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WISCONSIN MASONS HEALTH CARE FUND: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
WISCONSIN MASONS HEALTH CARE FUND (EIN 23-7422786)
Tax period
2021-09-01 to 2022-08-31
Filed
2023-07-10
IRS object ID
202311919349300321
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-07-10T11:22:00-05:00ReturnTs
Tax Period End2022-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN363168081PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SIKICH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line113400 BISHOPS LANE SUITE 300AddressLine1Txt
CityBROOKFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53005ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237422786EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN MASONS' HEALTH CARE FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWISCBusinessNameControlTxt
Phone8003625474PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12901 W BELTLINE HIGHWAY 100AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537134226ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJIM VICKPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone8003625474PhoneNum
Signature2023-07-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJIMPersonFirstNm
Person LastVICKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJILL M BOYLE CPAPreparerPersonNm
PTINP01246734PTIN
Phone2627549400PhoneNum
Preparation2023-07-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJIM VICKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12901 W BELTLINE HIGHWAY 100AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537134226ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$32,089,422GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1973FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH, LIFE, DENTAL, AND TEMPORARY DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS, SPOUSES, AND DEPENDENTS.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee34TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$19,098,014PYProgramServiceRevenueAmt
CY Program Service Revenue$17,519,573CYProgramServiceRevenueAmt
PY Investment Income$1,217,754PYInvestmentIncomeAmt
CY Investment Income$1,444,396CYInvestmentIncomeAmt
PY Other Revenue$3,095,858PYOtherRevenueAmt
CY Other Revenue$645,367CYOtherRevenueAmt
PY Total Revenue$23,411,626PYTotalRevenueAmt
CY Total Revenue$19,609,336CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$13,737,651PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$16,622,894CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,651,008PYOtherExpensesAmt
CY Other Expenses$4,300,051CYOtherExpensesAmt
PY Total Expenses$17,388,659PYTotalExpensesAmt
CY Total Expenses$20,922,945CYTotalExpensesAmt
PY Revenues Less Expenses$6,022,967PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,313,609CYRevenuesLessExpensesAmt
Total Assets BOY$30,780,214TotalAssetsBOYAmt
Total Assets EOY$25,145,408TotalAssetsEOYAmt
Total Liabilities BOY$8,645,764TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,273,094TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$22,134,450NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,872,314NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH, LIFE, DENTAL, AND TEMPORARY DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS, SPOUSES, AND DEPENDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTO PROVIDE HEALTH, LIFE, DENTAL, AND TEMPORARY DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS, SPOUSES, AND DEPENDENTS.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee34EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BENESYS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8003625474PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12901 W BELTLINE HWY SUITE 100AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537134226ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JIM VICK
TRUSTEE1.0035.00Yes (X)Yes (X)$0$103,831$73,241
WYNN JONES
TRUSTEE1.00Yes (X)$0$95,430$71,100
TOBIN BOYLE
TRUSTEE1.0035.00Yes (X)$0$93,202$72,770
WILLIAM BONLENDER
TRUSTEE1.0035.00Yes (X)$0$95,394$70,676
MIKE HYATT
TRUSTEE1.0035.00Yes (X)$0$98,538$69,659
FELIX RAMIREZ
TRUSTEE1.0042.00Yes (X)$0$86,639$76,117
DAVID HAHN THRU 43022
CHAIRMAN1.002.00Yes (X)Yes (X)$0$0$0
MATT QUASIUS
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
JEFF LECKWEE
TRUSTEE1.00Yes (X)$0$0$0
JERRY SHEA THRU 103121
TRUSTEE1.00Yes (X)$0$0$0
BARRY SCHOLZ
TRUSTEE1.00Yes (X)$0$0$0
DAVID BOHL
TRUSTEE1.00Yes (X)$0$0$0
JEFF STAVER
TRUSTEE1.00Yes (X)$0$0$0
DEAN BASTEN THRU 43022
TRUSTEE1.00Yes (X)$0$0$0
LARRY RASCH THRU 9121
TRUSTEE1.00Yes (X)$0$0$0
JASON MATTILA
TRUSTEE1.00Yes (X)$0$0$0
MATT MARCELLIS
TRUSTEE1.00Yes (X)$0$0$0
PATRICK MCCABE
TRUSTEE1.00Yes (X)$0$97,140$69,764
ANDREW REED
TRUSTEE1.00Yes (X)$0$95,430$71,100
TYLER SWANSON FROM 12022
TRUSTEE1.00Yes (X)$0$0$0
TERRY OWENS FROM 41822
TRUSTEE1.00Yes (X)$0$0$0
DEREK ALLEN FROM 81122
TRUSTEE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$765,604TotReportableCompRltdOrgAmt
Total Other Compensation$574,427TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BENEFIT PLAN ADMINISTRATION
2901 WEST BELTLINE HIGHWAY SUITE 1MADISONWI53713CONTRACT ADMINISTRATION$1,014,007
UNITED HEALTHCARE INSURANCE COMPANY
PO BOX 88822MILWAUKEEWI53228CLAIMS / PPO EXPENSE$469,531
MERCER HEALTH & BENEFITS LLC
155 NORTH WACKER DRIVE STE 1500CHICAGOIL60606CONSULTING$143,605
US BANK NATIONAL ASSOCIATION
PO BOX 1800SAINT PAULMN55101BANKING / INVESTMENTS$116,340
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$15,274,328$15,274,328
SELF PAY CONTRIBUTIONS900099$2,245,245$2,245,245
FieldValueIRS element (for citing)
Total Program Service Revenue$17,519,573TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$531,023TotalRevenueColumnAmt
Exclusion$531,023ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,393,459SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$12,480,086SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$913,373SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$913,373TotalRevenueColumnAmt
Exclusion$913,373ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CHANGE IN MEMBER DOLLAR BANK900099$463,477$463,477
SUBROGATION900099$177,789$177,789
MISCELLANEOUS900099$3,747$3,747

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$354TotalRevenueColumnAmt
Related Or Exempt Func Income$354RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$645,367OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,609,336TotalRevenueColumnAmt
Related Or Exempt Func Income$18,164,940RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,444,396ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$16,622,894TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$882,245TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$137,090TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$52,476TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$237,066TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$99,126TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$50,084TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,874TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,874TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
MEDICARE ADVANTAGE PREM$1,125,982
HRA REIMBURSEMENTS$750,776
PPO SERVICE ADMIN FEES$620,813
STOP-LOSS PREMIUMS$157,268

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$164,377TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,922,945TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,477BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,987,627BOYAmt
EOY$3,213,564EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,539,367BOYAmt
EOY$2,424,836EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$242,832BOYAmt
EOY$221,547EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$23,988,911BOYAmt
EOY$19,285,461EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,780,214BOYAmt
EOY$25,145,408EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$336,960BOYAmt
EOY$503,746EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$26,497BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,282,307BOYAmt
EOY$7,769,348EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,645,764BOYAmt
EOY$8,273,094EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$22,134,450BOYAmt
EOY$16,872,314EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,134,450BOYAmt
EOY$16,872,314EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,780,214BOYAmt
EOY$25,145,408EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,313,609ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,948,527NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
CLAIMS PAYABLE$1,217,000
HRA LIABILITY$6,408,725
CASH OVERDRAFT$143,623
FieldValueIRS element (for citing)
Total Liability$7,769,348TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,144,856TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$3,948,527NetUnrealizedGainsInvstAmt
Revenue Not Reported-$3,948,527RevenueNotReportedAmt
Revenue Subtotal$19,093,383RevenueSubtotalAmt
Investment Expenses Not Incld$52,476InvestmentExpensesNotIncldAmt
Other Revenues Not Included$463,477OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$515,953RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$19,609,336TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,600,097TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$193,105OtherExpensesIncludedAmt
Expenses Not Reported$193,105ExpensesNotReportedAmt
Expenses Subtotal$20,406,992ExpensesSubtotalAmt
Investment Expenses Not Incld2$52,476InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$463,477OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$515,953ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,922,945TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE ("IRC"). THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE ("IRS") AND IS THEREFORE NOT SUBJECT TO TAX UNDER PRESENT INCOME TAX LAWS. THE PLAN SPONSOR BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE IRC. U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. 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:CHANGE IN MEMBER DOLLAR BANK 463,477.
PART XII, LINE 2D - OTHER ADJUSTMENTS:INCREASE IN BENEFIT OBLIGATIONS PAYABLE 193,105.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN MEMBER DOLLAR BANK 463,477.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JIM VICK
TRUSTEE$0$103,831$0$0$0$0$0$52,961$0$20,280$0$177,072$0$0
MIKE HYATT
TRUSTEE$0$98,538$0$0$0$0$0$49,785$0$19,874$0$168,197$0$0
PATRICK MCCABE
TRUSTEE$0$97,140$0$0$0$0$0$49,484$0$20,280$0$166,904$0$0
WYNN JONES
TRUSTEE$0$95,430$0$0$0$0$0$50,820$0$20,280$0$166,530$0$0
ANDREW REED
TRUSTEE$0$95,430$0$0$0$0$0$50,820$0$20,280$0$166,530$0$0
WILLIAM BONLENDER
TRUSTEE$0$95,394$0$0$0$0$0$50,396$0$20,280$0$166,070$0$0
TOBIN BOYLE
TRUSTEE$0$93,202$0$0$0$0$0$52,490$0$20,280$0$165,972$0$0
FELIX RAMIREZ
TRUSTEE$0$86,639$0$0$0$0$0$55,380$0$20,737$0$162,756$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE J, PART I LINE 3FormAndLineReferenceDesc
ExplanationTHE RELATED ORGANIZATION, OPERATIVE PLASTERERS & CEMENT MASONS LOCAL 599, USES EXECUTIVE BOARD APPROVAL TO ESTABLISH COMPENSATION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE OFFICERS AND ADMINISTRATIVE MANAGER REVIEWS THE FORM 990 WITH THE ACCOUNTANT BEFORE SIGNING AND MAKING A COPY OF THE FORM 990 AVAILABLE FOR ALL TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 12CTHERE ARE ANNUAL TRUSTEE QUESTIONNAIRES.
FORM 990, PART VI, SECTION C, LINE 19THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationInd
BAC DISTRICT COUNCIL
PO BOX 510617NEW BERLINWI53151391590426LABOR UNIONWI501(C)(5)0
BOARD OF TRUSTEES WI MASONS' HEALTH CARE FUND
2901 W BELTLINE HIGHWAY STE 100MADISONWI537134226237422786JOINT BOARD OF TRUSTEESWI501(C)(9)0
MILWAUKEE AREA BRICKLAYERS APPRENTICESHIP TRAINING FUND
17125 W CLEVELAND AVENUENEW BERLINWI531510741391333915APPRENTICESHIP TRAININGWI501(C)(3)0
OPERATIVE PLASTERERS & CEMENT MASONS LOCAL 599
8701 N LAUER STREETMILWAUKEEWI53224391960564LABOR UNIONWI501(C)(5)0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

HANSON MASONRY & CONCRETE
LLOYD HAMM MASONRY
MAVID CONSTRUCTION SERVICE LLC
WALLY KING MASONRY LLC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (99 entries)

AGC OF GREATER MILWAUKEE
API INC
APPLETON LATHING CORP
ARNIE MACKEY CONSTRUCTION
ARTEAGA CONSTRUCTION INC
BANE NELSON
BEDROCK FLINT INC
BENEFIT PLAN ADMINISTRATOR OF WI
BERGHAMMER CORP
BOLDT OSCAR CONSTRUCTION CO
BORTH-WILSON INC
BUKACEK CONSTRUCTION INC
C&S CONSTRUCTION INC
CAMOSY INC
CAPELLE BROTHERS & DIEDRICH INC
CASTELLAN TILE & TERRAZZO INC
CAULKING PLUS INC
CH SCHMIDT INC
CLASSIC MARBLE & GRANITE
CM MORRIS GROUP INC
CONCRETE MASONRY INC
CORNERSTONE CONSTRUCTION
CROWLEY MASONRY INC
D&M MASONRY LLC
DAROLD BERGER MASONRY
DICKOW & CYZAK TILE
DOYLE CONTRACTORS INC
EDGAR PRAGER & SONS
EXECUTIVE PLASTERING CO
FABCON INC
FINDORFF & SON INC
FOWLER & HAMMER INC
FOX VALLEY & CONSTRUCTION
G&W PLASTERING INC
GAGNON INC
GEGARE TILE INC
GEORGE SIEGFRIED CONSTRUCTION CO
HARBOR CITY MASONRY INC
HAROLD ARDNT
HEIN WILLIAM CONSTRUCTION INC
HETZEL TILE
HEULER TILE COMPANY
HILLSIDE DAMPROOFING INC
HOMBURG CONTRACTORS INC
HUNZINGER CONSTRUCTION CO
IEI GENERAL CONTRACTORS INC
INTERIOR INSTALLATION
J&J LEE CONSTRUCTION
JAC MASONRY INC
JH HASSINGER INC
JOHNSON TERRAZZO COMPANY
JP CULLEN & SONS INC
JUROWSKI RJ CONSTRUCTION INC
KENNETH F SULLIVAN INC
KMI CONSTRUCTION LLC
KOTZE CONSTRUCTION COMPANY INC
LEWIS CONSTRUCTION INC
LIPPERT TILE CO INC
LUNDA CONSTRUCTION
MA MORTENSON CO
MAAS BROS CONSTRUCTION COMPANY
MACCO'S COMMERCIAL INTERIORS
MARKET & JOHNSON INC
MARTELL CONSTRUCTION
MEGAL CONSTRUCTION COMPANY
MEYER CR & SONS CO
MIDDLETON CONSTRUCTION INC
MIRON CONSTRUCTION COMPANY INC
MORTL RESTORATIONT
NATIONAL MACHINERY
PLATT CONSTRUCTION COMPANY
POELLINGERS INC
PUKALL COMPANY INC
QUASIUS BROTHERS INC
RASCH CONSTRUCTION & ENGINE
REFRACTORY SERVICE INC
RESCH'S TILE INC
RICE IVAN & SONS
RILEY CONSTRUCTION INC
ROSSI CONSTRUCTION
SCHERRER CONSTRUCTION COMPANY INC
SCHLEIS FLOOR COVERING
SCHMITT JOSEPH & SONS CO
SCIACHITANO CAULKING INC
SERVAIS TILE & STONE INC
SID'S SEALANTS
SMITH CD CONSTRUCTION COMPANY INC
STEBBIBS ENGINEERING COMPANY
STRETAR MASONRY & CONCRETE
STRUCTURAL APPLICATORS INC
SUPERIOR MASONRY BUILDERS
TRI NORTH BUILDERS INC
TRIERWEILER CONSTRUCTION
VOGEL BROTHERS BUILDING COMPANY
VONASEK & SCHIEFFER INC
WALSH MASONRY INC
WINKLER MASONRY INC
WISCONSIN TERRAZZO TILE INC
ZEISE FRANK CONSTRUCTION INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE R, PARTS II-IVFormAndLineReferenceDesc
ExplanationIN ADDITION TO THE CONTRIBUTING EMPLOYERS REPORTED AS RELATED ORGANIZATIONS ON SCHEDULE R, PARTS II-IV, THE FUND HAD ADDITIONAL EMPLOYERS THAT HAVE NOT YET RESPONDED TO THE FUNDS EFFORT TO OBTAIN THE TAX CLASSIFICATION. THE CONTRIBUTING EMPLOYERS ARE: AARON KOWALSKI MASONRY LLC, ACOUSTICS ASSOCIATES INC., B&D MASONRY AND RESTORATION, B&D ASSOCIATES, BAC LOCAL UNION 15 WELFARE, BADGER WASHING, BARTHENHEIER CONSTRUCTION, BERGLUND CONSTRUCTION, BRICK MASONS, CARIOFINI COMPANY, CE KORSGARD COMPANY, CEMENT M&P LOCAL 518, CEMENT M&P LOCAL 519, CEMENT M&P LOCAL 520, CEMENT M&P LOCAL 521, CEMENT M&P LOCAL 522, CEMENT M&P LOCAL 523, CHICAGO MASONRY LOCAL 21, CHICAGO MASONRY LOCAL 22, CHICAGO MASONRY LOCAL 23, CHICAGO MASONRY LOCAL 24, CHICAGO MASONRY LOCAL 25, CHICAGO MASONRY LOCAL 26, CHICAGO TILE #67, CHICAGO TILE #68, CHICAGO TILE #69, COMMERCIAL FLOORING INSTALLATIONS, CONSTRUCTION & TURNAROUND, CONSTRUCTION INDUSTRY, CONTRACT TILE & CARPET, CORNERSTONE PAVERS, CREATIVE ERECTORS, DIAMOND MASONRY, EMPIRE REFRACTORY SERVICES, EMPRESS SURFACE SOLUTIONS, FOSBEL INC, G FONTANA AND SONS, GILLESPIE & POWERS, H&S CONCRETE CONSTRUCTION, H.E.S.S CAULKING & REST, HEAVY & HWY EDUCATION, HEELEIN & SONS 86471, HOUSE OF STONE, IMTEF, INTERNATIONAL HEALTH, IOWA BUILDERS HEALTH FUND, INTERNATIONAL PENSION, IOWA LABORERS DC HEALTH & WELFARE, J.P. PHILLIPS INC, JIMMY Z MASONRY, JOHNSON'S CARPET ONE 55807, JS MASONRY LLC, JT THORPE & SON, JW FLOORING INC, JW SEALANTS, KINGSTON TILE CO., KNIGHT MATERIAL TECHNOLOGY, KOCH KNIGHT LLC, MASONRY WELFARE TRUST, MASS BRICLAYERS , MEL BJURSTROM MASONRY LLC, MICHIGAN BAC HEALTH/PENSION, MN & ND BRICKLAYERS, MOUNT HOREB MASONRY, NORTHERN ILL & IOWA LAB, NPA - CONTINENTAL ERECTORS, OHIO BRICKLAYERS, PREFERRED CONCRETE & EXCA, QUALITY BUILDING RESTORATION INC., RAY THEOBALD MASONRY CONSTRUCTION, READY TITLE LLC, REVOLUTION INDUSTRIAL SERVICES, ROCKFOARD CENTRAL TILE & T, SCHAEFER GROUP, INC., STEINHAMMER MASSORY LLC, SUMMIT CONCRETE & MASONRY, SWANSON SPRAY SYSTEMS, TAPPING TROWEL MASONRY, THE CAULKERS COMPANY INC, TITAN CITY CEMENT MASONS, TVJ MASONRY, INC., TWIN CITY CEMENT MASONS, WAUMANDEE CREEK SEALANTS, WAYNES CAULKING INC., WELLS SEALANTS & RESTORATION, WEX/HRA, HRA, WI LABORERS FUND, WISCONSIN MASON WEX S/P DESPOSITS, WM DISABILITY CREDIT, WR WEIS COMPANY INC.ExplanationTxt