2023-04-02T06:34:27-05:00 2022-05-31 470900880 CALIBRE CPA GROUP PLLC 230 W MONROE STE 310 CHICAGO IL 606064701 990 2021-06-01 366219639 FOX VALLEY LABORERS HEALTH & WELFARE FND FOXV 8477420900 2371 BOWES ROAD 500 ELGIN IL 601235523 MARK CASTELVECCHI CHAIRMAN 8477420900 2023-03-31 1 MARK CASTELVECCHI 999009999 ANDREW HEIN P00499757 3126550037 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MARK CASTELVECCHI 2371 BOWES ROAD 500 ELGIN IL 601235523 57154274 0 X N/A X 1968 IL TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 6 3 55 0 0 0 0 0 35617055 36304590 6787890 8274118 315462 405215 42720407 44983923 0 0 32246386 32786934 1015900 1190104 0 0 0 2646284 2644062 35908570 36621100 6811837 8362823 125450928 118401863 25719414 25508838 99731514 92893025 TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 0 0 TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. THERE WERE 1,933 ELIGIBLE PARTICIPANTS AT MAY 31, 2022. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 736 0 1 55 1 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 1 1 0 0 X DEBORAH FRENCH 8477420900 2371 BOWES ROAD SUITE 500 ELGIN IL 601235523 BRIAN M URSO TRUSTEE 3.00 40.00 X 0 135736 98254 VERN BAUMAN FORMER CHAIRMAN 3.00 40.00 X 0 136627 98254 MARK A CASTELVECCHI CHAIRMAN 3.00 50.00 X 0 167836 108072 STEVEN E LAMP TRUSTEE 3.00 X 0 0 0 JOHN P BRYAN SECRETARY 3.00 X 0 0 0 BRIAN T RAUSCH TRUSTEE 3.00 X 0 0 0 ALBERTO ALFARO TRUSTEE 3.00 50.00 X 0 147562 101534 DEBORAH L FRENCH ADMINISTRATOR 40.00 X 130825 0 57700 130825 587761 463814 1 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH ST CHICAGO IL 60601 PPO ACCESS FEES 847060 SEI INVESTMENT ONE FREEDOM DRIVE OAKS PA 19456 INV MGMNT/CONSULTING 365803 HINE & ASSOC 14 N FIRST AVESTE 1404 ST CHARLES IL 60178 CLAIMS REVIEW AND CONSULTING 193595 HORIZON ACTUARIAL SERVICES LLC 6120 ROLLING ROAD DRIVE MIAMI FL 331565629 PLAN CONSULTING 181597 4 EMPLOYER CONTRIBUTIONS 900099 33986305 33986305 MEMBER CONTRIBUTIONS 900099 2179804 2179804 MEDICARE D SUBSIDIES 900099 138481 138481 36304590 2548514 2548514 17895955 12170351 5725604 5725604 5725604 REIMB SAL & RELATED EXPENSES FROM 900099 405215 405215 405215 44983923 36709805 0 8274118 32786934 590016 325451 190626 84011 98300 71997 567392 1495523 260810 82044 7264 16757 33914 PATIENT PROTECTION & AF 10061 36621100 37782 3906680 3929687 80829 97061 371629 348462 33717 23167 121261779 114201923 130141 150025 125450928 118401863 107632 104776 25611782 25404062 25719414 25508838 X 0 0 0 0 99731514 92893025 99731514 92893025 125450928 118401863 8362823 -15201312 0 X X 0 1 X 1 0 371629 348462 23167 23167 EST LIAB FUTR CLAIMS EXTENDED ELIGIBLTY 19683000 EST LIAB FUTR CLAIMS INCURRED BUT UNPAID 4828000 DEPOSITS HELD 142421 DUE TO AFFILIATED FUNDS 461 RECIPROCITY PAYABLE 697947 CASH OVERDRAFT 52233 25404062 X 28671522 -15201312 -15201312 43872834 567392 543697 1111089 44983923 35682011 -138482 -138482 35820493 567392 233215 800607 36621100 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGMENT TO EVALUATE TAX POSISTIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS OF MAY 31, 2022, THERE WERE NO UNCERTAIN TAX POSISTIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION IF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 4B - OTHER ADJUSTMENTS: MEDICARE D SUBSIDIES RECEIVED 138,482. REIMBURSED FV PENSION SALARY EXPENSE 405,215. STOP LOSS INSURANCE REIMBURSEMENTS PART XII, LINE 2D - OTHER ADJUSTMENTS: MEDICARE D SUBSIDIES RECEIVED -138,482. STOP LOSS INSURANCE REIMBURSEMENTS PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED FV PENSION SALARY EXPENSE 405,215. CHANGE IN PLAN BENEFIT OBLIGATION -172,000. X 0 0 0 MARK A CASTELVECCHI CHAIRMAN 0 166745 0 0 0 1091 0 77737 0 30335 0 275908 0 0 ALBERTO ALFARO TRUSTEE 0 142838 0 0 0 4724 0 71199 0 30335 0 249096 0 0 VERN BAUMAN FORMER CHAIRMAN 0 131462 0 0 0 5165 0 68473 0 29781 0 234881 0 0 BRIAN M URSO TRUSTEE 0 131394 0 0 0 4342 0 68473 0 29781 0 233990 0 0 DEBORAH L FRENCH ADMINISTRATOR 130825 0 0 0 0 0 34560 0 23140 0 188525 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE TRUSTEES OF THE FOX VALLEY AND VICINITY LABORERS HEALTH AND WELFARE FUND HAVE AUTHORIZED THE CHAIRMAN OF THE FUND TO REVIEW THE FORM 990 PRIOR TO FILING. A COPY OF THE FILED RETURN IS MADE AVAILABLE TO ALL TRUSTEES TO REVIEW SUBSEQUENT TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ACTIONS OF THE TRUSTEES ARE GOVERNED BY THE TRUST DOCUMENT AND ERISA. BOTH ESTABLISH STANDARDS OF CONDUCT FOR PLAN FIDUCIARIES. IN ADDITION, THE ADMINISTRATOR OF THE PLAN HAS SIGNED AN EMPLOYMENT CONTRACT WITH THE FUND WHICH ALSO ESTABLISHES STANDARDS OF CONDUCT. THE TRUSTEES AND ADMINISTRATOR ARE RQUIRED TO DISCLOUSE ANY POSSIBLE CONFLICTS OF INTREST TO THE ENTIRE BOARD. FORM 990, PART VI, SECTION B, LINE 15A THE TRUSTEES OF THE FUND ANNUALLY REVIEW THE PERFORMANCE OF THE FUND'S TOP MANAGEMENT OFFICIAL (ADMINISTRATOR) AND APPROVE ANY COMPENSATION ADJUSTMENTS. FORM 990, PART VI, SECTION C, LINE 19 A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS ANNUALLY. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE FUND OFFICE AND/OR THE US DEPARTMENT OF LABOR. FORM 990 PART XII LINE 2C THERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR FOX VALLEY & VICINITY LABORERS PENSION 2371 BOWES RD NO 500 ELGIN IL 601235523 366147409 PENSION FUND IL 401(A) 0 LABORERS LOCAL #1035 3819 N ROUTE 23 SUITE A MARENGO IL 601520211 362063944 LABOR UNION IL 501(C)(5) 0 LABORERS LOCAL #582 2400 BIG TIMBER ROAD BLDG B ELGIN IL 601247812 361265047 LABOR UNION IL 501(C)(5) 0 CHICAGOLAND ASSOCIATED GENERAL CONTRACTORS ONE OAKBROOK TERRACE NO 210 OAKBOROOK TERRACE IL 60181 360852545 CONTRACTORS ASSOCIATION IL 501(C)(6) 0 ILLINOIS ROAD AND TRANSPORTATION BUILDERS ASSOCIATION 500 PARK BLVD 1250 ITASCA IL 60143 361257695 CONTRACTORS ASSOCIATION IL 501(C)(6) 0 ABITUA SEWER WATER & PLUMB ALLIANCE CONCR SAW & DRILL ALLIANCE CONTRACTORS INC ALTHOFF INDUSTRIES AMERICAN VACTOR SERVICES LL APRIL COBRA ENTERPRISES INC ARROW ROAD CONSTRUCTION CO ARTLOW SYSTEMS INC ASC INSULATION FIREPROOFNG AURORA BRICK CLEANERS BAUER & BAUER CONCRETE INC BEL ROCK ASPHALT PAVING IN BENNETT CONSTRUCTION INC BERGER EXCAVATING CONTRACTO BERGQUIST & ZIMMERMAN CON I BLACKHAWK FOUNDATION CO INC BRAVO CONSTRUCTION CO INC BUESING BROTHER INC BUILDERS CONCRETE SERVICES BULLEY & ANDREWS BURROAK MASONRY INC C&H EXCAVATING INC CAMOSY INCORPORATED CAMPTON CONSTRUCTION CARMICHAEL CONSTRUCTION INC CELLCRETE DECKS CHADWICK CONTRACTING CHAMPION PAVING CORP CHICAGOLAND PAVING COLLINS & HERMANN INC CONCRETE SYSTEMS INC CONTRACTING & MATERIAL CO COOLING LAND CONCEPTS LLC CORRECTIVE ASPHALT MATERIAL CURRAN CONTRACTING CO CYBERDYNE MASONRY DYNAMICS D CONSTRUCTION INC DIAMOND MASONRY DOHERTY CONSTRUCTION INC DON BOHR & SONS INC DOUGAL BUILDING MAINT LLC DPI CONSTRUCTION DREAMSCAPES BY DENNIS INC DYNAMIC CONTRACTORS INC EAGLE CONCRETE INC ELECTRIC CONDUIT CONST ENGSTROM CONSTRUCTION CO EVANS & SON BLACKTOP EVEREST EXCAVATING INC FCS LLC FISCHER EXCAVATING INC FIVE STAR ENERGY SERVICES FLOOR TECH SOLUTIONS INC FOSS LANDSCAPES INC FOX EXCAVATING INC FREEHILL ASPHALT INC GC MASONRY INC GO SERVICES LLC GANZIANO SEWER & WATER INC GEHRKE CONSTRUCTION INC GENEVA CONST CO GESKE AND SONS INC H & S CONCRETE CONSTRUCTION H LINDEN & SONS WATER & SEW H R STEWART INC HEELS AND HARDHATS CONTRACT HENKELS & MC COY INC ICC GROUP INC IHC CONSTRUCTION CO LLC INTREN LLC J & R 1ST IN ASPHALT J & S CONSTRUCTION SEWER & J NARDULLI CONCRETE INC J P CULLEN & SONS INC J SQUARED MASONRY INC JACK HALL CONSTRUCTION JENSENS PLUMBING & HEATING JIMMY Z MASONRY CORP JMI 2 CORPORATION K R MILLER CONTR INC KANE COUNTY EXCAVATING INC KELLENBERGER PLUMBING & UND KELSEY EXCAVATING INC KENDALL EXCAVATING & SEPTIC K-FIVE CONSTRUCTION KIRBY CABLE SERVICES INC KWCC INC L J MORSE CONSTRUCTION LAMP INCORPORATED LANAS CONSTRUCTION LANDMARK CONTRACTORS INC LASSWELL MASONRY INC LIBERTY PAVING CO INC LITE CONSTRUCTION LORIG CONSTRUCTION COMPANY M & M WELDING INC MM PETERS CONSTRUCTION INC MARC KRESMERY CONSTRUCTION MARTIN & CO EXCAVATING MECCOR INDUSTRIES LTD MERRYMAN EXCAVATING INC MICHELS PIPELINE INC MID-AMERICA REGIONAL BARGAI MID-VALLEY CONCRETE INC MIKE HARRIS MASON CONTR INC MONTEMAYOR CONSTRUCTION INC MTH UNDERLAYMENT LLC NERI CONTRACTORS & EXCAVATO NESLUND & ASSOCIATES INC NORTHERN CONTRACTING INC NORTHERN ILLINOIS SERVICE C NORTHERN PIPELINE CONST CO NORTHWEST CONTRACTORS INC N-TRAK GROUP LLC ORANGE CRUSH LLC OSWEGO BUILDING SUPPLIES IN OTTO BAUM CO INC P T FERRO CONSTRUCTION CO PALLERA CONSTRUCTION INC PEPPER CONSTRUCTION PERFORMANCE CONST AND ENGIN PETER BAKER & SON COMPANY PHOENIX CORP OF THE QUAD CI PLAINFIELD CONCRETE INC PLAINFIELD GRADING & EXCAVA PLOTE CONSTRUCTION INC PORTER BROTHERS CONSTRUCTIO PRECISE CEMENT CONSTRUCTION PREFERRED CONCRETE & EXCAVA R & J MASONRY AND RESTORATI R OLSON CONST CO CONTR INC RAES CONCRETE INC RAGNAR BENSON LLC REED MACHINERY & TRANS CO REIL CONSTRUCTION INC RICO ENTERPRISES INC RINGLAND-JOHNSON INC RIVER CITY CONSTRUCTION ROCK ROAD OF ILLINOIS ROCKFORD CONCRETE PAVING CO RUDOLPH MASON CONTRACTORS RUIZ CONSTRUCTION SYSTEMS I RYAN COMPANIES US INC S & K EXCAVATING & TRUCKING S&K POOL SERVICE INC SCANDROLI CONSTRUCTION CO SCHMELING CONSTRUCTION CO SCHNEIDER EXCAVATING INC SCHOMBURG & SCHOMBURG CONST SCHROEDER ASPHALT SERVICES SCHUBERT & SON CONCRETE INC SCURTO CEMENT CONSTRUCTION SEYLLER'S INC SHALES MCNUTT LLC SJOSTROM & SONS INC SPECIALTY BUILDERS INC STARK & SON TRENCHING INC STENSTROM CONSTRUCTION GROU STENSTROM EXCAV & BLACKTOP STOKES EXCAVATING INC TAT ENTERPRISES INC TBS CONSTRUCTION INC TERPSTRA MASONRY THE BOLDT COMPANY THE PENA GROUP INC THOM GRAVEL AND EXCAVATING TOBIN BROS INC TRIGGI CONSTRUCTION INC TROY LEE EXCAVATING INC V3 CONSTRUCTION TRADES LTD VIRIDIAN ENTERPRISES INC VISSERING CONSTRUCTION CO W F JOHNSTON CONSTRUCTION I WALSH CONSTRUCTION CO II LL WEAVER CONSTRUCTION INC WHITTAKER CONST & EXCAVAT WILKINSON EXCAVATING WILLIAM CHARLES CONST CO LL WILLIAM TONYAN & SONS INC WILLIAMS BROTHERS CONST CO WINNINGER EXCAVATING INC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0