2019-01-08T11:51:48-06:00 2018-06-30 470900880 CALIBRE CPA GROUP PLLC 19615 SOUTH LAGRANGE ROAD MOKENA IL 60448 990 2017-07-01 366073849 GARAGE ATTENDANTS LINEN AND LAUNDRY HEALTH & WELFARE FUND LOCAL 731 IBT GARA 6308874150 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 JOHN J LISNER TRUSTEE 6308874150 2019-01-08 1 CHARLES DIGIOVANNI P00284901 7089957180 2019-01-02 38.100.43.100 2019-01-08 12:50:29 ES P 883CF1A9781ABDA3268701484D9C94428E8D752B 099BB351ED5C43DB8E4A0DD96B056B1430213725 2017 2019-02-21 02:37:17Z X JOHN J LISNER 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 53424785 0 X N/A X 1957 IL TO PROVIDE HEALTH AND WELFARE, SCHOLARSHIP, LOSS OF TIME AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES X 7 3 0 0 0 0 0 0 23218951 24740042 1000868 1268501 0 0 24219819 26008543 0 0 22184767 21360173 0 0 0 0 0 862518 943719 23047285 22303892 1172534 3704651 41808355 0 1690460 0 40117895 0 TO PROVIDE HEALTH AND WELFARE, SCHOLARSHIP, LOSS OF TIME AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES. 0 0 TO PROVIDE HEALTH AND WELFARE, SCHOLARSHIP, LOSS OF TIME AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 170 0 1 0 0 0 0 0 0 0 X 7 3 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 1 1 0 X JOHN J LISNER 6308874150 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 WALT THIEDE TRUSTEE 0.50 40.00 X 0 122580 32386 JOHN J LISNER TRUSTEE 0.50 40.00 X 0 240488 67337 DALE BOLT TRUSTEE 0.50 40.00 X 0 185786 59393 JAMES BUIK TRUSTEE 0.50 X 0 0 0 MICHAEL RICHARDSON TRUSTEE 0.50 X 0 0 0 BRAD WEBB TRUSTEE 0.50 X 0 0 0 MICHAEL J CORRIGAN TRUSTEE 0.50 40.00 X 0 116845 12242 RICHARD CLARSON ADMINISTRATOR 20.00 20.00 X 0 166395 12026 0 832094 183384 0 0 1 1 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 911421 1 EMPLOYER CONTRIBUTIONS 900099 20980211 20980211 PARTICIPANT AND RETIREE CONTRIBUT 900099 3759831 3759831 24740042 965593 965593 27719150 27416242 302908 302908 302908 26008543 24740042 0 1268501 21360173 115651 61892 66995 60795 66696 48877 56831 402 12614 REIMBURSED ADMIN EXPENS 416653 SCHOLARSHIP EXPENSES 36313 22303892 1977377 0 34332 0 0 2186911 0 0 0 0 0 23561 0 0 0 402 0 37532990 0 0 0 0 52782 0 41808355 0 34460 0 1656000 0 1690460 0 X 0 0 0 0 40117895 0 40117895 0 41808355 0 X 3704651 867960 -44690506 X X 0 1 X 1 0 0 X 26809508 867960 867960 25941548 66995 66995 26008543 23892897 0 23892897 66995 -1656000 -1589005 22303892 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 JUNE 30, 2018 AND 2017 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 JUNE 30, 2018, THE PLAN'S ADMINISTRATOR BELIEVES THAT THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2015. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS PAYABLE AND INCURRED BUT NOT REPORTED CLAIMS -1,656,000. 0 0 0 WALT THIEDE TRUSTEE 0 115505 0 4446 0 2629 0 20144 0 12242 0 154966 0 0 JOHN J LISNER TRUSTEE 0 227709 0 8763 0 4016 0 54864 0 12473 0 307825 0 0 DALE BOLT TRUSTEE 0 178558 0 6873 0 355 0 46920 0 12473 0 245179 0 0 RICHARD CLARSON ADMINISTRATOR 0 166395 0 0 0 0 0 0 0 12026 0 178421 0 0 PART III FORM 990, PART VII, ITEM 5 AND SCHEDULE J, PART II RICHARD CLARSON IS THE ADMINISTRATOR OF THE FILING ORGANIZATION IN ADDITION TO PEFORMING SIMILAR DUTIES FOR THE FILING ORGANIZATION'S RELATED AND AFFILIATED, BUT UNRELATED ORGANIZATIONS. HIS COMPENSATION IS PAID DIRECTLY BY THE EXCAVATING, GRADING AND ASPHALT CRAFT LOCAL 731 HEALTH AND WELFARE FUND AND A PORTION IS REIMBURSED TO THAT FUND BY THE FILING ORGANIZATION. HIS COMPENSATION IS COMPRISED OF WAGES AND CONTRIBUTIONS TO A HEALTH BENEFIT PLAN. HE IS CONSIDERED AN OFFICER OF THE FILING ORGANIZATION FOR 990 REPORTING PURPOSES. MICHAEL RICHARDSON IS A PARTNER WITH THE LAW FIRM FRANCZEK RADELET PC WHICH RECEIVES INDIRECT COMPENSATION FOR MR. RICHARDSON SERVING AS AN INDIVIDUAL TRUSTEE ON THE PLAN'S BOARD OF TRUSTEES. TRANSFER OF NET ASSETS DUE TO MERGER 2018-06-30 44690506 BOOK VALUE 362392752 PRIVATE SCAVENGERS HEALTH & WELFARE FUND 731 I B OF T 1000 BURR RIDGE PKWY BURR RIDGE IL 60527 501C9 0 0 0 0 0 0 0 0 0 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 AND FILED. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE INCLUDED IN AN ANNUAL COST ALLOCATION STUDY ALONG WITH OTHER TEAMSTERS LOCAL 731 BENEFIT FUNDS. THE STUDY IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. FORM 990, PART XI, LINE 9: TRANSFER TO 731 I. B. OF T. PRIVATE SCAVENGERS WELFARE FUND -44,690,506. FORM 990, PART XII, LINE 2C EXPLANATION: THERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR. 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