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FOX VALLEY LABORERS HEALTH AND WELFARE FUND: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
FOX VALLEY LABORERS HEALTH AND WELFARE FUND (EIN 36-6219639)
Tax period
2020-06-01 to 2021-05-31
Filed
2022-03-23
IRS object ID
202240829349301144
Schema version
2020v4.2
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)
Return2022-03-23T17:23:30-05:00ReturnTs
Tax Period End2021-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470900880PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CALIBRE CPA GROUP PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1230 W MONROE STE 310AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP606064701ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN366219639EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOX VALLEY LABORERS HEALTH & WELFARE FNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOXVBusinessNameControlTxt
Phone8477420900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12371 BOWES ROAD NO 500AddressLine1Txt
CityELGINCityNm
State AbbreviationILStateAbbreviationCd
ZIP601235523ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK CASTELVECCHIPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone8477420900PhoneNum
Signature2022-03-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARKPersonFirstNm
Person LastCASTELVECCHIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANDREW HEINPreparerPersonNm
PTINP00499757PTIN
Phone3126550037PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK CASTELVECCHIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12371 BOWES ROAD NO 500AddressLine1Txt
CityELGINCityNm
State AbbreviationILStateAbbreviationCd
ZIP601235523ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$51,099,551GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1968FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee54TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$37,483,768PYProgramServiceRevenueAmt
CY Program Service Revenue$35,617,055CYProgramServiceRevenueAmt
PY Investment Income$4,888,763PYInvestmentIncomeAmt
CY Investment Income$6,787,890CYInvestmentIncomeAmt
PY Other Revenue$353,685PYOtherRevenueAmt
CY Other Revenue$315,462CYOtherRevenueAmt
PY Total Revenue$42,726,216PYTotalRevenueAmt
CY Total Revenue$42,720,407CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$35,294,189PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$32,246,386CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,026,310PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,015,900CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,726,839PYOtherExpensesAmt
CY Other Expenses$2,646,284CYOtherExpensesAmt
PY Total Expenses$39,047,338PYTotalExpensesAmt
CY Total Expenses$35,908,570CYTotalExpensesAmt
PY Revenues Less Expenses$3,678,878PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,811,837CYRevenuesLessExpensesAmt
Total Assets BOY$110,427,684TotalAssetsBOYAmt
Total Assets EOY$125,450,928TotalAssetsEOYAmt
Total Liabilities BOY$26,696,912TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,719,414TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$83,730,772NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$99,731,514NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. THERE WERE 1,928 ELIGIBLE PARTICIPANTS AT MAY 31, 2021.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 EquipmentYes (1)ReportLandBuildingEquipmentInd
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 Document745IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee54EmployeeCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
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 Committees0MinutesOfCommitteesInd
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 Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
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 Line1DEBORAH FRENCHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8477420900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12371 BOWES ROAD SUITE 500AddressLine1Txt
CityELGINCityNm
State AbbreviationILStateAbbreviationCd
ZIP601235523ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRIAN M URSO
TRUSTEE3.0040.00Yes (X)$0$121,929$92,151
VERN BAUMAN
CHAIRMAN3.0040.00Yes (X)$0$134,556$94,941
MARK A CASTELVECCHI
TRUSTEE3.0050.00Yes (X)$0$139,030$96,007
STEVEN E LAMP
TRUSTEE3.00Yes (X)$0$0$0
JOHN P BRYAN
SECRETARY3.00Yes (X)$0$0$0
BRIAN T RAUSCH
TRUSTEE3.00Yes (X)$0$0$0
MARTIN D DWYER
FMR TRUSTEE3.0050.00Yes (X)$0$163,849$102,788
DEBORAH L FRENCH
ADMINISTRATOR40.00$129,523$0$54,173Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$129,523TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$559,364TotReportableCompRltdOrgAmt
Total Other Compensation$440,060TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
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
BLUE CROSS BLUE SHIELD
300 EAST RANDOLPH STCHICAGOIL60601PPO ACCESS FEES$852,329
SEI INVESTMENT
ONE FREEDOM DRIVEOAKSPA19456INV MGMNT/CONSULTING$322,971
HINE & ASSOC
14 N FIRST AVESTE 1404ST CHARLESIL60178CLAIMS REVIEW AND CONSULTING$188,576
HORIZON ACTUARIAL SERVICES LLC
6120 ROLLING ROAD DRIVEMIAMIFL331565629PLAN CONSULTING$174,288
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$33,631,708$33,631,708
MEMBER CONTRIBUTIONS900099$1,813,445$1,813,445
MEDICARE D SUBSIDIES900099$171,902$171,902
FieldValueIRS element (for citing)
Total Program Service Revenue$35,617,055TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,124,563TotalRevenueColumnAmt
Exclusion$2,124,563ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,042,471SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$8,379,144SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,663,327SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,663,327TotalRevenueColumnAmt
Exclusion$4,663,327ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescREIMB SAL & RELATED EXPENSES FROMDesc
Business900099BusinessCd
Total Revenue Column$315,462TotalRevenueColumnAmt
Related Or Exempt Func Income$315,462RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$315,462OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,720,407TotalRevenueColumnAmt
Related Or Exempt Func Income$35,932,517RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,787,890ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$32,246,386TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$506,196TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$288,747TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$162,833TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$58,124TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$145,284TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$59,919TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$544,487TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,493,824TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$252,031TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$80,255TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,165TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,015TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$37,989TotalAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescPATIENT PROTECTION & AFDesc
Total$9,315TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$35,908,570TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$145,523BOYAmt
EOY$37,782EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,070,932BOYAmt
EOY$3,906,680EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$109,534BOYAmt
EOY$80,829EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$365,421LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$331,704LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$49,150BOYAmt
EOY$33,717EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$105,888,075BOYAmt
EOY$121,261,779EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$164,470BOYAmt
EOY$130,141EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$110,427,684BOYAmt
EOY$125,450,928EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$99,667BOYAmt
EOY$107,632EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,597,245BOYAmt
EOY$25,611,782EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,696,912BOYAmt
EOY$25,719,414EOYAmt
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$83,730,772BOYAmt
EOY$99,731,514EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$83,730,772BOYAmt
EOY$99,731,514EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$110,427,684BOYAmt
EOY$125,450,928EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$6,811,837ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$9,188,905NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$365,421OtherCostOrOtherBasisAmt
Depreciation$331,704DepreciationAmt
Book Value$33,717BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$33,717TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
EST LIAB FUTR CLAIMS EXTENDED ELIGIBLTY$19,731,000
EST LIAB FUTR CLAIMS INCURRED BUT UNPAID$4,952,000
DEPOSITS HELD$177,421
DUE TO AFFILIATED FUNDS$124,739
RECIPROCITY PAYABLE$626,622
FieldValueIRS element (for citing)
Total Liability$25,611,782TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$50,877,461TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$9,188,905NetUnrealizedGainsInvstAmt
Revenue Not Reported$9,188,905RevenueNotReportedAmt
Revenue Subtotal$41,688,556RevenueSubtotalAmt
Investment Expenses Not Incld$544,487InvestmentExpensesNotIncldAmt
Other Revenues Not Included$487,364OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,031,851RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$42,720,407TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$35,641,719TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$171,902OtherExpensesIncludedAmt
Expenses Not Reported-$171,902ExpensesNotReportedAmt
Expenses Subtotal$35,813,621ExpensesSubtotalAmt
Investment Expenses Not Incld2$544,487InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$449,538OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$94,949ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$35,908,570TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGMENT TO EVALUATE TAX POSISTIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS OF MAY 31, 2021, THERE WERE NO UNCERTAIN TAX POSISTIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION IF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 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:MEDICARE D SUBSIDIES RECEIVED 171,902. REIMBURSED FV PENSION SALARY EXPENSE 315,462. STOP LOSS INSURANCE REIMBURSEMENTS
PART XII, LINE 2D - OTHER ADJUSTMENTS:MEDICARE D SUBSIDIES RECEIVED -171,902. STOP LOSS INSURANCE REIMBURSEMENTS
PART XII, LINE 4B - OTHER ADJUSTMENTS:REIMBURSED FV PENSION SALARY EXPENSE 315,462. CHANGE IN PLAN BENEFIT OBLIGATION -765,000.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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
MARTIN D DWYER
FMR TRUSTEE$0$161,076$0$0$0$2,773$0$73,346$0$29,442$0$266,637$0$0
MARK A CASTELVECCHI
TRUSTEE$0$138,579$0$0$0$451$0$66,565$0$29,442$0$235,037$0$0
VERN BAUMAN
CHAIRMAN$0$128,931$0$0$0$5,625$0$65,465$0$29,476$0$229,497$0$0
BRIAN M URSO
TRUSTEE$0$118,633$0$0$0$3,296$0$62,675$0$29,476$0$214,080$0$0
DEBORAH L FRENCH
ADMINISTRATOR$129,523$0$0$0$0$0$32,345$0$21,828$0$183,696$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE COMMITTEES TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE TRUSTEES OF THE FOX VALLEY AND VICINITY LABORERS HEALTH AND WELFARE FUND HAVE AUTHORIZED THE CHAIRMAN OF THE FUND TO REVIEW THE FORM 990 PRIOR TO FILING. A COPY OF THE FILED RETURN IS MADE AVAILABLE TO ALL TRUSTEES TO REVIEW SUBSEQUENT TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ACTIONS OF THE TRUSTEES ARE GOVERNED BY THE TRUST DOCUMENT AND ERISA. BOTH ESTABLISH STANDARDS OF CONDUCT FOR PLAN FIDUCIARIES. IN ADDITION, THE ADMINISTRATOR OF THE PLAN HAS SIGNED AN EMPLOYMENT CONTRACT WITH THE FUND WHICH ALSO ESTABLISHES STANDARDS OF CONDUCT. THE TRUSTEES AND ADMINISTRATOR ARE RQUIRED TO DISCLOUSE ANY POSSIBLE CONFLICTS OF INTREST TO THE ENTIRE BOARD.
FORM 990, PART VI, SECTION B, LINE 15ATHE TRUSTEES OF THE FUND ANNUALLY REVIEW THE PERFORMANCE OF THE FUND'S TOP MANAGEMENT OFFICIAL (ADMINISTRATOR) AND APPROVE ANY COMPENSATION ADJUSTMENTS.
FORM 990, PART VI, SECTION C, LINE 19A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS ANNUALLY. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE FUND OFFICE AND/OR THE US DEPARTMENT OF LABOR.
FORM 990 PART XII LINE 2CTHERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationInd
FOX VALLEY & VICINITY LABORERS PENSION
2371 BOWES RD NO 500ELGINIL601235523366147409PENSION FUNDIL401(A)0
LABORERS LOCAL #1035
3819 N ROUTE 23 SUITE AMARENGOIL601520211362063944LABOR UNIONIL501(C)(5)0
LABORERS LOCAL #582
2400 BIG TIMBER ROAD BLDG BELGINIL601247812361265047LABOR UNIONIL501(C)(5)0
FOX VALLEY ASSOCIATED GENERAL CONTRACTORS
2020 DEAN ST NO IST CHARLESIL60174362244731CONTRACTORS ASSOCIATIONIL501(C)(6)0
ILLINOIS ROAD AND TRANSPORTATION BUILDERS ASSOCIATION
500 PARK BLVD 1250ITASCAIL60143361257695CONTRACTORS ASSOCIATIONIL501(C)(6)0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (184 entries)

ABITUA SEWER WATER & PLUMB
ALLIANCE CONCR SAW & DRILL
ALLIANCE CONTRACTORS INC
ALTHOFF INDUSTRIES
AMERICAN VACTOR SERVICES LL
APRIL COBRA ENTERPRISES INC
ARROW ROAD CONSTRUCTION CO
ARTLOW SYSTEMS INC
ASC INSULATION FIREPROOFNG
BAUER & BAUER CONCRETE INC
BEL ROCK ASPHALT PAVING IN
BENNETT CONSTRUCTION INC
BERGER EXCAVATING CONTRACTO
BERGQUIST & ZIMMERMAN CON I
BLACKHAWK FOUNDATION CO INC
BROWN R CARTAGE DBA TRAFFIC
BUILDERS CONCRETE SERVICES
BULLEY & ANDREWS
BURROAK MASONRY INC
C&H EXCAVATING INC
CAMOSY INCORPORATED
CAMPTON CONSTRUCTION
CARMICHAEL CONSTRUCTION INC
CELLCRETE DECKS
CHADWICK CONTRACTING
CHAMPION PAVING CORP
CHICAGOLAND AGC
CHICAGOLAND PAVING
CIVIL CONSTRUCTORS INC OF I
CONCRETE SYSTEMS INC
CONTRACTING & MATERIAL CO
COOLING LAND CONCEPTS LLC
CORRECTIVE ASPHALT MATERIAL
CURRAN CONTRACTING CO
CYBERDYNE MASONRY DYNAMICS
D CONSTRUCTION INC
DIAMOND MASONRY
DOHERTY CONSTRUCTION INC
DON BOHR & SONS INC
DOUGAL BUILDING MAINT LLC
DYNAMIC CONTRACTORS INC
EAGLE CONCRETE INC
ELECTRIC CONDUIT CONST
ENGSTROM CONSTRUCTION CO
EVANS & SON BLACKTOP
EVEREST EXCAVATING INC
FCS LLC
FISCHER EXCAVATING INC
FLOOR TECH SOLUTIONS INC
FOSS LANDSCAPES INC
FOX EXCAVATING INC
FREEHILL ASPHALT INC
G A BLOCKER GRADING CONTR I
GC MASONRY INC
GO SERVICES LLC
GANZIANO SEWER & WATER INC
GENEVA CONST CO
GESKE AND SONS INC
H & S CONCRETE CONSTRUCTION
H LINDEN & SONS WATER & SEW
H R STEWART INC
HEELS AND HARDHATS CONTRACT
HENKELS & MC COY INC
HERBIG BLACKTOP CONSTRUCTIO
HUGH HENRY CONSTRUCTION
ICC GROUP INC
IHC CONSTRUCTION CO LLC
INTREN LLC
J & R 1ST IN ASPHALT
J & S CONSTRUCTION SEWER &
J L ALLEN SERVICES INC
J NARDULLI CONCRETE INC
J P CULLEN & SONS INC
JACK HALL CONSTRUCTION
JENSENS PLUMBING & HEATING
JIM GEORGE AND SONS LLC
JIMMY Z MASONRY CORP
K R MILLER CONTR INC
KANE COUNTY EXCAVATING INC
KELLENBERGER PLUMBING & UND
KENDALL EXCAVATING & SEPTIC
K-FIVE CONSTRUCTION
KIRBY CABLE SERVICES INC
KR&G EXCAVATING PARTNERS
KRAEMER NORTH AMERICA LLC
KWCC INC
L J MORSE CONSTRUCTION
LAMP INCORPORATED
LANAS CONSTRUCTION
LANDMARK CONTRACTORS INC
LASSWELL MASONRY INC
LEANDER CONSTRUCTION INC
LIBERTY PAVING CO INC
LITE CONSTRUCTION
LORIG CONSTRUCTION COMPANY
M & M WELDING INC
M L & L EXCAVATING INC
M&M CONCRETE INC
MM PETERS CONSTRUCTION INC
MARC KRESMERY CONSTRUCTION
MARTIN & CO EXCAVATING
MARTIN CEMENT CO
MECCOR INDUSTRIES LTD
MID-AMERICA REGIONAL BARGAI
MID-VALLEY CONCRETE INC
MIKE HARRIS MASON CONTR INC
MONTEMAYOR CONSTRUCTION INC
MTH UNDERLAYMENT LLC
NERI CONTRACTORS & EXCAVATO
NESLUND & ASSOCIATES INC
NORTHERN CONTRACTING INC
NORTHERN ILLINOIS SERVICE C
NORTHERN PIPELINE CONST CO
NORTHWEST CONTRACTORS INC
N-TRAK GROUP LLC
ORANGE CRUSH LLC
OSWEGO BUILDING SUPPLIES IN
OTTO BAUM CO INC
P T FERRO CONSTRUCTION CO
PALLERA CONSTRUCTION INC
PEPPER CONSTRUCTION
PERFORMANCE CONST AND ENGIN
PETER BAKER & SON COMPANY
PHOENIX CORP OF THE QUAD CI
PHOENIX ENERGY SERVICES INC
PLAINFIELD CONCRETE INC
PLAINFIELD GRADING & EXCAVA
PLOTE CONSTRUCTION INC
PREFERRED CONCRETE & EXCAVA
R A ABBOTT EXCAVATING INC
R J O'NEIL INC
R OLSON CONST CO CONTR INC
RAGNAR BENSON LLC
REED MACHINERY & TRANS CO
REIL CONSTRUCTION INC
RICO ENTERPRISES INC
RINGLAND-JOHNSON INC
RIVER CITY CONSTRUCTION
RIZZA CONCRETE INC
ROCK ROAD OF ILLINOIS
ROCK SOLID STABIL & RECLAM
RUDOLPH MASON CONTRACTORS
RUIZ CONSTRUCTION SYSTEMS I
RYAN COMPANIES US INC
S & K EXCAVATING & TRUCKING
S&K POOL SERVICE INC
SCANDROLI CONSTRUCTION CO
SCHMELING CONSTRUCTION CO
SCHNEIDER EXCAVATING INC
SCHOMBURG & SCHOMBURG CONST
SCHROEDER ASPHALT SERVICES
SCHUBERT & SON CONCRETE INC
SCORPIO CONSTRUCTION CORPOR
SCURTO CEMENT CONSTRUCTION
SEYLLER'S INC
SHALES MCNUTT LLC
SJOSTROM & SONS INC
SPECIALTY BUILDERS INC
STARK & SON TRENCHING INC
STENSTROM CONSTRUCTION GROU
STENSTROM EXCAV & BLACKTOP
STOKES EXCAVATING INC
STRUCTORS INC
SUBSURFACE UNDERGROUND CONS
TABITHA VENTURES INC
TAT ENTERPRISES INC
TBS CONSTRUCTION INC
THE BOLDT COMPANY
THE PENA GROUP INC
THOM GRAVEL AND EXCAVATING
TOBIN BROS INC
TRIGGI CONSTRUCTION INC
TROY LEE EXCAVATING INC
VIRIDIAN ENTERPRISES INC
VISSERING CONSTRUCTION CO
W F JOHNSTON CONSTRUCTION I
WAGNER EXCAVATING LLC
WALSH CONSTRUCTION CO II LL
WEAVER CONSTRUCTION INC
WHITTAKER CONST & EXCAVAT
WILKINSON EXCAVATING
WILLIAM CHARLES CONST CO LL
WILLIAM TONYAN & SONS INC
WILLIAMS BROTHERS CONST CO
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd