2022-03-15T12:13:45-05:00 2021-04-30 450250958 Eide Bailly LLP 1730 Burnt Boat Loop Ste 100 Bismarck ND 585030886 990 2020-05-01 200153871 Associated General Contractors of North Dakota Employee Benefit Trust ASSO 7012232770 422 N 2nd St Bismarck ND 585013826 Donn Diederich Chair 7012232770 2022-03-15 1 Donn Diederich 999009999 Lisa Chaffee CPA P00193453 7012551091 2022-03-14 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Donn Diederich 422 N 2nd St Bismarck ND 585013826 5239793 0 X None X 2003 ND Provide welfare benefits to employees and their dependents whose employers are members of the Associated General Contractors of North Dakota. 15 9 0 13 311619 275974 0 0 3193643 4928174 157620 311619 0 0 3351263 5239793 0 0 1963884 2956460 0 0 0 0 0 1123784 1983589 3087668 4940049 263595 299744 5264144 5763253 15359 89804 5248785 5673449 None 0 0 To provide group insurance for members and dependents including life and accident and health insurance. For the year ended April 30, 2021 the Trust had 1,135 active and retired or separated participants receiving benefits. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 X 15 9 1 0 0 0 1 1 0 1 0 0 0 1 0 0 0 0 0 0 X Angel Vedder 7012982295 4510 13th Ave S Fargo ND 581210001 X Donn Diederich Chairman 1.00 40.00 X X 0 0 0 Nancy Slotten Vice Chair 1.00 40.00 X X 0 0 0 Trevor Christianson Trustee 1.00 40.00 X 0 0 0 Stuart Uhlenkamp Trustee 1.00 40.00 X 0 0 0 Tim Visger Trustee 1.00 40.00 X 0 0 0 Brandon Podoll Trustee 1.00 40.00 X 0 0 0 Gaylene Johnson Trustee 1.00 40.00 X 0 0 0 Mark Pieterick Trustee 1.00 40.00 X 0 0 0 Tarolyn Farden Trustee 1.00 40.00 X 0 0 0 Erin Langemo Trustee 1.00 40.00 X 0 0 0 Lori McKay Trustee 1.00 40.00 X 0 0 0 Nathan Schneider Trustee 1.00 40.00 X 0 0 0 Russell Road Trustee 1.00 40.00 X 0 0 0 Molly Barnes Trustee 1.00 40.00 X 0 0 0 Richard Rutten II Trustee 1.00 40.00 X 0 0 0 Savannah Schmidt Secretary (non-voting) 1.00 40.00 X 0 53908 12036 0 53908 12036 0 0 0 0 Blue Cross Blue Shield 4510 13th Ave S Fargo ND 58121 Claims administration 245123 1 Employer Contributions 525100 4749070 4749070 Participant Fees 525100 119082 119082 Participant Contributi 525100 60022 60022 4928174 64637 64637 246982 0 246982 246982 246982 5239793 4928174 311619 0 2956460 49095 18412 25602 412620 2075 6103 Insurance Premiums 1324512 Income Tax Expense 138015 PCORI Fees 4285 2870 4940049 11659 26821 514445 474958 4738040 5261474 5264144 5763253 15359 37897 0 51907 15359 89804 X 5248785 5673449 0 0 0 0 5248785 5673449 5264144 5763253 299744 124920 0 X 0 1 X 0 0 0 23300 Deferred Tax Liability 28607 51907 X 5339111 124920 124920 5214191 25602 25602 5239793 4914447 0 4914447 25602 25602 4940049 Part X, Line 2: Accounting principles generally accepted in the United States of America require plan management to evaluate tax positions taken by the Plan and recognize a tax liability (or asset) if it has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. Form 990, Part VI, Section A, line 2 Donn Diederich and Brandon Podoll have a business relationship. Trevor Christianson and Stuart Uhlenkamp have a business relationship. Donn Diederich, Nancy Slotten, and Trevor Christianson have a business relationship with Savannah Schmidt. Form 990, Part VI, Section A, line 6 The Associated General Contractors of North Dakota Employee Benefit Trust has one class of members consisting of the contributing employers. Form 990, Part VI, Section A, line 7a Each member may elect or appoint up to two members of the governing body. Form 990, Part VI, Section A, line 8b There are no committees with the ability to act on behalf of the board. Form 990, Part VI, Section B, line 11b A copy of the Form 990 is provided to the Board of Trustees before it is filed and reviewed at the next regularly scheduled board meeting. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statements are not made available to the public. Form 990, Part VII, Section A, line 1a, columns (E) and (F) The amounts reported in Form 990, Part VII, columns (E) and (F) represent the amounts paid to Officers and Trustees by related tax exempt organizations for services provided to the related organization. All members of the Board of Trustees and Officers serve as volunteers of the Associated General Contractors of North Dakota Employee Benefit Trust, and as such do not receive any compensation for the services they provide to the Trust. Associated General Contractors of North Dakota 422 N 2nd St Bismarck ND 58502 450229993 Business Association ND 501(c)(6) N/A 0 FM Asphalt LLC Gowan Construction Inc Industrial Builders Inc Anderson Western Inc Mayo Construction Company Inc Border States Paving Inc Farden Construction Abrasives Inc Gratech Co Quality Dirt Works Northern Improvement Flickertail Paving Minot Paving 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1