2019-08-07T12:51:34-05:00 2018-12-31 320043599 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CENTER STE 700 WESTCHESTER IL 60154 990 2018-01-01 362196729 CEMENT MASONS INSTITUTE LOCAL 502 WELFARE TRUST FUND CEME 7085449105 739 25TH AVENUE BELLWOOD IL 60104 PATRICK J LA CASSA TRUSTEE 7085449105 2019-08-07 1 BRUCE A PAVLIK P00748405 3123680500 12.235.239.120 2019-08-07 12:52:03 CD P 93A4F84426990A9A61EBC632D98786EB8E4F1B1D DBF743AF1216C3B70D6C9C598EE47CA4DBC4F1E6 2018 2019-02-21 02:37:17Z PATRICK J LA CASSA 739 25TH AVENUE BELLWOOD IL 60104 39291757 0 X N/A X 1950 IL PROVIDE HEALTH BENEFITS 12 6 22 0 0 0 0 0 22607756 22878242 821209 1030137 951 3593 23429916 23911972 0 0 16779592 18517185 1526122 1321528 0 0 0 866035 1119767 19171749 20958480 4258167 2953492 53428822 54394834 616329 400159 52812493 53994675 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE MEDICAL AND LIFE INSURANCE TO PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 1 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 0 0 0 1 0 0 1 21 0 1 22 1 0 0 0 0 0 0 0 0 0 0 X 12 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X WILLIAM BEEMAN 7085449105 739 S 25TH AVENUE BELLWOOD IL 60104 X PATRICK LA CASSA TRUSTEE 2.00 55.00 X 0 171530 148408 LAWRENCE PICARDI SR TRUSTEE 2.00 55.00 X 0 164527 142370 STEVE BAUMGARTNER TRUSTEE 2.00 6.00 X 0 0 0 SANDRA HUNT TRUSTEE 1.00 1.00 X 4312 0 3063 ROBERT KUTROVATZ TRUSTEE 1.00 2.00 X 0 0 0 MICHAEL PIRRON TRUSTEE 1.00 2.00 X 0 0 0 ANTONIO ACEVEDO TRUSTEE 1.00 46.00 X 0 112741 53894 JOHN HALLBERG TRUSTEE 1.00 2.00 X 0 0 0 MICHAEL KOLBERG TRUSTEE 2.00 4.00 X 0 0 0 PHIL DIEKEMPER TRUSTEE 1.00 5.00 X 0 0 0 JAY LA SALA TRUSTEE 1.00 1.00 X 4312 11372 3063 ADAM HIGGINS TRUSTEE 1.00 1.00 X 4312 0 3063 WILLIAM BEEMAN ADMINISTRATOR 22.00 18.00 X 135068 0 64659 DUANE EXLINE PENSION COORDINATOR 0.00 40.00 X 121888 0 60067 ANGELO FEOLA COLLECTION COORDINATOR 15.00 25.00 X 114870 5736 59381 GEORGIE SHEPHERD CONTROLLER 17.00 23.00 X 105762 0 50223 490524 465906 588191 4 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 650305 ARNOLD & KADJAN 203 N LASALLE ST SUITE 1650 CHICAGO IL 60601 LEGAL 332920 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CENTER STE 7 WESTCHESTER IL 60154 ACCOUNTING 306886 GROUP ADMINISTRATORS LTD 953 AMERICAN LANE SCHAUMBURG IL 60173 CLAIMS ADMINISTRATOR 220711 4 CONTRACTOR CONTRIBUTIONS 900099 21549375 21549375 REIMBURSED ADMINISTRATIVE EXPENSE 900099 876340 876340 PRESCRIPTION DRUG REBATES 900099 265433 265433 PARTICIPANT SELF-CONTRIBUTIONS 900099 187094 187094 22878242 1036152 1036152 15373770 15379785 -6015 -6015 -6015 MISCELLANEOUS INCOME 900099 3593 3593 3593 23911972 22878242 0 1033730 18517185 219319 626280 300337 114797 60795 220711 150739 255461 98493 30915 80089 64831 119718 5647 36818 25710 24665 FEES MANDATED BY ACA 5970 20958480 3146159 1568063 3006790 4274573 2360403 2568649 74459 72241 8651 4544 238440 165466 77739 72974 37331616 37826851 7423005 8006939 53428822 54394834 616329 400159 616329 400159 X 0 0 0 0 52812493 53994675 52812493 53994675 53428822 54394834 2953492 -1771310 0 X 0 1 X 1 0 34001 32659 1342 180650 128842 51808 23789 3965 19824 72974 CF DV DYNAMIC GROWTH FUND 8006939 F 8006939 X 21165829 -1771310 -1771310 22937139 98493 876340 974833 23911972 19983647 0 19983647 98493 876340 974833 20958480 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED ADMINISTRATIVE EXPENSES 876,340. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED ADMINISTRATIVE EXPENSES 876,340. X 0 0 0 PATRICK LA CASSA TRUSTEE 0 170361 0 0 0 1169 0 97700 0 50708 0 319938 0 0 LAWRENCE PICARDI SR TRUSTEE 0 163529 0 0 0 998 0 93726 0 48644 0 306897 0 0 ANTONIO ACEVEDO TRUSTEE 0 111819 0 0 0 922 137 36737 112 16908 249 166386 0 0 WILLIAM BEEMAN ADMINISTRATOR 134063 0 0 0 1005 0 50513 0 14146 0 199727 0 0 0 DUANE EXLINE PENSION COORDINATOR 121888 0 0 0 0 0 45921 0 14146 0 181955 0 0 0 ANGELO FEOLA COLLECTION COORDINATOR 114870 5736 0 0 0 0 45235 0 14146 0 174251 5736 0 0 GEORGIE SHEPHERD CONTROLLER 105762 0 0 0 0 0 36077 0 14146 0 155985 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES AND FUND ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARDS' REVIEW, THE FORM IS APPROVED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES AND THE FUND ADMINISTRATOR SHALL REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THIS POLICY TAKING ALL STEPS THEY DEEM NECESSARY TO ENSURE SUCH MONITORING AND ENFORCEMENT. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE ANNUALLY 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 VII, SECTION A, LINE 1A: THE ORGANIZATION'S ADMINISTRATOR AND HIGHEST COMPENSATED EMPLOYEES ARE SHARED WITH NUMEROUS RELATED ORGANIZATIONS. THE REPORTING ORGANIZATION IS RESPONSIBLE FOR PAYROLL AND IS REIMBURSED BY THE RELATED ORGANIZATIONS FOR THEIR ALLOCATED PORTION OF THE SALARY AND RELATED EXPENSES. 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