Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 10-01-2019 , and ending 09-30-2020
BCheck if applicable:
CName of organization
4TH DISTRICT IBEW HEALTH FUND
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
3150 US ROUTE 60
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ONA, WV25545
D Employer identification number

31-6068797
E Telephone number

G Gross receipts $ 123,439,924
F Name and address of principal officer:
WILLIAM HAMILTON
3150 US ROUTE 60
ONA,WV25545
I
Tax-exempt status: ( 9 ) LeftBullet (insert no.) or
J
Website:MediumBullet
N/A
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1961
M State of legal domicile: WV
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTH AND INSURANCE BENEFITS TO MEMBERS BY PAYMENT OF CLAIMS FOR HEALTH, ACCIDENT, SICKNESS, DENTAL AND LIFE INSURANCE FOR MEMBERS AND THEIR DEPENDENTS.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 8
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 8
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 8
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 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 71,026,444 73,547,432
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 3,835,926 1,501,363
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 74,862,370 75,048,795
Expenses; 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)..... 67,752,731 74,777,213
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 0 0
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 5,339,735 5,538,941
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 73,092,466 80,316,154
19 Revenue less expenses. Subtract line 18 from line 12....... 1,769,904 -5,267,359
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 68,094,778 64,671,464
21 Total liabilities (Part X, line 26)............. 1,751,481 1,332,495
22 Net assets or fund balances. Subtract line 21 from line 20..... 66,343,297 63,338,969
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: TO PROVIDE HEALTH AND INSURANCE BENEFITS TO MEMBERS BY PAYMENT OF CLAIMS FOR HEALTH, ACCIDENT, SICKNESS, DENTAL AND LIFE INSURANCE FOR MEMBERS AND THEIR DEPENDENTS.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 74,777,213 including grants of $   ) (Revenue $   )
TO PROVIDE HEALTH AND INSURANCE BENEFITS TO MEMBERS BY PAYMENT OF CLAIMS FOR HEALTH, ACCIDENT, SICKNESS, DENTAL AND LIFE INSURANCE FOR MEMBERS AND THEIR DEPENDENTS.
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 expensesMediumBullet74,777,213
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J.......................
23
 
No
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
 
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
 
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
2
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
8
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
8
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletAMERICAN BENEFIT CORPORATION3150 US ROUTE 60   ONA,WV25545 (304) 525-0331
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) WILLIAM HAMILTON......................................................................
TRUSTEE
 0.00
.................
  		X           0 0 0
(2) JIM GILLETTE......................................................................
TRUSTEE
 0.00
.................
  		X           0 0 0
(3) TROY FERRELL......................................................................
TRUSTEE
 0.00
.................
  		X           0 0 0
(4) JAMES BANE......................................................................
TRUSTEE
 0.00
.................
  		X           0 0 0
(5) TED BRADY......................................................................
TRUSTEE
 0.00
.................
  		X           0 0 0
(6) JOHN FRANTZ......................................................................
TRUSTEE
 0.00
.................
  		X           0 0 0
(7) MIKE DISHON......................................................................
TRUSTEE
 0.00
.................
  		X           0 0 0
(8) SHANE FERGUSON......................................................................
TRUSTEE
 0.00
.................
  		X           0 0 0


















Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 0 0
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
 
No
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
COMMUNITY INSURANCE CO DBA ANTHEM

3350 PEACHTREE ROAD POB 30302-445
ATLANTA,GA30326 		CLAIMS PROCESSING 1,804,440
AMERICAN BENEFIT CORPORATION

3150 US ROUTE 60
ONA,WV25545 		THIRD PARTY ADMINISTRATOR 1,776,968
AMERICAN HEALTH HOLDING

7400 W CAMPUS RD
NEW ALBANY,OH43054 		PRE-CERTIFICATIONS 576,126
THE SEGAL COMPANY

333 W 34TH STREET
NEW YORK,NY10001 		ACTUARY 392,301
DELTA DENTAL

ONE DELTA DRIVE
MECHANICSBURG,PA17055 		DENTAL CLAIMS PROCESSING 288,867
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet5
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet  
Program Service RevenueAmt Business Code
2a EMPLOYER CONTRIBUTIONS 525100 64,944,257 64,944,257    
b PARTICIPANT DIRECT PMTS 525100 7,981,692 7,981,692    
c MEDICARE PART D SUBSIDIES 525100 621,483 621,483    
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 73,547,432
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 1,057,462     1,057,462
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   48,835,030 7a
b Less: cost or other basis and sales expenses   48,391,129 7b
c Gain or (loss)   443,901 7c
d Net gain or (loss).........MediumBullet 443,901 443,901    
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See instructions.....MediumBullet 75,048,795 73,991,333 0 1,057,462
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members ....... 74,777,213  
5 Compensation of current officers, directors, trustees, and key employees ...........        
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........        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 102,912      
c Accounting ........... 49,634      
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 249,868      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)        
12 Advertising and promotion ....        
13 Office expenses .......        
14 Information technology ......        
15 Royalties ..        
16 Occupancy ...........        
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 25,573      
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..        
23 Insurance ...        
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 ADMINISTRATION FEES 1,809,683      
b CLAIMS PAYING SERVICE 1,804,440      
c PRE-CERTIFICATIONS/CASE 576,126      
d ACTUARIAL AND CONSULTIN 392,301      
e All other expenses 528,404      
25 Total functional expenses. Add lines 1 through 24e 80,316,154      
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 781,267 1 1,556,535
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 7,238,682 4 7,428,293
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ......   9  
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a  
b Less: accumulated depreciation 10b     10c  
11 Investments—publicly traded securities . 46,220,774 11 42,281,393
12 Investments—other securities. See Part IV, line 11 ..... 13,854,055 12 13,405,243
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 33)... 68,094,778 16 64,671,464
Liabilities 17 Accounts payable and accrued expenses ..... 1,512,136 17 1,047,660
18 Grants payable ...   18  
19 Deferred revenue ......... 239,345 19 284,835
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  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   25  
26 Total liabilities. Add lines 17 through 25.. 1,751,481 26 1,332,495
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds ..... 0 29 0
30 Paid-in or capital surplus, or land, building or equipment fund ... 0 30 0
31 Retained earnings, endowment, accumulated income, or other funds 66,343,297 31 63,338,969
32 Total net assets or fund balances ........... 66,343,297 32 63,338,969
33 Total liabilities and net assets/fund balances ........ 68,094,778 33 64,671,464
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
75,048,795
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
80,316,154
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-5,267,359
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
66,343,297
5
Net unrealized gains (losses) on investments ...............
5
2,263,031
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
63,338,969
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on 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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
4TH DISTRICT IBEW HEALTH FUND
 
Employer identification number

31-6068797
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB 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.
b
If the organization elected, as permitted under FASB 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)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (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 ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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" on 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 .....      
b Buildings ....        
c Leasehold improvements        
d Equipment ....        
e Other .....        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 0
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other Securities.
Complete if the organization answered "Yes" on 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........    
(3) Other
(A) PRIVATE COMMINGLED FUNDS		 8,102,729 F

(B) COMMINGLED REAL ESTATE FUNDS		 5,302,514 F
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 13,405,243
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on 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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet  
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) 2019

Schedule D (Form 990) 2019
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 77,061,958
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a 2,263,031
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 2,263,031
3 Subtract line 2e from line 1.................. 3 74,798,927
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 249,868
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c 249,868
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 75,048,795
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 80,066,286
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 80,066,286
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 249,868
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c 249,868
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 80,316,154
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
Schedule D (Form 990) 2019


Additional Data


Software ID:  
Software Version:  




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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
4TH DISTRICT IBEW HEALTH FUND
 
Employer identification number

31-6068797
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE BOARD OF TRUSTEES' CHAIRMAN AND SECRETARY BEFORE THEY SIGN AND FILE THE 990 FORM.
FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ATTEND MEETING ON FIDUCIARY RESPONSIBILITIES. THE BOARD OF TRUSTEES FUNCTIONS AS A WHOLE; NO INDIVIDUAL TRUSTEE CAN ACT ALONE.
FORM 990, PART VI, SECTION C, LINE 19 THE FUND MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C: THE FUND'S BOARD OF TRUSTEES HAS ASSUMED THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
4TH DISTRICT IBEW HEALTH FUND
 
Employer identification number

31-6068797
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?
Yes No
(1)AKRON AREA ELECTRIC JACT 0306
2650 S MAIN ST SUITE 100

AKRON,OH44319
 EMPLOYER CONTRIBUTIONS OH      
 
No
(2)CHARLESTON ELEC JATC 0466
810 INDIANA AVE

CHARLESTON,WV25302
 EMPLOYER CONTRIBUTIONS WV      
 
No
(3)CLARKSBURG JATC 596
POX BOX341

CLARKSBURG,WV26302
 EMPLOYER CONTRIBUTIONS WV      
 
No
(4)HUNTINGTON ELECTRICAL JATC 317
1850 MADISON AVE

HUNTINGTON,WV25704
 EMPLOYER CONTRIBUTIONS WV      
 
No
(5)PENN-OHIO ELECTRICAL LU 0306
1370 SHARON HOGUE RD

MASURY,OH44438
 EMPLOYER CONTRIBUTIONS OH      
 
No
(6)PORTSMOUTH JATC 575
110 OFFNERE ST BOX 1544

PORTSMOUTH,OH45662
 EMPLOYER CONTRIBUTIONS OH      
 
No
(7)SOUTH CHARLESTON ELECTRICAL LU 0596
PO BOX 8494

S CHARLESTON,WV25303
 EMPLOYER CONTRIBUTIONS WV      
 
No
(8)NEWARK JATC
5805 FRAZEYSBURG RD

NASHPORT,OH43830
 EMPLOYER CONTRIBUTIONS OH      
 
No
(9)LIMA AREA JATC
3131 S DIXIE DR STE 415

DAYTON,OH45439
 EMPLOYER CONTRIBUTIONS OH      
 
No
(10)IBEW LOCAL 32
1975 N WEST ST

LIMA,OH45801
 EMPLOYER CONTRIBUTIONS OH      
 
No
(11)IBEW LOCAL 141
82 BURKHAM COURT

WHEELING,WV26003
 EMPLOYER CONTRIBUTIONS WV      
 
No
(12)IBEW LOCAL 306
2650 S MAIN ST SUITE 100

AKRON,OH44319
 EMPLOYER CONTRIBUTIONS OH      
 
No
(13)IBEW LOCAL 317
1850 MADISON AVE

HUNTINGTON,WV25704
 EMPLOYER CONTRIBUTIONS WV      
 
No
(14)IBEW LOCAL 466
800 INDIANA AVE

CHARLESTON,WV25302
 EMPLOYER CONTRIBUTIONS WV      
 
No
(15)IBEW LOCAL 575
110 OFFNERE ST BOX 1544

PORTSMOUTH,OH45662
 EMPLOYER CONTRIBUTIONS OH      
 
No
(16)IBEW LOCAL 596
PO BOX 1508

CLARKSBURG,WV26301
 EMPLOYER CONTRIBUTIONS WV      
 
No
(17)IBEW LOCAL 688
67 S WALNUT STREET

MANFIELD,OH44902
 EMPLOYER CONTRIBUTIONS OH      
 
No
(18)IBEW LOCAL 968
1845 7TH STREET

PARKERSBURG,WV26101
 EMPLOYER CONTRIBUTIONS WV      
 
No
(19)IBEW LOCAL 972
50 SANDHILL RD

RENO,OH45773
 EMPLOYER CONTRIBUTIONS OH      
 
No
(20)IBEW LOCAL 1105
5805 FRAZEYSBURG RD

NASHPORT,OH43830
 EMPLOYER CONTRIBUTIONS OH      
 
No
(21)MARIETTA ELECTRICAL JATC
27754 OH-7

MARIETTA,OH45750
 EMPLOYER CONTRIBUTIONS OH      
 
No
(22)WV OH NECA
30 DEE DRIVE

CHARLESTON,WV25311
 EMPLOYER CONTRIBUTIONS WV      
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(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?



 		(k)
Percentage
ownership
Yes No Yes No
(1) ABS ELECTRIC

790 MOORE RD
RIPLEY,WV25271
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(2) ADVANCED PROJECT CONSTRUCTION 317

20103 ONE PLAZA DR
PONCHATOULA,LA70454
 EMPLOYER CONTRIBUTIONS LA  
        No     No  
(3) ATLAS INDUSTRY HOLDINGS

5275 SINCLAIR RD
COLUMBUS,OH43229
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(4) B ARMSTRONG ELECTRICAL

70 61ST ST
VIENNA,WV26105
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(5) BCU ELECTRIC

1019 US HIGHWAY 250 N
ASHLAND,OH44805
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(6) BECDEL CONTROLS

6995 WILLOW ST
HUBBARD,OH44425
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(7) BRONDER TECHNICAL SERVICES

990 W OLD RT 422
PROSPECT,PA16052
 EMPLOYER CONTRIBUTIONS PA  
        No     No  
(8) C&J ELECTRICAL

9195 ST RT 119
ANNA,OH45302
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(9) CASEY ELECTRIC CONSTRUCTION

478 17TH ST
BARBERTON,OH44203
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(10) CHAPEL ELECTRIC CO

1985 FOUNDERS DR
DAYTON,OH45420
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(11) CORNERSTONE ELECTRIC

1956 LENS CREEK RD
HERNSHAW,WV25107
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(12) DAY & ZIMMERMAN

1827 FREEDOM RD SUITE 101
LANCASTER,PA17601
 EMPLOYER CONTRIBUTIONS PA  
        No     No  
(13) DIES ELECTRICAL

643 E TALLMADGE AVE
AKRON,OH44310
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(14) DIXON ELECTRICAL

3352 NORWOOD RD
HUNTINGTON,WV25705
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(15) EINHEIT ELECTRIC CONSTRUCTION

239 BROOKPARK RD
CLEVELAND,WV44109
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(16) EMERY ELECTRIC

2080 CASE PARKWAY S
TWINSBURG,OH44087
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(17) ENERFAB POWER & INDUSTRY

4955 SPRING GROVE AVE
CINCINNATI,OH45232
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(18) ERB ELECTRIC

500 HALL ST STE 1
BRIDGEPORT,OH43912
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(19) FINE-LINE COMMUNICATIONS

2305 E AURORA RD SUITE A10
TWINSBURG,OH44087
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(20) GREEN ELECTRICAL CONSTRUCTION

213 SLATE CAMP RUN RD
ELIZABETH,WV26143
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(21) GU ELECTRIC

1295 CRESCENT
YOUNGSTOWN,OH44501
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(22) HARRINGTON ELECTRIC

3800 PERKINS AVE
CLEVELAND,OH44114
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(23) HARRISON RURAL ELECTRIC

RR 6 BOX 502
CLARKSBURG,WV26301
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(24) HAYWOOD ELECTRIC

807 MESA VERDE DR
BARBERTON,OH44203
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(25) HIGH VOLTAGE MAINTENENCE

PO BOX 13059
DAYTON,OH45413
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(26) HILSCHER-CLARKE ELECTRIC

519 4TH ST NW
CANTON,OH44703
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(27) J&J GENERAL MAINTENENCE

PO BOX 633
IRONTON,OH45638
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(28) JW DIDADO ELECTRIC

1033 KELLY AVE
AKRON,OH44306
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(29) JF HEIBEL ELECTRIC

PO BOX 67
WAVERLY,OH45690
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(30) JACOBS CONSTRUCTORS

5000 ELK RIVER RD S
ELKVIEW,WV25071
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(31) JACOBS INDUSTRIAL SERVICES

4949 ESSEN LANE
BATON ROUGE,LA70809
 EMPLOYER CONTRIBUTIONS LA  
        No     No  
(32) JOE DICKEY ELECTRIC

PO BOX 158
LIMA,OH44452
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(33) KLM ELECTRIC

1022 COMMERCE PARK
ASHLAND,KY41102
 EMPLOYER CONTRIBUTIONS KY  
        No     No  
(34) LE MYERS

24925 STATE RD 46 PO BOX 621
SORRENTO,FL32776
 EMPLOYER CONTRIBUTIONS FL  
        No     No  
(35) LESLIE PHARES ELECTRIC

6733 MACCORKLE AVE
ST ALBANS,WV25177
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(36) LIGHTHOUSE ELECTRIC

1957 RT 519 S
CANONSBURG,PA15317
 EMPLOYER CONTRIBUTIONS PA  
        No     No  
(37) LIPPINCOTT PLUMBERS

872 ST JOHNS AVE
LIMA,OH45804
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(38) MAXIMUM CONSTRUCTION

PO BOX 750
BRIDGEPORT,WV26330
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(39) MAXWELL LIGHTING

621 POND ST
DAYTON,OH45402
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(40) MCBRAYER ELECTRIC

PO BOX 381
SCOTT DEPOT,WV25560
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(41) MID CITY ELECTRICAL

PO BOX 23075
COLUMBUS,OH43223
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(42) MILLER INFORMATION SYSTEMS

4088 ALPHA DR
ALLISON PARK,PA15101
 EMPLOYER CONTRIBUTIONS PA  
        No     No  
(43) MIRACLE ELECTRICAL

PO BOX 877
MARIETTA,OH45750
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(44) MON VALLEY ELECTRIC

PO BOX 338
KINGMONT,WV26578
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(45) MOUNTAIN STATE ELECTRIC

94 S PIERPONT RD
MORGANTOWN,WV26508
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(46) MYERS ELECTRIC

2186 MENTOR RD
CONVOY,OH45832
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(47) NET-COM ELETRICAL

3443 S NAPOLEON RD
HARROD,OH45850
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(48) NEW RIVER ELECTRIC

PO BOX 70
CLOVERDALE,VA24077
 EMPLOYER CONTRIBUTIONS VA  
        No     No  
(49) NKC CONVEYOR INSTALLATION

1584 E BROOKS RD
MEMPHIS,TN38116
 EMPLOYER CONTRIBUTIONS TN  
        No     No  
(50) NOLAN ELECTRICAL CONSTRUCTION

965 TIPTON LANE
STOUT,OH45684
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(51) NOVAK ELECTRIC

574 TERNES AVE
ELYRIA,OH44035
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(52) NOVANTY ELECTRIC

955 EVANS AVE
AKRON,OH44305
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(53) PAR ELECTRIC CONSTRUCTION

4770 N BELLEVIEW AVE STE 300
KANSAS CITY,MO64116
 EMPLOYER CONTRIBUTIONS MO  
        No     No  
(54) PRO 1 ELECTRIC

1954 PARKVIEW LANE
MINERAL WELLS,WV26150
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(55) PRECISION ELECTRICAL CONSTRUCTION

2403 SIDNEY ST STE 125
PITTSBURGH,PA15203
 EMPLOYER CONTRIBUTIONS PA  
        No     No  
(56) PRITCHARD ELECTRIC

PO BOX 2503
HUNTINGTON,WV25725
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(57) PROGRESSIVE ELECTRIC

PO BOX 3695
CHARLESTON,WV25336
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(58) RIGNEY DIGITAL

1069 E HIGHLAND DR
HURRICANE,WV25526
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(59) SERVICE ELECTRIC

PO BOX 3658
CHATTANOOGA,TN37404
 EMPLOYER CONTRIBUTIONS TN  
        No     No  
(60) SOUTH SHORE ELECTRIC

PO BOX 589
ELYRIA,OH44036
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(61) SIDNEY ELECTRIC

840 S VANDEMARK RD
SIDNEY,OH45365
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(62) THAYER POWER & COMM 317

7400 MARKET RD
FAIRVIEW,PA16415
 EMPLOYER CONTRIBUTIONS PA  
        No     No  
(63) THE STATE GROUP

13800 N HWY 57
EVANSVILLE,IN47725
 EMPLOYER CONTRIBUTIONS IN  
        No     No  
(64) THE SUMMIT ELEC GROUP

PO BOX 254
HURRICANE,WV25526
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(65) THOMPSON ELECTRIC

49 NORTHMORELAND AVE
MUNROE FALLS,OH44262
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(66) THREE BROTHERS ELECTRIC

PO BOX 355
POCA,WV25159
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(67) UNITED ELECTRIC OF WHEELING

PO BOX 6897
WHEELING,WV26003
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(68) US COMMUNICATION & ELECTRIC

4933 NEO PKWY
GARFIELD HEIGHTS,OH44128
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(69) WITCHEY LIGHTNING ROD

2145 WALL RD
RITTMAN,OH44270
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(70) WOOD ELECTRIC

210 11TH ST NW
NEW PHILADELPHIA,OH44663
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(71) ANR ELECTRIC

3381 COTTAGE GROVE RD
AKRON,OH44319
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(72) ARC ELECTRICAL

59 NORTH 31ST STREET
NEWARK,OH43055
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(73) BEST ELECTRIC

3106 7TH AVE
CHARLESTON,WV25387
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(74) BUILDING INTEGRATED

1481 EXETER ROAD
AKRON,OH44306
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(75) FREESTATE BALTIMORE

5 EASTER CT
OWINGS MILLS,MD21117
 EMPLOYER CONTRIBUTIONS MD  
        No     No  
(76) FRESCH ELECTRIC

1414 MILAN ROAD
SANDUSKY,OH44870
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(77) HARRIS INDUSTRIAL

PO BOX 1274
MARIETTA,OH45750
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(78) IDS LLC

6978 MERRITTS CREEK RD
HUNTINGTON,WV25704
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(79) LEGACY ELECTRIC

7710 BOND STREET
SOLON,OH44139
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(80) NEFF ELECTRICAL CONST

2032 HARDING HIGHTWAY EAST
MARION,OH43302
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(81) NORTH CENTRAL OHIO

6657 FRANK AVE NW STE 110
CANTON,OH44720
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(82) OWEN ELECTRIC

146 S GREENWOOD ST
MARION,OH43302
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(83) RICHARDSON-WAYLAND

PO BOX 12648
ROANOKE,VA24027
 EMPLOYER CONTRIBUTIONS VA  
        No     No  
(84) SOUTH CHARLESTON ELECTRIC

PO BOX 8494
S CHARLESTON,WV25303
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(85) SPEELMAN ELECTRIC

358 COMMERCE STREET
TALLMADGE,OH44278
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(86) BMWC CONSTRUCTION

1740 W MICHIGAN ST
INDIANAPOLIS,IN46222
 EMPLOYER CONTRIBUTIONS IN  
        No     No  
(87) ELM ELECTRIC

907 LINCOLN DRIVE
SOUTH CHARLESTON,WV25309
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(88) GEIGER BROTHERS

PO BOX 469
JACKSON,OH45640
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(89) K AND M ELECTRIC

1031 RIDGEMONT DR
ELKVIEW,WV25071
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(90) READY ELECTRIC

3300 GILMORE INDUSTRIAL BLVD
LOUISVILLE,KY40213
 EMPLOYER CONTRIBUTIONS KY  
        No     No  
(91) INDUSTRIAL ELECTRICAL

98 HIGHWAY 95
CALVERT CITY,KY42029
 EMPLOYER CONTRIBUTIONS KY  
        No     No  
(92) JJ BARNEY CONSTRUCTION

2397 DEVONDALE RD SUITE 101
ROCHESTER HILLS,MI48309
 EMPLOYER CONTRIBUTIONS MI  
        No     No  
(93) NAES POWER CONTRACTORS

167 ANDERSON RD
CRANBERRY TWP,PA16066
 EMPLOYER CONTRIBUTIONS PA  
        No     No  
(94) PREMISE SOLUTIONS LLC

7105 KRICK ROAD
WALTON HILLS,OH44146
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(95) RIVER TOWN ELECTRIC LLC

1014 ADDISON PIKE
GALLIPOLIS,OH45631
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(96) UNION GROUP

PO BOX 105
BRIDGEPORT,WV26330
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(97) A&A ELECTRICAL

441 21ST ST
DUNBAR,WV25064
 EMPLOYER CONTRIBUTIONS TX  
        No     No  
(98) AE2S CONSTRUCTION

4050 GARDEN VIEW DRIVE STE 200
GRAND FORKS,ND58201
 EMPLOYER CONTRIBUTIONS ND  
        No     No  
(99) AMPED ELETRIC

2528 LENORE ST
PARKERSBURG,WV26101
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(100) BAXTER ELETRIC

135 KAYLA LANE
ELKVIEW,WV25071
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(101) BODIE MECHANICAL SERVICE

11942 WEST US 224
ALVADA,OH44802
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(102) BURFORD ELECTRIC

3533 KLONDIKE ROAD
RIPLEY,WV25271
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(103) CARDINAL ELECTRIC POWER

5984 WEST SOUTH RANGE RD
SALEM,OH44460
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(104) CHERNE CONTRACTING

9855 WEST 78TH ST STE 400
EDEN PRAIRIE,NM55344
 EMPLOYER CONTRIBUTIONS NM  
        No     No  
(105) CNE ELETRICAL CONT

924 MANITOU AVE
AKRON,OH44305
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(106) CONTEMPORARY ELECTRIC

5947 GRAYDON DRIVE
SEVEN HILLS,OH44131
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(107) DATA CABLE SYSTEMS

43734 MARIETTA RD STE B
CALDWELL,OH43724
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(108) FIRST CHOICE ELECTRIC

703 SOUTH UNION
ALLIANCE,OH44601
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(109) FLUOR BWXT PORTSMOUTH

3930 US RT 23
PIKETON,OH45661
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(110) HANNAH ELECTRIC

PO BOX 24
PERRY,OH44081
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(111) INTERCONNECT OF WESTERNPA

PO BOX 282
TIRE HILL,PA15959
 EMPLOYER CONTRIBUTIONS PA  
        No     No  
(112) KIEWIT POWER CONSTRUCTORS

3555 FARNAM ST
OMAHA,NE68131
 EMPLOYER CONTRIBUTIONS NE  
        No     No  
(113) KV ELECTRIC

409 WEST PARK AVE
NILES,OH44446
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(114) MILLER BROTHERS ELECTRIC

301 ALAN WOOD RD
CONSHOCKEN,PA19428
 EMPLOYER CONTRIBUTIONS PA  
        No     No  
(115) NEWKIRK ELECTRIC

1875 ROBERTS ST
MUSKEGON,MI49442
 EMPLOYER CONTRIBUTIONS MI  
        No     No  
(116) PREMISE SOLUTIONS LLC

7105 KRICK ROAD
WALTON HILLS,OH44146
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(117) TECH ELECTRIC

581 BAYBERRY DR
ELYRIA,OH44035
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(118) TRI-STATE DRILLING

PO BOX 252
HAMEL,MN55340
 EMPLOYER CONTRIBUTIONS MN  
        No     No  
(119) TYGART ELECTRIC

135 MURPHY HILL DR
GRAFTON,WV26354
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(120) UNIVERSITY ELECTRIC

PO BOX 6416
YOUNGSTOWN,OH44501
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(121) WAI CONSTRUCTION GROUP

1571 SHYVILLE RD
PIKETON,OH45661
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(122) WHALEN ELECTRIC

2996 HENKLE DR
LEBANON,OH45036
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(123) AIR 2 LLC

400 LAS COLINAS BLVD E SUITE 900
IRVING,TX75039
 EMPLOYER CONTRIBUTIONS TX  
        No     No  
(124) AXIS ELECTRIC

9935 ST RT 821
LOWER SALEM,OH45745
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(125) BURDETTE ELECTRIC

6444 SISSONVILLE DR
CHARLESTON,WV25320
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(126) COLLIER SAFETY SERVICES LLC

1661 ST RT 522 UNIT 3
WHEELERSBURG,OH45694
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(127) CR MYER & SONS

895 W 20TH AVE
OSHKOSH,WI54903
 EMPLOYER CONTRIBUTIONS WI  
        No     No  
(128) DAGOSTINO ELECTRIC

600 MIFFLIN ROAD
PITTSBURGH,PA15207
 EMPLOYER CONTRIBUTIONS PA  
        No     No  
(129) ELECTRICAL MAINTENANCE & TEST

12342 HANCOCK STREET
CARMEL,IN46032
 EMPLOYER CONTRIBUTIONS IN  
        No     No  
(130) ELK VALLEY ELECTRIC LLC

1273 GREENBERRY DRIVE
ELKVIEW,WV25071
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(131) FE MORAN SPECIAL HAZARD

2265 CARLSON DR UNIT B
NORTHBROOK,IL60062
 EMPLOYER CONTRIBUTIONS IL  
        No     No  
(132) FORCE POWER FOUNDATION

130 MEADOW RIDGE ROAD
MOUNT MORRIS,PA15349
 EMPLOYER CONTRIBUTIONS PA  
        No     No  
(133) G & B ELECTRIC

10343 BRECKSVILLE RD
BRECKSVILLE,OH44141
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(134) GOULDER AJ ELECTRIC

4307 HAMANN PARKWAY
WILLOUGHBY,OH44094
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(135) HYBRID ELECTRIC SOLUTIONS

1240 MONTCLAIR COURT
LAWRENCEBURG,IN47025
 EMPLOYER CONTRIBUTIONS IN  
        No     No  
(136) INDUSTRIAL POWER SYSTEMS

129 DIXIE HIGHWAY
ROSSFORD,OH43460
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(137) JACKSON & JACKSON LLC

7094 MIDDLETOWN GERMANTOWN RD
MIDDLETOWN,OH45042
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(138) JEFFERS & LEEK ELECTRIC

438 CONSTITUTION BLVD
NEW BRIGHTON,PA15066
 EMPLOYER CONTRIBUTIONS PA  
        No     No  
(139) KJP ELECTRIC LLC

2305 36TH STREET
PARKERSBURG,WV26104
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(140) KNIGHT ELECTRIC

1155 N CASSADY AVE
COLUMBUS,OH43219
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(141) KW CONSTRUCTION SERVICES

5330 DISTRIBUTION DRIVE
FORT WAYNE,IN46825
 EMPLOYER CONTRIBUTIONS IN  
        No     No  
(142) LAKE ERIE ELECTRIC

25730 FIRST ST
WESTLAKE,OH44145
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(143) LETOURNEAU ENTERPRISES

15105-D JOHN J DELANEY DRIVE 22
CHARLOTTE,NC28277
 EMPLOYER CONTRIBUTIONS NC  
        No     No  
(144) LONG ELECTRIC

6902 HAWTHORN PARK DR
INDIANAPOLIS,IN46220
 EMPLOYER CONTRIBUTIONS IN  
        No     No  
(145) MJ ELECTRIC LLC

200 WEST FRANK PIPP DRIVE
IRON MOUNTAIN,MI49801
 EMPLOYER CONTRIBUTIONS MI  
        No     No  
(146) NATIONAL CONDUCTOR CONSTRUCTION

18119 STATE HIGHWAY 371
BRAINERD,MN56401
 EMPLOYER CONTRIBUTIONS MN  
        No     No  
(147) NORTHERN VALLEY ELECTRIC

4551 S WASHINGTON ST SUITE L
GRAND FORKS,ND58201
 EMPLOYER CONTRIBUTIONS ND  
        No     No  
(148) OKLAHOMA ELECTRICAL

4901 N SEWELL AVE
OKLAHOMA CITY,OK73118
 EMPLOYER CONTRIBUTIONS OK  
        No     No  
(149) OYER ELECTRIC DBA SOS ELECTRIC

14650 PLEASANT VALLEY RD
CHILLICOTHE,OH45601
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(150) PEAK UTILITY CONSTRUCTION

PO BOX 1027
SUMMERSVILLE,WV26651
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(151) PITTS ELECTRIC LLC

352 HIGHLAWN DR
RIPLEY,WV25271
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(152) POWELL ELECTRICAL

8967 PLEASANTWOOD AVE NW
NORTH CANTON,OH44720
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(153) POTOMAC ELECTRICAL SERVICES

1610 PROFESSIONAL BLVD A
CROFTON,MD21114
 EMPLOYER CONTRIBUTIONS MD  
        No     No  
(154) RYCO ELECTRIC

3983 CARROLL SOUTHERN RD
CARROLL,OH43112
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(155) SIDEWINDER ELECTRIC

3267 STATE ROUTE 133
CLARKSVILLE,OH45113
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(156) SKYLINE POWER LLC

PO BOX 183
CEDAR GROVE,NJ07009
 EMPLOYER CONTRIBUTIONS NJ  
        No     No  
(157) SOLAR HOLLER LLC

PO BOX 1265
SHEPARDSTOWN,WV25443
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(158) SOUTHEASTERN ELECTRIC

PO BOX 225
CROOKSVILLE,OH43731
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(159) SPE UTILITY CONTRACTORS

4400 DOVE RD
PORT HURON,MI48060
 EMPLOYER CONTRIBUTIONS MI  
        No     No  
(160) T-SQUARED ELECTRICAL

6177 JACQUELINE DRIVE NE
BROOKFIELD,OH44403
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(161) VINNIES ELECTRIC

4935 STONE CHURCH RD
DALLAS,WV26036
 EMPLOYER CONTRIBUTIONS WV  
        No     No  
(162) WT LEONE'S TRI-AREA

37 WAYNE AVE
YOUNGSTOWN,OH44502
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(163) WESTFIELD ELECTRIC

2995 OH-51
GIBSONBURG,OH43431
 EMPLOYER CONTRIBUTIONS OH  
        No     No  
(164) WILLIAM CHARLES ELECTRIC

833 FEATHERSTONE RD
ROCKFORD,IL61107
 EMPLOYER CONTRIBUTIONS IL  
        No     No  
(165) WV STATE BUILDING TRADES

600 LEON SULLIVAN WAY
CHARLESTON,WV25301
 EMPLOYER CONTRIBUTIONS WV  
        No     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
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ABBOTT ELECTRICAL INC

1935 ALLEN AVE SE
CANTON,OH44707
 EMPLOYER CONTRIBUTIONS OH  
          No
(2) ADVANCED ELECTRIC CO

PO BOX 6104
AKRON,OH44312
 EMPLOYER CONTRIBUTIONS OH  
          No
(3) ALDRIDGE ELECTRICAL INC

844 E ROCKLAND RD
LIBERTVILLE,IL60048
 EMPLOYER CONTRIBUTIONS IL  
          No
(4) ALPINE ELECTRIC CORP

PO BOX 1065
TRAVERSE CITY,MI49685
 EMPLOYER CONTRIBUTIONS MI  
          No
(5) AMPS ELECTRIC LLC

2026 SHARON COPLEY RD
MEDINA,OH44256
 EMPLOYER CONTRIBUTIONS OH  
          No
(6) BLANKS ELECTRIC INC

25 S VAN BUREN AVE
BARBERTON,OH44203
 EMPLOYER CONTRIBUTIONS OH  
          No
(7) BRYAN ELECTRIC INC

46139 NATIONAL RD
ST CLAIRSVILLE,OH43950
 EMPLOYER CONTRIBUTIONS OH  
          No
(8) CARDINAL ELECTRIC INC

180 VALLEY ST
SALEM,WV26426
 EMPLOYER CONTRIBUTIONS WV  
          No
(9) CHAPMAN CORP

331 S MAIN ST
WASHINGTON,PA15301
 EMPLOYER CONTRIBUTIONS PA  
          No
(10) CITY ELECTRICAL CO

1219 PENNSYLVANIA AVE
CHARLESTON,WV25302
 EMPLOYER CONTRIBUTIONS WV  
          No
(11) DAVIS PICKERING & CO

165 ENTERPRICE DR
MARIETTA,OH45750
 EMPLOYER CONTRIBUTIONS OH  
          No
(12) DUTTON ELECTRIC INC

2627 N GRAHAM CIRCLE
AKRON,OH44312
 EMPLOYER CONTRIBUTIONS OH  
          No
(13) EMERY ELECTRIC INC

2080 CASE PARKWAY SOUTH
TWINSBURG,OH44087
 EMPLOYER CONTRIBUTIONS OH  
          No
(14) EVETS ELECTRIC INC

977 TIBBETTS WICK RD
GIRARD,OH44420
 EMPLOYER CONTRIBUTIONS OH  
          No
(15) BROADWAY ELECTRIC SERVICE

PO BOX 3250
KNOXVILLE,TN37927
 EMPLOYER CONTRIBUTIONS TN  
          No
(16) BRUCE & MERRILEES LU

930 CASS STREET
NEW CASTLE,PA16101
 EMPLOYER CONTRIBUTIONS PA  
          No
(17) FORCE ELECTRIC INC

PO BOX 79
WATERTOWN,OH45787
 EMPLOYER CONTRIBUTIONS OH  
          No
(18) FOUR STAR CORP

385 TOLEDO CEMETARY RD
COBDEN,IL62920
 EMPLOYER CONTRIBUTIONS IL  
          No
(19) FOWLER ELECTRIC CO

777 1ST PL 2
BEDFORD,OH44146
 EMPLOYER CONTRIBUTIONS OH  
          No
(20) GEM INC

PO BOX 716
TOLEDO,OH43695
 EMPLOYER CONTRIBUTIONS OH  
          No
(21) HATZEL & BEUHLER INC

PO BOX 848
CIRCLEVILLE,OH43113
 EMPLOYER CONTRIBUTIONS OH  
          No
(22) INFINITY ELECTRIC INC

170 OLD CHEAT RD
MORGANTOWN,WV26508
 EMPLOYER CONTRIBUTIONS WV  
          No
(23) CAROL ELECTRIC INC

PO BOX 123
SHADYSIDE,OH43947
 EMPLOYER CONTRIBUTIONS OH  
          No
(24) KAL ELECTRIC INC

5265 HEBBARDSVILLE RD
ATHENS,OH45701
 EMPLOYER CONTRIBUTIONS OH  
          No
(25) M&L ELECTRIC CO

PO BOX 308
PINCH,WV25156
 EMPLOYER CONTRIBUTIONS WV  
          No
(26) MCCRORY ELECTRIC CO

2891 WALNUT GRIVE RD
MEMPHIS,TN38111
 EMPLOYER CONTRIBUTIONS TN  
          No
(27) MCDANIEL ELECTRIC INC

1309 8TH AVE
HUNTINGTON,WV25701
 EMPLOYER CONTRIBUTIONS WV  
          No
(28) MCHENRY ELECTRIC CO

1604 LYNN ST
PARKERSBURG,WV26101
 EMPLOYER CONTRIBUTIONS WV  
          No
(29) MICHEL INC

PO BOX 1140
BRIDGEPORT,WV26330
 EMPLOYER CONTRIBUTIONS WV  
          No
(30) NITRO CONSTRUCTION

PO BOX 879
NITRO,WV25143
 EMPLOYER CONTRIBUTIONS WV  
          No
(31) NORTH ELECTRIC INC

403 RIFLE CAMP RD
WOODLAND PARK,NJ07424
 EMPLOYER CONTRIBUTIONS NJ  
          No
(32) PIONEER PIPE INC

2021 HANNA RD
MARIETTA,OH45750
 EMPLOYER CONTRIBUTIONS OH  
          No
(33) POWER-PRO ELECTRIC INC

6749 RESERVOIR RD
LIMA,OH45801
 EMPLOYER CONTRIBUTIONS OH  
          No
(34) RMF NOOTER INC

915 MATZINGER RD
TOLEDO,OH43612
 EMPLOYER CONTRIBUTIONS OH  
          No
(35) S&S ELECTRIC INC

1957 US RT 23
WAVERLY,OH45690
 EMPLOYER CONTRIBUTIONS OH  
          No
(36) SANTON ELECTRIC CO

7870 SOUTHERN BLVD
YOUNGSTOWN,OH44512
 EMPLOYER CONTRIBUTIONS OH  
          No
(37) SONEK ELECTRIC LLC

PO BOX 247
PORTSMOUTH,OH45662
 EMPLOYER CONTRIBUTIONS OH  
          No
(38) SPEELMAN ELECTRIC CO

358 COMMERCE ST
TALLMADGE,OH44278
 EMPLOYER CONTRIBUTIONS OH  
          No
(39) SPRING ELECTRIC CO

4607 CLEVELAND AVE NW
CANTON,OH44709
 EMPLOYER CONTRIBUTIONS OH  
          No
(40) STEWART ELECTRIC CO

477 GCP RD
WHEELING,WV26003
 EMPLOYER CONTRIBUTIONS WV  
          No
(41) SAYRE ELECTRIC INC

PO BOX 1001
EAST LIVERPOOL,OH43920
 EMPLOYER CONTRIBUTIONS OH  
          No
(42) TRICO ELECTRIC INC

PO BOX 6654
HUNTINGTON,WV25773
 EMPLOYER CONTRIBUTIONS WV  
          No
(43) ULLMAN ELECTRIC CO

3901 CHESTER AVE UNIT B
CLEVELAND,OH44114
 EMPLOYER CONTRIBUTIONS OH  
          No
(44) UNITED CONSTRUCTION CO

PO BOX 4859
PARKERSBURG,WV26104
 EMPLOYER CONTRIBUTIONS WV  
          No
(45) WE CONTRACTING LLC

6928 N MAIN ST SE
ACWORKTH,GA30101
 EMPLOYER CONTRIBUTIONS GA  
          No
(46) WEST END ELECTRIC CO

640 2ND ST
PORTSMOUTH,OH45662
 EMPLOYER CONTRIBUTIONS OH  
          No
(47) YAHN ELECTRIC CO INC

113017TH ST
WHEELING,WV26003
 EMPLOYER CONTRIBUTIONS WV  
          No
(48) GRAE-CON CONSTRUCTION

880 KINGSDALE RD PO BOX 1778
STEUBENVILLE,OH43952
 EMPLOYER CONTRIBUTIONS OH  
          No
(49) MICHELS CORP

817 WEST MAIN STREET
BROWNSVILLE,WI53006
 EMPLOYER CONTRIBUTIONS WI  
          No
(50) SOUTHEASTERN ELECTRIC

PO BOX 225
CROOKSVILLE,OH43731
 EMPLOYER CONTRIBUTIONS OH  
          No
(51) ESI INC

4696 DEVITT DR
CINCINNATI,OH45246
 EMPLOYER CONTRIBUTIONS OH  
          No
(52) KENT POWER SERVICES INC

PO BOX 328
KENT CITY,MI49330
 EMPLOYER CONTRIBUTIONS MI  
          No
(53) MARE SOLUTIONS INC

647 ALPHA DRIVE
PITTSBURGH,PA15238
 EMPLOYER CONTRIBUTIONS PA  
          No
(54) T & D POWER INC

16055 SPACE CENTER BLVD
HOUSTON,TX77062
 EMPLOYER CONTRIBUTIONS TX  
          No
(55) WB FOSSON & SONS INC

3321 WINCHESTER AVE
ASHLAND,KY41101
 EMPLOYER CONTRIBUTIONS KY  
          No
(56) CACHE VALLEY ELECTRIC CO

PO BOX 405
LOGAN,UT84323
 EMPLOYER CONTRIBUTIONS UT  
          No
(57) CUPERTINO ELECTRIC INC

77 CYPRESS ST W
REYNOLDSBURG,OH43068
 EMPLOYER CONTRIBUTIONS OH  
          No
(58) GREENBRIER HOTEL & RESORT

300 W MAIN STREET
WHITE SULPHUR SPRINGS,WV24986
 EMPLOYER CONTRIBUTIONS WV  
          No
(59) PAYNECREST ELECTRIC INC

10411 BAUR BLVD
ST LOUIS,MO63132
 EMPLOYER CONTRIBUTIONS MI  
          No
(60) SHAMBAUGH & SON INC

PO BOX 1287
FORT WAYNE,IN46801
 EMPLOYER CONTRIBUTIONS IN  
          No
(61) THE FRED B DEBRA CO

3976 SOUTHERN AVE
CINCINNATI,OH45227
 EMPLOYER CONTRIBUTIONS OH  
          No
(62) TRANSTAR ELECTRIC INC

767 WAREHOUSE ROAD
TOLEDO,OH43615
 EMPLOYER CONTRIBUTIONS OH  
          No
(63) WESTPHAL ELECTRIC INC

6409 HAMILTON DRIVE E
HOLLAND,OH43528
 EMPLOYER CONTRIBUTIONS OH  
          No
(64) BAYLISS & RAMEY INC

PO BOX D
FRAZIERS BOTTOM,WV25082
 EMPLOYER CONTRIBUTIONS WV  
          No
(65) CR ELECTRIC INC

1200 TRUMBULL AVE
GIRARD,OH44420
 EMPLOYER CONTRIBUTIONS OH  
          No
(66) EDWIN L HEIM CO

1918 GREENWOOD ST
HARRISBURG,PA17104
 EMPLOYER CONTRIBUTIONS PA  
          No
(67) HENKELS & MCCOY INC

985 JOLLY RD
BLUE BELL,PA19422
 EMPLOYER CONTRIBUTIONS PA  
          No
(68) MAYERS ELECTRIC CO

4004 ERIE COURT
CINCINNATI,OH45227
 EMPLOYER CONTRIBUTIONS OH  
          No
(69) MICKINNEY DRILLING CO

7550 TEAGUE RD STE 300
HANOVER,MD21076
 EMPLOYER CONTRIBUTIONS MD  
          No
(70) PRITCHARD SIGNAL & LIGHT

PO BOX 2255
HUNTINGTON,WV25723
 EMPLOYER CONTRIBUTIONS WV  
          No
(71) ROKSTAD POWER INC

80 GOLDEN DRIVE
LATHAM,NY12110
 EMPLOYER CONTRIBUTIONS NY  
          No
(72) 3D CONTSTRUCTION

430 29TH STREET BUILDING A
PARKERSBURG,WV26101
 EMPLOYER CONTRIBUTIONS WV  
          No
(73) ARC AMERICAN INC

PO BOX 599
WAKARUSA,IN46573
 EMPLOYER CONTRIBUTIONS IN  
          No
(74) ATLAS ELECTRIC CO

19401 ST CLAIR AVE
CLEVELAND,OH44117
 EMPLOYER CONTRIBUTIONS OH  
          No
(75) B & J ELECTRICAL CO

6265 WIEHE ROAD
CINCINNATI,OH45237
 EMPLOYER CONTRIBUTIONS OH  
          No
(76) BERWICK ELECTRIC CO

6863 ELIZA DR
CANAL WINCHESTER,OH43110
 EMPLOYER CONTRIBUTIONS OH  
          No
(77) EARLY CONSTRUCTION CO

307 COUNTY ROAD 120
SOUTH POINT,OH45680
 EMPLOYER CONTRIBUTIONS OH  
          No
(78) ELECTRICAL CO OF AMERICA

7320 ARLINGTON
RAYTOWN,MO64133
 EMPLOYER CONTRIBUTIONS MO  
          No
(79) HERRMAN & GOETZ INC

225 SOUTH LAFAYETTE BLVD
SOUTH BEND,IN46601
 EMPLOYER CONTRIBUTIONS IN  
          No
(80) J RANCK ELETRIC INC

1993 GROVER PARKWAY
MT PLEASANT,MI48858
 EMPLOYER CONTRIBUTIONS MI  
          No
(81) LAKELAND ELECTRIC INC

5350 GRANT AVE
CUYAHOGA HEIGHTS,OH44125
 EMPLOYER CONTRIBUTIONS OH  
          No
(82) NEWTRON INC

8182 W EL CAJON
BATON ROUGE,LA70815
 EMPLOYER CONTRIBUTIONS LA  
          No
(83) PLATEAU ELECTRIC INC

PO BOX 39
SCARBRO,WV25917
 EMPLOYER CONTRIBUTIONS WV  
          No
(84) TP ELECTRIC INC

3252 RT 31
ACME,PA15610
 EMPLOYER CONTRIBUTIONS PA  
          No
(85) THE SUPERIOR GROUP

1455 LOUIS SULLIVAN DR
PORTAGE,IN46368
 EMPLOYER CONTRIBUTIONS IN  
          No
(86) VIP ELETRIC CO

8358 MENTOR AVE
MENTOR,OH44060
 EMPLOYER CONTRIBUTIONS OH  
          No
(87) VEC INC

977 TIBBETTS WICK RD
GIRARD,OH44420
 EMPLOYER CONTRIBUTIONS OH  
          No
(88) ZENITH SYSTEMS

5055 CORBIN DRIVE
CLEVELAND,OH44128
 EMPLOYER CONTRIBUTIONS OH  
          No
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
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) 2019
Schedule R (Form 990) 2019
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2019

Additional Data


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