2023-05-30T09:33:48-05:00 2021-12-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE SUITE 1200 WEST BETHESDA MD 20814 990 2021-01-01 526397805 BRICKLAYERS AND ALLIED CRAFTWORKERS INTERNATIONAL HEALTH FUND BRIC 2027833788 620 F STREET NW WASHINGTON DC 20004 ROBERT E ARNOLD TRUSTEE 2027833788 2023-05-30 1 ROBERT ARNOLD 999009999 ERIN CRANMER P01712644 2023319880 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X ROBERT E ARNOLD 620 F STREET NW WASHINGTON DC 20004 70891162 0 X WWW.BACBENEFITS.ORG X 1988 DC PROVIDE HEALTH AND WELFARE BENEFITS. 10 6 83 0 0 0 0 0 48855019 62607987 678795 485779 9721172 5847605 59254986 68941371 0 0 46803149 51642497 0 0 0 0 0 4193733 4755672 50996882 56398169 8258104 12543202 41426028 56753420 8892884 13283811 32533144 43469609 PROVIDE HEALTH AND WELFARE BENEFITS 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS FOR MEMBERS COVERED UNDER COLLECTIVE BARGAINING AGREEMENT WITH THE BRICKLAYERS AND ALLIED CRAFTWORKERS INTERNATIONAL UNION AND CERTAIN EMPLOYERS. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 1 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 4 0 1 83 0 0 1 CA 0 0 0 0 0 0 X 10 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X CANDICE DUBBERLY 2027833788 620 F STREET NW WASHINGTON DC 20004 TIMOTHY J DRISCOLL TRUSTEE 1.00 39.00 X 0 402962 206486 GREGORY HESS TRUSTEE 1.00 X 0 0 0 MATTHEW AQUILINE TRUSTEE 1.00 X 0 0 0 CARLOS AQUIN TRUSTEE 1.00 39.00 X 0 340449 206486 JEREMIAH SULLIVAN TRUSTEE 1.00 39.00 X 0 343729 206486 ROBERT HOOVER TRUSTEE 1.00 X 0 0 0 ROBERT ARNOLD TRUSTEE 1.00 39.00 X 0 373833 206486 TONY MARRA TRUSTEE 1.00 X 0 0 0 TED CHAMP TRUSTEE 1.00 X 0 0 0 PAUL NYESWANDER TRUSTEE 1.00 X 0 0 0 AMBER BRAILER DIRECTOR 15.00 25.00 X 0 129181 97475 0 1590154 923419 0 0 1 0 UNITED HEALTHCARE 5901 LINCOLN DRIVE EDINA MN 55436 CLAIMS PROCESSING 952712 CHEIRON INC PO BOX 37117 BALTIMORE MD 21297 ACTUARIAL SERVICES 226943 2 EMPLOYER CONTRIB. 900099 58500006 58500006 EMPLOYEE CONTRIB. 900099 4107981 4107981 62607987 435570 435570 2000000 1949791 50209 50209 50209 PROCEEDS FROM MERGER 900099 5847605 5847605 5847605 68941371 68455592 0 485779 51642497 80200 70185 320064 683885 5073 24080 3391 CLAIMS PROCESSING FEES 2243861 ADMINISTRATIVE EXP 1324933 56398169 13090404 23420023 69196 171068 4470926 9016746 639596 407461 151748 31472 1625 120276 23154281 23617846 41426028 56753420 764421 268122 166981 202033 7961482 12813656 8892884 13283811 X 32533144 43469609 32533144 43469609 41426028 56753420 X 12543202 2391 -1609128 X X 0 1 X 1 0 151748 31472 120276 120276 DUE TO RELATED ORGANIZATIONS 264265 ACCRUED HRA BENEFITS 12549391 12813656 X 68943762 2391 2391 68941371 0 68941371 56398169 0 56398169 0 56398169 PART X, LINE 2: THE PLAN FOLLOWS AUTHORITATIVE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES INCLUDED IN ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC INCOME TAXES. THESE PROVIDE CONSISTENT GUIDANCE FOR THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBE A THRESHOLD OF "MORE LIKELY THAN NOT" FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE PLAN PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2021, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROCEEDS FROM MERGER 0 0 0 TIMOTHY J DRISCOLL TRUSTEE 0 373732 0 0 0 29230 0 159600 0 46886 0 609448 0 0 ROBERT ARNOLD TRUSTEE 0 341564 0 0 0 32269 0 159600 0 46886 0 580319 0 0 JEREMIAH SULLIVAN TRUSTEE 0 309400 0 0 0 34329 0 159600 0 46886 0 550215 0 0 CARLOS AQUIN TRUSTEE 0 309400 0 0 0 31049 0 159600 0 46886 0 546935 0 0 AMBER BRAILER DIRECTOR 0 128547 0 0 0 634 0 71987 0 25488 0 226656 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM IS DRAFTED THROUGH A COLLABORATIVE EFFORT OF THE PLAN'S FINANCIAL, LEGAL, AND OPERATIONS PROFESSIONALS. THE DRAFT IS PRESENTED TO AND REVIEWED BY THE PLAN'S ADMINISTRATIVE COMMITTEE OF THE BOARD OF TRUSTEES AT A REGULARLY SCHEDULED MONTHLY MEETING. THE FORM IS THEN FINALIZED AND SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C SECTION 5.1 OF THE AGREEMENT AND DECLARATION OF TRUST STATES IN PERTINENT PART THAT THE TRUSTEES SHALL CONDUCT THE BUSINESS OF THE TRUST IN ACCORDANCE WITH APPLICABLE LAW. THE TRUST IS GOVERNED IN LARGE PART BY THE EMPLOYEE RETIREMENT INCOME SECURITY ACT 29 U.S.C 1106 AND THE REGULATIONS OF THE INTERNAL REVENUE SERVICE AND THE DEPARTMENT OF LABOR WHICH ARE PROMULGATED ACCORDING TO THAT LAW. ERISA AND ITS REGULATIONS PROMULGATED THE ISSUES OF POTENTIAL CONFLICT OF INTEREST. THESE ISSUES ARE SPECIFICALLY ADDRESSED IN SECTION 406 OF ERISA WHICH PROHIBITS TWO TYPES OF TRANSACTIONS BY THE TRUST: (A) TRANSACTIONS BETWEEN THE TRUST AND A PARTY IN INTEREST; AND (B) TRANSACTIONS BETWEEN THE TRUST AND A FIDUCIARY. SECTION 408 OF ERISA PROVIDES FOR THE EXEMPTIONS TO SECTION 406. THE TRANSACTIONS BETWEEN THE TRUST AND A PARTY IN INTEREST WHICH ARE PROHIBITED,INCLUDE: (1) THE SALE, EXCHANGE OR LEASING OF PROPERTY BETWEEN A WELFARE PLAN AND A PARTY IN INTEREST; (2) THE LENDING OF MONEY OR OTHER EXTENSION OF CREDIT BETWEEN A WELFARE PLAN AND A PARTY IN INTEREST; (3) THE FURNISHING OF GOODS, SERVICES OR FACILITIES BETWEEN A WELFARE PLAN AND A PARTY IN INTEREST; (4) THE TRANSFER TO, OR USE BY OR FOR THE BENEFIT OF, A PARTY IN INTEREST, OF ANY ASSETS OF A WELFARE PLAN; AND (5) THE ACQUISITION ON BEHALF OF A WELFARE PLAN OF ANY EMPLOYER SECURITY OR EMPLOYER REAL PROPERTY UNLESS THE REQUIREMENTS OF SECTION 407(A) OF ERISA ARE MET. THE TRANSACTIONS BETWEEN THE TRUST AND A FIDUCIARY WHICH ARE PROHIBITED INCLUDE: (1) THE HANDLING OF THE ASSETS OF THE PLAN IN THE FIDUCIARY'S OWN INTEREST OR FOR THE FIDUCIARY'S OWN ACCOUNT; (2) IN THE FIDUCIARY'S OR IN ANY OTHER CAPACITY, ACTING IN ANY TRANSACTION INVOLVING THE PLAN ON BEHALF OF A PARTY (OR REPRESENT A PARTY) WHOSE INTERESTS ARE ADVERSE TO THE INTERESTS OF THE PLAN OR THE INTERESTS OF ITS PARTICIPANTS OR BENEFICIARIES; OR (3) THE RECEIVING OF ANY CONSIDERATION FOR THE FIDUCIARY'S PERSONAL ACCOUNT FROM ANY PARTY DEALING WITH SUCH PLAN IN CONNECTION WITH A TRANSACTION INVOLVING THE ASSETS OF THE PLAN. THE TRUST IS REQUIRED TO FILE AN AUDITED FINANCIAL STATEMENT YEARLY. AS PART OF THE AUDIT, THE AUDITORS ARE REQUIRED TO EXAMINE FOR POTENTIAL PROHIBITED TRANSACTIONS. FORM 990, PART VI, SECTION C, LINE 19 PURSUANT TO SECTION 101 OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, 29 U.S.C. 1021, AND SECTION 502 OF THE PENSION PROTECTION ACT OF 2006 THE TRUST IS REQUIRED TO PROVIDE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS TO ITS PARTICIPANTS AND PARTICIPATING EMPLOYERS. SUCH DOCUMENTS ARE AVAILABLE UPON REQUEST TO THOSE INDIVIDUALS. THOSE DOCUMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9: PROCEEDS FROM MERGER STOP-LOSS INSURANCE REIMBURSEMENTS -1,609,128. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, ITEM B: AMENDED FORM 990 THE PLAN RECEIVED STOP LOSS INSURANCE REIMBURSEMENTS AND MERGER PROCEEDS AFTER THE RETURN WAS ORIGINALLY FILED. THE PLAN'S 2021 FINANCIAL STATEMENT WAS RESTATED IN FISCAL YEAR 2022. THESE CHANGES WERE SIGNIFICANT, AND THE FORM 990 FOR 2021 HAS BEEN AMENDED TO REFLECT THESE CHANGES AS BELOW: 1. PART VIII LINE 11A MISCELLANEOUS REVENUE - PROCEEDS FROM MERGER WAS ADJUSTED TO AGREE TO THE RESTATED FINANCIAL STATEMENTS 2. PART IX LINE 4 BENEFITS PAID TO MEMBERS WAS ADJUSTED TO AGREE TO THE RESTATED FINANCIAL STATEMENTS 3. PART IX LINE 11G OTHER CONSULTANT WAS ADJUSTED TO AGREE TO THE RESTATED FINANCIAL STATEMENTS 4. PART X LINE 4 ACCOUNT RECEIVABLE WAS ADJUSTED TO AGREE TO THE RESTATED FINANCIAL STATEMENTS 5. PART X LINE 27 TOTAL NET ASSETS WAS ADJUSTED TO AGREE TO THE RESTATED FINANCIAL STATEMENTS 6. PART XI LINE 9 OTHER ADJUSTMENT FOR THE STOP LOSS INSURANCE REIMBURSEMENTS WAS ADDED TO AGREE TO THE RESTATED FINANCIAL STATEMENTS 7. SCHEDULE D, PART XI, LINE 1 AMOUNT OF TOTAL REVENUE PER AUDITED FINANCIAL STATEMETNS WAS ADJUSTED TO AGREE TO THE RESTATED FINANCIAL STATEMENTS 8. SCHEDULE D, PART XII, LINE 1 AMOUNT OF TOTAL EXPENSES PER AUDITED FINANCIAL STATEMENTS WAS ADJUSTED TO AGREE TO THE RESTATED FINANCIAL STATEMENTS BAC LOCAL 04 JATC COMMITTEE BAC DISTRICT COUNCIL OF WI BAC LOCAL NO 01 MO APPR TRUST BAC LOCAL NO 04 INKY-APPR FUND BAC LOCAL NO 04 INKY-BLMNGTON BAC LOCAL NO 04 INKY-EVNSVLLE BAC LOCAL NO 04 INKY-FT WAYNE BAC LOCAL NO 04 INKY-INDNPLS BAC LOCAL NO 04 INKY-LAFAYETT BAC LOCAL NO 04 INKY-LOUISVLE BAC LOCAL NO 04 INKY-MUNCIE BAC LOCAL NO 04 INKY-SO BEND BAC LOCAL NO 04 INKY-TERRE HT BAC LOCAL NO 05 PA BAC LOCAL NO 08 IL BAC LOCAL NO 08 SOUTHEAST BAC LOCAL NO 18 MO TILE BAC LOCAL NO 18 MO TILE MARBLE BAC LOCAL NO 5 OK - ZONE INTERNATIONAL UNION OF BRICKLAYERS & ALLIED CRAFTWORKERS 620 F STREET NW WASHINGTON DC 20004 530038250 LABOR UNION DC 501(C)(5) N/A 0 5 STAR MASONRY LLC A AND K RENTALS LLC A P I CONSTRUCTION CO A R C CONSTRUCTION CO INC A R F CONSTRUCTION A TEK HUMES MASONRY SOLUTIONS A W OAKES AND SON INC ADAMS MASONRY INC ADVANCED MASONRY INC AFFORDABLE MASONRY INC AGNEW TILE AND MARBLE ALL MASONRY AND POWER WASH INC ALL MASONRY CONSTRUCTION ALLEN REFRACTORIES COMPANY ALLIANCE MASONRY CORP ALLIED WATERPROOFING INC ALLSTATES REFRACTORY CONRS LLC ALRIGHT CONCRETE CO AMALFI STONE AND MASONRY CO INC AMERICAN REFRACTORY CO LLC ANCHOR GLASS CONTAINER CORP ANGELINA STONE AND MARBLE LTD APEX MASONRY INC APOLLO CONST AND ENG SERV INC ARIA FLOORING LLC ARMOR MAX CONSTRUCTION INC ARNOLD MASONRY LLC ART MOSAIC AND TILE COMPANY ARTISAN TILE AND MARBLE CO INC # 2 ASHTON AND COMPANY INC ATLANTIC CONCRETE CONTRACTORS INC ATLANTIC FIREBRICK AND SUPPLY CO INC ATLAS BUILDING SERVICES INC AUGELLI CONCRETE AND EXC LLC B AND B INDUSTRIAL SVES INC B AND B WATERPROOFING LLC B AND G TUCKPOINTING B AND K TUCKPOINTING CO BAILEY BUCHANAN MASONRY INC BANE NELSON INC BANGS CONSTRUCTION BARTER MASONRY BARTHENHEIER CONSTRUCTION INC BARTLEY AND PERIGO MSNRY CONTR BARTON MALOW COMPANY BELDON INTERIORS INC BENNETT CONSTRUCTION INC BERGER INC BERGHAMMER CONSTRUCTION CORP BERGLUND CONSTRUCTION COMPANY BLAKLEY CORPORATION BOB MARQUART MASONRY BOCK MASONRY LLC BOKON MASONRY INC BOLDT COMPANY (THE) BORTH-WILSON PLUMBING AND REMOD INC BOTTEMA TILE INC BRAKER J J AND SONS INC BROADY-CAMPBELL INC BROWN REFRACTORY SVCS-(MJK CO) BRUCKNER MASONRY BRUNS GUTZWILLER INC BUILDING SERVICES INC BUKACEK ACQUISITION INC BUKACEK CONSTRUCTION GROUP INC BURT MASONRY INC C AND D WATERPROOFING CORP C AND S MASONRY RESTRATION LLC C D SMITH CONSTRUCTION INC C E KORSGARD COMPANY C J HAMILTON C J MASONRY INC C M MORRIS GROUP INC C N S Y - 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