2023-04-06T10:14:20-05:00 2022-05-31 470900880 CALIBRE CPA GROUP PLLC 230 W MONROE ST SUITE 310 CHICAGO IL 60606 990 2021-06-01 366147408 FOX VALLEY & VICIN CONSTRUCTION WEL FUND FOXV 8475191880 953 AMERICAN LANE 100 SCHAUMBURG IL 60173 ART STURMS TRUSTEE 8475191880 2023-04-06 1 ART STURMS 999009999 COREY BILKEY P00499751 3126550037 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z ART STURMS 953 AMERICAN LANE 100 SCHAUMBURG IL 60173 26749916 0 X N/A X 1961 WI TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS. 10 5 7 0 0 0 0 0 9089579 9278877 2101402 44733 0 0 11190981 9323610 0 0 11989311 10997347 0 0 0 0 0 797413 733087 12786724 11730434 -1595743 -2406824 25153566 21950455 5028087 5263260 20125479 16687195 X TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS 0 0 TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO ELIGIBLE MEMBERS TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO ELIGIBLE MEMBERS 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 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 7 1 0 0 0 0 0 0 0 0 X 10 5 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X GROUP ADMINISTRATORS LTD 8475191880 953 AMERICAN LANE SCHAUMBURG IL 60173 DAN AUSSEM CHAIRMAN 2.00 X 0 0 0 KENNETH SANDENO TRUSTEE 2.00 X 0 0 0 ART STURMS SECRETARY 2.00 40.00 X 0 131665 94464 ANTHONY FRESCURA JR TRUSTEE 2.00 40.00 X 0 113609 109517 PETE NIELSEN TRUSTEE 2.00 X 0 0 0 DAVID HENDERSON TRUSTEE 2.00 X 0 0 0 TROY COX TRUSTEE 2.00 40.00 X 0 118847 104609 BOB MORREALE TRUSTEE 2.00 X 0 0 0 ERIC MROWICKI TRUSTEE 2.00 40.00 X 0 85272 67822 MICHAEL LEWIS TRUSTEE 2.00 40.00 X 0 118691 101801 0 568084 478213 0 0 1 0 BCBS 300 EAST RANDOLPH ST CHICAGO IL 60601 PPO CLAIMS PROVIDER 290867 GROUP ADMINISTRATORS LTD 953 AMERICAN LANE SCHAUMBURG IL 60173 ADMINISTRATOR 230030 2 EMPLOYER CONTRIBUTIONS 525100 8723347 8723347 EMPLOYEE CONTRIBUTIONS 525100 555530 555530 9278877 385568 385568 17085471 17426306 -340835 -340835 -340835 9323610 9278877 0 44733 10997347 230030 -40577 57089 50618 418302 3681 1611 12333 11730434 573963 642030 955957 129320 1003526 953384 10392 8944 18160311 17760106 4431027 2451376 18390 5295 25153566 21950455 11687 22160 5016400 5241100 5028087 5263260 X 0 0 0 0 20125479 16687195 20125479 16687195 25153566 21950455 -2406824 -1031459 0 X X 0 1 X 1 0 0 LIMITED PARTNERSHIPS 2451376 F 2451376 EXTENDED ELIGIBILITY 4372900 EST LIAB FUT CLMS INCRRD NOT REPRTD 694600 CLAIMS PAYABLE 173600 5241100 X 8241532 -1031459 -1031459 9272991 50618 50618 9323609 11455116 0 11455116 50618 224700 275318 11730434 PART X, LINE 2: AS OF MAY 31, 2022, THERE WERE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIOD IN PROGRESS. AT MAY 31, 2022 THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO THE FISCAL YEAR ENDED MAY 31, 2019. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CURRENT BENEFIT OBLIGATIONS 224,700. 0 0 0 ART STURMS SECRETARY 0 131665 0 0 0 0 0 67817 0 26647 0 226129 0 0 TROY COX TRUSTEE 0 118847 0 0 0 0 0 79005 0 25604 0 223456 0 0 ANTHONY FRESCURA JR TRUSTEE 0 113609 0 0 0 0 0 83515 0 26002 0 223126 0 0 MICHAEL LEWIS TRUSTEE 0 118691 0 0 0 0 0 76169 0 25632 0 220492 0 0 ERIC MROWICKI TRUSTEE 0 84972 0 0 0 300 0 44942 0 22880 0 153094 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE TRUSTEES AUTHORIZE THE FUND'S THIRD-PARTY ADMINISTRATOR AND A DESIGNATED TRUSTEE TO REVIEW THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE TRUSTEES ARE GOVERNED BY THE TRUST DOCUMENT AND HAVE A FIDUCIARY RESPONSIBILITY UNDER ERISA TO ADMINISTER THE PLAN IN THE BEST INTEREST OF THE MEMBERSHIP. THE US DEPARTMENT OF LABOR REQUIRES ALL LABOR TRUSTEES TO REPORT ON FORM LM-30 POTENTIAL SITUATIONS WHERE THERE MAY BE CONFLICTS OF INTEREST. THIS INFORMATION IS OPEN TO THE PUBLIC. FORM 990, PART VI, SECTION C, LINE 19 A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE PLAN ADMINISTRATOR AND/OR THE US DEPARTMENT OF LABOR. ALSO, FORM 5500 IS OPEN TO PUBLIC INSPECTION THROUGH THE US DEPARTMENT OF LABOR. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FOX VALLEY CONSTRUCTION WORKERS PENSION 28 N FIRST STREET GENEVA IL 60134 366147407 PROVIDE PENSION BENEFITS IL 401 A N/A 0 IUBAC ADMINISTRATIVE DC #1 660 N INDUSTRIAL DR ELMHURST IL 60126 363028328 TO ORGANIZE WORKERS IL 501C5 N/A 0 PLASTERERS AND CEMENT MASONS LOCAL 11 1102 RAIL DR WOODSTOCK IL 60098 364078859 TO ORGANIZE WORKERS IL 501C5 N/A 0 BRICKLAYERS AFL-CIO LOCAL 6 661 SOUTHROCK DR ROCKFORD IL 61102 363912731 TO ORGANIZE WORKERS IL 501C5 N/A 0 NORTHERN ILLINOIS CEMENT MASONS & PLASTERERS JAATP 1102 RAIL DR WOODSTOCK IL 60098 363674511 TO EDUCATE APPRENTICE CEMENT AND PLASTER MASONS IL 501C5 N/A 0 A1 GROUP LTD ABI CONSTRUCTION LLC ARGO CONSTRUCTION LLC CERAMI CONSTRUCTION CO LTD D'LAND CONSTRUCTION LLC GRADERC LLC MEDINA RESOURCES GROUP LLC MTH UNDERLAYMENT LLC NORVILLA LLC N-TRACK GROUP LLC RABINE PAVING LLC RAUSCH INFRASTRUCTURE LLC SCURTO CEMENT CONST LTD T MARTIN CONCRETE LLC WALSH CONSTRUCTION CO II LLC A-1 MASONRY INC ABARI CONSTRUCTION INC ABBEY PAVING CO INC AC READY MIX ACURA INC ADJUSTABLE FORMS INC ADVANTAGE PAVING SOLUTIONS INC ALAMP CONCRETE CONTRACTORS INC ALLAN MACK & SONS INC ALLEN PRESTWOOD CONCRETE ALLIANCE CONTRACTORS INC ALLSTATES REFRACTORY CONTRACTORS ALRIGHT CONCRETE AMERICAN CONCRETE RESTORATIONS AMERICAN GRADING INC ANDERSON PUMP SERVICE INC AREATHA CONSTRUCTION CO ARTLOW SYSTEMS INC AUSTIN TYLER CONSTRUCTION AZTEC CEMENT CO B & B CONCRETE INC B&B MASONARY & RESTORATION BAISH EXCAVATING INC BAUER AND BAUER CONCRETE INC BAUMGARTNER CONSTRUCTION INC BENNETT CONSTRUCTION BERGER EXCAVATING CONTRACTORS BERGLUND CONSTRUCTION BERGQUIST & ZIMMERMAN CONST CO BOLLER CONSTRUCTION CO BOUCHARD MASONRY BRANDONISIO & COMPANY BRIESER CONSTRUCTION CO BUILDERS CONCRETE BULLEY & ANDREWS CONCRETE RESTORATION BUTLER CORING INC C & T CONSTRUCTION INC CAMOSY INCORPORATED CARBO CONSTRUCTION INC CARMICHAEL CONSTRUCTION INC CAR-MIN CONSTRUCTION CO INC CARRERA CONCRETE CONST INC CENTRAL IL BRICKLAYERS CHADWICK CONTRACTING CO CIBULKA CONST CO INC CIVIL CONSTRUCTORS COLELLA CONCRETE INC CONCRETE BY MANCUSO INC CONCRETE BY WAGNER INC CONCRETE STRUCTURES CONCRETE SYSTEMS INC CONLEY EXCAVATING INC COPENHAVER CONST INC CPMH CONSTRUCTION INC D CONSTRUCTION INC DAKER CORPORATION DAVIS CONCRETE CONST CO DIVINE CEMENT DON BOHR & SONS INC DRAKE CONCRETE CONST INC DUBOIS PAVING COMPANY DUCO CONSTRUCTION DUNNET BAY CONST CO DYKSTRA CONCRETE CONST CO EAGLE CONCRETE INC ED FOGARTY CONCRETE INC ELECTRIC CONDUIT CONSTRUCTION ELLIOT CONSTRUCTION CORP ELLIOTT & WOOD INC ENGSTROM CONSTRUCTION CO EVANS & SONS BLACKTOP INC EVANS-MASON INC FABCON INC FH PASCHENSN NIELSEN & ASSOC FLOOR TECH SOLUTIONS INC G & M CEMENT CONST G & V CONSTRUCTION INC GALLAGHER ASPHALT GENEVA CONSTRUCTION GOLF ACQUISTION GRAYCOR INDUSTRIAL CONSTR INC H & S CONCRETE CONSTRUCTION INC H JOHNSON CONCRETE H3 CONCRETE INC HACIENDA LANDSCAPING HERLIHY MID-CONTINENT CO HTI POLYMEIR INC ICC GROUP INC IHC CONSTRUCTION COMPANIES IMPRESSIVE CONSTRUCTION INC IROQUOIS PAVING CORP IRVING CONSTRUCTION INC J B CONCRETE CONTRACTOR INC J J BRAKER AND SONS INC J SQUARED MASONRY INC J&J NEWELL CONCRETE CONTRACTOR JACK HALL CONSTRUCTION JALPA CONSTRUCTION CORP JC DILLON INC JG DEMO INC JOSEPH J HENDERSON & SON INC JUDLAU CONTRACTING INC JUST MASONRY KATS & SONS INC K-FIVE CONSTRUCTION KIEWIT POWER CONSTRUCTORS CO KNOTTS MASONRY & CONST INC KREATIVE SCAPE INC KWCC INC LAGIOIA CONSTRUCTION LAKES & RIVERS CONTRACTING LAMPIGNANO & SON CONST CO LANDMARK CONTRACTORS INC LEANDER CONSTRUCTION INC LILJA CORPORATION LINDBLAD CONSTRUCTION CO LITE CONSTRUCTION INC LIVEWIRE ELECTRICAL SYSTEMS LORIG CONSTRUCTION COMPANY LORUSSO CEMENT CONTRACTORS M & J UNDERGROUND INC M R MASON CONTRACTOR INC MM PETERS CONSTRUCT INC MANUSOS GENERAL CONTRACTING MARTAM CONSTRUCTION INC MARTIN CEMENT COMPANY MAUL PAVING MCHUGH CONCRETE CONSTRUCTION CO MID VALLEY CONCRETE M-JTJ CONTRACTORS AND BLDRS MUFFLER CONCRETE & SONS MURPHY PAVING AND SEALCOATING INC NARVICK BROS LUMBER CO INC NATOLA CONCRETE INC NORTHWEST CONTRACTORS INC NORTHWEST RESTORATION CO NUGENT CONSTRUCTION CO O'CONNOR CONTRACTORS INC OPPERMAN CONSTRUCTION CO OTTAWA MASONRY OTTO BAUM COMPANY INC P T FERRO CONSTRUCTION CO PALOS BUILDERS PAN OCEANIC ENG CORP PARKWAY FORMING INC PAUL HERRERA CONSTRUCTION CO PEPPER CONSTRUCTION CO PLAINFIELD CONCRETE INC PLAINFIELD CONST COMPANY PLAINFIELD CONSTRUCTION CO PLOTE CONSTRUCTION INC PREFERRED CONCRETE PREMIUM CONCRETE INC PSI PROFESSIONAL SURFACE INSTALLATIONS PULLARA CONSTRUCTION INDUSTRY R OLSON CONST CO CONTRACTORS RAFY'S CONCRETE INC RAI CONCRETE INC RAMCORP INC RAPID ROADS INC RASCH CONSTR & ENGINEERING RC CAST RESTORATION & CLEANING INC RC SMITH CONCRETE CO RIBER CONSTRUCTION INC RILEY CONST CO INC RINGLAND-JOHNSON INC RIVER CITY CONSTRUCTION CO RIZZA CONCRETE ROBERT H WARD & ASSOC INC RODGERS CONSTRUCTION CORP ROYAL CONCRETE INC RUANE CONSTRUCTION INC RULA'S ENTERPRISES RW DUNTEMAN CO SANCHEZ CONSTRUCTION SERVICES SCANLON EXCAVATING & CONCRETE SCHAEFGES BROTHERS INC SCHROEDER & SCHROEDER INC SHOW ME INDUSTRIAL SERVICES SINGLEY CONSTRUCTION SJOSTROM & SONS INC SONGER CONST CORP SPRAY INSULATIONS INC STENSTROM EXCAVATION STRADA CONSTRUCTION CO STREETS OF CHICAGO SERVICES STUCKEY CONSTRUCTION CO INC SUBURBAN CONCRETE INC SUMIT CONSTRUCTION CO INC SURF PREP INC SWEDBERG & ASSOCIATES INC T B S CONCRETE INC T K CONCRETE TEICHMANN HENRY F INC THE BOLDT COMPANY THIENEMAN CONSTRUCTION INC TRIALTA CONSTRUCTION CO TRICE CONSTRUCTION CO TRIGGI CONST INC UTILITY & INDUSTRIAL CONST CO VISSERING CONSTRUCTION CO WF JOHNSTON CONSTRUCTION WALSH CONSTRUCTION CO OF ILL WEAVER CONSTRUCTION INC WEST CHICAGO CONSTRUCTION WEST SIDE MASONRY WESTERN REMAC INC WESTERN SPECIALTY CONTRACTORS WESTERN WATERPROOFING CO WHITTAKER CONSTRUCTION & EXCAVATING WILLIAMS BROTHERS CONST INC WILLIAMS M R CONCRETE WILLIAMS REFRACTORY SERVICES INC WM TONYAN & SONS INC YOUNG CONCRETE ENTERPRISES INC Z MARTIN PLASTERING Z MARTIN PLASTERING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0