2021-11-10T17:22:22-06:00 2020-12-31 470900880 CALIBRE CPA GROUP PLLC 19615 S LA GRANGE RD MOKENA IL 60448 990 2020-01-01 366073848 EXCAVATING GRADING & ASPHALT CRAFT 731 HEALTH AND WELFARE FUND EXCA 6308874150 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 JOHN LISNER TRUSTEE 6308874150 2021-11-10 1 JOHN LISNER 999009999 CHARLES DIGIOVANNI P00284901 7089957180 2021-11-10 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOHN LISNER 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 32809447 0 X N/A X 1951 IL TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 6 3 19 0 0 0 0 0 10094740 10336255 1505545 -190761 0 0 11600285 10145494 0 0 9442981 8047189 1842011 1933875 0 0 0 506752 640938 11791744 10622002 -191459 -476508 24293764 25439001 1339099 1271667 22954665 24167334 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 0 0 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 93 0 1 19 1 0 0 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 1 1 0 X THE ORGANIZATION 6308874150 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 X TERRENCE J HANCOCK TRUSTEE 2.00 X 0 316155 81244 JOHN LISNER TRUSTEE 2.00 X 0 257625 81244 DALE BOLT TRUSTEE 2.00 X 0 204660 67993 WILLIAM COLLINS TRUSTEE 2.00 X 0 0 0 DAVID SNELTEN TRUSTEE 2.00 X 0 0 0 JONATHAN GALLAGHER TRUSTEE 2.00 X 0 0 0 RICHARD CLARSON ADMINISTRATOR 40.00 X 186157 0 13473 PATRICIA SAENZ CLAIMS MANAGER 40.00 X 122684 0 25741 MICHAEL WAINSCOTT COMPTROLLER 40.00 X 101607 0 23634 410448 778440 293329 3 0 1 0 BLUE CROSS BLUE SHIELD 300 E RANDOLPH ST CHICAGO IL 606015099 PPO PROVIDER 257133 DESERT SHORE CAPITAL PARTNERS 4001 MCEWEN ROAD SUITE 450 DALLAS TX 75244 BENEFIT CONSULTANT 237183 2 EMPLOYER CONTRIBUTION 900099 8373043 8373043 REIMB COMMON ADMIN EXP 900099 1761852 1761852 MEMBER AND RETIREE CONTRIBUTION 900099 201360 201360 10336255 455138 455138 22018054 22663953 -645899 -645899 -645899 10145494 10336255 0 -190761 8047189 199630 1059627 280574 295731 98313 70621 47071 64853 342929 41461 26362 15087 8893 23661 10622002 1993470 4058970 960828 327391 1175871 1236398 9325 9325 16224 16224 0 0 19264366 19221016 889904 585901 24293764 25439001 115107 109667 1223992 1162000 1339099 1271667 X 0 0 0 0 22954665 24167334 22954665 24167334 24293764 25439001 -476508 1689177 0 X X 0 1 X 1 0 16224 16224 0 0 CLAIMS PAYABLE & INCURRED NOT REPORTED 1162000 1162000 X 10007966 1689177 1689177 8318789 64853 1761852 1826705 10145494 8580297 0 8580297 64853 1976852 2041705 10622002 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 THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS OF DECEMBER 31, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF 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. AT DECEMBER 31, 2020, THE PLAN'S ADMINISTRATOR BELIEVES THAT THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2017. PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED COMMON ADMIN EXPENSES FROM RELATED BENEFIT FUNDS 1,761,852. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED COMMON ADMIN EXPENSES FROM RELATED BEENFIT FUNDS 1,761,852. INCREASE IN CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 215,000. 0 0 0 TERRENCE J HANCOCK TRUSTEE 0 301600 0 11600 0 2955 0 67447 0 13797 0 397399 0 0 JOHN LISNER TRUSTEE 0 244400 0 9400 0 3825 0 67447 0 13797 0 338869 0 0 DALE BOLT TRUSTEE 0 197080 0 7580 0 0 0 54196 0 13797 0 272653 0 0 RICHARD CLARSON ADMINISTRATOR 186157 0 0 0 0 0 0 0 13473 0 199630 0 0 0 FORM 990, PART VII, ITEM 5 AND SCHEDULE J, PART II RICHARD CLARSON IS THE ADMINISTRATOR OF THE FILING ORGANIZATION IN ADDITION TO PERFORMING SIMILAR DUTIES FOR THE FILING ORGANIZATION'S RELATED ORGANIZATIONS AS WELL AS AFFILIATED BUT UNRELATED ORGANIZATIONS. HIS COMPENSATION IS PAID DIRECTLY BY THE FILING ENTITY AND A PORTION IS REIMBURSED BY THE RELATED ORGANIZATIONS AS WELL AS AFFILIATED BUT UNRELATED ORGANIZATIONS. HIS COMPENSATION IS COMPRISED OF WAGES AND CONTRIBUTIONS TO A HEALTH BENEFIT PLAN. HE IS CONSIDERED KEY EMPLOYEE OF THE FILING ORGANIZATION FOR 990 REPORTING PURPOSES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE FUND ADMINISTRATOR PRIOR TO FILING. AFTER REVIEW,THE FORM IS APPROVED, SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE REVIEWED ANNUALLY AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FROM THE FUND OFFICE PART VII REPORTABLE COMPENSATION REPORTABLE COMPENSATION FROM THE ORGANIZATION IS ALLOCATED TO VARIOUS RELATED AND AFFILIATED ORGANIZATIONS BASED ON TIME ALLOCATED TO EACH ORGANIZATION. PART XII, LINE 2C EXPLANATION: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VI, SECTION A, LINE 8B THE PLAN HAS A HEALTHCARE COMMITTEE COMPRISED OF TWO TRUSTEES FROM EACH OF THE LOCAL 731 HEALTH AND WELFARE FUNDS WHICH HAS THE AUTHORITY TO ACT OF BEHALF OF THE GOVERNING BODY. TEAMSTERS LOCAL NO 731 EXCAVATORS AND PAVERS PENSION TRUST FUND 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 366513565 PROVIDE PENSION BENEFITS IL 401(A) N/A N/A 0 INTERNATIONAL BROTHERHOOD OF TEAMSTERS LOCAL 731 UNION 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 361053335 LABOR UNION IL 501(C)(5) N/A N/A 0 2005 TRUCKING INC A & A TRANSPORT SERVICES A LAMP CONCRETE CONTRACTORS A R R P TRUCKING & HAULING ABBEY PAVING & SEALCOATING INC ACCURATE LOGISTICS INC ALLSTAR ASPHALT INC AMERICAN LANDSCAPING INC ARROW ROAD CONSTRUCTION CO BECAN CONSTRUCTION COMPANY BENCHMARK CONSTRUCTION CO BEVERLY ASPHALT PAVING CO BIGANE PAVING COMPANY BRANDENBURG INDUSTRIAL SERVICE BRITES EQUIPMENT LTC INC BUILDERS ASPHALT L L C CC CARTAGE CASTELLANOS TRUCKING INC CHICAGOLAND TRUCKIN INC CONCRETE STRUCTURES OF THE MID D & P CONSTRUCTION CO INC D CONSTRUCTION INC D J MASSAT INC DANNY B KEANE ENTERPRISESINC DELTA DEMOLITION INC DI JON INC DI MEO BROS INC DUBOIS PAVING COMPANY INC DUNLEAVY EXCAVATING & DEMO E KING CONSTRUCTION INC ENVIRONMENTAL CLEANSING CORP G & M CEMENT CONSTRUCTION INC GLANDER PAVING CO GLOBE CONSTRUCTION INC GRAVELTRON INC H WIGBOLDY & SONS INC HENEGHAN WRECKING CO HENKELS & MC COY INC IWEMA EXCAVATING & CONTRACTING J A JOHNSON PAVING COMPANY J E K TRUCKING CO INC JG DEMO INC JNS INC K & A TRUCKING K-FIVE CONSTRUCTION CORP LANEY DIRECTIONAL DRILLING LEEWAY WRECKING INC LENNY HOFFMAN EXCAVATING INC LINDAHL BROTHERS LISA TRUCKING INC LMG TRUCKING LLC LORIG CONST MC CLENDON TRUCKING INC MC HUGH CONSTRUCTION COMPANY MEADE INC MICHAEL KEANE ENTERPRISESINC MQ CONSTRUCTION CO NASH BROTHERS CONSTR CO NATIONAL WRECKING COMPANY ORANGE CRUSH LLC PAVESTAR INC PLOTE CONSTRUCTION INC QUALITY PAVING INC R ORSTROM ENTERPISES INC R W COLLINS INC RJ HARMS TRUCKING & EXCAVAT RELIABLE CONTR & EQUIP CO REYNAGA BROS CONSTRUCTION CORP RICO ENTERPRISES INC ROSSI CONTRACTORS INC ROY STROM EXCAVATING & GRADING ROY'S PAVING & SEALCOATING CO SCHUEPFER INC SHEPLEY MOTOR EXPRESS INC SILVESTRI PAVING COMPANY SJL TRUCKING INC SONICAN TRUCKING INC STRADA CONSTRUCTION T & D EXCAVATION & GRADING INC T-CAT ENTERPRISE INC TAYLOR EXCAV & WRECKING INC TEAMSTER LOCAL 731 LMCC TA THE PATCHING PEOPLE INC TOURES TRUCKING INC TROCH-MCNEIL PAVING COMPANY WE O'NEIL CONSTRUCTION CO WESTERN UTILITY CONTRACTORS CDR TRANSPORT INC GAVITA CONSTRUCTION JDL HAULING INC PAVICHOS TRUCKING INC WAYNE'S TRUCKING LLC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1