2019-09-16T14:34:51-05:00 2018-10-31 430765316 RUBINBROWN LLP 1200 MAIN STREET SUITE 1000 KANSAS CITY MO 64105 990 2017-11-01 436039074 GREATER KANSAS CITY LABORERS' WELFARE FUND GREA 9132365490 6405 METCALF NO BLDG 3 OVERLAND PARK KS 66202 DONALD E GREENWELL III CHAIRMAN 9132365490 2019-09-16 1 SUZANNE B KIMBROUGH P01320005 8164721122 173.197.31.242 2019-09-16 12:50:22 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 B7C670ECD1F075128E6EB269AC02CF33DAEB1094 2017 2019-02-21 02:37:17Z DONALD E GREENWELL III 6405 METCALF NO BLDG 3 OVERLAND PARK KS 66202 29603979 0 X N/A X 1962 KS PROVIDE HEALTH & WELFARE BENEFITS 12 12 0 13 0 0 0 0 13675675 13946320 700390 402041 112621 6880 14488686 14355241 0 0 12101752 13304349 0 0 0 0 0 1497676 1370278 13599428 14674627 889258 -319386 29570516 28369742 1196193 518337 28374323 27851405 PROVIDE HEALTH & WELFARE BENEFITS 0 0 THE PLAN PROVIDES HEALTH AND WELFARE BENEFITS FOR MEMBERS OF LOCAL UNIONS #'S 264 AND 1290 OF THE WESTERN MO & KS LABORERS DISTRICT COUNCIL OF THE LABORERS INTERNATIONAL UNION OF NORTH AMERICA. 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 339 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 X TIC INTERNATIONAL CORPORATION 9132365490 6405 METCALF CLOVERLEAD BLDG 3 STE OVERLAND PARK KS 66202 X REGINALD L THOMAS UNION TRUSTEE, SECRETARY 0.30 X X 0 0 0 MITCHELL ROWLEY UNION TRUSTEE 0.30 X 0 0 0 JEFFREY PHILGREEN UNION TRUSTEE 0.30 X 0 0 0 WILLIAM L LIVINGSTON III UNION TRUSTEE 0.30 X 0 0 0 JAMIE DESMARAIS UNION TRUSTEE 0.30 X 0 0 0 MARCUS JOHNSON-EL UNION TRUSTEE 0.30 X 0 0 0 DON GREENWELL EMPLOYER TRUSTEE, CHAIRMAN 0.30 X X 0 0 0 GREGORY A DUNN EMPLOYER TRUSTEE 0.30 X 0 0 0 ANDREW HEITMANN EMPLOYER TRUSTEE 0.30 X 0 0 0 MARK R TEAHAN EMPLOYER TRUSTEE 0.30 X 0 0 0 DAN R MEYER EMPLOYER TRUSTEE 0.30 X 0 0 0 VERN ORPIN EMPLOYER TRUSTEE 0.30 X 0 0 0 ARCHIE SMITH V EMPLOYER TRUSTEE 0.30 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD 225 NORTH MICHIGAN AVENUE CHICAGO IL 60601 ADMINISTRATIVE SERVICES 579453 TIC INTERNATIONAL CORPORATION 6405 METCALF SUITE 200 OVERLAND PARK KS 66202 THIRD PARTY ADMINISTRATORS 442400 SEGAL CO 333 WEST 34TH STREET NEW YORK NY 10001 CONSULTING SERVICES 180741 ARNOLD NEWBOLD WINTER & JACKSON PC 1100 MAIN STREET SUITE 2001 KANSAS CITY MO 64105 LEGAL SERVICES 148155 CASTIARX (FORMERLY LDI) 2275 HALF DAY ROAD SUITE 210 BANNOCKBURN IL 60015 ADMINISTRATIVE SERVICES 106152 5 EMPLOYER CONTRIBUTIONS 900099 12440613 12440613 PARTICIPANTS CONTRIBUTIONS 900099 1505707 1505707 13946320 588409 588409 15062370 15248738 -186368 -186368 -186368 SUBROGATION REFUNDS 900099 4480 4480 LIQUIDATED DAMAGES 900099 2400 2400 6880 14355241 13953200 0 402041 13304349 379200 129422 86522 35245 667955 37777 700 14547 BANK FEES 10766 OTHER EXPENSES 6939 DUES AND SUBSRCIPTIONS 1205 14674627 148548 25000 1763977 2083760 57348 116131 27600643 26144851 29570516 28369742 459441 466178 736752 52159 1196193 518337 X 0 0 0 0 28374323 27851405 28374323 27851405 29570516 28369742 -319386 -203532 0 X 0 1 X 1 0 0 1 X 0 X 14151709 -203532 -203532 14355241 0 14355241 14674627 0 14674627 0 14674627 PART IV, LINE 2B: CONTRIBUTING EMPLOYERS SUBMIT CONTRIBUTIONS TO THE DEPOSITORY WHICH ARE THEN ALLOCATED AND TRANSFERRED TO THE CORRESPONDING ENTITY TO WHICH THEY BELONG. 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 PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN'S FEDERAL TAX RETURNS FOR TAX YEARS 2012 AND LATER REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. FORM 990, PART VI, SECTION A, LINE 3 THE BOARD USES THE SERVICES OF TIC INTERNATIONAL, A THIRD PARTY ADMINISTRATOR, TO PAY BENEFITS AND HANDLE THE DAY-TO-DAY OPERATIONS OF THE PLAN. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 WAS PROVIDED TO THE CHAIRMAN AND SECRETARY FOR APPROVAL AND THEN A FINAL COPY IS PROVIDED TO THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. 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