHORE DR CONDO
(262) MB REAL ESTATE
(263) 1000 W WASHINGTON CONDO
(264) 30 E HURON LLC
(265) DRAPER & KRAMER
(266) DRAPER & KRAMER
(267) LIEBERMAN MANAGEMENT
(268) HAWTHORNE HOUSE APTS
(269) LIEBERMAN MANAGEMENT
(270) THE TIDES AT LAKESHORE EA
(271) GERALEX JANITORIAL SERV
(272) DE PAUL UNIVERSITY
(273) DRAPER & KRAMER
(274) COMMUNITY SPECIALISTS
(275) 4343 N CLARENDON CONDO
(276) COMMUNITY SPECIALISTS
(277) 1 E 14TH PL CONDO ASSOC
(278) LOCAL 1 SEIU
(279) DARIEN CONDO ASSOC
(280) 250 E PEARSON CONDO ASSOC
(281) KANE PROPERTY MANAGEMENT
(282) JEFFERSON TOWERS
(283) DRAPER & KRAMER
(284) 442 WELLINGTON COOP BLDG
(285) 180 N JEFFERSON TL LLC
(286) STATE PLACE CONDO ASSOC
(287) BEL HARBOUR MGMNT OFFICE
(288) PARK PLACE TWR CA
(289) 900-910 LAKE SHORE DR
(290) ASTOR CONDO ASSOC
(291) ASTOR HOUSE
(292) 474 N LAKE SHORE DR CA
(293) AMBASSADOR CONDO
(294) 5000 MARINE DRIVE CORP
(295) 21 W CHESTNUT CONDO
(296) LAKE POINT TOWER CONDO
(297) BUILDING GROUP
(298) WESLEY REALTY GROUP
(299) DRAKE HOTEL
(300) CHICAGO HILTON & TOWERS
(301) 3150 CONDO ASSOC
(302) PALMER HOUSE HILTON
(303) PINNACLE CONDOMINIUM ASSO
(304) 1000 CONDO ASSOC
(305) 345 W FULLERTON CONDO ASS
(306) 5757 N SHERIDAN CONDO
(307) 3500 LSD COOP APTS INC
(308) LASALLE TERRACE CA
(309) 1448 N LAKE SHORE DR
(310) 1440 N LAKE SHORE BL
(311) LOCAL 25 SEIU WELFARE FND
(312) CHICAGO RESIDENTIAL INC
(313) HORIZON HOUSE CONDO
(314) RESIDENCES AT RIVER EAST
(315) 3920 LAKE SHORE DR CONDO
(316) RMK MANAGEMENT
(317) 540 N LAKE SHORE DR CONDO
(318) ADMIRAL POINTE
(319) LINCOLN PROPERTY COMPANY
(320) WEST 77 APARTMENTS
(321) MONTAUK COMPANY
(322) CHGO TEACHERS UNION TWR
(323) CARAVEL CONDO ASSOC
(324) 32 W RANDOLPH BUILDING
(325) ASTOR TOWER
(326) SUDLER PROP MGMT
(327) DE PAUL UNIVERSITY
(328) ALLIED BARTON-INIT SEC
(329) 20 E CEDAR CONDO ASSOC
(330) LJ SHERIDAN & CO
(331) CHICAGO TEMPLE BLDG
(332) RESIDENCES AT 900
(333) ST JOAN OF ARC PARISH
(334) 1550 CONDOMINIUM ASSOC
(335) MILLENNIUM PK LIVING INC
(336) FIRSTSERVICE RESIDENTIAL
(337) BELVEDERE CONDO ASSOC
(338) PAUL A PARENTEAU
(339) ONE MAGNIFICANT MILE ASC
(340) COMMUNITY SPECIALISTS
(341) 100 W CHESTNUT APTS
(342) 161 E CHGO CONDO ASSOC
(343) ABM SECURITY
(344) SOS SECURITY LLC
(345) ALLIED BARTON-AB SEC
(346) ALLIED BARTON-SUBURBS SEC
(347) 21 E CHESTNUT CONDO ASSOC
(348) LAKESHORE SHOREHAM LLC
(349) 4950 POWHATAN BLDG CORP
(350) PRUDENTIAL PROTECTIVE SRV
(351) VISTA HOMES
(352) THE LEGACY AT MILLENIUM P
(353) DRAPER & KRAMER
(354) NORRIS CORP
(355) 1500 N LAKE SHORE BLDG
(356) WRIGLEY FIELD ENTERPRISES
(357) ARAMARK - GARFIELD
(358) MCCAFFERY INTERESTS
(359) SENECA REAL ESTATE
(360) HAWTHORNE RACE COURSE INC
(361) 747 N WABASH PARTNERS LLC

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation
FORM 990, SCHEDULE R, PART IV:	THE ORGANIZATION IS A MULTIEMPLOYER COLLECTIVELY BARGAINED EMPLOYEE BENEFIT PLAN THAT IS SUBJECT TO THE PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). ALL CONTRIBUTING EMPLOYERS OF THE ORGANIZATION ARE LISTED IN PART IV OF SCHEDULE R.

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: HEALTH CARE COVERAGE FOR PARTICIPANTS
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	6
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	20
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	99,829,667	110,327,914
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	686,794	359,146
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	498,691	511,561
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	101,015,152	111,198,621
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	100,114,943	103,961,321
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,025,750	1,052,317
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,339,095	2,197,876
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	102,479,788	107,211,514
19	Revenue less expenses. Subtract line 18 from line 12.......	-1,464,636	3,987,107
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	35,273,421	41,137,638
21	Total liabilities (Part X, line 26).............	11,738,695	13,757,012
22	Net assets or fund balances. Subtract line 21 from line 20.....	23,534,726	27,380,626

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	TO PROVIDE HEALTH BENEFITS (HOSPITAL, SURGICAL, MAJOR MEDICAL AND DISABILITY) TO ELIGIBLE MEMBERS.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) THOMAS BALANOFF........................................................................ TRUSTEE	2.00 .......................40.00	X		0	213,884	43,957
(2) STANLEY J GAYNOR........................................................................ TRUSTEE	2.00 .......................0.00	X		0	0	0
(3) LAURA GARZA........................................................................ TRUSTEE	2.00 .......................40.00	X		0	107,738	27,757
(4) ROBERT S GRAF........................................................................ TRUSTEE	2.00 .......................0.00	X		0	0	0
(5) DEAN L JOHNSON........................................................................ TRUSTEE	2.00 .......................0.00	X		0	0	0
(6) KENNETH E MUNZ........................................................................ TRUSTEE	2.00 .......................40.00	X		0	94,522	25,774
(7) JAMES MCARDLE........................................................................ FUND MANAGER	40.00 .......................0.00		X	197,860	0	40,091

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	197,860	416,144	137,579

(A) Name and business address	(B) Description of services	(C) Compensation
HEALTH DATA INSIGHTS7083 GRAND NATIONAL DRIVE SUITE 10ORLANDOFL32819	HOSPITAL AUDITS	384,164
BENEFITS MANAGEMENT GROUP1520 KENSIGNTON SUITE 200OAK BROOKIL60523	CLAIMS SOFTWARE	102,518



2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 2

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......
			Business Code
2a	PARTICIPATING EMPLOYERS		900099	109,851,902	109,851,902
b	COBRA CONTRIBUTIONS		900099	333,931	333,931
c	LIQUIDATED DAMAGES		900099	137,789	137,789
d	TRAINING FUND REIMBURSEMENTS		900099	2,620	2,620
e	MISCELLANEOUS INCOME		900099	1,672	1,672
f	All other program service revenue .
g	Total. Add lines 2a–2f........			110,327,914
3	Investment income (including dividends, interest, and other similar amounts).......			364,979			364,979
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	583,710
b	Less: rental expenses	72,149
c	Rental income or (loss)	511,561
d	Net rental income or (loss).......			511,561			511,561
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	152,523,911
b	Less: cost or other basis and sales expenses	152,529,744
c	Gain or (loss)	-5,833
d	Net gain or (loss)..........			-5,833			-5,833
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			111,198,621	110,327,914	0	870,707

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members	103,961,321
5	Compensation of current officers, directors, trustees, and key employees ....	120,781
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	655,291
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	205,930
9	Other employee benefits .......	12,709
10	Payroll taxes ...........	57,606
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	93,314
c	Accounting ...........	100,158
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	62,709
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	89,556
12	Advertising and promotion ....
13	Office expenses .......	148,746
14	Information technology ......	110,520
15	Royalties ..
16	Occupancy ...........	170,878
17	Travel ............	15,007
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	10,045
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	10,558
23	Insurance ..............	51,210
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	TRANSITIONAL REINSURANC	1,287,043
b	PCORI FEES	29,671
c	DUES, MEMBERSHIPS & SUB	6,664
d	MISCELLANEOUS EXPENSE	5,918
e	All other expenses	5,879
25	Total functional expenses. Add lines 1 through 24e	107,211,514
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			0	1	288,397
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			9,947,632	4	10,348,751
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............				8
9	Prepaid expenses and deferred charges ..........			48,689	9	45,188
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,637,492
b	Less: accumulated depreciation .....	10b	4,459,057	261,142	10c	178,435
11	Investments—publicly traded securities ..........			25,015,958	11	29,847,853
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			0	15	429,014
16	Total assets. Add lines 1 through 15 (must equal line 34)......			35,273,421	16	41,137,638
17	Accounts payable and accrued expenses .........			154,695	17	1,811,012
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			11,584,000	25	11,946,000
26	Total liabilities. Add lines 17 through 25.........			11,738,695	26	13,757,012
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............				27
28	Temporarily restricted net assets ...........				28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........			0	30	0
31	Paid-in or capital surplus, or land, building or equipment fund .....			0	31	0
32	Retained earnings, endowment, accumulated income, or other funds			23,534,726	32	27,380,626
33	Total net assets or fund balances ...........			23,534,726	33	27,380,626
34	Total liabilities and net assets/fund balances ........			35,273,421	34	41,137,638