2024-11-11T14:57:49-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2023-01-01 366090694 BOILERMAKERS NATIONAL HEALTH & WELFARE FUND BOIL 9139067517 12200 N AMBASSADOR DRIVE 326 KANSAS CITY MO 64163 MARIO RODRIGUEZ CHIEF INVESTMENT OFFICER 9139067517 2024-11-09 1 0 DOUG BERTOSSI P00637990 6123764500 2024-11-08 2023 2024-10-15 13:58:12Z MARIO RODRIGUEZ 12200 N AMBASSADOR DRIVE 326 KANSAS CITY MO 64163 746822698 0 X WWW.BNF-KC.COM X 1954 MO TO PROVIDE HEALTH AND WELFARE BENEFITS 18 18 1 18 0 0 0 0 193640587 190586480 20597476 117163161 969 6885 214239032 307756526 0 0 186702048 180025737 1469487 1849696 0 0 0 8894197 9215633 197065732 191091066 17173300 116665460 1158235747 1237021017 28211650 26281575 1130024097 1210739442 X TO PROVIDE HEALTH AND WELFARE BENEFITS 0 1 PROVIDE HEALTH AND WELFARE BENEFITS FOR 13,328 PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 8 0 1 1 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X TONYA PAVELAC-WALKER 9139067497 12200 N AMBASSADOR DRIVE SUITE 326 KANSAS CITY MO 64163 X RONNIE TRAXLER MANAGEMENT TRUSTEE - CHAIR 1.08 40.00 X X 0 0 0 JOHN FULTZ SEE SCHEDULE O 0.81 40.00 X X 0 0 0 PATRICK GALLAGHER SEE SCHEDULE O 1.46 40.00 X X 0 0 0 SHELDON TRAXLER MANAGEMENT TRUSTEE-VICE CH 0.81 40.00 X X 0 0 0 J MICHAEL CARROLL MANAGEMENT TRUSTEE 1.46 40.00 X 0 0 0 JOSEPH REYNOLDS MANAGEMENT TRUSTEE 0.77 40.00 X 0 0 0 CLAY HERFORD SEE SCHEDULE O 0.65 40.00 X 0 0 0 WILLIAM MULCONNERY SEE SCHEDULE O 1.04 40.00 X 0 0 0 CHRISTOPHER O'NEILL SEE SCHEDULE O 1.19 40.00 X 0 0 0 ANTHONY HOWELL SEE SCHEDULE O 0.65 40.00 X 0 0 0 CRAIG BELFATTO MANAGEMENT TRUSTEE 1.19 40.00 X 0 0 0 AARON LANDOLT MANAGEMENT TRUSTEE 0.65 40.00 X 0 0 0 ED MCWHORTER III MANAGEMENT TRUSTEE 0.65 40.00 X 0 0 0 JOHN VALVO MANAGEMENT TRUSTEE 1.12 40.00 X 0 0 0 TIMOTHY JEFFERIES SEE SCHEDULE O 0.50 40.00 X 0 0 0 TIMOTHY SIMMONS SEE SCHEDULE O 0.65 40.00 X 0 0 0 LUIS MIRAMONTES SEE SCHEDULE O 0.00 40.00 X 0 0 0 LUKE VOIGT SEE SCHEDULE O 0.69 40.00 X 0 0 0 MARIO RODRIQUEZ CHIEF INVESTMENT OFFICER 10.00 40.00 X 107944 308589 160611 CHRISTINE KING RETIREMENT PLANS & MANAGING DIRECTOR 10.00 40.00 X 34241 302221 140291 LAURA PHELPS CHIEF LEGAL OFFICER 10.00 40.00 X 221553 118118 143846 BRIDGET HILLEBERT FUND EMPLOYEE 40.00 0.00 X 180097 174 89011 MARGARET SHRIVER FUND EMPLOYEE 10.00 40.00 X 5864 106735 70985 CYNTHIA DEKEYSER FUND EMPLOYEE 10.00 40.00 X 37117 105082 75074 KATHY JAMES FUND EMPLOYEE 10.00 40.00 X 46198 89353 77638 633014 1030272 757456 3 0 1 0 CIGNA HEALTH AND LIFE INSURANCE COMPANY 900 COTTAGE GROVE RD BLOOMFIELD C BLOOMFIELD CT 06002 ADMINISTRATIVE SERVICES 7144462 WILSON-MCSHANE CORPORATION 12200 N AMBASSADOR DRIVE SUITE 400 KANSAS CITY MO 64163 MANAGEMENT SERVICES 1983226 AMERICAN REALTY ADVISORS 150 NORTH WACKER DRIVE SUITE 1800 CHICAGO IL 60606 INVESTMENT MANAGER 786291 NATIONAL INVESTMENT SERVICES 777 E WISCONSIN AVE SUITE 2350 MILWAUKEE WI 53202 INVESTMENT MANAGER 762947 INVESCO ADVISORS 1101 CALIFORNIA ST SUITE 475 KANSAS CITY KS 66101 INVESTMENT MANAGER 686284 19 EMPLOYER CONTRIBUTIONS 525100 141637852 141637852 EMPLOYEE CONTRIBUTIONS 525100 32132720 32132720 PRESCRIPTION REBATES 525100 16620887 16620887 DELINQUENT EMPLOYER IN 525100 165707 165707 MEDICARE SUBSIDY 525100 29314 29314 190586480 23028772 23028772 533200561 439066172 94134389 94134389 94134389 MISCELLANEOUS INCOME 525100 6885 6885 6885 307756526 190586480 0 117170046 180025737 363740 469462 615271 383849 17374 1732109 229962 380039 5806731 202569 300482 166765 103537 59115 25830 208493 JOINT COMMITTEE ON ADMI 1 191091066 -387777 -1295206 56391318 51578338 8013149 7715653 489851 458347 179245 107403 302228476 268010850 786242400 899815692 5079085 10629940 1158235747 1237021017 1205092 1148003 3767115 2922519 23239443 22211053 28211650 26281575 X 0 0 0 0 1130024097 1210739442 1130024097 1210739442 1158235747 1237021017 116665460 -35950115 0 X X 0 1 X 1 0 0 LIMITED PARTNERSHIPS 206836745 F LIMITED LIABILITY COMPANIES 189482727 F 103-12 INVESTMENT ENTITIES 145515486 F COMMON COLLECTIVE TRUST 357980734 F 899815692 DUE TO RELATED ORGANIZATION 65931 LIABILITY FOR SECURITIES ON LOAN 21780208 DUE TO BROKER 364914 22211053 X 265999680 -35950115 -35950115 301949795 5806731 5806731 307756526 185284335 0 185284335 5806731 5806731 191091066 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE FUND TO HOLD THE FUND'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) UNDER THE INTERNAL REVENUE CODE (IRC) AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST OBTAINED ITS LATEST TAX EXEMPTION LETTER, DATED OCTOBER 27, 1977, IN WHICH THE INTERNAL REVENUE SERVICE STATED THAT THE TRUST, AS THEN DESIGNED, WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THE TRUST HAS BEEN AMENDED SINCE RECEIVING THE TAX EXEMPTION LETTER. HOWEVER, THE PLAN ADMINISTRATOR AND THE PLAN'S COUNSEL BELIEVE THAT THE TRUST IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, THEY BELIEVE THAT THE TRUST WAS QUALIFIED AND THE RELATED TRUST WAS TAX EXEMPT AS OF THE FINANCIAL STATEMENT DATE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. X 0 0 0 MARIO RODRIQUEZ CHIEF INVESTMENT OFFICER 80969 230451 0 0 26975 78138 34341 97739 7418 21113 149703 427441 0 0 LAURA PHELPS CHIEF LEGAL OFFICER 161707 87073 0 0 59846 31045 74955 40360 18545 9986 315053 168464 0 0 CHRISTINE KING RETIREMENT PLANS & MANAGING DIRECTOR 25230 227070 0 0 9011 75151 11176 100584 2853 25678 48270 428483 0 0 BRIDGET HILLEBERT FUND EMPLOYEE 131654 0 0 0 48443 174 60480 0 28531 0 269108 174 0 0 CYNTHIA DEKEYSER FUND EMPLOYEE 27577 78489 0 0 9540 26593 12101 34442 7418 21113 56636 160637 0 0 KATHY JAMES FUND EMPLOYEE 34911 67769 0 0 11287 21584 16696 32410 9701 18831 72595 140594 0 0 MARGARET SHRIVER FUND EMPLOYEE 5502 104541 0 0 362 2194 2123 40330 1427 27105 9414 174170 0 0 PART I, LINE 3 THE RELATED ORGANIZATION USED THE FOLLOWING METHODS TO DETERMINE COMPENSATION: WRITTEN EMPLOYMENT CONTRACT AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 245153 245153 1 1 1 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 85133 85133 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 8645 8645 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 119416 119416 1 1 0 458347 FORM 990, PART III, LINE 3 EFFECTIVE 01/01/2023 A. INCREASED VISION BENEFIT FROM $250 TO $300, INCLUDES PRESCRIPTION SUNGLASSES, BLUE BLOCKER, ETC. B. INCREASED DENTAL BENEFIT FROM $1,500 TO $1,700 C. INCREASED HEARING AID BENEFIT FROM $1,500 TO $2,500, INCLUDING OVER THE COUNTER HEARING AIDS D. INCREASED PREFERRED LAB BENEFIT FROM 90% COINSURANCE TO 100% (PLUS DEDUCTIBLE) E. DECREASED IN-NETWORK DEDUCTIBLE FROM $400 TO $300 PER INDIVIDUAL/$1,600 TO $1,200 FOR FAMILY F. ADDED AMWELL TELEHEALTH SERVICES AS AN EXCLUSIVE PROVIDER EFFECTIVE JULY 1, 2023: A. ADDED A VIRTUAL PHYSICAL THERAPY PROGRAM THROUGH HINGE HEALTH AT A $0 COPAY B. ADDED A VIRTUAL DIABETES MANAGEMENT PROGRAM THROUGH VIRTA HEALTH AT A $0 COPAY FORM 990, PART VI, SECTION A, LINE 7A THE BOARD IS APPOINTED BY THE BARGAINING ORGANIZATIONS, 50% BY THE EMPLOYERS AND 50% BY THE UNION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATION'S PUBLIC ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT. ONCE THE RETURN IS AVAILABLE, IT IS PROVIDED TO MANAGEMENT FOR REVIEW BEFORE BEING PROVIDED TO THE GOVERNING BODY FOR REVIEW BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION DOES REQUIRE ANNUAL DISCLOSURES FOR POTENTIAL CONFLICTS OF INTEREST OF ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST, WHICH ARE REVIEWED BY THE ORGANIZATION. THE AFFECTED TRUSTEE OR EMPLOYEE MUST CEASE PARTICIPATION IN THE DECISION OR TRANSACTION UNTIL IT IS DETERMINED THAT THE AFFECTED TRUSTEE OR EMPLOYEE MAY CONTINUE TO PARTICIPATE IN THE DECISION OR TRANSACTION. POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ALSO REVIEWED FOR COMPLIANCE WITH ERISA REQUIREMENTS. THE ORGANIZATION DOES REQUIRE FULL DISCLOSURE FOR POTENTIAL CONFLICTS OF INTEREST WHEN CONDUCTING SEARCHES FOR NEW VENDORS AND SERVICE PROVIDERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. THE PLAN AND TRUST DOCUMENTS AND SUMMARY ANNUAL REPORT ARE ON THE WEBSITE AND AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A THE FOLLOWING TRUSTEES ARE COMPENSATED BY A NON-PROFIT RELATED ORGANIZATION AND COMPENSATION INFORMATION WILL BE MADE AVAILABLE UPON REQUEST. JOHN T. FULTZ, UNION TRUSTEE - SECRETARY PATRICK M. GALLAGHER, UNION TRUSTEE - ASST. SECRETARY CLAY HERFORD, UNION TRUSTEE WILLIAM MULCONNERY, UNION TRUSTEE CHRISTOPHER O'NEILL, UNION TRUSTEE ANTHONY HOWELL, UNION TRUSTEE TIMOTHY JEFFERIES, UNION TRUSTEE TIMOTHY SIMMONS, UNION TRUSTEE LUIS MIRAMONTES, UNION TRUSTEE LUKE VOIGT, UNION TRUSTEE FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED THEIR PROCESS FOR THE OVERSIGHT OR THE SELECTION OF THE INDEPENDENT ACCOUNTANT FROM THE PRIOR YEAR. 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