2023-09-14T11:00:27-05:00 2022-10-31 430765316 RUBINBROWN LLP 1200 MAIN STREET SUITE 1000 KANSAS CITY MO 64105 990 2021-11-01 436039074 GREATER KANSAS CITY LABORERS' WELFARE FUND GREA 9132365490 6405 METCALF BLDG 3 OVERLAND PARK KS 66202 DONALD E GREENWELL III CHAIRMAN 9132365490 2023-09-14 1 DONALD GREENWELL III 999009999 MATTHEW C HALL P01573021 8164721122 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z DONALD E GREENWELL III 6405 METCALF BLDG 3 OVERLAND PARK KS 66202 20234044 0 X N/A X 1962 KS PROVIDE HEALTH & WELFARE BENEFITS 12 5 0 15 0 0 0 0 13831562 14507689 1080854 412618 78817 293717 14991233 15214024 0 0 15762151 14970080 0 0 0 0 0 1314984 1246909 17077135 16216989 -2085902 -1002965 28237765 24583745 423378 684785 27814387 23898960 PROVIDE HEALTH & WELFARE BENEFITS 0 0 THE PLAN PROVIDES HEALTH AND WELFARE BENEFITS FOR MEMBERS OF LOCAL UNIONS #'S 264 AND 1290 OF THE WESTERN MO & KS LABORERS DISTRICT COUNCIL OF THE LABORERS INTERNATIONAL UNION OF NORTH AMERICA. 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 314 0 0 0 0 0 0 0 0 0 0 X 12 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 X TIC INTERNATIONAL CORPORATION 9132365490 6405 METCALF CLOVERLEAD BLDG 3 STE OVERLAND PARK KS 66202 X X REGINALD L THOMAS UNION TRUSTEE, SECRETARY 0.30 X X 0 0 0 MITCHELL ROWLEY UNION TRUSTEE 0.30 X 0 0 0 JEFFREY PHILGREEN UNION TRUSTEE 0.30 X 0 0 0 WILLIAM L LIVINGSTON III UNION TRUSTEE 0.30 X 0 0 0 JAMIE DESMARAIS UNION TRUSTEE 0.30 X 0 0 0 MARCUS JOHNSON-EL UNION TRUSTEE 0.30 X 0 0 0 WILLIAM HANSETT UNION TRUSTEE 0.30 X 0 0 0 RON CHRISTIAN UNION TRUSTEE 0.30 X 0 0 0 DAMON MILES UNION TRUSTEE 0.30 X 0 0 0 DON GREENWELL EMPLOYER TRUSTEE, CHAIRMAN 0.30 X X 0 0 0 GREGORY A DUNN EMPLOYER TRUSTEE 0.30 X 0 0 0 MARK R TEAHAN EMPLOYER TRUSTEE 0.30 X 0 0 0 DAN R MEYER EMPLOYER TRUSTEE 0.30 X 0 0 0 VERN ORPIN EMPLOYER TRUSTEE 0.30 X 0 0 0 ARCHIE SMITH V EMPLOYER TRUSTEE 0.30 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD 225 NORTH MICHIGAN AVENUE CHICAGO IL 60601 ADMINISTRATIVE SERVICES 438463 TIC INTERNATIONAL CORPORATION 6405 METCALF SUITE 200 OVERLAND PARK KS 66202 THIRD PARTY ADMINISTRATORS 410200 ARNOLD NEWBOLD WINTER & JACKSON PC 1100 MAIN STREET SUITE 2001 KANSAS CITY MO 64105 LEGAL SERVICES 150166 THE SEGAL GROUP 101 NORTH WACKER DRIVE SUITE 500 CHICAGO IL 60606 ACTUARIAL AND CONSULTING 112147 4 EMPLOYER CONTRIBUTIONS 900099 12787210 12787210 PARTICIPANTS CONTRIBUTIONS 900099 1720479 1720479 14507689 455417 455417 4977221 5020020 -42799 -42799 -42799 SUBROGATION REFUNDS 900099 281929 281929 LIQUIDATED DAMAGES 900099 11635 11635 MISCELLANEOUS INCOME 900099 153 153 293717 15214024 14801406 0 412618 14970080 415200 100924 115028 25667 519196 29716 1047 17720 OTHER EXPENSES 12131 BANK FEES 5828 DUES AND SUBSRCIPTIONS 4452 16216989 2386764 2000260 3713 48854 106971 144705 25740317 22389926 28237765 24583745 191389 409317 231989 275468 423378 684785 X 0 0 0 0 27814387 23898960 27814387 23898960 28237765 24583745 -1002965 -2912462 0 X 0 1 X 1 0 0 1 X 0 RECIPROCAL TRANSFERS PAYABLE 250468 AMOUNTS DUE TO OTHER FUNDS 25000 275468 12301562 -2912462 -2912462 15214024 0 15214024 16216989 0 16216989 0 16216989 PART IV, LINE 2B: CONTRIBUTING EMPLOYERS SUBMIT CONTRIBUTIONS TO THE DEPOSITORY WHICH ARE THEN ALLOCATED AND TRANSFERRED TO THE CORRESPONDING ENTITY TO WHICH THEY BELONG. SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 15192 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 11067 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 6934 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 4889 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 2495 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 2209 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 1730 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 1617 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 968 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 672 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 672 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 336 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 73 0 0 0 48854 FORM 990, PART VI, SECTION A, LINE 3 THE BOARD USES THE SERVICES OF TIC INTERNATIONAL, A THIRD PARTY ADMINISTRATOR, TO PAY BENEFITS AND HANDLE THE DAY-TO-DAY OPERATIONS OF THE PLAN. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 WAS PROVIDED TO THE CHAIRMAN AND SECRETARY FOR APPROVAL AND THEN A FINAL COPY IS PROVIDED TO THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART VII COMPENSATION OF TRUSTEES GREATER KANSAS CITY LABORERS' WELFARE FUND DOES NOT COMPENSATE TRUSTEES. COMPENSATION PAID BY RELATED TAX-EXEMPT ORGANIZATIONS TO TRUSTEES IS REPORTED TO THE INTERNAL REVENUE SERVICE ON FORMS 990 FOR THE FOLLOWING ORGANIZATIONS: LABORERS INTERNATIONAL UNION 264 EIN: 44-0296510 REGINALD L. THOMAS WILLIAM L. LIVINGSTON III MARCUS JOHNSON-EL DAMON MILES LABORERS UNION LOCAL 1290 EIN: 48-0287794 JAMIE DESMARAIS MITCHELL ROWLEY JEFFREY PHILGREEN WILLIAM HANSETT RON CHRISTIAN BUILDERS ASSOCIATION OF KANSAS CITY, MISSOURI EIN: 44-0185850 DON GREENWELL LABORERS INTERNATIONAL UNION 264 1101 E 87TH ST KANSAS CITY MO 64131 440296510 CONTRIBUTING EMPLOYER MO 501(C)(5) 0 LABORERS UNION LOCAL 1290 2600 MERRIAM LN KANSAS CITY KS 66106 480287794 CONTRIBUTING EMPLOYER KS 501(C)(5) 0 BUILDERS ASSOCIATION OF KANSAS CITY MISSOURI 720 OAK STREET KANSAS CITY MO 64106 440185850 CONTRIBUTING EMPLOYER MO 501(C)(6) 0 GREATER KANSAS CITY LABORERS PENSION FUND 6405 METCALF AVENUE SUITE 200 OVERLAND PARK KS 66202 436141953 EMPLOYEE BENEFITS KS 401(A) 0 CONSTRUCTION BENEFITS AUDIT COUNCIL GREATER KC AFL-CIO GREATER KC LABORERS TRAINING MO & KS LABORERS DIST COUNCIL MO-KAN CISAP MO-KAN LECET AK LEE CONSTRUCTION LLC ALLIED CLEANING SERVICES LLC AUDRIE SEELEY & CO LLC AXIOM CONSTRUCTION GROUP LLC BRISON EXCAVATING LLC CASTLE CONTRACTING LLC CHARLIE'S CONCRETE LLC CORE CONSTRUCTORS LLC FERRIS KIMBALL COMPANY LLC FREEDOM CONCRETE LLC GONZALEZ CONSTRUCTION LLC HARTLINE CONSTRUCTION LLC HUSTLE UP LLC IMAGE STAFFING LLC IRON HAND LLC LARKIN CONTRACTING LLC LARKIN SEALANT & WATERPRF LLC MCT SERVICES LLC P1 CONSTRUCTION LLC 5 GEN MASONARY A CLEAN SLATE A1 CONCRETE SOLUTIONS AAA MASONRY INC ALBERICI CONSTRUCTORS ALEXANDER MECHANICAL CONTR ALLIED CONSTRUCTION ALPHA ENERGY & ELECTRIC INC APACHE INDUSTRIAL UNITED ARSI INC AT ABATEMENT BERKEL & CO CONTRACTORS INC BK CONSTRUCTION SERVICES BRANDENBURG INDUSTRIAL SERVICE BRANDSAFWAY INDUSTRIES BROOKSIDE CONTRACTING INC BROONER & ASSOCIATES BURNS BOYS CO INC C & M RESTORATION INC CAPITAL ELECTRIC CONSTRUCTION CDI INDUSTRIAL & MECHANICAL CECO CONCRETE CONSTRUCTION CENTRAL PLUMBING HTG AND AC CENTRAL STATES CONTRACTING CHAMBERLIN CONTRACTING CHRISTY INDUSTRIAL SERVICES CITY CEMENT CO CJ INDUSTRIES CONSTR INDUSTRY WELFARE RECIP CONTAINMENT DRAINAGE EROSION CORESLAB STRUCTURES INC D & D MASONRY INC DG SKOUSE COMPANY INC DH PACE CONSTRUCTION SERV DROSS CONSTRUCTION DAY & ZIMMERMAN NPS DELL PLASTER & DRYWALL DESCO COATINGS INC DUN-PAR ENGINEERED FORM CO E & K OF KANSAS CITY INC ENERFAB INC EPIC CONCRETE CONSTRUCTION FBM WAGNER DISTRIBUTION FENIX CONSTRUCTION CO GENESIS ENVIRONMENTAL SOLUTION GEORGE SHAW CONSTRUCTION CO GOODWIN BROS CONSTRUCTION CO GREAT PLAINS DRILLING HAYES DRILLING INC HEITKAMP MASONRY HENRY F TEICHMANN INC HERMES LANDSCAPING INC HOLMES DRYWALL SUPPLY ICON SERVICES INSCO ENVIRONMENTAL INC INTL BUILDERS & CONSULTANTS IRVINBILT CONSTRUCTORS ISEC INCORPORATED J E DUNN CONSTRUCTION CO JHOOKER CONSTRUCTION SERVICES JJ MARTINY CONCRETE CO INC JOHN ROHRER CONTRACTING CO JULIUS KAAZ CONSTRUCTION CO JUSPATTON CONSTRUCTION INC K BUILDING SPECIALTIES INC K C SCAFFOLD KC CORING & CUTTING CONSTR KANSAS CITY MECHANICAL INC KAW VALLEY COMPANIES INC KEARNEY & SON INC KELLER NORTH AMERICA KISSICK CONSTRUCTION CO L&W SUPPLY LG BARCUS AND SONS INC LAWHON CONSTRUCTION CO LEAVCON II LEBPCT (SAK CONSTRUCTION) LEE MACHINERY MOVERS INC LICO STEEL INC LOCKE-AMI LYTLE CONSTRUCTION INC MA MORTENSON CO MCCARTHY BUILDING COMPANIES MCGRATH & ASSOCIATES MIDWEST CONTRACTING SERVICES MIDWEST CUTTING & CORING INC MILLER'S PRO CUT INC MMC CONTRACTORS- NATIONAL MROC MSE HARDSCAPES MURRAY COMPANY MUSSELMAN & HALL CONTRACTORS MVP PAINTING NATIONAL ACID-PROOFING NEBEL CONSTRUCTION SERVICES PERFORMANCE CONTRACTINGINC PRAIRIE BAND CONSTRUCTION PRECISION CONSTRUCTION GRADING PRECISION CUTTING AND CORING PTM ENGINEERED FOUNDATION CONS PULLMAN SST INC R&K DANKENBRING MASONRY RAND CONSTRUCTION RAU CONSTRUCTION CO REW MATERIALS RITEWAY MAINTENANCE & SUPPLY ROBERT A TREUNER MASONRY CO RODRIGUEZ MECHANICAL CONTR ROSEHILL GARDENS INC ROYAL CONSTRUCTION S & W WATERPROOFING INC SCAFFOLD INDUSTRIAL SERVICES SEVENSON ENVIRONMENTAL SERV SPIRTAS WRECKING CO STRAIGHT LINE SAWING & CORING STRUCTSURE PROJECTS INC STRUCTURE INC TOTAL INTERIORS INC TRIO MASONRY INC TURNER CONSTRUCTION CO US ENGINEERING CONSTRUCTION UNIFIED GOVERNMENT OF WYCOKCK UNIVERSAL CONSTRUCTION CO VEE-JAY CEMENT CONTRACTING CO WEBCTAS INC WESTERN WATERPROOFING WHATEVER IT TAKES WHITLEY CONSTRUCTION COMPANY WILLIAMS REFRACTORY SERVICES WOLF CONSTRUCTION WOODLEY BUILDING MAINTENANCE 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0