2021-11-15T16:26:50-06:00 2020-12-31 430765316 RUBINBROWN LLP 1200 MAIN STREET SUITE 1000 KANSAS CITY MO 64105 990 2020-01-01 440568755 CONSTRUCTION INDUSTRY LABORERS WELFARE FUND CONS 8167563313 12200 N AMBASSADOR DRIVE NO 400 KANSAS CITY MO 64163 JIM FITZGERALD SECRETARY 8167563313 2021-11-15 1 JIM FITZGERALD 999009999 MATTHEW C HALL P01573021 8164721122 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z JIM FITZGERALD 12200 N AMBASSADOR DRIVE NO 400 KANSAS CITY MO 64163 66166167 0 X N/A X 1952 MO PROVIDE HEALTH & WELFARE BENEFITS 15 15 0 15 0 0 0 0 56587329 54683028 3302836 3153399 1540 1892710 59891705 59729137 0 0 53506914 52667747 0 0 0 0 0 4771299 5942165 58278213 58609912 1613492 1119225 140441485 151896140 1025711 953038 139415774 150943102 PROVIDE HEALTH & WELFARE BENEFITS 0 0 THE FUND PROVIDES HEALTH AND WELFARE BENEFITS FOR APPROXIMATELY 5700 COVERED PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 1 0 0 0 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 1029 0 0 0 0 0 0 0 0 0 0 X 15 15 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X WILSON MCSHANE CORPORATION 8167563313 12200 N AMBASSADOR DRIVE SUITE 400 KANSAS CITY MO 64162 X X TRENT ELY TRUSTEE 0.00 X 0 0 0 GABRIEL T JONES TRUSTEE 0.00 X 0 0 0 JASON P MENDENHALL CHAIRMAN 0.00 X X 0 0 0 PATRICK P PRYOR TRUSTEE 0.00 X 0 0 0 BILL TILLMAN TRUSTEE 0.00 X 0 0 0 MITCHELL ROWLEY TRUSTEE 0.00 X 0 0 0 BRAD TURNER TRUSTEE 0.00 X 0 0 0 BRYON HORNUNG TRUSTEE 0.00 X 0 0 0 DAVID KAESTNER TRUSTEE 0.00 X 0 0 0 JIM FITZGERALD SECRETARY 0.00 X X 0 0 0 DEXTER PHILLIPS TRUSTEE 0.00 X 0 0 0 JOE GARRISON TRUSTEE 0.00 X 0 0 0 WYATT PHILLIPS TRUSTEE 0.00 X 0 0 0 PAUL IDEKER TRUSTEE 0.00 X 0 0 0 NATE ROSE TRUSTEE 0.00 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD PO BOX 219454 KANSAS CITY MO 64121 ADMINISTRATIVE SERVICES 2734317 WILSON-MCSHANE CORPORATION 3100 BROADWAY 805 KANSAS CITY MO 64111 ADMINISTRATIVE SERVICES 862741 ARNOLD NEWBOLD SOLLARS & HOLLINS 1100 MAIN STREET SUITE 2001 KANSAS CITY MO 64105 LEGAL SERVICES 338580 3 EMPLOYER CONTRIBUTIONS 900099 50053325 50053325 PARTICIPANT CONTIBUTIONS 900099 4629703 4629703 54683028 2894257 2894257 6696172 6437030 259142 259142 259142 REBATE INCOME 900099 1675044 1675044 STOP LOSS REIMBURSEMENT 900099 205170 205170 LIQUIDATED DAMAGES 900099 12471 12471 25 25 1892710 59729137 56575738 0 3153399 52667747 52667747 740400 740400 338580 338580 133097 133097 289512 289512 3018061 3018061 40969 40969 4606 4606 35764 35764 STOP LOSS PREMIUMS 1313910 1313910 PCORI FEES 25801 25801 DUES AND SUBSCRIPTIONS 1465 1465 58609912 58609912 0 0 8164863 7415311 6211136 6355793 68398 41548 41548 65926686 71772810 59872420 66017546 224832 224734 140441485 151896140 1025711 422458 526016 4564 1025711 953038 X 0 0 0 0 139415774 150943102 139415774 150943102 140441485 151896140 1119225 10408103 0 X 0 1 X 1 0 0 1 X 0 BAIRD CORE PLUS 34571715 F ULLICO W-1 ACCOUNT 13354533 F ULLICO T ACCOUNT 350001 F NEUBERGER BERMAN US EQUITY INDEX 3734437 F PARAMETRIC DEFENSIVE EQUITY 3582107 F PACIFIC ASSET MGMT LOAN FD 6550191 F HARDING LOEVNER FD 3874562 F 66017546 70137240 10408103 10408103 59729137 0 59729137 58609912 0 58609912 0 58609912 PART IV, LINE 2B: CONTRIBUTIONS ARE DEPOSITED INTO A CLEARING ACCOUNT TO BE SPREAD TO SEVERAL DIFFERENT FUNDS AND LOCALS. THIS AMOUNT REPRESENTS MONIES DUE TO THOSE FUNDS AND LOCALS. SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 12354 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 10859 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 5744 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 5613 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 4327 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 4118 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 3307 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 2641 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 2398 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 2170 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 1798 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 1661 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 1626 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 1569 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 1338 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 1328 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 1161 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 1090 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 914 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 653 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 501 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 483 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 391 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 298 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION UNPAID AT YEAR END X 56 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION OVERPAID AT YEAR END X 114 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION OVERPAID AT YEAR END X 224 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION OVERPAID AT YEAR END X 255 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION OVERPAID AT YEAR END X 263 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION OVERPAID AT YEAR END X 1132 0 0 0 SUBSTANTIAL CONTRIBUTOR EMPLOYER CONTRIBUTOR EMPLOYER CONTRIBUTION OVERPAID AT YEAR END X 2576 0 0 0 72962 FORM 990, PART VI, SECTION A, LINE 3 THE FUND IS CONTRACTED WITH WILSON-MCSHANE, A TPA, WHO PAYS CLAIMS AND HANDLES THE DAY TO DAY OPERATION OF THE FUND. FORM 990, PART VI, SECTION B, LINE 11B COPIES OF FORM 990 ARE PROVIDED TO THE CHAIRMAN AND SECRETARY FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AT A BOARD MEETING. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VII COMPENSATION OF TRUSTEES CONSTRUCTION INDUSTRY 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: MISSOURI AND KANSAS LABORERS DISTRICT COUNCIL EIN: 43-0630984 JASON P. MENDENHALL MITCHELL ROWLEY PATRICK P. PRYOR TRENT ELY BRAD TURNER LABORERS INTERNATIONAL UNION OF 663 HCL EIN: 44-0412225 GABRIEL T. JONES JASON P. MENDENHALL LABORERS INTERNATIONAL UNION OF 660 LOCAL UNION EIN: 43-0522027 NATE ROSE PATRICK P. PRYOR LABORERS UNION LOCAL 1290 EIN: 48-0287794 MITCHELL ROWLEY BILL TILLMAN CONSTRUCTION INDUSTRY LABORERS PENSION FUND 12200 N AMBASSADOR DRIVE SUITE 400 KANSAS CITY MO 641631244 436060737 EMPLOYEE BENEFITS MO 401 (A) 0 LABORERS LOCAL 1104 LABORERS LOCAL 1290 LABORERS LOCAL 130 LABORERS LOCAL 319 LABORERS LOCAL 579 LABORERS LOCAL 660 LABORERS LOCAL 662 LABORERS LOCAL 663 LABORERS LOCAL 840 LABORERS LOCAL 955 EASTERN MISSOURI LABORERS DISTRICT COUNCIL WESTERN MISSOURI & KANSAS LABORERS DISTRICT COUNCIL AMCON MUNICIPAL CONCRETE LLC ARMSTRONG SUPPLY LLC ARNOLD MASONRY LLC B & W CONCRETE LLC BALLMAN EARTHWORKS LLC BILL THAXTON CONSTRUCTION LLC BLM PROPERTIES LLC BREIT CONSTRUCTION LLC BRK CONSTRUCTION LLC BROCK INDUSTRIAL SERVICES LLC BUDROVICH CONCRETE LLC BUILDTEC CONSTRUCTION LLC C&M MASONRY LLC CARTER-WATERS LLC CASTLE CONTRACTING LLC CECO CONCRETE CONST LLC CHAMBERS EXCAVATING LLC COFFEL CONSTRUCTION LLC CONCRETE CONSTRUCTION LLC CON-TECH FOUNDATIONS LLC CONTEGRA CONSTRUCTION CO LLC COWLING-GARBO CONCRETE LLC D & M FLATWORK LLC DANNA EXCAVATING LLC DOUBLE R CONTRACTORS LLC DUTCH CONTRACTING LLC ECM CONSTRUCTION LLC ENLOE & SON CONSTRUCTION LLC FA ENTERPRISES LLC FIVE STAR EXCAVATING LLC FLOWMASTER CONSTRUCTION LLC FREEDOM CONCRETE LLC GOLDEN CONSTRUCTION CO LLC GREELEY EXCAVATING LLC GS GRINDING SERVICES LLC HOLTHOUSE CONST LLC HOWCO UTILITIES LLC INFRASTRUCTURE SOLUTIONS LLC IRON HAND LLC JCL PLUMBING LLC JK CONCRETE CONST LLC KEITH CONTRACTING LLC KIMES CONTRACTING LLC LEFTRIDGE MASONRY LLC MAR-JIM CONTRACTING LLC MARSCHEL WRECKING LLC MATTHEWS CONCRETE LLC MUSSELMAN & HALL CONTRS LLC PCI ROADS LLC PIPEVIEW LLC PRO DESIGN CONTRACTORS LLC PULLMAN POWER LLC QUADEX LINING SYSTEMS LLC RF FISHER ELECTRIC CO LLC REED CONCRETE CONTRACTORS LLC ROSETTA CONSTRUCTION LLC SANDERS CONSTRUCTION LLC SCHARF CONSTRUCTION CO LLC SHEDIGS IT LLC SIERRA BRAVO CONTRACTORS LLC SUPERIOR BOWEN ASPHALT CO LLC SUPERIOR RAIL SYSTEM LLC TCS LLC THORNTON MASONRY LLC TWO ALPHA CONTRACTING LLC WESTHUES CONST LLC WRIGHT MASONRY LLC ZOIE LLC A T URBAN DEVELOPMENT A&S SEPTIC AND UTILITIES AAA MASONRY INC AALCO ENTERPRISES INC ACE PIPE CLEANING INC ACME FIREPROOFING & INSULATION AIELLO HOMES INC AIRCO POWER SERVICES AL DROSTE & SONS CONSTRUCTION ALBERICI CONSTRUCTORS ALL TYPE EXCAVATING INC AMERICAN BRIDGE COMPANY AMES CONSTRUCTION INC AMINO BROTHERS CO APAC CENTRAL APEX UNDERGROUND ARROW DRILLING INC ARSI INC ARTISAN CONTRACTING INC ASPIRE CONSTRUCTION SERVICES ASSOCIATED GENERAL CONTRACTORS AT ABATEMENT SERVICES INC ATLANTIC PLANT MAINTENANCE AXIOM CONSTRUCTION GROUP B & W FOUNDATIONS INC B&P CONSTRUCTION B3 CONTRACTORS BABCOCK & WILCOX CONSTRUCTION BANTA & STUDE CONSTRUCTION CO BANZE FLATWORK BATES UTILITY COMPANY INC BBS SERVICES BECKHAM INVESTMENT GROUP BEEMER CONSTRUCTION CO INC BEN F BLANTON CONST INC BEN HUR CONSTRUCTION BERKEL & COMPANY CONTRACTORS BEYER CRUSHED ROCK CO BHI ENERGY BIRKEMEIER CONSTRUCTION INC BI-STATE UTILITIES CO BLANKENSHIP CONSTRUCTION CO BLATTNER ENERGY BLOOMSDALE EXCAVATING CO INC BLUE NILE CONTRACTORS BLUFF CITY MINERAL COMPANY BOLAND PLUMBING CO BOLING CONCRETE CONST INC BOWEN ENGINEERING CORPORATION BRAND SAFWAY INDUSTRIES BRANDENBURG INDUSTRIAL BREWSTER COMPANIES BRINKMANN CONSTRUCTORS BROCKMILLER CONST INC BROOKSIDE CONTRACTING INC BROONER & ASSOC CONST INC BUCHHEIT CONCRETE INC BUDROVICH EXCAVATING BUILDER'S BLOC CONTRACTING SVC BUILDEX INC BUMB CONSTRUCTION INC BUSCH LANE ENTERPRISES BUSSEN QUARRIES INC BYRNE & JONES CONSTRUCTION C & B PAVING INC CJ MAHAN CONSTRUCTION CO CAPITAL ELECTRIC CONSTRUCTION CASWELL BRICKWORK INC CBS PILING SOLUTIONS INC CENPRO SERVICES INC CENTRAL MECH CONST CO INC CHESTERFIELD VALLEY CONST SERV CHRISTY INDUSTRIAL SERVICES CHYAMS LLC DBA G S & S INC CISSELL MUELLER CONST INC CLARKSON CONSTRUCTION CO CML INC COLLINS & HERMANN INC COMANCHE CONST INC CONCO QUARRIES INC CONCRETE CO OF SPRINGFIELD CONCRETE CORING CO INC CONCRETE STRATEGIES CONSTRUCTION IND LABORERS TRAI CONSTRUCTION SUPPORT SERVICES CORING & CUTTING CONST INC CORNERSTONE MASONRY INC CRAFTON CONTRACTING CO CRAFTSMEN CONTRACTING D & S FENCING COMPANY INC DG SKOUSE COMPANY DALTON KILLINGER CONST CO DAVID E ROSS CONSTRUCTION DAVID VEHIGE LLCDBA J & C CON DAY AND ZIMMERMANN NPS INC DEMIEN CONSTRUCTION CO DIGGS CONSTRUCTION CO DON SCHNIEDERS EXCAVATING DONALD MAGGI INC DOTSON & GIBBS INC DREDGE AMERICA INC DRILLING SERVICE COMPANY DUGGAN CONTRACTING DUNEMAN DEMOLITION INC DUN-PAR ENGINEERED FORM CO E A BOYER BLDG & DESIGN E MEIER CONTRACTING INC EL CRAWFORD CONSTR INC EDDINGS MASONRY INC EISENBATH CONCRETE INC ELASTIZELL OF ST LOUIS INC ELITE FLATWORK & CONSTRUCTION EMLDC - 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