2020-11-12T10:19:02-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2019-01-01 020656066 HEARTLAND HEALTHCARE FUND HEAR 9528540795 3001 METRO DRIVE NO 500 BLOOMINGTON MN 55425 STEVEN TONDI CHAIRMAN 9528540795 2020-11-05 1 DOUG BERTOSSI P00637990 6123764500 2020-10-09 67.137.57.251 2020-11-05 10:53:51 CS P FD302F4D5CE3C660ABAF9933EAAEEC9F457F14F9 4FBDEA9FCDBDA1BE2CF73F8A5402D354D7E84261 2019 2021-04-22 16:20:28Z STEVEN TONDI 3001 METRO DRIVE NO 500 BLOOMINGTON MN 55425 36069844 0 X N/A X 2002 IA INSURED AND SELF FUNDED WELFARE BENEFITS FOR UNION MEMBERS AND THEIR DEPENDENTS. 6 0 30 6 0 0 0 0 32488351 29087587 1062967 1254706 0 41000 33551318 30383293 0 0 31075557 26890275 0 0 0 0 0 1145964 1484596 32221521 28374871 1329797 2008422 37331966 42405394 203385 589072 37128581 41816322 INSURED AND SELF-FUNDED WELFARE BENEFITS FOR UNION MEMBERS AND THEIR DEPENDENTS. 0 0 INSURED AND SELF FUNDED WELFARE BENEFITS FOR APPROXIMATELY 1,955 UNION MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 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 6 0 30 1 0 0 0 0 0 0 0 0 X 6 0 0 1 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 X WILSON MCSHANE CORPORATION 9528540795 3001 METRO DR STE 500 BLOOMINGTON MN 55425 X X STEVEN P TONDI CHAIRMAN, SEE SCHEDULE O 1.00 40.00 X X 0 0 0 DAVE FOY TRUSTEE, SEE SCHEDULE O 1.00 2.00 X 0 0 0 DAVID ARGUBRIGHT TRUSTEE, SEE SCHEDULE O 1.00 1.50 X 0 0 0 BRUCE WERNING SECRETARY, SEE SCHEDULE O 0.50 40.00 X X 0 0 0 GREG MULHERIN TRUSTEE 1.00 2.00 X 0 0 0 DANIEL AUSSEM TRUSTEE, SEE SCHEDULE O 1.00 6.00 X 0 0 0 0 0 0 0 0 0 0 WILSON MCSHANE CORPORATION 3001 METRO DRIVE BLOOMINGTON MN 55425 FUND ADMINISTRATOR 738865 BLUELINK TPA 1305 CORPORATE CENTER DRIVE EAGAN MN 55121 MEDICAL CLAIMS NETWORK 515962 2 EMPLOYER CONTRIBUTIONS 525100 27459912 27459912 EMPLOYEE CONTRIBUTIONS 525100 1627675 1627675 29087587 967927 967927 5973330 5686551 286779 286779 286779 INSURANCE PROCEEDS 900099 41000 41000 41000 30383293 29087587 0 1295706 26890275 722141 23808 73073 140962 97276 39160 3041 23406 TRANSFERS TO OTHER PLAN 361729 28374871 2293331 3097126 95693 126240 2016149 1969501 123187 90647 24574860 31386060 8228746 5735820 37331966 42405394 55901 58186 147484 169157 0 361729 203385 589072 X 37128581 41816322 37128581 41816322 37331966 42405394 2008422 2679319 0 X 0 1 X 1 0 0 LIMITED LIABILITY COMPANY 3532523 F LIMITED PARTNERSHIP 2203297 F 5735820 TRANSFERS TO OTHER PLAN 361729 361729 X 32921650 2679319 2679319 30242331 140962 140962 30383293 27872180 0 27872180 140962 361729 502691 28374871 PART X, LINE 2: THE VEBA TRUST FUNDING BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED MAY 20, 2003, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2019 AND 2018 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. 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 PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. PART XII, LINE 4B - OTHER ADJUSTMENTS: THIS AMOUNT REPRESENTS AMOUNTS TRANSFERRED TO ANOTHER PLAN FOR PARTICIPANTS SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 2967 2967 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 5151 5151 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 35 35 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 42 42 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 2217 2217 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 15029 15029 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 52465 52465 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 595 595 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 3432 3432 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 8714 8714 0 0 0 90647 FORM 990, PART VI, SECTION A, LINE 3 WILSON-MCSHANE COMPANY WAS DELEGATED CONTROL OVER MANAGEMENT DUTIES AS PLAN ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 7A THREE OF THE TRUSTEES ARE DESIGNATED BY THE CHICAGO REGIONAL COUNCIL OF CARPENTERS. THREE OF THE TRUSTEES ARE DESIGNATED BY THE ILLINOIS VALLEY CONTRACTORS ASSOCIATION, ILLOWA MILLWRIGHT CONTRACTORS ASSOCIATION AND THE ASSOCIATED GENERAL CONTRACTORS OF THE QUAD CITIES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON INFORMATION SUPPLIED BY THE ORGANIZATION. A REVIEW OF THE RETURN IS CONDUCTED BY THE ORGANIZATION AND PRESENTED TO THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE MEMBERS UPON REQUEST. FORM 990 PART VII, SECTION A, LINE 1A TRUSTEES ARE NOT COMPENSATED BY THE FUND. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. THE FOLLOWING RELATED ORGANIZATIONS REPORTED COMPENSATION FOR A TRUSTEE LISTED ON THE HEARTLAND HEALTHCARE FUND 990: STEVEN P. TONDI, CHAIRMAN QUAD CITY CONSTRUCTION INDUSTRY ADVANCEMENT TRUST EIN: 36-2652144 DAVID ARGUBRIGHT, TRUSTEE UNITED BROTHEROOD OF CARPENTERS & JOINERS OF AMERICA 174 EIN: 36-6112811 BRUCE WERNING, SECRETARY UNITED BROTHERHOOD OF CARPENTERS & JOINERS OF AMERICA EIN: 36-1894832 DANIEL AUSSEM, TRUSTEE ILLINOIS VALLEY CONTRACTORS ASSOCIATION EIN: 36-2150421 DAVE FOY MILLWRIGHT LOCAL UNION 2158 EIN: 42-1484016 ILLINOIS VALLEY CONTRACTORS ASSOCIATION 1120 FIRST STREET LASALLE IL 61301 362150421 PROMOTE BETTER RELATIONS BETWEEN LOCAL CONTRACTORS, TRADE UNIONS, CONSTRUCTI IL 501(C)(6) N/A 0 UNITED BROTHERHOOD OF CARPENTERS & JOINERS OF AMERICA 12 EAST ERIE STREET CHICAGO IL 60611 361894832 LABOR UNION IL 501(C)(5) N/A 0 QUAD CITY CONSTRUCTION INDUSTRY ADVANCEMENT TRUST 520 - 24TH STREET ROCK ISLAND IL 61201 362652144 PROMOTING, IMPROVING, AND ADVANCING THE CONSTRUCTION INDUSTRY IN QUAD-CITY IL 501(C)(6) N/A 0 CITY OF FULTON CRC CARPENTERS APPR & T ILLOWA MILLWRIGHTS JATC LAKES & RIVERS CONTRACT LOCAL#790OFFICE PERSON MID ILLINOIS PAINTING-- NORTH CENTRAL STATES RE NORTHERN ILLINOIS UNIVE PARAMOUNT MILLWRIGHT SE ADVANTAGE INDUSTRIAL SY AIMS MECHANICAL LLC ALL PHASES CONSTRUCTION ALLIED POWER SERVICES LLC ARTISAN CONTRACTING LLC BOSS CARPET ONE LLC C & S CARPENTRY LLC CECO CONCRETE CONSTRUCT ETHOSENERGY FIELD SERVICES LLC HERITAGE CONSTRUCTION IPC LYDON LLC KRAEMER NORTH AMERICA L PRECISION MECHANICAL GR PRODIGY CONSTRUCTION LL RUSSELL CONSTRUCTION TURBINE PROS LLC WALBRIDGE EQUIP INSTALL ICON INDUSTRIAL SERVICE CALACCI CONSTRUCTION CORNERSTONE CONSTRUCTIO STENSTROM GENERAL CONTR BROWN CONSTRUCTION PRIME CONTRUCTION SERVICES A M KERNS CONSTRUCTION AMEX NOOTER LLC D & H ENERGY MANAGEMENT GOLEY INSULATION OF IND J&B FLOOR COVERING LLC MEDINA RESOURCES GROUP RAUSCH INFRASTRUCTURE L THISTLE GROUP LLC ZEPHYR ALUMINUM PRODUCT ANDERSON COMMERCIAL CON ATLANTIC PLANT MAINT IN BUILDERS SALES AND SERV CONTROL INSTALLATIONS O DOORS INC FORRISTALL CONCRETE CO GOETZ CONCRETE CONSTR HEITKOTTER INC HODGE CONST CO INC KOESTERS LINOLEUM SHOP L & L FLOORCOVERING L P W INC LEANDER CONSTRUCTION IN MILLARD FRANK & COMPANY MILLWRIGHT SERVICE INC MORTENSON M A CO NELSON CONSTR CONTRACTI SPELICH GENERAL CONTRAC STARK EXCAVATING INC SWEDBERG & ASSOCIATES I TIEMAN BUILDERS WILLIAMS BROS CONST INC ALBERICI CONSTRUCTORS ALLIED CONSTR SERV INC ALLOY SPECIALTIES INC AUTOMATIC SYSTEMS INC BAUM OTTO & SONS INC BENNETT CONSTRUCTION IN BILFINGER INDUST SERVICES INC BRAND ENERGY SERVICES L BRANDSAFWAY SERVICES L BRECKE B G INC BRENNAN J F CO INC BURKS DRY WALL BUTLER DRYWALL & PAINT CENTENNIAL CONTRACTOR CIVIL CONSTRUCTORS INC CLIMATE PROS INC CONCRETE SYSTEMS INC CONVEYING CONVENIENCE I CRUZ CONCRETE CURRY KEN CONSTR INC DIAMOND CUT INC FINELINE INC FOSLER CONSTRUCTION HARGER'S ACOUSTICS HARGRAVE BUILDERS INC HEIN CONSTRUCTION CO IN HERITAGE CARPENTRY INC HOFFMAN BUILDERS INC ICC GROUPINC INTERIOR INSTALLATION S INTERNATIONAL DECORATOR IRVING CONSTRUCTION CO J B ROBERTSON CONSTRUCTION JACK HALL CONSTRUCTION KNIGHT FLOORING INC KOJA CONSTRUCTION INC KOOLMASTER CO INC KWCC INC KYLER CONSTRUCTION INC LARSON & LARSON BUILDER LIEBHART CONSTRUCTION I LUNDA CONST CO MACHINERY & CONVEYOR SE MAYOU D H ROOFING CO MC COY CONSTRUCTION CO MEYER C R & SONS CO MICHELS FOUNDATIONS MTE MILLER TRUCKING & E NICAM CONSTRUCTION PINTER GENERAL CONTRACT PLATINUM SCAFFOLDING SE PRECISION BUILDERS PREFERRED CONC & EXCAVA RECORD AUTOMATIC DOORS ROBERTSON JB CONSTRUCTI SCHMELING CONSTRUCTION SINGLEY CONSTRUCTION IN SJOSTROM & SONS THIEL R & D INC TRUSS PLUS INC WOZNIAK CONCRETE FINISH COLD SHIELD INC DASHCO INC GRP MECHANICAL CO INC HOERR P J INC RUIZ CONST SYSTEMS INC RYAN COMPANIES US INC WEAVER CONSTRUCTION INC WHITE CONSTRUCTION INC WINTER CONSTRUCTION INC BLACKHAWK FOUNDATIONS BLAHNIK CONSTRUCTION CO BUSH CONSTRUCTION CO IN CENTRAL CEILING SYSTEMS CENTRAL MILLWRIGHT SERV CURNYN CONSTRUCTION CO 'D' CONSTRUCTION INC DAVES FLOOR COVERINGS DAY & ZIMMERMAN NPS INC ESTES COMPANY GENERAL CONSTRUCTORS IN H & H BUILDERS INC ILLINOIS VALLEY MACHINE KINETIC CONSTRUCTION LADZINSKI CEMENT FINISH LARSEN KLAUER BUILDERS NEWELL MACHINERY CO INC NORTHERN ILL WALL & CEI QUAD CITY ACOUSTICAL CE R G CONSTRUCTION SERVIC RAYNOR DOOR CO INC RINGLAND JOHNSON INC RIVER VALLEY CONSTRUCTI ROCKWELL GROUP RYAN & ASSOCIATES SEITHER & CHERRY QUAD C SHEPARD CONSTRUCTION LLC SMITH CA BUILDERS INC SUITABLE BUILDERS INC TREIBER CONSTRUCTION CO VALLEY CONST CO VISSERING CONSTRUCTION 4MC CORPORATION INC AIRTITE INC ANAGNOS DOOR CO INC APCOMPOWER INC ARCHITECTURAL FIXTURES AXIS MECHANICAL GROUP BUILDERS CHICAGO CORPOR BYUS CONSTRUCTION CO C & P INSTALLATIONS INC CONSOLIDATED MECHANICAL CPI OF THE MIDWEST DBM SERVICES INC DGI MENARD INC DOOR SYSTEMS INC DORAL CORPORATION DYNAMIC SPORTS CONSTRUC ERA VALDIVIA CONTRACTOR GAGNON CONST CO INC HRA PAYMENTS HUFCOR CHICAGO INC IDEAL BUILDERS INC ILLINI SUPPLY INC J W OSSOLA CO INC JOHNCO CONSTRUCTION INC KUJO INC LEVY CO THE M P SPORTS INC NORTHWEST STEEL ERECTIO PEORIA METRO CONSTRUCTI POETTKER CONSTRUCTION C PORTER BROTHERS ASPHALT PRECISION COOLING TOWER PROCACCIO PAINTING & DR RACK-IT INSTALLATIONS RAVENSBERG INC S & H FLOORCOVERING INC SEVENSON ENVIRONMENTAL SOLID PLATFORMS INC SPORTS SURFACING INC UNION FLOORING SERVICES WALLFORMS INC WHITTAKER EXCAVATING 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R, PART VII THE FOLLOWING COMPANIES ARE CONTRIBUTING EMPLOYERS TO THE HEARTLAND HEALTHCARE FUND AND DEEMED TO BE A RELATED ORGANIZATION. HOWEVER, THE FUND WAS UNABLE TO OBTAIN THE SPECIFIC TAX CLASSIFICATION OF THE ORGANIZATIONS. AS SUCH, THE ENTITIES ARE NOT LISTED BY THE TAX CLASSIFICATION IN PARTS II - IV OF THE SCHEDULE R. SEE EMPLOYER LIST BELOW: A H C MECHANICAL SERVIC AMERICAN IGLOO BUILDERS AMERICAN RIGGING & MILL ASPEN CONSTRUCTION SYST ASSOCIATED CONSTRUCTORS BI STATE SEAMLESS GUTTE BOLDT OSCAR J CONSTRUCT CARPET WEAVERS COMMERCI CARROLL COUNTY TREASURE CETWINSKI CONSTRUCTION COLLINS CONCRETE LTD COMMERCIAL CARPENTRY MA CULLEN J P & SON D JOSEPH CONSTRUCTION C DICKS FLOOR COVERING DIETZ SHERRI DYKSTRA CONCRETE CONSTR FRIEND ACOUSTICAL CEILI GENSINI EXCAVATING & TR GILCO SCAFFOLDING GIVSCO CONSTRUCTION COM GREGORY CONSTRUCTION HALVERSON CONSTRUCTION HELMKAMP CONSTRUCTION C HERLIHY MID-CONTINENT C INSULATED PANEL COMPANY J LANE COMMERCIAL FLOOR JONES-BLYTHE CONSTRUCTI JUST RITE ACOUSTICS KEELEY L CONSTRUCTION KEEN CO KISER HYDRO LLC KONECRANES NUCLEAR EQUI LANKFORD CONSTRUCTION C LAVERDIERE CONSTRUCTION LILJA MECHANICAL CONSTR MARLEY COOLING TOWER CO MARTIN & COMPANY EXCAV MC CARTHY IMPROVEMENT C MIRON CONSTRUCTION CO I MORFIN CONST GEN CARP I PETERSON BERTEL CO REBORN RUSTIC RIVER CITY CONSTRUCTION ROCKFORD CARPETLAND USA ROSE CONCRETE RUIZ CONSTRUCTION CO SCANDROLI CONSTRUCTION SCURTO CEMENT CONSTRUCT SEITHER & CHERRY COMPAN SPRINKMANN SONS CORP SWANSON PROFESSIONAL FL SYSTEMS ENTERPRISE CORP TSI COMMERICAL FLOOR UNIVERSAL PLANT SERVICE WALSH CONSTRUCTION CO O WEITZ INDUSTIAL LLC WENGER TRAFFIC CORPORAT WINGER MECHANICAL WOODS CONSTRUCTION CO WRIGHT-WAY INTERIOR SYSTEMS