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MINNESOTA CEMENT MASONS HEALTH AND WELFARE FUND: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MINNESOTA CEMENT MASONS HEALTH AND WELFARE FUND (EIN 41-6023462)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-11
IRS object ID
202103159349304245
Schema version
2020v4.1
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)
Return2021-11-11T12:04:07-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN320043599PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LEGACY PROFESSIONALS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16800 FRANCE AVENUE SO SUITE 550AddressLine1Txt
CityEDINACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55435ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN416023462EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MINNESOTA CEMENT MASONS HEALTH ANDBusinessNameLine1Txt
Business Name Line2WELFARE FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMINNBusinessNameControlTxt
Phone6512561900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12520 PILOT KNOB ROAD NO 325AddressLine1Txt
CityMENDOTA HEIGHTSCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55120ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVE SCHUTTAPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone6512561900PhoneNum
Signature2021-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVEPersonFirstNm
Person LastSCHUTTAPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJACOB D EKLUNDPreparerPersonNm
PTINP01455813PTIN
Phone9528413950PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
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 OfficerDAVE SCHUTTAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12520 PILOT KNOB ROAD NO 325AddressLine1Txt
CityMENDOTA HEIGHTSCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55120ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,542,302GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1960FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH BENEFITSActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$13,295,508PYProgramServiceRevenueAmt
CY Program Service Revenue$12,482,668CYProgramServiceRevenueAmt
PY Investment Income$683,631PYInvestmentIncomeAmt
CY Investment Income$223,060CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$13,979,139PYTotalRevenueAmt
CY Total Revenue$12,705,728CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$12,795,488PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$12,588,935CYBenefitsPaidToMembersAmt
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$546,033PYOtherExpensesAmt
CY Other Expenses$515,439CYOtherExpensesAmt
PY Total Expenses$13,341,521PYTotalExpensesAmt
CY Total Expenses$13,104,374CYTotalExpensesAmt
PY Revenues Less Expenses$637,618PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$398,646CYRevenuesLessExpensesAmt
Total Assets BOY$23,894,278TotalAssetsBOYAmt
Total Assets EOY$24,283,579TotalAssetsEOYAmt
Total Liabilities BOY$180,688TotalLiabilitiesBOYAmt
Total Liabilities EOY$74,366TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$23,713,590NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$24,209,213NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH BENEFITSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTO PROVIDE HEALTH CARE, DENTAL, DEATH AND DISABILITY BENEFITS FOR ELIGIBLE MEMBERS AND THEIR DEPENDENTS OR BENEFICIARIES ON A SELF-INSURED BASIS.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 Liabilities0ReportOtherLiabilitiesInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee6EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
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 Line1ZENITH AMERICAN SOLUTIONSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6512561900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12520 PILOT KNOB ROAD NO 325AddressLine1Txt
CityMENDOTA HEIGHTSCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55120ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
TIM WORKE
TRUSTEE2.00Yes (X)$0$0$0
SUBEN KANAGARATNAM
TRUSTEE2.00Yes (X)$0$0$0
STEVE BULACH
TRUSTEE2.00Yes (X)$0$0$0
MIKE SYVERSRUD
TRUSTEE2.00Yes (X)$0$111,760$66,61544.00
JARROD ASLESON
TRUSTEE2.00Yes (X)$0$1,670$3183.00
DAVID JOSLIN
TRUSTEE2.00Yes (X)$0$0$0
DAVE SCHUTTA
TRUSTEE2.00Yes (X)$0$113,476$69,64546.00
CHAD MORRIS
ALTERNATE TRUSTEE - PAST2.00Yes (X)$0$113,390$66,61544.00
BRIAN GULLICKSON
TRUSTEE2.00Yes (X)$0$113,390$66,61544.00
BRIAN FARMER
ALTERNATE TRUSTEE2.00Yes (X)$0$101,262$66,15944.00
MARTHA HENRICKSON
ALTERNATE TRUSTEE2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$554,948TotReportableCompRltdOrgAmt
Total Other Compensation$335,967TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTHPARTNERS
8170 - 33RD AVENUE SOBLOOMINGTONMN55425CLAIMS ADMINISTRATION$625,357
ZENITH AMERICAN SOLUTIONS
2520 PILOT KNOB ROAD SUITE 325MENDOTA HTSMN55120THIRD PARTY ADMINISTRATOR$283,945
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$10,256,600$10,256,600
HRA EMPLOYER CONTRIBUTIONS900099$1,244,588$1,244,588
PRESCRIPTION DRUG REBATES900099$404,815$404,815
STOP-LOSS SETTLEMENTS900099$251,816$251,816
PARTICIPANT CONTRIBUTIONS900099$248,410$248,410

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,439TotalRevenueColumnAmt
Related Or Exempt Func Income$76,439RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$12,482,668TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$426,114TotalRevenueColumnAmt
Exclusion$426,114ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,633,520SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,836,574SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$203,054SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$203,054TotalRevenueColumnAmt
Exclusion-$203,054ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,705,728TotalRevenueColumnAmt
Related Or Exempt Func Income$12,482,668RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$223,060ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$12,588,935TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$220,026TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$95,615TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,200TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$57,946TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$58,966TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$26,579TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$16,487TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,988TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmt
DUES AND SUBSCRIPTIONS$6,536
FEES MANDATED BY ACA$6,096

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,104,374TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,305,810BOYAmt
EOY$1,249,523EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,458,384BOYAmt
EOY$7,140,824EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,006,283BOYAmt
EOY$1,054,693EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,838BOYAmt
EOY$77,682EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,111,963BOYAmt
EOY$14,760,857EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$23,894,278BOYAmt
EOY$24,283,579EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$60,707BOYAmt
EOY$74,366EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$119,981BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$180,688BOYAmt
EOY$74,366EOYAmt
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$23,713,590BOYAmt
EOY$24,209,213EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,713,590BOYAmt
EOY$24,209,213EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,894,278BOYAmt
EOY$24,283,579EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$398,646ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$894,269NetUnrlzdGainsLossesInvstAmt
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
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,542,051TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$894,269NetUnrealizedGainsInvstAmt
Revenue Not Reported$894,269RevenueNotReportedAmt
Revenue Subtotal$12,647,782RevenueSubtotalAmt
Investment Expenses Not Incld$57,946InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$57,946RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$12,705,728TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,046,428TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,046,428ExpensesSubtotalAmt
Investment Expenses Not Incld2$57,946InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$57,946ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,104,374TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN UNCERTAIN TAX POSITIONS THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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
DAVE SCHUTTA
TRUSTEE$0$113,476$0$0$0$0$0$48,966$0$20,679$0$183,121$0$0
CHAD MORRIS
ALTERNATE TRUSTEE - PAST$0$113,390$0$0$0$0$0$46,837$0$19,778$0$180,005$0$0
BRIAN GULLICKSON
TRUSTEE$0$113,390$0$0$0$0$0$46,837$0$19,778$0$180,005$0$0
MIKE SYVERSRUD
TRUSTEE$0$111,760$0$0$0$0$0$46,837$0$19,778$0$178,375$0$0
BRIAN FARMER
ALTERNATE TRUSTEE$0$101,262$0$0$0$0$0$46,435$0$19,724$0$167,421$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3ALTHOUGH THE BOARD OF TRUSTEES RETAINS ULTIMATE RESPONSIBILITY, THE TRUSTEES HAVE DELEGATED THE DAY TO DAY ADMINISTRATIVE DUTIES TO ZENITH AMERICAN SOLUTIONS AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN.
FORM 990, PART VI, SECTION A, LINE 7ATHE PLAN IS GOVERNED BY EIGHT TRUSTEES, FOUR OF WHOM ARE APPOINTED BY THE RELATED LOCAL UNION, TWO OF WHOM ARE APPOINTED BY MINNESOTA CONCRETE AND MASONRY CONTRACTORS ASSOCIATION AND TWO OF WHOM ARE APPOINTED BY ASSOCIATED GENERAL CONTRACTORS OF MINNESOTA. THE UNION AND ASSOCIATIONS MAY EACH DESIGNATE AN ALTERNATE TRUSTEE.
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS PROVIDED TO AND REVIEWED BY THE ENTIRE BOARD OF TRUSTEES BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE TRUSTEES EVALUATE ANY POSSIBLE CONFLICTS OF INTEREST ANNUALLY WITH THE PLAN'S ATTORNEY. IN ADDITION, TO ENSURE THE PLAN OPERATES IN A MANNER CONSISTENT WITH NONPROFIT PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS LAWFUL STATUS AND FIDUCIARY OBLIGATIONS, PERIODIC REVIEWS OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ARE CONDUCTED.
FORM 990, PART VI, SECTION C, LINE 19THE PLAN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxtControlled OrganizationControlledOrganizationInd
CEMENT MASONS LOCAL 633
CONTRIBUTING EMPLOYER0
CITY OF MINNEAPOLIS
CONTRIBUTING EMPLOYER0
CITY OF ST PAUL
CONTRIBUTING EMPLOYER0
MN CEMENT PLAST SHOPHANDS JATC
CONTRIBUTING EMPLOYER0
ST PAUL PUBLIC SCHOOLS
CONTRIBUTING EMPLOYER0
UNIVERSITY OF MINNESOTA
CONTRIBUTING EMPLOYER0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (23 entries)

Primary ActivitiesPrimaryActivitiesTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
CMS LLC
CONTRIBUTING EMPLOYER00
CONCRETE UNLIMITED LLC
CONTRIBUTING EMPLOYER00
CREATE CONSTRUCTION LLC
CONTRIBUTING EMPLOYER00
DIRTWORX LLC
CONTRIBUTING EMPLOYER00
HANSON MASONRY & CONCRETE LLC
CONTRIBUTING EMPLOYER00
KRAEMER NORTH AMERICA LLC
CONTRIBUTING EMPLOYER00
MARCY CONSTRUCTION CO LLC
CONTRIBUTING EMPLOYER00
MCGOUGH CONSTRUCTION CO LLC
CONTRIBUTING EMPLOYER00
NORTHLAND CONSTRUCTORS LLC
CONTRIBUTING EMPLOYER00
OPUS DESIGN BUIDERS LLC
CONTRIBUTING EMPLOYER00
PCI ROADS LLC
CONTRIBUTING EMPLOYER00
QUALITY COATINGS LLC
CONTRIBUTING EMPLOYER00
REDSTONE CONSTRUCTION LLC
CONTRIBUTING EMPLOYER00
SS CONCRETE AND MASONRY LLP
CONTRIBUTING EMPLOYER00
STORMY LLC
CONTRIBUTING EMPLOYER00
ULTRA CONCRETE LLC
CONTRIBUTING EMPLOYER00
M A MORTENSON COMPANY
CONTRIBUTING EMPLOYER00
ICON LLC
CONTRIBUTING EMPLOYER00
AVM CONSTRUCTION LLC
CONTRIBUTING EMPLOYER00
B & D ASSOCIATES LLC
CONTRIBUTING EMPLOYER00
CREATIVE CURB LLC
CONTRIBUTING EMPLOYER00
TERRENE DEVELOPMENT LLC
CONTRIBUTING EMPLOYER00
THE CONCRETE COMPANY LLC
CONTRIBUTING EMPLOYER00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (150 entries)

Primary ActivitiesPrimaryActivitiesTxtControlled OrganizationControlledOrganizationInd
ADB CONSTRUCTION COMPANY INC
CONTRIBUTING EMPLOYER0
ADOLFSON & PETERSON CONSTRUCTION
CONTRIBUTING EMPLOYER0
ALVIN E BENIKE INC
CONTRIBUTING EMPLOYER0
AMES CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
ARNIE MACKEY CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
AXEL H OHMAN INC
CONTRIBUTING EMPLOYER0
BAY AREA CONCRETE
CONTRIBUTING EMPLOYER0
BIGELOW BROTHERS PLASTERING
CONTRIBUTING EMPLOYER0
BITUMINOUS ROADWAYS INC
CONTRIBUTING EMPLOYER0
BOUGALIS INC
CONTRIBUTING EMPLOYER0
BRUCES CONTRACTING INC
CONTRIBUTING EMPLOYER0
BULACH CUSTOM ROCK
CONTRIBUTING EMPLOYER0
BUTLER CORING INC
CONTRIBUTING EMPLOYER0
C & C WINGER INC
CONTRIBUTING EMPLOYER0
C R CONCRETE INC
CONTRIBUTING EMPLOYER0
C R FISCHER AND SONS INC
CONTRIBUTING EMPLOYER0
C R MEYER AND SONS COMPANY
CONTRIBUTING EMPLOYER0
C S MCCROSSAN CONSTRUCTION
CONTRIBUTING EMPLOYER0
CARLSON LA VINE INC
CONTRIBUTING EMPLOYER0
CHIPPEWA CONCRETE SERVICES INC
CONTRIBUTING EMPLOYER0
CONCRETE IDEA INC
CONTRIBUTING EMPLOYER0
CONE CONSTRUCTION
CONTRIBUTING EMPLOYER0
CONSTRUCTION RESULTS CORP
CONTRIBUTING EMPLOYER0
CORVAL GROUP CONSTRUCTORS
CONTRIBUTING EMPLOYER0
CROSSTOWN MASONRY INC
CONTRIBUTING EMPLOYER0
CURB MASTERS INC
CONTRIBUTING EMPLOYER0
CUSTOM DRYWALL INC
CONTRIBUTING EMPLOYER0
DAVIS DRYWALL INC
CONTRIBUTING EMPLOYER0
DAYCO CONCRETE COMPANY INC
CONTRIBUTING EMPLOYER0
DIVERSIFIED COATINGS INC
CONTRIBUTING EMPLOYER0
DONALD R FRANTZ CONSTRUCTION CO
CONTRIBUTING EMPLOYER0
DONLAR CONSTRUCTION COMPANY
CONTRIBUTING EMPLOYER0
DOYLE CONNER CO
CONTRIBUTING EMPLOYER0
FLOOR TECHNOLOGIES INC
CONTRIBUTING EMPLOYER0
FOWLER & HAMMER INC
CONTRIBUTING EMPLOYER0
GAGE BROTHERS CAULKING INC
CONTRIBUTING EMPLOYER0
GEORGE BOUGALIS & SONS CO
CONTRIBUTING EMPLOYER0
GEORGE SIEGFRIED
CONTRIBUTING EMPLOYER0
GOEBEL CONSTRUCTION CO INC
CONTRIBUTING EMPLOYER0
GRAHAM CONSTRUCTION SERVICES INC
CONTRIBUTING EMPLOYER0
GRESSER COMPANIES INC
CONTRIBUTING EMPLOYER0
GROVE-JOHNSON COMPANY
CONTRIBUTING EMPLOYER0
GUSTAFSON & GOUDGE INC
CONTRIBUTING EMPLOYER0
HAMMERLUND CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
HAWK CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
HMI (HOME MENDERS INC)
CONTRIBUTING EMPLOYER0
HOLLENBACK & NELSON INC
CONTRIBUTING EMPLOYER0
HOVLAND INC
CONTRIBUTING EMPLOYER0
IACARELLA CONSTRUCTION
CONTRIBUTING EMPLOYER0
INDUSTRIAL CONTRACTORS
CONTRIBUTING EMPLOYER0
INTERSTATE IMPROVEMENT INC
CONTRIBUTING EMPLOYER0
J R JENSEN CONSTRUCTION CO
CONTRIBUTING EMPLOYER0
JE DUNN NORTH CENTRAL
CONTRIBUTING EMPLOYER0
JL THEIS INC
CONTRIBUTING EMPLOYER0
JMF CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
JOHNSON WILSON CONSTRUCTORS
CONTRIBUTING EMPLOYER0
JOSEPH CONST OF ST PAUL INC
CONTRIBUTING EMPLOYER0
KELLEHER CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
KIFFMEYER INC
CONTRIBUTING EMPLOYER0
KMAC INC
CONTRIBUTING EMPLOYER0
KNIFE LAKE CONCRETE INC
CONTRIBUTING EMPLOYER0
KNUTSON CONSTRUCTION SERVICES
CONTRIBUTING EMPLOYER0
KOMITT CONCRETE INC
CONTRIBUTING EMPLOYER0
L S BLACK CONSTRUCTORS INC
CONTRIBUTING EMPLOYER0
LAKEHEAD CONSTRUCTORS INC
CONTRIBUTING EMPLOYER0
LANDMARK CONCRETE INC
CONTRIBUTING EMPLOYER0
LANGER CONSTRUCTION COMPANY
CONTRIBUTING EMPLOYER0
LENCI ENTERPRISES INC
CONTRIBUTING EMPLOYER0
LEWIS CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
LLOUHI & KIVELA MASONRY INC
CONTRIBUTING EMPLOYER0
LUNDA CONSTRUCTION COMPANY
CONTRIBUTING EMPLOYER0
MAERTENS-BRENNY CONSTRUCTION
CONTRIBUTING EMPLOYER0
MAGNEY CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
MARCY CONSTRUCTION CO INC
CONTRIBUTING EMPLOYER0
MARKET & JOHNSON INC
CONTRIBUTING EMPLOYER0
MAX GRAY CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
MCGOUGH CONSTRUCTION CO
CONTRIBUTING EMPLOYER0
MEYER CONTRACTING INC
CONTRIBUTING EMPLOYER0
MICHELS CORPORATION
CONTRIBUTING EMPLOYER0
MIDWEST CONCRETE SPECIALTIES
CONTRIBUTING EMPLOYER0
MINNESOTA CONCRETE SPECIALTIES
CONTRIBUTING EMPLOYER0
MN STATE CURB & GUTTER CORP
CONTRIBUTING EMPLOYER0
MIRON CONSTRUCTION CO INC
CONTRIBUTING EMPLOYER0
MORCON CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
MULCAHY NICHOLOUS
CONTRIBUTING EMPLOYER0
NEECK CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
NORTH COUNTRY CONCRETE INC
CONTRIBUTING EMPLOYER0
O'MALLEY CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
PARAGON COMPANY INC
CONTRIBUTING EMPLOYER0
PCL CONSTRUCTION SERVICES INC
CONTRIBUTING EMPLOYER0
QUALITY CUTTING & CORING INC
CONTRIBUTING EMPLOYER0
QUALITY DRYWALL & PLASTERING
CONTRIBUTING EMPLOYER0
RAINBOW INC
CONTRIBUTING EMPLOYER0
RAM CONSTRUCTION SERVICE OF MI INC
CONTRIBUTING EMPLOYER0
RICE LAKE CONSTRUCTION GROUP
CONTRIBUTING EMPLOYER0
RIIHILUOMA RAY INC
CONTRIBUTING EMPLOYER0
RON KASSA CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
ROSTI CONSTRUCTION
CONTRIBUTING EMPLOYER0
RYAN COMPANIES US INC
CONTRIBUTING EMPLOYER0
RYAN CONTRACTING INC
CONTRIBUTING EMPLOYER0
S & R REINFORCING INC
CONTRIBUTING EMPLOYER0
S M HENTGES & SONS INC
CONTRIBUTING EMPLOYER0
SCHMIDT CURB COMPANY INC
CONTRIBUTING EMPLOYER0
SCHROEDER CONSTRUCTION SERVICE
CONTRIBUTING EMPLOYER0
SHAFER CONTRACTING COMPANY INC
CONTRIBUTING EMPLOYER0
SHAW LUNDQUIST ASSOCIATES INC
CONTRIBUTING EMPLOYER0
SHEEHY CONSTRUCTION COMPANY
CONTRIBUTING EMPLOYER0
SIG OLSON & SONS PLASTERING
CONTRIBUTING EMPLOYER0
STANDARD SIDEWALK INC
CONTRIBUTING EMPLOYER0
STAFF CONCRETE CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
STARTING LINE FLOOR COATINGS
CONTRIBUTING EMPLOYER0
STEENBERG-WATRUD CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
STERLING STONE & TILE INC
CONTRIBUTING EMPLOYER0
STONE CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
SUMMIT CONCRETE & MASONRY CONS
CONTRIBUTING EMPLOYER0
SURFACE ART & PREP INC
CONTRIBUTING EMPLOYER0
SWANSON & YOUNGDALE INC
CONTRIBUTING EMPLOYER0
TERRAZZO & CONCRETE REST
CONTRIBUTING EMPLOYER0
THE BOLDT COMPANY
CONTRIBUTING EMPLOYER0
THOMAS & SONS CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
TI-ZACK CONCRETE INC
CONTRIBUTING EMPLOYER0
TWIN CITIES SPECIALTIES
CONTRIBUTING EMPLOYER0
XCEL ENERGYNSP
CONTRIBUTING EMPLOYER0
ZENITH TECH INC
CONTRIBUTING EMPLOYER0
ACOUSTICS ASSOCIATES INC
CONTRIBUTING EMPLOYER0
DINGMAN CONCRETE & SCREED SERVICE
CONTRIBUTING EMPLOYER0
GRIDOR CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
HTI POLYMER INC
CONTRIBUTING EMPLOYER0
KGM CONTRACTORS INC
CONTRIBUTING EMPLOYER0
NORTHERN INDUSTRIAL ERECTORS
CONTRIBUTING EMPLOYER0
OLYMPIC COMPANIES INC
CONTRIBUTING EMPLOYER0
PALMER SODERBERG INC
CONTRIBUTING EMPLOYER0
PARK CONSTRUCTION COMPANY
CONTRIBUTING EMPLOYER0
SHELTON EXCAVATING INC
CONTRIBUTING EMPLOYER0
SUPREME COATING & SUPPLY INC
CONTRIBUTING EMPLOYER0
TOTAL CONSTRUCTION & EQUIPMENT
CONTRIBUTING EMPLOYER0
WEITZ COMPANY
CONTRIBUTING EMPLOYER0
WEST STAR CURB & CONCRETE
CONTRIBUTING EMPLOYER0
ALL PHASE CONTRACTING INC
CONTRIBUTING EMPLOYER0
FRENCH LAKE CURB COMPANY
CONTRIBUTING EMPLOYER0
JAMAR
CONTRIBUTING EMPLOYER0
OLD CASTLE - ANCHOR BLOCK
CONTRIBUTING EMPLOYER0
STANDARD CONTRACTING INC
CONTRIBUTING EMPLOYER0
SULLIVAN CONSTRUCTION INC
CONTRIBUTING EMPLOYER0
WASCHE COMMERCIAL FINISHES
CONTRIBUTING EMPLOYER0
SURFACE PROS
CONTRIBUTING EMPLOYER0
LINDBLAD CONSTR
CONTRIBUTING EMPLOYER0
LEGENDS CONCRETE
CONTRIBUTING EMPLOYER0
DIXON STUDIOS
CONTRIBUTING EMPLOYER0
CD SMITH CONSTRUCTION
CONTRIBUTING EMPLOYER0
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 Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd